Science.gov

Sample records for agency service delivery

  1. 77 FR 50156 - Renewal of Agency Information Collection for Water Delivery and Electric Service Data for the...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-20

    ... information collection to Yulan Jin, Acting Chief, Division of Water and Power, Office of Trust Services, Mail... Bureau of Indian Affairs Renewal of Agency Information Collection for Water Delivery and Electric Service Data for the Operation of Irrigation and Power Projects and Systems AGENCY: Bureau of Indian...

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

    PubMed Central

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

    2014-01-01

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

  3. 78 FR 22253 - Agency Information Collection Activities; Comment Request; Study of the Delivery of Services...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-15

    ... Annual Burden Hours: 312. Abstract: The Vocational Rehabilitation (VR) Program provides a wide range of... counseling, medical, and psychological services, job training, and other individualized services....

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

    PubMed Central

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

    2013-01-01

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

  5. 78 FR 15797 - Service Delivery Plan

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-12

    ... objectives laid out in our Agency Strategic Plan. DATES: To ensure that we consider your comments, we must... ADMINISTRATION Service Delivery Plan AGENCY: Social Security Administration (SSA). ACTION: Notice; request for comments. SUMMARY: We are requesting public input as we finalize our Service Delivery Plan (SDP)....

  6. 77 FR 44306 - Service Delivery Plan

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-27

    ... ADMINISTRATION Service Delivery Plan AGENCY: Social Security Administration (SSA). ACTION: Notice; request for comments. SUMMARY: We are requesting public input as we develop our Service Delivery Plan (SDP). We recently completed our Agency Strategic Plan (ASP) for 2013-2016. The ASP identifies four goals:...

  7. Interagency Cooperation--An Investigation of Human Service Agencies Collaboration in the Delivery of Services and Amenities to Rural Citizens in Clinton County New York.

    ERIC Educational Resources Information Center

    Gore, Jane S.; Nelson, Helen Y.

    Assuming that one way to meet the needs and to improve the delivery of services and amenities to isolated rural citizens is through increased interagency collaboration, an obective of this research was to explore stimuli and deterrents to such cooperative efforts. Thirty organizations (23 public groups, 4 private non-profit, and 3 private) serving…

  8. 78 FR 16753 - Service Delivery Plan; Correction

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-18

    ... words ``Agency Strategic Plan'' insert http://ssa.gov/asp/plan-2013-2016.pdf . Paul Kryglik, Director... ADMINISTRATION Service Delivery Plan; Correction AGENCY: Social Security Administration. ACTION: Notice; request... Federal Register of March 12, 2013, in FR Doc. 2013-05595, on page 15797, in the third column; in...

  9. 22 CFR 228.55 - Delivery services.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Delivery services. 228.55 Section 228.55 Foreign Relations AGENCY FOR INTERNATIONAL DEVELOPMENT RULES ON SOURCE, ORIGIN AND NATIONALITY FOR... adequate competition in the shipping market in order to obtain competitive pricing, particularly in...

  10. Computer Assisted Rehabilitation Service Delivery.

    ERIC Educational Resources Information Center

    West Virginia Rehabilitation Research and Training Center, Dunbar.

    This volume consisting of state of the art reviews, suggestions and guidelines for practitioners, and program descriptions deals with the current and potential applications of computers in the delivery of services for vocational rehabilitation (VR). Discussed first are current applications of computer technology in rehabilitative service delivery.…

  11. 78 FR 32612 - Collect on Delivery (COD)-Service Features

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-31

    ... 111 Collect on Delivery (COD)--Service Features AGENCY: Postal Service\\TM\\. ACTION: Proposed rule... the automatic holding period for Collect on Delivery (COD) articles, expand the acceptable payment methods for COD articles, and provide current options for the redirecting of COD mailpieces. DATES:...

  12. 22 CFR 228.23 - Other delivery services.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 22 Foreign Relations 1 2012-04-01 2012-04-01 false Other delivery services. 228.23 Section 228.23 Foreign Relations AGENCY FOR INTERNATIONAL DEVELOPMENT RULES FOR PROCUREMENT OF COMMODITIES AND SERVICES... as export packing, loading, commodity inspection services, and services of a freight forwarder....

  13. 22 CFR 228.23 - Other delivery services.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 22 Foreign Relations 1 2014-04-01 2014-04-01 false Other delivery services. 228.23 Section 228.23 Foreign Relations AGENCY FOR INTERNATIONAL DEVELOPMENT RULES FOR PROCUREMENT OF COMMODITIES AND SERVICES... as export packing, loading, commodity inspection services, and services of a freight forwarder....

  14. 76 FR 59768 - Advisory Committee on International Postal and Delivery Services

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-27

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF STATE Advisory Committee on International Postal and Delivery Services AGENCY: Department of State. ACTION: Notice... the meeting of the Advisory Committee on International Postal and Delivery Services scheduled...

  15. Service Delivery Rules and the Distribution of Local Government Services: Three Detroit Bureaucracies

    ERIC Educational Resources Information Center

    Jones, Bryan D.; And Others

    1978-01-01

    Argues that the routinized procedures governing delivery of local public services influence distribution of services to citizens by three municipal agencies in Detroit. Agencies are the Department of Parks and Recreation, the Sanitation Division, and the Environmental Enforcement Division of the Environmental Protection and Maintenance Department.…

  16. 76 FR 15028 - Advisory Committee on International Postal and Delivery Services

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-18

    ... Committee on International Postal and Delivery Services AGENCY: Department of State. ACTION: Notice; FACA... Postal and Delivery Services. This Committee has been formed in fulfillment of the provisions of the 2006... related to international postal and delivery services of interest to Advisory Committee members and...

  17. 75 FR 57102 - Advisory Committee on International Postal and Delivery Services

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-17

    ... Committee on International Postal and Delivery Services AGENCY: Department of State. ACTION: Notice; FACA... Postal and Delivery Services. This Committee has been formed in fulfillment of the provisions of the 2006... related to international postal and delivery services of interest to Advisory Committee members and...

  18. 78 FR 55773 - Advisory Committee on International Postal and Delivery Services

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-11

    ... Committee on International Postal and Delivery Services AGENCY: Department of State. ACTION: Notice; FACA... Postal and Delivery Services. This Committee has been formed in fulfillment of the provisions of the 2006... delivery services of interest to Advisory Committee members and the public. FOR FURTHER INFORMATION...

  19. The Coordination of Job Training. Strategies for the Delivery of Services between Vocational Education Agencies and Private Industry Councils/SDAs. The 1993 Biennial Report as Required by Carl D. Perkins Vocational & Applied Technology Education Act of 1990 (P.L. 101-392).

    ERIC Educational Resources Information Center

    California State Council on Vocational Education, Sacramento.

    Coordination of job training delivery strategies by vocational education (VE) agencies and private industry councils/service delivery areas (PICs/SDAs) throughout California in 1993 was reviewed. Among the review's main findings were the following: more than 9 of 10 SDAs have VE representatives on PICs; community colleges are the VE…

  20. 22 CFR 228.24 - Other delivery services.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Other delivery services. 228.24 Section 228.24 Foreign Relations AGENCY FOR INTERNATIONAL DEVELOPMENT RULES ON SOURCE, ORIGIN AND NATIONALITY FOR... freight forwarder. Such services are eligible in connection with a commodity which is financed by USAID....

  1. 22 CFR 228.24 - Other delivery services.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 22 Foreign Relations 1 2011-04-01 2011-04-01 false Other delivery services. 228.24 Section 228.24 Foreign Relations AGENCY FOR INTERNATIONAL DEVELOPMENT RULES ON SOURCE, ORIGIN AND NATIONALITY FOR... freight forwarder. Such services are eligible in connection with a commodity which is financed by USAID....

  2. Consumer Choice, Consumer Control in Service Delivery

    ERIC Educational Resources Information Center

    Meenaghan, Thomas M.; Mascari, Michael

    1971-01-01

    This article discusses patterns in the delivery of social welfare services, with reference to the specific service area of mental retardation. The authors propose a model that adds two vital elements to present service delivery patterns, a benefit system and a plan for consumer organization. (Author)

  3. 42 CFR 460.98 - Service delivery.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 4 2014-10-01 2014-10-01 false Service delivery. 460.98 Section 460.98 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED... medical, health, and social services that integrate acute and long-term care. (2) These services must...

  4. 42 CFR 460.98 - Service delivery.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 4 2012-10-01 2012-10-01 false Service delivery. 460.98 Section 460.98 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED... medical, health, and social services that integrate acute and long-term care. (2) These services must...

  5. 42 CFR 460.98 - Service delivery.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 4 2011-10-01 2011-10-01 false Service delivery. 460.98 Section 460.98 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED... medical, health, and social services that integrate acute and long-term care. (2) These services must...

  6. Health Service Delivery in Developing Countries

    ERIC Educational Resources Information Center

    Benyoussef, Amor

    1977-01-01

    Reviews recent work dealing with methodological and technical issues in health and development; presents examples of the application of social sciences, including health demography and economics, in questions of health services delivery; and analyzes delivery of health services to rural and nomadic populations in Africa, Asia, and Latin America.…

  7. The Education Service Agency--Where Next?

    ERIC Educational Resources Information Center

    Levis, Rae M.

    Chapter 1 of this study introduces the education service agency (ESA) by briefly examining its history and reviewing recent research on its present status. Identifying three basic ESA patterns (special district, regionalized agencies, and cooperative agencies), the initial chapter observes that, although most ESA's were not established until the…

  8. 76 FR 40677 - Farm Service Agency

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-11

    ... Farm Service Agency Information Collection; United States Warehouse Act (USWA) AGENCY: Farm Service... States Warehouse Act (USWA). DATES: We will consider comments that we receive by September 9, 2011... INFORMATION: Title: United States Warehouse Act (USWA). OMB Control Number: 0560-0120. Expiration Date...

  9. 77 FR 2340 - Advisory Committee on International Postal and Delivery Services

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-17

    ... Committee on International Postal and Delivery Services AGENCY: Department of State. ACTION: Notice of... the renewal of the charter of the Advisory Committee on International Postal and Delivery Services in... oversight of foreign policy related to international postal services and other international...

  10. Commercial Document Delivery Services "Challenged" as EBSCO Drops Service.

    ERIC Educational Resources Information Center

    Machovec, George S.

    1998-01-01

    Discusses the EBSCO decision to stop its traditional commercial document delivery business. High prices for copyright clearance, government subsidized services, electronic formats available on the Internet, Web-based services, and consortium-based licensing activities are discussed as influencing the market for document delivery. (LRW)

  11. 42 CFR 460.98 - Service delivery.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 4 2010-10-01 2010-10-01 false Service delivery. 460.98 Section 460.98 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED..., national origin, religion, sex, age, sexual orientation, mental or physical disability, or source...

  12. 42 CFR 460.98 - Service delivery.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 4 2013-10-01 2013-10-01 false Service delivery. 460.98 Section 460.98 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY...

  13. Emerging Organizational Patterns of Educational Service Agencies.

    ERIC Educational Resources Information Center

    Harken, Dennis

    This paper discusses intergovernmental relationships between education service agencies (ESAs) in Pennsylvania and the agencies they serve, namely, the state department of education and local school districts. Some suggestions made are that ESA policies retain flexibility and that local control be retained in ESA programs, for example, through…

  14. Automation of the CAS Document Delivery Service.

    ERIC Educational Resources Information Center

    Steensland, M. C.; Soukup, K. M.

    1986-01-01

    The automation of online order retrieval for Chemical Abstracts Service Document Delivery Service was accomplished by shifting to an order retrieval/dispatch process linked to a Unix network. The Unix-based environment, its terminal emulation, page-break, and user-friendly interface software, and later enhancements are reviewed. Resultant increase…

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

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-02

    ... Delivery and Improving Customer Service By the authority vested in me as President by the Constitution and... this end, Executive Order 12862 (Setting Customer Service Standards), issued on September 11, 1993... customers, establish service standards and track performance against those standards, and benchmark...

  16. 34 CFR 303.525 - Delivery of services in a timely manner.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... INFANTS AND TODDLERS WITH DISABILITIES State Administration Policies and Procedures Related to Financial Matters § 303.525 Delivery of services in a timely manner. Each lead agency is responsible for...

  17. Personalizing knowledge delivery services: a conceptual framework

    NASA Technical Reports Server (NTRS)

    Majchrzak, Ann; Chelleppa, Ramnath K.; Cooper, Lynne P.; Hars, Alexander

    2003-01-01

    Consistent with the call of the Minnesota Symposium for new theory in knowledge management, we offer a new conceptualization of Knowledge Management Systems (KMS) as a portfolio of personalized knowledge delivery services. Borrowing from research on online consumer behavior, we describe the challenges imposed by personalized knowledge delivery services, and suggest design parameters that can help to overcome these challenges. We develop our design constructs through a set of hypotheses and discuss the research implications of our new conceptualization. Finally, we describe practical implications suggested by our conceptualization - practical suggestions that we hope to gain some experience with as part of an ongoing action research project at our partner organization.

  18. 29 CFR 1607.10 - Employment agencies and employment services.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 29 Labor 4 2011-07-01 2011-07-01 false Employment agencies and employment services. 1607.10... agencies and employment services. A. Where selection procedures are devised by agency. An employment agency... employment agency or service is requested to administer a selection procedure which has been...

  19. 29 CFR 1607.10 - Employment agencies and employment services.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 4 2010-07-01 2010-07-01 false Employment agencies and employment services. 1607.10... agencies and employment services. A. Where selection procedures are devised by agency. An employment agency... employment agency or service is requested to administer a selection procedure which has been...

  20. Collaborations of Schools and Social Service Agencies

    ERIC Educational Resources Information Center

    Moore, Jan

    2005-01-01

    In the past two decades, there has been a dramatic rise in the number of homeless students enrolled in US schools. This report explores collaborative efforts of schools and social service agencies working with homeless children and families. The project's goals were to identify frequently encountered barriers and successful strategies to overcome…

  1. Service delivery mechanisms in rehabilitation technology.

    PubMed

    Vanderheiden, G C

    1987-11-01

    Rehabilitation technology is a rapidly advancing area involving professionals from multiple disciplines, including engineers, occupational and physical therapists, speech pathologists, computer programmers, and many others. This paper focuses on the use of computers and other personal assistive devices by disabled persons, but the concepts presented apply to all areas of personal rehabilitation technology. The topics covered include a perspective on the use of advanced technology, technological appliances versus tools, skills or special knowledge needed for the effective delivery of rehabilitation technology, new roles for the service delivery team, sources of training in rehabilitation technology, and issues in qualification or certification of rehabilitation technology professionals. The purpose of this paper is to put the use of advanced technology for rehabilitation in its proper perspective and to present ideas for consideration in building more effective service delivery mechanisms for these technologies.

  2. Models To Improve Service Delivery. Chapter 8.

    ERIC Educational Resources Information Center

    1996

    This collection of papers presented at a 1996 conference on children's mental health focuses on models to improve service delivery. Papers have the following titles and authors: (1) "Empirical Evaluation of an Alternative to Hospitalization for Youth Presenting Psychiatric Emergencies" (Scott W. Henggeler); (2) "An Experimental Study of the…

  3. 22 CFR 96.41 - Procedures for responding to complaints and improving service delivery.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... information for the Complaint Registry, to client(s) at the time the adoption services contract is signed. (b... improving service delivery. 96.41 Section 96.41 Foreign Relations DEPARTMENT OF STATE LEGAL AND RELATED SERVICES ACCREDITATION OF AGENCIES AND APPROVAL OF PERSONS UNDER THE INTERCOUNTRY ADOPTION ACT OF 2000...

  4. 76 FR 28038 - Agency Information Collection Activities; Proposed Collection; Comment Request; General Services...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-13

    ... response to the 60-day notice published in the Federal Register at 75 FR 80542, December 22, 2010. Below we... Administration Acquisition Regulation; Generic Clearance for the Collection of Qualitative Feedback on Agency... Clearance for the Collection of Qualitative Feedback on Agency Service Delivery'' to OMB for approval...

  5. Legal considerations for document delivery services.

    PubMed Central

    Bunting, A

    1994-01-01

    Health sciences libraries that provide fee-based information services must consider and develop policies and procedures for complying with legal requirements. This paper reviews the provisions of copyright law that pertain to document delivery, including two court decisions concerning copyright. Also discussed are recent actions by publishers to reinforce their view of libraries' responsibilities for royalty fees for articles copied and their use of licenses to impose additional restrictions on the use of and reproduction of materials. PMID:8004023

  6. 77 FR 64390 - Agency Information Collection (Food Service and Nutritional Care Analysis) Activities Under OMB...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-19

    ... AFFAIRS Agency Information Collection (Food Service and Nutritional Care Analysis) Activities Under OMB....'' SUPPLEMENTARY INFORMATION: Title: Food Service and Nutritional Care Analysis, VA Form 10-5387. OMB Control... from advanced food preparation and advanced food delivery systems. All meals served are an...

  7. Service delivery for e-Health applications.

    PubMed

    Staemmler, Martin

    2011-01-01

    E-Health applications have to take the business perspective into account. This is achieved by adding a fourth layer reflecting organizational and business processes to an existing three layer model for IT-system functionality and management. This approach is used for designing a state-wide e-Health service delivery allowing for distributed responsibilities: clinical organizations act on the fourth layer and have established mutual cooperation in this state-wide approach based on collectively outsourced IT-system services. As a result, no clinical organization can take a dominant role based on operating the IT-system infrastructure. The implementation relies on a central infrastructure with extended means to guarantee service delivery: (i) established redundancy within the system architecture, (ii) actively controlled network and application availability, (iii) automated routine performance tests fulfilling regulatory requirements and (iv) hub-to-spoke and end-to-end authentication. As a result, about half of the hospitals and some practices of the state have signed-up to the services and guarantee long-term sustainability by sharing the infrastructural costs. Collaboration takes place for more than 1000 patients per month based on second opinion, online consultation and proxy services for weekend and night shifts.

  8. Planning and Implementing Augmentative Communication Service Delivery, 2: Proceedings of the National Planners Conference on Assistive Device Service Delivery.

    ERIC Educational Resources Information Center

    Coston, Caroline A., Ed.

    The document consists of 30 author contributed chapters concerned with augmentative communication service delivery. Chapter titles and authors are: "Communication Options for Persons Who Cannot Speak: Planning for Service Delivery" (David Beukelman); "Planning Service Delivery Systems" (Roland Hahn II); "Planning Ohio's Augmentative Communication…

  9. 77 FR 1697 - Agency Information Collection Activities: Fast Track Generic Clearance for the Collection of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-11

    ... HUMAN SERVICES Indian Health Service Agency Information Collection Activities: Fast Track Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery: IHS Web Site Customer... on Agency Service Delivery: IHS Web site Customer Service Satisfaction Survey. Abstract:...

  10. Mental Health Service Delivery in Rural Areas: Organizational and Clinical Issues.

    ERIC Educational Resources Information Center

    Wagenfeld, Morton O.; Murray, J. Dennis; Mohatt, Dennis F.; DeBruyn, Jeanne C.

    The rural community mental health center tends to serve a large geographic area, have decentralized service delivery, require its professionals to function as generalists, and coordinate closely with other agencies. The last decade has seen an increasing strain placed on this pattern. As block grant and fee-for-service shifts resulting from the…

  11. Making Decisions about Service Delivery in Early Childhood Programs

    ERIC Educational Resources Information Center

    Case-Smith, Jane; Holland, Terri

    2009-01-01

    Purpose: This article presents a rationale for specialized services personnel to use fluid models of service delivery and explains how specialized services personnel make decisions about the blend of service delivery methods that will best serve a child. Method: The literature on occupational therapy, physical therapy, and speech-language…

  12. Organizational capacity of nonprofit social service agencies.

    PubMed

    Paynter, Sharon; Berner, Marueen

    2014-01-01

    The U.S. social safety net is formed by governmental and nonprofit organizations, which are trying to respond to record levels of need. This is especially true for local level organizations, such as food pantries. The organizational capacity literature has not covered front-line, local, mostly volunteer and low resource organizations in the same depth as larger ones. This analysis is a consideration of whether grassroots nonprofit organizations have the ability to be a strong component of the social safety net. Based on the literature on organizational capacity, a model is developed to examine how service delivery at the local level is affected by organizational capacity. Surprisingly, we find few of the characteristics previously identified as important are statistically significant in this study. Even when so, the material effect is negligible. Current organizational capacity research may apply to larger nonprofits, but not to the tens of thousands of small community nonprofits, a significant limitation to the research to date.

  13. 42 CFR 136a.15 - Health Service Delivery Areas.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 1 2014-10-01 2014-10-01 false Health Service Delivery Areas. 136a.15 Section 136a.15 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH What Services Are Available and Who Is Eligible...

  14. 42 CFR 136a.15 - Health Service Delivery Areas.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 1 2011-10-01 2011-10-01 false Health Service Delivery Areas. 136a.15 Section 136a.15 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH What Services Are Available and Who Is Eligible...

  15. 42 CFR 136a.15 - Health Service Delivery Areas.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 1 2010-10-01 2010-10-01 false Health Service Delivery Areas. 136a.15 Section 136a.15 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH What Services Are Available and Who Is Eligible...

  16. 42 CFR 136a.15 - Health Service Delivery Areas.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 1 2012-10-01 2012-10-01 false Health Service Delivery Areas. 136a.15 Section 136a.15 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH What Services Are Available and Who Is Eligible...

  17. 42 CFR 136a.15 - Health Service Delivery Areas.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 1 2013-10-01 2013-10-01 false Health Service Delivery Areas. 136a.15 Section 136a.15 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH What Services Are Available and Who Is Eligible...

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

    ERIC Educational Resources Information Center

    Lindsey, Elizabeth

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

  19. Graduate Student Services: A Study of the Delivery of Services at the Location Where Students Matriculate

    ERIC Educational Resources Information Center

    Burlison, John G.

    2010-01-01

    This dissertation investigates and explores the best method for the delivery of graduate student services. Essentially, there are two methods for delivery of these services. They can be delivered by virtue of centralization or decentralization. Decentralized delivery, for the purpose of this dissertation is the delivery of graduate student…

  20. Integrated delivery systems focus on service delivery after capitation efforts stall.

    PubMed

    2005-03-01

    Integrated delivery systems focus on service delivery after capitation efforts stall. Integrated delivery systems are going through changes that are focusing the provider organizations more on delivering care than managing risk, says Dean C. Coddington, one of the leading researchers into capitated organizations and a senior consultant with McManis Consulting in Denver.

