Science.gov

Sample records for administrative collection referral

  1. 31 CFR 501.746 - Referral to United States Department of Justice; administrative collection measures.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 31 Money and Finance:Treasury 3 2013-07-01 2013-07-01 false Referral to United States Department....746 Referral to United States Department of Justice; administrative collection measures. In the event... administrative collection measures or to the United States Department of Justice for appropriate action...

  2. 31 CFR 501.746 - Referral to United States Department of Justice; administrative collection measures.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 31 Money and Finance:Treasury 3 2014-07-01 2014-07-01 false Referral to United States Department....746 Referral to United States Department of Justice; administrative collection measures. In the event... administrative collection measures or to the United States Department of Justice for appropriate action...

  3. 31 CFR 501.746 - Referral to United States Department of Justice; administrative collection measures.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 31 Money and Finance:Treasury 3 2012-07-01 2012-07-01 false Referral to United States Department....746 Referral to United States Department of Justice; administrative collection measures. In the event... administrative collection measures or to the United States Department of Justice for appropriate action...

  4. 31 CFR 501.746 - Referral to United States Department of Justice; administrative collection measures.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false Referral to United States Department....746 Referral to United States Department of Justice; administrative collection measures. In the event... administrative collection measures or to the United States Department of Justice for appropriate action...

  5. 31 CFR 501.746 - Referral to United States Department of Justice; administrative collection measures.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 31 Money and Finance:Treasury 3 2011-07-01 2011-07-01 false Referral to United States Department....746 Referral to United States Department of Justice; administrative collection measures. In the event... administrative collection measures or to the United States Department of Justice for appropriate action...

  6. 31 CFR 537.705 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 31 Money and Finance:Treasury 3 2013-07-01 2013-07-01 false Administrative collection; referral to United States Department of Justice. 537.705 Section 537.705 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE...

  7. 31 CFR 537.704 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 31 Money and Finance:Treasury 3 2014-07-01 2014-07-01 false Administrative collection; referral to United States Department of Justice. 537.704 Section 537.704 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE...

  8. 31 CFR 539.705 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... United States Department of Justice. 539.705 Section 539.705 Money and Finance: Treasury Regulations...; referral to United States Department of Justice. In the event that the respondent does not pay the penalty... referred for administrative collection measures by the Department of the Treasury or to the United...

  9. 31 CFR 539.705 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... United States Department of Justice. 539.705 Section 539.705 Money and Finance: Treasury Regulations...; referral to United States Department of Justice. In the event that the respondent does not pay the penalty... referred for administrative collection measures by the Department of the Treasury or to the United...

  10. 31 CFR 587.705 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... to United States Department of Justice. 587.705 Section 587.705 Money and Finance: Treasury... § 587.705 Administrative collection; referral to United States Department of Justice. In the event that... Department of the Treasury or to the United States Department of Justice for appropriate action to...

  11. 31 CFR 598.705 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... to United States Department of Justice. 598.705 Section 598.705 Money and Finance: Treasury...; referral to United States Department of Justice. In the event that the respondent does not pay a penalty... referred for administrative collection measures by the Department of the Treasury or to the United...

  12. 31 CFR 539.705 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... United States Department of Justice. 539.705 Section 539.705 Money and Finance: Treasury Regulations...; referral to United States Department of Justice. In the event that the respondent does not pay the penalty... referred for administrative collection measures by the Department of the Treasury or to the United...

  13. 31 CFR 545.705 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... to United States Department of Justice. 545.705 Section 545.705 Money and Finance: Treasury...; referral to United States Department of Justice. In the event that the respondent does not pay the penalty... referred for administrative collection measures by the Department of the Treasury or to the United...

  14. 31 CFR 586.705 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... to United States Department of Justice. 586.705 Section 586.705 Money and Finance: Treasury....705 Administrative collection; referral to United States Department of Justice. In the event that the... Treasury or to the United States Department of Justice for appropriate action to recover the penalty in...

  15. 31 CFR 540.705 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... to United States Department of Justice. 540.705 Section 540.705 Money and Finance: Treasury... Administrative collection; referral to United States Department of Justice. In the event that the respondent does... Treasury or to the United States Department of Justice for appropriate action to recover the penalty in...

  16. 31 CFR 539.705 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... United States Department of Justice. 539.705 Section 539.705 Money and Finance: Treasury Regulations...; referral to United States Department of Justice. In the event that the respondent does not pay the penalty... referred for administrative collection measures by the Department of the Treasury or to the United...

  17. 31 CFR 537.705 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 31 Money and Finance:Treasury 3 2011-07-01 2011-07-01 false Administrative collection; referral to United States Department of Justice. 537.705 Section 537.705 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE...

  18. 31 CFR 544.704 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... United States Department of Justice. 544.704 Section 544.704 Money and Finance: Treasury Regulations... collection; referral to United States Department of Justice. In the event that the violator does not pay the... the Department of the Treasury or to the United States Department of Justice for appropriate action...

  19. 31 CFR 540.705 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... United States Department of Justice. 540.705 Section 540.705 Money and Finance: Treasury Regulations... collection; referral to United States Department of Justice. In the event that the respondent does not pay... United States Department of Justice for appropriate action to recover the penalty in a civil suit in...

  20. 31 CFR 593.705 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... United States Department of Justice. 593.705 Section 593.705 Money and Finance: Treasury Regulations... collection; referral to United States Department of Justice. In the event that the respondent does not pay... United States Department of Justice for appropriate action to recover the penalty in a civil suit in...

  1. 31 CFR 593.705 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... United States Department of Justice. 593.705 Section 593.705 Money and Finance: Treasury Regulations... collection; referral to United States Department of Justice. In the event that the respondent does not pay... United States Department of Justice for appropriate action to recover the penalty in a civil suit in...

  2. 31 CFR 597.705 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... to United States Department of Justice. 597.705 Section 597.705 Money and Finance: Treasury... collection; referral to United States Department of Justice. In the event that the respondent does not pay... Department of the Treasury or to the United States Department of Justice for appropriate action to...

  3. 31 CFR 540.705 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... United States Department of Justice. 540.705 Section 540.705 Money and Finance: Treasury Regulations... collection; referral to United States Department of Justice. In the event that the respondent does not pay... United States Department of Justice for appropriate action to recover the penalty in a civil suit in...

  4. 31 CFR 544.704 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... United States Department of Justice. 544.704 Section 544.704 Money and Finance: Treasury Regulations... collection; referral to United States Department of Justice. In the event that the violator does not pay the... the Department of the Treasury or to the United States Department of Justice for appropriate action...

  5. 31 CFR 593.705 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... to United States Department of Justice. 593.705 Section 593.705 Money and Finance: Treasury... collection; referral to United States Department of Justice. In the event that the respondent does not pay... United States Department of Justice for appropriate action to recover the penalty in a civil suit in...

  6. 31 CFR 593.705 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... United States Department of Justice. 593.705 Section 593.705 Money and Finance: Treasury Regulations... collection; referral to United States Department of Justice. In the event that the respondent does not pay... United States Department of Justice for appropriate action to recover the penalty in a civil suit in...

  7. 31 CFR 544.704 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... to United States Department of Justice. 544.704 Section 544.704 Money and Finance: Treasury... collection; referral to United States Department of Justice. In the event that the violator does not pay the... the Department of the Treasury or to the United States Department of Justice for appropriate action...

  8. 31 CFR 544.704 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... United States Department of Justice. 544.704 Section 544.704 Money and Finance: Treasury Regulations... collection; referral to United States Department of Justice. In the event that the violator does not pay the... the Department of the Treasury or to the United States Department of Justice for appropriate action...

  9. 31 CFR 540.705 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... United States Department of Justice. 540.705 Section 540.705 Money and Finance: Treasury Regulations... collection; referral to United States Department of Justice. In the event that the respondent does not pay... United States Department of Justice for appropriate action to recover the penalty in a civil suit in...

  10. 31 CFR 547.704 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... to United States Department of Justice. 547.704 Section 547.704 Money and Finance: Treasury... collection; referral to United States Department of Justice. In the event that the violator does not pay the... the Department of the Treasury or to the United States Department of Justice for appropriate action...

  11. 31 CFR 544.704 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... United States Department of Justice. 544.704 Section 544.704 Money and Finance: Treasury Regulations... collection; referral to United States Department of Justice. In the event that the violator does not pay the... the Department of the Treasury or to the United States Department of Justice for appropriate action...

  12. 31 CFR 593.705 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... United States Department of Justice. 593.705 Section 593.705 Money and Finance: Treasury Regulations... collection; referral to United States Department of Justice. In the event that the respondent does not pay... United States Department of Justice for appropriate action to recover the penalty in a civil suit in...

  13. 31 CFR 539.705 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... to United States Department of Justice. 539.705 Section 539.705 Money and Finance: Treasury... collection; referral to United States Department of Justice. In the event that the respondent does not pay... United States Department of Justice for appropriate action to recover the penalty in a civil suit in...

  14. 31 CFR 540.705 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... United States Department of Justice. 540.705 Section 540.705 Money and Finance: Treasury Regulations... collection; referral to United States Department of Justice. In the event that the respondent does not pay... United States Department of Justice for appropriate action to recover the penalty in a civil suit in...

  15. 31 CFR 592.605 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... to United States Department of Justice. 592.605 Section 592.605 Money and Finance: Treasury... United States Department of Justice. In the event that the respondent does not pay the penalty imposed... for administrative collection measures by the Department of the Treasury or to the United...

  16. 31 CFR 592.605 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... United States Department of Justice. 592.605 Section 592.605 Money and Finance: Treasury Regulations... States Department of Justice. In the event that the respondent does not pay the penalty imposed pursuant... administrative collection measures by the Department of the Treasury or to the United States Department...

  17. 31 CFR 538.705 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... United States Department of Justice. 538.705 Section 538.705 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY... referred for administrative collection measures by the Department of the Treasury or to the United...

  18. 31 CFR 535.705 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... to United States Department of Justice. 535.705 Section 535.705 Money and Finance: Treasury... United States Department of Justice. In the event that the person named does not pay the penalty imposed... for administrative collection measures by the Department of the Treasury or to the United...

  19. 31 CFR 541.705 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... United States Department of Justice. 541.705 Section 541.705 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY... administrative collection measures by the Department of the Treasury or to the United States Department...

  20. 31 CFR 542.705 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... United States Department of Justice. 542.705 Section 542.705 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY... administrative collection measures by the Department of the Treasury or to the United States Department...

  1. 31 CFR 592.605 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... United States Department of Justice. 592.605 Section 592.605 Money and Finance: Treasury Regulations... States Department of Justice. In the event that the respondent does not pay the penalty imposed pursuant... administrative collection measures by the Department of the Treasury or to the United States Department...

  2. 31 CFR 595.705 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... United States Department of Justice. 595.705 Section 595.705 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY... referred for administrative collection measures by the Department of the Treasury or to the United...

  3. 31 CFR 537.705 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... to United States Department of Justice. 537.705 Section 537.705 Money and Finance: Treasury... States Department of Justice. In the event that the respondent does not pay the penalty imposed pursuant... administrative collection measures by the Department of the Treasury or to the United States Department...

  4. 31 CFR 594.705 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... United States Department of Justice. 594.705 Section 594.705 Money and Finance: Treasury Regulations... States Department of Justice. In the event that the respondent does not pay the penalty imposed pursuant... administrative collection measures by the Department of the Treasury or to the United States Department...

  5. 31 CFR 535.705 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... United States Department of Justice. 535.705 Section 535.705 Money and Finance: Treasury Regulations... States Department of Justice. In the event that the person named does not pay the penalty imposed... for administrative collection measures by the Department of the Treasury or to the United...

  6. 31 CFR 548.704 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... United States Department of Justice. 548.704 Section 548.704 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY... referred for administrative collection measures by the Department of the Treasury or to the United...

  7. 31 CFR 537.705 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... United States Department of Justice. 537.705 Section 537.705 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY... administrative collection measures by the Department of the Treasury or to the United States Department...

  8. 31 CFR 535.705 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... United States Department of Justice. 535.705 Section 535.705 Money and Finance: Treasury Regulations... States Department of Justice. In the event that the person named does not pay the penalty imposed... for administrative collection measures by the Department of the Treasury or to the United...

  9. 31 CFR 575.705 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... to United States Department of Justice. 575.705 Section 575.705 Money and Finance: Treasury... States Department of Justice. In the event that the person named does not pay the penalty imposed... for administrative collection measures by the Department of the Treasury or to the United...

  10. 31 CFR 535.705 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... United States Department of Justice. 535.705 Section 535.705 Money and Finance: Treasury Regulations... States Department of Justice. In the event that the person named does not pay the penalty imposed... for administrative collection measures by the Department of the Treasury or to the United...

  11. 31 CFR 595.705 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... United States Department of Justice. 595.705 Section 595.705 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY... referred for administrative collection measures by the Department of the Treasury or to the United...

  12. 31 CFR 598.705 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... United States Department of Justice. 598.705 Section 598.705 Money and Finance: Treasury Regulations... United States Department of Justice. In the event that the respondent does not pay a penalty imposed... administrative collection measures by the Department of the Treasury or to the United States Department...

  13. 31 CFR 549.704 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... United States Department of Justice. 549.704 Section 549.704 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY... referred for administrative collection measures by the Department of the Treasury or to the United...

  14. 31 CFR 541.705 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... to United States Department of Justice. 541.705 Section 541.705 Money and Finance: Treasury... States Department of Justice. In the event that the respondent does not pay the penalty imposed pursuant... administrative collection measures by the Department of the Treasury or to the United States Department...

  15. 31 CFR 542.705 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... United States Department of Justice. 542.705 Section 542.705 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY... administrative collection measures by the Department of the Treasury or to the United States Department...

  16. 31 CFR 538.705 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... United States Department of Justice. 538.705 Section 538.705 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY... referred for administrative collection measures by the Department of the Treasury or to the United...

  17. 31 CFR 536.705 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... United States Department of Justice. 536.705 Section 536.705 Money and Finance: Treasury Regulations... United States Department of Justice. In the event that the respondent does not pay the penalty imposed... matter may be referred for administrative collection measures or to the United States Department...

  18. 31 CFR 594.705 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... United States Department of Justice. 594.705 Section 594.705 Money and Finance: Treasury Regulations... States Department of Justice. In the event that the respondent does not pay the penalty imposed pursuant... administrative collection measures by the Department of the Treasury or to the United States Department...

  19. 31 CFR 548.704 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... United States Department of Justice. 548.704 Section 548.704 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY... referred for administrative collection measures by the Department of the Treasury or to the United...

  20. 31 CFR 592.605 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... United States Department of Justice. 592.605 Section 592.605 Money and Finance: Treasury Regulations... States Department of Justice. In the event that the respondent does not pay the penalty imposed pursuant... administrative collection measures by the Department of the Treasury or to the United States Department...

  1. 31 CFR 549.704 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... United States Department of Justice. 549.704 Section 549.704 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY... referred for administrative collection measures by the Department of the Treasury or to the United...

  2. 31 CFR 541.705 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... United States Department of Justice. 541.705 Section 541.705 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY... administrative collection measures by the Department of the Treasury or to the United States Department...

  3. 31 CFR 538.705 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... United States Department of Justice. 538.705 Section 538.705 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY... referred for administrative collection measures by the Department of the Treasury or to the United...

  4. 31 CFR 594.705 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... United States Department of Justice. 594.705 Section 594.705 Money and Finance: Treasury Regulations... States Department of Justice. In the event that the respondent does not pay the penalty imposed pursuant... administrative collection measures by the Department of the Treasury or to the United States Department...

  5. 31 CFR 536.705 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... United States Department of Justice. 536.705 Section 536.705 Money and Finance: Treasury Regulations... United States Department of Justice. In the event that the respondent does not pay the penalty imposed... matter may be referred for administrative collection measures or to the United States Department...

  6. 31 CFR 538.705 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... United States Department of Justice. 538.705 Section 538.705 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY... referred for administrative collection measures by the Department of the Treasury or to the United...

  7. 31 CFR 595.705 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... United States Department of Justice. 595.705 Section 595.705 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY... referred for administrative collection measures by the Department of the Treasury or to the United...

  8. 31 CFR 595.705 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... United States Department of Justice. 595.705 Section 595.705 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY... referred for administrative collection measures by the Department of the Treasury or to the United...

  9. 31 CFR 541.705 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... United States Department of Justice. 541.705 Section 541.705 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY... administrative collection measures by the Department of the Treasury or to the United States Department...

  10. 31 CFR 588.705 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... to United States Department of Justice. 588.705 Section 588.705 Money and Finance: Treasury... to United States Department of Justice. In the event that the respondent does not pay the penalty... referred for administrative collection measures by the Department of the Treasury or to the United...

  11. 31 CFR 535.705 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... United States Department of Justice. 535.705 Section 535.705 Money and Finance: Treasury Regulations... States Department of Justice. In the event that the person named does not pay the penalty imposed... for administrative collection measures by the Department of the Treasury or to the United...

  12. 31 CFR 598.705 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... United States Department of Justice. 598.705 Section 598.705 Money and Finance: Treasury Regulations... United States Department of Justice. In the event that the respondent does not pay a penalty imposed... administrative collection measures by the Department of the Treasury or to the United States Department...

  13. 31 CFR 542.704 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... United States Department of Justice. 542.704 Section 542.704 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY... referred for administrative collection measures by the Department of the Treasury or to the United...

  14. 31 CFR 594.705 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... United States Department of Justice. 594.705 Section 594.705 Money and Finance: Treasury Regulations... States Department of Justice. In the event that the respondent does not pay the penalty imposed pursuant... administrative collection measures by the Department of the Treasury or to the United States Department...

  15. 31 CFR 592.605 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... United States Department of Justice. 592.605 Section 592.605 Money and Finance: Treasury Regulations... States Department of Justice. In the event that the respondent does not pay the penalty imposed pursuant... administrative collection measures by the Department of the Treasury or to the United States Department...

  16. 31 CFR 548.704 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... United States Department of Justice. 548.704 Section 548.704 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY... referred for administrative collection measures by the Department of the Treasury or to the United...

  17. 31 CFR 548.704 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... United States Department of Justice. 548.704 Section 548.704 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY... referred for administrative collection measures by the Department of the Treasury or to the United...

  18. 31 CFR 542.705 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... United States Department of Justice. 542.705 Section 542.705 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY... administrative collection measures by the Department of the Treasury or to the United States Department...

  19. 31 CFR 549.704 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... United States Department of Justice. 549.704 Section 549.704 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY... referred for administrative collection measures by the Department of the Treasury or to the United...

  20. 31 CFR 594.705 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... to United States Department of Justice. 594.705 Section 594.705 Money and Finance: Treasury... United States Department of Justice. In the event that the respondent does not pay the penalty imposed... for administrative collection measures by the Department of the Treasury or to the United...

  1. 31 CFR 542.705 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... to United States Department of Justice. 542.705 Section 542.705 Money and Finance: Treasury... States Department of Justice. In the event that the respondent does not pay the penalty imposed pursuant... administrative collection measures by the Department of the Treasury or to the United States Department...

  2. 31 CFR 536.705 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... United States Department of Justice. 536.705 Section 536.705 Money and Finance: Treasury Regulations... United States Department of Justice. In the event that the respondent does not pay the penalty imposed... matter may be referred for administrative collection measures or to the United States Department...

  3. 31 CFR 549.704 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... United States Department of Justice. 549.704 Section 549.704 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY... referred for administrative collection measures by the Department of the Treasury or to the United...

  4. 31 CFR 541.705 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... United States Department of Justice. 541.705 Section 541.705 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY... administrative collection measures by the Department of the Treasury or to the United States Department...

  5. 31 CFR 598.705 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... United States Department of Justice. 598.705 Section 598.705 Money and Finance: Treasury Regulations... United States Department of Justice. In the event that the respondent does not pay a penalty imposed... administrative collection measures by the Department of the Treasury or to the United States Department...

  6. 31 CFR 598.705 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... United States Department of Justice. 598.705 Section 598.705 Money and Finance: Treasury Regulations... United States Department of Justice. In the event that the respondent does not pay a penalty imposed... administrative collection measures by the Department of the Treasury or to the United States Department...

  7. 31 CFR 536.705 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... United States Department of Justice. 536.705 Section 536.705 Money and Finance: Treasury Regulations... United States Department of Justice. In the event that the respondent does not pay the penalty imposed... matter may be referred for administrative collection measures or to the United States Department...

  8. 31 CFR 597.705 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... United States Department of Justice. 597.705 Section 597.705 Money and Finance: Treasury Regulations...; referral to United States Department of Justice. In the event that the respondent does not pay the penalty... Treasury or to the United States Department of Justice for appropriate action to recover the penalty in...

  9. 31 CFR 547.704 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... United States Department of Justice. 547.704 Section 547.704 Money and Finance: Treasury Regulations...; referral to United States Department of Justice. In the event that the violator does not pay the penalty... Department of the Treasury or to the United States Department of Justice for appropriate action to...

  10. 31 CFR 536.705 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... to United States Department of Justice. 536.705 Section 536.705 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE...; referral to United States Department of Justice. In the event that the respondent does not pay the...

  11. 31 CFR 597.705 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... United States Department of Justice. 597.705 Section 597.705 Money and Finance: Treasury Regulations...; referral to United States Department of Justice. In the event that the respondent does not pay the penalty... Treasury or to the United States Department of Justice for appropriate action to recover the penalty in...

  12. 31 CFR 547.704 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... United States Department of Justice. 547.704 Section 547.704 Money and Finance: Treasury Regulations...; referral to United States Department of Justice. In the event that the violator does not pay the penalty... Department of the Treasury or to the United States Department of Justice for appropriate action to...

  13. 31 CFR 547.704 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... United States Department of Justice. 547.704 Section 547.704 Money and Finance: Treasury Regulations...; referral to United States Department of Justice. In the event that the violator does not pay the penalty... Department of the Treasury or to the United States Department of Justice for appropriate action to...

  14. 31 CFR 547.704 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... United States Department of Justice. 547.704 Section 547.704 Money and Finance: Treasury Regulations...; referral to United States Department of Justice. In the event that the violator does not pay the penalty... Department of the Treasury or to the United States Department of Justice for appropriate action to...

  15. 31 CFR 597.705 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... United States Department of Justice. 597.705 Section 597.705 Money and Finance: Treasury Regulations...; referral to United States Department of Justice. In the event that the respondent does not pay the penalty... Treasury or to the United States Department of Justice for appropriate action to recover the penalty in...

  16. 31 CFR 597.705 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... United States Department of Justice. 597.705 Section 597.705 Money and Finance: Treasury Regulations...; referral to United States Department of Justice. In the event that the respondent does not pay the penalty... Treasury or to the United States Department of Justice for appropriate action to recover the penalty in...

  17. 31 CFR 560.706 - Referral for administrative collection measures or to United States Department of Justice.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... collection measures or to United States Department of Justice. 560.706 Section 560.706 Money and Finance... collection measures or to United States Department of Justice. In the event that the person named does not... referred for administrative collection measures or to the United States Department of Justice...

  18. 31 CFR 560.706 - Referral for administrative collection measures or to United States Department of Justice.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... measures or to United States Department of Justice. 560.706 Section 560.706 Money and Finance: Treasury... measures or to United States Department of Justice. In the event that the person named does not pay the... for administrative collection measures or to the United States Department of Justice for...

  19. 31 CFR 560.706 - Referral for administrative collection measures or to United States Department of Justice.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... measures or to United States Department of Justice. 560.706 Section 560.706 Money and Finance: Treasury... measures or to United States Department of Justice. In the event that the person named does not pay the... for administrative collection measures or to the United States Department of Justice for...

  20. 29 CFR 500.224 - Referral to Administrative Law Judge.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 3 2010-07-01 2010-07-01 false Referral to Administrative Law Judge. 500.224 Section 500... Hearing § 500.224 Referral to Administrative Law Judge. (a) Upon receipt of a timely request for a hearing... Administrative Law Judge, for a determination in an administrative proceeding as provided herein. The notice...

  1. 29 CFR 580.10 - Referral to Administrative Law Judge.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 3 2010-07-01 2010-07-01 false Referral to Administrative Law Judge. 580.10 Section 580.10... Referral to Administrative Law Judge. (a) Upon receipt of a timely exception to a determination of... Administrative Law Judge, for a determination in an administrative proceeding as provided herein. A copy of...

  2. 29 CFR 502.37 - Referral to Administrative Law Judge.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 3 2010-07-01 2010-07-01 false Referral to Administrative Law Judge. 502.37 Section 502.37... § 502.37 Referral to Administrative Law Judge. (a) Upon receipt of a timely request for a hearing filed... Judge, for a determination in an administrative proceeding as provided herein. The notice...

  3. 29 CFR 801.63 - Referral to Administrative Law Judge.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 3 2010-07-01 2010-07-01 false Referral to Administrative Law Judge. 801.63 Section 801.63... § 801.63 Referral to Administrative Law Judge. (a) Upon receipt of a timely request for a hearing filed... Judge, for a determination in an administrative proceeding as provided herein. The notice...

  4. 29 CFR 501.37 - Referral to Administrative Law Judge.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 3 2010-07-01 2010-07-01 false Referral to Administrative Law Judge. 501.37 Section 501.37... to Administrative Law Judge. (a) Upon receipt of a timely request for a hearing filed pursuant to and... shall be filed of record in the Office of the Chief Administrative Law Judge and shall, respectively,...

  5. 29 CFR 530.404 - Referral to Administrative Law Judge.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 3 2010-07-01 2010-07-01 false Referral to Administrative Law Judge. 530.404 Section 530... Administrative Law Judge. Upon receipt of a timely request for a hearing, the request and a copy of the notice of... Law Judge, for a determination in an administrative proceeding as provided herein. The notice...

  6. Blending Administrative and Clinical Needs: The Development of a Referring Physician Database and Automatic Referral Letter

    PubMed Central

    Roberts, Mark S.; Dreese, Elizabeth M.; Hurley, Noreen; Zullo, Nan; Peterson, Mark

    1991-01-01

    The development of a system to collect and verify the name of a patient's referring physician and link that to the automatic production of a referral letter and discharge summary is described. PMID:1807664

  7. 38 CFR 42.11 - Referral of complaint and answer to the Administrative Law Judge (ALJ).

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 2 2011-07-01 2011-07-01 false Referral of complaint and answer to the Administrative Law Judge (ALJ). 42.11 Section 42.11 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS (CONTINUED) STANDARDS IMPLEMENTING THE PROGRAM FRAUD CIVIL REMEDIES ACT §...

  8. 38 CFR 42.11 - Referral of complaint and answer to the Administrative Law Judge (ALJ).

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 2 2010-07-01 2010-07-01 false Referral of complaint and answer to the Administrative Law Judge (ALJ). 42.11 Section 42.11 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS (CONTINUED) STANDARDS IMPLEMENTING THE PROGRAM FRAUD CIVIL REMEDIES ACT §...

  9. 5 CFR 831.1309 - Referral for litigation.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false Referral for litigation. 831.1309 Section 831.1309 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) RETIREMENT Collection of Debts § 831.1309 Referral for litigation. From time to time and in...

  10. 78 FR 54862 - Information Collection; General Program Administration

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-06

    ... Farm Service Agency Information Collection; General Program Administration AGENCY: Farm Service Agency... Programs (FLP) General Program Administration. The information collected is used to ensure that applicants... INFORMATION: ] Title: Farm Loan Programs, General Program Administration. OMB Control Number:...

  11. 76 FR 27002 - Information Collection; National Recreation Program Administration

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-10

    ... Forest Service Information Collection; National Recreation Program Administration AGENCY: Forest Service... new information collection, National Recreation Program Administration. DATES: Comments must be... INFORMATION: Title: National Recreation Program Administration. OMB Number: 0596-New. Expiration Date...

  12. 5 CFR 179.218 - Additional administrative collection action.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 5 Administrative Personnel 1 2014-01-01 2014-01-01 false Additional administrative collection action. 179.218 Section 179.218 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE REGULATIONS CLAIMS COLLECTION STANDARDS Salary Offset § 179.218 Additional administrative collection...

  13. 49 CFR 89.25 - Collection by administrative offset.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 49 Transportation 1 2010-10-01 2010-10-01 false Collection by administrative offset. 89.25 Section... COLLECTION ACT Collection of Claims § 89.25 Collection by administrative offset. (a) Whenever feasible, after... administrative offset against obligations of the United States to the debtor pursuant to 31 U.S.C. 3716 and 4...

  14. 5 CFR 831.1306 - Collection by administrative offset.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false Collection by administrative offset. 831... REGULATIONS (CONTINUED) RETIREMENT Collection of Debts § 831.1306 Collection by administrative offset. (a) Offset from retirement payments. A debt may be collected in whole or in part from lump-sum...

  15. 75 FR 31744 - Information Collection; Contract Operations and Administration

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-04

    ... Forest Service Information Collection; Contract Operations and Administration AGENCY: Forest Service... information collection, Contract Operations and Administration. DATES: Comments must be received in writing on... 8 p.m., Eastern Standard time, Monday through Friday. SUPPLEMENTARY INFORMATION: Title:...

  16. 41 CFR 105-55.011 - Collection by administrative offset.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... administrative offset. 105-55.011 Section 105-55.011 Public Contracts and Property Management Federal Property... Administration 55-COLLECTION OF CLAIMS OWED THE UNITED STATES § 105-55.011 Collection by administrative offset. (a) Scope. (1) The term “administrative offset” has the meaning provided in 31 U.S.C. 3701(a)(1)....

  17. 77 FR 21564 - Agency Information Collection Activities; Proposed Collection; Comment Request; Administrative...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-10

    ... Collection; Comment Request; Administrative Detention and Banned Medical Devices AGENCY: Food and Drug... appropriate, and other forms of information technology. Administrative Detention and Banned Medical Devices... notice solicits comments on information collection for administrative detention and banned...

  18. 45 CFR 33.16 - Additional administrative collection action.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 45 Public Welfare 1 2010-10-01 2010-10-01 false Additional administrative collection action. 33.16 Section 33.16 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION SALARY OFFSET § 33.16 Additional administrative collection action. Nothing contained in this part is intended...

  19. 75 FR 34093 - Information Collection; General Program Administration

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-16

    ... Farm Service Agency Information Collection; General Program Administration AGENCY: Farm Service Agency... General Program Administration. DATES: We will consider comments that we receive by August 16, 2010...: Farm Loan Programs--General Program Administration (7 CFR part 761). OMB Number: 0560-0238....

  20. 12 CFR 1704.3 - Collection of debts and referrals to the Department of the Treasury.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    .... This part 1704 incorporates all applicable debt collection provisions of the FCCS and supplements the FCCS by the prescription of procedures necessary and appropriate for the operations of OFHEO. (b... action in accordance with 31 U.S.C. 3716, 5 U.S.C. 5514, the FCCS, 5 CFR 550.1108, and 31 CFR part...

  1. 31 CFR 546.704 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... United States Department of Justice. 546.704 Section 546.704 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY... United States Department of Justice for appropriate action to recover the penalty in a civil suit in...

  2. 31 CFR 543.704 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... United States Department of Justice. 543.704 Section 543.704 Money and Finance: Treasury Regulations... States Department of Justice. In the event that the violator does not pay the penalty imposed pursuant to... Treasury or to the United States Department of Justice for appropriate action to recover the penalty in...

  3. 31 CFR 546.704 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... United States Department of Justice. 546.704 Section 546.704 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY... United States Department of Justice for appropriate action to recover the penalty in a civil suit in...

  4. 31 CFR 546.704 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... to United States Department of Justice. 546.704 Section 546.704 Money and Finance: Treasury... States Department of Justice. In the event that the violator does not pay the penalty imposed pursuant to... Treasury or to the United States Department of Justice for appropriate action to recover the penalty in...

  5. 31 CFR 543.704 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... to United States Department of Justice. 543.704 Section 543.704 Money and Finance: Treasury... United States Department of Justice. In the event that the violator does not pay the penalty imposed... the Treasury or to the United States Department of Justice for appropriate action to recover...

  6. 31 CFR 576.704 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... United States Department of Justice. 576.704 Section 576.704 Money and Finance: Treasury Regulations... United States Department of Justice. In the event that the violator does not pay the penalty imposed... United States Department of Justice for appropriate action to recover the penalty in a civil suit in...

  7. 31 CFR 576.704 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... United States Department of Justice. 576.704 Section 576.704 Money and Finance: Treasury Regulations... United States Department of Justice. In the event that the violator does not pay the penalty imposed... United States Department of Justice for appropriate action to recover the penalty in a civil suit in...

  8. 31 CFR 543.704 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... United States Department of Justice. 543.704 Section 543.704 Money and Finance: Treasury Regulations... States Department of Justice. In the event that the violator does not pay the penalty imposed pursuant to... Treasury or to the United States Department of Justice for appropriate action to recover the penalty in...

  9. 31 CFR 538.705 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... to United States Department of Justice. 538.705 Section 538.705 Money and Finance: Treasury... States Department of Justice. In the event that the respondent does not pay the penalty imposed pursuant... United States Department of Justice for appropriate action to recover the penalty in a civil suit in...

  10. 31 CFR 546.704 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... United States Department of Justice. 546.704 Section 546.704 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY... United States Department of Justice for appropriate action to recover the penalty in a civil suit in...

  11. 31 CFR 561.704 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... United States Department of Justice. 561.704 Section 561.704 Money and Finance: Treasury Regulations... States Department of Justice. In the event that the violator does not pay the penalty imposed pursuant to... Treasury or to the United States Department of Justice for appropriate action to recover the penalty in...