  1. Integrated delivery systems focus on service delivery after capitation efforts stall.

    PubMed

    2005-03-01

    Integrated delivery systems focus on service delivery after capitation efforts stall. Integrated delivery systems are going through changes that are focusing the provider organizations more on delivering care than managing risk, says Dean C. Coddington, one of the leading researchers into capitated organizations and a senior consultant with McManis Consulting in Denver. PMID:15889632

  2. Rehabilitation Technology Service Delivery, 1: A Practical Guide.

    ERIC Educational Resources Information Center

    RESNA: Association for the Advancement of Rehabilitation Technology, Washington, DC.

    The guide consists of six author contributed chapters and is intended to aid in the development of new rehabilitation technology service delivery programs as well as increasing the effectiveness of existing programs. The first chapter, by Roger Smith, describes and evaluates seven models of service delivery in rehabilitation technology. Chapter 2,…

  3. Leadership Dynamics Promoting Systemic Reform for Inclusive Service Delivery

    ERIC Educational Resources Information Center

    Scanlan, Martin

    2009-01-01

    This article presents a multicase study of two systems of schools striving to reform service delivery systems for students with special needs. Considering these systems as institutional actors, the study examines what promotes the understanding and implementation of special education service delivery within a system of schools in a manner that…

  4. 76 FR 9819 - Agency Information Collection Activities: Proposed Collection; Generic Clearance for the...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-22

    ... Collection of Qualitative Feedback on Agency Service Delivery; Correction AGENCY: Office of Management and...; Comment Request; Generic Clearance for the Collection of Qualitative Feedback on Agency Service...

  5. The High Cost of Reference: The Need to Reassess Services and Service Delivery.

    ERIC Educational Resources Information Center

    Summerhill, Karen Storin

    1994-01-01

    Addresses the need for reference librarians to reassess their service priorities and service delivery methods to operate efficiently and compete effectively with commercial information services. Highlights include inappropriate use of librarians' time; inefficient service delivery methods; cost effectiveness; and a consultation model of service…

  6. CCRC statutes: the oversight of long-term care service delivery.

    PubMed

    Netting, F E; Wilson, C C; Stearns, L R; Branch, L G

    1990-06-01

    A 1987 national survey revealed 27 states with continuing care or life care legislation. State oversight staff in 22 states responded to questions concerning characteristics of the regulated continuing care retirement community (CCRC) industry, the regulation of health and human service delivery within CCRCs, and interdepartmental working relationships between oversight agencies and other state units. Discussion focuses on the regulation of long-term care service provision in the CCRC industry.

  7. 76 FR 4726 - Avaya Global Services, AOS Service Delivery, Worldwide Services Group, Including Workers Whose...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-26

    ..., Including Workers Whose Unemployment Insurance (UI) Wages Are Reported Through Diamondware, Ltd and Nortel... Avaya Global Services, AOS Service Delivery, including workers whose unemployment insurance (UI) wages.... The notice was published in the Federal Register on November 8, 2010 (75 FR 68622). At the request...

  8. Analyzing IT Service Delivery in an ISP from Nicaragua

    NASA Astrophysics Data System (ADS)

    Flores, Johnny; Rusu, Lazar; Johanneson, Paul

    This paper presents a method for analyzing IT service delivery and its application in an Internet Service Provider (ISP). The method proposed is based on ITIL-processes and case study technique; it includes questionnaires for gathering information, semi-structured interviews, focus groups and documents as sources of information for recognition of factual information. The method application allows to the ISP determines its practices and limitations of the IT Service Delivery.

  9. Multi-Agency Service Teams: A New Approach in Maine To Deliver Technical Assistance to Rural Manufacturers.

    ERIC Educational Resources Information Center

    Ratner, Shanna

    1999-01-01

    In 1994, a multiagency service team, consisting of state and federal agencies, colleges, private consultants, and nonprofit organizations, was formed to coordinate delivery of technical assistance services to small manufacturers in Maine's wood products industry. Results were generally positive but showed the need to carefully match assistance…

  10. Futures of Service Delivery Systems for Handicapped Individuals. No. 12.

    ERIC Educational Resources Information Center

    Stedman, Donald J.; Wiegerink, Ronald

    Seventeen issues relating to service delivery systems for the handicapped are discussed, including the following: integration of human service systems; meshinq of planning, service, research, and training; installing a monitoring, evaluation, and feedback activity into the planning process; evaluating public education programs; coordinating…

  11. Increased Service Delivery and Adaptation to Occupational Stress.

    ERIC Educational Resources Information Center

    Schnabel, John F.; Simoni, Joseph J.

    Effective response by community service agencies to clientele needs is an essential part of community development. A personnel screening instrument, a model for predicting different types of adaptation to occupational stress, is suggested as a means of increasing the responsiveness of service agencies to their local communities. Proposing the use…

  12. 77 FR 6122 - Providing Refurbishment Services to Federal Agencies

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-07

    ... best to make cost-effective refurbishment services available to Federal agencies to extend the useful.... General Services Administration. ACTION: Notice. SUMMARY: In accordance with the National Strategy for... certifications ought to be considered, and how best to build Federal contracts for such services....

  13. 78 FR 8596 - Hartford Financial Services Group, Inc., Commercial/Actuarial/ Information Delivery Services (IDS...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-06

    ... was published in the Federal Register on January 4, 2013 (78 FR 773). The Hartford-IDS Group is.../ Information Delivery Services (IDS)/Corporate & Financial Reporting Group, Hartford, CT; Notice of Negative... Services Group, Inc., Commercial/Actuarial/Information Delivery Services (IDS)/Corporate &...

  14. Towards sustainable delivery of health services in Afghanistan: options for the future.

    PubMed

    Sabri, B; Siddiqi, S; Ahmed, A M; Kakar, F K; Perrot, J

    2007-09-01

    Disruption caused by decades of war and civil strife in Afghanistan has led many international and national nongovernmental organizations (NGOs) to assume responsibility for the delivery of health services through contracts with donor agencies. Recently the Afghan Government has pursued the policy of contracting for a basic package of health services (BPHS) supported by funds from three major donors - the World Bank, the United States Agency for International Development (USAID) and the European Commission. With the gradual strengthening of the public health ministry, options for the future include pursuing the contracting option or increasing public provision of health services. Should contracting with NGOs be pursued, a clear strategy is required that includes developing accreditation instruments, better contracting mechanisms and a system for monitoring and evaluating the entire process. Should the government opt for an increasing role, problems to be solved include securing the transition to public provision, obtaining guarantees that appropriate financing will be provided and reconfiguration of the public health delivery system. Large-scale contracting with the private for-profit sector cannot be recommended at this stage, although this option could be explored via subcontracting by larger NGOs or small-scale trial contracts initiated by the public health ministry. Irrespective of the option chosen, an important challenge remaining is the recalcitrant problem of high out-of-pocket payments. Sustainable delivery of health services in Afghanistan can only be achieved with a clear national strategy in which all stakeholders have roles to play in the financing, regulation and delivery of services.

  15. Delivery Speed, Timeliness and Satisfaction: Patrons' Perceptions About ILL Service.

    ERIC Educational Resources Information Center

    Weaver-Meyers, Pat L.; Stolt, Wilbur A.

    1996-01-01

    Library users' perceptions of the quality of interlibrary loan service are examined. Ten Greater Midwest Research Libraries Consortium members distributed surveys to patrons. Findings indicate patrons' satisfaction is minimally related to actual delivery speed; satisfaction and perceptions of timeliness are strongly correlated; a delivery speed of…

  16. 75 FR 32737 - Farm Service Agency

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-09

    ... Due Persons Who Have Died, Disappeared, or Have Been Declared Incompetent AGENCY: Commodity Credit... for Payment of Amounts Due Persons Who Have Died, Disappeared, or Have Been Declared Incompetent. OMB... approved information collection. Abstract: Persons desiring to claim payment due a person who has...

  17. US Federal Agency Research on Ecosystem Services

    EPA Science Inventory

    Over the last decade, research and policy institutions across the globe have shown a dramatic increase in attention to the benefits that human society receives from ecosystems. In the U.S., a broad range of Federal resource management and environmental agencies are conducting r...

  18. 20 CFR 652.208 - How are core services and intensive services related to the methods of service delivery described...

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false How are core services and intensive services... § 652.208 How are core services and intensive services related to the methods of service delivery described in § 652.207(b)(2)? Core services and intensive services may be delivered through any of...

  19. State Vocational Agency Practices in the Purchase of Psychological Services.

    ERIC Educational Resources Information Center

    Wendland, Leonard V.; Wendland, Carroll Jean

    This article reports the results of a national survey on the practices of state vocational rehabilitation agencies with regard to purchase and utilization of psychological consultation services from private psychologists. A letter was sent to each of the 50 state vocational rehabilitation agencies requesting information on nine points. Forty-four…

  20. Critical issues in reforming rural mental health service delivery.

    PubMed

    Blank, M B; Fox, J C; Hargrove, D S; Turner, J T

    1995-12-01

    Critical issues in reforming rural mental health service delivery systems under health care reform are outlined. It is argued that the exclusive focus on health care financing reform fails to include obstacles to effective mental health service delivery in rural area, which should focus on issues of availability, accessibility, and acceptability, as well as financing and accountability. Characteristics of rural areas are delineated and three assumptions about the structure of rural communities which are shaping the dialogue on rural health and mental health service delivery are examined. These assumptions include the notion that rural communities are more closely knit than urban ones, that rural services can be effectively delivered through urban hubs, and that rural dwellers represent a low risk population which can be effectively served through existing facilities and by extending existing services. PMID:8608697

  1. Increasing the Delivery of Preventive Health Services in Public Education.

    PubMed

    Cruden, Gracelyn; Kelleher, Kelly; Kellam, Sheppard; Brown, C Hendricks

    2016-10-01

    The delivery of prevention services to children and adolescents through traditional healthcare settings is challenging for a variety of reasons. Parent- and community-focused services are typically not reimbursable in traditional medical settings, and personal healthcare services are often designed for acute and chronic medical treatment rather than prevention. To provide preventive services in a setting that reaches the widest population, those interested in public health and prevention often turn to school settings. This paper proposes that an equitable, efficient manner in which to promote health across the life course is to integrate efforts from public health, primary care, and public education through the delivery of preventive healthcare services, in particular, in the education system. Such an integration of systems will require a concerted effort on the part of various stakeholders, as well as a shared vision to promote child health via community and institutional stakeholder partnerships. This paper includes (1) examination of some key system features necessary for delivery of preventive services that improve child outcomes; (2) a review of the features of some common models of school health services for their relevance to prevention services; and (3) policy and implementation strategy recommendations to further the delivery of preventive services in schools. These recommendations include the development of common metrics for health outcomes reporting, facilitated data sharing of these metrics, shared organization incentives for integration, and improved reimbursement and funding opportunities. PMID:27542653

  2. Increasing the Delivery of Preventive Health Services in Public Education.

    PubMed

    Cruden, Gracelyn; Kelleher, Kelly; Kellam, Sheppard; Brown, C Hendricks

    2016-10-01

    The delivery of prevention services to children and adolescents through traditional healthcare settings is challenging for a variety of reasons. Parent- and community-focused services are typically not reimbursable in traditional medical settings, and personal healthcare services are often designed for acute and chronic medical treatment rather than prevention. To provide preventive services in a setting that reaches the widest population, those interested in public health and prevention often turn to school settings. This paper proposes that an equitable, efficient manner in which to promote health across the life course is to integrate efforts from public health, primary care, and public education through the delivery of preventive healthcare services, in particular, in the education system. Such an integration of systems will require a concerted effort on the part of various stakeholders, as well as a shared vision to promote child health via community and institutional stakeholder partnerships. This paper includes (1) examination of some key system features necessary for delivery of preventive services that improve child outcomes; (2) a review of the features of some common models of school health services for their relevance to prevention services; and (3) policy and implementation strategy recommendations to further the delivery of preventive services in schools. These recommendations include the development of common metrics for health outcomes reporting, facilitated data sharing of these metrics, shared organization incentives for integration, and improved reimbursement and funding opportunities.

  3. The leadership of communities in HIV service delivery.

    PubMed

    Barr, David; Odetoyinbo, Morolake; Mworeko, Lillian; Greenberg, Julia

    2015-07-01

    HIV treatment and prevention strategies are life-long endeavours, requiring not only comprehensive, high-quality, consistent and equitable medical services but also appropriate political and cultural milieus to be effective. Communities directly affected by HIV offer a unique expertise and understanding in developing services to meet the needs of people seeking out and utilizing HIV treatment, prevention and support services. Through their organizations and networks, and through partnerships with health systems, these communities provide leadership, services and advocacy to ensure the delivery of high-quality, comprehensive services to meet the needs of diverse populations affected by HIV. This article describes integrated approaches to service delivery in which affected communities play a key role in the development and implementation of HIV programmes. Further scale-up of these approaches to care can improve overall quality, reduce stigma and discrimination, increase demand for services and improve retention in care. PMID:26102622

  4. The leadership of communities in HIV service delivery.

    PubMed

    Barr, David; Odetoyinbo, Morolake; Mworeko, Lillian; Greenberg, Julia

    2015-07-01

    HIV treatment and prevention strategies are life-long endeavours, requiring not only comprehensive, high-quality, consistent and equitable medical services but also appropriate political and cultural milieus to be effective. Communities directly affected by HIV offer a unique expertise and understanding in developing services to meet the needs of people seeking out and utilizing HIV treatment, prevention and support services. Through their organizations and networks, and through partnerships with health systems, these communities provide leadership, services and advocacy to ensure the delivery of high-quality, comprehensive services to meet the needs of diverse populations affected by HIV. This article describes integrated approaches to service delivery in which affected communities play a key role in the development and implementation of HIV programmes. Further scale-up of these approaches to care can improve overall quality, reduce stigma and discrimination, increase demand for services and improve retention in care.

  5. Service Delivery to Persons with Communication Disorders in Micronesia.

    ERIC Educational Resources Information Center

    Stewart, Jean L.; Martinez, Velma A.

    1986-01-01

    Summarizes factors which make delivery of human services extremely difficult in Micronesia, noting problems of geographic distance and isolation and cultural and linguistic diversity. Presents a plan for providing services to persons with communication disorders using a speech-language pathologist and an audiologist with doctorates to supervise…

  6. United Parcel Service Evaluates Hybrid Electric Delivery Vans (Fact Sheet)

    SciTech Connect

    Not Available

    2010-02-01

    This fact sheet describes how the National Renewable Energy Laboratory's Fleet Test and Evaluation team evaluated the 12-month, in-service performance of six Class 4 hybrid electric delivery vans - fueled by regular diesel - and six comparable conventional diesel vans operated by the United Parcel Service.

  7. 78 FR 41305 - Collect on Delivery (COD)-Service Features

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-10

    ... INFORMATION: The Postal Service published a notice of proposed rulemaking on May 31, 2013 (78 FR 32612-32613... sending of a notification to the mailer by mail and requiring the mailer to then send written instructions... fourth sentences of 12.2.1 as follows:] Any mailer may use collect on delivery (COD) service to mail...

  8. 34 CFR 300.12 - Educational service agency.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

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

  9. 31 CFR 0.302 - Service with other Federal agencies.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 31 Money and Finance: Treasury 1 2011-07-01 2011-07-01 false Service with other Federal agencies. 0.302 Section 0.302 Money and Finance: Treasury Office of the Secretary of the Treasury DEPARTMENT OF THE TREASURY EMPLOYEE RULES OF CONDUCT Special Government Employees § 0.302 Service with...

  10. 31 CFR 0.302 - Service with other Federal agencies.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 31 Money and Finance: Treasury 1 2014-07-01 2014-07-01 false Service with other Federal agencies. 0.302 Section 0.302 Money and Finance: Treasury Office of the Secretary of the Treasury DEPARTMENT OF THE TREASURY EMPLOYEE RULES OF CONDUCT Special Government Employees § 0.302 Service with...

  11. 31 CFR 0.302 - Service with other Federal agencies.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 31 Money and Finance: Treasury 1 2010-07-01 2010-07-01 false Service with other Federal agencies. 0.302 Section 0.302 Money and Finance: Treasury Office of the Secretary of the Treasury DEPARTMENT OF THE TREASURY EMPLOYEE RULES OF CONDUCT Special Government Employees § 0.302 Service with...

  12. 31 CFR 0.302 - Service with other Federal agencies.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 31 Money and Finance: Treasury 1 2013-07-01 2013-07-01 false Service with other Federal agencies. 0.302 Section 0.302 Money and Finance: Treasury Office of the Secretary of the Treasury DEPARTMENT OF THE TREASURY EMPLOYEE RULES OF CONDUCT Special Government Employees § 0.302 Service with...

  13. 31 CFR 0.302 - Service with other Federal agencies.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 31 Money and Finance: Treasury 1 2012-07-01 2012-07-01 false Service with other Federal agencies. 0.302 Section 0.302 Money and Finance: Treasury Office of the Secretary of the Treasury DEPARTMENT OF THE TREASURY EMPLOYEE RULES OF CONDUCT Special Government Employees § 0.302 Service with...

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

    ERIC Educational Resources Information Center

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

    2010-01-01

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

  15. Educational Service Agencies and Media Technology in the United States.

    ERIC Educational Resources Information Center

    Marzocchi, Judith

    As part of a study of the pros and cons of organizing regional educational service agencies to provide special programs and services involving media technology to groups of local districts that find it difficult to meet such needs when acting independently, a survey of state departments of education was conducted to gather information about…

  16. 7 CFR 1230.605 - Farm Service Agency.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 10 2011-01-01 2011-01-01 false Farm Service Agency. 1230.605 Section 1230.605 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (MARKETING AGREEMENTS AND ORDERS; MISCELLANEOUS COMMODITIES), DEPARTMENT OF AGRICULTURE PORK PROMOTION, RESEARCH,...

  17. 7 CFR 1230.605 - Farm Service Agency.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 7 Agriculture 10 2014-01-01 2014-01-01 false Farm Service Agency. 1230.605 Section 1230.605 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (MARKETING AGREEMENTS AND ORDERS; MISCELLANEOUS COMMODITIES), DEPARTMENT OF AGRICULTURE PORK PROMOTION, RESEARCH,...

  18. 7 CFR 1230.605 - Farm Service Agency.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 7 Agriculture 10 2013-01-01 2013-01-01 false Farm Service Agency. 1230.605 Section 1230.605 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (MARKETING AGREEMENTS AND ORDERS; MISCELLANEOUS COMMODITIES), DEPARTMENT OF AGRICULTURE PORK PROMOTION, RESEARCH,...

  19. 7 CFR 1221.207 - Farm Service Agency State Committee.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 7 Agriculture 10 2014-01-01 2014-01-01 false Farm Service Agency State Committee. 1221.207 Section 1221.207 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (MARKETING AGREEMENTS AND ORDERS; MISCELLANEOUS COMMODITIES), DEPARTMENT OF AGRICULTURE...

  20. 7 CFR 1221.207 - Farm Service Agency State Committee.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 10 2011-01-01 2011-01-01 false Farm Service Agency State Committee. 1221.207 Section 1221.207 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (MARKETING AGREEMENTS AND ORDERS; MISCELLANEOUS COMMODITIES), DEPARTMENT OF AGRICULTURE...

  1. 7 CFR 1221.207 - Farm Service Agency State Committee.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 7 Agriculture 10 2013-01-01 2013-01-01 false Farm Service Agency State Committee. 1221.207 Section 1221.207 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (MARKETING AGREEMENTS AND ORDERS; MISCELLANEOUS COMMODITIES), DEPARTMENT OF AGRICULTURE...

  2. 7 CFR 1221.204 - Farm Service Agency.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 7 Agriculture 10 2014-01-01 2014-01-01 false Farm Service Agency. 1221.204 Section 1221.204 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (MARKETING AGREEMENTS AND ORDERS; MISCELLANEOUS COMMODITIES), DEPARTMENT OF AGRICULTURE SORGHUM PROMOTION, RESEARCH,...

  3. 7 CFR 1221.204 - Farm Service Agency.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 7 Agriculture 10 2013-01-01 2013-01-01 false Farm Service Agency. 1221.204 Section 1221.204 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (MARKETING AGREEMENTS AND ORDERS; MISCELLANEOUS COMMODITIES), DEPARTMENT OF AGRICULTURE SORGHUM PROMOTION, RESEARCH,...

  4. 7 CFR 1221.207 - Farm Service Agency State Committee.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 7 Agriculture 10 2012-01-01 2012-01-01 false Farm Service Agency State Committee. 1221.207 Section 1221.207 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (MARKETING AGREEMENTS AND ORDERS; MISCELLANEOUS COMMODITIES), DEPARTMENT OF AGRICULTURE...

  5. 7 CFR 1221.204 - Farm Service Agency.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 7 Agriculture 10 2012-01-01 2012-01-01 false Farm Service Agency. 1221.204 Section 1221.204 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (MARKETING AGREEMENTS AND ORDERS; MISCELLANEOUS COMMODITIES), DEPARTMENT OF AGRICULTURE SORGHUM PROMOTION, RESEARCH,...

  6. 7 CFR 1221.204 - Farm Service Agency.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 10 2011-01-01 2011-01-01 false Farm Service Agency. 1221.204 Section 1221.204 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (MARKETING AGREEMENTS AND ORDERS; MISCELLANEOUS COMMODITIES), DEPARTMENT OF AGRICULTURE SORGHUM PROMOTION, RESEARCH,...

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

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 7 Agriculture 10 2013-01-01 2013-01-01 false Farm Service Agency State Committee. 1220.606 Section 1220.606 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (MARKETING AGREEMENTS AND ORDERS; MISCELLANEOUS COMMODITIES), DEPARTMENT OF AGRICULTURE...

  8. 7 CFR 1220.606 - Farm Service Agency State Committee.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 7 Agriculture 10 2012-01-01 2012-01-01 false Farm Service Agency State Committee. 1220.606 Section 1220.606 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (MARKETING AGREEMENTS AND ORDERS; MISCELLANEOUS COMMODITIES), DEPARTMENT OF AGRICULTURE...

  9. 7 CFR 1220.606 - Farm Service Agency State Committee.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 7 Agriculture 10 2014-01-01 2014-01-01 false Farm Service Agency State Committee. 1220.606 Section 1220.606 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (MARKETING AGREEMENTS AND ORDERS; MISCELLANEOUS COMMODITIES), DEPARTMENT OF AGRICULTURE...

  10. 7 CFR 1220.603 - Farm Service Agency.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 7 Agriculture 10 2014-01-01 2014-01-01 false Farm Service Agency. 1220.603 Section 1220.603 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (MARKETING AGREEMENTS AND ORDERS; MISCELLANEOUS COMMODITIES), DEPARTMENT OF AGRICULTURE SOYBEAN PROMOTION, RESEARCH,...

  11. 7 CFR 1220.603 - Farm Service Agency.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

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

  12. 7 CFR 1220.603 - Farm Service Agency.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 7 Agriculture 10 2012-01-01 2012-01-01 false Farm Service Agency. 1220.603 Section 1220.603 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (MARKETING AGREEMENTS AND ORDERS; MISCELLANEOUS COMMODITIES), DEPARTMENT OF AGRICULTURE SOYBEAN PROMOTION, RESEARCH,...

  13. 7 CFR 1220.606 - Farm Service Agency State Committee.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

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

  14. 7 CFR 1220.603 - Farm Service Agency.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

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

  15. 7 CFR 1220.606 - Farm Service Agency State Committee.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

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

  16. 7 CFR 1220.603 - Farm Service Agency.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 7 Agriculture 10 2013-01-01 2013-01-01 false Farm Service Agency. 1220.603 Section 1220.603 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (MARKETING AGREEMENTS AND ORDERS; MISCELLANEOUS COMMODITIES), DEPARTMENT OF AGRICULTURE SOYBEAN PROMOTION, RESEARCH,...

  17. Converting Student Support Services to Online Delivery.

    ERIC Educational Resources Information Center

    Brigham, David E.

    2001-01-01

    Uses a systems framework to analyze the creation of student support services for distance education at Regents College: electronic advising, electronic peer network, online course database, online bookstore, virtual library, and alumni services website. Addresses the issues involved in converting distance education programs from print-based and…

  18. Collaborative Service Delivery: From Instruction to Implementation

    ERIC Educational Resources Information Center

    Lundblom, Erin Elizabeth Gill

    2012-01-01

    Legal mandates, educational reform, and professional policy changes, have emphasized the need to promote the integration of services for students with communication impairments within the general education curriculum. However, speech-language pathologists (SLPs) continue to report the provision of primarily pull-out services with intervention…

  19. Case Studies in Exemplary Service Delivery

    ERIC Educational Resources Information Center

    Wollard, Karen Kelly

    2008-01-01

    Twelve exemplary service providers from three highly acclaimed resorts discuss and demonstrate what it takes to deliver award-winning service consistently. This research, using a qualitative, explanatory case study method, sought to investigate how they do it. Three themes emerged from the data that should have a profound impact on HRD (human…

  20. Factors associated with institutional delivery service utilization in Ethiopia

    PubMed Central

    Kebede, Alemi; Hassen, Kalkidan; Nigussie Teklehaymanot, Aderajew

    2016-01-01

    Background Most obstetric complications occur unpredictably during the time of delivery, but they can be prevented with proper medical care in the health facilities. Despite the Ethiopian government’s efforts to expand health service facilities and promote health institution-based delivery service in the country, an estimated 85% of births still take place at home. Objective The review was conducted with the aim of generating the best evidence on the determinants of institutional delivery service utilization in Ethiopia. Methods The reviewed studies were accessed through electronic web-based search strategy from PubMed, HINARI, Mendeley reference manager, Cochrane Library for Systematic Reviews, and Google Scholar. Review Manager V5.3 software was used for meta-analysis. Mantel–Haenszel odds ratios (ORs) and their 95% confidence intervals (CIs) were calculated. Heterogeneity of the study was assessed using I2 test. Results People living in urban areas (OR =13.16, CI =1.24, 3.68), with primary and above educational level of the mother and husband (OR =4.95, CI =2.3, 4. 8, and OR =4.43, CI =1.14, 3.36, respectively), who encountered problems during pregnancy (OR =2.83, CI =4.54, 7.39), and living at a distance <5 km from nearby health facility (OR =2.6, CI =3.33, 6.57) showed significant association with institutional delivery service utilization. Women’s autonomy was not significantly associated with institutional delivery service utilization. Conclusion and recommendation Distance to health facility and problems during pregnancy were factors positively and significantly associated with institutional delivery service utilization. Promoting couples education beyond primary education regarding the danger signs of pregnancy and benefits of institutional delivery through available communication networks such as health development army and promotion of antenatal care visits and completion of four standard visits by pregnant women were recommended. PMID:27672342

  1. Factors associated with institutional delivery service utilization in Ethiopia

    PubMed Central

    Kebede, Alemi; Hassen, Kalkidan; Nigussie Teklehaymanot, Aderajew

    2016-01-01

    Background Most obstetric complications occur unpredictably during the time of delivery, but they can be prevented with proper medical care in the health facilities. Despite the Ethiopian government’s efforts to expand health service facilities and promote health institution-based delivery service in the country, an estimated 85% of births still take place at home. Objective The review was conducted with the aim of generating the best evidence on the determinants of institutional delivery service utilization in Ethiopia. Methods The reviewed studies were accessed through electronic web-based search strategy from PubMed, HINARI, Mendeley reference manager, Cochrane Library for Systematic Reviews, and Google Scholar. Review Manager V5.3 software was used for meta-analysis. Mantel–Haenszel odds ratios (ORs) and their 95% confidence intervals (CIs) were calculated. Heterogeneity of the study was assessed using I2 test. Results People living in urban areas (OR =13.16, CI =1.24, 3.68), with primary and above educational level of the mother and husband (OR =4.95, CI =2.3, 4. 8, and OR =4.43, CI =1.14, 3.36, respectively), who encountered problems during pregnancy (OR =2.83, CI =4.54, 7.39), and living at a distance <5 km from nearby health facility (OR =2.6, CI =3.33, 6.57) showed significant association with institutional delivery service utilization. Women’s autonomy was not significantly associated with institutional delivery service utilization. Conclusion and recommendation Distance to health facility and problems during pregnancy were factors positively and significantly associated with institutional delivery service utilization. Promoting couples education beyond primary education regarding the danger signs of pregnancy and benefits of institutional delivery through available communication networks such as health development army and promotion of antenatal care visits and completion of four standard visits by pregnant women were recommended.

  2. 77 FR 65581 - Verizon Business Networks Services, Inc., Senior Analyst, Service Program Delivery (SA-SPD...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-29

    ... Employment and Training Administration Verizon Business Networks Services, Inc., Senior Analyst, Service Program Delivery (SA-SPD), Including Workers Whose Wages Were Paid Under MCI Communication Services, Inc..., 2012, applicable to workers and former workers of Verizon Business Network Services, Inc.,...

  3. Customer's Perceptions and Intentions on Online Travel Service Delivery: An Empirical Study in China

    NASA Astrophysics Data System (ADS)

    Li, Hongxiu; Suomi, Reima

    With the wide adoption of e-commerce in travel and tourism industry, the Internet has become an important travel service delivery channel, and traditional travel agency has been under severe disintermediation threat. This paper reports on a survey conducted to explore the Chinese consumer's current usage of the Internet as the channel to search travel information and to book travel services. It also investigates customer's future intentions on using the Internet to book travel services. This paper aims to examine whether there are difference between different consumer segments in terms of gender and age, and to find the hypothesis of disintermediation or intermediation in travel industry. The results indicates that online travel service delivery has grown as a popular direct distribution channel in travel industry, but more of the customers still turn to the traditional travel agencies, which support both the disintermediation and intermediation in travel industry. The results also reveal that online travel services provided by travel service providers still need to be improved since the number of online bookers is declined. This paper concludes by discussing the limitation of this study and highlighting areas for the future research in online travel service field.

  4. 78 FR 40729 - Agency Information Collection Activities; Proposed Collection; Comment Request: Generic Clearance...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-08

    ...: Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery AGENCY: Washington... Information Collection Request (Generic ICR): ``Generic Clearance for the Collection of Qualitative Feedback... Clearance for the Collection of Qualitative Feedback on Agency Service Delivery Abstract: The...

  5. Delivery of satellite based broadband services

    NASA Astrophysics Data System (ADS)

    Chandrasekhar, M. G.; Venugopal, D.

    2007-06-01

    Availability of speedy communication links to individuals and organizations is essential to keep pace with the business and social requirements of this modern age. While the PCs have been continuously growing in processing speed and memory capabilities, the availability of broadband communication links still has not been satisfactory in many parts of the world. Recognizing the need to give fillip to the growth of broadband services and improve the broadband penetration, the telecom policies of different counties have placed special emphasis on the same. While emphasis is on the use of fiber optic and copper in local loop, satellite communications systems will play an important role in quickly establishing these services in areas where fiber and other communication systems are not available and are not likely to be available for a long time to come. To make satellite communication systems attractive for the wide spread of these services in a cost effective way special emphasis has to be given on factors affecting the cost of the bandwidth and the equipment. As broadband services are bandwidth demanding, use of bandwidth efficient modulation technique and suitable system architecture are some of the important aspects that need to be examined. Further there is a need to re-look on how information services are provided keeping in view the user requirements and broadcast capability of satellite systems over wide areas. This paper addresses some of the aspects of delivering broadband services via satellite taking Indian requirement as an example.

  6. Wheeled mobility (wheelchair) service delivery: scope of the evidence.

    PubMed

    Greer, Nancy; Brasure, Michelle; Wilt, Timothy J

    2012-01-17

    Identifying the appropriate wheelchair for a person who needs one has implications for both disabled persons and society. For someone with severe locomotive problems, the right wheelchair can affect mobility and quality of life. However, policymakers are concerned about the increasing demand for unnecessarily elaborate chairs. The Office of Inspector General, U.S. Department of Health and Human Services, issued 4 reports between 2009 and 2011 detailing fraud and misapplication of Medicare funds for powered wheelchairs, more than a decade after similar concerns were first raised by 4 contractors who process claims for durable medical equipment. Subsequent concerns have arisen about whether some impaired persons who need wheeled mobility devices may now be inappropriately denied coverage. A transparent, evidence-based approach to wheeled mobility service delivery (the matching of mobility-impaired persons to appropriate devices and supporting services) might lessen these concerns. This review describes the process of wheeled mobility service delivery for long-term wheelchair users with complex rehabilitation needs and presents findings from a survey of the literature (published and gray) and interviews with key informants. Recommended steps in the delivery process were identified in textbooks, guidelines, and published literature. Delivery processes shared many commonalities; however, no research supports the recommended approaches. A search of bibliographic databases through March 2011 identified 24 studies that evaluated aspects of wheeled mobility service delivery. Most were observational, exploratory studies designed to determine consumer use of and satisfaction with the process. The evidence base for the effectiveness of approaches to wheeled mobility service delivery is insufficient, and additional research is needed to develop standards and guidelines. PMID:22250145

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

    PubMed

    Harrison, Lindsay

    2012-01-01

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

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

    PubMed

    Harrison, Lindsay

    2012-01-01

    Led by the agency director, the agency engaged in a Strategic Review, based on a comprehensive assessment of agency performance that identified strategies to improve organizational effectiveness through increased data-informed practice and knowledge management. The Strategic Review gathered information on staff perceptions, perceptions of external stakeholders, changing citywide and neighborhood demographics, policy mandates, and budget and workload issues. The need for the review was based upon multiple, substantial changes not addressed in the 2000 Strategic Plan, including the 2004 merger of the Department of Human Services and the Department of Aging and Adult Services, changes among the executive management team, transitions among key political entities, new policy mandates and changing budget allocations. This case study describes the Strategic Review process and content, summarizing key challenges and lessons related to addressing workload demands, fostering positive staff attitudes, balancing internal and external information needs, and integrating data use and planning processes across the agency. PMID:22409611

  9. [Integration of the delivery of health services].

    PubMed

    Frenk, J

    1992-01-01

    In Mexico the Constitution defines the right to health care as a social right and, as such, confers to the state the guiding role in the access of the population to health services. Unfortunately, this constitutional principle has not been fully met. One of the reasons for this is the fragmentation of public action in health and the continuous postponement of the integration of health services. In this paper the conceptual and practical limits of integration of health services are discussed, using as starting point a brief diagnosis of inequity and fragmentation of the health system in Mexico. The doctrinaire principles of integration are also described, as well as its practical advantages and disadvantages. Finally, a typology of forms of integration and previous integration experiences in Mexico are discussed. In the concluding remarks the integration prospects for Mexico are analyzed. PMID:1411782

  10. Challenging heterosexism in college health service delivery.

    PubMed

    McKee, M B; Hayes, S F; Axiotis, I R

    1994-03-01

    The empowerment and affirmation of lesbian, bisexual, and gay students is long overdue. This article explores how human immunodeficiency virus and acquired immune deficiency syndrome (HIV/AIDS), substance abuse, violence and hate-related crimes, suicide, and heterosexism all adversely affect the physical and emotional health of nonheterosexual college students. College health services must expand their current scope and practice and assume a leadership role in combating all forms of oppression by actively incorporating and addressing the unique health issues and needs of the lesbian, bisexual, and gay population. This article provides a brief overview of the relevant healthcare issues for lesbians, bisexuals, and gays; examples of heterosexism in college health services; and recommendations for institutional and personal and professional change.

  11. Delivery Path Length and Holding Tree Minimization Method of Securities Delivery among the Registration Agencies Connected as Non-Tree

    NASA Astrophysics Data System (ADS)

    Shimamura, Atsushi; Moritsu, Toshiyuki; Someya, Harushi

    To dematerialize the securities such as stocks or cooporate bonds, the securities were registered to account in the registration agencies which were connected as tree. This tree structure had the advantage in the management of the securities those were issued large amount and number of brands of securities were limited. But when the securities such as account receivables or advance notes are dematerialized, number of brands of the securities increases extremely. In this case, the management of securities with tree structure becomes very difficult because of the concentration of information to root of the tree. To resolve this problem, using the graph structure is assumed instead of the tree structure. When the securities are kept with tree structure, the delivery path of securities is unique, but when securities are kept with graph structure, path of delivery is not unique. In this report, we describe the requirement of the delivery path of securities, and we describe selecting method of the path.

  12. Comparison of Delivery Strategies for Pharmacogenetic Testing Services

    PubMed Central

    Moaddeb, Jivan

    2013-01-01

    The number and use of pharmacogenetic tests to assess a patient’s likelihood of response or risk of an adverse event is expanding across medical specialties and becoming more prevalent. During this period of development and translation, different approaches are being investigated to optimize delivery of pharmacogenetic services. In this paper, we review preemptive and point-of-care delivery approaches currently implemented or being investigated and discuss the advantages and disadvantages of each approach. The continued growth in knowledge about the genetic basis of drug response combined with development of new and cheaper testing technologies and electronic medical records will impact future delivery systems. Regardless of delivery approach, the currently limited knowledge of health professionals about genetics generally or PGx specifically will remain a major obstacle to utilization. PMID:24384556

  13. Simulation of robotic courier deliveries in hospital distribution services.

    PubMed

    Rossetti, M D; Felder, R A; Kumar, A

    2000-06-01

    Flexible automation in the form of robotic couriers holds the potential for decreasing operating costs while improving delivery performance in hospital delivery systems. This paper discusses the use of simulation modeling to analyze the costs, benefits, and performance tradeoffs related to the installation and use of a fleet of robotic couriers within hospital facilities. The results of this study enable a better understanding of the delivery and transportation requirements of hospitals. Specifically, we examine how a fleet of robotic couriers can meet the performance requirements of the system while maintaining cost efficiency. We show that for clinical laboratory and pharmaceutical deliveries a fleet of six robotic couriers can achieve significant performance gains in terms of turn-around time and delivery variability over the current system of three human couriers per shift or 13 FTEs. Specifically, the simulation results indicate that using robotic couriers to perform both clinical laboratory and pharmaceutical deliveries would result in a 34% decrease in turn-around time, and a 38% decrease in delivery variability. In addition, a break-even analysis indicated that a positive net present value occurs if nine or more FTEs are eliminated with a resulting ROI of 12%. This analysis demonstrates that simulation can be a valuable tool for examining health care distribution services and indicates that a robotic courier system may yield significant benefits over a traditional courier system in this application.

  14. A Multi-organisational Approach to Service Delivery

    NASA Astrophysics Data System (ADS)

    Purchase, Valerie; Mills, John; Parry, Glenn

    Who is involved in delivering a service? There has been growing recognition in a wide variety of contexts that service is increasingly being delivered by multi-rather than single-organisational entities. Such recognition is evident not only in our experience but in a number of areas of literature including strategy development, core competence analysis, operations and supply chain management, and is reflected in and further facilitated by ICT developments. Customers have always been involved in some degree in the process of value delivery and such involvement is increasing to include complex co-creation of value. Such interactions are challenging when they involve individual customers, however, this becomes ever more challenging when the 'customer' is another organisation or when there are multiple 'customers'. Within this chapter we will consider some of the key drivers for a multi-organisational approach to service delivery; examine the ways in which the parties involved in service co-creation have expanded to include multiple service providers and customers; and finally, identify some of the challenges created by a multi-organisational approach to service delivery.

  15. 7 CFR 652.6 - Department delivery of technical services.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 7 Agriculture 6 2012-01-01 2012-01-01 false Department delivery of technical services. 652.6 Section 652.6 Agriculture Regulations of the Department of Agriculture (Continued) NATURAL RESOURCES... USDA Federal assistance rules and requirements for competency, quality, and selection, as...

  16. 7 CFR 652.6 - Department delivery of technical services.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 7 Agriculture 6 2013-01-01 2013-01-01 false Department delivery of technical services. 652.6 Section 652.6 Agriculture Regulations of the Department of Agriculture (Continued) NATURAL RESOURCES... USDA Federal assistance rules and requirements for competency, quality, and selection, as...

  17. 7 CFR 652.6 - Department delivery of technical services.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 7 Agriculture 6 2014-01-01 2014-01-01 false Department delivery of technical services. 652.6 Section 652.6 Agriculture Regulations of the Department of Agriculture (Continued) NATURAL RESOURCES... USDA Federal assistance rules and requirements for competency, quality, and selection, as...

  18. PACs: A Framework for Determining Appropriate Service Delivery Options.

    ERIC Educational Resources Information Center

    Blosser, Jean L.; Kratcoski, Annette

    1997-01-01

    Offers speech-language clinicians a framework for team decision making and service delivery by encouraging speech-language pathologists and their colleagues to consider the unique combination of providers, activities, and contexts (PACs) necessary to meet the specific needs of each individual with a communication disorder. Sample cases involving…

  19. 7 CFR 652.6 - Department delivery of technical services.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 6 2011-01-01 2011-01-01 false Department delivery of technical services. 652.6 Section 652.6 Agriculture Regulations of the Department of Agriculture (Continued) NATURAL RESOURCES... USDA Federal assistance rules and requirements for competency, quality, and selection, as...

  20. Lessons Learned from a Tiered Service Delivery Implementation Project

    ERIC Educational Resources Information Center

    Johnson, Evelyn S.; Pool, Juli L.; Carter, Deborah R.

    2012-01-01

    Tiered models of service delivery for both academics and behavior are being increasingly adopted across the nation, and discussions of how to implement these models effectively and simultaneously are growing. In this article, the authors share some lessons learned from a 2-year implementation project to implement a comprehensive (both academic and…

  1. The Effect of Leadership on Service Delivery in Universities

    ERIC Educational Resources Information Center

    Zvavahera, Promise

    2013-01-01

    This study was aimed at assessing leadership effectiveness on service delivery at the University of Namibia and all its campuses throughout the country. The study was carried out during the month of February 2013. The methodology consisted of document analysis, interviews through face to face, video and tele-conferencing. Purposive sampling was…

  2. 7 CFR 652.6 - Department delivery of technical services.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 6 2010-01-01 2010-01-01 false Department delivery of technical services. 652.6 Section 652.6 Agriculture Regulations of the Department of Agriculture (Continued) NATURAL RESOURCES... requirements for competency, quality, and selection, as appropriate. Any contract, contribution...

  3. Teaching for Competence in the Delivery of Direct Services.

    ERIC Educational Resources Information Center

    Council on Social Work Education, New York, NY.

    Enhancing practitioner competence in the delivery of direct services continues to be a prime concern of social work practitioners and educators alike. This document contains 11 articles that pertain to teaching direct intervention theories and skills. Joseph D. Anderson writes on games social work educators' play in teaching practice theories;…

  4. California Integrated Service Delivery Evaluation Report. Phase I

    ERIC Educational Resources Information Center

    Moore, Richard W.; Rossy, Gerard; Roberts, William; Chapman, Kenneth; Sanchez, Urte; Hanley, Chris

    2010-01-01

    This study is a formative evaluation of the OneStop Career Center Integrated Service Delivery (ISD) Model within the California Workforce System. The study was sponsored by the California Workforce Investment Board. The study completed four in-depth case studies of California OneStops to describe how they implemented the ISD model which brings…

  5. Supervision in Bilingual Counseling: Service Delivery, Training, and Research Considerations

    ERIC Educational Resources Information Center

    Fuertes, Jairo N.

    2004-01-01

    This article reviews selected literature on the topics of bilingual and multicultural counseling and supervision and provides a framework for understanding salient issues in the delivery of bilingual services. It also presents practical interventions and ideas for future empirical work in this area.

  6. Service Delivery for Mexican-American Children. Coursebook.

    ERIC Educational Resources Information Center

    Tijerina, Andres A.

    A special curriculum to be used in training sessions on Mexican American culture was developed to assist Texas Department of Human Resources personnel with service delivery for Mexican American children. Designed to heighten awareness in caseworkers and other personnel on the cultural variables affecting their relationship with Mexican American…

  7. The Delivery of Alcoholism Services: Meeting Whose Needs?

    ERIC Educational Resources Information Center

    Christmas, June J.

    Of grave concern to all who are involved in the delivery of health and mental health services are two recently-observed trends in the drug and alcohol abusing population: the emergence of formerly hidden individuals in need of treatment (among them women, children and the elderly), and the increasing incidence and severity of emotional problems…

  8. DIRECTORY OF SERVICES, 40 AGENCIES UNDER ONE TENT.

    ERIC Educational Resources Information Center

    United Fund of El Paso County, TX.