  12. 31 CFR 576.704 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... United States Department of Justice. 576.704 Section 576.704 Money and Finance: Treasury Regulations... United States Department of Justice. In the event that the violator does not pay the penalty imposed... United States Department of Justice for appropriate action to recover the penalty in a civil suit in...

  13. 31 CFR 546.704 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... United States Department of Justice. 546.704 Section 546.704 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY... United States Department of Justice for appropriate action to recover the penalty in a civil suit in...

  14. 31 CFR 576.704 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... United States Department of Justice. 576.704 Section 576.704 Money and Finance: Treasury Regulations... United States Department of Justice. In the event that the violator does not pay the penalty imposed... United States Department of Justice for appropriate action to recover the penalty in a civil suit in...

  15. 31 CFR 561.704 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... United States Department of Justice. 561.704 Section 561.704 Money and Finance: Treasury Regulations... States Department of Justice. In the event that the violator does not pay the penalty imposed pursuant to... Treasury or to the United States Department of Justice for appropriate action to recover the penalty in...

  16. 31 CFR 595.705 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... to United States Department of Justice. 595.705 Section 595.705 Money and Finance: Treasury... States Department of Justice. In the event that the person named does not pay the penalty imposed... United States Department of Justice for appropriate action to recover the penalty in a civil suit in...

  17. 31 CFR 560.705 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... United States Department of Justice. 560.705 Section 560.705 Money and Finance: Treasury Regulations... United States Department of Justice. In the event that the violator does not pay the penalty imposed... United States Department of Justice for appropriate action to recover the penalty in a civil suit in...

  18. 31 CFR 588.704 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... United States Department of Justice. 588.704 Section 588.704 Money and Finance: Treasury Regulations... United States Department of Justice. In the event that the violator does not pay the penalty imposed... United States Department of Justice for appropriate action to recover the penalty in a civil suit in...

  19. 31 CFR 543.704 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... United States Department of Justice. 543.704 Section 543.704 Money and Finance: Treasury Regulations... States Department of Justice. In the event that the violator does not pay the penalty imposed pursuant to... Treasury or to the United States Department of Justice for appropriate action to recover the penalty in...

  20. 31 CFR 543.704 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... United States Department of Justice. 543.704 Section 543.704 Money and Finance: Treasury Regulations... States Department of Justice. In the event that the violator does not pay the penalty imposed pursuant to... Treasury or to the United States Department of Justice for appropriate action to recover the penalty in...

  1. 31 CFR 560.705 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... United States Department of Justice. 560.705 Section 560.705 Money and Finance: Treasury Regulations... United States Department of Justice. In the event that the violator does not pay the penalty imposed... United States Department of Justice for appropriate action to recover the penalty in a civil suit in...

  2. 31 CFR 561.704 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... United States Department of Justice. 561.704 Section 561.704 Money and Finance: Treasury Regulations... States Department of Justice. In the event that the violator does not pay the penalty imposed pursuant to... Treasury or to the United States Department of Justice for appropriate action to recover the penalty in...

  3. 31 CFR 588.704 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... United States Department of Justice. 588.704 Section 588.704 Money and Finance: Treasury Regulations... United States Department of Justice. In the event that the violator does not pay the penalty imposed... United States Department of Justice for appropriate action to recover the penalty in a civil suit in...

  4. 31 CFR 548.704 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... to United States Department of Justice. 548.704 Section 548.704 Money and Finance: Treasury... States Department of Justice. In the event that the violator does not pay the penalty imposed pursuant to... United States Department of Justice for appropriate action to recover the penalty in a civil suit in...

  5. 31 CFR 561.704 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... United States Department of Justice. 561.704 Section 561.704 Money and Finance: Treasury Regulations... States Department of Justice. In the event that the violator does not pay the penalty imposed pursuant to... Treasury or to the United States Department of Justice for appropriate action to recover the penalty in...

  6. 31 CFR 588.704 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... United States Department of Justice. 588.704 Section 588.704 Money and Finance: Treasury Regulations... United States Department of Justice. In the event that the violator does not pay the penalty imposed... United States Department of Justice for appropriate action to recover the penalty in a civil suit in...

  7. 31 CFR 588.704 - Administrative collection; referral to United States Department of Justice.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... United States Department of Justice. 588.704 Section 588.704 Money and Finance: Treasury Regulations... United States Department of Justice. In the event that the violator does not pay the penalty imposed... United States Department of Justice for appropriate action to recover the penalty in a civil suit in...

  8. 5 CFR 845.206 - Collection by administrative offset.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ....206 Section 845.206 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) FEDERAL EMPLOYEES RETIREMENT SYSTEM-DEBT COLLECTION Collection of Overpayment Debts... her designee will determine the cost effectiveness of leaving a claim unresolved for more than 6...

  9. 6 CFR 11.4 - Collection by administrative offset.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... Program. DHS adopts the provisions of 31 CFR 901.3. (c) Non-centralized Offset for DHS Debts. When... Program as described in this section. (3) When an employee transfers to another agency, DHS should resume... Collection by administrative offset. (a) General Provisions for Offset. DHS will collect debts...

  10. 78 FR 1878 - Agency Information Collection Activities: Administrative Rulings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-09

    ... SECURITY U.S. Customs and Border Protection Agency Information Collection Activities: Administrative Rulings AGENCY: U.S. Customs and Border Protection, Department of Homeland Security. ACTION: 30-Day notice and request for comments; Extension of an existing information collection. SUMMARY: U.S. Customs...

  11. 12 CFR 612.2301 - Referrals.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... Banking FARM CREDIT ADMINISTRATION FARM CREDIT SYSTEM STANDARDS OF CONDUCT AND REFERRAL OF KNOWN OR SUSPECTED CRIMINAL VIOLATIONS Referral of Known or Suspected Criminal Violations § 612.2301 Referrals. (a..., appropriate investigation, and reporting of criminal activity. Within 30 calendar days of determining...

  12. 29 CFR 1450.10 - Collection by administrative offset.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... COLLECTIONS OF CLAIMS OWED THE UNITED STATES Administrative Offset-Consumer Reporting Agencies-Contracting for... owed by any State or local Governments; (ii) Debts arising under or payments made under the Social... or prohibited by another statute. However, unless otherwise provided by contract or law, debts...

  13. 28 CFR 35.174 - Referral.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 28 Judicial Administration 1 2014-07-01 2014-07-01 false Referral. 35.174 Section 35.174 Judicial Administration DEPARTMENT OF JUSTICE NONDISCRIMINATION ON THE BASIS OF DISABILITY IN STATE AND LOCAL GOVERNMENT SERVICES Compliance Procedures § 35.174 Referral. If the public entity declines to enter into...

  14. 28 CFR 35.174 - Referral.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 28 Judicial Administration 1 2013-07-01 2013-07-01 false Referral. 35.174 Section 35.174 Judicial Administration DEPARTMENT OF JUSTICE NONDISCRIMINATION ON THE BASIS OF DISABILITY IN STATE AND LOCAL GOVERNMENT SERVICES Compliance Procedures § 35.174 Referral. If the public entity declines to enter into...

  15. 28 CFR 35.174 - Referral.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 28 Judicial Administration 1 2010-07-01 2010-07-01 false Referral. 35.174 Section 35.174 Judicial Administration DEPARTMENT OF JUSTICE NONDISCRIMINATION ON THE BASIS OF DISABILITY IN STATE AND LOCAL GOVERNMENT SERVICES Compliance Procedures § 35.174 Referral. If the public entity declines to enter into...

  16. Retinoblastoma Referral Pattern in Kenya

    PubMed Central

    Nyamori, Joseph M.; Kimani, Kahaki; Njuguna, Margaret W.; Dimaras, Helen

    2014-01-01

    Purpose: Kenya is a large country with a widely dispersed population. As retinoblastoma requires specialized treatment, we determined the referral pattern for patients with retinoblastoma in Kenya to facilitate the formulation of a national policy. Materials and Methods: A retrospective study was performed for retinoblastoma patients who presented from January 1, 2006 to December 31, 2007. Data were collected on the referral process from presenting health facility to the hospital where patient was treated. Data were also collected on the time interval when the first symptoms were noticed to the time of presentation at a health facility (lag time). For cases that could be traced to a referral hospital, the time delay due to referral (referral lag time) was recorded. Results: There were 206 patients diagnosed with retinoblastoma in 51 Kenyan and 2 foreign healthcare facilities, and they received final treatment at a Kenyan hospital. Mean lag time was 6.8 months (±6.45). Of all patients, 18% (38/206) were treated at the hospital where they first presented and 82% (168/206) were referred elsewhere. Of those referred, 35% (58/168) were lost to follow-up. The mean referral lag time was 1.7 months (±2.5). Conclusions: A significant proportion of cases presented late, and either delayed seeking further treatment or were lost after initial referral. We recommend the implementation of a national strategy that emphasizes early detection, documentation and follow up of retinoblastoma patients. PMID:25371638

  17. 77 FR 74191 - Information Collection; Proposed Collection; Comment Request; General Services Administration...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-13

    ... Delivery (GSA) AGENCY: General Services Administration (GSA). ACTION: Notice of a request for comments... streamline the process to seek feedback from the public on service delivery, the General Services...): ``Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery'' to OMB...

  18. 77 FR 66466 - General Services Administration Regulation; Information Collection; Packing List Clause

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-05

    ... ADMINISTRATION General Services Administration Regulation; Information Collection; Packing List Clause AGENCY... packing list clause. Public comments are particularly invited on: Whether this collection of information..., Packing List Clause, by any of the following methods: Regulations.gov :...

  19. 77 FR 69441 - Federal Acquisition Regulation; Information Collection; Cost Accounting Standards Administration

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-19

    ... Regulation; Information Collection; Cost Accounting Standards Administration AGENCY: Department of Defense...: Under the provisions of the Paperwork Reduction Act, the Regulatory Secretariat will be submitting to... approved information collection requirement concerning cost accounting standards administration....

  20. 14 CFR 1261.417 - Referral to Department of Justice (DJ) or General Accounting Office (GAO).

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... instructions, including monetary limitations, contained in the GAO Policy and Procedures Manual for Guidance to... SPACE ADMINISTRATION PROCESSING OF MONETARY CLAIMS (GENERAL) Collection of Civil Claims of the United... litigation unless: (i) Referral is important to a significant enforcement policy; or (ii) The debtor not...

  1. 22 CFR 512.10 - Collection by administrative offset.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... the Government's ability to collect the debt, and the time before the payment is to be made does not... Section 512.10 Foreign Relations BROADCASTING BOARD OF GOVERNORS COLLECTION OF DEBTS UNDER THE DEBT... following: written notice of the nature and the amount of the debt and the Board's intention to collect...

  2. 22 CFR 512.10 - Collection by administrative offset.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... the Government's ability to collect the debt, and the time before the payment is to be made does not... Section 512.10 Foreign Relations BROADCASTING BOARD OF GOVERNORS COLLECTION OF DEBTS UNDER THE DEBT... following: written notice of the nature and the amount of the debt and the Board's intention to collect...

  3. 22 CFR 512.10 - Collection by administrative offset.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... the Government's ability to collect the debt, and the time before the payment is to be made does not... Section 512.10 Foreign Relations BROADCASTING BOARD OF GOVERNORS COLLECTION OF DEBTS UNDER THE DEBT... following: written notice of the nature and the amount of the debt and the Board's intention to collect...

  4. 22 CFR 512.10 - Collection by administrative offset.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... the Government's ability to collect the debt, and the time before the payment is to be made does not... Section 512.10 Foreign Relations BROADCASTING BOARD OF GOVERNORS COLLECTION OF DEBTS UNDER THE DEBT... following: written notice of the nature and the amount of the debt and the Board's intention to collect...

  5. 22 CFR 512.10 - Collection by administrative offset.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... the Government's ability to collect the debt, and the time before the payment is to be made does not... Section 512.10 Foreign Relations BROADCASTING BOARD OF GOVERNORS COLLECTION OF DEBTS UNDER THE DEBT... following: written notice of the nature and the amount of the debt and the Board's intention to collect...

  6. 76 FR 80329 - Information Collection; Grazing Permit Administration Forms

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-23

    ... following information: Name and address of applicant Type, amount, and location of requested grazing Period..., Application for Term Grazing Permit, collects the following information: Name and address of applicant Type..., Application for Term Private Land Grazing Permit, collects the following: Name and address of applicant...

  7. 29 CFR 1450.10 - Collection by administrative offset.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Government's ability to collect the debt, and (ii) The time before the payment is to be made does not... the following: Written notice of the nature and amount of the debt, and the agency's intention to collect by offset; opportunity to inspect and copy agency records pertaining to the debt; opportunity...

  8. 29 CFR 1450.10 - Collection by administrative offset.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Government's ability to collect the debt, and (ii) The time before the payment is to be made does not... the following: Written notice of the nature and amount of the debt, and the agency's intention to collect by offset; opportunity to inspect and copy agency records pertaining to the debt; opportunity...

  9. 7 CFR 1403.7 - Collection by administrative offset.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... the Department of Justice; or (2) When a person is indebted under a judgment in favor of CCC. (d... (including county), and, where legally available, the social security number or employer ID number of the... interest, administrative charges, and penalties, unless the Department of Justice requests that a...

  10. 7 CFR 1403.7 - Collection by administrative offset.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... the Department of Justice; or (2) When a person is indebted under a judgment in favor of CCC. (d... (including county), and, where legally available, the social security number or employer ID number of the... interest, administrative charges, and penalties, unless the Department of Justice requests that a...

  11. 10 CFR 1015.203 - Collection by administrative offset.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... section does not apply to: (i) Debts arising under the Social Security Act (42 U.S.C. 301, et. seq.) except as provided in 42 U.S.C. 404; (ii) Payments made under the Social Security Act (42 U.S.C. 301, et... centralized administrative offset. Treasury may exempt classes of DOE payments from centralized offset...

  12. 41 CFR 105-55.011 - Collection by administrative offset.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ...) This section does not apply to— (i) Debts arising under the Social Security Act, except as provided in 42 U.S.C. 404; (ii) Payments made under the Social Security Act, except as provided for in 31 U.S.C... the Administrator. Also, the Secretary may exempt other classes of payments from centralized...

  13. 10 CFR 1015.203 - Collection by administrative offset.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... section does not apply to: (i) Debts arising under the Social Security Act (42 U.S.C. 301, et. seq.) except as provided in 42 U.S.C. 404; (ii) Payments made under the Social Security Act (42 U.S.C. 301, et... centralized administrative offset. Treasury may exempt classes of DOE payments from centralized offset...

  14. 10 CFR 1015.203 - Collection by administrative offset.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... section does not apply to: (i) Debts arising under the Social Security Act (42 U.S.C. 301, et. seq.) except as provided in 42 U.S.C. 404; (ii) Payments made under the Social Security Act (42 U.S.C. 301, et... centralized administrative offset. Treasury may exempt classes of DOE payments from centralized offset...

  15. 10 CFR 1015.203 - Collection by administrative offset.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... section does not apply to: (i) Debts arising under the Social Security Act (42 U.S.C. 301, et. seq.) except as provided in 42 U.S.C. 404; (ii) Payments made under the Social Security Act (42 U.S.C. 301, et... centralized administrative offset. Treasury may exempt classes of DOE payments from centralized offset...

  16. 47 CFR 1.1912 - Collection by administrative offset.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... paragraph (c) of this section, the Commission first learns of the existence of the amount owed by the debtor.... Appropriate use should be made of the cooperative efforts of other agencies in effecting collection...

  17. Capture and surveillance of quad-bike (ATV)-related injuries in administrative data collections.

    PubMed

    Mitchell, Rebecca J; Grzebieta, Raphael; Rechnitzer, George

    2016-09-01

    Identifying quad-bike-related injuries in administrative data collections can be problematic. This study sought to determine whether quad-bike-related injuries could be identified in routinely collected administrative data collections in New South Wales (NSW), Australia, and to determine the information recorded according to World Health Organization (WHO) injury surveillance guidelines that could assist injury prevention efforts. Five routinely collected administrative data collections in NSW in the period 2000-2012 were reviewed. The WHO core minimum data items recorded in each of the five data collections ranged from 37.5% to 75.0%. Age and sex of the injured individual were the only data items that were recorded in all data collections. The data collections did not contain detailed information on the circumstances of quad bike incidents. Major improvements are needed in the information collected in these data-sets, if their value is to be increased and used for injury prevention purposes.

  18. 77 FR 64513 - Proposed Administrative Agreement for Collection of CERCLA Past Costs

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-22

    ... AGENCY Proposed Administrative Agreement for Collection of CERCLA Past Costs AGENCY: U.S Environmental Protection Agency (U.S. EPA). ACTION: Notice. Proposed CERCLA 122 Administrative Agreement. SUMMARY: U.S. EPA is proposing to execute an Administrative Agreement (Agreement) under Section 122 of CERCLA...

  19. The Health Resources and Services Administration diversity data collection.

    PubMed

    White, Kathleen M; Zangaro, George; Kepley, Hayden O; Camacho, Alex

    2014-01-01

    The Health Resources and Services Administration maintains a strong emphasis on increasing the diversity of the health-care workforce through its grant programs. Increasing the diversity of the workforce is important for reducing health disparities in the population caused by socioeconomic, geographic, and race/ethnicity factors because evidence suggests that minority health professionals are more likely to serve in areas with a high proportion of underrepresented racial and ethnic minority groups. The data show success in increasing the diversity of enrollees in five nursing programs.

  20. 76 FR 78010 - General Services Administration Acquisition Regulation; Information Collection; Contract...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-15

    ... Administration, Quality Assurance (GSAR Parts 542 and 546; GSA Form 1678 and GSA Form 308) AGENCY: Office of the... quality assurance. Public comments are particularly invited on: Whether this collection of information is... comments identified by Information Collection 3090- 0027, Contract Administration and Quality...

  1. 77 FR 35060 - Employment and Training Administration; Proposed Information Collection Request for the ETA 538...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-12

    ... Employment and Training Administration; Proposed Information Collection Request for the ETA 538 and ETA 539... Training Administration (ETA), Labor. ACTION: Notice. SUMMARY: The Department of Labor (Department), as... impact of collection requirements on respondents can be properly assessed. Currently, ETA is...

  2. 10 CFR 171.25 - Collection, interest, penalties, and administrative costs.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 10 Energy 2 2010-01-01 2010-01-01 false Collection, interest, penalties, and administrative costs. 171.25 Section 171.25 Energy NUCLEAR REGULATORY COMMISSION (CONTINUED) ANNUAL FEES FOR REACTOR... Collection, interest, penalties, and administrative costs. All annual fees in §§ 171.15 and 171.16 will...

  3. 10 CFR 171.25 - Collection, interest, penalties, and administrative costs.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 10 Energy 2 2012-01-01 2012-01-01 false Collection, interest, penalties, and administrative costs. 171.25 Section 171.25 Energy NUCLEAR REGULATORY COMMISSION (CONTINUED) ANNUAL FEES FOR REACTOR... Collection, interest, penalties, and administrative costs. All annual fees in §§ 171.15 and 171.16 will...

  4. 31 CFR 312.3 - Collections, investigations, and reports for the Federal Housing Administration.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... UNITED STATES § 312.3 Collections, investigations, and reports for the Federal Housing Administration... 31 Money and Finance:Treasury 2 2012-07-01 2012-07-01 false Collections, investigations, and reports for the Federal Housing Administration. 312.3 Section 312.3 Money and Finance:...

  5. 31 CFR 312.3 - Collections, investigations, and reports for the Federal Housing Administration.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... UNITED STATES § 312.3 Collections, investigations, and reports for the Federal Housing Administration... 31 Money and Finance:Treasury 2 2011-07-01 2011-07-01 false Collections, investigations, and reports for the Federal Housing Administration. 312.3 Section 312.3 Money and Finance:...

  6. 31 CFR 312.3 - Collections, investigations, and reports for the Federal Housing Administration.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... UNITED STATES § 312.3 Collections, investigations, and reports for the Federal Housing Administration... 31 Money and Finance: Treasury 2 2014-07-01 2014-07-01 false Collections, investigations, and reports for the Federal Housing Administration. 312.3 Section 312.3 Money and Finance:...

  7. Medicare and Medicaid programs; physicians' referrals to health care entities with which they have financial relationships. Health Care Financing Administration (HCFA), HHS. Final rule with comment period.

    PubMed

    2001-01-04

    This final rule with 90-day comment period (Phase I of this rulemaking) incorporates into regulations the provisions in paragraphs (a), (b), and (h) of section 1877 of the Social Security Act (the Act). Under section 1877, if a physician or a member of a physician's immediate family has a financial relationship with a health care entity, the physician may not make referrals to that entity for the furnishing of designated health services (DHS) under the Medicare program, unless an exception applies. The following services are DHS: clinical laboratory services; physical therapy services; occupational therapy services; radiology services, including magnetic resonance imaging, computerized axial tomography scans, and ultrasound services; radiation therapy services and supplies; durable medical equipment and supplies; parenteral and enteral nutrients, equipment, and supplies; prosthetics, orthotics, and prosthetic devices and supplies; home health services; outpatient prescription drugs; and inpatient and outpatient hospital services. In addition, section 1877 of the Act provides that an entity may not present or cause to be presented a Medicare claim or bill to any individual, third party payer, or other entity for DHS furnished under a prohibited referral, nor may we make payment for a designated health service furnished under a prohibited referral. Paragraph (a) of section 1877 of the Act includes the general prohibition. Paragraph (b) of the Act includes exceptions that pertain to both ownership and compensation relationships, including an in-office ancillary services exception. Paragraph (h) includes definitions that are used throughout section 1877 of the Act, including the group practice definition and the definitions for each of the DHS. We intend to publish a second final rule with comment period (Phase II of this rulemaking) shortly addressing, to the extent necessary, the remaining sections of the Act. Phase II of this rulemaking will address comments

  8. 28 CFR 902.3 - Referral to Dispute Resolution Committee.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 28 Judicial Administration 2 2013-07-01 2013-07-01 false Referral to Dispute Resolution Committee. 902.3 Section 902.3 Judicial Administration NATIONAL CRIME PREVENTION AND PRIVACY COMPACT COUNCIL DISPUTE ADJUDICATION PROCEDURES § 902.3 Referral to Dispute Resolution Committee. (a) The five...

  9. 28 CFR 902.3 - Referral to Dispute Resolution Committee.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 28 Judicial Administration 2 2014-07-01 2014-07-01 false Referral to Dispute Resolution Committee. 902.3 Section 902.3 Judicial Administration NATIONAL CRIME PREVENTION AND PRIVACY COMPACT COUNCIL DISPUTE ADJUDICATION PROCEDURES § 902.3 Referral to Dispute Resolution Committee. (a) The five...

  10. 28 CFR 902.3 - Referral to Dispute Resolution Committee.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Referral to Dispute Resolution Committee. 902.3 Section 902.3 Judicial Administration NATIONAL CRIME PREVENTION AND PRIVACY COMPACT COUNCIL DISPUTE ADJUDICATION PROCEDURES § 902.3 Referral to Dispute Resolution Committee. (a) The five...

  11. 28 CFR 902.3 - Referral to Dispute Resolution Committee.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 28 Judicial Administration 2 2011-07-01 2011-07-01 false Referral to Dispute Resolution Committee. 902.3 Section 902.3 Judicial Administration NATIONAL CRIME PREVENTION AND PRIVACY COMPACT COUNCIL DISPUTE ADJUDICATION PROCEDURES § 902.3 Referral to Dispute Resolution Committee. (a) The five...

  12. 28 CFR 902.3 - Referral to Dispute Resolution Committee.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 28 Judicial Administration 2 2012-07-01 2012-07-01 false Referral to Dispute Resolution Committee. 902.3 Section 902.3 Judicial Administration NATIONAL CRIME PREVENTION AND PRIVACY COMPACT COUNCIL DISPUTE ADJUDICATION PROCEDURES § 902.3 Referral to Dispute Resolution Committee. (a) The five...

  13. 5 CFR 177.108 - Referral to Department of Justice.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 5 Administrative Personnel 1 2010-01-01 2010-01-01 false Referral to Department of Justice. 177... ADMINISTRATIVE CLAIMS UNDER THE FEDERAL TORT CLAIMS ACT § 177.108 Referral to Department of Justice. When Department of Justice approval or consultation is required, or the advice of the Department of Justice...

  14. 40 CFR 13.33 - Referrals to the Department of Justice.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 1 2010-07-01 2010-07-01 false Referrals to the Department of Justice... COLLECTION STANDARDS Referrals § 13.33 Referrals to the Department of Justice. (a) Prompt referral. The... Justice, Washington, DC 20530. (2) Unless otherwise provided by DOJ regulations or procedures, EPA...

  15. Characteristics of Successful and Unsuccessful Mental Health Referrals of Refugees.

    PubMed

    Shannon, Patricia J; Vinson, Gregory A; Cook, Tonya L; Lennon, Evelyn

    2016-07-01

    In this community based participatory research study, we explored key characteristics of mental health referrals of refugees using stories of providers collected through an on-line survey. Ten coders sorted 60 stories of successful referrals and 34 stories of unsuccessful referrals into domains using the critical incident technique. Principal components analysis yielded categories of successful referrals that included: active care coordination, establishing trust, proactive resolution of barriers, and culturally responsive care. Unsuccessful referrals were characterized by cultural barriers, lack of care coordination, refusal to see refugees, and system and language barriers. Recommendations for training and policy are discussed.

  16. 77 FR 9905 - Proposed Information Collection; Election Administration in Urban and Rural Areas; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-21

    ... From the Federal Register Online via the Government Publishing Office ELECTION ASSISTANCE COMMISSION Proposed Information Collection; Election Administration in Urban and Rural Areas; Comment Request AGENCY: U.S. Election Assistance Commission (EAC). ACTION: Notice. SUMMARY: In compliance with...

  17. 75 FR 8274 - Collection of Administrative Debts; Collection of Debts Arising From Enforcement and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-24

    ... common law. PART 111--COMPLIANCE PROCEDURES 2. The authority citation for part 111 is revised to read as... impose interest and related charges on debts not subject to 31 U.S.C. 3717, in accordance with common law... Arising From Enforcement and Administration of Campaign Finance Laws AGENCY: Federal Election...

  18. 40 CFR 1620.8 - Referral to Department of Justice.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 32 2010-07-01 2010-07-01 false Referral to Department of Justice. 1620.8 Section 1620.8 Protection of Environment CHEMICAL SAFETY AND HAZARD INVESTIGATION BOARD ADMINISTRATIVE CLAIMS ARISING UNDER THE FEDERAL TORT CLAIMS ACT § 1620.8 Referral to Department of Justice....

  19. Information and Referral Service, District Office Training.

    ERIC Educational Resources Information Center

    Health and Welfare Council of Central Maryland, Inc., Baltimore.

    Within a standard format the details of instruction and training in various areas (units) of information and referral (I and R) services are given for Social Security Administration workers. Each unit is specified by the following categories: objective, special consideration, background, presentation, participation, review, and examples. There are…

  20. 7 CFR 3.21 - Referrals of Debts to Justice.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 1 2010-01-01 2010-01-01 false Referrals of Debts to Justice. 3.21 Section 3.21... and Compromise of Claims § 3.21 Referrals of Debts to Justice. An agency shall promptly refer to Justice for litigation debts on which aggressive collection activity has been taken in accordance...

  1. 75 FR 26282 - Notice of Proposed Information Collection Requests: State Library Administrative Agencies Survey...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-11

    ... From the Federal Register Online via the Government Publishing Office THE NATIONAL FOUNDATION FOR THE ARTS AND THE HUMANITIES Notice of Proposed Information Collection Requests: State Library Administrative Agencies Survey, FY 2011-2013 AGENCY: Institute of Museum and Library Services, The...

  2. 76 FR 63904 - Proposed Information Collection; Comment Request; Coral Reef Conservation Program Administration

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-14

    ... National Oceanic and Atmospheric Administration Proposed Information Collection; Comment Request; Coral..., extension 150, or Jenny.Waddell@noaagov. SUPPLEMENTARY INFORMATION: I. Abstract The Coral Reef Conservation Act of 2000 (Act) was enacted to provide a framework for conserving coral reefs. The Coral...

  3. 78 FR 52569 - Submission for OMB Review, Comment Request, Proposed Collection: State Library Administrative...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-23

    ... ARTS AND THE HUMANITIES Submission for OMB Review, Comment Request, Proposed Collection: State Library Administrative Agencies Survey, FY 2014-2016 AGENCY: Institute of Museum and Library Services, National... Institute of Museum and Library Services (IMLS), as part of its continuing effort to reduce paperwork...

  4. 10 CFR 15.67 - Referral to the Department of Justice.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 10 Energy 1 2010-01-01 2010-01-01 false Referral to the Department of Justice. 15.67 Section 15.67 Energy NUCLEAR REGULATORY COMMISSION DEBT COLLECTION PROCEDURES Referral of a Claim § 15.67 Referral to... be given as part of a demand letter or as a separate document. (d) The NRC shall preserve all...

  5. 6 CFR 11.13 - Referrals to the Department of Justice.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 6 Domestic Security 1 2010-01-01 2010-01-01 false Referrals to the Department of Justice. 11.13 Section 11.13 Domestic Security DEPARTMENT OF HOMELAND SECURITY, OFFICE OF THE SECRETARY CLAIMS § 11.13 Referrals to the Department of Justice. Referrals of debts to the Department of Justice for collection...

  6. 12 CFR 313.123 - Certification and referral of debt.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... PROCEDURES FOR CORPORATE DEBT COLLECTION Tax Refund Offset § 313.123 Certification and referral of debt. When... judgment debt or as otherwise allowed by law, the debt is referred for offset within ten years after...

  7. Causes and characteristics of medical student referrals to a professional behaviour board

    PubMed Central

    Bolk, Jan H.; Ottenhoff- de Jonge, Marleen W.; van Mook, Walther N.K.A.; de Beaufort, Arnout Jan

    2017-01-01

    Objectives To describe the nature of unprofessional behaviour displayed by medical students, as well as the characteristics of students referred to the professional behaviour board. Methods A descriptive mixed methods approach was taken, in which qualitative data on unprofessional behaviour, as well as quantitative data on the demographics of referred students were collected during the study period between June 1, 2009 and January 1, 2014. In order to compare the referred students with the total student population, data on gender, nationality and phase in the curriculum of the total student population, collected from the student administration desk, were also used. Results In the study period, a total of 107 referrals were reported, concerning 93 different students (3% of the total student population). Sixty-five of the 107 referrals (61%) concerned male students. Thirty referrals (28%) concerned non-Dutch students. Most referrals (71%) occurred during clinical rotations. The referrals were equally distributed over three professional behaviour domains: dealing with oneself, dealing with others, and dealing with tasks/work. ‘Withdrawn behaviour’ was reported 17 times, ‘insufficient Dutch language proficiency’ 14 times, ‘impertinent emails’ 9 times and ‘placing privacy-sensitive photos on the internet’ 3 times. Conclusions Although only a minority of students are referred to a professional behaviour board, this study shows that student characteristics such as gender and nationality may correlate to a higher incidence of unprofessional behaviour. Further explanatory and exploratory research is needed to unravel this relationship, and to study the influence of curriculum reforms on these relationships, respectively. PMID:28088777

  8. 28 CFR 115.178 - Referrals for prosecution for detainee-on-detainee sexual abuse.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 28 Judicial Administration 2 2014-07-01 2014-07-01 false Referrals for prosecution for detainee-on-detainee sexual abuse. 115.178 Section 115.178 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) PRISON RAPE ELIMINATION ACT NATIONAL STANDARDS Standards for Lockups Discipline § 115.178 Referrals...

  9. 28 CFR 115.178 - Referrals for prosecution for detainee-on-detainee sexual abuse.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 28 Judicial Administration 2 2013-07-01 2013-07-01 false Referrals for prosecution for detainee-on-detainee sexual abuse. 115.178 Section 115.178 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) PRISON RAPE ELIMINATION ACT NATIONAL STANDARDS Standards for Lockups Discipline § 115.178 Referrals...

  10. 28 CFR 115.178 - Referrals for prosecution for detainee-on-detainee sexual abuse.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 28 Judicial Administration 2 2012-07-01 2012-07-01 false Referrals for prosecution for detainee-on-detainee sexual abuse. 115.178 Section 115.178 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) PRISON RAPE ELIMINATION ACT NATIONAL STANDARDS Standards for Lockups Discipline § 115.178 Referrals...

  11. 7 CFR 1.311 - Referral of complaint and answer to the ALJ.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 7 Agriculture 1 2013-01-01 2013-01-01 false Referral of complaint and answer to the ALJ. 1.311 Section 1.311 Agriculture Office of the Secretary of Agriculture ADMINISTRATIVE REGULATIONS Procedures Related to Administrative Hearings Under the Program Fraud Civil Remedies Act of 1986 § 1.311 Referral...

  12. 7 CFR 1.311 - Referral of complaint and answer to the ALJ.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 1 2010-01-01 2010-01-01 false Referral of complaint and answer to the ALJ. 1.311 Section 1.311 Agriculture Office of the Secretary of Agriculture ADMINISTRATIVE REGULATIONS Procedures Related to Administrative Hearings Under the Program Fraud Civil Remedies Act of 1986 § 1.311 Referral...