    FORTY ORGANIZATIONS CONNECTED WITH THE EL PASO UNITED FUND ARE LISTED WITH DESCRIPTIONS OF THE SERVICES RENDERED BY EACH, THE NAME OF THE PERSON IN CHARGE AND THE PHONE NUMBER. TWELVE AGENCIES SUPPORTED BY THE TEXAS UNITED FUND ARE ALSO LISTED WITH THE NOTATION THAT THEY OPERATE ON A STATEWIDE OR NATIONAL LEVEL, AND EXCEPT FOR USO, REQUIRE NO…

  9. Aspirations of Adult Learners in Aboriginal Family Service Agencies

    ERIC Educational Resources Information Center

    Brown, Jason; Fraehlich, Cheryl; Debassige, Brent

    2012-01-01

    There is a gap in the literature on the experiences of Aboriginal adults who have made the transition into education and employment after moving to an urban community. Staff of three Aboriginal inner-city family services agencies participated in an interview that included the question: What changes do you see in your employment and education?…

  10. Board power and organizational effectiveness among human service agencies.

    PubMed

    Provan, K G

    1980-06-01

    This study examines the importance of an externally powerful board of directors to the effectiveness (ability to attract scarce resources) of 46 human service agencies operating within the same community. Traditional assumptions regarding the importance of a powerful board were supported when effectiveness was operationalized using static measures of funding but were not supported when dynamic measures were used.

  11. An Examination of State Accreditation Practices for Education Service Agencies.

    ERIC Educational Resources Information Center

    Stephens, E. Robert

    1990-01-01

    Describes the state networks of education service agencies (ESAs) in Georgia, Nebraska, Ohio, Oregon, Texas, and Wisconsin. Compares state ESA accreditation programs with regard to intent, evaluation methods, standards employed, use of performance indicators, and sanctions for poor performance. Contains 12 references. (SV)

  12. Frail elderly patients. New model for integrated service delivery.

    PubMed Central

    Hébert, Rejean; Durand, Pierre J.; Dubuc, Nicole; Tourigny, André

    2003-01-01

    PROBLEM BEING ADDRESSED: Given the complex needs of frail older people and the multiplicity of care providers and services, care for this clientele lacks continuity. OBJECTIVE OF PROGRAM: Integrated service delivery (ISD) systems have been developed to improve continuity and increase the efficacy and efficiency of services. PROGRAM DESCRIPTION: The Program of Research to Integrate Services for the Maintenance of Autonomy (PRISMA) is an innovative ISD model based on coordination. It includes coordination between decision makers and managers of different organizations and services; a single entry point; a case-management process; individualized service plans; a single assessment instrument based on clients' functional autonomy, coupled with a case-mix classification system; and a computerized clinical chart for communicating between institutions and professionals for client monitoring. CONCLUSION: Preliminary results on the efficacy of this model showed a decreased incidence of functional decline, a decreased burden for caregivers, and a smaller proportion of older people wishing to enter institutions. PMID:12943358

  13. Contracting for Management: Assessing Management Capacity under Alternative Service Delivery Arrangements

    ERIC Educational Resources Information Center

    Brown, Trevor; Potoski, Matt

    2006-01-01

    Contracting critics suggest that when governments outsource, they reduce their capacity to produce services and manage service delivery. In this paper, we decompose the service delivery decision into service production and service management components. When governments contract for service production, they may also choose to contract for a…

  14. Transforming health care service delivery and provider selection.

    PubMed

    Reiner, Bruce I

    2011-06-01

    Commoditization pressures in medicine have risked transforming service provider selection from "survival of the fittest" to "survival of the cheapest." Quality- and safety-oriented mandates by the Institute of Medicine have led to the creation of a number of data-driven quality-centric initiatives including Pay for Performance and Evidence-Based Medicine. A synergistic approach to creating quantitative accountability in medical service delivery is through the creation of consumer-oriented performance metrics which provide patients with objective data related to individual service provider quality, safety, cost-efficacy, efficiency, and customer service. These performance metrics could in turn be customized to the individual preferences and health care needs of each individual patient, thereby providing an objective methodology for service provider selection while empowering health care consumers. PMID:21468775

  15. 76 FR 24920 - Agency Information Collection Activities: Proposed Collection; Comment Request; Generic Clearance...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-03

    ...; Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery AGENCY: National... (Generic ICR): ``Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery...: Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery. Abstract:...

  16. Integrating Technology into Service Delivery (ITSD) Project: Final Report.

    ERIC Educational Resources Information Center

    Schoech, Dick; And Others

    The emerging field of assistive technology offers employment and independent living for people with disabilities. However, agency staff, people with disabilities, and their guardians often spend substantial time finding appropriate technological solutions. The integration of technology into the existing service system is needed to maximize scarce…

  17. 22 CFR 201.13 - Eligibility of delivery services.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... Section 201.13 Foreign Relations AGENCY FOR INTERNATIONAL DEVELOPMENT RULES AND PROCEDURES APPLICABLE TO... § 201.65(h) or to address commissions, dead freight, demurrage or detention. (c) Inspection services... Approval Application, have neither been suspended nor debarred under USAID Regulation 8, 22 CFR part...

  18. 22 CFR 201.13 - Eligibility of delivery services.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... Section 201.13 Foreign Relations AGENCY FOR INTERNATIONAL DEVELOPMENT RULES AND PROCEDURES APPLICABLE TO... § 201.65(h) or to address commissions, dead freight, demurrage or detention. (c) Inspection services... Approval Application, have neither been suspended nor debarred under USAID Regulation 8, 22 CFR part...

  19. Service Provider Combinations and the Delivery of Early Intervention Services to Children and Families

    ERIC Educational Resources Information Center

    Raspa, Melissa; Hebbeler, Kathleen; Bailey, Donald B., Jr.; Scarborough, Anita A.

    2010-01-01

    Using data from the National Early Intervention Longitudinal Study, this study provides a framework for characterizing the delivery of early intervention services based on the combinations of service providers who work with infants and toddlers with disabilities and their families. Five groups of providers were identified. Results showed that the…

  20. A Comparison of Service Delivery Models for Special Education Middle School Students Receiving Moderate Intervention Services

    ERIC Educational Resources Information Center

    Jones-Mason, Keely S.

    2012-01-01

    In an effort to improve academic performance for students receiving special education services, a large urban school district in Tennessee has implemented Integrated Service Delivery Model. The purpose of this study was to compare the performance of students receiving instruction in self-contained classrooms to the performance of students…

  1. Improving the delivery of veterinary services in India.

    PubMed

    Rao, S V N; Rasheed Sulaiman, V; Natchimuthu, K; Ramkumar, S; Sasidhar, P V K

    2015-12-01

    In pursuit of effective veterinary service delivery, the objectives of this study were threefold: (i) reduce the shortage of technical personnel in veterinary universities (VUs) and animal husbandry departments (AHDs), (ii) identify collaborative areas between VUs and AHDs, and (iii) build the capacity of the veterinary and animal husbandry sector. Primary data were collected from all the 16 veterinary colleges and AHDs in five south Indian states on: (i) student intake and the out-turn of veterinary graduates, (ii) technical personnel--existing and required at various levels, (iii) specific areas of collaboration where VUs and AHDs need each other and can extend support to each other, and (iv) areas in which university faculty and field veterinarians would benefit from further training. Two focus group discussions were held with top administrators of VUs and AHDs to collect qualitative data. The results revealed that there are not enough veterinary graduates to meet the needs of the system and that there is a shortage of faculty, field veterinarians and para-veterinarians. Both focus groups identified areas for collaboration and capacity building to improve veterinary service delivery. The results conclusively demonstrated that India's veterinary service delivery is constrained, not due to a lack of organisations or programmes, but due to the inability of the organisations to collaborate with each other. To improve the effectiveness of veterinary service delivery it will be necessary to: admit more graduate students, support the establishment of new colleges; recruit faculty, field veterinarians and para-veterinarians; remandate the Directorates of Extension at VUs to develop linkages with AHDs; allocate funds ('special central grants') for infrastructure development to all AHDs and veterinary colleges; establish one model veterinary college that follows international standards on veterinary education and create four regional academic staff training colleges

  2. Institutional Change in Delivery of Dental Services: A Marketing Perspective

    PubMed Central

    Capon, Noel

    1982-01-01

    The recent appearance and growth of new delivery systems for dental services is examined from a marketing perspective. Analysis reveals that the growth of low priced, high throughput operations is consistent not only with marketing principles, but with the development of American retail institutions in general. Options for independent dentists in the face of this new competitive environment are discussed. (Am J Public Health 1982; 72:679-683.) PMID:7091457

  3. Improving the delivery of veterinary services in India.

    PubMed

    Rao, S V N; Rasheed Sulaiman, V; Natchimuthu, K; Ramkumar, S; Sasidhar, P V K

    2015-12-01

    In pursuit of effective veterinary service delivery, the objectives of this study were threefold: (i) reduce the shortage of technical personnel in veterinary universities (VUs) and animal husbandry departments (AHDs), (ii) identify collaborative areas between VUs and AHDs, and (iii) build the capacity of the veterinary and animal husbandry sector. Primary data were collected from all the 16 veterinary colleges and AHDs in five south Indian states on: (i) student intake and the out-turn of veterinary graduates, (ii) technical personnel--existing and required at various levels, (iii) specific areas of collaboration where VUs and AHDs need each other and can extend support to each other, and (iv) areas in which university faculty and field veterinarians would benefit from further training. Two focus group discussions were held with top administrators of VUs and AHDs to collect qualitative data. The results revealed that there are not enough veterinary graduates to meet the needs of the system and that there is a shortage of faculty, field veterinarians and para-veterinarians. Both focus groups identified areas for collaboration and capacity building to improve veterinary service delivery. The results conclusively demonstrated that India's veterinary service delivery is constrained, not due to a lack of organisations or programmes, but due to the inability of the organisations to collaborate with each other. To improve the effectiveness of veterinary service delivery it will be necessary to: admit more graduate students, support the establishment of new colleges; recruit faculty, field veterinarians and para-veterinarians; remandate the Directorates of Extension at VUs to develop linkages with AHDs; allocate funds ('special central grants') for infrastructure development to all AHDs and veterinary colleges; establish one model veterinary college that follows international standards on veterinary education and create four regional academic staff training colleges

  4. 20 CFR 669.310 - What are the basic components of an NFJP service delivery strategy?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... service delivery strategy? 669.310 Section 669.310 Employees' Benefits EMPLOYMENT AND TRAINING... the basic components of an NFJP service delivery strategy? The NFJP service delivery strategy must include: (a) A customer-centered case management approach; (b) The provision of workforce...

  5. 20 CFR 669.310 - What are the basic components of an NFJP service delivery strategy?

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... service delivery strategy? 669.310 Section 669.310 Employees' Benefits EMPLOYMENT AND TRAINING... are the basic components of an NFJP service delivery strategy? The NFJP service delivery strategy must include: (a) A customer-centered case management approach; (b) The provision of workforce...

  6. 20 CFR 669.310 - What are the basic components of an NFJP service delivery strategy?

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... service delivery strategy? 669.310 Section 669.310 Employees' Benefits EMPLOYMENT AND TRAINING... the basic components of an NFJP service delivery strategy? The NFJP service delivery strategy must include: (a) A customer-centered case management approach; (b) The provision of workforce...

  7. 20 CFR 669.310 - What are the basic components of an NFJP service delivery strategy?

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... service delivery strategy? 669.310 Section 669.310 Employees' Benefits EMPLOYMENT AND TRAINING... are the basic components of an NFJP service delivery strategy? The NFJP service delivery strategy must include: (a) A customer-centered case management approach; (b) The provision of workforce...

  8. 20 CFR 669.310 - What are the basic components of an NFJP service delivery strategy?

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 20 Employees' Benefits 4 2013-04-01 2013-04-01 false What are the basic components of an NFJP service delivery strategy? 669.310 Section 669.310 Employees' Benefits EMPLOYMENT AND TRAINING... are the basic components of an NFJP service delivery strategy? The NFJP service delivery strategy...

  9. Radiotherapy service delivery models for a dispersed patient population.

    PubMed

    Dunscombe, P; Roberts, G

    2001-01-01

    Access to health care interventions can be impeded when significant patient travel is required. In this economic evaluation we compare, from a societal perspective, three scenarios for the delivery of radiation treatment to an idealized population of 1,600 patients distributed between two urban nodes (1,200 + 400 patients each) separated by up to 500 km. As it is implicitly assumed that the clinical outcome for those patients who access the system is independent of the service delivery model, this study constitutes a cost minimization analysis from a societal perspective. The costs to the health care system are based on an activity costing model developed by us and consistent with recent Canadian studies. The costs to the patient are approximated by a formula that includes direct costs (travel and accommodation) and indirect (time) costs, with the latter based on a human capital approach. A sensitivity analysis has been performed to confirm the robustness of our conclusions both to uncertainties in the input data and to the inclusion of time costs, the estimation of which remains controversial. From a societal cost perspective only, we show that outreach radiotherapy (central comprehensive facility and satellite) is the economically superior service delivery model for separations between 30 km and 170 km. Beyond 170 km, a fully decentralized service would be warranted if the only consideration were societal economic advantage. PMID:11292133

  10. Coordination between Child Welfare Agencies and Mental Health Service Providers, Children's Service Use, and Outcomes

    ERIC Educational Resources Information Center

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

    2009-01-01

    Objective: Interorganizational relationships (IORs) between child welfare agencies and mental health service providers may facilitate mental health treatment access for vulnerable children. This study investigates whether IORs are associated with greater use of mental health services and improvement in mental health status for children served by…

  11. 20 CFR 652.202 - May local Employment Service Offices exist outside of the One-Stop service delivery system?

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 20 Employees' Benefits 3 2011-04-01 2011-04-01 false May local Employment Service Offices exist outside of the One-Stop service delivery system? 652.202 Section 652.202 Employees' Benefits EMPLOYMENT... Employment Service Offices exist outside of the One-Stop service delivery system? (a) No, local...

  12. Clinical issues in mental health service delivery to refugees.

    PubMed

    Gong-Guy, E; Cravens, R B; Patterson, T E

    1991-06-01

    Serious limitations exist in the delivery of mental health services to refugees throughout the resettlement process. Having survived harrowing physical and psychological traumas prior to reaching refugee camps, many refugees encounter mental health services in overseas camps that are characterized by fragmentation, instability, language barriers, and severe staff shortages. Refugees requiring mental health intervention after resettlement in the United States confront additional barriers, including frequent misdiagnosis, inappropriate use of interpreters and paraprofessionals, and culturally inappropriate treatment methods. Suggestions for improving mental health services for refugee populations emphasize modifying diagnostic assumptions and treatment approaches, recognizing potential problems associated with using interpreters and paraprofessionals, and examining the role of consultation, prevention, and outreach services in addressing refugee mental health concerns.

  13. Web-based data delivery services in support of disaster-relief applications

    USGS Publications Warehouse

    Jones, B.K.; Risty, R.R.; Buswell, M.

    2003-01-01

    The U.S. Geological Survey Earth Resources Observation Systems Data Center responds to emergencies in support of various government agencies for human-induced and natural disasters. This response consists of satellite tasking and acquisitions, satellite image registrations, disaster-extent maps analysis and creation, base image provision and support, Web-based mapping services for product delivery, and predisaster and postdisaster data archiving. The emergency response staff are on call 24 hours a day, 7 days a week, and have access to many commercial and government satellite and aerial photography tasking authorities. They have access to value-added data processing and photographic laboratory services for off-hour emergency requests. They work with various Federal agencies for preparedness planning, which includes providing base imagery. These data may include digital elevation models, hydrographic models, base satellite images, vector data layers such as roads, aerial photographs, and other predisaster data. These layers are incorporated into a Web-based browser and data delivery service that is accessible either to the general public or to select customers. As usage declines, the data are moved to a postdisaster nearline archive that is still accessible, but not in real time.

  14. Combating health care fragmentation through integrated health services delivery networks

    PubMed Central

    Ramagem, Caroline; Urrutia, Soledad; Griffith, Tephany; Cruz, Mario; Fabrega, Ricardo; Holder, Reynaldo; Montenegro, Hernán

    2011-01-01

    Introduction Despite existing initiatives to integrate health services in the Americas Health Care fragmentation remains a significant challenge. Excessive fragmentation leads to difficulties in access to services, delivery of services of poor technical quality, inefficient use of resources, increases in production costs, and low user satisfaction. To address this problem, the Pan American Health Organization (PAHO) has launched the Integrated Health Services Delivery Networks (IHSDN) Initiative to support the development of more accessible, equitable and efficient health care models in the Region [1]. Theory/conceptual framework IHSDN are defined as a network of organizations that provides, or makes arrangements to provide, equitable, comprehensive, and integrated health services to a defined population and is willing to be held accountable for its clinical and economic outcomes and the health status of the population served. IHSDN require 14 essential attributes for their adequate operation grouped according to four principal domains: model of care, governance and strategy, organization and management, and financial allocation and incentives [1]. Methods An extensive literature review, expert meetings and country consultations (national, subregional and regional) in the Americas resulted in a set of consensus-based essential attributes and policy options for implementing IHSDN. Results and conclusions The research and evidence on health services integration remains limited; however, several studies suggest that IHSDN could improve health systems performance. Principal lessons learned include: i) integration processes are difficult, complex and long term; ii) integration requires extensive systemic changes and a commitment by health workers, health service managers and policymakers; and iii) multiple modalities and degrees of integration can coexist within a single system. The public policy objective is to propose a design that meets each system’s specific

  15. Bespoke program design for school-aged therapy disability service delivery.

    PubMed

    Weatherill, Pamela; Bahn, Susanne; Cooper, Trudi

    2012-01-01

    This article uses the evaluation of a school-aged therapy service for children with disabilities in Western Australia to investigate models of service delivery. The current literature on family-centered practice, multidisciplinary and transdisciplinary approaches, and 4 models of service are reviewed. The models include the life needs model, the relational goal-orientated model of optimal service delivery to children and families, the quality of life model, and the collaborative model of service delivery. Analysis of the data is presented together with a bespoke model of service delivery for children with disabilities, arguing that local contexts benefit from custom-made service design.

  16. 76 FR 59664 - Membership of the Defense Contract Audit Agency Senior Executive Service Performance Review Boards

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-27

    ... of the Secretary Membership of the Defense Contract Audit Agency Senior Executive Service Performance Review Boards AGENCY: Defense Contract Audit Agency, Department of Defense (DoD). ACTION: Notice of Membership of the Defense Contract Audit Agency Senior Executive Service Performance Review Boards....

  17. The Lesotho Hospital PPP experience: catalyst for integrated service delivery.

    PubMed

    Coelho, Carla Faustino; O'Farrell, Catherine Commander

    2011-01-01

    For many years, Lesotho urgently needed to replace its main public hospital, Queen Elizabeth II. The project was initially conceived as a single replacement hospital, but eventually included the design and construction of a new 425 bed public hospital and adjacent primary care clinic, the renovation and expansion of three strategically located primary care clinics in the region and the management of all facilities, equipment and delivery of all clinical services in the health network by a private operator under contract for 18 years. The project's design was influenced by the recognition that a new facility alone would not address the underlying issues in service provision. The creation of this PPP health network and the contracting mechanism has increased accountability for service quality, shifted Government to a more strategic role and may also benefit other public facilities and providers in Lesotho. The county is considering the PPP approach for other health facilities. PMID:22235729

  18. 41 CFR 102-82.15 - What utility services must Executive agencies provide?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 41 Public Contracts and Property Management 3 2010-07-01 2010-07-01 false What utility services...-UTILITY SERVICES Utility Services § 102-82.15 What utility services must Executive agencies provide? Executive agencies must negotiate with public utilities to procure utility services and, where...

  19. Engaging children and parents in service design and delivery.

    PubMed

    Bedford Russell, A R; Passant, M; Kitt, H

    2014-12-01

    The involvement of all user groups, including children, young people (CYP) and their parents, encourages people to take responsibility for healthier lifestyle behaviours, improves treatment compliance and leads to more appropriate use of healthcare resources. Initiatives to engage CYP in the UK are gathering momentum, but significant improvements are still needed. There is a national drive from the department of health (DH) and NHS England, strategic clinical networks, operational delivery networks (including newborn networks), charities, parent groups and a number of other bodies to embed CYP involvement in service design and delivery. User engagement and patient choice, is underpinned by the NHS outcomes framework, and a myriad of other DH and NHS England policies and practice frameworks. It is now everybody's business.

  20. Important change in service for international Eos delivery

    NASA Astrophysics Data System (ADS)

    Treby, Jill

    2012-01-01

    In direct response to member feedback about delays in delivery time and an overwhelming preference to read Eos online, print issues of Eos will no longer be mailed to members who have a delivery address outside the United States, effective with the 10 January 2012 issue. Our international members will continue to have access to the Eos electronic edition as well as recently introduced Web-only content. In addition, members who no longer receive a print copy of Eos will receive weekly e-alerts telling them when the newest issue is available online (several days before the cover date). Members with a mailing address in the United States also have the choice to opt out of the printed copy. Not only will this change allow us to better serve the needs of our international members, but also the cost savings will permit AGU to significantly increase investment in the other programs, products, and services that members value.

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

    ERIC Educational Resources Information Center

    Keane, William G., Ed.

    1998-01-01

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

  2. 41 CFR 60-3.10 - Employment agencies and employment services.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... employment services. 60-3.10 Section 60-3.10 Public Contracts and Property Management Other Provisions... Employment agencies and employment services. A. Where selection procedures are devised by agency. An... elsewhere. Where an employment agency or service is requested to administer a selection procedure which...

  3. 41 CFR 60-3.10 - Employment agencies and employment services.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... employment services. 60-3.10 Section 60-3.10 Public Contracts and Property Management Other Provisions... Employment agencies and employment services. A. Where selection procedures are devised by agency. An... elsewhere. Where an employment agency or service is requested to administer a selection procedure which...

  4. Critical Issues in the Delivery of Local Government Services in Rural America.

    ERIC Educational Resources Information Center

    Doeksen, Gerald A.; Peterson, Janet

    Technological changes, an increase in demand for quality community services, and environmental controls have created conditions of continual change in the delivery of rural services. This report summarizes economic theory on community service delivery, reviews economic literature on specific community services, and identifies research gaps and…

  5. 41 CFR 60-300.84 - Responsibilities of appropriate employment service delivery system.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... appropriate employment service delivery system. 60-300.84 Section 60-300.84 Public Contracts and Property... of appropriate employment service delivery system. By statute, appropriate employment service... protected veterans, and Armed Forces service medal veterans to fill employment openings listed...

  6. 41 CFR 60-300.84 - Responsibilities of appropriate employment service delivery system.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... appropriate employment service delivery system. 60-300.84 Section 60-300.84 Public Contracts and Property... of appropriate employment service delivery system. By statute, appropriate employment service... protected veterans, and Armed Forces service medal veterans to fill employment openings listed...

  7. Great Service Pays: A Model for Service Delivery in an Academic Music Library

    ERIC Educational Resources Information Center

    Wilson, Andrew M.

    2007-01-01

    Special-subject libraries can be particularly intimidating for casual and seasoned patrons alike. Music libraries, with their variety of materials, formats, and vocabularies, can present particular challenges for the user. With this proposal for a model of service delivery, as well as many tips gained through experience working the front-of-house…

  8. 78 FR 773 - Hartford Financial Services Group, Inc., Commercial/Actuarial/Information Delivery Services (IDS...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-04

    .../ Information Delivery Services (IDS)/Corporate & Financial Reporting Group, Hartford, CT; Notice of Affirmative... (IDS)/Corporate & Financial Reporting group, Hartford, Connecticut (The Hartford-IDS Group). The... basis for the negative determination. The Hartford-IDS Group is engaged in activities related to...

  9. Innovative Service or Proselytizing: Exploring when Services Delivery Becomes a Platform for Unwanted Religious Persuasion

    ERIC Educational Resources Information Center

    Sherr, Michael E.; Singletary, Jon E.; Rogers, Robin K.

    2009-01-01

    In this article, the authors explore the question: When does services delivery cross the line and become an opportunity for proselytizing? The authors posit that social workers have a justifiable concern for usurping their professional and privileged roles to influence such an important part of their clients' lives. A case study of one Christian…

  10. An Information Technology Framework for Strengthening Telehealthcare Service Delivery

    PubMed Central

    Chen, Chi-Wen; Weng, Yung-Ching; Shang, Rung-Ji; Yu, Hui-Chu; Chung, Yufang; Lai, Feipei

    2012-01-01

    Abstract Objective: Telehealthcare has been used to provide healthcare service, and information technology infrastructure appears to be essential while providing telehealthcare service. Insufficiencies have been identified, such as lack of integration, need of accommodation of diverse biometric sensors, and accessing diverse networks as different houses have varying facilities, which challenge the promotion of telehealthcare. This study designs an information technology framework to strengthen telehealthcare delivery. Materials and Methods: The proposed framework consists of a system architecture design and a network transmission design. The aim of the framework is to integrate data from existing information systems, to adopt medical informatics standards, to integrate diverse biometric sensors, and to provide different data transmission networks to support a patient's house network despite the facilities. The proposed framework has been evaluated with a case study of two telehealthcare programs, with and without the adoption of the framework. Results: The proposed framework facilitates the functionality of the program and enables steady patient enrollments. The overall patient participations are increased, and the patient outcomes appear positive. The attitudes toward the service and self-improvement also are positive. Conclusions: The findings of this study add up to the construction of a telehealthcare system. Implementing the proposed framework further assists the functionality of the service and enhances the availability of the service and patient acceptances. PMID:23061641

  11. Spatial service delivery system for smart licensing & enforcement management

    NASA Astrophysics Data System (ADS)

    Wahap, N. A.; Ismail, N. M.; Nor, N. M.; Ahmad, N.; Omar, M. F.; Termizi, A. A. A.; Zainal, D.; Noordin, N. M.; Mansor, S.

    2016-06-01

    Spatial information has introduced a new sense of urgency for a better understanding of the public needs in term of what, when and where they need services and through which devices, platform or physical locations they need them. The objective of this project is to value- add existing license management process for business premises which comes under the responsibility of Local Authority (PBT). Manipulation of geospatial and tracing technology via mobile platform allows enforcement officers to work in real-time, use a standardized system, improve service delivery, and optimize operation management. This paper will augment the scope and capabilities of proposed concept namely, Smart Licensing/Enforcement Management (SLEm). It will review the current licensing and enforcement practice of selected PBT in comparison to the enhanced method. As a result, the new enhanced system is expected to offer a total solution for licensing/enforcement management whilst increasing efficiency and transparency for smart city management and governance.

  12. Rationale and design: telepsychology service delivery for depressed elderly veterans

    PubMed Central

    Egede, Leonard E; Frueh, Christopher B; Richardson, Lisa K; Acierno, Ronald; Mauldin, Patrick D; Knapp, Rebecca G; Lejuez, Carl

    2009-01-01

    Background Older adults who live in rural areas experience significant disparities in health status and access to mental health care. "Telepsychology," (also referred to as "telepsychiatry," or "telemental health") represents a potential strategy towards addressing this longstanding problem. Older adults may benefit from telepsychology due to its: (1) utility to address existing problematic access to care for rural residents; (2) capacity to reduce stigma associated with traditional mental health care; and (3) utility to overcome significant age-related problems in ambulation and transportation. Moreover, preliminary evidence indicates that telepsychiatry programs are often less expensive for patients, and reduce travel time, travel costs, and time off from work. Thus, telepsychology may provide a cost-efficient solution to access-to-care problems in rural areas. Methods We describe an ongoing four-year prospective, randomized clinical trial comparing the effectiveness of an empirically supported treatment for major depressive disorder, Behavioral Activation, delivered either via in-home videoconferencing technology ("Telepsychology") or traditional face-to-face services ("Same-Room"). Our hypothesis is that in-homeTelepsychology service delivery will be equally effective as the traditional mode (Same-Room). Two-hundred twenty-four (224) male and female elderly participants will be administered protocol-driven individual Behavioral Activation therapy for depression over an 8-week period; and subjects will be followed for 12-months to ascertain longer-term effects of the treatment on three outcomes domains: (1) clinical outcomes (symptom severity, social functioning); (2) process variables (patient satisfaction, treatment credibility, attendance, adherence, dropout); and (3) economic outcomes (cost and resource use). Discussion Results from the proposed study will provide important insight into whether telepsychology service delivery is as effective as the

  13. Architectural Principles for Orchestration of Cross-Organizational Service Delivery: Case Studies from the Netherlands

    NASA Astrophysics Data System (ADS)

    van Veenstra, Anne Fleur; Janssen, Marijn

    One of the main challenges for e-government is to create coherent services for citizens and businesses. Realizing Integrated Service Delivery (ISD) requires government agencies to collaborate across their organizational boundaries. The coordination of processes across multiple organizations to realize ISD is called orchestration. One way of achieving orchestration is to formalize processes using architecture. In this chapter we identify architectural principles for orchestration by looking at three case studies of cross-organizational service delivery chain formation in the Netherlands. In total, six generic principles were formulated and subsequently validated in two workshops with experts. These principles are: (i) build an intelligent front office, (ii) give processes a clear starting point and end, (iii) build a central workflow application keeping track of the process, (iv) differentiate between simple and complex processes, (v) ensure that the decision-making responsibility and the overview of the process are not performed by the same process role, and (vi) create a central point where risk profiles are maintained. Further research should focus on how organizations can adapt these principles to their own situation.

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

    ERIC Educational Resources Information Center

    Olmstead, Joseph A.

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

  15. 75 FR 57906 - Membership of the Defense Contract Audit Agency Senior Executive Service Performance Review Boards

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-23

    ... of the Secretary Membership of the Defense Contract Audit Agency Senior Executive Service Performance Review Boards AGENCY: Defense Contract Audit Agency, DOD. ACTION: Notice. SUMMARY: This notice announces the appointment of members to the Defense Contract Audit Agency (DCAA) Performance Review Boards....

  16. Strengthening district health service management and delivery through internal contracting: lessons from pilot projects in Cambodia.

    PubMed

    Khim, Keovathanak; Annear, Peter Leslie

    2013-11-01

    Following a decade of piloting different models of contracting, in mid-2009 the Cambodian Ministry of Health began to test a form of 'internal contracting' for health care delivery in selected health districts (including hospitals and health centers) contracted by the provincial health department as Special Operating Agencies (SOAs) and provided with greater management autonomy. This study assesses the internal contracting approach as a means for improving the management of district health services and strengthening service delivery. While the study may contribute to the emerging field now known as performance-based financing, the lessons deal more broadly with the impact of management reform and increased autonomy in contrast to traditional public sector line-management and budgeting. Carried out during 2011, the study was based on: (i) a review of the literature and of operational documents; (ii) primary data from semi-structured key informant interviews with 20 health officials in two provinces involved in four SOA pilot districts; and (iii) routine data from the 2011 SOA performance monitoring report. Five prerequisites were identified for effective contract management and improved service delivery: a clear understanding of roles and responsibilities by the contracting parties; implementation of clear rules and procedures; effective management of performance; effective monitoring of the contract; and adequate and timely provision of resources. Both the level and allocation of incentives and management bottlenecks at various levels continue to impede implementation. We conclude that, in contracted arrangements like these, the clear separation of contracting functions (purchasing, commissioning, monitoring and regulating), management autonomy where responsibilities are genuinely devolved and accepted, and the provision of resources adequate to meet contract demands are necessary conditions for success. PMID:23489889

  17. Strengthening district health service management and delivery through internal contracting: lessons from pilot projects in Cambodia.

    PubMed

    Khim, Keovathanak; Annear, Peter Leslie

    2013-11-01

    Following a decade of piloting different models of contracting, in mid-2009 the Cambodian Ministry of Health began to test a form of 'internal contracting' for health care delivery in selected health districts (including hospitals and health centers) contracted by the provincial health department as Special Operating Agencies (SOAs) and provided with greater management autonomy. This study assesses the internal contracting approach as a means for improving the management of district health services and strengthening service delivery. While the study may contribute to the emerging field now known as performance-based financing, the lessons deal more broadly with the impact of management reform and increased autonomy in contrast to traditional public sector line-management and budgeting. Carried out during 2011, the study was based on: (i) a review of the literature and of operational documents; (ii) primary data from semi-structured key informant interviews with 20 health officials in two provinces involved in four SOA pilot districts; and (iii) routine data from the 2011 SOA performance monitoring report. Five prerequisites were identified for effective contract management and improved service delivery: a clear understanding of roles and responsibilities by the contracting parties; implementation of clear rules and procedures; effective management of performance; effective monitoring of the contract; and adequate and timely provision of resources. Both the level and allocation of incentives and management bottlenecks at various levels continue to impede implementation. We conclude that, in contracted arrangements like these, the clear separation of contracting functions (purchasing, commissioning, monitoring and regulating), management autonomy where responsibilities are genuinely devolved and accepted, and the provision of resources adequate to meet contract demands are necessary conditions for success.

  18. The impact of managed competition on diversity, innovation and creativity in the delivery of home-care services.

    PubMed

    Randall, Glen E

    2008-07-01

    Reforming publicly funded healthcare systems by introducing elements of competition, often by allowing for-profit providers to compete with not-for-profit providers, is a strategy that has become commonplace in Western democracies. It is widely thought that the competitive forces of the marketplace will lead to greater efficiency, diversity and even innovation in the delivery of services. Between 1997 and 2000, a model of 'managed competition' was introduced as a major reform to the delivery of home-care services in Ontario, Canada. It was expected that by allowing greater competition within the home-care sector, this model would constrain costs and encourage provider agencies to become more innovative and creative in meeting service delivery needs. The purpose of this case study is to explore the impact of the managed competition reform on the for-profit and the not-for-profit organisations that provided rehabilitation home-care services, and, more specifically, to assess the extent to which the goal of greater diversity, innovation and creativity was achieved following implementation of the reform. A purposive sample of 49 key informants were selected for in-depth interviews, and a survey of the 36 organisations that provided rehabilitation home-care services and the 43 community care access centres that purchased services from these provider agencies was conducted. Data were collected between November 2002 and May 2003. Findings demonstrate that a combination of coercive, mimetic and normative isomorphic pressures have constrained diversity, innovation and creativity within the home-care sector. The implication is that the features that have traditionally distinguished for-profit and not-for-profit provider agencies from each other are rapidly disappearing, and a new hybrid organisational structure is evolving.

  19. 76 FR 16039 - Agency Information Collection (Statement in Support of Claim for Service Connection for PTSD...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-22

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF VETERANS AFFAIRS Agency Information Collection (Statement in Support of Claim for Service Connection for PTSD) Under OMB Review AGENCY: Veterans Benefits Administration, Department of Veterans Affairs....

  20. 76 FR 45573 - Agency Information Collection Activities: Proposed Collection; Comment Request; Generic Clearance...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-29

    ... Clearance for the Collection of Qualitative Feedback on Agency Service Delivery AGENCY: Office of the... Request (Generic ICR): ``Generic Clearance for the Collection of Qualitative Feedback on Agency Service.... SUPPLEMENTARY INFORMATION: Title: Health Information Technology Research Center survey. Abstract:...

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

    ERIC Educational Resources Information Center

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

    2013-01-01

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

  2. Competence in Counseling and Helping Roles in Human Service Agencies. Draft.

    ERIC Educational Resources Information Center

    Huff, Sheila M.

    Those who wish to relate education and assessment to the realities of practice in human services sometimes turn to the field for information about the nature of jobs. To determine competencies in counseling and human service agencies, an instrument was developed to survey attitudes of 502 human service providers and 51 clients from 24 agencies.…

  3. 75 FR 28858 - Agency Information Collection (Service Data Manual) Activities Under OMB Review

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-24

    ... AFFAIRS Agency Information Collection (Service Data Manual) Activities Under OMB Review AGENCY: Office of.... FOR FURTHER INFORMATION OR A COPY OF THE SUBMISSION CONTACT: Denise McLamb, Enterprise Records Service....'' SUPPLEMENTARY INFORMATION: Title: Veterans Affairs Acquisition Regulation (VAAR) Clause 852.211-70, Service...

  4. 75 FR 52065 - Agency Information Collection (Loan Service Report) Activity Under OMB Review

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-24

    ... AFFAIRS Agency Information Collection (Loan Service Report) Activity Under OMB Review AGENCY: Veterans... correspondence. FOR FURTHER INFORMATION CONTACT: Denise McLamb, Enterprise Records Service (005R1B), Department... correspondence. SUPPLEMENTARY INFORMATION: Title: Loan Service Report, VA Form 26-6808. OMB Control Number:...

  5. 41 CFR 102-82.10 - What basic utility services policy govern Executive agencies?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 41 Public Contracts and Property Management 3 2010-07-01 2010-07-01 false What basic utility... PROPERTY 82-UTILITY SERVICES General Provisions § 102-82.10 What basic utility services policy govern Executive agencies? Executive agencies procuring, managing or supplying utility services under Title 40...

  6. Global Document Delivery, User Studies, and Service Evaluation: The Gateway Experience

    ERIC Educational Resources Information Center

    Miller, Rush; Xu, Hong; Zou, Xiuying

    2008-01-01

    This study examines user and service data from 2002-2006 at the East Asian Gateway Service for Chinese and Korean Academic Journal Publications (Gateway Service), the University of Pittsburgh. Descriptive statistical analysis reveals that the Gateway Service has been consistently playing the leading role in global document delivery service as well…

  7. Redesignation of Contract Health Service Delivery Area--Indian Health Service, HHS. Final notice.

    PubMed

    1993-04-01

    This notice advises the public that the Indian Health Service (IHS) is redesignating the geographic boundaries of the Contract Health Service Delivery Area (CHSDA) for the Grand Traverse Band of Ottawa and Chippewa Indians ("The Band"). The Grand Traverse CHSDA was comprised of Leelanau County in Michigan. This county was designated as the Band's CHSDA when the IHS published its updated list of CHSDAs in the Federal Register of January 10, 1984 (49 FR 1291). The redesignated CHSDA is comprised of six counties in the State of Michigan, i.e., Leelanau, Antrim, Benzie, Grand Traverse, Manistee, and Charlevoix. This notice is issued under authority of 43 FR 34654, August 4, 1978.

  8. 75 FR 60141 - International Business Machines (IBM), Global Technology Services Delivery Division, Including On...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-29

    ... September 15, 2010 (75 FR 56143). At the request of a State Workforce Agent, the Department reviewed the... Employment and Training Administration International Business Machines (IBM), Global Technology Services... of International Business Machines (IBM), Global Technology Services Delivery Division,...

  9. The Answer to Diabetes Prevention: Science, Surgery, Service Delivery, or Social Policy?

    PubMed Central

    Colagiuri, Ruth; Colagiuri, Stephen; Yach, Derek; Pramming, Stig

    2006-01-01

    The diabetes and obesity epidemics are closely intertwined. International randomized controlled trials demonstrate that, in high-risk individuals, type 2 diabetes can be prevented or at least delayed through lifestyle modification and, to a lesser degree, medication. We explored the relative roles of science, surgery, service delivery, and social policy in preventing diabetes. Although it is clear that there is a role for all, diabetes is a complex problem that demands commitment across a range of government and nongovernment agencies to be effectively controlled. Accordingly, we argue that social policy is the key to achieving and sustaining social and physical environments required to achieve widespread reductions in both the incidence and prevalence of diabetes. PMID:16873751

  10. Expanding services in a shrinking economy: desktop document delivery in a dental school library

    PubMed Central

    Gushrowski, Barbara A

    2011-01-01

    Question: How can library staff develop and promote a document delivery service and then expand the service to a wide audience? Setting: The setting is the library at the Indiana University School of Dentistry (IUSD), Indianapolis. Method: A faculty survey and a citation analysis were conducted to determine potential use of the service. Volume of interlibrary loan transactions and staff and equipment capacity were also studied. Main results: IUSD Library staff created a desktop delivery service (DDSXpress) for faculty and then expanded the service to practicing dental professionals and graduate students. The number of faculty using DDSXpress remains consistent. The number of practicing dental professionals using the service is low. Graduate students have been quick to adopt the service. Conclusion: Through careful analysis of capacity and need for the service, staff successfully expanded document delivery service without incurring additional costs. Use of DDSXpress is continually monitored, and opportunities to market the service to practicing dental professionals are being investigated. PMID:21753911

  11. The Whole PIC Catalog: Organization, Planning and Service Delivery Options under JTPA.

    ERIC Educational Resources Information Center

    National Alliance of Business, Inc., Washington, DC.

    This handbook illustrates and discusses organizational options for the delivery of employment and training services within service delivery areas (SDAs) mandated by the Job Training Partnership Act (JTPA) of 1982. Addressed primarily to members of private industry councils (PICs), representatives of local governments, and employment and training…

  12. Using a Transdisciplinary Service Delivery Model to Increase Parental Involvement with Special Education Students

    ERIC Educational Resources Information Center

    Cross, Robert J.

    2007-01-01

    Too often special education services are provided in a piece-by-piece fashion with individual support staff members each scheduling service to the child once or twice a week. Travel time and case-load numbers prohibit getting significant service time and frequency to the student. The literature suggests that transdisciplinary service delivery is…

  13. What impact will shortened training have on urological service delivery?

    PubMed Central

    Payne, S. R.; Shaw, M. B. K.

    2005-01-01

    INTRODUCTION: Modernisation of Medical Careers dictates a shortening of the training required to achieve consultant status. Precisely what type of work these consultants could be expected to accomplish, and be trained to do, is not clear. The objective of this study was to demonstrate a method of stratifying urological workload so as to determine what a urological trainee, undergoing shortened training, might be expected to do as a consultant and to use this stratification to help manpower planning within the specialty. PATIENTS AND METHODS: A cohort study of all urological activity undertaken over a 3-year period in a single teaching hospital in the UK was performed. All out-patient, in-patient or day-case activity within the urological department was analysed in the years 2000-2002. Urological activity was stratified according to the absolute numbers of patients presenting for different types of out-patient consultation, the grade of complexity of any surgical intervention undertaken, and the theatre resource consumed by the study population. RESULTS: Utilising prospectively collected data, it was possible to aggregate information about the contributions generalist and sub-specialty activity made to the overall workload of a urological unit. Whilst the majority of out-patient activity, and almost 88% of the surgical workload, could be accomplished by consultants undergoing shortened training, 11.9% of specialised urological activity, consuming nearly 43% of the available theatre resource, was outwith the remit of such a specialist. CONCLUSIONS: Shortened training seems able to satisfy the service delivery needs of the majority of out-patient and day-case urological activity. It will not, however, fulfil the need for subspecialty-based training required to cope with the large minority of patients necessitating complex surgical intervention. Specialist training programmes, promoting advanced operative skills, need to be evolved in parallel to shortened training so

  14. Rehabilitation Technology Services in Vocational Rehabilitation Agencies Survey: General Report of Findings.

    ERIC Educational Resources Information Center

    Flynn, Cynthia C., Ed.

    A survey of 61 vocational rehabilitation (VR) agencies investigated the use of rehabilitation technology services. The results are organized into the following eight reports: (1) general report of findings (includes information on the governing structure of VR agencies); (2) personnel of VR agencies (includes findings on the roles and…

  15. 42 CFR 413.125 - Payment for home health agency services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

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

  16. 78 FR 42537 - Agency Information Collection Activities: Online Survey of Web Services Employers; New...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-16

    ... of Web Services Employers; New Information Collection; Comment Request ACTION: 60-Day Notice. The... information collection. (2) Title of the Form/Collection: Online Survey of Web Services Employers. (3) Agency... obtains data on the E-Verify Program Web Services. Gaining an understanding of the Web Services...

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

    ERIC Educational Resources Information Center

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

    2007-01-01

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

  18. State Education Agency Responsibilities and Services for School Library Media Programs.

    ERIC Educational Resources Information Center

    Martin, Nina Nix

    The purpose of this study is to review the findings of the various groups and individuals who have delineated the role of the state educational agency in the provision of school library media services, to study a selected group of state agencies to determine the manner by which they provide service, to seek the opinions of authorities serving in…

  19. 28 CFR 802.29 - Exemption of the Pretrial Services Agency System.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Exemption of the Pretrial Services Agency System. 802.29 Section 802.29 Judicial Administration COURT SERVICES AND OFFENDER SUPERVISION AGENCY FOR...). (iii) Interview and Treatment Files (CSOSA/PSA-3). (iv) Pretrial Realtime Information Systems...

  20. 77 FR 33063 - Selection and Functions of Farm Service Agency State and County Committees

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-05

    ... from the relevant United States Code in 1994 as part of the Federal Crop Insurance Reform and... CFR Part 7 RIN 0560-AG90 Selection and Functions of Farm Service Agency State and County Committees... governing the selection and functions of Farm Service Agency (FSA) State and county committees....

  1. 78 FR 44191 - Agency Information Collection (Service Data Manual) Activities Under OMB Review

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-23

    ... AFFAIRS Agency Information Collection (Service Data Manual) Activities Under OMB Review AGENCY: Office of... FURTHER INFORMATION OR A COPY OF THE SUBMISSION CONTACT: Crystal Rennie, Enterprise Records Service... Acquisition and Materiel Management, Department of Veterans Affairs, will submit the collection of...