  13. 28 CFR 115.222 - Policies to ensure referrals of allegations for investigations.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 28 Judicial Administration 2 2013-07-01 2013-07-01 false Policies to ensure referrals of allegations for investigations. 115.222 Section 115.222 Judicial Administration DEPARTMENT OF JUSTICE... Responsive Planning § 115.222 Policies to ensure referrals of allegations for investigations. (a) The...

  14. 77 FR 43335 - Administration on Intellectual and Developmental Disabilities; Agency Information Collection...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-24

    ... Reporting Form for State Councils on Developmental Disabilities AGENCY: Administration for Community Living, Administration on Intellectual and Developmental Disabilities, HHS. ACTION: Notice. SUMMARY: For the program of... HUMAN SERVICES Administration for Community Living Administration on Intellectual and...

  15. Informational influences on physician referrals.

    PubMed

    Beltramini, R F; Sirsi, A K

    1992-01-01

    Today's health care marketers are devoting significant resources to increase physician referrals, an area vital to their continued survival. The goal of this investigation was to integrate the findings of previous research on physician referrals, and to provide an up-to-date assessment of those influences underlying physician referral behavior. A questionnaire was mailed to 1,800 physicians differing in specialty and years in practice. Three informational influences were found to affect physician referrals: Program Information, Patient Input, and Location. The results suggest a need for specialists and other organizations interested in managing physician referrals to (a) establish and maintain a network of relationships among those physicians referring patients and specialists being referred to through personal communication, (b) maintain a pool of knowledgeable professionals willing to supply relevant and current information to physicians, and (c) provide complete and prompt feedback information to the referring physician. Managerial implications and directions for future research are also discussed.

  16. Utilization of routinely collected administrative data in monitoring the incidence of aging dependent hip fracture

    PubMed Central

    Sund, Reijo

    2007-01-01

    Societies are facing challenges as the public health burden increases in tandem with population aging. Local information systems are needed that would allow a continuous monitoring of the incidence and effectiveness of treatments. This study investigates the possibilities of routinely collected administrative data as a data source for hip fracture incidence monitoring in Finland. The study demonstrates that a straightforward use of register data results in biased estimates for the numbers of hip fractures. An interpretation of hip fractures from the population aging point of view offers an alternative perspective for hip fracture incidence calculation. This enables development of a generalizable method for probabilistic detection of starting points of hip fracture care episodes. Several risk factor and risk population extraction techniques required in register-based data analyses are also demonstrated. Finally, it is shown that empirical evidence suggests that hip fracture incidence is proportional to population level disability prevalence. In conclusion, Finnish administrative data makes it possible to derive data for rather detailed population level risk factor stratification. Certain limitations of register-based data can be partly avoided by synthesizing data-sensitive methodological solutions during the analysis process. PMID:17555560

  17. 15 CFR 19.13 - How will Commerce entities use administrative wage garnishment to collect a Commerce debt from a...

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 15 Commerce and Foreign Trade 1 2010-01-01 2010-01-01 false How will Commerce entities use administrative wage garnishment to collect a Commerce debt from a debtor's wages? 19.13 Section 19.13 Commerce and Foreign Trade Office of the Secretary of Commerce COMMERCE DEBT COLLECTION Procedures To...

  18. 7 CFR 1403.17 - Referral of debts to Department of Justice.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 10 2010-01-01 2010-01-01 false Referral of debts to Department of Justice. 1403.17... PROCEDURES § 1403.17 Referral of debts to Department of Justice. Debts which cannot be collected in accordance with these regulations may be referred to the Department of Justice for collection action....

  19. 5 CFR 1201.171 - Referral of case to Special Panel.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 5 Administrative Personnel 3 2010-01-01 2010-01-01 false Referral of case to Special Panel. 1201... Panel § 1201.171 Referral of case to Special Panel. If the Board reaffirms its decision under § 1201.162... Panel established under 5 U.S.C. 7702(d). Upon certification, the Board, within 5 days...

  20. 45 CFR 96.33 - Referral of cases to the Inspector General.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 45 Public Welfare 1 2010-10-01 2010-10-01 false Referral of cases to the Inspector General. 96.33 Section 96.33 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION BLOCK GRANTS Financial Management § 96.33 Referral of cases to the Inspector General. State or tribal officials who...

  1. 20 CFR 702.505 - Vocational rehabilitation; referrals to other public and private agencies.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false Vocational rehabilitation; referrals to other... ADMINISTRATION AND PROCEDURE Vocational Rehabilitation § 702.505 Vocational rehabilitation; referrals to other... made by the vocational rehabilitation adviser, where appropriate, on an individual basis when...

  2. 45 CFR 5.23 - Referral of requests outside the Department.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 45 Public Welfare 1 2010-10-01 2010-10-01 false Referral of requests outside the Department. 5.23 Section 5.23 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION FREEDOM OF INFORMATION REGULATIONS Obtaining a Record § 5.23 Referral of requests outside the Department. If you request records that were created by,...

  3. 14 CFR § 1264.110 - Referral of complaint and answer to the presiding officer.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 14 Aeronautics and Space 5 2014-01-01 2014-01-01 false Referral of complaint and answer to the presiding officer. § 1264.110 Section § 1264.110 Aeronautics and Space NATIONAL AERONAUTICS AND SPACE ADMINISTRATION IMPLEMENTATION OF THE PROGRAM FRAUD CIVIL PENALTIES ACT OF 1986 § 1264.110 Referral of...

  4. 14 CFR 1264.110 - Referral of complaint and answer to the presiding officer.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 14 Aeronautics and Space 5 2010-01-01 2010-01-01 false Referral of complaint and answer to the presiding officer. 1264.110 Section 1264.110 Aeronautics and Space NATIONAL AERONAUTICS AND SPACE ADMINISTRATION IMPLEMENTATION OF THE PROGRAM FRAUD CIVIL PENALTIES ACT OF 1986 § 1264.110 Referral of...

  5. 45 CFR 73.735-1304 - Referral of matters arising under the standards of this part.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... to the Department of Justice, suspected violations of the criminal laws regarding employee standards... 45 Public Welfare 1 2010-10-01 2010-10-01 false Referral of matters arising under the standards of... GENERAL ADMINISTRATION STANDARDS OF CONDUCT Reporting Violations § 73.735-1304 Referral of matters...

  6. 20 CFR 658.414 - Referral of non-JS-related complaints.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 20 Employees' Benefits 3 2011-04-01 2011-04-01 false Referral of non-JS-related complaints. 658... ADMINISTRATIVE PROVISIONS GOVERNING THE JOB SERVICE SYSTEM Job Service Complaint System State Agency Js Complaint System § 658.414 Referral of non-JS-related complaints. (a) To facilitate the operation of...

  7. 20 CFR 658.414 - Referral of non-JS-related complaints.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false Referral of non-JS-related complaints. 658... ADMINISTRATIVE PROVISIONS GOVERNING THE JOB SERVICE SYSTEM Job Service Complaint System State Agency Js Complaint System § 658.414 Referral of non-JS-related complaints. (a) To facilitate the operation of...

  8. 77 FR 28854 - Proposed Information Collection; Comment Request; Coastal Zone Management Program Administration

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-16

    ...) Performance Management System; revise assessment document and multi-year strategy; submit documentation as... Performance Management System, 27 hours. Estimated Total Annual Burden Hours: 12,104. Estimated Total Annual... Zone Management Program Administration AGENCY: National Oceanic and Atmospheric Administration...

  9. 29 CFR 15.8 - Referral to Department of Justice.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 1 2010-07-01 2010-07-01 true Referral to Department of Justice. 15.8 Section 15.8 Labor Office of the Secretary of Labor ADMINISTRATIVE CLAIMS UNDER THE FEDERAL TORT CLAIMS ACT AND RELATED... Justice. An award, compromise or settlement of a claim under § 2672 title 28, United States Code, and...

  10. Oxytocin administration before sperm collection by transrectal ultrasonic-guided massage of the accessory sex glands in mouflons and bucks.

    PubMed

    Ungerfeld, Rodolfo; Abril-Sánchez, Silvia; Toledano-Díaz, Adolfo; Beracochea, Florencia; Castaño, Cristina; Giriboni, Julia; Santiago-Moreno, Julián

    2016-10-01

    Transrectal ultrasonic-guided massage of the accessory sex glands (TUMASG) is an alternative technique for sperm collection which decreases negative animal welfare concerns of electroejaculation. However, quality of collected sperm with TUMASG is less than that collected by electroejaculation. Utilisation of TUMASG may not, however, induce strong muscular contractions, so administration of oxytocin before the procedure may improve sperm quality. Therefore, two studies were designed to determine if administration of oxytocin before TUMASG improves the procedure and quality of the collected semen. The first study was performed with anaesthetised mouflons, and the second with non-anaesthetised Gabon bucks. Time length, number of electric pulses applied and numbers of vocalizations were recorded, and sperm characteristics were analysed. The number of electrical pulses and sperm characteristics did not differ with oxytocin administration in mouflons. However, oxytocin administration decreased time length (P=0.02) and tended to decrease the number of electric pulses needed for induction of ejaculation (P=0.08) in bucks. The number of vocalizations and sperm variables did not differ when the two procedures were used. In conclusion, oxytocin administration before TUMASG shortened the procedure and tended to decrease the number of electrical pulses needed to induce ejaculation in conscious bucks, thus, decreasing welfare concerns for the animals in which TUMASG is used. Therefore, its routine inclusion in this species should be considered.

  11. 28 CFR 81.4 - Referral of reports where the designated agency is not a law enforcement agency.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 28 Judicial Administration 2 2012-07-01 2012-07-01 false Referral of reports where the designated agency is not a law enforcement agency. 81.4 Section 81.4 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) CHILD ABUSE AND CHILD PORNOGRAPHY REPORTING DESIGNATIONS AND PROCEDURES § 81.4 Referral...

  12. 28 CFR 81.4 - Referral of reports where the designated agency is not a law enforcement agency.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Referral of reports where the designated agency is not a law enforcement agency. 81.4 Section 81.4 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) CHILD ABUSE AND CHILD PORNOGRAPHY REPORTING DESIGNATIONS AND PROCEDURES § 81.4 Referral...

  13. 28 CFR 81.4 - Referral of reports where the designated agency is not a law enforcement agency.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 28 Judicial Administration 2 2011-07-01 2011-07-01 false Referral of reports where the designated agency is not a law enforcement agency. 81.4 Section 81.4 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) CHILD ABUSE AND CHILD PORNOGRAPHY REPORTING DESIGNATIONS AND PROCEDURES § 81.4 Referral...

  14. 28 CFR 81.4 - Referral of reports where the designated agency is not a law enforcement agency.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 28 Judicial Administration 2 2013-07-01 2013-07-01 false Referral of reports where the designated agency is not a law enforcement agency. 81.4 Section 81.4 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) CHILD ABUSE AND CHILD PORNOGRAPHY REPORTING DESIGNATIONS AND PROCEDURES § 81.4 Referral...

  15. 28 CFR 81.4 - Referral of reports where the designated agency is not a law enforcement agency.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 28 Judicial Administration 2 2014-07-01 2014-07-01 false Referral of reports where the designated agency is not a law enforcement agency. 81.4 Section 81.4 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) CHILD ABUSE AND CHILD PORNOGRAPHY REPORTING DESIGNATIONS AND PROCEDURES § 81.4 Referral...

  16. 41 CFR 105-60.305-12 - Administrative actions to improve assessment and collection of fees.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... ADMINISTRATION Regional Offices-General Services Administration 60-PUBLIC AVAILABILITY OF AGENCY RECORDS AND INFORMATIONAL MATERIALS 60.3-Availability of Opinions, Orders, Policies, Interpretations, Manuals, and... group of requesters acting in concert, is attempting to break down a request into a series of...

  17. 77 FR 73053 - Comment Request for Information Collection on Administrative Procedures Including Form MA 8-7...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-07

    ... Procedures Including Form MA 8-7, Extension Without Revisions AGENCY: Employment and Training Administration... collection of data consistent with 20 CFR 601, including Form MA 8-7, which expires June 30, 2013. DATES.... The information transmitted by Form MA 8-7 is used by the Secretary to make findings (as specified...

  18. 22 CFR 213.37 - Referrals to the Department of Justice.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Referrals to the Department of Justice. 213.37... Department of Justice § 213.37 Referrals to the Department of Justice. (a) The CFO, through the FMS cross... of Justice's Nationwide Central Intake Facility as required by the Claims Collection...

  19. 31 CFR 904.4 - Minimum amount of referrals to the Department of Justice.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Department of Justice. 904.4 Section 904.4 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) FEDERAL CLAIMS COLLECTION STANDARDS (DEPARTMENT OF THE TREASURY-DEPARTMENT OF JUSTICE) REFERRALS TO THE DEPARTMENT OF JUSTICE § 904.4 Minimum amount of referrals to the Department of Justice....

  20. Patterns of Risk in Adult Protection Referrals for Sexual Abuse and People with Intellectual Disability

    ERIC Educational Resources Information Center

    Cambridge, Paul; Beadle-Brown, Julie; Milne, Alisoun; Mansell, Jim; Whelton, Beckie

    2011-01-01

    Background: Adult protection monitoring data held by local authorities in England provide opportunities to examine referrals for alleged sexual abuse for people with intellectual disability to identify patterns of risk. Methods: Adult protection monitoring data collected by two local authorities was analysed, with referrals for alleged sexual…

  1. Old boys' network in general practitioners' referral behavior?

    PubMed

    Hackl, Franz; Hummer, Michael; Pruckner, Gerald J

    2015-09-01

    We analyzed the impact of social networks on general practitioners' (GPs) referral behavior based on administrative panel data from 2,684,273 referrals to specialists made between 1998 and 2007. For the definition of social networks, we used information on the doctors' place and time of study and their hospital work history. We found that GPs referred more patients to specialists within their personal networks and that patients referred within a social network had fewer follow-up consultations and less inpatient days thereafter. The effects on patient outcomes (e.g. waiting periods, days in hospital) of referrals within personal networks and affinity-based networks differed. Specifically, whereas empirical evidence showed a concentration on high-quality specialists for referrals within the personal network, suggesting that referrals within personal networks overcome information asymmetry with respect to specialists' abilities, the empirical evidence for affinity-based networks was different and less clear. Same-gender networks tended to refer patients to low-quality specialists.

  2. 75 FR 59060 - Farm Credit Administration Board Meetings; Assessment and Apportionment of Administrative...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-27

    ... Meetings; Assessment and Apportionment of Administrative Expenses; Standards of Conduct and Referral of Known or Suspected Criminal Violations; Loan Policies and Operations; Funding and Fiscal Affairs,...

  3. A Descriptive Study of School Discipline Referrals in First Grade

    ERIC Educational Resources Information Center

    Rusby, Julie C.; Taylor, Ted K.; Foster, E. Michael

    2007-01-01

    School discipline referrals (SDRs) may be useful in the early detection and monitoring of disruptive behavior problems to inform prevention efforts in the school setting, yet little is known about the nature and validity of SDRs in the early grades. For this descriptive study, SDR data were collected on a sample of first grade students who were at…

  4. 17 CFR 143.6 - Referral for litigation.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 17 Commodity and Securities Exchanges 1 2010-04-01 2010-04-01 false Referral for litigation. 143.6 Section 143.6 Commodity and Securities Exchanges COMMODITY FUTURES TRADING COMMISSION COLLECTION OF CLAIMS OWED THE UNITED STATES ARISING FROM ACTIVITIES UNDER THE COMMISSION'S JURISDICTION General...

  5. Referral Practices of School Counselors.

    ERIC Educational Resources Information Center

    Ritchie, Martin H.; Partin, Ronald L.

    1994-01-01

    Surveyed school counselors (n=149) concerning their referral practices. Found that average number of students that counselors reported referring to other professionals during typical year was 30 (average of 6.5% of students they served). Emotional concerns, family concerns, alcoholism or drug abuse, and suspected child abuse were concerns most…

  6. Patterns in Office Referral Data by Grade, Race/Ethnicity and Gender

    PubMed Central

    Kaufman, Joy S.; Jaser, Sarah S.; Vaughan, Ellen L.; Reynolds, Jesse S.; Di Donato, John; Bernard, Stanley N.; Hernandez-Brereton, Maria

    2014-01-01

    Research supports that office referral data is useful in informing programmatic decisions and in planning interventions such as Positive Behavior Interventions and Supports (PBIS). Knowledge of the different patterns of office referrals may facilitate the development of interventions that are targeted to specific groups of students. This study examines patterns in office referrals within an urban district by gender, race/ethnicity and grade. Findings reveal that there are clear differences by grade that appear to be related to developmental level, with greater numbers of referrals for aggression in younger students (grades K-8), greater numbers of referrals for disrespectful behavior in middle school students (grades 7–8), and greater numbers of referrals for attendance problems in high school students. There were also gender differences in the rate and type of referrals, with significantly more referrals for boys’ delinquent and aggressive behavior than girls, which may relate to how schools define unacceptable behavior and the method used to collect this data. Finally, there were differences by race/ethnicity, in that there were significantly more referrals for African American/black students than Hispanic students, which suggest that schools need to consider students’ racial/ethnic background in the development of behavioral expectations. PMID:25580076

  7. 26 CFR 301.6361-1 - Collection and administration of qualified taxes.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ..., the Federal Government shall pay over to State X one-sixth ($750) of the amount actually collected... illustrated by the following examples: Example 1. The total combined amount of State X qualified tax and Federal income tax collected from A, a resident of State X, for the taxable year is $5,100. The amounts...

  8. 26 CFR 301.6361-1 - Collection and administration of qualified taxes.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ..., the Federal Government shall pay over to State X one-sixth ($750) of the amount actually collected... illustrated by the following examples: Example 1. The total combined amount of State X qualified tax and Federal income tax collected from A, a resident of State X, for the taxable year is $5,100. The amounts...

  9. 78 FR 21952 - Submission for OMB Review; Proposed Collection; Comment Request; General Services Administration...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-12

    ... Acquisition Regulation; Generic Clearance for the Collection of Qualitative Feedback on Agency Service... streamline the process to seek feedback from the public on service delivery, the General Services...): ``Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery'' to OMB...

  10. 75 FR 52995 - Submission for OMB Review, Comment Request, Proposed Collection: State Library Administrative...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-30

    ... Reduction Act (44 U.S.C. Chapter 35). This program helps to ensure that requested data can be provided in... instruments are clearly understood, and the impact of collection requirements on respondents can be properly assessed. A copy of the proposed information collection request can be obtained by contacting...

  11. 77 FR 15370 - General Services Administration Acquisition Regulation; Information Collection; Price Reductions...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-15

    ... Clause; Extension of Comment Period AGENCY: Office of Acquisition Policy; General Services Administration... date of the notice of request for comments regarding OMB Control No. 3090-0235, Price Reductions Clause... Reductions Clause, by any of the following methods: Regulations.gov : http://www.regulations.gov ....

  12. 77 FR 9658 - General Services Administration Acquisition Regulation; Information Collection; Preparation...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-17

    ..., Submission, and Negotiation of Subcontracting Plans AGENCY: Office of Acquisition Policy, GSA. ACTION: Notice... collection requirement regarding preparation, submission, and negotiation of subcontracting plans. This... or lease contracts. Preparation, submission, and negotiation of subcontracting plans requires for...

  13. 77 FR 5020 - General Services Administration Acquisition Regulation; Information Collection; GSA Form 527...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-01

    ... to http://www.regulations.gov , including any personal and/or business confidential information..., Contractor's Qualifications and Financial Information AGENCY: Office of the Chief Finance Officer, GSA... Financial Information. Public comments are particularly invited on: Whether this collection of...

  14. Data Collection and Administration Procedures for the Job Performance Measurement System

    DTIC Science & Technology

    1992-10-01

    efforts and the quality of the resulting data depended on skillful administration of JF4S instrumrents and the smooth operatiom of each team. The...capabilities, as well as good camunication and interpersonal skills . It was preferable that proctors possess technical expertise in all areas covered by the...similar to those for proctors. TAs were required to possess good interpersonal and cumzunication skills . Technical expertise in all areas covered by the

  15. 46 CFR 508.101 - Cross-referrence to employee ethical conduct standards and financial disclosure regulations.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 9 2012-10-01 2012-10-01 false Cross-referrence to employee ethical conduct standards... GENERAL AND ADMINISTRATIVE PROVISIONS EMPLOYEE ETHICAL CONDUCT STANDARDS AND FINANCIAL DISCLOSURE REGULATIONS § 508.101 Cross-referrence to employee ethical conduct standards and financial...

  16. 50 CFR 221.30 - What will the Department of Commerce's designated ALJ office do with a case referral?

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... designated ALJ office do with a case referral? 221.30 Section 221.30 Wildlife and Fisheries NATIONAL MARINE FISHERIES SERVICE, NATIONAL OCEANIC AND ATMOSPHERIC ADMINISTRATION, DEPARTMENT OF COMMERCE MARINE MAMMALS... will the Department of Commerce's designated ALJ office do with a case referral? Within 5 days...

  17. 50 CFR 221.30 - What will the Department of Commerce's designated ALJ office do with a case referral?

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... designated ALJ office do with a case referral? 221.30 Section 221.30 Wildlife and Fisheries NATIONAL MARINE FISHERIES SERVICE, NATIONAL OCEANIC AND ATMOSPHERIC ADMINISTRATION, DEPARTMENT OF COMMERCE MARINE MAMMALS... will the Department of Commerce's designated ALJ office do with a case referral? Within 5 days...

  18. A Coalitional View of Site-Based Management: Implications for School Administrators in Collective Bargaining Environments.

    ERIC Educational Resources Information Center

    Conley, Sharon C.; And Others

    1991-01-01

    Analyzes site-based management structures, using specific case of teacher unions and collective bargaining. From coalitional perspective, interview data suggest that teacher union leaders may be in a quandary, shifting between traditional "bread and butter" issues and professional/collegial concerns. A struggle exists involving the…

  19. 78 FR 42761 - Proposed Information Collection-2014 Election Administration and Voting Survey; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-17

    ... voters; (b) Number of active and inactive registered voters; (c) Number of persons who registered to vote... inactive to active; (h) State deadline for registration for the Federal general election; (i) Information... 3506(c)(2)(A) of the Paperwork Reduction Act of 1995, EAC announces an information collection and...

  20. 78 FR 78345 - Proposed Information Collection-2014 Election Administration and Voting Survey; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-26

    ... number of registered voters; (b) Number of active and inactive registered voters; (c) Number of persons... inactive to active; (h) State deadline for registration for the Federal general election; (i) Information... 3506(c)(2)(A) of the Paperwork Reduction Act of 1995, EAC announces an information collection and...

  1. 31 CFR 285.1 - Collection of past-due support by administrative offset.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... individual under (i) Title IV of the Higher Education Act of 1965; (ii) The Social Security Act; (iii) Part B... pay period subject to offset to collect past-due support shall not exceed those amounts set forth at... debtor's aggregate disposable earnings for any pay period, where the debtor asserts by affidavit, or...

  2. 31 CFR 285.1 - Collection of past-due support by administrative offset.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... individual under (i) Title IV of the Higher Education Act of 1965; (ii) The Social Security Act; (iii) Part B... pay period subject to offset to collect past-due support shall not exceed those amounts set forth at... debtor's aggregate disposable earnings for any pay period, where the debtor asserts by affidavit, or...

  3. 77 FR 2726 - General Services Administration Acquisition Regulation; Information Collection; Contract...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-19

    ... Final Payment (GSAR Part 532 and 552.232-72; GSA Form 1142 Release of Claims) AGENCY: Office of the... extension of a previously approved information collection requirement and the reinstatement of GSA Form 1142... 1142 was inadvertently deleted as part of the rewrite of GSAR regulations on Contract Financing....

  4. Allocating Quality: Collective Bargaining Agreements and Administrative Discretion over Teacher Assignment

    ERIC Educational Resources Information Center

    Cohen-Vogel, Lora; Osborne-Lampkin, La'Tara

    2007-01-01

    Background: School leaders argue that to make the improvements in both quality and equity that government mandates demand, they need more flexibility with regard to personnel management--specifically, teacher assignment. According to some, such flexibility is constrained by collective bargaining between teachers unions and school districts.…

  5. 78 FR 73818 - Information Collection; Timber Sale Contract Operations and Administration

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-09

    ... Act of 1995, the Forest Service is seeking comments from all interested individuals and organizations... facilitate entry to the building. FOR FURTHER INFORMATION CONTACT: Lathrop Smith, 970-295-5961. Individuals... factors such as weather and market conditions. The information collected includes plans,...

  6. Automatic referral to cardiac rehabilitation.

    PubMed

    Fischer, Jane P

    2008-01-01

    The pervasive negative impact of cardiovascular disease in the United States is well documented. Although advances have been made, the campaign to reduce the occurrence, progression, and mortality continues. Determining evidence-based data is only half the battle. Implementing new and updated clinical guidelines into daily practice is a challenging task. Cardiac rehabilitation is an example of a proven intervention whose benefit is hindered through erratic implementation. The American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR), the American College of Cardiology (ACC), and the American Heart Association (AHA) have responded to this problem by publishing the AACVPR/ACC/AHA 2007 Performance Measures on Cardiac Rehabilitation for Referral to and Delivery of Cardiac Rehabilitation/Secondary Prevention Services. This new national guideline recommends automatic referral to cardiac rehabilitation for every eligible patient (performance measure A-1). This article offers guidance for the initiation of an automatic referral system, including individualizing your protocol with regard to electronic or paper-based order entry structures.

  7. Transitioning from a faculty to an administrative role: part 1, moving from individual to collective accountability.

    PubMed

    Thompson, Cesarina M

    2011-01-01

    Many new nursing leaders assuming deanships, assistant, or interim deanships have limited education, experience, or background to prepare them for the job. To assist new deans and those aspiring to be deans, Jana L. Pressler, PhD, RN, and Carole A. Kenner, PhD, RNC-NIC, FAAN, the editors of this department, address common issues, challenges, and opportunities that face academic executive teams, such as negotiating an executive contract, obtaining faculty lines, building effective work teams, managing difficult employees, and creating nimble organizational structure to respond to changing consumer, healthcare delivery, and community needs. In this article, the editors asked guest author, Dr Cesarina Thompson, to discuss the transition process from faculty to administrative role.

  8. Understanding the Process of Medical Referral

    PubMed Central

    Muzzin, Linda J.

    1991-01-01

    In a critique of the existing literature, the author found that most studies simply calculate referral rates and count letters between referring physicians and specialists. Longitudinal studies that consider all participants' views and place referral in a broader context could reveal more about this complex process. This article is the first of a six-part series reporting on a longitudinal study of 50 referrals in Ontario and Manitoba. PMID:21229088

  9. GPs' payment contracts and their referral practice.

    PubMed

    Mariñoso, Begoña Garcia; Jelovac, Izabela

    2003-07-01

    This paper compares the role of general practitioners in determining access to specialists in two types of health care systems: gate-keeping systems, where a general practitioner (GP) referral is compulsory to visit a specialist, and non-gate-keeping systems, where this referral is optional. We model the dependence between the GP's diagnosis effort and her referral behaviour, and identify the optimal contracts that induce the best behaviour from a public insurer's point of view, where there is asymmetry of information between the insurer and the GP regarding diagnosis effort and referral decisions. We show that gate keeping is superior wherever GP's incentives matter.

  10. Development of a quarterly referral productivity report.

    PubMed

    Wu, Cai; Sandoval, Alex; Hicks, Katrina N; Edwards, Tim J; Green, Lyle D

    2007-10-11

    The Office of Physician Relations at The University of Texas M. D. Anderson Cancer Center (MDACC) has developed a dynamic referral productivity reporting tool for its Multidisciplinary Care Centers (MCC). The tool leverages information within the institution's Enterprise Information Warehouse (EIW) using business intelligent software Hyperion Intelligent Explorer Suite 8.3. the referral productivity reports are intended to provide each MCC with detailed referral and registration data outlining how, and from where, patients arrive here for treatment. The reports supports operational and strategic initiatives aimed at improving referral processes and market related program development.

  11. 41 CFR 105-70.011 - Referral of complaint and answer to the ALJ.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Property Management Regulations System (Continued) GENERAL SERVICES ADMINISTRATION Regional Offices-General Services Administration 70-IMPLEMENTATION OF THE PROGRAM FRAUD CIVIL REMEDIES ACT OF 1986 § 105-70.011... 41 Public Contracts and Property Management 3 2010-07-01 2010-07-01 false Referral of...

  12. 28 CFR 345.64 - Referral of releasable medical data to FPI staff.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 28 Judicial Administration 2 2014-07-01 2014-07-01 false Referral of releasable medical data to FPI staff. 345.64 Section 345.64 Judicial Administration FEDERAL PRISON INDUSTRIES, INC., DEPARTMENT OF JUSTICE FEDERAL PRISON INDUSTRIES (FPI) INMATE WORK PROGRAMS Inmate Pay and Benefits §...

  13. 28 CFR 345.64 - Referral of releasable medical data to FPI staff.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Referral of releasable medical data to FPI staff. 345.64 Section 345.64 Judicial Administration FEDERAL PRISON INDUSTRIES, INC., DEPARTMENT OF JUSTICE FEDERAL PRISON INDUSTRIES (FPI) INMATE WORK PROGRAMS Inmate Pay and Benefits §...

  14. 28 CFR 345.64 - Referral of releasable medical data to FPI staff.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 28 Judicial Administration 2 2011-07-01 2011-07-01 false Referral of releasable medical data to FPI staff. 345.64 Section 345.64 Judicial Administration FEDERAL PRISON INDUSTRIES, INC., DEPARTMENT OF JUSTICE FEDERAL PRISON INDUSTRIES (FPI) INMATE WORK PROGRAMS Inmate Pay and Benefits §...

  15. 28 CFR 345.64 - Referral of releasable medical data to FPI staff.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 28 Judicial Administration 2 2013-07-01 2013-07-01 false Referral of releasable medical data to FPI staff. 345.64 Section 345.64 Judicial Administration FEDERAL PRISON INDUSTRIES, INC., DEPARTMENT OF JUSTICE FEDERAL PRISON INDUSTRIES (FPI) INMATE WORK PROGRAMS Inmate Pay and Benefits §...

  16. 28 CFR 345.64 - Referral of releasable medical data to FPI staff.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 28 Judicial Administration 2 2012-07-01 2012-07-01 false Referral of releasable medical data to FPI staff. 345.64 Section 345.64 Judicial Administration FEDERAL PRISON INDUSTRIES, INC., DEPARTMENT OF JUSTICE FEDERAL PRISON INDUSTRIES (FPI) INMATE WORK PROGRAMS Inmate Pay and Benefits §...

  17. 45 CFR 162.1302 - Standards for referral certification and authorization transaction.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... institutional request for review and response. The ASC X12 Standards for Electronic Data Interchange Technical... Standards for Electronic Data Interchange Technical Report Type 3, April 2008, ASC X12N/005010X217E1... ADMINISTRATIVE DATA STANDARDS AND RELATED REQUIREMENTS ADMINISTRATIVE REQUIREMENTS Referral Certification...

  18. 45 CFR 162.1302 - Standards for referral certification and authorization transaction.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... institutional request for review and response. The ASC X12 Standards for Electronic Data Interchange Technical... Standards for Electronic Data Interchange Technical Report Type 3, April 2008, ASC X12N/005010X217E1... ADMINISTRATIVE DATA STANDARDS AND RELATED REQUIREMENTS ADMINISTRATIVE REQUIREMENTS Referral Certification...

  19. 45 CFR 162.1302 - Standards for referral certification and authorization transaction.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... institutional request for review and response. The ASC X12 Standards for Electronic Data Interchange Technical... Standards for Electronic Data Interchange Technical Report Type 3, April 2008, ASC X12N/005010X217E1... ADMINISTRATIVE DATA STANDARDS AND RELATED REQUIREMENTS ADMINISTRATIVE REQUIREMENTS Referral Certification...

  20. 28 CFR 115.322 - Policies to ensure referrals of allegations for investigations.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 28 Judicial Administration 2 2014-07-01 2014-07-01 false Policies to ensure referrals of allegations for investigations. 115.322 Section 115.322 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) PRISON RAPE ELIMINATION ACT NATIONAL STANDARDS Standards for Juvenile Facilities...

  1. 28 CFR 115.122 - Policies to ensure referrals of allegations for investigations.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 28 Judicial Administration 2 2012-07-01 2012-07-01 false Policies to ensure referrals of allegations for investigations. 115.122 Section 115.122 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) PRISON RAPE ELIMINATION ACT NATIONAL STANDARDS Standards for Lockups Responsive Planning §...

  2. 28 CFR 115.322 - Policies to ensure referrals of allegations for investigations.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 28 Judicial Administration 2 2013-07-01 2013-07-01 false Policies to ensure referrals of allegations for investigations. 115.322 Section 115.322 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) PRISON RAPE ELIMINATION ACT NATIONAL STANDARDS Standards for Juvenile Facilities...

  3. 28 CFR 115.122 - Policies to ensure referrals of allegations for investigations.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 28 Judicial Administration 2 2013-07-01 2013-07-01 false Policies to ensure referrals of allegations for investigations. 115.122 Section 115.122 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) PRISON RAPE ELIMINATION ACT NATIONAL STANDARDS Standards for Lockups Responsive Planning §...

  4. 28 CFR 115.22 - Policies to ensure referrals of allegations for investigations.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 28 Judicial Administration 2 2014-07-01 2014-07-01 false Policies to ensure referrals of allegations for investigations. 115.22 Section 115.22 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) PRISON RAPE ELIMINATION ACT NATIONAL STANDARDS Standards for Adult Prisons and Jails Responsive...