  2. Managing Cooperation and Complexity in Education: The Case of Educational Service Agencies. Final Report.

    ERIC Educational Resources Information Center

    Weiss, Janet A.; And Others

    Educational Service Agencies (ESA's) are public education agencies that provide specialized programs and services to a group of school districts in a specified geographical region and to the state department of education. Most states have encouraged the development of ESA's that have either evolved out of county districts or have been created to…

  3. 20 CFR 1001.120 - Standards of performance governing State agency services.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 20 Employees' Benefits 4 2012-04-01 2012-04-01 false Standards of performance governing State... Performance Governing State Agency Services to Veterans and Eligible Persons § 1001.120 Standards of performance governing State agency services. (a) To the extent required by 38 U.S.C. 2002 and other...

  4. 75 FR 15496 - Agency Information Collection (Service-Disabled Veterans Insurance-Waiver of Premiums) Activities...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-29

    ... AFFAIRS Agency Information Collection (Service-Disabled Veterans Insurance--Waiver of Premiums) Activities... Premiums, VA Form 29-0812. OMB Control Number: 2900-0700. Type of Review: Extension of a currently approved... their Service-Disabled Veterans Insurance policy premiums. An agency may not conduct or sponsor, and...

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

    ERIC Educational Resources Information Center

    Ticknor, Anne Swenson

    2015-01-01

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

  6. 42 CFR 413.125 - Payment for home health agency services.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

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

  7. The Leadership Role in Transitioning an Urban Secondary School from a Traditional Service Delivery Model to a Co-Teaching Service Delivery Model for Students with Disabilities: A Phenomenological Case Study

    ERIC Educational Resources Information Center

    McDonald, Ginni E.

    2013-01-01

    This research studies the leadership role in transitioning from a traditional service delivery model to a co-teaching service delivery model for students with disabilities. While there is an abundant amount of information on the service delivery model of co-teaching, sustaining co-teaching programs, and effective co-teaching programs for students…

  8. Human service delivery in a multi-tier system: the subtleties of collaboration among partners.

    PubMed

    Mayhew, Fred

    2012-01-01

    This article examines the nature of interorganizational relationships that are formed within a multi-tier human service delivery system. Taking into account the hierarchical structure of a statewide initiative to support early childhood education, the study investigates the differences in the relationships between organizations at the service and administrative levels of the system. Forty-nine administrative level and 146 service delivery level relationships are evaluated. Findings indicate that organizations involved in direct service delivery form more collaborative relationships. Thus, when government provides funding for human services, policymakers must seek to balance public accountability with the advantages believed to be inherent in devolved service delivery. Furthermore, practitioners who appreciate the importance and nuances of interorganizational relationships will be in a position to better manage their organizations in an environment of increased collaborative activity and joint delivery of services. Going forward, human service systems will continue to involve organizations from the public, nonprofit, and private sector. A better understanding of how these organizations work together is crucial to the effective delivery of these essential services.

  9. Coping with changing conditions: alternative strategies for the delivery of maternal and child health and family planning services in Dhaka, Bangladesh.

    PubMed Central

    Routh, S.; el Arifeen, S.; Jahan, S. A.; Begum, A.; Thwin, A. A.; Baqui, A. H.

    2001-01-01

    The door-to-door distribution of contraceptives and information on maternal and child health and family planning (MCH-FP) services, through bimonthly visits to eligible couples by trained fieldworkers, has been instrumental in increasing the contraceptive prevalence rate and immunization coverage in Bangladesh. The doorstep delivery strategy, however, is labour-intensive and costly. More cost-effective service delivery strategies are needed, not only for family planning services but also for a broader package of reproductive and other essential health services. Against this backdrop, operations research was conducted by the Centre for Health and Population Research at the International Centre for Diarrhoeal Disease Research, Bangladesh (ICDDR,B) from January 1996 to May 1997, in collaboration with government agencies and a leading national nongovernmental organization, with a view to developing and field-testing alternative approaches to the delivery of MCH-FP services in urban areas. Two alternative strategies featuring the withdrawal of home-based distribution and the delivery of basic health care from fixed-site facilities were tested in two areas of Dhaka. The clinic-based service delivery strategy was found to be a feasible alternative to the resource-intensive doorstep system in urban Dhaka. It did not adversely affect programme performance and it allowed the needs of clients to be addressed holistically through a package of essential health and family planning services. PMID:11242821

  10. 41 CFR 102-118.45 - How does a transportation service provider (TSP) bill my agency for transportation and...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... transportation service provider (TSP) bill my agency for transportation and transportation services? 102-118.45... provider (TSP) bill my agency for transportation and transportation services? The manner in which your agency orders transportation and transportation services determines the manner in which a TSP bills...

  11. 41 CFR 102-118.45 - How does a transportation service provider (TSP) bill my agency for transportation and...

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... transportation service provider (TSP) bill my agency for transportation and transportation services? 102-118.45... provider (TSP) bill my agency for transportation and transportation services? The manner in which your agency orders transportation and transportation services determines the manner in which a TSP bills...

  12. 41 CFR 102-118.45 - How does a transportation service provider (TSP) bill my agency for transportation and...

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... transportation service provider (TSP) bill my agency for transportation and transportation services? 102-118.45... provider (TSP) bill my agency for transportation and transportation services? The manner in which your agency orders transportation and transportation services determines the manner in which a TSP bills...

  13. 41 CFR 102-118.45 - How does a transportation service provider (TSP) bill my agency for transportation and...

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... transportation service provider (TSP) bill my agency for transportation and transportation services? 102-118.45... provider (TSP) bill my agency for transportation and transportation services? The manner in which your agency orders transportation and transportation services determines the manner in which a TSP bills...

  14. 41 CFR 102-118.45 - How does a transportation service provider (TSP) bill my agency for transportation and...

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... transportation service provider (TSP) bill my agency for transportation and transportation services? 102-118.45... provider (TSP) bill my agency for transportation and transportation services? The manner in which your agency orders transportation and transportation services determines the manner in which a TSP bills...

  15. Electronic Networking in Human Service Agencies: A Developmental Analysis.

    ERIC Educational Resources Information Center

    Tovey, Robert; And Others

    1990-01-01

    Describes experiences of an alliance of child and youth treatment agencies whose members converted to computer-based networking modalities. A developmental analysis of individual users and telecommunications networks is offered. Side effects, barriers, and unexpected advantages are delineated. (BB)

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

    ERIC Educational Resources Information Center

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

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

  17. A Relational Goal-Oriented Model of Optimal Service Delivery to Children and Families

    ERIC Educational Resources Information Center

    King, Gillian

    2009-01-01

    This article presents a Relational Goal-Oriented Model of Service Delivery to Children with physical or mental health difficulties and their families. This research-informed and practice-relevant model provides a broad understanding of what effective service provision entails and requires from practitioners and service organizations. The model…

  18. Development, Implementation, and Evaluation of the Apollo Model of Pediatric Rehabilitation Service Delivery

    ERIC Educational Resources Information Center

    Camden, Chantal; Swaine, Bonnie; Tetreault, Sylvie; Bergeron, Sophie; Lambert, Carole

    2013-01-01

    This article presents the experience of a rehabilitation program that undertook the challenge to reorganize its services to address accessibility issues and improve service quality. The context in which the reorganization process occurred, along with the relevant literature justifying the need for a new service delivery model, and an historical…

  19. Gigabit network-based three-dimensional trial service on media delivery platform

    NASA Astrophysics Data System (ADS)

    Kim, Nac-Woo; Son, Seung-Chul; Lee, Byung-Tak

    2011-09-01

    Recently, as effective demand for high-quality, large-capacity content such as three-dimensional (3D), multiangle, and gigabit-web has increased, a network infrastructure capable of satisfying future broadcast and communication service requirements is required. In this paper, we introduce a convergence service based on a gigabit network and then propose a technique for delivering gigabit 3D content. Here, the term 3D content delivery technique refers to an overlay-multicast-based distributed service platform that is comprised of a media relay agent and a management server. The service platform is designed to back up both live video and file-based video streaming. Using this platform, we can provide 3D remote education and 3D multiangle services via 3D-based video streaming between a service provider and service consumers dispersed at different locations. To evaluate our 3D content delivery technique, we run a series of trials of gigabit network-based 3D trial services to service subscribers. Then, we conduct a survey to measure user satisfaction with the 3D delivery service and simulated network and service quality. From experimental results, we confirm that this type of distributed service platform can be used as the delivery framework for applications such as realistic 3D-based seminars or 3D video conferences.

  20. Problems and Solutions in Delivery of Special Education Services in Rural America.

    ERIC Educational Resources Information Center

    McKintosh, Dean K.

    1986-01-01

    A model of service delivery to rural handicapped children trains classroom teachers onsite to be "Cooperative Extension Service Agents" within their schools. University faculty bring graduate coursework to the school site and "Agent" teachers provide special education inservice assistance to fellow teachers, facilitating local services to mildly…

  1. Citizen Satisfaction with Public Service Delivery: A Comparative Study of Citywide vs. Subarea Analysis.

    ERIC Educational Resources Information Center

    Keeton, Kato B.

    The facts that most public services are delivered by subarea and that subareas can be identified by the socioeconomic status of the residents, often lead to discrimination in service delivery based on the wealth or prestige of the subareas. It follows that citizen satisfaction with services delivered might vary from sector to sector within a city.…

  2. Integrating the life course into MCH service delivery: from theory to practice.

    PubMed

    Brady, Carol; Johnson, Faye

    2014-02-01

    To describe the efforts of a community-based maternal and child health coalition to integrate the life course into its planning and programs, as well as implementation challenges and results of these activities. Jacksonville-Duval County has historically had infant mortality rates that are significantly higher than state and national rates, particularly among its African American population. In an effort to address this disparity, the Northeast Florida Healthy Start Coalition embraced the life course approach as a model. This model was adopted as a framework for (1) community needs assessment and planning; (2) delivery of direct services, including case management, education and support in the Magnolia Project, its federal Healthy Start program; (3) development of community collaborations, education and awareness; and, (4) advocacy and grass roots leadership development. Implementation experience as well as challenges in transforming traditional approaches to delivering maternal and child health services are described. Operationalizing the life course approach required the Coalition to think differently about risks, levels of intervention and the way services are organized and delivered. The organization set the stage by using the life course as a framework for its required local planning and needs assessments. Based on these assessments, the content of case management and other key services provided by our federal Healthy Start program was modified to address not only health behaviors but also underlying social determinants and community factors. Individual interventions were augmented with group activities to build interdependence among participants, increasing social capital. More meaningful inter-agency collaboration that moved beyond the usual referral relationships were developed to better address participants' needs. And finally, strategies to cultivate participant advocacy and community leadership skills, were implemented to promote social change at the

  3. Integrating the life course into MCH service delivery: from theory to practice.

    PubMed

    Brady, Carol; Johnson, Faye

    2014-02-01

    To describe the efforts of a community-based maternal and child health coalition to integrate the life course into its planning and programs, as well as implementation challenges and results of these activities. Jacksonville-Duval County has historically had infant mortality rates that are significantly higher than state and national rates, particularly among its African American population. In an effort to address this disparity, the Northeast Florida Healthy Start Coalition embraced the life course approach as a model. This model was adopted as a framework for (1) community needs assessment and planning; (2) delivery of direct services, including case management, education and support in the Magnolia Project, its federal Healthy Start program; (3) development of community collaborations, education and awareness; and, (4) advocacy and grass roots leadership development. Implementation experience as well as challenges in transforming traditional approaches to delivering maternal and child health services are described. Operationalizing the life course approach required the Coalition to think differently about risks, levels of intervention and the way services are organized and delivered. The organization set the stage by using the life course as a framework for its required local planning and needs assessments. Based on these assessments, the content of case management and other key services provided by our federal Healthy Start program was modified to address not only health behaviors but also underlying social determinants and community factors. Individual interventions were augmented with group activities to build interdependence among participants, increasing social capital. More meaningful inter-agency collaboration that moved beyond the usual referral relationships were developed to better address participants' needs. And finally, strategies to cultivate participant advocacy and community leadership skills, were implemented to promote social change at the

  4. 76 FR 17861 - Agency Information Collection Activities: Proposed Collection; Comment Request; Generic Clearance...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-31

    ... for the Collection of Qualitative Feedback on Agency Service Delivery March 24, 2011. SUMMARY: As part... Request (Generic ICR): ``Generic Clearance for the Collection of Qualitative Feedback on Agency Service... Clearance for the Collection of Qualitative Feedback on Agency Service Delivery. Form Number: N/A. Type...

  5. Educational Audiology: A Comparison of Service Delivery Systems Utilized by Missouri Schools.

    ERIC Educational Resources Information Center

    Allard, J. Brad; Golden, Diane Cordry

    1991-01-01

    Comparison of three audiology service delivery systems--(1) school-based audiology within the district, (2) non-school-based audiology in the community, and (3) school-based audiology in a remote community--found the local school-based delivery system superior on various quality indicators. (Author/DB)

  6. Astrobotic: Commercial Service for Lunar Resource Payload Delivery

    NASA Astrophysics Data System (ADS)

    Thornton, J.; Huber, S.; Peterson, K.; Hendrickson, D.

    2015-10-01

    This paper describes how commercial delivery is enabling access to the Moon for resource payloads. Topics addressed: impediments to resource development, commercial approaches to delivering resource payloads, and traction seen with the market.

  7. 34 CFR 370.7 - What shall the designated agency do to make its services accessible?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... CLIENT ASSISTANCE PROGRAM General § 370.7 What shall the designated agency do to make its services... formats that are accessible to clients or client applicants who seek or receive CAP services. (Authority... services accessible? 370.7 Section 370.7 Education Regulations of the Offices of the Department...

  8. 42 CFR 405.2417 - Visiting nurse services: Determination of shortage of agencies.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 2 2010-10-01 2010-10-01 false Visiting nurse services: Determination of shortage of agencies. 405.2417 Section 405.2417 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES MEDICARE PROGRAM FEDERAL HEALTH INSURANCE FOR THE AGED AND DISABLED Rural Health Clinic and Federally...

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

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-20

    ...). Servicers SAR's will have the authority to review real estate appraisals and to issue liquidation notices of... AFFAIRS Agency Information Collection Activity (Servicer's Staff Appraisal Reviewer (SAR) Application....'' SUPPLEMENTARY INFORMATION: ] Title: Servicer's Staff Appraisal Reviewer (SAR) Application, VA Form 26-0829....

  10. 78 FR 58609 - Agency Information Collection (Claim, Authorization and Invoice for Prosthetic Items and Services...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-24

    ... AFFAIRS Agency Information Collection (Claim, Authorization and Invoice for Prosthetic Items and Services...- 1394. (d) Prosthetic Authorization for Items or Services, VA Form 10- 2421. (e) Prosthetic Service Card...: The following forms will are used to determine eligibility, prescribe and authorize prosthetic...

  11. 42 CFR 405.2417 - Visiting nurse services: Determination of shortage of agencies.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

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

  12. The Four Furies: Primary Tensions between Service-Learners and Host Agencies

    ERIC Educational Resources Information Center

    Mills, Steven D.

    2012-01-01

    This paper explores four potent tensions between service-learning students and their community agency hosts. These tensions result from naturally opposing perspectives and are reflected in the service-learning literature focused on criticism and complaint. Given the centrality of the alliance between service-learners and their community host…

  13. 20 CFR 1001.120 - Standards of performance governing State agency services.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false Standards of performance governing State... VETERANS' EMPLOYMENT AND TRAINING SERVICE, DEPARTMENT OF LABOR SERVICES FOR VETERANS Standards of Performance Governing State Agency Services to Veterans and Eligible Persons § 1001.120 Standards...

  14. 20 CFR 1001.120 - Standards of performance governing State agency services.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 20 Employees' Benefits 3 2011-04-01 2011-04-01 false Standards of performance governing State... VETERANS' EMPLOYMENT AND TRAINING SERVICE, DEPARTMENT OF LABOR SERVICES FOR VETERANS Standards of Performance Governing State Agency Services to Veterans and Eligible Persons § 1001.120 Standards...

  15. 5 CFR 2424.26 - Agency's reply; purpose; time limits; content; service.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... severance is not appropriate. (e) Service. A copy of the agency's reply, including all attachments, must be...; content; service. 2424.26 Section 2424.26 Administrative Personnel FEDERAL LABOR RELATIONS AUTHORITY, GENERAL COUNSEL OF THE FEDERAL LABOR RELATIONS AUTHORITY AND FEDERAL SERVICE IMPASSES PANEL FEDERAL...

  16. 5 CFR 2424.26 - Agency's reply; purpose; time limits; content; service.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... severance, then the agency must explain with specificity why severance is not appropriate. (e) Service. A...; content; service. 2424.26 Section 2424.26 Administrative Personnel FEDERAL LABOR RELATIONS AUTHORITY, GENERAL COUNSEL OF THE FEDERAL LABOR RELATIONS AUTHORITY AND FEDERAL SERVICE IMPASSES PANEL FEDERAL...

  17. 5 CFR 2424.26 - Agency's reply; purpose; time limits; content; service.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... severance, then the agency must explain with specificity why severance is not appropriate. (e) Service. A...; content; service. 2424.26 Section 2424.26 Administrative Personnel FEDERAL LABOR RELATIONS AUTHORITY, GENERAL COUNSEL OF THE FEDERAL LABOR RELATIONS AUTHORITY AND FEDERAL SERVICE IMPASSES PANEL FEDERAL...

  18. 5 CFR 2424.26 - Agency's reply; purpose; time limits; content; service.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... severance is not appropriate. (e) Service. A copy of the agency's reply, including all attachments, must be...; content; service. 2424.26 Section 2424.26 Administrative Personnel FEDERAL LABOR RELATIONS AUTHORITY, GENERAL COUNSEL OF THE FEDERAL LABOR RELATIONS AUTHORITY AND FEDERAL SERVICE IMPASSES PANEL FEDERAL...

  19. 5 CFR 2424.26 - Agency's reply; purpose; time limits; content; service.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... severance, then the agency must explain with specificity why severance is not appropriate. (e) Service. A...; content; service. 2424.26 Section 2424.26 Administrative Personnel FEDERAL LABOR RELATIONS AUTHORITY, GENERAL COUNSEL OF THE FEDERAL LABOR RELATIONS AUTHORITY AND FEDERAL SERVICE IMPASSES PANEL FEDERAL...

  20. 42 CFR 136.22 - Establishment of contract health service delivery areas.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... the United States as appropriate for inclusion or exclusion from a contract health service delivery... reservation of the area whose inclusion or exclusion is being considered; and (4) The level of funding...

  1. Special Education Teacher Preparation and Service Delivery in a Developing Country: Indonesia.

    ERIC Educational Resources Information Center

    Carpenter, Robert L.

    1987-01-01

    A discussion of special education teacher preparation and service delivery in Indonesia considers the social, economic, and historical settings; health care and the prevalence of handicaps; special teacher education; special education schools; and future plans and problems. (CB)

  2. Developing world class commissioning competencies in care services in England: the role of the service improvement agency.

    PubMed

    Cornes, Michelle; Manthorpe, Jill; Huxley, Peter; Waddington, Paul; Stevens, Martin; Evans, Sherrill

    2010-05-01

    This article provides an insight into the support needs of health and social care commissioners seeking to develop world class commissioning competencies and the role of service improvement agencies in meeting these needs. Reporting findings from the evaluation of one service improvement agency based in England, we focus on the 'improvement supports' (the products and services) that were delivered by the 'Care Services Improvement Partnership' through its 'Better Commissioning Programme'. In-depth interviews were carried out with 25 care commissioners (n = 25) exploring how the Programme was used in their day to day work, its perceived value and limitations. Given the lack of employer-led training and induction we conclude that service improvement agencies play an important role in developing commissioners' skills and competencies. However, we suggest that achieving world class commissioning may depend on a more fundamental rethink of commissioning organisations' approaches to learning and development.

  3. 7 CFR 1216.8 - Farm Service Agency.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

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

  4. 7 CFR 1216.8 - Farm Service Agency.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

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

  5. 7 CFR 1216.8 - Farm Service Agency.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

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

  6. 7 CFR 1216.8 - Farm Service Agency.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

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

  7. 7 CFR 1216.8 - Farm Service Agency.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

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

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

    PubMed

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

    2015-10-01

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

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

    PubMed

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

    2015-10-01

    Geographic location is an important factor in understanding disparities in access to health-care and social services. The objective of this cross-sectional study is to evaluate disparities in the geographic distribution of income-related social service agencies relative to populations in need within Boston. Agency locations were obtained from a comprehensive database of social services in Boston. Geographic information systems mapped the spatial relationship of the agencies to the population using point density estimation and was compared to census population data. A multivariate logistic regression was conducted to evaluate factors associated with categories of income-related agency density. Median agency density within census block groups ranged from 0 to 8 agencies per square mile per 100 population below the federal poverty level (FPL). Thirty percent (n = 31,810) of persons living below the FPL have no access to income-related social services within 0.5 miles, and 77 % of persons living below FPL (n = 83,022) have access to 2 or fewer agencies. 27.0 % of Blacks, 30.1 % of Hispanics, and 41.0 % of non-Hispanic Whites with incomes below FPL have zero access. In conclusion, some neighborhoods in Boston with a high concentration of low-income populations have limited access to income-related social service agencies. PMID:26264235

  10. A Universal Design Approach to Government Service Delivery: The Case of ChileAtiende.

    PubMed

    Sandoval, Leonardo

    2016-01-01

    A common challenge for government administrations that aim to improve the delivery of information and services to citizens is to go beyond a government-centred approach. By focusing on citizens and the needs of a wide range of citizens, Universal Design (UD) can help to increase the effectiveness, efficiency and satisfaction of government services. This paper examines the case of an internationally recognised Chilean government service delivery programme inspired by UD principles known as ChileAtiende ("ChileService"). A brief account of its creation and current status is provided. PMID:27534348

  11. A Universal Design Approach to Government Service Delivery: The Case of ChileAtiende.

    PubMed

    Sandoval, Leonardo

    2016-01-01

    A common challenge for government administrations that aim to improve the delivery of information and services to citizens is to go beyond a government-centred approach. By focusing on citizens and the needs of a wide range of citizens, Universal Design (UD) can help to increase the effectiveness, efficiency and satisfaction of government services. This paper examines the case of an internationally recognised Chilean government service delivery programme inspired by UD principles known as ChileAtiende ("ChileService"). A brief account of its creation and current status is provided.