  5. 28 CFR 115.22 - Policies to ensure referrals of allegations for investigations.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 28 Judicial Administration 2 2012-07-01 2012-07-01 false Policies to ensure referrals of allegations for investigations. 115.22 Section 115.22 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) PRISON RAPE ELIMINATION ACT NATIONAL STANDARDS Standards for Adult Prisons and Jails Responsive...

  6. 28 CFR 115.122 - Policies to ensure referrals of allegations for investigations.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 28 Judicial Administration 2 2014-07-01 2014-07-01 false Policies to ensure referrals of allegations for investigations. 115.122 Section 115.122 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) PRISON RAPE ELIMINATION ACT NATIONAL STANDARDS Standards for Lockups Responsive Planning §...

  7. 28 CFR 115.322 - Policies to ensure referrals of allegations for investigations.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 28 Judicial Administration 2 2012-07-01 2012-07-01 false Policies to ensure referrals of allegations for investigations. 115.322 Section 115.322 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) PRISON RAPE ELIMINATION ACT NATIONAL STANDARDS Standards for Juvenile Facilities...

  8. 28 CFR 115.22 - Policies to ensure referrals of allegations for investigations.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 28 Judicial Administration 2 2013-07-01 2013-07-01 false Policies to ensure referrals of allegations for investigations. 115.22 Section 115.22 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) PRISON RAPE ELIMINATION ACT NATIONAL STANDARDS Standards for Adult Prisons and Jails Responsive...

  9. 5 CFR 1639.10 - Referrals to the Department of Justice.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 5 Administrative Personnel 3 2010-01-01 2010-01-01 false Referrals to the Department of Justice. 1639.10 Section 1639.10 Administrative Personnel FEDERAL RETIREMENT THRIFT INVESTMENT BOARD CLAIMS... the Department of Justice. The Executive Director will refer to the Department of Justice...

  10. 28 CFR 71.11 - Referral of complaint and answer to the ALJ.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Referral of complaint and answer to the ALJ. 71.11 Section 71.11 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) IMPLEMENTATION OF THE PROVISIONS OF THE PROGRAM FRAUD CIVIL REMEDIES ACT OF 1986 Implementation for Actions Initiated...

  11. 5 CFR 2638.603 - Reports of referral for possible prosecution.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 5 Administrative Personnel 3 2012-01-01 2012-01-01 false Reports of referral for possible prosecution. 2638.603 Section 2638.603 Administrative Personnel OFFICE OF GOVERNMENT ETHICS GOVERNMENT ETHICS OFFICE OF GOVERNMENT ETHICS AND EXECUTIVE AGENCY ETHICS PROGRAM RESPONSIBILITIES Executive Branch...

  12. 5 CFR 2638.603 - Reports of referral for possible prosecution.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 5 Administrative Personnel 3 2013-01-01 2013-01-01 false Reports of referral for possible prosecution. 2638.603 Section 2638.603 Administrative Personnel OFFICE OF GOVERNMENT ETHICS GOVERNMENT ETHICS OFFICE OF GOVERNMENT ETHICS AND EXECUTIVE AGENCY ETHICS PROGRAM RESPONSIBILITIES Executive Branch...

  13. 5 CFR 2638.603 - Reports of referral for possible prosecution.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 5 Administrative Personnel 3 2011-01-01 2011-01-01 false Reports of referral for possible prosecution. 2638.603 Section 2638.603 Administrative Personnel OFFICE OF GOVERNMENT ETHICS GOVERNMENT ETHICS OFFICE OF GOVERNMENT ETHICS AND EXECUTIVE AGENCY ETHICS PROGRAM RESPONSIBILITIES Executive Branch...

  14. 5 CFR 2638.603 - Reports of referral for possible prosecution.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 5 Administrative Personnel 3 2010-01-01 2010-01-01 false Reports of referral for possible prosecution. 2638.603 Section 2638.603 Administrative Personnel OFFICE OF GOVERNMENT ETHICS GOVERNMENT ETHICS OFFICE OF GOVERNMENT ETHICS AND EXECUTIVE AGENCY ETHICS PROGRAM RESPONSIBILITIES Executive Branch...

  15. 5 CFR 2638.603 - Reports of referral for possible prosecution.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 5 Administrative Personnel 3 2014-01-01 2014-01-01 false Reports of referral for possible prosecution. 2638.603 Section 2638.603 Administrative Personnel OFFICE OF GOVERNMENT ETHICS GOVERNMENT ETHICS OFFICE OF GOVERNMENT ETHICS AND EXECUTIVE AGENCY ETHICS PROGRAM RESPONSIBILITIES Executive Branch...

  16. Referral to pediatric surgical specialists.

    PubMed

    Klein, Michael D

    2014-02-01

    The American Academy of Pediatrics, with the collaboration of the Surgical Sections of the American Academy of Pediatrics, has created referral recommendations intended to serve as voluntary practice parameters to assist general pediatricians in determining when and to whom to refer their patients for pediatric surgical specialty care. It is recognized that these recommendations may be difficult to implement, because communities vary in terms of access to major pediatric medical centers. Limited access does not negate the value of the recommendations, however, because the child who needs specialized surgical and anesthetic care is best served by the skills of the appropriate pediatric surgical team. Major congenital anomalies, malignancies, major trauma, and chronic illnesses (including those associated with preterm birth) in infants and children should be managed by pediatric medical subspecialists and pediatric surgical specialists at pediatric referral centers that can provide expertise in many areas, including the pediatric medical subspecialties and surgical specialties of pediatric radiology, pediatric anesthesiology, pediatric pathology, and pediatric intensive care. The optimal management of the child with complex problems, chronic illness, or disabilities requires coordination, communication, and cooperation of the pediatric surgical specialist with the child's primary care pediatrician or physician.

  17. Effects of para-aminobenzoic acid (PABA) form and administration mode on PABA recovery in 24-hour urine collections.

    PubMed

    Sharma, Rashmi S; Joy, Raechel C; Boushey, Carol J; Ferruzzi, Mario G; Leonov, Alexei P; McCrory, Megan A

    2014-03-01

    Para-aminobenzoic acid (PABA) has long been used as an objective measure to assess completeness of 24-hour urine collections. However, pharmaceutical-grade PABA for human ingestion is not available in the United States. An alternative, the potassium salt of PABA, aminobenzoate potassium, can be obtained for clinical use, although it has not yet been validated in this role. Both PABA and aminobenzoate potassium can be directly ingested in their tablet or capsule forms or added to food before consumption. Our aim was to investigate the effect of form (PABA vs aminobenzoate potassium) and administration mode (directly ingested as a tablet/capsule vs added to food) on urinary PABA recovery levels. Twenty healthy participants underwent 3 test days separated by two 24-hour wash-out periods. Three test conditions, one on each test day, were investigated in randomized order: PABA tablet, aminobenzoate potassium capsule, and PABA or aminobenzoate potassium in food. Ingestion of each dose was supervised and participants performed the 24-hour urine collections while free-living. The 24-hour urine collections were analyzed for PABA recovery (%R) levels using a colorimetric assay. Recoveries 85% to 110% were deemed complete and those >110% were reanalyzed by high pressure liquid chromatography and mass spectrometry. Only complete collections (>85%R) were included in analyses. The recovery for the PABA tablet, aminobenzoate potassium capsule, and PABA/aminobenzoate potassium in food were similar at 98.8%R±2.0%R, 95.1%R±2.3%R, and 93.2%R±2.1%R, respectively, and did not differ significantly. These results suggest that aminobenzoate potassium may be used as an alternative to PABA for assessing the completeness of 24-hour urine collections and to track compliance with consuming provided diets in community-dwelling studies.

  18. Implementing a mixed-mode design for collecting administrative records: striking a balance between quality and burden

    EIA Publications

    2012-01-01

    RECS relies on actual records from energy suppliers to produce robust survey estimates of household energy consumption and expenditures. During the RECS Energy Supplier Survey (ESS), energy billing records are collected from the companies that supply electricity, natural gas, fuel oil/kerosene, and propane (LPG) to the interviewed households. As Federal agencies expand the use of administrative records to enhance, replace, or evaluate survey data, EIA has explored more flexible, reliable and efficient techniques to collect energy billing records. The ESS has historically been a mail-administered survey, but EIA introduced web data collection with the 2009 RECS ESS. In that survey, energy suppliers self-selected their reporting mode among several options: standardized paper form, on-line fillable form or spreadsheet, or failing all else, a nonstandard format of their choosing. In this paper, EIA describes where reporting mode appears to influence the data quality. We detail the reporting modes, the embedded and post-hoc quality control and consistency checks that were performed, the extent of detectable errors, and the methods used for correcting data errors. We explore by mode the levels of unit and item nonresponse, number of errors, and corrections made to the data. In summary, we find notable differences in data quality between modes and analyze where the benefits of offering these new modes outweigh the "costs".

  19. 2 CFR 175.20 - Referral.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 2 Grants and Agreements 1 2010-01-01 2010-01-01 false Referral. 175.20 Section 175.20 Grants and Agreements OFFICE OF MANAGEMENT AND BUDGET GOVERNMENTWIDE GUIDANCE FOR GRANTS AND AGREEMENTS Reserved AWARD TERM FOR TRAFFICKING IN PERSONS § 175.20 Referral. An agency official should inform the...

  20. 2 CFR 175.20 - Referral.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 2 Grants and Agreements 1 2011-01-01 2011-01-01 false Referral. 175.20 Section 175.20 Grants and Agreements Office of Management and Budget Guidance for Grants and Agreements OFFICE OF MANAGEMENT AND BUDGET GOVERNMENTWIDE GUIDANCE FOR GRANTS AND AGREEMENTS AWARD TERM FOR TRAFFICKING IN PERSONS § 175.20 Referral....

  1. 13 CFR 120.926 - Referral fee.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... Loan Program (504) Third Party Loans § 120.926 Referral fee. The CDC can receive a reasonable referral fee from the Third Party Lender if the CDC secured the Third Party Lender for the Borrower under a written contract between the CDC and the Third Party Lender. Both the CDC and the Third Party Lender...

  2. 13 CFR 120.926 - Referral fee.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... Loan Program (504) Third Party Loans § 120.926 Referral fee. The CDC can receive a reasonable referral fee from the Third Party Lender if the CDC secured the Third Party Lender for the Borrower under a written contract between the CDC and the Third Party Lender. Both the CDC and the Third Party Lender...

  3. 13 CFR 120.926 - Referral fee.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... Loan Program (504) Third Party Loans § 120.926 Referral fee. The CDC can receive a reasonable referral fee from the Third Party Lender if the CDC secured the Third Party Lender for the Borrower under a written contract between the CDC and the Third Party Lender. Both the CDC and the Third Party Lender...

  4. 13 CFR 120.926 - Referral fee.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... Loan Program (504) Third Party Loans § 120.926 Referral fee. The CDC can receive a reasonable referral fee from the Third Party Lender if the CDC secured the Third Party Lender for the Borrower under a written contract between the CDC and the Third Party Lender. Both the CDC and the Third Party Lender...

  5. 13 CFR 120.926 - Referral fee.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... Loan Program (504) Third Party Loans § 120.926 Referral fee. The CDC can receive a reasonable referral fee from the Third Party Lender if the CDC secured the Third Party Lender for the Borrower under a written contract between the CDC and the Third Party Lender. Both the CDC and the Third Party Lender...

  6. Referral Systems to Integrate Health and Economic Strengthening Services for People with HIV: A Qualitative Assessment in Malawi

    PubMed Central

    Sears, Clinton; Andersson, Zach; Cann, Meredith

    2016-01-01

    ABSTRACT Background: Supporting the diverse needs of people living with HIV (PLHIV) can help reduce the individual and structural barriers they face in adhering to antiretroviral treatment (ART). The Livelihoods and Food Security Technical Assistance II (LIFT) project sought to improve adherence in Malawi by establishing 2 referral systems linking community-based economic strengthening and livelihoods services to clinical health facilities. One referral system in Balaka district, started in October 2013, connected clients to more than 20 types of services while the other simplified approach in Kasungu and Lilongwe districts, started in July 2014, connected PLHIV attending HIV and nutrition support facilities directly to community savings groups. Methods: From June to July 2015, LIFT visited referral sites in Balaka, Kasungu, and Lilongwe districts to collect qualitative data on referral utility, the perceived association of referrals with client and household health and vulnerability, and the added value of the referral system as perceived by network member providers. We interviewed a random sample of 152 adult clients (60 from Balaka, 57 from Kasungu, and 35 from Lilongwe) who had completed their referral. We also conducted 2 focus group discussions per district with network providers. Findings: Clients in all 3 districts indicated their ability to save money had improved after receiving a referral, although the percentage was higher among clients in the simplified Kasungu and Lilongwe model than the more complex Balaka model (85.6% vs. 56.0%, respectively). Nearly 70% of all clients interviewed had HIV infection; 72.7% of PLHIV in Balaka and 95.7% of PLHIV in Kasungu and Lilongwe credited referrals for helping them stay on their ART. After the referral, 76.0% of clients in Balaka and 92.3% of clients in Kasungu and Lilongwe indicated they would be willing to spend their savings on health costs. The more diverse referral network and use of an mHealth app to manage

  7. Conducting an audit to improve the facilitation of emergency maternal and newborn referral in northern Ghana.

    PubMed

    Awoonor-Williams, John Koku; Bailey, Patricia E; Yeji, Francis; Adongo, Ayire Emmanuel; Baffoe, Peter; Williams, Afua; Mercer, Sarah

    2015-10-01

    Ghana Health Service conducted an audit to strengthen the referral system for pregnant or recently pregnant women and newborns in northern Ghana. The audit took place in 16 facilities with two 3-month cycles of data collection in 2011. Midwife-led teams tracked 446 referred women until they received definitive treatment. Between the two audit cycles, teams identified and implemented interventions to address gaps in referral services. During this time period, we observed important increases in facilitating referral mechanisms, including a decrease in the dependence on taxis in favour of national or facility ambulances/vehicles; an increase in health workers escorting referrals to the appropriate receiving facility; greater use of referral slips and calling ahead to alert receiving facilities and higher feedback rates. As referral systems require attention from multiple levels of engagement, on the provider end we found that regional managers increasingly resolved staffing shortages; district management addressed the costliness and lack of transport and increased midwives' ability to communicate with pregnant women and drivers; and that facility staff increasingly adhered to guidelines and facilitating mechanisms. By conducting an audit of maternal and newborn referrals, the Ghana Health Service identified areas for improvement that service providers and management at multiple levels addressed, demonstrating a platform for problem solving that could be a model elsewhere.

  8. First quality score for referral letters in gastroenterology—a validation study

    PubMed Central

    Eskeland, Sigrun Losada; Brunborg, Cathrine; Seip, Birgitte; Wiencke, Kristine; Hovde, Øistein; Owen, Tanja; Skogestad, Erik; Huppertz-Hauss, Gert; Halvorsen, Fred-Arne; Garborg, Kjetil; Aabakken, Lars; de Lange, Thomas

    2016-01-01

    Objective To create and validate an objective and reliable score to assess referral quality in gastroenterology. Design An observational multicentre study. Setting and participants 25 gastroenterologists participated in selecting variables for a Thirty Point Score (TPS) for quality assessment of referrals to gastroenterology specialist healthcare for 9 common indications. From May to September 2014, 7 hospitals from the South-Eastern Norway Regional Health Authority participated in collecting and scoring 327 referrals to a gastroenterologist. Main outcome measure Correlation between the TPS and a visual analogue scale (VAS) for referral quality. Results The 327 referrals had an average TPS of 13.2 (range 1–25) and an average VAS of 4.7 (range 0.2–9.5). The reliability of the score was excellent, with an intra-rater intraclass correlation coefficient (ICC) of 0.87 and inter-rater ICC of 0.91. The overall correlation between the TPS and the VAS was moderate (r=0.42), and ranged from fair to substantial for the various indications. Mean agreement was good (ICC=0.47, 95% CI (0.34 to 0.57)), ranging from poor to good. Conclusions The TPS is reliable, objective and shows good agreement with the subjective VAS. The score may be a useful tool for assessing referral quality in gastroenterology, particularly important when evaluating the effect of interventions to improve referral quality. PMID:27855107

  9. Improving referrals for tilt table testing in patients with transient loss of consciousness

    PubMed Central

    Thornton, Luke; Rahunathan, Nithusa; Verma, Narain; Wong, Kenneth

    2016-01-01

    Tilt table testing has been used for over twenty years in the investigation of patients with transient loss of consciousness. The European Society of Cardiology (ESC) recently recommended new guidance regarding indications for tilt table testing. We conducted an educational intervention and produced a new referral proforma that referring clinicians are expected to fill in for all patients referred for tilt table testing. At baseline, 76% (n=84) of referrals for tilt table testing were made in accordance to ESC guidance. Following a simple educational intervention, 100% (n=6) were in line with ESC guidance. After the introduction of the referral proforma, 92% (n=12) of referrals followed ESC guidance. At final data collection, 100% (n=11) of referrals followed ESC guidance. In conclusion, a simple educational intervention and the use of a referral proforma in this quality improvement project have made a sustained difference in improving the appropriateness of referrals for tilt table testing. This has the potential to optimise the efficient use of resources and improve patient care through avoiding unnecessary investigation. PMID:27096093

  10. Partner referral as a component of integrated sexually transmitted disease services in two Rwandan towns.

    PubMed Central

    Steen, R; Soliman, C; Bucyana, S; Dallabetta, G

    1996-01-01

    OBJECTIVE: To document partner referral rates at health centres with improved STD services, and to determine factors contributing to successful referral. METHODS: Partner referral was initiated as part of the upgrading of STD services in primary care health facilities in two semi-urban Rwanda towns. After syndromic management of the presenting complaint, index patients received prevention education and condom demonstration, and were urged to refer sexual partners to the health centre for a free examination. Partner referral coupons linked by code number to the symptomatic index patient were given to facilitate referral; no identifying information was collected on partners from the index patients. RESULTS: Three quarters of the symptomatic patients seen at the two primary health care facilities were women. Overall, the ratio of referred partners to index patients was 26%. Only 58% of index patients accepted partner referral coupons. The referral rate for those who did accept coupons was 45%. Partner referral worked best for regular partners. Most index patients and partners were married and only four index patients referred more than one partner. Women index patients, especially when pregnant, were more successful in referring partners than men. Index patients who referred partners tended to be older than those who did not. Awareness of STD symptoms in the partner, and diagnosis of cervicitis were associated with a higher rate of STD symptoms in the partner, and diagnosis of cervicitis were associated with a higher rate of partner referral. CONCLUSIONS: Efforts to improve rates of partner referral should begin at the clinic level with improved counselling to convince more index patients of the importance of partner referral. Partner symptom recognition may be useful for increasing rates of partner referral. Supplementary strategies are needed to reach non-regular partners. When syndromic management is used, counselling should take into account the lower predictive

  11. Assessing the quality of referral letters written by general practitioners: a cross-sectional study in rural Iran.

    PubMed

    Janati, Ali; Amini, Abolgasem; Adham, Davoud; Naseriasl, Mansour

    2017-03-30

    Establishing effective communication between general practitioners (GPs) and medical specialists is a key component of the referral system. Written communication between GPs and medical specialists is the most common communication tool. This study was conducted to evaluate quality (information content) of the referral letters written by GPs and addressed to gynecologists and cardiologists. We evaluated quality of the referral letters through a cross-sectional study in the villages of Sarab city, located in East Azerbaijan Province, Northwest Iran. The study was conducted during August and September 2015 in which a total of 400 referral letters were evaluated according to specific quality criteria. Cluster sampling was implemented and data were collected using an instrument designed by the Department of Family Medicine at the University of Manitoba, Canada. A specifically designed referral form was used to refer pregnant women to gynecologists. Referrals addressed to gynecologists showed better quality in comparison to cases referred to cardiologists. Legibility of referral letters was 73%. It is recommended that agreed-upon referral letters be designed cooperatively for different groups of diseases. Furthermore, primary health care providers should be trained to write proper referral letters.

  12. Cost-effectiveness analysis of timely dialysis referral after renal transplant failure in Spain

    PubMed Central

    2012-01-01

    Background A cost-effectiveness analysis of timely dialysis referral after renal transplant failure was undertaken from the perspective of the Public Administration. The current Spanish situation, where all the patients undergoing graft function loss are referred back to dialysis in a late manner, was compared to an ideal scenario where all the patients are timely referred. Methods A Markov model was developed in which six health states were defined: hemodialysis, peritoneal dialysis, kidney transplantation, late referral hemodialysis, late referral peritoneal dialysis and death. The model carried out a simulation of the progression of renal disease for a hypothetical cohort of 1,000 patients aged 40, who were observed in a lifetime temporal horizon of 45 years. In depth sensitivity analyses were performed in order to ensure the robustness of the results obtained. Results Considering a discount rate of 3 %, timely referral showed an incremental cost of 211 €, compared to late referral. This cost increase was however a consequence of the incremental survival observed. The incremental effectiveness was 0.0087 quality-adjusted life years (QALY). When comparing both scenarios, an incremental cost-effectiveness ratio of 24,390 €/QALY was obtained, meaning that timely dialysis referral might be an efficient alternative if a willingness-to-pay threshold of 45,000 €/QALY is considered. This result proved to be independent of the proportion of late referral patients observed. The acceptance probability of timely referral was 61.90 %, while late referral was acceptable in 38.10 % of the simulations. If we however restrict the analysis to those situations not involving any loss of effectiveness, the acceptance probability of timely referral was 70.10 %, increasing twofold that of late referral (29.90 %). Conclusions Timely dialysis referral after graft function loss might be an efficient alternative in Spain, improving both patients’ survival rates and

  13. Assessment and Policy for Commercial Driver License Referrals

    PubMed Central

    Miller, Christopher M.; Khanna, Amit; Strohl, Kingman P.

    2007-01-01

    This report describes experiences, subsequent action, and policy recommendations regarding sleep disorders assessment of veterans in relation to a commercial driver medical examiner referral. A series of 6 veterans were seen in our sleep clinic, presenting with an order from a commercial driver medical examiner (CDME) for polysomnography and/or Multiple Sleep Latency Testing (PSG/MSLT). We searched the literature for an evidence-based justification for handling this referral, and we concluded that there is neither federal policy nor current evidence to suggest that any current diagnostic test, including PSG/MSLT and/or MWT, is capable of predicting which individual drivers are at risk for fall-asleep crashes. The best indicator of risk is self-reported sleepiness, regardless of cause. Thus, we concluded that an administrative request for a “PSG/MSLT” is not a rational use of VA resources. Procedures and a policy for the Cleveland VA system were developed to respond to the request for evaluation, recognizing that sleep problems and disorders other than sleep apnea may be present in this population. An educational component was an important feature of this response. We suspect that this approach may be appropriate for managed care systems in general. Citation: Miller CM; Khanna A; Strohl KP. Assessment and policy for commercial driver license referrals. J Clin Sleep Med 2007;3(4):417-423. PMID:17694732

  14. A multifaceted approach to improving the quality of ENT Emergency Clinic referrals

    PubMed Central

    Swords, Chloe; Leach, Laura; Kasbekar, Anand; Jani, Piyush

    2017-01-01

    It is imperative that primary care referrals are directed to the appropriate secondary care service. Patients presenting to a primary care physician with ENT conditions may require review in an Emergency Clinic. The latter clinics provide patients with rapid access to secondary care, for urgent, yet non-life-threatening conditions. In our department, we noticed that patients with conditions inappropriate to the capabilities of the Clinic were being booked in or reviewed too late; thus causing wasted journeys for the patient. We conducted a Quality Improvement Project to improve the efficiency of the referral process. A prospective evaluation of referrals was collected continuously over a two-month period. Overall, 5 domains were deemed crucial to enable timely and accurate booking of patients to clinic: booking date, urgency, legibility, patient identification and appropriateness. Our proposed standard set for this project was 100% compliance over the 5 domains. Three separate interventions were instigated following the first cycle. The main components of the intervention were the phased development of an electronic referral system and an educational initiative for junior doctors. 20 referral forms were analysed during the initial 3-week period. No referrals met the recommended overall compliance standard of 100% (mean number of domains achieved: 3.38; standard deviation (SD): 0.637). Legibility and patient information were included in 21% and 30% of referrals, respectively. There was a trend of improvement following initiation of interventions. The mean number of domains achieved was 4.27 (SD 0.647; n=13) in the second data collection period, 4.53 (SD 0.514; n=16) in the third, and 4.75 (SD 0.452; n=24) in the fourth. Using linear regression, this change demonstrates a statistically significant improvement (p<0.001). An e-Proforma referral system represents a safe and efficient communication technology. When implementing policy change, it is crucial to acquire

  15. Qualitative study on maternal referrals in rural Tanzania: decision making and acceptance of referral advice.

    PubMed

    Pembe, Andrea B; Urassa, David P; Darj, Elisabeth; Carlsted, Anders; Olsson, Pia

    2008-08-01

    The aim of this study was to describe perceptions of maternal referrals in a rural district in Tanzania. Focus group discussions (FGDs) with health workers and community members, stratified by age and gender, were conducted. The FGDs revealed that husbands and relatives are the decision makers in maternal referrals, whereas the women had limited influence, especially on emergency referrals. The process in deciding to seek referral care is envisaged within community perception of seriousness of the condition, difficulty to access and cost involved in transport, living expenses at the hospital, and perceived quality of care at facility level. The hospitals were seen as providing acceptable quality of care, whereas, the health centres had lower quality than expected. To improve maternal referral compliance and reduce perinatal and maternal morbidity and mortality, community views of existing referral guidelines, poverty reduction, women's empowerment and male involvement in maternal care are necessary.

  16. 28 CFR 68.55 - Referral of cases arising under sections 274A or 274C to the Attorney General for review.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Referral of cases arising under sections...-RELATED EMPLOYMENT PRACTICES, AND DOCUMENT FRAUD § 68.55 Referral of cases arising under sections 274A or... shall promptly refer to the Attorney General for review any final order in cases arising under...

  17. 32 CFR 2001.34 - Referrals.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... classified information from inadvertent disclosure. (b) Automatic declassification. The referral process for records subject to automatic declassification entails identification of records containing classified... be completed prior to the date of automatic declassification established by section 3.3(a) of...

  18. 32 CFR 2001.34 - Referrals.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... classified information from inadvertent disclosure. (b) Automatic declassification. The referral process for records subject to automatic declassification entails identification of records containing classified... be completed prior to the date of automatic declassification established by section 3.3(a) of...

  19. 28 CFR 549.62 - Initial referral.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Hunger Strikes, Inmate § 549.62 Initial referral. (a) Staff shall refer an inmate who is observed to be on a hunger strike to medical or mental health staff for evaluation and, when appropriate,...

  20. 28 CFR 549.62 - Initial referral.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Hunger Strikes, Inmate § 549.62 Initial referral. (a) Staff shall refer an inmate who is observed to be on a hunger strike to medical or mental health staff for evaluation and, when appropriate,...

  1. The Nature of All "Inappropriate Referrals" Made to a Countywide Physical Activity Referral Scheme: Implications for Practice

    ERIC Educational Resources Information Center

    Johnston, Lynne Halley; Warwick, Jane; De Ste Croix, Mark; Crone, Diane; Sldford, Adrienne

    2005-01-01

    Objective: The aim of this study was to evaluate the impact of a centralised referral mechanism (CRM) upon the number and type of "inappropriate referrals" made to a countywide physical activity referral scheme. Design: Case study. Method: Phase 1: Hierarchical Content Analysis of 458 "inappropriate referrals" made to a countywide scheme over a…

  2. 7 CFR 1.630 - What will OALJ do with a case referral?

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 1 2010-01-01 2010-01-01 false What will OALJ do with a case referral? 1.630 Section 1.630 Agriculture Office of the Secretary of Agriculture ADMINISTRATIVE REGULATIONS Conditions in FERC Hydropower Licenses General Provisions Related to Hearings § 1.630 What will OALJ do with a...

  3. 7 CFR 1.630 - What will OALJ do with a case referral?

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 7 Agriculture 1 2014-01-01 2014-01-01 false What will OALJ do with a case referral? 1.630 Section 1.630 Agriculture Office of the Secretary of Agriculture ADMINISTRATIVE REGULATIONS Conditions in FERC Hydropower Licenses General Provisions Related to Hearings § 1.630 What will OALJ do with a...

  4. 7 CFR 1.630 - What will OALJ do with a case referral?

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 7 Agriculture 1 2012-01-01 2012-01-01 false What will OALJ do with a case referral? 1.630 Section 1.630 Agriculture Office of the Secretary of Agriculture ADMINISTRATIVE REGULATIONS Conditions in FERC Hydropower Licenses General Provisions Related to Hearings § 1.630 What will OALJ do with a...

  5. 7 CFR 1.630 - What will OALJ do with a case referral?

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 1 2011-01-01 2011-01-01 false What will OALJ do with a case referral? 1.630 Section 1.630 Agriculture Office of the Secretary of Agriculture ADMINISTRATIVE REGULATIONS Conditions in FERC Hydropower Licenses General Provisions Related to Hearings § 1.630 What will OALJ do with a...

  6. 7 CFR 1.630 - What will OALJ do with a case referral?

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 7 Agriculture 1 2013-01-01 2013-01-01 false What will OALJ do with a case referral? 1.630 Section 1.630 Agriculture Office of the Secretary of Agriculture ADMINISTRATIVE REGULATIONS Conditions in FERC Hydropower Licenses General Provisions Related to Hearings § 1.630 What will OALJ do with a...

  7. 38 CFR 21.4212 - Referral to Committee on Educational Allowances.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Educational Allowances. 21.4212 Section 21.4212 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS (CONTINUED) VOCATIONAL REHABILITATION AND EDUCATION Administration of Educational Assistance Programs Schools § 21.4212 Referral to Committee on Educational Allowances. (a) Form and content...

  8. 20 CFR 655.47 - Referrals of U.S. workers.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 20 Employees' Benefits 3 2012-04-01 2012-04-01 false Referrals of U.S. workers. 655.47 Section 655.47 Employees' Benefits EMPLOYMENT AND TRAINING ADMINISTRATION, DEPARTMENT OF LABOR TEMPORARY... Attestations for Temporary Employment in Occupations Other Than Agriculture or Registered Nursing in the...

  9. 20 CFR 404.1541 - Establishment and use of referral and monitoring agencies.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 20 Employees' Benefits 2 2011-04-01 2011-04-01 false Establishment and use of referral and monitoring agencies. 404.1541 Section 404.1541 Employees' Benefits SOCIAL SECURITY ADMINISTRATION FEDERAL OLD-AGE, SURVIVORS AND DISABILITY INSURANCE (1950- ) Determining Disability and Blindness...

  10. 20 CFR 404.1541 - Establishment and use of referral and monitoring agencies.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 20 Employees' Benefits 2 2012-04-01 2012-04-01 false Establishment and use of referral and monitoring agencies. 404.1541 Section 404.1541 Employees' Benefits SOCIAL SECURITY ADMINISTRATION FEDERAL OLD-AGE, SURVIVORS AND DISABILITY INSURANCE (1950- ) Determining Disability and Blindness...

  11. 20 CFR 404.1541 - Establishment and use of referral and monitoring agencies.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 20 Employees' Benefits 2 2013-04-01 2013-04-01 false Establishment and use of referral and monitoring agencies. 404.1541 Section 404.1541 Employees' Benefits SOCIAL SECURITY ADMINISTRATION FEDERAL OLD-AGE, SURVIVORS AND DISABILITY INSURANCE (1950- ) Determining Disability and Blindness...

  12. 20 CFR 404.1541 - Establishment and use of referral and monitoring agencies.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 20 Employees' Benefits 2 2014-04-01 2014-04-01 false Establishment and use of referral and monitoring agencies. 404.1541 Section 404.1541 Employees' Benefits SOCIAL SECURITY ADMINISTRATION FEDERAL OLD-AGE, SURVIVORS AND DISABILITY INSURANCE (1950- ) Determining Disability and Blindness...

  13. 20 CFR 404.1541 - Establishment and use of referral and monitoring agencies.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false Establishment and use of referral and monitoring agencies. 404.1541 Section 404.1541 Employees' Benefits SOCIAL SECURITY ADMINISTRATION FEDERAL OLD-AGE, SURVIVORS AND DISABILITY INSURANCE (1950- ) Determining Disability and Blindness...

  14. 18 CFR 401.38 - Form of referral by State or Federal agency.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 18 Conservation of Power and Water Resources 2 2011-04-01 2011-04-01 false Form of referral by State or Federal agency. 401.38 Section 401.38 Conservation of Power and Water Resources DELAWARE RIVER BASIN COMMISSION ADMINISTRATIVE MANUAL RULES OF PRACTICE AND PROCEDURE Project Review Under Section...

  15. Special Education Referral, Evaluation, and Placement Practices for Preschool English Language Learners

    ERIC Educational Resources Information Center

    Hardin, Belinda J.; Roach-Scott, Marisa; Peisner-Feinberg, Ellen S.

    2007-01-01

    The number of English language learners (ELLs) in early childhood regular and special education services has increased dramatically in the past decade. A survey was conducted with 141 early childhood administrators and teachers to examine their beliefs and practices concerning the special education referral, evaluation, and placement process for…

  16. 20 CFR 725.711 - Requests for referral to vocational rehabilitation assistance.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... rehabilitation assistance. 725.711 Section 725.711 Employees' Benefits EMPLOYMENT STANDARDS ADMINISTRATION... Vocational Rehabilitation § 725.711 Requests for referral to vocational rehabilitation assistance. Each miner... informed by the OWCP of the availability and advisability of vocational rehabilitation services. If...

  17. 20 CFR 355.11 - Referral of complaint and answer to the ALJ.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 20 Employees' Benefits 1 2013-04-01 2012-04-01 true Referral of complaint and answer to the ALJ. 355.11 Section 355.11 Employees' Benefits RAILROAD RETIREMENT BOARD ADMINISTRATIVE REMEDIES FOR FRAUDULENT CLAIMS OR STATEMENTS REGULATIONS UNDER THE PROGRAM FRAUD CIVIL REMEDIES ACT OF 1986 §...

  18. 20 CFR 355.11 - Referral of complaint and answer to the ALJ.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 20 Employees' Benefits 1 2011-04-01 2011-04-01 false Referral of complaint and answer to the ALJ. 355.11 Section 355.11 Employees' Benefits RAILROAD RETIREMENT BOARD ADMINISTRATIVE REMEDIES FOR FRAUDULENT CLAIMS OR STATEMENTS REGULATIONS UNDER THE PROGRAM FRAUD CIVIL REMEDIES ACT OF 1986 §...

  19. 41 CFR 105-70.011 - Referral of complaint and answer to the ALJ.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 41 Public Contracts and Property Management 3 2012-01-01 2012-01-01 false Referral of complaint and answer to the ALJ. 105-70.011 Section 105-70.011 Public Contracts and Property Management Federal... Services Administration 70-IMPLEMENTATION OF THE PROGRAM FRAUD CIVIL REMEDIES ACT OF 1986 §...

  20. 20 CFR 355.11 - Referral of complaint and answer to the ALJ.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 20 Employees' Benefits 1 2012-04-01 2012-04-01 false Referral of complaint and answer to the ALJ. 355.11 Section 355.11 Employees' Benefits RAILROAD RETIREMENT BOARD ADMINISTRATIVE REMEDIES FOR FRAUDULENT CLAIMS OR STATEMENTS REGULATIONS UNDER THE PROGRAM FRAUD CIVIL REMEDIES ACT OF 1986 §...

  1. Referrals to integrative medicine in a tertiary hospital: findings from electronic health record data and qualitative interviews

    PubMed Central

    Griffin, Kristen H; Rivard, Rachael L; Christianson, Jon B; Dusek, Jeffery A

    2016-01-01

    Objective To examine patterns of, and decision-making processes, informing referrals for inpatient access to integrative medicine (IM) services at a large, acute care hospital. Design Retrospective electronic health record review and structured qualitative interviews. Setting A 630-bed tertiary care hospital with an IM service available to inpatients. Participants IM referrals of all inpatients aged ≥18 years between July 2012 and December 2014 were identified using the hospital's electronic health record. Fifteen physicians, 15 nurses and 7 administrators were interviewed to better understand roles and perspectives in referring patients for IM services. Results In the study hospital, primary sources of referrals for IM services were the orthopaedic and neuroscience/spine service lines. While the largest absolute number of IM referrals was made for patients with lengths of stay of 3 days or fewer, a disproportionate number of total IM referrals was made for patients with long lengths of stay (≥10 days), compared with a smaller percentage of patients in the hospital with lengths of stay ≥10 days. Physicians and nurses were more likely to refer patients who displayed strong symptoms (eg, pain and anxiety) and/or did not respond to conventional therapies. IM referrals were predominantly nurse-initiated. A built-in delay in the time from referral initiation to service delivery discouraged referrals of some patients. Conclusions Conventional providers refer patients for IM services when these services are available in a tertiary hospital. Referral patterns are influenced by patient characteristics, operational features and provider perspectives. Nurses play a key role in the referral process. Overcoming cultural and knowledge differences between conventional and IM providers is likely to be a continuing challenge to providing IM in inpatient settings. PMID:27456330

  2. The PRONE score: an algorithm for predicting doctors’ risks of formal patient complaints using routinely collected administrative data

    PubMed Central

    Spittal, Matthew J; Bismark, Marie M; Studdert, David M

    2015-01-01

    Background Medicolegal agencies—such as malpractice insurers, medical boards and complaints bodies—are mostly passive regulators; they react to episodes of substandard care, rather than intervening to prevent them. At least part of the explanation for this reactive role lies in the widely recognised difficulty of making robust predictions about medicolegal risk at the individual clinician level. We aimed to develop a simple, reliable scoring system for predicting Australian doctors’ risks of becoming the subject of repeated patient complaints. Methods Using routinely collected administrative data, we constructed a national sample of 13 849 formal complaints against 8424 doctors. The complaints were lodged by patients with state health service commissions in Australia over a 12-year period. We used multivariate logistic regression analysis to identify predictors of subsequent complaints, defined as another complaint occurring within 2 years of an index complaint. Model estimates were then used to derive a simple predictive algorithm, designed for application at the doctor level. Results The PRONE (Predicted Risk Of New Event) score is a 22-point scoring system that indicates a doctor's future complaint risk based on four variables: a doctor's specialty and sex, the number of previous complaints and the time since the last complaint. The PRONE score performed well in predicting subsequent complaints, exhibiting strong validity and reliability and reasonable goodness of fit (c-statistic=0.70). Conclusions The PRONE score appears to be a valid method for assessing individual doctors’ risks of attracting recurrent complaints. Regulators could harness such information to target quality improvement interventions, and prevent substandard care and patient dissatisfaction. The approach we describe should be replicable in other agencies that handle large numbers of patient complaints or malpractice claims. PMID:25855664

  3. Referral Finder: Saving Time and Improving The Quality of In-hospital Referrals.

    PubMed

    Cathcart, Jennifer; Cowan, Neil; Tully, Vicki

    2016-01-01

    Making referrals to other hospital specialties is one of the key duties of the foundation doctor, which can be difficult and time consuming. In Ninewells hospital, Scotland, in our experience the effectiveness of referrals is limited by contact details not being readily accessible and foundation doctors not knowing what information is relevant to each specialty. We surveyed foundation doctors on their experience of the existing referral process to identify where we needed to focus to improve the process. The doctors reported significant delays in obtaining contact details from the operator, and found they did not know the specific information needed in each referral. To increase the information available to foundation doctors, we set up a page on the staff intranet called 'Referral Finder'. This page includes contact details, guidelines for referral, and links to relevant protocols for each specialty. By making this information readily accessible our objective was to increase the speed and quality of referrals. When surveyed two months after the web page was established, foundation doctors reported a reduction in calls to operator from baseline and reported achieving more effective referrals. When asked to comment, many doctors asked if the page could include details for other hospitals in our health board and provide more specialty specific information. This feedback prompted us to extend the scope of the page to include the district general hospital in our region, and update many of the existing details. Doctors were then surveyed after the updates, 100% agreed that the website saved time and there was a 49.3% reduction in doctors who reported not knowing the specific information needed for a referral. Having adequate information improved referrals and resulted in time saved. This would allow more time for patient care. The quality improvement project was praised among doctors as a useful, innovative and replicable project.

  4. Collective Bargaining Agreement by and between the Administration of Adelphi University and Adelphi University Chapter, American Association of University Professors, September 1, 1984-August 31, 1987.

    ERIC Educational Resources Information Center

    American Association of Univ. Professors, Washington, DC.

    The collective bargaining agreement between the Adelphi University Administration and the Adelphi University Chapter (540 members) of the American Association of University Professors (AAUP) covering the period September 1, 1984-August 31, 1987 is presented. Items covered in the agreement include: definitions; recognition and definition of the…

  5. Colleague 1989. An Annual Collection of Articles on Academic and Administrative Issues Facing Community Colleges of the State University of New York.

    ERIC Educational Resources Information Center

    State Univ. of New York, Albany.

    Designed as a means of communicating creative ideas in community college education, this second edition of Colleague contains 11 articles on instructional and administrative issues facing the community colleges of the State University of New York. The collection includes: (1) "Professional Growth and Development: An In-House Effort," by Alvin J.…

  6. Colleague 1990. An Annual Collection of Articles on Academic and Administrative Issues Facing Community Colleges of the State University of New York.

    ERIC Educational Resources Information Center

    State Univ. of New York, Albany.

    Designed as a means of communicating creative ideas in community college education, this journal contains 12 articles on instructional and administrative issues facing the community colleges of the State University of New York. This collection includes the following: (1) "Egalitarian Education in an Elitist Environment," by Eduardo J.…

  7. 20 CFR 410.691 - Referral to the Deputy Commissioner for Programs and Policy, or his or her designee, for hearing...

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ...' Benefits SOCIAL SECURITY ADMINISTRATION FEDERAL COAL MINE HEALTH AND SAFETY ACT OF 1969, TITLE IV-BLACK..., Finality of Decisions, and Representation of Parties § 410.691 Referral to the Deputy Commissioner...

  8. USAR Nurse Referral and Retention Program.

    PubMed

    Foley, J E; Foley, B J

    1992-09-01

    In 1987, the 804th Hospital Center made alleviating the shortfall of registered nurses in the Command a priority. The Command had only 79% of its registered nurse positions filled at the time. Using the recruitment strategies of an employee referral program and a mailing list, the Command reached 100% fill in 2 years and maintained those gains for an additional year. Retention strategies were also implemented which lowered the attrition rate. This paper describes the Army Nurse Referral and Retention Program developed and implemented at the 804th Hospital Center that relieved the shortfall of registered nurses in the United States Army Reserve in New England.

  9. 49 CFR 655.62 - Referral, evaluation, and treatment.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 49 Transportation 7 2010-10-01 2010-10-01 false Referral, evaluation, and treatment. 655.62... OPERATIONS Consequences § 655.62 Referral, evaluation, and treatment. If a covered employee has a verified... and treatment programs....

  10. 2 CFR 175.20 - Referral.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 2 Grants and Agreements 1 2014-01-01 2014-01-01 false Referral. 175.20 Section 175.20 Grants and Agreements Office of Management and Budget Guidance for Grants and Agreements OFFICE OF MANAGEMENT AND BUDGET GOVERNMENTWIDE GUIDANCE FOR GRANTS AND AGREEMENTS Reserved AWARD TERM FOR TRAFFICKING IN PERSONS §...

  11. 2 CFR 175.20 - Referral.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 2 Grants and Agreements 1 2012-01-01 2012-01-01 false Referral. 175.20 Section 175.20 Grants and Agreements Office of Management and Budget Guidance for Grants and Agreements OFFICE OF MANAGEMENT AND BUDGET GOVERNMENTWIDE GUIDANCE FOR GRANTS AND AGREEMENTS NATIONAL POLICY REQUIREMENTS AWARD TERM FOR TRAFFICKING...

  12. 2 CFR 175.20 - Referral.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 2 Grants and Agreements 1 2013-01-01 2013-01-01 false Referral. 175.20 Section 175.20 Grants and Agreements Office of Management and Budget Guidance for Grants and Agreements OFFICE OF MANAGEMENT AND BUDGET GOVERNMENTWIDE GUIDANCE FOR GRANTS AND AGREEMENTS NATIONAL POLICY REQUIREMENTS AWARD TERM FOR TRAFFICKING...

  13. Understanding the Process of Medical Referral

    PubMed Central

    Muzzin, Linda

    1991-01-01

    Fifty referrals from family physicians in Ontario were examined by interviewing the patients, referring physicians, consultants, and others involved at various points in the process. This, the second in a series of six articles, introduces the participants and describes how grounded theory methodology was used to analyze the approximately 3000 pages of field notes. PMID:21229052

  14. 32 CFR 2001.34 - Referrals.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... an NDC database system. (3) Notification of referral of records accessioned into NARA or in the... unmarked Restricted Data or Formerly Restricted Data shall be referred to the Department of Energy through the NDC. If the Department of Energy confirms that the document contains Restricted Data or...

  15. 34 CFR 303.303 - Referral procedures.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... DISABILITIES Child Find, Evaluations and Assessments, and Individualized Family Service Plans Referral... the subject of a substantiated case of child abuse or neglect; or (2) Is identified as directly affected by illegal substance abuse or withdrawal symptoms resulting from prenatal drug exposure....

  16. 34 CFR 303.303 - Referral procedures.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... DISABILITIES Child Find, Evaluations and Assessments, and Individualized Family Service Plans Referral... the subject of a substantiated case of child abuse or neglect; or (2) Is identified as directly affected by illegal substance abuse or withdrawal symptoms resulting from prenatal drug exposure....

  17. 34 CFR 303.303 - Referral procedures.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... DISABILITIES Child Find, Evaluations and Assessments, and Individualized Family Service Plans Referral... the subject of a substantiated case of child abuse or neglect; or (2) Is identified as directly affected by illegal substance abuse or withdrawal symptoms resulting from prenatal drug exposure....

  18. Behavior Analytic Consultation for Academic Referral Concerns

    ERIC Educational Resources Information Center

    Dufrene, Brad A.; Zoder-Martell, Kimberly A.; Dieringe, Shannon Titus; Labrot, Zachary

    2016-01-01

    Applied behavior analysis provides a technology of human behavior that demonstrates great potential for improving socially important outcomes for individuals. School-based consultation may provide a vehicle for delivering applied behavior analysis services in schools to address academic referral concerns. In this article, we propose that…

  19. Alternative Education's Impact on Office Disciplinary Referrals

    ERIC Educational Resources Information Center

    Gut, Eva; McLaughlin, John M.

    2012-01-01

    Disruptive behaviors negatively impact learning by taking time away from classroom instruction (Gottlieb and Polirstok 2005) and may also produce unsafe school environments. This study examined changes in the number of office disciplinary referrals (ODRs) received in public schools prior to and following the schools partnering with one particular…

  20. Sources of referral information: a marketing analysis of physician behavior.

    PubMed

    Powers, T L; Swan, J E; Taylor, J A; Bendall, D

    1998-01-01

    The referral process is an important means of obtaining patients and it is necessary to determine ways of influencing the referral process to increase the patient base. This article reports research based on a survey of the referral habits of 806 primary care physicians. The results are examined in the context of physician receptivity to marketer-controlled versus health services sources of referral information.

  1. Working with Lesbian, Gay, Bisexual, and Transgender College Students: A Handbook for Faculty and Administrators. The Greenwood Educator's Reference Collection.

    ERIC Educational Resources Information Center

    Sanlo, Ronni L., Ed.

    This handbook is designed to guide faculty and administrators in working with lesbian, gay, bisexual, and transgendered (LGBT) college students. It brings together the varied viewpoints of people concerned with providing appropriate services to LGBT students on college campuses. The book's 42 chapters discuss topics of special interest for faculty…

  2. 10 CFR 1014.7 - Referral to Department of Justice.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 10 Energy 4 2010-01-01 2010-01-01 false Referral to Department of Justice. 1014.7 Section 1014.7... § 1014.7 Referral to Department of Justice. (a) When Department of Justice approval or consultation is required under § 1014.6, the referral or request shall be transmitted to the Department of Justice by...

  3. 24 CFR 17.9 - Referral to Department of Justice.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 24 Housing and Urban Development 1 2010-04-01 2010-04-01 false Referral to Department of Justice... Procedures § 17.9 Referral to Department of Justice. When Department of Justice approval or consultation is required under § 17.8, the referral or request shall be transmitted to the Department of Justice by...

  4. 34 CFR 303.206 - Referral policies for specific children.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 34 Education 2 2012-07-01 2012-07-01 false Referral policies for specific children. 303.206... Referral policies for specific children. Each application must include the State's policies and procedures that require the referral for early intervention services under this part of specific children...

  5. 76 FR 67128 - Proposed Collection; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-31

    ... tracking, and (4) consumer complaint referral programming. An approved set of collection questions and... only undertake a new collection under this generic clearance if the OMB does not object to the...

  6. Diabetes Mellitus in Outpatients in Debre Berhan Referral Hospital, Ethiopia

    PubMed Central

    Habtewold, Tesfa Dejenie; Tsega, Wendwesen Dibekulu; Wale, Bayu Yihun

    2016-01-01

    Introduction. Diabetes mellitus is a group of metabolic diseases characterized by hyperglycemia resulting from defects in insulin secretion, insulin action, or both. Most people with diabetes live in low- and middle-income countries and these will experience the greatest increase in cases of diabetes over the next 22 years. Objective. To assess the prevalence and associated factors of diabetes mellitus among outpatients of Debre Berhan Referral Hospital. Methods and Materials. A cross-sectional study was conducted from April to June 2015 among 385 patients. Random quota sampling technique was used to get individual patients and risk factors assessment. Patients diabetes status was ascertained by World Health Organization Diabetes Mellitus Diagnostic Criteria. The collected data were entered, cleaned, and analyzed and Chi-square test was applied to test any association between dependent and independent variable. Result. Out of the total 385 study patients, 368 have participated in the study yielding a response rate of 95.3%. Concerning clinical presentation of diabetes mellitus, 13.3% of patients reported thirst, 14.4% of patients declared polyurea, and 14.9% of patients ascertained unexplained weight loss. The statistically significant associated factors of diabetes mellitus were hypertensive history, obesity, the number of parities, and smoking history. Conclusion. The prevalence of diabetes mellitus among outpatients in Debre Berhan Referral Hospital was 0.34% and several clinical and behavioral factors contribute to the occurrence of diabetes mellitus which impose initiation of preventive, promotive, and curative strategies. PMID:26881245

  7. [Appropriateness of referrals for magnetic resonance imaging in Latium, Italy].

    PubMed

    Prota, Federica; Rosano, Aldo; San Martini, Elena; Cau, Norberto; Guasticchi, Gabriella

    2012-01-01

    Long wait times for access to Nuclear Magnetic resonance imaging (MRI) examinations are a concern and for this reason the project "Appropriateness of referrals for MRI examinations" has been launched in Latium (Italy). The aim of this preliminary study was to describe the main characteristics of MRI referrals in the region. Findings highlight a large variation in referral rates across the region, with 80% of MRI referrals being ordered by general practitioners and family pediatricians. The latter points to the possibility of inappropriate referrals for MRI imaging in Latium.

  8. District Administrator Perspectives on Student Learning in an Era of Standards and Accountability: A Collective Frame Analysis

    ERIC Educational Resources Information Center

    Anderson, Stephen E.; Macri, Joelle Rodway

    2009-01-01

    Our analysis explores the agenda for student learning communicated in interviews with school district officials from four Ontario districts. Using research methods drawn from collective action framing theory, we identified six core frames and one broader frame in the discourse on student learning: (a) measureable academic achievement, (b)…

  9. Depression in older adults: screening and referral.

    PubMed

    Vieira, Edgar Ramos; Brown, Ellen; Raue, Patrick

    2014-01-01

    Depression is related to disability and affects rehabilitation participation, outcomes, and compliance with treatment. Improving older adult depression detection and referral requires knowledge, skills, supportive organizational policies, and access to mental health experts. This review provides a selected overview of evidence-based approaches for screening of suspected cases of depression in older adults by physical therapists and other non-mental health professionals and discusses procedures to refer suspected cases to primary care providers and/or mental health specialists for evaluation, including resources and a tool to assist in communicating depression-related information to the primary care provider or mental health specialist. We hope that this review will promote the incorporation of evidence-based screening and referral of suspected cases of depression in older adults into routine practice.

  10. Idiopathic pulmonary fibrosis: Early detection and referral

    PubMed Central

    Oldham, Justin M.; Noth, Imre

    2016-01-01

    Summary Idiopathic pulmonary fibrosis (IPF), a devastating progressive interstitial lung disease (ILD) with no known cause or cure, is the most common and deadly of the idiopathic interstitial pneumonias. With a median survival of 3–5 years following diagnosis, IPF is characterized by a progressive decline in lung function and quality of life in most patients. Vigilance among clinicians in recognizing IPF early in the disease course remains critical to properly caring for these patients, as this provides the widest range of management options. When IPF is suspected, a multidisciplinary evaluation (MDE) by a clinician, radiologist and pathologist with ILD expertise should occur, as this improves diagnostic agreement in both community and academic settings. When community MDE is not possible, or diagnostic doubt exists, referral to an ILD center should be considered. ILD center referral may also provide access specialized care, including clinical trials and lung transplantation, and should be considered for any patient with an established diagnosis of IPF. PMID:24746629

  11. Pre-referral rectal artesunate for severe malaria

    PubMed Central

    Okebe, Joseph; Eisenhut, Michael

    2014-01-01

    Background Severe or complicated malaria is a medical emergency and people die as a result of delays in starting treatment. Most patients need parenteral treatment, and in primary healthcare facilities, where intravenous therapy is not available but intramuscular injections can be given, intramuscular quinine, artesunate, and artemether have been used before transporting patients to hospital. However, in rural settings with limited access to health care, intramuscular injections may also be unavailable. In these situations, rectal artesunate given prior to transfer to hospital by volunteers with little medical training, may be a feasible option. Objectives To evaluate the effects of pre-referral treatment with rectal artesunate on mortality and morbidity in people with severe malaria. Search methods We searched the Cochrane Central Register of Controlled Trials (CENTRAL) published in The Cochrane Library; MEDLINE; EMBASE and LILACS up to 21 May 2014. We also searched the WHO clinical trial registry platform and the metaRegister of Controlled Trials (mRCT) for ongoing trials. Selection criteria Individual or cluster-randomized controlled trials comparing pre-referral rectal artesunate with placebo or injectable antimalarials in children and children with severe malaria. Data collection and analysis Two authors independently screened titles and abstracts for potentially eligible trials, and extracted data from the included trials. Dichotomous outcomes were summarized using risk ratios (RR) and presented with 95% confidence intervals (95% CI). Where data allowed, we conducted subgroup analyses by age, trial region and whether participants were included in the trial analysis. We assessed the quality of evidence for the most important outcomes using the GRADE approach. Main results One trial met the inclusion criteria; a placebo-controlled trial of 17,826 children and adults living in rural villages in Ghana and Tanzania (Africa) and Bangladesh (Asia). Villagers with no

  12. Follow‐up care in cancer: adjusting for referral targets and extending choice

    PubMed Central

    Wilson, Kate; Lydon, Anne; Amir, Ziv

    2011-01-01

    Abstract Background  Over recent years, several initiatives have impacted on the referral of patients to secondary care, most notably targets for urgent referral in suspected cancer and the patient choice agenda. At the same time, improved long‐term survival in cancer has increased numbers attending follow‐up, doubts about the effectiveness of specialist follow‐up have emerged, and alternative models of follow‐up have been tested. Aim  The aim of the study was to explore patient and carer perspectives on the flexibility and responsiveness of cancer services. This article focuses on findings relating to referral, subsequent outpatient appointments and cessation of outpatient follow‐up. Methods  Issues were explored in a qualitative study using face‐to‐face interviews with a purposive sample of 54 people affected by cancer. Data were analysed concurrently with data collection, using qualitative analysis software. Findings  The study gave rise to a number of salient themes. Links were identified between three of these: choice and responsiveness during referral; the flexibility and responsiveness of outpatient appointment systems; and negotiating cessation of follow‐up. It appeared that policy on urgent referrals might be adversely affecting practice relating to appointment systems and the continuance of follow‐up. Discussion and conclusions  Hospital‐based cancer follow‐up is being given decreasing priority because of doubts about effectiveness and a target‐driven focus on referral. This is impacting on patients, who may value outpatient follow‐up as a ‘safety net’ but have difficulties in obtaining appointments, and may be discharged without negotiation or adequate support. For these reasons, new forms of flexible/responsive aftercare are urgently needed. PMID:21615642

  13. 40 CFR 91.513 - Administrative procedures for public hearing.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... referring any motion or case to the Administrator when the Judicial Officer determines such referral to be... certificate of conformity. (3) Any order issued under paragraph (d)(1) or (d)(2) of this section has the...

  14. 40 CFR 91.513 - Administrative procedures for public hearing.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... referring any motion or case to the Administrator when the Judicial Officer determines such referral to be... certificate of conformity. (3) Any order issued under paragraph (d)(1) or (d)(2) of this section has the...

  15. Developing a Referral Protocol for Community-Based Occupational Therapy Services in Taiwan: A Logistic Regression Analysis

    PubMed Central

    Chang, Ling-Hui; Tsai, Athena Yi-Jung; Huang, Wen-Ni

    2016-01-01

    Because resources for long-term care services are limited, timely and appropriate referral for rehabilitation services is critical for optimizing clients’ functions and successfully integrating them into the community. We investigated which client characteristics are most relevant in predicting Taiwan’s community-based occupational therapy (OT) service referral based on experts’ beliefs. Data were collected in face-to-face interviews using the Multidimensional Assessment Instrument (MDAI). Community-dwelling participants (n = 221) ≥ 18 years old who reported disabilities in the previous National Survey of Long-term Care Needs in Taiwan were enrolled. The standard for referral was the judgment and agreement of two experienced occupational therapists who reviewed the results of the MDAI. Logistic regressions and Generalized Additive Models were used for analysis. Two predictive models were proposed, one using basic activities of daily living (BADLs) and one using instrumental ADLs (IADLs). Dementia, psychiatric disorders, cognitive impairment, joint range-of-motion limitations, fear of falling, behavioral or emotional problems, expressive deficits (in the BADL-based model), and limitations in IADLs or BADLs were significantly correlated with the need for referral. Both models showed high area under the curve (AUC) values on receiver operating curve testing (AUC = 0.977 and 0.972, respectively). The probability of being referred for community OT services was calculated using the referral algorithm. The referral protocol facilitated communication between healthcare professionals to make appropriate decisions for OT referrals. The methods and findings should be useful for developing referral protocols for other long-term care services. PMID:26863544

  16. Developing a Referral Protocol for Community-Based Occupational Therapy Services in Taiwan: A Logistic Regression Analysis.

    PubMed

    Mao, Hui-Fen; Chang, Ling-Hui; Tsai, Athena Yi-Jung; Huang, Wen-Ni; Wang, Jye

    2016-01-01

    Because resources for long-term care services are limited, timely and appropriate referral for rehabilitation services is critical for optimizing clients' functions and successfully integrating them into the community. We investigated which client characteristics are most relevant in predicting Taiwan's community-based occupational therapy (OT) service referral based on experts' beliefs. Data were collected in face-to-face interviews using the Multidimensional Assessment Instrument (MDAI). Community-dwelling participants (n = 221) ≥ 18 years old who reported disabilities in the previous National Survey of Long-term Care Needs in Taiwan were enrolled. The standard for referral was the judgment and agreement of two experienced occupational therapists who reviewed the results of the MDAI. Logistic regressions and Generalized Additive Models were used for analysis. Two predictive models were proposed, one using basic activities of daily living (BADLs) and one using instrumental ADLs (IADLs). Dementia, psychiatric disorders, cognitive impairment, joint range-of-motion limitations, fear of falling, behavioral or emotional problems, expressive deficits (in the BADL-based model), and limitations in IADLs or BADLs were significantly correlated with the need for referral. Both models showed high area under the curve (AUC) values on receiver operating curve testing (AUC = 0.977 and 0.972, respectively). The probability of being referred for community OT services was calculated using the referral algorithm. The referral protocol facilitated communication between healthcare professionals to make appropriate decisions for OT referrals. The methods and findings should be useful for developing referral protocols for other long-term care services.

  17. Cost & efficiency evaluation of a publicly financed & publicly delivered referral transport service model in three districts of Haryana State, India

    PubMed Central

    Prinja, Shankar; Manchanda, Neha; Aggarwal, Arun Kumar; Kaur, Manmeet; Jeet, Gursimer; Kumar, Rajesh

    2013-01-01

    Background & objectives: Various models of referral transport services have been introduced in different States in India with an aim to reduce maternal and infant mortality. Most of the research on referral transport has focussed on coverage, quality and timeliness of the service with not much information on cost and efficiency. This study was undertaken to analyze the cost of a publicly financed and managed referral transport service model in three districts of Haryana State, and to assess its cost and technical efficiency. Methods: Data on all resources spent for delivering referral transport service, during 2010, were collected from three districts of Haryana State. Costs incurred at State level were apportioned using appropriate methods. Data Envelopment Analysis (DEA) technique was used to assess the technical efficiency of ambulances. To estimate the efficient scale of operation for ambulance service, the average cost was regressed on kilometres travelled for each ambulance station using a quadratic regression equation. Results: The cost of referral transport per year varied from ₹5.2 million in Narnaul to ₹9.8 million in Ambala. Salaries (36-50%) constituted the major cost. Referral transport was found to be operating at an average efficiency level of 76.8 per cent. Operating an ambulance with a patient load of 137 per month was found to reduce unit costs from an average ₹ 15.5 per km to ₹ 9.57 per km. Interpretation & conclusions: Our results showed that the publicly delivered referral transport services in Haryana were operating at an efficient level. Increasing the demand for referral transport services among the target population represents an opportunity for further improving the efficiency of the underutilized ambulances. PMID:24521648

  18. Implementing a Statewide Screening, Brief Intervention, and Referral to Treatment (SBIRT) Service in Rural Health Settings: New Mexico SBIRT

    ERIC Educational Resources Information Center

    Gonzales, Arturo; Westerberg, Verner S.; Peterson, Thomas R.; Moseley, Ana; Gryczynski, Jan; Mitchell, Shannon Gwin; Buff, Gary; Schwartz, Robert P.

    2012-01-01

    This is a report on the New Mexico Screening, Brief Intervention, and Referral to Treatment (SBIRT) project conducted over 5 years as part of a national initiative launched by the Substance Abuse and Mental Health Services Administration with the aim of increasing integration of substance use services and medical care. Throughout the state, 53,238…

  19. Neurotology symptoms at referral to vestibular evaluation

    PubMed Central

    2013-01-01

    Background Dizziness-vertigo is common in adults, but clinical providers may rarely diagnose vestibular impairment and referral could be delayed. To assess neurotology symptoms (including triggers) reported by patients with peripheral vestibular disease, during the year just before their referral to vestibular evaluation. Methods 282 patients with peripheral vestibular disease and 282 control subjects accepted to participate. They had no middle ear, retinal, neurological, psychiatric, autoimmune or autonomic disorders. They reported their symptoms by a standardized questionnaire along with their anxiety/depression symptoms. Results Patients were referred after months or years from the onset of their symptoms, 24% of them reported frequent falls with a long clinical evolution; 10% of them reported no vertigo but instability related to specific triggers; 86% patients and 12% control subjects reported instability when moving the head rapidly and 79% patients and 6% control subjects reported instability when changing posture. Seven out of the 9 symptoms explored by the questionnaire allowed the correct classification of circa 95% of the participants (Discriminant function analysis, p < 0.001). High blood pressure, dyslipidemia and anxiety/depression symptoms showed a mild correlation with the total score of symptoms (multiple R2 =0.18, p < 0.001). Conclusions Late referral to vestibular evaluation may underlie a history of frequent falls; some patients may not report vertigo, but instability related to specific triggers, which could be useful to prompt vestibular evaluation. High blood pressure, dyslipidemia and anxiety/depression symptoms may have a mild influence on the report of symptoms of vestibular disease in both, patients and control subjects. PMID:24279682

  20. Variation in periodontal referral by general dental practitioners.

    PubMed

    Linden, G J

    1998-08-01

    This study investigated the extent of and reasons for variation in the periodontal referral patterns of general dental practitioners in Northern Ireland. A questionnaire was circulated to all general dental practitioners in Northern Ireland. This questionnaire investigated the management of periodontal disease in the general dental service and referral for specialist periodontal advice and treatment. A usable return was made by 355 (68%) of those surveyed. The mean number of periodontal referrals by each respondent in the past year was 6.5 (SD 7.7), range 0 to 80. Backward stepwise logistic regression analysis indicated that independent predictors of high referral rate were practice location close to the referral centre (p<0.0001); dissatisfaction with ability to treat periodontal disease under the National Health Service (p=0.001); that previous refusals of referral had not dissuaded a dentist from continuing to offer referral (p=0.002); not offering root planing as a treatment (p=0.005); and perceived inadequate postgraduate education in periodontology (p=0.03). It is concluded that considerable variation exists between general dental practitioners working in Northern Ireland in relation to the referral of patients for specialist periodontal advice and treatment. It is further concluded that in many cases non-disease factors, such as the accessibility of the specialist service, have powerful effects on the decisions made by dentists and patients in relation to periodontal referral.

  1. Developmental Screening Referrals: Child and Family Factors that Predict Referral Completion

    ERIC Educational Resources Information Center

    Jennings, Danielle J.; Hanline, Mary Frances

    2013-01-01

    This study researched the predictive impact of developmental screening results and the effects of child and family characteristics on completion of referrals given for evaluation. Logistical and hierarchical logistic regression analyses were used to determine the significance of 10 independent variables on the predictor variable. The number of…

  2. Do GP referral guidelines really work? Audit of an electronic urgent referral system for suspected head and neck cancer.

    PubMed

    Kennedy, Ann-Maree; Aziz, Abdul; Khalid, Sameena; Hurman, David

    2012-05-01

    We adapted the 2002 Scottish Referral Guidelines for suspected squamous cell carcinoma of the head and neck (SCCHN) as a set of "alarm symptoms." These were then incorporated into a new Suspected Cancer Urgent Referral Electronically (SeCURE) system enabling immediate electronic referral from primary care to the appropriate hospital-based multi-disciplinary cancer team. All referrals made via the SeCURE system during the first year of its implementation were reviewed retrospectively. One hundred and ninety patients were urgently referred, of whom 15 (8%) were ultimately diagnosed with SCCHN. This audit demonstrated overall poor compliance with the referral guidelines. Although the electronic referral system helped for speedy clinic appointments, there was a low pick up rate of positive head and neck cancer cases. Continuing education for GPs is important and following discussion with colleagues in primary care, steps have been taken to reinforce awareness and more appropriate use of the SeCURE system.