  12. Local municipalities and progress with the delivery of basic services in South Africa.

    PubMed

    Krugell, Waldo; Otto, Hannelie; van der Merwe, Jacky

    2010-01-01

    In 1994, South Africa adopted the Reconstruction and Development Programme (RDP) and emphasised the delivery of services to meet basic needs. Since then great strides have been made to redress past social inequalities. However, analysis of these successes have been limited to national or provincial aggregates, when much of the responsibility for meeting the RDP commitment lies at the local government level. The need for closer investigation is nonetheless clear from continuing protests over poor service delivery. This paper aims to shed more light on delivery at a local level by using data from the 2001 Census and 2007 Community Survey. The analysis involves the construction of a service delivery index for each municipality and analysis of variance to explain the changes in service delivery over the period 2001-2007. The results show that improved service provision may require further urbanisation and densification. Also, local economic growth in itself may not be important, but it would contribute to the ability to pay for services and in that way aid delivery. PMID:20845589

  13. Energy Management for Human Service Agencies. Second Edition.

    ERIC Educational Resources Information Center

    Academy for Educational Development, Washington, DC.

    Concerned about the effect rising energy costs would have on their local affiliates, building consultants for national social welfare agencies have been advocating the initiation of energy management and conservation programs. This manual, a three-part educational and planning tool, is a key element in a program developed to help local agencies…

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

    PubMed

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

    2013-05-01

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

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

    PubMed Central

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

    2009-01-01

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

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

    PubMed

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

    2013-05-01

    Workplace violence is a serious and surprisingly understudied occupational hazard in social service settings. The authors of this study conducted an anonymous, Internet-based survey of Massachusetts social service agencies to estimate the incidence of physical assault and verbal threat of violence in social service agencies, understand how social service agencies collect data on workplace violence, and identify disparities in who is at risk in terms of staff education and training level and the work setting. The study gathered general descriptions of each agency and compiled incidence data on workplace violence that were collected by agencies in fiscal year 2009. The key findings of this descriptive study showed high rates of workplace violence against social services providers and a pattern of risk disparity, with significantly more risk for direct care versus clinical staff. These results are based on data routinely collected by social service agencies that typically remain unexamined. A research agenda that is sensitive to potential occupational health disparities and focuses on maximizing workplace safety in social services is needed. PMID:23865285

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

    ERIC Educational Resources Information Center

    Erickson, Ken C.

    1990-01-01

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

  18. Recognizing, Determining, and Addressing Entrepreneurial Innovations by Superintendents of Emerging or Established Educational Service Agencies

    ERIC Educational Resources Information Center

    Arfstrom, Kari M.

    2009-01-01

    This dissertation describes how entrepreneurial superintendents of educational service agencies (ESAs) recognize, determine and address common and distinct innovative characteristics within emerging or established regional educational environments. Because internal and external factors assist in recognizing innovative practices, this study…

  19. Environmental Monitoring System for Home-Delivery Service of Packages by Using MEMS Sensors

    NASA Astrophysics Data System (ADS)

    Fujita, Takayuki; Masaki, Kentaro; Maenaka, Kazusuke

    Nowadays, home-delivery services of packages are imperative in everyday life. These service industries are trying to provide cheaper, faster and safer service. However, package condition and handling during transportation are not disclosed to a customer. In this study, we realized a prototype system by MEMS technology for measuring the environmental conditions around a package for home-delivery service. The system includes barometric pressure, temperature, relative humidity and three dimensional acceleration (shock) sensing devices, as well as an interface circuitry. The system is a size of 115 × 54 × 10 mm3 and a weight of 50 g. We measured the package conditions during the transportation by three Japanese domestic home-delivery services, and using data mining, we were able to obtain a representation of the package's circumstances.

  20. 41 CFR 102-78.50 - What historic preservation services must Federal agencies provide?

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 41 Public Contracts and Property Management 3 2013-07-01 2013-07-01 false What historic... PROPERTY 78-HISTORIC PRESERVATION Historic Preservation § 102-78.50 What historic preservation services must Federal agencies provide? Federal agencies must provide the following historic...

  1. 41 CFR 102-78.50 - What historic preservation services must Federal agencies provide?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 41 Public Contracts and Property Management 3 2010-07-01 2010-07-01 false What historic... PROPERTY 78-HISTORIC PRESERVATION Historic Preservation § 102-78.50 What historic preservation services must Federal agencies provide? Federal agencies must provide the following historic...

  2. 41 CFR 102-78.50 - What historic preservation services must Federal agencies provide?

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 41 Public Contracts and Property Management 3 2011-01-01 2011-01-01 false What historic... PROPERTY 78-HISTORIC PRESERVATION Historic Preservation § 102-78.50 What historic preservation services must Federal agencies provide? Federal agencies must provide the following historic...

  3. 41 CFR 102-78.50 - What historic preservation services must Federal agencies provide?

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 41 Public Contracts and Property Management 3 2012-01-01 2012-01-01 false What historic... PROPERTY 78-HISTORIC PRESERVATION Historic Preservation § 102-78.50 What historic preservation services must Federal agencies provide? Federal agencies must provide the following historic...

  4. 41 CFR 102-78.50 - What historic preservation services must Federal agencies provide?

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 41 Public Contracts and Property Management 3 2014-01-01 2014-01-01 false What historic... PROPERTY 78-HISTORIC PRESERVATION Historic Preservation § 102-78.50 What historic preservation services must Federal agencies provide? Federal agencies must provide the following historic...

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

    ERIC Educational Resources Information Center

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

    2009-01-01

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

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

    Code of Federal Regulations, 2010 CFR

    2010-07-01

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

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

    Code of Federal Regulations, 2014 CFR

    2014-01-01

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

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

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... acquisition and related services may Federal agencies provide? Federal agencies, upon approval from GSA, may provide real estate acquisition and related services, including leasing (with or without purchase options... acquisition and related services may Federal agencies provide? 102-73.15 Section 102-73.15 Public...

  9. 76 FR 77483 - Nationwide Change in Postal Delivery Service Standards

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-13

    ... in the Direct Testimony of David E. Williams on behalf of the United States Postal Service (USPS-T-1... behalf of United States Postal Service (USPS-T-5), and Direct Testimony of Cheryl D. Martin on behalf...

  10. Measuring the Delivery of Special Education Services in a Large Urban District: Lessons from the Los Angeles Unified School District

    ERIC Educational Resources Information Center

    Harr, Jenifer J.; Oliver, Deborah F.; Ramanathan, Arun; Socias, Miguel

    2008-01-01

    Special education service delivery is often the source of disputes between parents and districts and an issue in special education class-action lawsuits. Despite these controversies, there has been little large-scale research on the delivery of services. This study represents a large-scale assessment of the delivery of special education services…

  11. The Same Client: The Demographics of Education and Service Delivery Systems.

    ERIC Educational Resources Information Center

    Hodgkinson, Harold L.

    In the United States, services (such as education, health care, housing, and transportation) are provided for citizens by a bewildering array of agencies at many government levels. Service organizations must learn to communicate across functional lines, and educators must become familiar with other service providers at various levels. This means…

  12. Integrated health care delivery system conducts ad agency search as part of its brand-launching effort.

    PubMed

    Lewicki, G

    1999-01-01

    PennState Geisinger Health System, Hershey, Pa., conducted an extensive ad agency search after its inception in 1997. The integrated health care delivery system needed to introduce its brand to an audience that was confused by the wide array of available health care options. BVK/McDonald, Milwaukee, the agency selected, has created a branding campaign that revolves around the tag-line "The power of health." PennState Geisinger will tabulate the results of BVK/McDonald's multi-million dollar campaign in 2000; at that time it will know whether its selection committee chose wisely.

  13. Mental Health Services for People with Intellectual Disability: Challenges to Care Delivery

    ERIC Educational Resources Information Center

    Chaplin, Eddie; O'Hara, Jean; Holt, Geraldine; Bouras, Nick

    2009-01-01

    The commissioning and provision of mental health services for people with intellectual disability is often complex and characterised by different service delivery models. This paper looks at the current situation 7 years after the White Paper, Valuing People (From words into action: London learning disabilities strategic framework, Department of…

  14. Step by Step--Creating a Strategic Management System for Career Services Delivery.

    ERIC Educational Resources Information Center

    Jones, Cynthia F.

    2002-01-01

    At the University of Connecticut, the career services staff developed a dynamic strategic management system to do business in, and respond to, the fluid conditions of its environment. This system will help the department to achieve and maintain cutting-edge status in the delivery of career services in accordance with the need of its client groups.…

  15. Financing the delivery of animal health services in developing countries: a case study of Ghana.

    PubMed

    Turkson, P K; Brownie, C F

    1999-02-01

    Inadequate financing for the delivery of animal health services in many developing countries has been blamed for lack of efficiency and effectiveness of veterinary services. There are no reports of how the delivery of veterinary services in Ghana is financed. The aim of this paper is to provide information on the funding of veterinary services in Ghana to help in decision making on resource allocation. Various indicators and measures were used in assessing the adequacy of financing and resource allocation from 1990 to 1995. These measures were the veterinary budget as proportions of the national budget, GDP and AGDP; the proportions of the veterinary budget allocated to salaries; the ratios of salaries to non-staff expenditure and of non-staff expenditure to veterinary livestock units and technical staff; coefficient of efficacy; and R-ratio. These generally declined or worsened over the period, deviating from recommended norms where such norms exist. This confirmed the paucity of financing and resource allocation for the delivery of veterinary services. Revenue generation from cost recovery over the 1993-95 period was a potential source of funding, exceeding 100% of non-staff expenditure for 1993 and 1994. However, the revenue generated was not channelled back to veterinary services but went to the national coffers. This served as a disincentive. There is an urgent need to review how veterinary services are financed in Ghana, if the delivery of services is to improve in efficiency and effectiveness.

  16. Going the Extra Mile: Designing a Delivery Service for Remote Borrowers

    ERIC Educational Resources Information Center

    Long, Dallas

    2009-01-01

    This article documents the development of delivery services of library materials to remote borrowers at Milner Library, Illinois State University. Responding to a university mandate and guidelines for distance learning authored by the Association of College and Research Libraries, the Access Services librarians at Milner Library investigated the…

  17. 41 CFR 60-300.84 - Responsibilities of appropriate employment service delivery system.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 41 Public Contracts and Property Management 1 2014-07-01 2014-07-01 false Responsibilities of appropriate employment service delivery system. 60-300.84 Section 60-300.84 Public Contracts and Property..., ACTIVE DUTY WARTIME OR CAMPAIGN BADGE VETERANS, AND ARMED FORCES SERVICE MEDAL VETERANS Ancillary...

  18. The Role of Libraries in eHealth Service Delivery in Australia

    ERIC Educational Resources Information Center

    Rao, Sarada

    2009-01-01

    eHealth is an emerging service sector which has great potential to improve health care delivery to rural and remote communities, facilitate health surveillance, and promote health education and research. Despite the critical need for eHealth services in Australia based on the challenges of distance and human resources, its utility has yet to be…

  19. Northeast Conference on Rural HIV Service Delivery (Burlington, Vermont, October 23-24, 2000). Summary Report.

    ERIC Educational Resources Information Center

    McKinney, Martha M.

    The Northeast Conference on Rural HIV Service Delivery was attended by 51 health and social service professionals, people with HIV, and federal and state health officials with expertise or interest in developing HIV care capacity in rural areas. Low population density, low prevalence of HIV/AIDS, rugged topography and climate, and limited health…

  20. Delivery of Rural Community Services: Some Implications and Problems. Agricultural Experiment Station Bulletin 635.

    ERIC Educational Resources Information Center

    Carruthers, Garrey E.; And Others

    Summarizing research conducted under the Western Regional Research Project on the delivery of rural community services, this report presents explications of the following generalizations which have been supported by research: (1) Many rural service institutions need reorganization and renewal, (2) Regionalization increases organizations' ability…

  1. Mechanisms of Service-Delivery Systems of Adult Education in Non-University Institutions in Canada.

    ERIC Educational Resources Information Center

    Weva, Kabule W.

    A study was conducted to identify and describe the different mechanisms of adult education services provided by non-university institutions in Canada. Specifically, the study sought to determine which institutions were involved in adult education, which service-delivery modes were most widely used, current trends, and which institutions and…

  2. When Special Education Trumps ESL: An Investigation of Service Delivery for ELLs with Disabilities

    ERIC Educational Resources Information Center

    Kangas, Sara E. N.

    2014-01-01

    Through an ethnographic study of one suburban elementary school, the delivery of services to English language learners (ELLs) with disabilities was investigated. The data analysis revealed that often disability-related and English as a Second Language (ESL) services were in contention, as scheduling, teacher expertise, school culture, and ESL…

  3. Perceptions of International Students on Service Quality Delivery in a Malaysian Public University

    ERIC Educational Resources Information Center

    Njie, Baboucarr; Asimiran, Soaib; Baki, Roselan

    2012-01-01

    Purpose: The purpose of this study is to explore the perceptions of international students of service quality delivery (SQD) in a Malaysian public university. Design/methodology/approach: The study was limited to the University's immediate physical environment and its associated human and systems-based services. The physical environment in this…

  4. 20 CFR 652.201 - What is the role of the State agency in the One-Stop delivery system?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... such partners that are described at 20 CFR part 662. (b) Consistent with those provisions, the State... delivery system and be a party to the Memorandum of Understanding, described at 20 CFR 662.300, addressing... ADMINISTRATION, DEPARTMENT OF LABOR ESTABLISHMENT AND FUNCTIONING OF STATE EMPLOYMENT SERVICES Wagner-Peyser...

  5. 20 CFR 652.201 - What is the role of the State agency in the One-Stop delivery system?

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... such partners that are described at 20 CFR part 662. (b) Consistent with those provisions, the State... delivery system and be a party to the Memorandum of Understanding, described at 20 CFR 662.300, addressing... ADMINISTRATION, DEPARTMENT OF LABOR ESTABLISHMENT AND FUNCTIONING OF STATE EMPLOYMENT SERVICES Wagner-Peyser...

  6. What family support specialists do: examining service delivery.

    PubMed

    Wisdom, Jennifer P; Lewandowski, R Eric; Pollock, Michele; Acri, Mary; Shorter, Priscilla; Olin, S Serene; Armusewicz, Kelsey; Horwitz, Sarah; Hoagwood, Kimberly E

    2014-01-01

    This study describes services provided by family support specialists (FSS), peer advocates in programs for children with serious psychiatric conditions, to delineate differences between recommended components of FSS services and services actually provided. An analysis of qualitative interview and observational data and quantitative survey data from 63 staff at 21 mental health programs in New York identified that FSS and other staff have generally similar ideas about FSS services, and that these perceptions of activities are generally congruent with what FSS actually did. Implications of findings are discussed in the context of developing competencies and quality indicators for FSS. PMID:24174330

  7. What Family Support Specialists Do: Examining Service Delivery

    PubMed Central

    Wisdom, Jennifer P.; Lewandowski, R. Eric; Pollock, Michele; Acri, Mary; Shorter, Priscilla; Olin, S. Serene; Armusewicz, Kelsey; Horwitz, Sarah; Hoagwood, Kimberly E.

    2013-01-01

    This study describes services provided by family support specialists (FSS), peer advocates in programs for children with serious psychiatric conditions, to delineate differences between recommended components of FSS services and services actually provided. An analysis of qualitative interview and observational data and quantitative survey data from 63 staff at 21 mental health programs in New York identified that FSS and other staff have generally similar ideas about FSS services, and that these perceptions of activities are generally congruent with what FSS actually did. Implications of findings are discussed in the context of developing competencies and quality indicators for FSS. PMID:24174330

  8. 34 CFR 370.7 - What shall the designated agency do to make its services accessible?

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... (Continued) OFFICE OF SPECIAL EDUCATION AND REHABILITATIVE SERVICES, DEPARTMENT OF EDUCATION CLIENT... accessible to clients or client applicants who seek or receive CAP services. (Authority: 29 U.S.C. 711(c)) ... 34 Education 2 2011-07-01 2010-07-01 true What shall the designated agency do to make its...

  9. 7 CFR 614.10 - Appeals before the Farm Service Agency county committee.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 6 2010-01-01 2010-01-01 false Appeals before the Farm Service Agency county committee. 614.10 Section 614.10 Agriculture Regulations of the Department of Agriculture (Continued) NATURAL RESOURCES CONSERVATION SERVICE, DEPARTMENT OF AGRICULTURE CONSERVATION OPERATIONS NRCS...

  10. 75 FR 38821 - Agency Information Collection Activities: Application-Alternative Inspection Services (SENTRI...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-06

    ...-- Alternative Inspection Services (SENTRI Application and FAST Commercial Driver Application) AGENCY: U.S... Application--Alternative Inspection Services including the SENTRI Application (CBP Form 823S) and the FAST... Application and the FAST Commercial Driver Application. OMB Number: 1651-0121. Form Numbers: 823S (SENTRI)...

  11. Integrating Child Welfare, Juvenile Justice, and Other Agencies in a Continuum of Services

    ERIC Educational Resources Information Center

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

    2004-01-01

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

  12. 76 FR 29783 - Agency Information Collection: Comment Request; The State of Ecosystem Services Implementation...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-23

    .... Request for Comments On September 13, 2010, we published a Federal Register notice (75 FR 55598... Geological Survey Agency Information Collection: Comment Request; The State of Ecosystem Services... (ICR) for a new collection of information: The State of Ecosystem Services Implementation Survey....

  13. Professional Learning within Multi-Agency Children's Services: Researching into Practice

    ERIC Educational Resources Information Center

    Leadbetter, Jane; Daniels, Harry; Edwards, Anne; Martin, Deirdre; Middleton, David; Popova, Anna; Warmington, Paul; Apostolov, Apostol; Brown, Steve

    2007-01-01

    Background: This article is concerned with professional learning within multi-agency settings. Since the publication of the government document "Every child matters" in 2003, professionals involved in working with children and young people have been moving into newly organized services that are required to deliver improved services for vulnerable…

  14. Expanding the Vision: New Roles for Educational Service Agencies in Rural School District Improvement.

    ERIC Educational Resources Information Center

    Stephens, E. Robert

    This book examines the role of the educational service agency (ESA) in the process of enabling and facilitating rural school improvement. The introductory chapter discusses the continuing significance of rural education, service to rural districts as an explicit reason for establishing ESAs, and the characteristics of several types of ESAs.…

  15. The Role of Education Service Agencies in Metropolitan Areas. ESA Study Series/Report No. IX.

    ERIC Educational Resources Information Center

    Stephens Associates, Burtonsville, MD.

    The failure to emphasize the role of education service agencies (ESAs) in metropolitan regions has lessened their use. Although in most states membership in an ESA system is obligatory for all school districts, participation in ESA programs and services is generally low. In several states legal constraints preclude a relationship between the ESA…

  16. 75 FR 43168 - Agency Information Collection Activities; Submission for OMB Review; Comment Request; Service...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-23

    ... Service Network which is comprised of State Units on Aging (SUA), Area Agencies on Aging (AAA) and Local... AAA directors and their staff and focus groups with provider organizations was deemed to be the most... range of AAA and service provider network characteristics. A focus group will be conducted with LSPs...

  17. 76 FR 27382 - Agency Information Collection Activity (VBA Loan Guaranty Service Lender Satisfaction Survey...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-11

    ... AFFAIRS Agency Information Collection Activity (VBA Loan Guaranty Service Lender Satisfaction Survey...) Loan Guaranty Service Lender Satisfaction Survey. OMB Control Number: 2900-0711. Type of Review...' satisfaction with the VA's processes and to make improvements to the program to better serve the needs...

  18. How Does Community Service Promote Prosocial Behavior? Examining the Role of Agency and Ideology Experience

    ERIC Educational Resources Information Center

    Christoph, Gabriela; Gniewosz, Burkhard; Reinders, Heinz

    2014-01-01

    This study examines community service effects on adolescents' prosocial behaviors as mediated through experiences made during service. Based on theoretical assumptions by Youniss and Yates, we suggest that personal agency experiences and being confronted with situations that can challenge the own world views (ideology experiences) serve as…

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

    ERIC Educational Resources Information Center

    Hemp, Richard

    1992-01-01

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

  20. 5 CFR 2424.24 - Agency's statement of position; purpose; time limits; content; severance; service.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... severance, then the agency must explain with specificity why severance is not appropriate. (e) Service. A...; time limits; content; severance; service. 2424.24 Section 2424.24 Administrative Personnel FEDERAL LABOR RELATIONS AUTHORITY, GENERAL COUNSEL OF THE FEDERAL LABOR RELATIONS AUTHORITY AND FEDERAL...

  1. 5 CFR 2424.24 - Agency's statement of position; purpose; time limits; content; severance; service.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... severance, then the agency must explain with specificity why severance is not appropriate. (e) Service. A...; time limits; content; severance; service. 2424.24 Section 2424.24 Administrative Personnel FEDERAL LABOR RELATIONS AUTHORITY, GENERAL COUNSEL OF THE FEDERAL LABOR RELATIONS AUTHORITY AND FEDERAL...

  2. 5 CFR 2424.24 - Agency's statement of position; purpose; time limits; content; severance; service.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... explain with specificity why severance is not appropriate. (e) Service. A copy of the agency's statement...; time limits; content; severance; service. 2424.24 Section 2424.24 Administrative Personnel FEDERAL LABOR RELATIONS AUTHORITY, GENERAL COUNSEL OF THE FEDERAL LABOR RELATIONS AUTHORITY AND FEDERAL...

  3. 5 CFR 2424.24 - Agency's statement of position; purpose; time limits; content; severance; service.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... explain with specificity why severance is not appropriate. (e) Service. A copy of the agency's statement...; time limits; content; severance; service. 2424.24 Section 2424.24 Administrative Personnel FEDERAL LABOR RELATIONS AUTHORITY, GENERAL COUNSEL OF THE FEDERAL LABOR RELATIONS AUTHORITY AND FEDERAL...

  4. 5 CFR 2424.24 - Agency's statement of position; purpose; time limits; content; severance; service.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... explain with specificity why severance is not appropriate. (e) Service. A copy of the agency's statement...; time limits; content; severance; service. 2424.24 Section 2424.24 Administrative Personnel FEDERAL LABOR RELATIONS AUTHORITY, GENERAL COUNSEL OF THE FEDERAL LABOR RELATIONS AUTHORITY AND FEDERAL...

  5. 41 CFR 102-82.25 - What are Executive agencies' responsibilities concerning the procurement of utility services?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... agencies' responsibilities concerning the procurement of utility services? 102-82.25 Section 102-82.25...) FEDERAL MANAGEMENT REGULATION REAL PROPERTY 82-UTILITY SERVICES Utility Services § 102-82.25 What are Executive agencies' responsibilities concerning the procurement of utility services? Executive...