  3. Referral of small oil spills to coast guard under Oil Pollution Act before new enforcement MOU is in effect

    SciTech Connect

    Not Available

    1991-06-17

    The memorandum supplements earlier guidance concerning a case-by-case approach to the referral of post-Oil Pollution Act (OPA) oil spills to the Coast Guard. Congress has rewritten Section 311 to provide additional administrative and judicial oil spill enforcement remedies when it passed the OPA, and noted in the legislative history that this new authority is available to both the Administrator of the Environmental Protection Agency and the Secretary of Transportation.

  4. Verification in referral-based crowdsourcing.

    PubMed

    Naroditskiy, Victor; Rahwan, Iyad; Cebrian, Manuel; Jennings, Nicholas R

    2012-01-01

    Online social networks offer unprecedented potential for rallying a large number of people to accomplish a given task. Here we focus on information gathering tasks where rare information is sought through "referral-based crowdsourcing": the information request is propagated recursively through invitations among members of a social network. Whereas previous work analyzed incentives for the referral process in a setting with only correct reports, misreporting is known to be both pervasive in crowdsourcing applications, and difficult/costly to filter out. A motivating example for our work is the DARPA Red Balloon Challenge where the level of misreporting was very high. In order to undertake a formal study of verification, we introduce a model where agents can exert costly effort to perform verification and false reports can be penalized. This is the first model of verification and it provides many directions for future research, which we point out. Our main theoretical result is the compensation scheme that minimizes the cost of retrieving the correct answer. Notably, this optimal compensation scheme coincides with the winning strategy of the Red Balloon Challenge.

  5. Verification in Referral-Based Crowdsourcing

    PubMed Central

    Naroditskiy, Victor; Rahwan, Iyad; Cebrian, Manuel; Jennings, Nicholas R.

    2012-01-01

    Online social networks offer unprecedented potential for rallying a large number of people to accomplish a given task. Here we focus on information gathering tasks where rare information is sought through “referral-based crowdsourcing”: the information request is propagated recursively through invitations among members of a social network. Whereas previous work analyzed incentives for the referral process in a setting with only correct reports, misreporting is known to be both pervasive in crowdsourcing applications, and difficult/costly to filter out. A motivating example for our work is the DARPA Red Balloon Challenge where the level of misreporting was very high. In order to undertake a formal study of verification, we introduce a model where agents can exert costly effort to perform verification and false reports can be penalized. This is the first model of verification and it provides many directions for future research, which we point out. Our main theoretical result is the compensation scheme that minimizes the cost of retrieving the correct answer. Notably, this optimal compensation scheme coincides with the winning strategy of the Red Balloon Challenge. PMID:23071530

  6. 32 CFR 727.9 - Referrals to civilian lawyers.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 32 National Defense 5 2010-07-01 2010-07-01 false Referrals to civilian lawyers. 727.9 Section 727... ASSISTANCE § 727.9 Referrals to civilian lawyers. (a) General. If it is determined that the legal assistance... the assistance requested, the client should be referred to a civilian lawyer. When the client does...

  7. 32 CFR 727.9 - Referrals to civilian lawyers.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 32 National Defense 5 2011-07-01 2011-07-01 false Referrals to civilian lawyers. 727.9 Section 727... ASSISTANCE § 727.9 Referrals to civilian lawyers. (a) General. If it is determined that the legal assistance... the assistance requested, the client should be referred to a civilian lawyer. When the client does...

  8. User Satisfaction with Referrals at a Collaborative Virtual Reference Service

    ERIC Educational Resources Information Center

    Kwon, Nahyun

    2006-01-01

    Introduction: This study investigated unmonitored referrals in a nationwide, collaborative chat reference service. Specifically, it examined the extent to which questions are referred, the types of questions that are more likely to be referred than others, and the level of user satisfaction with the referrals in the collaborative chat reference…

  9. 44 CFR 11.17 - Referral to Department of Justice.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Justice. 11.17 Section 11.17 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY... Referral to Department of Justice. When Department of Justice approval or consultation is required under § 11.16, the referral or request shall be transmitted to the Department of Justice by the Chief...

  10. 10 CFR 733.7 - Referral to the contracting officer.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 10 Energy 4 2010-01-01 2010-01-01 false Referral to the contracting officer. 733.7 Section 733.7 Energy DEPARTMENT OF ENERGY ALLEGATIONS OF RESEARCH MISCONDUCT § 733.7 Referral to the contracting... misconduct, the DOE Element should forward the allegation to the contracting officer responsible...

  11. 10 CFR 430.54 - Referral to the Attorney General.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 10 Energy 3 2011-01-01 2011-01-01 false Referral to the Attorney General. 430.54 Section 430.54 Energy DEPARTMENT OF ENERGY ENERGY CONSERVATION ENERGY CONSERVATION PROGRAM FOR CONSUMER PRODUCTS Small Business Exemptions § 430.54 Referral to the Attorney General. Notice of the application for...

  12. 10 CFR 430.54 - Referral to the Attorney General.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 10 Energy 3 2010-01-01 2010-01-01 false Referral to the Attorney General. 430.54 Section 430.54 Energy DEPARTMENT OF ENERGY ENERGY CONSERVATION ENERGY CONSERVATION PROGRAM FOR CONSUMER PRODUCTS Small Business Exemptions § 430.54 Referral to the Attorney General. Notice of the application for...

  13. 10 CFR 430.54 - Referral to the Attorney General.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 10 Energy 3 2013-01-01 2013-01-01 false Referral to the Attorney General. 430.54 Section 430.54 Energy DEPARTMENT OF ENERGY ENERGY CONSERVATION ENERGY CONSERVATION PROGRAM FOR CONSUMER PRODUCTS Small Business Exemptions § 430.54 Referral to the Attorney General. Notice of the application for...

  14. 10 CFR 430.54 - Referral to the Attorney General.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 10 Energy 3 2012-01-01 2012-01-01 false Referral to the Attorney General. 430.54 Section 430.54 Energy DEPARTMENT OF ENERGY ENERGY CONSERVATION ENERGY CONSERVATION PROGRAM FOR CONSUMER PRODUCTS Small Business Exemptions § 430.54 Referral to the Attorney General. Notice of the application for...

  15. 10 CFR 430.54 - Referral to the Attorney General.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 10 Energy 3 2014-01-01 2014-01-01 false Referral to the Attorney General. 430.54 Section 430.54 Energy DEPARTMENT OF ENERGY ENERGY CONSERVATION ENERGY CONSERVATION PROGRAM FOR CONSUMER PRODUCTS Small Business Exemptions § 430.54 Referral to the Attorney General. Notice of the application for...

  16. 45 CFR 1619.3 - Referral to the Corporation.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 45 Public Welfare 4 2010-10-01 2010-10-01 false Referral to the Corporation. 1619.3 Section 1619.3 Public Welfare Regulations Relating to Public Welfare (Continued) LEGAL SERVICES CORPORATION DISCLOSURE OF INFORMATION § 1619.3 Referral to the Corporation. If a person requests information, not...

  17. NETWORK. A History of the Scottish Telephone Referral Service.

    ERIC Educational Resources Information Center

    Smith, Vernon

    Since its beginnings in 1974 as an outgrowth of the BBC Adult Literacy project, NETWORK SCOTLAND LTD (formerly the Scottish Telephone Referral Service) has grown to play a key role in the provision of broadcast support and educational information services in the United Kingdom. The referral service was originally established to provide a mechanism…

  18. Oral Fluid with Three Modes of Collection and Plasma Methamphetamine and Amphetamine Enantiomer Concentrations After Controlled Intranasal l-Methamphetamine Administration

    PubMed Central

    Newmeyer, Matthew N.; Concheiro, Marta; da Costa, Jose Luiz; Flegel, Ronald; Gorelick, David A.; Huestis, Marilyn A.

    2015-01-01

    Methamphetamine is included in drug testing programs due to its high abuse potential. d-Methamphetamine is a scheduled potent central nervous system stimulant, while l-methamphetamine is the unscheduled active ingredient in the over-the-counter nasal decongestant Vicks® VapoInhaler™. No data are available in oral fluid (OF) and few in plasma after controlled Vicks VapoInhaler administration. We quantified methamphetamine and amphetamine enantiomers in OF collected with two different devices and plasma via a fully validated LC-MS/MS method. Additionally, OF were analyzed with an on-site screening device. Sixteen participants received 7 Vicks VapoInhaler doses according to manufacturer's recommendations. Specimens were collected before and up to 32h after the first dose. No d-methamphetamine or d-amphetamine was detected in any sample. All participants had measurable OF l-methamphetamine with median maximum concentrations 14.8 and 16.1μg/L in Quantisal™ and Oral-Eze® devices, respectively, after a median of 5 doses. One participant had measurable OF l-amphetamine with maximum concentrations 3.7 and 5.5μg/L after 6 doses with the Quantisal and Oral-Eze devices, respectively. There were no positive DrugTest® 5000 results. In the cutoff range 20-50μg/L methamphetamine with amphetamine ≥limit of detection, 3.1-10.1% of specimens were positive; first positive results were observed after 1-4 doses. Two participants had detectable plasma l-methamphetamine, with maximum observed concentrations 6.3 and 10.0μg/L after 2 and 5 doses, respectively. Positive OF and plasma methamphetamine results are possible after Vicks VapoInhaler administration. Chiral confirmatory analyses are necessary to rule out VapoInhaler intake. Implementing a selective d-methamphetamine screening assay can help eliminate false-positive OF results. PMID:25786659

  19. A Multiple Method Longitudinal Investigation of Pre-Referral Intervention Team Functioning: Four Years in Rural Schools

    ERIC Educational Resources Information Center

    Young, Hannah L.; Gaughan, Edward

    2010-01-01

    Qualitative and quantitative methods were used to examine a four year program designed to improve the effectiveness of prereferral intervention teams in rural schools. Quantitative data (basic descriptives) were collected regarding referrals, recommendations, and outcomes. Team meetings were audiotaped and coded to yield qualitative data about the…

  20. Referral and Timing of Referral to Hospice Care in Nursing Homes: The Significant Role of Staff Members

    ERIC Educational Resources Information Center

    Welch, Lisa C.; Miller, Susan C.; Martin, Edward W.; Nanda, Aman

    2008-01-01

    Purpose: Given concerns about end-of-life care for many nursing home (NH) residents, this study sought to understand factors influencing hospice referral or nonreferral as well as timing of referral. Design and Methods: We conducted semistructured interviews with personnel from seven participating NHs and two hospices. We interviewed NH directors…

  1. Triaging referrals as part of hematology/oncology fellowship training.

    PubMed

    Kyei, Mark; Lavelle, Ellen; Kyasa, Jameel; Safar, Mazin; Makhoul, Issam; Mehta, Paulette

    2010-09-01

    We developed an integrative component of the consult rotation for fellows training in hematology/oncology. This component consisted of triaging all consults to the hematology/oncology service of the CAVHS during a 1-year period of time. The goals of the rotation were to improve timeliness of response to consultation requests, to gain experience in differential diagnosis of patients with potential hematologic/oncologic disorders through of such patients, review of decisions with attending physicians, and communication of such with the referring physician. The major benefits were that fellows integrated didactic learning into real-life clinical cases, selected patients for their continuity clinic to assure sufficient variety and complexity of cases, honed their communication skills, learned about referring and attending physicians' styles, and gained practice in clinical vignettes representative of cases they would be expected to see in clinical practice. Disadvantages were time involvement (approximately 2 h/day) and risks of over- or under-referrals. Administratively, there was a significant decline in the wait time for patients to be seen in the hematology/oncology service. In all, this elective is a valuable integrative experience of senior fellows, but may have less value for first year fellows.

  2. Examining the variation in GPs’ referral practice: a cross-sectional study of GPs’ reasons for referral

    PubMed Central

    Ringberg, Unni; Fleten, Nils; Førde, Olav Helge

    2014-01-01

    Background There is a large variation in referral rates to secondary care among GPs, which is partly unexplained. Aim To explore associations between reasons for referral to secondary care and patient, GP, and healthcare characteristics. Design and setting A cross-sectional study in Northern Norway. Method Data were derived from 44 (42%) of 104 randomly selected GPs between 2008 and 2010. GPs scored the relevance of nine predefined reasons for 595 referrals from 4350 consecutive consultations on a four-level categorical scale. Associations were examined by multivariable ordered and multivariable multilevel logistic regression analyses. Results Medical necessity was assessed as a relevant reason in 93% of the referrals, 43.7% by patient preference, 27.5% to avoid overlooking anything, and 14.6% to reassure the patient. The higher the referral rates, the more frequently the GPs referred to avoid overlooking anything. Female GPs referred to reassure the patient and due to perceived deficient medical knowledge significantly more often than male GPs. However, perceived easy accessibility of specialists was significantly less frequently given as a reason for referral by female GPs compared with male GPs. When the GPs scored the referrals to be of lesser medical necessity, male GPs referred significantly more frequently than female GPs to reassure the patient due to patient preference and perceived deficient medical knowledge. Conclusion There are striking differences in reasons for referral between Norwegian male and female GPs and between GPs with high and low referral rates, which reflects difficulties in handling professional uncertainty. Referring to reassure the patients, especially when referrals are less medically necessary, may reflect consideration and acquiescence towards the patients. PMID:24982495

  3. Nurture personal referrals--your best source of new patients.

    PubMed

    Jameson, C

    1996-01-01

    In your morning meetings, identify those patients who would be a great person to ask for a referral--patients who have expressed pleasure in receiving treatment from you. Then, determine who is going to ask for that referral. You wouldn't want to have EVERY-ONE ask them for a referral, so give someone that responsibility. Be sure that you have done some role playing and have practiced the verbal skills of "asking" for a referral. Get comfortable asking. Know that you will never know what you will get unless you ASK!!! All good businesses ask for referrals from their best customers. Learn from the masters. Pattern your own behavior after those who have acquired admirable results. When you identify patients who have accepted and have been pleased with your treatment, have come to their appointments on time, have gladly paid their bills, and have been a joy to treat, ASK these folks for a referral. More than likely they will refer others to you who are of like character. You can build a practice "on good patients just like you" and expect that to happen!!! Together, as a team, develop ways of acknowledging and nurturing your referral sources. If these wonderful people provide 70+ percent of your new patients, it benefits you to invest time and money in maximizing this source of practice growth.

  4. Brazilian Specialists’ Perspectives on the Patient Referral Process

    PubMed Central

    Juliani, Carmen; MacPhee, Maura; Spiri, Wilza

    2017-01-01

    Since 1988, healthcare has been considered a citizen’s right in Brazil. The Sistema Único de Saúde (SUS), has undergone development and expansion to ensure universal health coverage for the Brazilian public, the world’s fifth largest population. The coordination of effective communications between primary care physicians, specialists and patients is a significant challenge, particularly the referral process. Our study objective was to understand the facilitators and barriers associated with referral process communications between primary care physicians and regional university hospital specialists in the State of Sao Paulo. This paper reports specialists’ perspectives of the referral process. This was a phenomenological study that employed a qualitative research method with three components (description, reduction and comprehension). We conducted focus groups with 54 hospital residents from different specialties (surgery, medicine, obstetrics/gynecology, pediatrics) from July to October 2014. The main results showed lack of an adequate referral-return referral process resulting in treatment delays and inappropriate use of emergency services. Communications were impeded by lack of integrated, computerized booking and standardized referral-return referral processes; underlying lack of trust in primary care physicians; and patients’ inappropriate use of healthcare services. Although computerized systems will facilitate communications between primary and specialty care, other strategies are needed to promote collaboration between services, and ensure appropriate utilization of them. PMID:28146046

  5. Improving Quality of Care for Hospitalized Smokers with HIV: Tobacco Dependence Treatment Referral and Utilization

    PubMed Central

    Fitzgerald, Sharon A.; Richter, Kimber P.; Mussulman, Laura; Howser, Eric; Nahvi, Shadi; Goggin, Kathy; Cooperman, Nina A.; Faseru, Babalola

    2016-01-01

    Article-at-a-Glance Background Most persons living with HIV smoke cigarettes and tend to be highly dependent, heavy smokers. Few such persons receive tobacco treatment, and many die from tobacco-related illness. Although advancements in antiretroviral therapy (ART) have increased the quality and quantity of life, the health harms from tobacco use diminish these gains. Without cessation assistance, thousands will benefit from costly ART, only to suffer the consequences of tobacco-related disease and death. A study was conducted to examine in detail inpatient tobacco treatment for smokers with HIV. Methods Data collected at hospital admission and data collected by tobacco treatment specialists were examined retrospectively for all inpatients with HIV who were admitted to an academic medical center for a five-year period. Specifically, the prevalence of cigarette smoking, factors predictive of referral to tobacco treatment, referral for tobacco treatment, treatment participation, and abstinence at six months post-treatment were measured. Differences in referral and treatment participation between all smokers and smokers with HIV were also assessed. Results Among the 422 admitted persons with HIV, 54.5% smoked and 21.7% were referred to inpatient tobacco treatment services. Substance abuse and tobacco-related diagnoses were predictive of referral to inpatient tobacco treatment specialists. Among the 14 treatment participants reached for follow-up, 11 (78.6%) made quit attempts and 3 (21.4%) reported abstinence. Smokers with HIV were less likely to be referred to and treated by tobacco treatment services than all smokers admitted during the same time frame. Conclusions Although tobacco is a major cause of mortality, few smokers with HIV are offered treatment during hospitalization. Those who are treated attempt to quit. Hospitalization offers a prime opportunity for initiating smoking cessation among those with HIV. PMID:27066925

  6. Oral fluid with three modes of collection and plasma methamphetamine and amphetamine enantiomer concentrations after controlled intranasal l-methamphetamine administration.

    PubMed

    Newmeyer, Matthew N; Concheiro, Marta; da Costa, Jose Luiz; Flegel, Ronald; Gorelick, David A; Huestis, Marilyn A

    2015-10-01

    Methamphetamine is included in drug testing programmes due to its high abuse potential. d-Methamphetamine is a scheduled potent central nervous system stimulant, while l-methamphetamine is the unscheduled active ingredient in the over-the-counter nasal decongestant Vicks® VapoInhaler™. No data are available in oral fluid (OF) and few in plasma after controlled Vicks® VapoInhaler™ administration. We quantified methamphetamine and amphetamine enantiomers in OF collected with two different devices and plasma via a fully validated liquid chromatography-tandem mass spectrometry (LC-MS/MS) method. Additionally, OF were analyzed with an on-site screening device. Sixteen participants received 7 Vicks® VapoInhaler™ doses according to manufacturer's recommendations. Specimens were collected before and up to 32 h after the first dose. No d-methamphetamine or d-amphetamine was detected in any sample. All participants had measurable OF l-methamphetamine with median maximum concentrations 14.8 and 16.1 μg/L in Quantisal™ and Oral-Eze® devices, respectively, after a median of 5 doses. One participant had measurable OF l-amphetamine with maximum concentrations 3.7 and 5.5 μg/L after 6 doses with the Quantisal™ and Oral-Eze® devices, respectively. There were no positive DrugTest® 5000 results. In the cutoff range 20-50 μg/L methamphetamine with amphetamine ≥limit of detection, 3.1-10.1% of specimens were positive; first positive results were observed after 1-4 doses. Two participants had detectable plasma l-methamphetamine, with maximum observed concentrations 6.3 and 10.0 μg/L after 2 and 5 doses, respectively. Positive OF and plasma methamphetamine results are possible after Vicks® VapoInhaler™ administration. Chiral confirmatory analyses are necessary to rule out VapoInhaler™ intake. Implementing a selective d-methamphetamine screening assay can help eliminate false-positive OF results.

  7. 76 FR 22896 - Agency Information Collection Activities: Proposed Collection; Submission for OMB Review

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-25

    ... collection requirements under 29 CFR 1602, Recordkeeping and Reporting Requirements, under Title VII. The..., Chapter XIV, Subpart F, Section 1602.22-26, requiring referral local unions with 100 or more members...

  8. Determining factors for implant referral rates.

    PubMed

    Levin, Roger P

    2002-01-01

    The research findings indicate that the field of implant dentistry will only grow at a moderately low level unless certain changes are made. Findings indicated that the effort by the implant companies has been nothing short of dramatic, and yet almost 60% of restorative doctors do not participate annually in any implant case. There was no clear indication that younger restorative doctors will significantly increase the number of implant referrals, as their overall implant education has not dramatically differed from those dentists who graduated in earlier years. Once the research was completed, it became obvious to Levin Group that the driving force behind implant referral growth will be implant surgeons, because of their one-to-one relationship with restorative doctors. The Levin Group Implant Management and Marketing Consulting Program is based on approaching restorative doctors in several different levels, starting with awareness all the way through to case facilitation and long-term tracking and communication. Finally, a continuing marketing/education effort needs to be consistently in place with effective materials, not only to create a high level of awareness, but also to motivate restorative doctors to refer cases and then work through the case with the implant surgeon to a satisfactory completion for the restorative doctor, implant surgeon, and patient. While the surgical insertion of implants may seem to carry a high-profit margin relative to the restoration of implants, the truth is that the restoration of implants usually provides a 40% higher profit margin for the restorative doctor than traditional dental services. One of the key issues is that referring doctors have not necessarily learned how to set fees and present cases with regard to implant dentistry. The key factor here is to ensure that the patient understands that implant services involve higher fees than traditional services, because of the necessarily higher levels of experience, education

  9. Effect of blood plasma collected after adrenocorticotropic hormone administration during the preovulatory period in the sow on oocyte in vitro maturation.

    PubMed

    González, R; Sjunnesson, Y C B

    2013-10-01

    Reproduction may be affected by stressful events changing the female endocrine or metabolic profile. An altered environment during oocyte development could influence the delicate process of oocyte maturation. Here, the effect of simulated stress by media supplementation with blood plasma from sows after adrenocorticotropic hormone (ACTH) administration during the preovulatory period was assessed. Oocytes were matured for 46 hours in the presence of plasma from ACTH-treated sows, or plasma from NaCl-treated control sows, or medium without plasma (BSA group). The plasma used had been collected at 36 and 12 hours (±2 hours) before ovulation (for the first 24 hours + last 22 hours of maturation, respectively). Subsequent fertilization and embryo development were evaluated. Actin cytoskeleton and mitochondrial patterns were studied by confocal microscopy both in the oocytes and the resulting blastocysts. Nuclear maturation did not differ between treatments. Subtle differences were observed in the actin microfilaments in oocytes; however, mitochondrial patterns were associated with the treatment (P < 0.001). These differences in mitochondrial patterns were not reflected by in vitro outcomes, which were similar in all groups. In conclusion, an altered hormonal environment provided by a brief exposure to plasma from ACTH-treated sows during in vitro oocyte maturation could induce alterations in actin cytoskeleton and mitochondrial patterns in oocytes. However, these changes might not hamper the subsequent in vitro embryo development.

  10. Pre-referral rectal artesunate in severe malaria: flawed trial

    PubMed Central

    2011-01-01

    Background Immediate injectable treatment is essential for severe malaria. Otherwise, the afflicted risk lifelong impairment or death. In rural areas of Africa and Asia, appropriate care is often miles away. In 2009, Melba Gomes and her colleagues published the findings of a randomized, placebo-controlled trial of rectal artesunate for suspected severe malaria in such remote areas. Enrolling nearly 18,000 cases, the aim was to evaluate whether, as patients were in transit to a health facility, a pre-referral artesunate suppository blocked disease progression sufficiently to reduce these risks. The affirmative findings of this, the only trial on the issue thus far, have led the WHO to endorse rectal artesunate as a pre-referral treatment for severe malaria. In the light of its public health importance and because its scientific quality has not been assessed for a systematic review, our paper provides a detailed evaluation of the design, conduct, analysis, reporting, and practical features of this trial. Results We performed a checklist-based and an in-depth evaluation of the trial. The evaluation criteria were based on the CONSORT statement for reporting clinical trials, the clinical trial methodology literature, and practice in malaria research. Our main findings are: The inclusion and exclusion criteria and the sample size justification are not stated. Many clearly ineligible subjects were enrolled. The training of the recruiters does not appear to have been satisfactory. There was excessive between center heterogeneity in design and conduct. Outcome evaluation schedule was not defined, and in practice, became too wide. Large gaps in the collection of key data were evident. Primary endpoints were inconsistently utilized and reported; an overall analysis of the outcomes was not done; analyses of time to event data had major flaws; the stated intent-to-treat analysis excluded a third of the randomized subjects; the design-indicated stratified or multi

  11. [Urine incontinence referral criteria for primary care].

    PubMed

    Brenes Bermúdez, F J; Cozar Olmo, J M; Esteban Fuertes, M; Fernández-Pro Ledesma, A; Molero García, J M

    2013-01-01

    Despite the high incidence of urinary incontinence (UI), health professional awareness of this disease is low, which in itself is not serious but significantly limits the lives of the patients. The Primary Care associations, Sociedad Española de Médicos de Atención Primaria [SEMERGEN], Sociedad Española de Médicos Generales y de Familia [SEMG], Sociedad Española de Medicina de Familia y Comunitaria [semFYC]) along with the Asociación Española de Urología (EAU) have developed this consensus with the proposal of making GPs aware, and to help them in the diagnosis, treatment and referral to Urologists. The first goal in primary care must be the detection of UI, thus an opportunistic screening at least once in the lifetime of asymptomatic women > 40 years old and asymptomatic men > 55 years old. The diagnosis, based on medical history and physical examination, must determine the type and severity of the UI in order to refer severe cases to the Urologist. Except for overactive bladder (OAB), non-pharmacological conservative treatment is the first approach to uncomplicated UI in females and males. Antimuscarinics are the only drugs that have demonstrated efficacy and safety in urge urinary incontinence (UUI) and OAB. In men with mixed symptoms, excluding severe obstruction cases, a combination therapy of alpha-blockers and antimuscarinics should be chosen.

  12. [Urine incontinence referral criteria for primary care].

    PubMed

    Brenes Bermúdez, F J; Cozar Olmo, J M; Esteban Fuertes, M; Fernández-Pro Ledesma, A; Molero García, J M

    2013-05-01

    Despite the high incidence of urinary incontinence (UI), health professional awareness of this disease is low, which in itself is not serious but significantly limits the lives of the patients. The Primary Care associations, Sociedad Española de Médicos de Atención Primaria [SEMERGEN], Sociedad Española de Médicos Generales y de Familia [SEMG], Sociedad Española de Medicina de Familia y Comunitaria [semFYC]) along with the Asociación Española de Urología (EAU) have developed this consensus with the proposal of making GPs aware, and to help them in the diagnosis, treatment and referral to Urologists. The first goal in primary care must be the detection of UI, thus an opportunistic screening at least once in the lifetime of asymptomatic women > 40 years old and asymptomatic men > 55 years old. The diagnosis, based on medical history and physical examination, must determine the type and severity of the UI in order to refer severe cases to the Urologist. Except for overactive bladder (OAB), non-pharmacological conservative treatment is the first approach to uncomplicated UI in females and males. Antimuscarinics are the only drugs that have demonstrated efficacy and safety in urge urinary incontinence (UUI) and OAB. In men with mixed symptoms, excluding severe obstruction cases, a combination therapy of alpha-blockers and antimuscarinics should be chosen.

  13. Multi-institutional Study of Voice Disorders and Voice Therapy Referral: Report from the CHEER Network

    PubMed Central

    Misono, Stephanie; Marmor, Schelomo; Roy, Nelson; Mau, Ted; Cohen, Seth M.

    2017-01-01

    Objectives To assess perspectives of patients with voice problems and identify factors associated with the likelihood of referral to voice therapy via the CHEER (Creating Healthcare Excellence through Education and Research) practice-based research network infrastructure. Study Design Prospectively enrolled cross-sectional study of CHEER patients seen for a voice problem (dysphonia). Setting The CHEER network of community and academic sites. Methods Patient-reported demographic information, nature and severity of voice problems, clinical diagnoses, and proposed treatment plans were collected. The relationship between patient factors and voice therapy referral was investigated. Results Patients (N = 249) were identified over 12 months from 10 sites comprising 30 otolaryngology physicians. The majority were women (68%) and white (82%). Most patients reported a recurrent voice problem (72%) and symptom duration >4 weeks (89%). The most commonly reported voice-related diagnoses were vocal strain, reflux, and benign vocal fold lesions. Sixty-seven percent of enrolled patients reported receiving a recommendation for voice therapy. After adjusting for sociodemographic and other factors, diagnoses including vocal strain/excessive tension and vocal fold paralysis and academic practice type were associated with increased likelihood of reporting a referral for voice therapy. Conclusions The CHEER network successfully enrolled a representative sample of patients with dysphonia. Common diagnoses were vocal strain, reflux, and benign vocal fold lesions; commonly reported treatment recommendations included speech/voice therapy and antireflux medication. Recommendation for speech/voice therapy was associated with academic practice type. PMID:27371624

  14. Cost-effectiveness analysis of clinical specialist outreach as compared to referral system in Ethiopia: an economic evaluation

    PubMed Central

    2010-01-01

    Background In countries with scarce specialized Human resource for health, patients are usually referred. The other alternative has been mobilizing specialists, clinical specialist outreach. This study examines whether clinical specialist outreach is a cost effective way of using scarce health expertise to provide specialist care as compared to provision of such services through referral system in Ethiopia. Methods A cross-sectional study on four purposively selected regional hospitals and three central referral hospitals was conducted from Feb 4-24, 2009. The perspective of analysis was societal covering analytic horizon and time frame from 1 April 2007 to 31 Dec 2008. Data were collected using interview of specialists, project focal persons, patients and review of records. To ensure the propriety standards of evaluation, Ethical clearance was obtained from Jimma University. Results It was found that 532 patients were operated at outreach hospitals in 125 specialist days. The unit cost of surgical procedures was found to be ETB 4,499.43. On the other hand, if the 125 clinical specialist days were spent to serve patients referred from zonal and regional hospitals at central referral hospitals, 438 patients could have been served. And the unit cost of surgical procedures through referral would have been ETB 6,523.27 per patient. This makes clinical specialist outreach 1.45 times more cost effective way of using scarce clinical specialists' time as compared to referral system. Conclusion Clinical specialist outreach is a cost effective and cost saving way of spending clinical specialists' time as compared to provision of similar services through referral system. PMID:20540766

  15. Online referrals one way capitated groups gain efficiencies, reduce errors.

    PubMed

    2002-08-01

    An online referral system is just the latest money and time-saving tool in the e-commerce arsenal at Hill Physicians Medical Group. Using a modified version of Healinx Corp.'s secure e-mail messaging platform, Hill is testing a custom-made online referral system at two primary care practices that appear to be helping the practice boost its bottom line under capitation.

  16. Trauma care and referral patterns in Rwanda: implications for trauma system development

    PubMed Central

    Ntakiyiruta, Georges; Wong, Evan G.; Rousseau, Mathieu C.; Ruhungande, Landouald; Kushner, Adam L.; Liberman, Alexander S.; Khwaja, Kosar; Dakermandji, Marc; Wilson, Marnie; Razek, Tarek; Kyamanywa, Patrick; Deckelbaum, Dan L.

    2016-01-01

    Background Trauma remains a leading cause of death worldwide. The development of trauma systems in low-resource settings may be of benefit. The objective of this study was to describe operative procedures performed for trauma at a tertiary care facility in Kigali, Rwanda, and to evaluate geographical variations and referral patterns of trauma care. Methods We retrospectively reviewed all prospectively collected operative cases performed at the largest referral hospital in Rwanda, the Centre Hospitalier Universitaire de Kigali (CHUK), between June 1 and Dec. 1, 2011, for injury-related diagnoses. We used the Pearson χ2 and Fisher exact tests to compare cases arising from within Kigali to those transferred from other provinces. Geospatial analyses were also performed to further elucidate transfer patterns. Results Over the 6-month study period, 2758 surgical interventions were performed at the CHUK. Of these, 653 (23.7%) were for trauma. Most patients resided outside of Kigali city, with 337 (58.0%) patients transferred from other provinces and 244 (42.0%) from within Kigali. Most trauma procedures were orthopedic (489 [84.2%]), although general surgery procedures represented a higher proportion of trauma surgeries in patients from other provinces than in patients from within Kigali (28 of 337 [8.3%] v. 10 of 244 [4.1%]). Conclusion To our knowledge, this is the first study to highlight geographical variations in access to trauma care in a low-income country and the first description of trauma procedures at a referral centre in Rwanda. Future efforts should focus on maturing prehospital and interfacility transport systems, strengthening district hospitals and further supporting referral institutions. PMID:26812407

  17. Utility of a very high IRT/No mutation referral category in cystic fibrosis newborn screening.

    PubMed

    Kay, Denise M; Langfelder-Schwind, Elinor; DeCelie-Germana, Joan; Sharp, Jack K; Maloney, Breanne; Tavakoli, Norma P; Saavedra-Matiz, Carlos A; Krein, Lea M; Caggana, Michele; Kier, Catherine

    2015-08-01

    Newborn screening for Cystic Fibrosis (CF) began in New York in October, 2002 using immunoreactive trypsinogen (IRT)/DNA methodology. Infants with at least one CFTR mutation or very high IRT and no mutations (VHIRT) are referred for sweat testing. In a preliminary analysis, we noted a very low positive predictive value (PPV) and preponderance of Hispanic infants in the group of infants with CF referred for VHIRT, which led to a decision to revise, but not eliminate, the VHIRT category. Automatic referral for specimens with VHIRT collected on the day of birth was eliminated, and the VHIRT threshold was raised from 0.2% to 0.1%. In this report, we describe outcomes from VHIRT referrals among 2.4 million infants screened between March 2003 and February 2013. Following the algorithm change, referrals decreased by 37.8% overall (annual mean 1,485 vs. 923), and the VHIRT PPV improved (0.6-1.0%). The number of infants diagnosed has remained consistent at 1 in 4,400 births. The proportion of Black/Hispanic/Asian/Other infants with confirmed CF, CFTR-related metabolic syndrome (CRMS), or possible CF/CRMS was 21.3% in infants with 1-2 mutations, but 75.8% in the VHIRT group. In conclusion, although the PPV among VHIRT referrals remains low, had this category never been implemented, 24 infants with confirmed CF, and 9 infants with CRMS or possible CF/CRMS, most of whom were Hispanic, would have been missed over the 10 years. Information from this study may be helpful in assessing the need for the VHIRT category and algorithm changes in other screening programs.

  18. Community Care Workers, Poor Referral Networks and Consumption of Personal Resources in Rural South Africa

    PubMed Central

    Sips, Ilona; Haeri Mazanderani, Ahmad; Schneider, Helen; Greeff, Minrie; Barten, Francoise; Moshabela, Mosa

    2014-01-01

    Although home-based care (HBC) programs are widely implemented throughout Africa, their success depends on the existence of an enabling environment, including a referral system and supply of essential commodities. The objective of this study was to explore the current state of client referral patterns and practices by community care workers (CCWs), in an evolving environment of one rural South African sub-district. Using a participant triangulation approach, in-depth qualitative interviews were conducted with 17 CCWs, 32 HBC clients and 32 primary caregivers (PCGs). An open-ended interview guide was used for data collection. Participants were selected from comprehensive lists of CCWs and their clients, using a diversified criterion-based sampling method. Three independent researchers coded three sets of data – CCWs, Clients and PCGs, for referral patterns and practices of CCWs. Referrals from clinics and hospitals to HBC occurred infrequently, as only eight (25%) of the 32 clients interviewed were formally referred. Community care workers showed high levels of commitment and personal investment in supporting their clients to use the formal health care system. They went to the extent of using their own personal resources. Seven CCWs used their own money to ensure client access to clinics, and eight gave their own food to ensure treatment adherence. Community care workers are essential in linking clients to clinics and hospitals and to promote the appropriate use of medical services, although this effort frequently necessitated consumption of their own personal resources. Therefore, risk protection strategies are urgently needed so as to ensure sustainability of the current work performed by HBC organizations and the CCW volunteers. PMID:24781696

  19. Gender Differences in Emergency Department Visits and Detox Referrals for Illicit and Nonmedical Use of Opioids

    PubMed Central

    Ryoo, Hyeon-Ju; Choo, Esther K.

    2016-01-01

    Introduction Visits to the emergency department (ED) for use of illicit drugs and opioids have increased in the past decade. In the ED, little is known about how gender may play a role in drug-related visits and referrals to treatment. This study performs gender-based comparison analyses of drug-related ED visits nationwide. Methods We performed a cross-sectional analysis with data collected from 2004 to 2011 by the Drug Abuse Warning Network (DAWN). All data were coded to capture major drug categories and opioids. We used logistic regression models to find associations between gender and odds of referral to treatment programs. A second set of models were controlled for patient “seeking detox,” or patient explicitly requesting for detox referral. Results Of the 27.9 million ED visits related to drug use in the DAWN database, visits by men were 2.69 times more likely to involve illicit drugs than visits by women (95% CI [2.56, 2.80]). Men were more likely than women to be referred to detox programs for any illicit drugs (OR 1.12, 95% CI [1.02–1.22]), for each of the major illicit drugs (e.g., cocaine: OR 1.27, 95% CI [1.15–1.40]), and for prescription opioids (OR 1.30, 95% CI [1.17–1.43]). This significant association prevailed after controlling for “seeking detox.” Conclusion Women are less likely to receive referrals to detox programs than men when presenting to the ED regardless of whether they are “seeking detox.” Future research may help determine the cause for this gender-based difference and its significance for healthcare costs and health outcomes. PMID:27330662

  20. Race and Gender Bias in the Administration of Corporal Punishment.

    ERIC Educational Resources Information Center

    Shaw, Steven R.; Braden, Jeffery B.

    1990-01-01

    Examined disciplinary actions taken by school building administrators after receiving discipline referral to identify evidence of race and gender bias in administration of corporal punishment (CP). Analysis of discipline files (n=6,244) demonstrated statistically significant relationships between race and CP and between gender and CP. Results…

  1. Administrators: Nursing Home Administrator

    ERIC Educational Resources Information Center

    Kahl, Anne

    1976-01-01

    Responsibilities, skills needed, training needed, earnings, employment outlook, and sources of additional information are outlined for the administrator who holds the top management job in a nursing home. (JT)

  2. Teacher Union Official and Central Office Administrator Descriptions of the Level of Difficulty and Importance for Negotiating Selected Elements of Annual Professional Performance Review (APPR) into Teacher Collective Bargaining Agreements

    ERIC Educational Resources Information Center

    Neville, Patricia A.

    2012-01-01

    The relationship between teacher union officials and central office administrators' descriptions of the level of importance and the level of difficulty when negotiating Annual Professional Performance Review (APPR) language into a teachers' union collective bargaining agreement was examined. Relationships were investigated using the New York State…

  3. Status of maternal and new born care at first referral units in the state of West Bengal.

    PubMed

    Biswas, A B; Nandy, S; Sinha, R N; Das, D K; Roy, R N; Datta, S

    2004-01-01

    A study was conducted in 12 First Referral Units (FRUs), selected through multistage sampling, from 6 districts of West Bengal. Infrastructure facilities, record keeping, referral system and MCH indicators related to newborn care were documented. Data was collected by review of records, interview and observation using a pre-designed proforma. Inadequate infrastructure facilities (e.g. no sanctioned posts of specialists, no blood bank at rural hospitals declared as First Referral Units etc.); poor utilization of equipment like neonatal resuscitation sets, radiant warmer etc, lack of training of the service providers were evident. Records/registers were available but incomplete. Referral system was found to be almost nonexistent. Most of the deliveries (86.1%) were normal delivery. Deliveries (87.71%) and immediate neonatal resuscitation (94.9%) were done mostly by nursing personnel. Institution based maternal, perinatal and early neonatal mortality rates were found to be 5.6, 62.4 and 25.2 per 1000 live births respectively. Eclampsia (48.9%), hemorrhage (17.7%), puerperal sepsis (7.1%) were reported to be major causes of maternal mortality. Common causes of early neonatal mortality were birth asphyxia (54.3%), sepsis (14.6%) and prematurity/LBW (12.4%).

  4. Urgent cancer referral guidelines: a retrospective cohort study of referrals for upper gastrointestinal adenocarcinoma.

    PubMed

    Panter, Simon J; Bramble, Mike G; O'Flanagan, Hilda; Hungin, A Pali S

    2004-08-01

    Dyspepsia in primary care is common and guidelines indicate that patients with alarm symptoms, as defined by the urgent cancer referral guidelines, should be investigated by gastroscopy. The specificity and sensitivity of alarm symptoms is poor and only a small percentage of patients will turn out to have malignant disease. This primary care study shows that employing current guidelines will identify only 72% of patients at their initial visit to a general practitioner, but this figure could be increased to 86% if the guidelines included patients with weight loss or anaemia in the absence of dyspepsia. Past performance indicates that the majority of patients with the commonest symptom complex were not referred quickly and less than half were seen within 4 weeks.

  5. Do referral-management schemes reduce hospital outpatient attendances? Time-series evaluation of primary care referral management

    PubMed Central

    Cox, Jonathan MS; Steel, Nicholas; Clark, Allan B; Kumaravel, Bharathy; Bachmann, Max O

    2013-01-01

    Background Ninety-one per cent of primary care trusts were using some form of referral management in 2009, although evidence for its effectiveness is limited. Aim To assess the impact of three referral-management centres (RMCs) and two internal peer-review approaches to referral management on hospital outpatient attendance rates. Design and setting A retrospective time-series analysis of 376 000 outpatient attendances over 3 years from 85 practices divided into five groups, with 714 000 registered patients in one English primary care trust. Method The age-standardised GP-referred first outpatient monthly attendance rate was calculated for each group from April 2009 to March 2012. This was divided by the equivalent monthly England rate, to derive a rate ratio. Linear regression tested for association between the introduction of referral management and change in the outpatient attendance rate and rate ratio. Annual group budgets for referral management were obtained. Results Referral management was not associated with a reduction in the outpatient attendance rate in any group. There was a statistically significant increase in attendance rate in one group (a RMC), which had an increase of 1.05 attendances per 1000 persons per month (95% confidence interval = 0.46 to 1.64; attendance rate ratio increase of 0.07) after adjustment for autocorrelation. Mean annual budgets ranged from £0.55 to £6.23 per registered patient in 2011/2012. RMCs were more expensive (mean annual budget £5.18 per registered patient) than internal peer-review approaches (mean annual budget £0.97 per registered patient). Conclusion Referral-management schemes did not reduce outpatient attendance rates. RMCs were more expensive than internal peer review. PMID:23735409

  6. 12 CFR 612.2301 - Referrals.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... regional offices of the United States Attorney, and the Federal Bureau of Investigation or the United..., appropriate investigation, and reporting of criminal activity. Within 30 calendar days of determining that... Administration's Office of General Counsel. In the event that a Farm Credit bank makes a loan through a...

  7. 32 CFR 806.9 - Referrals.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Department of Defense (Continued) DEPARTMENT OF THE AIR FORCE ADMINISTRATION AIR FORCE FREEDOM OF INFORMATION... organizations offer certain records for sale to the public. Current standard releasable Air Force publications.... Refer FOIA requests for Air Force publications that are classified, FOUO, rescinded, or superseded...

  8. 32 CFR 806.9 - Referrals.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Department of Defense (Continued) DEPARTMENT OF THE AIR FORCE ADMINISTRATION AIR FORCE FREEDOM OF INFORMATION... organizations offer certain records for sale to the public. Current standard releasable Air Force publications.... Refer FOIA requests for Air Force publications that are classified, FOUO, rescinded, or superseded...

  9. 32 CFR 806.9 - Referrals.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Department of Defense (Continued) DEPARTMENT OF THE AIR FORCE ADMINISTRATION AIR FORCE FREEDOM OF INFORMATION... organizations offer certain records for sale to the public. Current standard releasable Air Force publications.... Refer FOIA requests for Air Force publications that are classified, FOUO, rescinded, or superseded...

  10. 32 CFR 806.9 - Referrals.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Department of Defense (Continued) DEPARTMENT OF THE AIR FORCE ADMINISTRATION AIR FORCE FREEDOM OF INFORMATION... organizations offer certain records for sale to the public. Current standard releasable Air Force publications.... Refer FOIA requests for Air Force publications that are classified, FOUO, rescinded, or superseded...

  11. 32 CFR 806.9 - Referrals.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Department of Defense (Continued) DEPARTMENT OF THE AIR FORCE ADMINISTRATION AIR FORCE FREEDOM OF INFORMATION... organizations offer certain records for sale to the public. Current standard releasable Air Force publications.... Refer FOIA requests for Air Force publications that are classified, FOUO, rescinded, or superseded...

  12. Practices and attitudes of doctors and patients to downward referral in Shanghai, China

    PubMed Central

    Yu, Wenya; Li, Meina; Nong, Xin; Ding, Tao; Ye, Feng; Liu, Jiazhen; Dai, Zhixing; Zhang, Lulu

    2017-01-01

    Objectives In China, the rate of downward referral is relatively low, as most people are unwilling to be referred from hospitals to community health systems (CHSs). The aim of this study was to explore the effect of doctors' and patients' practices and attitudes on their willingness for downward referral and the relationship between downward referral and sociodemographic characteristics. Methods Doctors and patients of 13 tertiary hospitals in Shanghai were stratified through random sampling. The questionnaire surveyed their sociodemographic characteristics, attitudes towards CHSs and hospitals, understanding of downward referral, recognition of the community first treatment system, and downward referral practices and willingness. Descriptive statistics, χ2 test and stepwise logistic regression analysis were employed for statistical analysis. Results Only 20.8% (161/773) of doctors were willing to accept downward referrals, although this proportion was higher among patients (37.6%, 326/866). Doctors' willingness was influenced by education, understanding of downward referral, and perception of health resources in hospitals. Patients' willingness was influenced by marital status, economic factors and recognition of the community first treatment system. Well-educated doctors who do not consider downward referral would increase their workloads and those with a more comprehensive understanding of hospitals and downward referral process were more likely to make a downward referral decision. Single-injury patients fully recognising the community first treatment system were more willing to accept downward referral. Patients' willingness was significantly increased if downward referral was cost-saving. A better medical insurance system was another key factor for patients to accept downward referral decisions, especially for the floating population. Conclusions To increase the rate of downward referral, the Chinese government should optimise the current referral system and

  13. Development of an algorithm to identify urgent referrals for suspected cancer from the Danish Primary Care Referral Database

    PubMed Central

    Toftegaard, Berit Skjødeberg; Guldbrandt, Louise Mahncke; Flarup, Kaare Rud; Beyer, Hanne; Bro, Flemming; Vedsted, Peter

    2016-01-01

    Background Accurate identification of specific patient populations is a crucial tool in health care. A prerequisite for exploring the actions taken by general practitioners (GPs) on symptoms of cancer is being able to identify patients urgently referred for suspected cancer. Such system is not available in Denmark; however, all referrals are electronically stored. This study aimed to develop and test an algorithm based on referral text to identify urgent cancer referrals from general practice. Methods Two urgently referred reference populations were extracted from a research database and linked with the Primary Care Referral (PCR) database through the unique Danish civil registration number to identify the corresponding electronic referrals. The PCR database included GP referrals directed to private specialists and hospital departments, and these referrals were scrutinized. The most frequently used words were integrated in the first version of the algorithm, which was further refined by an iterative process involving two population samples from the PCR database. The performance was finally evaluated for two other PCR population samples against manual assessment as the gold standard for urgent cancer referral. Results The final algorithm had a sensitivity of 0.939 (95% confidence intervals [CI]: 0.905–0.963) and a specificity of 0.937 (95% CI: 0.925–0.963) compared to the gold standard. The positive and negative predictive values were 69.8% (95% CI: 65.0–74.3) and 99.0% (95% CI: 98.4–99.4), respectively. When applying the algorithm on referrals for a population without earlier cancer diagnoses, the positive predictive value increased to 83.6% (95% CI: 78.7–87.7) and the specificity to 97.3% (95% CI: 96.4–98.0). Conclusion The final algorithm identified 94% of the patients urgently referred for suspected cancer; less than 3% of the patients were incorrectly identified. It is now possible to identify patients urgently referred on cancer suspicion from

  14. Prediction of Mental Health Services Use One Year After Regular Referral to Specialized Care Versus Referral to Stepped Collaborative Care.

    PubMed

    van Orden, Mirjam; Leone, Stephanie; Haffmans, Judith; Spinhoven, Philip; Hoencamp, Erik

    2017-04-01

    Referral to collaborative mental health care within the primary care setting is a service concept that has shown to be as effective as direct referral to specialized mental health care for patients with common mental disorders. Additionally it is more efficient in terms of lower mental health services use. This post-hoc analysis examines if treatment intensity during 1-year of follow-up can be predicted prospectively by baseline characteristics. With multilevel multivariate regression analyses baseline characteristics were examined as potential predictors of visit counts. Results showed that only the enabling factors service concept and referral delay for treatment had a significant association with mental health visit counts, when outcome was dichotomized in five or more visits. Inclusion of the outcome variable as a count variable confirmed the predictive value of service concept and referral delay, but added marital status as a significant predictor. Overall, enabling factors (service concept and referral delay) seem to be important and dominant predictors of mental health services use.

  15. 19 CFR 201.206 - Administrative offset.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 19 Customs Duties 3 2010-04-01 2010-04-01 false Administrative offset. 201.206 Section 201.206... Collection § 201.206 Administrative offset. (a) Collection. The Director may collect a claim pursuant to 31 U... Government by administrative offset of monies payable by the Government. Collection by administrative...

  16. Referral pattern for epilepsy surgery after evidence-based recommendations

    PubMed Central

    Haneef, Zulfi; Stern, John; Dewar, Sandra; Engel, Jerome

    2010-01-01

    Background: Class I evidence for surgical effectiveness in refractory temporal lobe epilepsy (TLE) in 2001 led to an American Academy of Neurology practice parameter in 2003 recommending “referral to a surgical epilepsy center on failing appropriate trials of first-line antiepileptic drugs.” We examined whether this led to a change in referral patterns to our epilepsy center. Methods: We compared referral data for patients with TLE at our center for 1995 to 1998 (group 1, n = 83) and 2005 to 2008 (group 2, n = 102) to determine whether these recommendations resulted in a change in referral patterns for surgical evaluation. Patients with brain tumors, previous epilepsy surgery evaluations, or brain surgery (including epilepsy surgery) were excluded. Results: We did not find a difference between the groups in the duration from the diagnosis of habitual seizures to referral (17.1 ± 10.0 vs 18.6 ± 12.6 years, p = 0.39) or the age at the time of evaluation (34.1 ± 10.3 vs 37.0 ± 11.8 years, p = 0.08). However, there was a difference in the distributions of age at evaluation (p = 0.03) and the duration of pharmacotherapy (p = 0.03) between the groups, with a greater proportion of patients in group 2 with drug-resistant epilepsy both earlier and later in their treatment course. Nonepileptic seizures were referred significantly earlier than TLE in either group or when combined. Conclusions: Our analysis does not identify a significantly earlier referral for epilepsy surgery evaluation as recommended in the practice parameter, but suggests a hopeful trend in this direction. GLOSSARY AAN = American Academy of Neurology; AED = antiepileptic drug; ERSET = Early Randomized Surgical Epilepsy Trial; NES = nonepileptic seizures; RCT = randomized controlled trial; TLE = temporal lobe epilepsy; VNS = vagus nerve stimulator. PMID:20733145

  17. Promotion of Standard Treatment Guidelines and Building Referral System for Management of Common Noncommunicable Diseases in India

    PubMed Central

    Jindal, SK

    2011-01-01

    Treatment services constitute one of the five priority actions to face the global crisis due to noncommunicable diseases (NCDs). It is important to formulate standard treatment guidelines (STGs) for an effective management, particularly at the primary and secondary levels of health care. Dissemination and implementation of STGs for NCDs on a country-wide scale involves difficult and complex issues. The management of NCDs and the associated costs are highly variable and huge. Besides the educational strategies for promotion of STGs, the scientific and administrative sanctions and sanctity are important for purposes of reimbursements, insurance, availability of facilities, and legal protection. An effective and functional referral- system needs to be built to ensure availability of appropriate care at all levels of health- services. The patient-friendly “to and fro” referral system will help to distribute the burden, lower the costs, and maintain the sustainability of services. PMID:22628909

  18. 14 CFR 1261.416 - Suspending or terminating collection action.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... PROCESSING OF MONETARY CLAIMS (GENERAL) Collection of Civil Claims of the United States Arising Out of the... for money or property arising out of activities of the agency, prior to the referral of such claims...

  19. HIV Viral Load Trends in Six Eastern Caribbean Countries Utilizing a Regional Laboratory Referral Service: Implications for Treatment as Prevention

    PubMed Central

    Landis, R. Clive; Carmichael-Simmons, Kelly; Hambleton, Ian R.; Best, Anton

    2015-01-01

    Objective Since 2009, seven countries in the Organization of Eastern Caribbean States (OECS), Antigua & Barbuda, Dominica, Grenada, Montserrat, St. Kitts & Nevis, Saint Lucia, and St. Vincent & the Grenadines, have been utilizing a laboratory referral service for HIV-1 viral load (VL) offered by The Ladymeade Reference Unit (LRU) Laboratory, Barbados. The objective of this study was to evaluate 5 year VL trends in the six larger OECS countries participating in this regional referral service. Methods Blood samples were collected in source countries and transported to Barbados as frozen plasma according to a standardized protocol. Plasma specimens were amplified by RT PCR on a Roche TaqMan 48 analyser (Roche Diagnostics, Panama City, Panama). VL was considered optimally suppressed below a threshold level of < 200 HIV-1 copies/mL of blood. The same threshold was used as a binary indicator in an analysis of the secular change in VL suppression. Montserrat was excluded due to insufficient number of samples. Results A steady rise in VL referrals from OECS countries was recorded, rising from 312 samples in 2009 to 1,060 samples in 2013. A total of 3,543 samples were tested, with a sample rejection rate (9.2%) mostly due to breaks in the cold chain. Aggregate VL data showed the odds of VL suppression in the Eastern Caribbean improved by 66% for each additional year after 2009 (Odds Ratio 1.66 [95% CI 1.46 to 1.88]; p<0.001). Conclusion We demonstrate the feasibility of establishing a regional laboratory referral service for HIV VL monitoring in the Eastern Caribbean. Aggregate VL trends showed a significant year-on-year improvement in VL suppression, implying public health benefits through treatment as prevention in the OECS. VL provides a powerful monitoring & evaluation tool for strengthening HIV programs at country level among the small island states participating in this regional referral network. PMID:25923741

  20. Active Referral: An Innovative Approach to Engaging Traditional Healthcare Providers in TB Control in Burkina Faso

    PubMed Central

    Kaboru, Berthollet Bwira

    2013-01-01

    Background and objective: The involvement of traditional healthcare providers (THPs) has been suggested among strategies to increase tuberculosis case detection. Burkina Faso has embarked on such an attempt. This study is a preliminary assessment of that model. Methods: Qualitative data were collected using unstructured key informant interviews with policy makers, group interviews with THPs and health workers, and field visits to THPs. Quantitative data were collected from program reports and the national tuberculosis (TB) control database. Results and analysis: The distribution of tasks among THPs, intermediary organizations and clinicians is appealing, especially the focus on active referral. THPs are offered incentives based on numbers of suspected cases confirmed by health workers at the clinic, based on microscopy results or clinical assessment. The positivity rate was 23% and 9% for 2006 and 2007, respectively. The contribution of the program to national case detection was estimated at 2% for 2006. Because it relied totally on donor funding, the program suffered from irregular disbursements, resulting in periodic decreases in activities and outcomes. Conclusions: The study shows that single interventions require a broader positive policy environment to be sustainable. Even if the active referral approach seems effective in enhancing TB case detection, more complex policy work and direction, domestic financial contribution and additional evidence for cost-effectiveness are needed before the approach can be established as a national policy. PMID:24359717

  1. 40 CFR 304.21 - Referral of claims.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 28 2011-07-01 2011-07-01 false Referral of claims. 304.21 Section 304.21 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) SUPERFUND, EMERGENCY PLANNING, AND COMMUNITY RIGHT-TO-KNOW PROGRAMS ARBITRATION PROCEDURES FOR SMALL SUPERFUND COST...

  2. 40 CFR 304.21 - Referral of claims.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 40 Protection of Environment 29 2013-07-01 2013-07-01 false Referral of claims. 304.21 Section 304.21 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) SUPERFUND, EMERGENCY PLANNING, AND COMMUNITY RIGHT-TO-KNOW PROGRAMS ARBITRATION PROCEDURES FOR SMALL SUPERFUND COST...

  3. 40 CFR 304.21 - Referral of claims.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 40 Protection of Environment 29 2012-07-01 2012-07-01 false Referral of claims. 304.21 Section 304.21 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) SUPERFUND, EMERGENCY PLANNING, AND COMMUNITY RIGHT-TO-KNOW PROGRAMS ARBITRATION PROCEDURES FOR SMALL SUPERFUND COST...

  4. The Teacher Assistance Team: A Pre-Referral Support System.

    ERIC Educational Resources Information Center

    Hayek, Robert A.

    1987-01-01

    Use of building-level teacher assistance teams (TATs) to provide suggested alternative instructional strategies and support services to regular teachers with problem learners prior to referral to special education is discussed in terms of relationship to special education, purposes, organization and operation, staff training, attitudinal issues,…

  5. Safety Tips: The ACS Chemical Health and Safety Referral Service.

    ERIC Educational Resources Information Center

    Gallagher, Barbara

    1984-01-01

    Describes an American Chemical Society (ACS) service which helps individuals not familiar with the resources of safety information. The service, which provides referrals to literature, films, educational courses, or organizations that can provide answers, exists to help in complying with legislation and dealing with all aspects of chemical health…

  6. Underdiagnosis and Referral Bias of Autism in Ethnic Minorities

    ERIC Educational Resources Information Center

    Begeer, Sander; El Bouk, Saloua; Boussaid, Wafaa; Terwogt, Mark Meerum; Koot, Hans M.

    2009-01-01

    This study examined (1) the distribution of ethnic minorities among children referred to autism institutions and (2) referral bias in pediatric assessment of autism in ethnic minorities. It showed that compared to the known community prevalence, ethnic minorities were under-represented among 712 children referred to autism institutions. In…

  7. Sound-Field Amplification: Preliminary Information Regarding Special Education Referrals

    ERIC Educational Resources Information Center

    Flexer, C.; Long, S.

    2004-01-01

    In this clinical exchange, the authors discuss acoustic accessibility and sound-field amplification in general education classrooms. They bridge theory to practice by presenting preliminary information from two different school systems demonstrating how an improved signal-to-noise ratio can have a positive impact on special education referrals.

  8. 49 CFR 199.243 - Referral, evaluation, and treatment.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... ALCOHOL TESTING Alcohol Misuse Prevention Program § 199.243 Referral, evaluation, and treatment. (a) Each... associated with the misuse of alcohol, including the names, addresses, and telephone numbers of substance... alcohol misuse. (c)(1) Before a covered employee returns to duty requiring the performance of a...

  9. 49 CFR 199.243 - Referral, evaluation, and treatment.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... ALCOHOL TESTING Alcohol Misuse Prevention Program § 199.243 Referral, evaluation, and treatment. (a) Each... associated with the misuse of alcohol, including the names, addresses, and telephone numbers of substance... alcohol misuse. (c)(1) Before a covered employee returns to duty requiring the performance of a...

  10. Outpatient nephrology referral rates after acute kidney injury.

    PubMed

    Siew, Edward D; Peterson, Josh F; Eden, Svetlana K; Hung, Adriana M; Speroff, Theodore; Ikizler, T Alp; Matheny, Michael E

    2012-02-01

    AKI associates with an increased risk for the development and progression of CKD and mortality. Processes of care after an episode of AKI are not well described. Here, we examined the likelihood of nephrology referral among survivors of AKI at risk for subsequent decline in kidney function in a US Department of Veterans Affairs database. We identified 3929 survivors of AKI hospitalized between January 2003 and December 2008 who had an estimated GFR (eGFR) <60 ml/min per 1.73 m(2) 30 days after peak injury. We analyzed time to referral considering improvement in kidney function (eGFR ≥60 ml/min per 1.73 m(2)), dialysis initiation, and death as competing risks over a 12-month surveillance period. Median age was 73 years (interquartile range, 62-79 years) and the prevalence of preadmission kidney dysfunction (baseline eGFR <60 ml/min per 1.73 m(2)) was 60%. Overall mortality during the surveillance period was 22%. The cumulative incidence of nephrology referral before dying, initiating dialysis, or experiencing an improvement in kidney function was 8.5% (95% confidence interval, 7.6-9.4). Severity of AKI did not affect referral rates. These data demonstrate that a minority of at-risk survivors are referred for nephrology care after an episode of AKI. Determining how to best identify survivors of AKI who are at highest risk for complications and progression of CKD could facilitate early nephrology-based interventions.

  11. Early Childhood Developmental Screenings: Predictors of Screening Referral Completion

    ERIC Educational Resources Information Center

    Jennings, Danielle J.

    2012-01-01

    Developmental screening programs identify young children with delayed skill growth or challenging behaviors and refer them to community agencies for evaluation or other services. This research studied the predictive impact of developmental screening results and child and family characteristics on the completion of these referrals for evaluation. A…

  12. Tennis Anyone? A Case Study of Inaccurate Patron Referrals

    ERIC Educational Resources Information Center

    Turner, Deborah

    2004-01-01

    This case study examines how analyzing inaccurate referrals can provide key insights into managing change. The author analyzes what went wrong in an attempt to identify opportunities for an Access Services department to consider how it might adapt to constant change. She wishes to show how the nature of change today demands that one pay…

  13. GP Exercise Referral Schemes: Improving the Patient's Experience

    ERIC Educational Resources Information Center

    Wormald, Helen; Ingle, Lee

    2004-01-01

    Objective: The main objective of this study was to explore patients' perceptions of general practitioner (GP) exercise referral (ER) schemes with a view to providing a better service for future patients. Design: A qualitative focus group methodology. Setting: Meeting rooms or communal areas in leisure centres across North Yorkshire. Method: Thirty…

  14. 24 CFR 3282.403 - Consumer complaint and information referral.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 24 Housing and Urban Development 5 2011-04-01 2011-04-01 false Consumer complaint and information... HOUSING AND URBAN DEVELOPMENT MANUFACTURED HOME PROCEDURAL AND ENFORCEMENT REGULATIONS Consumer Complaint Handling and Remedial Actions § 3282.403 Consumer complaint and information referral. When a...

  15. 42 CFR 412.96 - Special treatment: Referral centers.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 2 2010-10-01 2010-10-01 false Special treatment: Referral centers. 412.96 Section... MEDICARE PROGRAM PROSPECTIVE PAYMENT SYSTEMS FOR INPATIENT HOSPITAL SERVICES Special Treatment of Certain Facilities Under the Prospective Payment System for Inpatient Operating Costs § 412.96 Special...

  16. Evaluation and Referral for Child Maltreatment in Pediatric Poisoning Victims

    ERIC Educational Resources Information Center

    Wood, Joanne N.; Pecker, Lydia H.; Russo, Michael E.; Henretig, Fred; Christian, Cindy W.

    2012-01-01

    Objective: Although the majority of poisonings in young children are due to exploratory ingestions and might be prevented through improved caregiver supervision, the circumstances that warrant evaluation for suspected maltreatment and referral to Child Protective Services (CPS) are unclear. Therefore the objective of this study was to determine…

  17. Referrals to the Marie Curie nursing service in North Yorkshire.

    PubMed

    Hanratty, B; Feather, J; Ward, C

    2000-01-01

    District and Marie Curie nurses participated in a small-scale study to describe referrals to a Marie Curie service in one English health district over a 3-month period. The number of new patients referred was small; they were geographically clustered and had widely differing life expectancies. Anecdotal reports of difficulties with the 'Nurselink' referral system were not confirmed, and in situations where the system was in operation, Marie Curie nurses were more likely to speak directly to the referring nurse. The most frequently cited reason for referral was general nursing needs; however, Marie Curie nurses felt that they were most often involved to provide family support. These findings suggest that there may not be a shared understanding of the Marie Curie nurse's role, and that equity in community palliative nursing care merits examination. Defining and publicizing the role of the Marie Curie nurse, providing guidance for referrals and prioritizing communication between professionals are proposed not only to enhance the service locally but to ensure that the service is available to all. This article illustrates the value of research to identify ways to improve service delivery.

  18. Discipline Referral Outcomes: Meeting the Needs of Students

    ERIC Educational Resources Information Center

    Bergh, Bethney; Cowell, Joan

    2013-01-01

    In this study, school disciplinary procedures/programs used in response to disciplinary referrals and programs that schools have in place to prevent, intervene, and respond to behaviors that result in suspensions or expulsions from the classroom or school were investigated. The focus of this study was school leaders' concerns regarding the…

  19. 25 CFR 217.3 - Referral of questions by superintendent.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 25 Indians 1 2014-04-01 2014-04-01 false Referral of questions by superintendent. 217.3 Section 217.3 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR ENERGY AND MINERALS MANAGEMENT OF... his analysis of alternative solutions to each question or problem, to the business committee and...

  20. Public Library Information and Referral Project, Phase II. Final Report.

    ERIC Educational Resources Information Center

    Childers, Thomas; Krauser, Cheri

    This study is the second of a two-phase survey of public library information and referral (I&R) service. In this phase, seven public libraries offering I&R services were studied in depth to provide descriptions of their operations, organizational factors, and the reactions of their users. Organizational factors and operations were studied through…

  1. 49 CFR 825.10 - Referral of record.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 49 Transportation 7 2011-10-01 2011-10-01 false Referral of record. 825.10 Section 825.10 Transportation Other Regulations Relating to Transportation (Continued) NATIONAL TRANSPORTATION SAFETY BOARD RULES OF PROCEDURE FOR MERCHANT MARINE APPEALS FROM DECISIONS OF THE COMMANDANT, U.S. COAST GUARD §...

  2. Identification and Referral for Mental Health Services in Juvenile Detention.

    ERIC Educational Resources Information Center

    Rogers, Kenneth M.; Pumariega, Andres J.; Cuffe, Steven P.

    This report discusses the outcomes of a study that examined the mental health referral patterns of youth referred to a public sector mental health system as the result of a judicial consent decree. The study included two samples of youth ages 13-17 from the entire state of South Carolina. The first group included incarcerated youth recruited from…

  3. 24 CFR 3282.403 - Consumer complaint and information referral.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 24 Housing and Urban Development 5 2010-04-01 2010-04-01 false Consumer complaint and information... HOUSING AND URBAN DEVELOPMENT MANUFACTURED HOME PROCEDURAL AND ENFORCEMENT REGULATIONS Consumer Complaint Handling and Remedial Actions § 3282.403 Consumer complaint and information referral. When a...

  4. Responding to the Collective and Individual "Best Interests of Students": Revisiting the Tension between Administrative Practice and Ethical Imperatives in Special Education Leadership

    ERIC Educational Resources Information Center

    Frick, William C.; Faircloth, Susan C.; Little, Karen S.

    2013-01-01

    Purpose: Given the increasing role of the principal in the administrative and supervision of special education programs and services, this research examines how elementary principals interpret their experience of leadership decision making as a moral activity in relation to the Ethic of the Profession and Model for Students' Best Interests.…

  5. Medicare program: changes to the hospital inpatient prospective payment systems and fiscal year 2009 rates; payments for graduate medical education in certain emergency situations; changes to disclosure of physician ownership in hospitals and physician self-referral rules; updates to the long-term care prospective payment system; updates to certain IPPS-excluded hospitals; and collection of information regarding financial relationships between hospitals. Final rules.

    PubMed

    2008-08-19

    collection of information regarding financial relationships between hospitals and physicians. In addition, we are responding to public comments on proposals made in two separate rulemakings related to policies on physician self-referrals and finalizing these policies.

  6. Musculoskeletal clinic in general practice: study of one year's referrals.

    PubMed Central

    Peters, D; Davies, P; Pietroni, P

    1994-01-01

    BACKGROUND. A musculoskeletal clinic, staffed by a general practitioner trained in osteopathy, medical acupuncture and intralesional injections, was set up in an inner London general practice in 1987. AIM. A retrospective study was undertaken of one year's referrals to the clinic in 1989-90 to determine how general practitioners were using the clinic in terms of problems referred; consultation patterns of patients attending the clinic and 12 months after initially being seen; and how access to the clinic influenced referrals to relevant hospital departments. METHOD. Day sheets were studied which recorded information on demographic characteristics of patients referred to the clinic and their problems, diagnoses made, duration of symptoms, number and range of treatments given, and recurrence of problems. Use of secondary referral sources was also examined. RESULTS. During the study year 154 of 3264 practice patients were referred to the musculoskeletal clinic, and attended a mean of 3.5 times each. Of all the attenders 64% were women and 52% were 30-54 years old. Eighty one patients (53%) presented with neck, back or sciatic pain. A specific traumatic, inflammatory or other pathological process could be ascribed to only 19% of patients. Regarding treatment, 88% of patients received osteopathic manual treatment or acupuncture, or a combination of these treatments and 4% received intralesional injections. Nine patients from the clinic (6%) were referred to an orthopaedic specialist during the year, two with acute back pain. Referrals to orthopaedic specialists by the practice as a whole were not significantly lower than the national average, although the practice made fewer referrals to physiotherapy and rheumatology departments than national figures would have predicted. Seventeen patients (11%) returned to the clinic with a recurrence of their main complaint within a year of their initial appointment; second courses of treatment were usually brief. CONCLUSION. The

  7. Imaging investigations before referral to a sarcoma center delay the final diagnosis of musculoskeletal sarcoma

    PubMed Central

    Dyrop, Heidi Buvarp; Vedsted, Peter; Rædkjær, Mathias; Safwat, Akmal; Keller, Johnny

    2017-01-01

    Background and purpose The use of point-of-care or local investigations before referral to specialist sarcoma centers as part of a fast-track diagnostic pathway varies, and may affect the time to diagnosis. We wanted to investigate differences in time intervals and proportion of malignancy in patients who were referred after initial diagnostic investigations were performed locally and in patients who were referred without these investigations. Patients and methods We included 545 consecutive patients who were referred to Aarhus Sarcoma Center for suspected musculoskeletal sarcoma. Data on time intervals and investigations performed were collected from questionnaires and patient records. Patients who were referred from outside Aarhus uptake area after initial MRI/CT or histology performed locally were compared with patients who were referred from Aarhus uptake area without these investigations. Results The median total interval from first symptom to diagnosis was 166 days for outside patients referred with MRI/CT or histology, which was 91 (95% CI: 76–106) days longer than for local patients who were referred without MRI/CT or histology. Comparing the same groups, the median diagnostic interval was 41 (95% CI: 30–51) days longer for outside patients including both primary care and hospital intervals. Both the proportion of malignancies (38% vs. 14%) and the proportion of sarcomas (24% vs. 7%) were higher in the outside group referred with MRI/CT or histology than in the local group without MRI/CT or histology. Interpretation Pre-referral investigations at a local hospital increased the diagnostic interval by at least 1 month for 50% of the patients, and the proportion of malignancy was more than doubled—to almost 40%. If investigations are to be performed before referral to a sarcoma center, they should be part of the fast-track pathway in order to ensure timely diagnosis. PMID:28077058

  8. 20 CFR 702.504 - Vocational rehabilitation; referrals to State Employment Agencies.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false Vocational rehabilitation; referrals to State... AND PROCEDURE Vocational Rehabilitation § 702.504 Vocational rehabilitation; referrals to State Employment Agencies. Vocational rehabilitation advisers will arrange referral procedures with...

  9. 38 CFR 1.953 - Minimum amount of referrals to the Department of Justice.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... referrals to the Department of Justice. 1.953 Section 1.953 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS GENERAL PROVISIONS Referrals to Gao, Department of Justice, Or Irs § 1.953 Minimum amount of referrals to the Department of Justice. (a) Except as otherwise provided in...

  10. 10 CFR 1015.505 - Minimum amount of referrals to the Department of Justice.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 10 Energy 4 2010-01-01 2010-01-01 false Minimum amount of referrals to the Department of Justice... THE UNITED STATES Referrals to the Department of Justice § 1015.505 Minimum amount of referrals to the Department of Justice. (a) DOE shall not refer for litigation claims of less than $2,500, exclusive...

  11. The Relationship between Reading Fluency Intervention and the Need for Special Education Referrals

    ERIC Educational Resources Information Center

    Polcyn, Dawn M.

    2012-01-01

    Students are often referred for special education evaluations following teacher generated referrals. These referrals indicate observable poor academic progress, although often there is no indication of the cause of the poor performance as well as no indication of remediation attempts prior to a special education referral. Students who demonstrate…

  12. Improving the integration of palliative care in a comprehensive oncology center: increasing primary care referrals to palliative care.

    PubMed

    Hydeman, Jennifer

    2013-01-01

    Confronted with the complexities inherent in delivering palliative care, effective collaboration with referring staff becomes vital. Based on the evaluation of the physical and psychosocial concerns of patients, the goal of palliative care is to craft interventions that maintain quality of life in the face of increasing symptoms and deteriorating functional status. The project's goal was to increase the appropriateness of referrals to palliative care by the primary services in the hospital. The aim was to achieve this by developing a process to assess patient functioning in critical psychosocial and functional areas, and providing this data to referring medical staff to educate them on the contribution of palliative care to symptom control and patient quality of life. The findings show that referrals to palliative care have increased over 100% from a broader range of services since initiating this project. Assessment data has been collected on 165 patients and outcomes are discussed.

  13. Attitudes Associated With Alcohol and Marijuana Referral Actions by Resident Assistants

    PubMed Central

    Osborn, Cynthia J.; Rossheim, Matthew E.; Suzuki, Sumihiro

    2014-01-01

    This exploratory study examined associations between resident assistant (RA) attitudes and referral actions to identify training strategies for strengthening the ability of these paraprofessionals to recognize and refer college students in their living units who misuse alcohol and marijuana. The study’s hypotheses were that (1) referral self-efficacy and perceived referral norms would be positively associated with RA referral actions and (2) perceived referral barriers and referral anticipatory anxiety would be negatively associated with RAs’ referral actions. A total of 317 RAs at eight residential campuses in different regions of the U.S. took part in the study. All participating RAs had at least one semester of work experience. Just prior to the Fall semester of 2012, RA’s responded to an online survey that assessed their alcohol and marijuana referral attitudes and referral actions. Overall, RAs reported considerable anxiety about approaching and referring students who may have an alcohol and/or marijuana problem. Perceived referral norms among RAs indicated substantial variability in perceptions about others’ expectations of them for referring students who may have alcohol and marijuana problems. Results from two multivariable logistic regression analyses showed that referral self-efficacy distinguished RAs who took alcohol referral actions and marijuana referral actions from those who did not do so. Neither length of RA service nor time spent on campus was associated with referral actions. RA training programs could give attention to strengthening referral self-efficacy through a series of increasingly difficult skill-building activities during pre- and in-service training. In addition, senior residence life and housing professional staff may consider assessing the extent to which RAs under their supervision follow established protocols for assisting students with possible alcohol and marijuana problems. The development of evidence-based RA training

  14. 28 CFR 11.9 - Administrative offset.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 28 Judicial Administration 1 2010-07-01 2010-07-01 false Administrative offset. 11.9 Section 11.9... Administrative offset. (a) Collection. The organization head may collect a claim pursuant to 31 U.S.C. 3716 from... administrative offset of monies other than salaries payable by the government. Collection by...

  15. Service referral for juvenile justice youths: associations with psychiatric disorder and recidivism.

    PubMed

    Hoeve, Machteld; McReynolds, Larkin S; Wasserman, Gail A

    2014-05-01

    Secondary multiple regression analyses related disorder profile, probation officers' mental health/substance use service referrals, and recidivism in 361 juvenile justice youths. Those with externalizing (disruptive behavior or substance use) disorder or substance offenses were most likely to receive service referrals. Substance disordered youths with service referrals had lower recidivism risk compared to counterparts without referrals; referral lowered the recidivism odds to approximately that for youths without a substance use disorder. Providing juvenile justice youths with systematic mental health assessment and linking those with substance use disorder to mental health and substance use services likely reduces recidivism risk.

  16. Administrator Protections in Negotiated Contracts.

    ERIC Educational Resources Information Center

    Pisapia, John Ralph; Sells, Jack D.

    1978-01-01

    Presents specific examples of provisions currently found in administrator-board collective bargaining agreements that protect administrators from the adverse effects of both bilateral decisions made by boards with teachers, and unilateral decisions made by boards concerning principals. (Author)

  17. Colleague, 1988. An Annual Collection of Articles on Academic and Administrative Issues Facing Community Colleges of the State University of New York. [Inaugural Issue.

    ERIC Educational Resources Information Center

    Colleague, 1988

    1988-01-01

    This collection of articles, written for and by State University of New York (SUNY) community college educators, includes the thoughts of a college president on teaching and the perceptions of a faculty member about student services, as well as a variety of articles on student services, teaching methods, community outreach, and inmate education.…

  18. Targeting "Plan Colombia": A Critical Analysis of Ideological and Political Visual Narratives by the Beehive Collective and the Drug Enforcement Administration Museum

    ERIC Educational Resources Information Center

    Erler, Carolyn

    2008-01-01

    This article compares the Beehive Collective's "Plan Colombia" to a museum exhibition representing the official U.S. position on Plan Colombia. Through a dialectical (Kellner & Share, 2007; Greene, 1988) reading of "Plan Colombia" and "Target America," I examine how each uses visual narrative to promote a…

  19. The current state of electronic consultation and electronic referral systems in Canada: an environmental scan.

    PubMed

    Liddy, Clare; Hogel, Matthew; Blazkho, Valerie; Keely, Erin

    2015-01-01

    Access to specialist care is a point of concern for patients, primary care providers, and specialists in Canada. Innovative e-health platforms such as electronic consultation (eConsultation) and referral (eReferral) can improve access to specialist care. These systems allow physicians to communicate asynchronously and could reduce the number of unnecessary referrals that clog wait lists, provide a record of the patient's journey through the referral system, and lead to more efficient visits. Little is known about the current state of eConsultation and eReferral in Canada. The purpose of this work was to identify current systems and gain insight into the design and implementation process of existing systems. An environmental scan approach was used, consisting of a systematic and grey literature review, and targeted semi-structured key informant interviews. Only three eConsultation/eReferral systems are currently in operation in Canada. Four themes emerged from the interviews: eReferral is an end goal for those provinces without an active eReferral system, re-organization of the referral process is a necessity prior to automation, engaging the end-user is essential, and technological incompatibilities are major impediments to progress. Despite the acknowledged need to improve the referral system and increase government spending on health information technology, eConsultation and eReferral systems remain scarce as Canada lags behind the rest of the developed world.

  20. Oncology social workers' attitudes toward hospice care and referral behavior.

    PubMed

    Becker, Janet E

    2004-02-01

    Members of the Association of Oncology Social Workers completed a survey, which included the Hospice Philosophy Scale (HPS) assessing the likelihood of the worker referring a terminally ill patient to hospice, background and experience, and demographics. The respondents held overwhelmingly favorable attitudes toward hospice philosophy and care, yet the average proportion of terminally ill patients whom they referred to hospice was only 49.5 percent. The worker's HPS score was related significantly, although weakly, to the likelihood of referral. A follow-up study was undertaken to determine the reasons for the discrepancy between the workers' self-reported favorable attitudes toward hospice and their relatively low rate of patient referral. The factor identified most frequently was resistance from families because of the requirement that hospice patients discontinue active treatment.

  1. Referral rates and waiting lists: some empirical evidence.

    PubMed

    Goddard, J A; Tavakoli, M

    1998-09-01

    This paper provides some empirical evidence on topics discussed at greater length in a recent paper in Health Economics (Goddard, J.A., Malek, M. and Tavakoli, M. Health Economics 1995; 4: 41-55), which modelled the relationship between referral rates and waiting lists for hospital treatment for non-urgent conditions within a queuing theory framework. Here, we estimate a version of the demand function used in this model, with panel data for Scottish Health Board Areas during the period 1990-1992. Separate models are estimated for each of six broadly defined 'waiting list' specialisms, for which we have data on referral rates and waiting times. The six specialisms are General Surgery, Ear Nose and Throat Surgery, Gynaecology, Ophthalmology, Orthopaedics and Urology.

  2. [Correct and timely referral of patients to centers of reference].

    PubMed

    Costa, Joana; Valença-Filipe, Rita; Rodrigues, Jorge

    2013-01-01

    The correct and timely referral of patients, from peripheral hospitals, without specialized surgical care, namely in hand surgery, like Plastic Surgery or Orthopedics is of crucial importance. The authors report the case of a patient that presents in the Plastic Surgery Department with a chronic infection of the hypothenar eminence of the right hand. The clinical history suggests the persistence of a foreign body, despite two previous surgical procedures for removal, performed in the residence hospital. Surgical exploration was performed and the foreign body was removed without complications. The intent of this presentation is to alert for the importance of the timely referral of patients that can benefit of specialized care, namely of plastic surgery, when this is no possible in the residence hospital, in view of better health care and better patient treatment.

  3. Follow-up Actions on Electronic Referral Communicationin a Multispecialty Outpatient Setting

    PubMed Central

    Esquivel, Adol; Sittig, Dean F.; Murphy, Daniel; Kadiyala, Himabindu; Schiesser, Rachel; Espadas, Donna; Petersen, Laura A.

    2010-01-01

    ABSTRACT OBJECTIVES Electronic health records (EHR) enable transmission and tracking of referrals between primary-care practitioners (PCPs) and subspecialists. We used an EHR to examine follow-up actions on electronic referral communication in a large multispecialty VA facility. METHODS We retrieved outpatient referrals to five subspecialties between October 2006 and December 2007, and queried the EHR to determine their status: completed, discontinued (returned to PCP), or unresolved (no action taken by subspecialist). All unresolved referrals, and random samples of discontinued and completed referrals were reviewed to determine whether subspecialists took follow-up actions (i.e., schedule appointments anytime in the future) within 30 days of referral-receipt. For referrals without timely follow-up, we determined whether inaction was supported by any predetermined justifiable reasons or associated with certain referral characteristics. We also reviewed if PCPs took the required action on returned information. RESULTS Of 61,931 referrals, 22,535 were discontinued (36.4%), and 474 were unresolved (0.8%). We selected 412 discontinued referrals randomly for review. Of these, 52% lacked follow-up actions within 30 days. Appropriate justifications for inaction were documented in 69.8% (150/215) of those without action and included lack of prerequisite testing by the PCP and subspecialist opinion that no intervention was required despite referral. We estimated that at 30 days, 6.3% of all referrals were associated with an unexplained lack of follow-up actions by subspecialists. Conversely, 7.4% of discontinued referrals returned to PCPs were associated with an unexplained lack of follow-up. CONCLUSIONS Although the EHR facilitates transmission of valuable information at the PCP-subspecialist interface, unexplained communication breakdowns in the referral process persist in a subset of cases. PMID:20848235

  4. Outpatient Nephrology Referral Rates after Acute Kidney Injury

    PubMed Central

    Siew, Edward D.; Peterson, Josh F.; Eden, Svetlana K.; Hung, Adriana M.; Speroff, Theodore; Ikizler, T. Alp

    2012-01-01

    AKI associates with an increased risk for the development and progression of CKD and mortality. Processes of care after an episode of AKI are not well described. Here, we examined the likelihood of nephrology referral among survivors of AKI at risk for subsequent decline in kidney function in a US Department of Veterans Affairs database. We identified 3929 survivors of AKI hospitalized between January 2003 and December 2008 who had an estimated GFR (eGFR) <60 ml/min per 1.73 m2 30 days after peak injury. We analyzed time to referral considering improvement in kidney function (eGFR ≥60 ml/min per 1.73 m2), dialysis initiation, and death as competing risks over a 12-month surveillance period. Median age was 73 years (interquartile range, 62–79 years) and the prevalence of preadmission kidney dysfunction (baseline eGFR <60 ml/min per 1.73 m2) was 60%. Overall mortality during the surveillance period was 22%. The cumulative incidence of nephrology referral before dying, initiating dialysis, or experiencing an improvement in kidney function was 8.5% (95% confidence interval, 7.6–9.4). Severity of AKI did not affect referral rates. These data demonstrate that a minority of at-risk survivors are referred for nephrology care after an episode of AKI. Determining how to best identify survivors of AKI who are at highest risk for complications and progression of CKD could facilitate early nephrology-based interventions. PMID:22158435

  5. Determinants of out-of-hours service users' potentially inappropriate referral or non-referral to an emergency department: a retrospective cohort study in a local health authority, Veneto Region, Italy

    PubMed Central

    Toffanin, Roberto; Rigon, S; Sandonà, P; Carrara, T; Damiani, G; Baldo, V

    2016-01-01

    Background A growing presence of inappropriate patients has been recognised as one of the main factors influencing emergency department (ED) overcrowding, which is a very widespread problem all over the world. On the other hand, out-of-hours (OOH) physicians must avoid delaying the diagnostic and therapeutic course of patients with urgent medical conditions. The aim of this study was to analyse the appropriateness of patient management by OOH services, in terms of their potentially inappropriate referral or non-referral of non-emergency cases to the ED. Methods This was an observational retrospective cohort study based on data collected in 2011 by the local health authority No. 4 in the Veneto Region (Italy). After distinguishing between patients contacting the OOH service who were or were not referred to the ED, and checking for patients actually presenting to the ED within 24 hours thereafter, these patients’ medical management was judged as potentially appropriate or inappropriate. Results The analysis considered 22 662 OOH service contacts recorded in 2011. The cases of potentially inappropriate non-referral to the ED were 392 (1.7% of all contacts), as opposed to 1207 potentially inappropriate referrals (5.3% of all contacts). Age, nationality, type of disease and type of intervention by the OOH service were the main variables associated with the appropriateness of patient management. Conclusions These findings may be useful for pinpointing the factors associated with a potentially inappropriate patient management by OOH services and thus contribute to improving the deployment of healthcare and the quality of care delivered by OOH services. PMID:27503862

  6. Bell's palsy: a summary of current evidence and referral algorithm.

    PubMed

    Glass, Graeme E; Tzafetta, Kallirroi

    2014-12-01

    Spontaneous idiopathic facial nerve (Bell's) palsy leaves residual hemifacial weakness in 29% which is severe and disfiguring in over half of these cases. Acute medical management remains the best way to improve outcomes. Reconstructive surgery can improve long term disfigurement. However, acute and surgical options are time-dependent. As family practitioners see, on average, one case every 2 years, a summary of this condition based on common clinical questions may improve acute management and guide referral for those who need specialist input. We formulated a series of clinical questions likely to be of use to family practitioners on encountering this condition and sought evidence from the literature to answer them. The lifetime risk is 1 in 60, and is more common in pregnancy and diabetes mellitus. Patients often present with facial pain or paraesthesia, altered taste and intolerance to loud noise in addition to facial droop. It is probably caused by ischaemic compression of the facial nerve within the meatal segment of the facial canal probably as a result of viral inflammation. When given early, high dose corticosteroids can improve outcomes. Neither antiviral therapy nor other adjuvant therapies are supported by evidence. As the facial muscles remain viable re-innervation targets for up to 2 years, late referrals require more complex reconstructions. Early recognition, steroid therapy and early referral for facial reanimation (when the diagnosis is secure) are important features of good management when encountering these complex cases.

  7. Investigating referral pathways from primary care to consumer health organisations.

    PubMed

    Young, Charlotte E; Mutch, Allyson J; Boyle, Frances M; Dean, Julie H

    2010-01-01

    While chronic disease places an increasing burden on Australia's primary care system it is unrealistic to expect GPs to meet the range of support needs experienced by patients managing chronic conditions. Consumer health organisations (CHO) have the potential to augment clinical care by providing a variety of supportive services; however, they are underutilised by patients and GPs. This qualitative study investigates GPs' knowledge and perceptions of CHO and their contributions to chronic disease care. The study involved semi-structured interviews with 10 GPs. Overall, participants demonstrated clear understanding of the role of CHO in chronic disease management, but a critical finding was the way GPs' view of their own chronic care role appears to influence referral practices. GPs operating in a traditional role were less likely to refer to CHO than those who had adopted a chronic care approach. A second key finding related to GPs' views of Diabetes Australia. All GPs identified this organisation as an important referral point, providing some reassurance that CHO can be integrated into the primary care sector. Further research is needed to determine how the 'definite advantages' associated with Diabetes Australia can be used to extend GP referral and enhance the health system's integration of other CHO.

  8. An observational cohort study on pre-operative investigations and referrals: How far are we following recommendations?

    PubMed Central

    Karim, Habib Md Reazaul; Yunus, Md; Bhattacharyya, Prithwis

    2016-01-01

    Background and Aims: Pre-operative investigations are often required to supplement information for risk stratification and assessing reserve for undergoing surgery. Although there are evidence-based recommendations for which investigations should be done, clinical practice varies. The present study aimed to assess the pre-operative investigations and referral practices and compare it with the standard guidelines. Methods: The present observational study was carried out during 2014–appen2015 in a teaching institute after the approval from Institute Ethical Committee. A designated anaesthesiologist collected data from the completed pre-anaesthetic check-up (PAC) sheets. Investigations already done, asked by anaesthesiologists as well as referral services sought were noted and compared with an adapted master table prepared from standard recommendations and guidelines. Data were expressed in frequencies, percentage and statistically analysed using INSTAT software (GraphPad Prism software Inc., La Zolla, USA). Results: Seventy-five out of 352 patients (42.67% male, 57.33% female; American Society of Anesthesiologists physical status I to III) were included in this study. Nearly, all patients attended PAC with at least 5 investigations done. Of them, 89.33% were subjected to at least one unnecessary investigation and 91.67% of the referral services were not required which lead to 3.5 ( SD ±1.64) days loss. Anaesthesiologist-ordered testing was more focused than surgeons. Conclusion: More than two-third of pre-operative investigations and referral services are unnecessary. Anaesthesiologists are relatively more rational in ordering pre-operative tests yet; a lot can be done to rationalise the practice as well as reducing healthcare cost. PMID:27601737

  9. 24 CFR 17.64 - Referral of claims to the Assistant Secretary for Administration.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... having responsibility for such claims have not been fully successful, the claim file shall be forwarded... claim: (1) As to which there is an indication of fraud, the presentation of a false claim,...

  10. 20 CFR 726.309 - Referral to the Office of Administrative Law Judges.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... OF LABOR FEDERAL COAL MINE HEALTH AND SAFETY ACT OF 1969, AS AMENDED BLACK LUNG BENEFITS... Director, by the Associate Solicitor for Black Lung Benefits or the Regional Solicitor for the Region...

  11. 20 CFR 726.309 - Referral to the Office of Administrative Law Judges.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... OF LABOR FEDERAL COAL MINE HEALTH AND SAFETY ACT OF 1969, AS AMENDED BLACK LUNG BENEFITS... Director, by the Associate Solicitor for Black Lung Benefits or the Regional Solicitor for the Region...

  12. 20 CFR 726.309 - Referral to the Office of Administrative Law Judges.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... OF LABOR FEDERAL COAL MINE HEALTH AND SAFETY ACT OF 1969, AS AMENDED BLACK LUNG BENEFITS... Director, by the Associate Solicitor for Black Lung Benefits or the Regional Solicitor for the Region...

  13. Administrative Synergy

    ERIC Educational Resources Information Center

    Hewitt, Kimberly Kappler; Weckstein, Daniel K.

    2012-01-01

    One of the biggest obstacles to overcome in creating and sustaining an administrative professional learning community (PLC) is time. Administrators are constantly deluged by the tyranny of the urgent. It is a Herculean task to carve out time for PLCs, but it is imperative to do so. In this article, the authors describe how an administrative PLC…

  14. E-referral Solutions: Successful Experiences, Key Features and Challenges- a Systematic Review

    PubMed Central

    Naseriasl, Mansour; Adham, Davoud; Janati, Ali

    2015-01-01

    Background: around the world health systems constantly face increasing pressures which arise from many factors, such as an ageing population, patients and providers demands for equipment’s and services. In order to respond these challenges and reduction of health system’s transactional costs, referral solutions are considered as a key factor. This study was carried out to identify referral solutions that have had successes. Methods: relevant studies identified using keywords of referrals, consultation, referral system, referral model, referral project, electronic referral, electronic booking, health system, healthcare, health service and medical care. These searches were conducted using PubMed, ProQuest, Google Scholar, Scopus, Emerald, Web of Knowledge, Springer, Science direct, Mosby’s index, SID, Medlib and Iran Doc data bases. 4306 initial articles were obtained and refined step by step. Finally, 27 articles met the inclusion criteria. Results: we identified seventeen e-referral systems developed in UK, Norway, Finland, Netherlands, Denmark, Scotland, New Zealand, Canada, Australia, and U.S. Implemented solutions had variant degrees of successes such as improved access to specialist care, reduced wait times, timeliness and quality of referral communication, accurate health information transfer and integration of health centers and services. Conclusion: each one of referral solutions has both positive and changeable aspects that should be addressed according to sociotechnical conditions. These solutions are mainly formed in a small and localized manner. PMID:26236167

  15. A Comparative Study of the Perspectives of General and Oral and Maxillofacial Pathologists about the Rate and Value of Second Referral in Assessment of Oral and Maxillofacial Pathologic Lesions.

    PubMed

    Razavi, Sayed Mohammad; Liaghatdar, Alireza; Kargahi, Neda

    2017-02-16

    The main purpose in the practice of pathology is to provide an accurate diagnosis. Second referral and reassessment by a second pathologist significantly cause diagnostic errors, help to make an accurate diagnosis, and improve patient management. This study was aimed to assess the general perspectives of general and oral and maxillofacial pathologists in Iran on second referrals. In this cross-sectional, descriptive-analytical study, a 20-item questionnaire on second referrals was used to assess the general and oral and maxillofacial pathologists' perspective in Iran. The obtained data were analyzed by chi-square and Mann-Whitney tests (α = 0.05). A total of 64 questionnaires from general and 45 questionnaires from oral and maxillofacial pathologists were collected. The findings showed 70.9% of pathologists were in favor of seeking a second opinion when faced with diagnostic challenges. Significant differences were found between the oral and general pathologists in terms of the most challenging oral and maxillofacial lesions (p value < 0.001). In total, 74.8% of pathologists suggested second opinion to be useful and productive. Both groups of pathologists approved of the second referral. However, this pattern is still different, and it is possible to improve the referral rate among both groups and to enhance the knowledge of general pathologists about second referral to oral and maxillofacial pathologists.

  16. Bone mass, size and previous fractures as predictors of prospective fractures in an osteoporotic referral population.

    PubMed

    Eklund, Fredrik; Nordström, Anna; Björnstig, Ulf; Nordström, Peter

    2009-10-01

    The influence of bone mass, bone size and previous low energy fractures upon prospective fractures has not been investigated in a referral osteoporotic population. We investigated the association between bone mass, bone size, previous fractures, body constitution, and prospective validated fractures in 5701 women and 1376 men, aged 30 years and older. Bone mass measurements of the femoral neck were collected at a single study center in Sweden. Most of the subjects were measured on suspicion of osteoporosis. Data on validated low energy retrospective and prospective fractures in the cohort were collected from the corresponding health care district. Bone mineral density (BMD, g/cm(2)) and estimated volumetric BMD (vBMD, g/cm(3)) were shown to be good independent predictors for fracture in both women and men (Hazard ratio per standard deviation decrease (HR)=1.27-1.52, p<0.05). Bone size did not predict prospective fractures in either sex (HR=0.91-0.99, p>0.05), and bone size completely explained the higher BMD in men than in women. In women, retrospective low energy fractures (HR=1.78, p<0.001) and height (HR=1.02, p=0.006) were additional independent predictors of osteoporotic fractures after adjusting for age and BMD. In conclusion, we show that in a large osteoporotic referral population, age, BMD and previous fractures are independent predictors of prospective low energy fractures. These results add additional strength to the recent change in focus towards a multivariate analysis when assessing the future risk of fracture.

  17. Blood plasma collected after adrenocorticotropic hormone administration during the preovulatory period in the sow negatively affects in vitro fertilization by disturbing spermatozoa function.

    PubMed

    González, R; Kumaresan, A; Bergqvist, A S; Sjunnesson, Y C B

    2015-04-15

    Successful fertilization is essential for reproduction and might be negatively affected by stressful events, which could alter the environment where fertilization occurs. The aim of the study was to determine whether an altered hormonal profile in blood plasma caused by adrenocorticotropic hormone (ACTH) administration could affect in vitro fertilization in the pig model. In experiment 1, gametes were exposed for 24 hours to plasma from ACTH-treated, non-ACTH-treated sows, or medium with BSA. Fertilization, cleavage, and blastocyst rates were lower in the ACTH group compared with the no ACTH or BSA control groups (P < 0.01). In experiment 2, the exposure of matured oocytes for 1 hour before fertilization to the same treatments did not have an impact on their ability to undergo fertilization or on embryo development. In experiment 3, spermatozoa were incubated for 0, 1, 4, and 24 hours under the same conditions. There was no effect of treatment on sperm viability. The percentage of acrosome-reacted spermatozoa remained higher in the ACTH group compared with the non-ACTH-treated group through the incubation period (P < 0.001). Protein tyrosine phosphorylation (PTP) patterns were also affected by treatment (P < 0.001). The presence of an atypical PTP pattern was higher in the ACTH group at all the analyzed time points compared with the BSA and no ACTH groups (P < 0.001). In conclusion, this altered environment may not affect oocyte competence but might affect the sperm fertilizing ability through alterations in the acrosome reaction and correct sequence of PTP patterns.

  18. 76 FR 5212 - Employment and Training Administration

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-28

    ... Employment and Training Administration Comment Request for Information Collection for Internal Fraud and...: Employment and Training Administration (ETA), Department of Labor. ACTION: Notice. SUMMARY: The Department of.... Currently, the Employment and Training Administration is soliciting comments concerning the Office...

  19. 76 FR 45621 - Employment and Training Administration

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-29

    ... Employment and Training Administration Comment Request for Extension of Information Collection (Without... Temporary Employment Certification AGENCY: Employment and Training Administration. ACTION: Notice. SUMMARY... Training Administration (ETA) is soliciting comments concerning the extension of the approval for...

  20. Community resources for psychiatric and psychosocial problems. Family physicians' referral patterns in urban Ontario.

    PubMed Central

    Craven, M. A.; Allen, C. J.; Kates, N.

    1995-01-01

    OBJECTIVE: To document the number and pattern of psychiatric and psychosocial referrals to community resources by family physicians (FPs) and to determine whether referral practices correlate with physician variables. DESIGN: Cross-sectional survey of referrals by FPs to 34 key psychiatric and psychosocial community resources identified by a panel of FPs, psychiatric social workers, psychiatric nurses, public health nurses, and the local community information service. SETTING: Regional municipality of 434,000 persons in Ontario. PARTICIPANTS: Twenty-seven of 34 (79%) community agencies identified 261 FPs who made 4487 referrals to participating agencies (range 0 to 65, median 15, mean 17.19 +/- 13.42). MAIN OUTCOME MEASURES: Number of referrals to all agencies; variables, such as physician sex, school of graduation, year of graduation, and certificate status in the College of Family Physicians of Canada, related to referral patterns. RESULTS: Referrals to outpatient psychiatric clinics, support services, and general counseling services accounted for 96% of all referrals. Physicians' average annual referral profile was as follows: 8.6 patients to a support service, 6.3 to an outpatient psychiatric service, 1.6 to a counseling service, and 0.46 to a substance abuse service. Referral profiles of individual physicians varied greatly. Female FPs made fewer referrals than male FPs to support services, but both made similar numbers of referrals to psychiatric, counseling, and substance abuse services. The more recent the year of graduation, the greater the number of referrals to psychiatric (r = 0.158, P = 0.0107) and counseling services (r = 0.137, P = 0.0272) and the higher the fraction of referrals to psychiatric services (r = 0.286, P = 0.0001). CONCLUSIONS: Family physicians in Hamilton-Wentworth made few referrals to psychiatric and psychosocial services. Only physician sex and year of graduation correlated significantly with numbers of referrals made. Recent