  6. Pricing: A Normative Strategy in the Delivery of Human Services.

    ERIC Educational Resources Information Center

    Moore, Stephen T.

    1995-01-01

    Discusses a normative strategy toward pricing human services, which will allow providers to develop pricing strategies within the context of organizational missions, goals, and values. Pricing is an effective tool for distributing resources and improving efficiency, and can be used as a tool for encouraging desired patterns of service utilization.…

  7. The Sustainable Energy Utility (SEU) Model for Energy Service Delivery

    ERIC Educational Resources Information Center

    Houck, Jason; Rickerson, Wilson

    2009-01-01

    Climate change, energy price spikes, and concerns about energy security have reignited interest in state and local efforts to promote end-use energy efficiency, customer-sited renewable energy, and energy conservation. Government agencies and utilities have historically designed and administered such demand-side measures, but innovative…

  8. 75 FR 1681 - Advisory Committee International Postal and Delivery Services

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-12

    ... input to the meeting should contact Mr. Chris Wood, whose contact information is listed under FOR FURTHER INFORMATION CONTACT section of this notice. Each individual providing oral input is requested to... contact Christopher Wood, Office of Technical Specialized Agencies (IO/GS), Bureau of...

  9. Development, implementation, and evaluation of the Apollo model of pediatric rehabilitation service delivery.

    PubMed

    Camden, Chantal; Swaine, Bonnie; Tétreault, Sylvie; Bergeron, Sophie; Lambert, Carole

    2013-05-01

    This article presents the experience of a rehabilitation program that undertook the challenge to reorganize its services to address accessibility issues and improve service quality. The context in which the reorganization process occurred, along with the relevant literature justifying the need for a new service delivery model, and an historical perspective on the planning; implementation; and evaluation phases of the process are described. In the planning phase, the constitution of the working committee, the data collected, and the information found in the literature are presented. Apollo, the new service delivery model, is then described along with each of its components (e.g., community, group, and individual interventions). Actions and lessons learnt during the implementation of each component are presented. We hope by sharing our experiences that we can help others make informed decisions about service reorganization to improve the quality of services provided to children with disabilities, their families, and their communities. PMID:23231584

  10. Development, implementation, and evaluation of the Apollo model of pediatric rehabilitation service delivery.

    PubMed

    Camden, Chantal; Swaine, Bonnie; Tétreault, Sylvie; Bergeron, Sophie; Lambert, Carole

    2013-05-01

    This article presents the experience of a rehabilitation program that undertook the challenge to reorganize its services to address accessibility issues and improve service quality. The context in which the reorganization process occurred, along with the relevant literature justifying the need for a new service delivery model, and an historical perspective on the planning; implementation; and evaluation phases of the process are described. In the planning phase, the constitution of the working committee, the data collected, and the information found in the literature are presented. Apollo, the new service delivery model, is then described along with each of its components (e.g., community, group, and individual interventions). Actions and lessons learnt during the implementation of each component are presented. We hope by sharing our experiences that we can help others make informed decisions about service reorganization to improve the quality of services provided to children with disabilities, their families, and their communities.

  11. Home delivery of medication - the role of a patient information leaflet on maximising service uptake.

    PubMed

    Watson, L; Ahmed, N; Mccall, H; Minton, J; Benn, P; Edwards, S; Waters, L

    2014-12-01

    There are currently over 30,000 HIV-positive individuals in London and over 25,000 on anti-retroviral therapy. In 2009/2010, this equated to £170m spent by London's NHS on anti-retroviral drugs. Ways employed to reduce this cost include standardising the drugs patients are on and delivering medication to patients at home. Home delivery (HD) medication is exempt from value-added tax. The savings made from 10 patients using the home delivery service would free up resources to provide anti-retroviral therapy to one further patient. Studies have shown that concerns surrounding potential breaches of confidentiality are a potential barrier to some people using the home delivery service. In order to challenge these concerns, a leaflet was devised highlighting the major benefits to both the patient and the NHS of home delivery and addressing concerns over confidentiality. The leaflet was handed out to patients at the Mortimer Market Centre who were currently on anti-retroviral medication but not on home delivery. They were asked to complete a survey on their views of the service before and after reading the leaflet, whether they had been previously aware of the service and whether their concerns had been addressed. Some 79% felt that the patient information leaflet addressed all of their concerns, and it helped 11% decide whether to consider using home delivery. However, as more patients were opposed to the service after reading the patient information leaflet than those considering it, more work needs to be done to explore patients' concerns and other factors influencing home delivery service uptake. PMID:24711301

  12. Home delivery of medication - the role of a patient information leaflet on maximising service uptake.

    PubMed

    Watson, L; Ahmed, N; Mccall, H; Minton, J; Benn, P; Edwards, S; Waters, L

    2014-12-01

    There are currently over 30,000 HIV-positive individuals in London and over 25,000 on anti-retroviral therapy. In 2009/2010, this equated to £170m spent by London's NHS on anti-retroviral drugs. Ways employed to reduce this cost include standardising the drugs patients are on and delivering medication to patients at home. Home delivery (HD) medication is exempt from value-added tax. The savings made from 10 patients using the home delivery service would free up resources to provide anti-retroviral therapy to one further patient. Studies have shown that concerns surrounding potential breaches of confidentiality are a potential barrier to some people using the home delivery service. In order to challenge these concerns, a leaflet was devised highlighting the major benefits to both the patient and the NHS of home delivery and addressing concerns over confidentiality. The leaflet was handed out to patients at the Mortimer Market Centre who were currently on anti-retroviral medication but not on home delivery. They were asked to complete a survey on their views of the service before and after reading the leaflet, whether they had been previously aware of the service and whether their concerns had been addressed. Some 79% felt that the patient information leaflet addressed all of their concerns, and it helped 11% decide whether to consider using home delivery. However, as more patients were opposed to the service after reading the patient information leaflet than those considering it, more work needs to be done to explore patients' concerns and other factors influencing home delivery service uptake.

  13. National Weatherization Assistance Program Impact Evaluation - Client Satisfaction Survey: WAP Service Delivery from the Client's Perspective

    SciTech Connect

    Miller, Carolyn; Carroll, David; Berger, Jacqueline; Driscoll, Colleen; Tonn, Bruce Edward

    2015-10-01

    This report presents the results of a survey of recipients to measure satisfaction with services provided by local weatherization agencies being supported by funding from Department of Energy's Weatherization Assistance Program.

  14. The Clinical Delivery of Pharmacogenetic Testing Services: A Proposed Partnership between Genetic Counselors and Pharmacists

    PubMed Central

    Mills, Rachel; Haga, Susanne B.

    2013-01-01

    One of the basic questions in the early uses of pharmacogenetic (PGx) testing revolves around the clinical delivery of testing. Because multiple health professionals may play a role in the delivery of PGx testing, various clinical delivery models have begun to be studied. We propose that a partnership between genetic counselors and pharmacists can assist clinicians in the delivery of comprehensive PGx services. Based on their expert knowledge of pharmacokinetics and pharmacodynamics, pharmacists can facilitate the appropriate application of PGx test results to adjust medication use as warranted and act as a liaison to the healthcare team recommending changes in medication based on test results and patient input. Genetic counselors are well-trained in genetics as well as risk communication and counseling methodology, but have limited knowledge of pharmaceuticals. The complementary knowledge and skill set supports the partnership between genetic counselors and pharmacists to provide effective PGx testing services. PMID:23746189

  15. Supporting Early Childhood Special Education Personnel for Itinerant Service Delivery through a State-Level Technical Assistance Project

    ERIC Educational Resources Information Center

    Nelson, Chelie; Lindeman, David P.; Stroup-Rentier, Vera Lynne

    2011-01-01

    An itinerant service delivery model takes early intervention and special education services to environments where young children with disabilities participate in their communities. Reconciliation of the mismatch that often occurs between recommended and actual practice requires support at all levels of the service delivery system, including…

  16. Challenges to neurosurgery service delivery. Who moved my cheese?

    PubMed

    Palmer, J D

    2007-04-01

    The change programme in the National Health Service has moved the Acute Trusts providing neurosurgical services to very different ways of delivering healthcare. The process of reform has been supported by investment but the next few years will see far less additional money, and success and failure of services will be dependent upon the approach to those reforms. The 'payment by results' system of funding through tariff, the 'plurality of providers' policy of forcing commissioners to purchase activity from independent providers, the 'patient choice' process of encouraging patients to select treatment from a number of providers, and the '18-week wait' target of bringing down referral to treatment times are all major shifts in the way services are delivered and developed. The reforms have not been made with neurosurgery in mind, how will they affect the way this small specialty is delivered? PMID:17453785

  17. 20 CFR 652.202 - May local Employment Service Offices exist outside of the One-Stop service delivery system?

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... this section are available in at least one comprehensive physical center, as specified in 20 CFR 662... requirements of 20 CFR 662.300. ... outside of the One-Stop service delivery system? 652.202 Section 652.202 Employees' Benefits...

  18. 20 CFR 652.202 - May local Employment Service Offices exist outside of the One-Stop service delivery system?

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... this section are available in at least one comprehensive physical center, as specified in 20 CFR 662... requirements of 20 CFR 662.300. ... outside of the One-Stop service delivery system? 652.202 Section 652.202 Employees' Benefits...

  19. 20 CFR 652.202 - May local Employment Service Offices exist outside of the One-Stop service delivery system?

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... this section are available in at least one comprehensive physical center, as specified in 20 CFR 662... requirements of 20 CFR 662.300. ... outside of the One-Stop service delivery system? 652.202 Section 652.202 Employees' Benefits...

  20. 76 FR 10626 - Agency Information Collection Activities: Proposed Collection; Comment Request; Generic Clearance...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-25

    ... the 60-day notice published in the Federal Register of December 22, 2010 (75 FR 80542). Below we... Collection of Qualitative Feedback on Agency Service Delivery AGENCY: National Science Foundation. ACTION: 30... Qualitative Feedback on Agency Service Delivery'' to OMB for approval under the Paperwork Reduction Act...

  1. Consumer contribution to the delivery of genetic health services.

    PubMed

    Nisselle, Amy; Forbes, Robin; Bankier, Agnes; Hughes, Eilís; Aitken, Maryanne

    2008-09-01

    Clinical genetics services have been the focus of evaluation and guidelines since the 1970s. In this study we used consumer satisfaction as the evaluative measure with the aim being to seek feedback from consumers of a genetics service to inform quality measures for client-centered genetic services. In the first phase of the study issues were identified by consumers and health professionals around delivering genetics services and the priorities ranked into five themes: expectations, information, respect, privacy and logistics. These themes then formed the basis of a questionnaire that was distributed to consumers of a genetics service in Victoria, Australia. Three hundred ninety-seven out of 821 questionnaires were completed (49.8% response rate). More than 85% of consumers were satisfied in the theme of expectations, with the only issue being waiting times for genetic test results (68.6% satisfied). Over 83% of consumers were satisfied with the information received from the genetics service. The matter of interruptions during appointments was the only area in the theme of respect that rated less than 80% satisfactory (79.1%). In relation to privacy, consumers rated over 95% satisfaction. Logistics was the theme where satisfaction was lowest with ratings of less than 75% for issues such as availability of public transport to the clinic, parking and wheelchair access. Consumer satisfaction was related to the information received before and after consultations and also to the attitudes and behaviors of health professionals. These findings have implications for genetics services both in Australia and internationally and recommendations from the findings are outlined.

  2. Bringing the Life Needs Model to life: implementing a service delivery model for pediatric rehabilitation.

    PubMed

    King, Gillian A; Tucker, Mary Ann; Baldwin, Patricia J; LaPorta, John A

    2006-01-01

    This article describes the use and utility of the Life Needs Model of Pediatric Service Delivery at a regional children's rehabilitation center. The model is a transdisciplinary, evidence-based model that guides pediatric service delivery to meet the long-range goals of community participation and quality of life for children and youth with disabilities. The article describes the use of the model as a tool to assist with the development of organizational culture, strategic and operational planning, the development of therapists' expertise, and the development of community partnerships. The model also has influenced human resources practices, community relations activities, and research. The model provides needed direction to service planners about the types of services that are important to provide in a geographical region, and fills a gap in outlining the nature of services that can be encompassed in pediatric rehabilitation.

  3. Post-Soviet transition: improving health services delivery and management.

    PubMed

    Antoun, Joseph; Phillips, Frank; Johnson, Tricia

    2011-01-01

    During the post-Soviet transition of the last 2 decades, ex-Communist countries of the Eastern Bloc, including eastern and central Europe, the Soviet Union, and its satellite and aligned states, have undergone major health system reforms. Many health systems of those countries--previously adopting a Soviet-type Semashko model--are currently called "in transition," as reform agendas, such as shifting to a Bismarck, Beveridge, or mixed financing scheme or adopting new health delivery management policies, are still in development. In this article, we first review common characteristics of Semashko health systems (the predominant health system of Communist countries during the Soviet era) and then discuss the "new public management" principles that ex-Communist countries have recently started to adopt with various degrees of success. We then illustrate experiences with these principles using 2 case studies, from Russia and Albania, and propose health policy options for both cases. Based on a review of the literature and on the our work experience in Russia and Albania, we found that the 2 ex-Semashko systems have not fully capitalized on expected positive outcomes of new public management principles due to low local healthcare financing levels, depreciated healthcare infrastructure and operational capacities, overlapping and contradicting ideology and policies of the former and newer health systems, and finally, lack of leadership that has successful experience with these principles. In the case of pharmaceutical pricing, reimbursement, and access in Russia, we show how a well-intentioned but suboptimally designed and managed pharmaceutical coverage scheme has suffered moral hazard and adverse selection and has adversely impacted the new public management promise of efficient medicine coverage. In the case of Albania, the delayed investment in human resource reform within a depreciated and underfinanced delivery system has adversely affected the implementation of new

  4. Beyond "One-Stop" Shopping: An Integrated Service Delivery System for Job Seekers and Employers.

    ERIC Educational Resources Information Center

    Anderson, Richard T.

    The Workforce Development Center (WDC), in Waukesha County, Wisconsin, is a cooperative effort of nine public and private agencies, including the Wisconsin Job Service, the Private Industry Council, and Waukesha County Technical College (WCTC), to provide integrated employment services to area citizens and employers. Located on the WCTC campus,…

  5. Service Delivery Complexities: Early Intervention for Children with Physical Disabilities

    ERIC Educational Resources Information Center

    Ziviani, Jenny; Darlington, Yvonne; Feeney, Rachel; Rodger, Sylvia; Watter, Pauline

    2013-01-01

    Early intervention (EI) for children with physical disabilities is advocated as a means of enhancing child outcomes and family functioning. The issues confronted by service providers in delivering this support have received relatively little attention. The purpose of this study was to gain an understanding of the experiences of frontline EI staff…

  6. Can paraprofessional home visitation enhance early intervention service delivery?

    PubMed

    Vogler, Stephen D; Davidson, Arthur J; Crane, Lori A; Steiner, John F; Brown, Jeffrey M

    2002-08-01

    A 1-year randomized trial compared intensive case management (ICM) versus basic case management (BCM) in facilitating early intervention (EI) service use among children in an urban health system. Of 159 participating families with delayed or at-risk preschool-aged children, 88 received ICM from paraprofessionals versus 71 families who received less comprehensive BCM from a nurse. In the ICM versus BCM group, a shorter interval to assessment (98 vs 140 d, p =.05) but similar assessment rate (86% vs 80%, p =.29) was observed. The ICM group had more services recommended per child (1.64 vs 1.16, p < .004) and initiated (1.20 vs 0.85, p < .04). There was no difference in median time to EI program initiation for ICM versus BCM (228 vs 200 d, p = .88) or initiation and visit compliance rate for EI services. Specific efforts to improve outcomes (e.g., decrease initiation time and increase use of EI services) are still needed.

  7. Community-based approaches and partnerships: innovations in health-service delivery in Bangladesh.

    PubMed

    El Arifeen, Shams; Christou, Aliki; Reichenbach, Laura; Osman, Ferdous Arfina; Azad, Kishwar; Islam, Khaled Shamsul; Ahmed, Faruque; Perry, Henry B; Peters, David H

    2013-12-14

    In Bangladesh, rapid advancements in coverage of many health interventions have coincided with impressive reductions in fertility and rates of maternal, infant, and childhood mortality. These advances, which have taken place despite such challenges as widespread poverty, political instability, and frequent natural disasters, warrant careful analysis of Bangladesh's approach to health-service delivery in the past four decades. With reference to success stories, we explore strategies in health-service delivery that have maximised reach and improved health outcomes. We identify three distinctive features that have enabled Bangladesh to improve health-service coverage and health outcomes: (1) experimentation with, and widespread application of, large-scale community-based approaches, especially investment in community health workers using a doorstep delivery approach; (2) experimentation with informal and contractual partnership arrangements that capitalise on the ability of non-governmental organisations to generate community trust, reach the most deprived populations, and address service gaps; and (3) rapid adoption of context-specific innovative technologies and policies that identify country-specific systems and mechanisms. Continued development of innovative, community-based strategies of health-service delivery, and adaptation of new technologies, are needed to address neglected and emerging health challenges, such as increasing access to skilled birth attendance, improvement of coverage of antenatal care and of nutritional status, the effects of climate change, and chronic disease. Past experience should guide future efforts to address rising public health concerns for Bangladesh and other underdeveloped countries.

  8. 50 CFR 12.35 - Use by the Service or transfer to another government agency for official use.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 50 Wildlife and Fisheries 1 2014-10-01 2014-10-01 false Use by the Service or transfer to another... Abandoned Property § 12.35 Use by the Service or transfer to another government agency for official use. (a) Wildlife and plants may be used by the Service or transferred to another government agency...

  9. 41 CFR 102-72.100 - What are Executive agencies' responsibilities under a utility service delegation of authority...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... agencies' responsibilities under a utility service delegation of authority from GSA? 102-72.100 Section 102... § 102-72.100 What are Executive agencies' responsibilities under a utility service delegation of... utility services contracts for periods over one year but not exceeding ten years for their use and...

  10. Challenges, solutions, and best practices in telemental health service delivery across the pacific rim-a summary.

    PubMed

    Doarn, Charles R; Shore, Jay; Ferguson, Stewart; Jordan, Patricia J; Saiki, Stanley; Poropatich, Ronald K

    2012-10-01

    The Telemedicine and Advanced Technology Research Center, U.S. Army Medical Research and Materiel Command, in conjunction with the American Telemedicine Association's Annual Mid-Year Meeting, conducted a 1-day workshop on how maturing and emerging processes and applications in the field of telemental health (TMH) can be expanded to enhance access to behavioral health services in the Pacific Rim. The purpose of the workshop was to bring together experts in the field of TMH from the military, federal agencies, academia, and regional healthcare organizations serving populations in the Pacific Rim. The workshop reviewed current technologies and systems to better understand their current and potential applications to regional challenges, including the Department of Defense and other federal organizations. The meeting was attended by approximately 100 participants, representing military, government, academia, healthcare centers, and tribal organizations. It was organized into four sessions focusing on the following topic areas: (1) Remote Screening and Assessment; (2) Post-Deployment Adjustment Mental Health Treatment; (3) Suicide Prevention and Management; and (4) Delivery of Training, Education, and Mental Health Work Force Development. The meeting's goal was to discuss challenges, gaps, and collaborative opportunities in this area to enhance existing or create new opportunities for collaborations in the delivery of TMH services to the populations of the Pacific Rim. A set of recommendations for collaboration are presented.

  11. Abundance of common species, not species richness, drives delivery of a real-world ecosystem service.

    PubMed

    Winfree, Rachael; Fox, Jeremy W; Williams, Neal M; Reilly, James R; Cariveau, Daniel P

    2015-07-01

    Biodiversity-ecosystem functioning experiments have established that species richness and composition are both important determinants of ecosystem function in an experimental context. Determining whether this result holds for real-world ecosystem services has remained elusive, however, largely due to the lack of analytical methods appropriate for large-scale, associational data. Here, we use a novel analytical approach, the Price equation, to partition the contribution to ecosystem services made by species richness, composition and abundance in four large-scale data sets on crop pollination by native bees. We found that abundance fluctuations of dominant species drove ecosystem service delivery, whereas richness changes were relatively unimportant because they primarily involved rare species that contributed little to function. Thus, the mechanism behind our results was the skewed species-abundance distribution. Our finding that a few common species, not species richness, drive ecosystem service delivery could have broad generality given the ubiquity of skewed species-abundance distributions in nature.

  12. Abundance of common species, not species richness, drives delivery of a real-world ecosystem service.

    PubMed

    Winfree, Rachael; Fox, Jeremy W; Williams, Neal M; Reilly, James R; Cariveau, Daniel P

    2015-07-01

    Biodiversity-ecosystem functioning experiments have established that species richness and composition are both important determinants of ecosystem function in an experimental context. Determining whether this result holds for real-world ecosystem services has remained elusive, however, largely due to the lack of analytical methods appropriate for large-scale, associational data. Here, we use a novel analytical approach, the Price equation, to partition the contribution to ecosystem services made by species richness, composition and abundance in four large-scale data sets on crop pollination by native bees. We found that abundance fluctuations of dominant species drove ecosystem service delivery, whereas richness changes were relatively unimportant because they primarily involved rare species that contributed little to function. Thus, the mechanism behind our results was the skewed species-abundance distribution. Our finding that a few common species, not species richness, drive ecosystem service delivery could have broad generality given the ubiquity of skewed species-abundance distributions in nature. PMID:25959973

  13. Applying quality assurance to the primary health care service delivery system in Tahoua, Niger.

    PubMed

    Winter, L

    1994-01-01

    The Quality Assurance Project is helping the government of Niger institutionalize quality assurance (QA) within the primary health care delivery system in the Tahoua region. Quality Improvement Teams (QIT) have been organized in the medical center of each of Tahoua's 7 districts. They use QA methods to solve service delivery problems. In Konni District, a key service delivery problem was poor case management of malaria. Health workers administered an incorrect dosage of chloroquine and aspirin to 66% of malaria cases. They did not use patient weight properly to calculate the dosage. The District Medical Officer ran an in-service training for the staff and hung up a treatment algorithm next to the triage table. The QIT developed a system to make sure that staff took vital signs on all patients in the triage room. The system improved work flow, provided privacy, and reduced congestion. Staff now have more time for clients and are more likely to use correct dosage. The QIT found high drop out rates in the ambulatory nutritional rehabilitation service (CRENA). It used a flow chart to define the CRENA process for managing malnourished children. A QA checklist helped the QIT obtain critical information about services through direct observations of service delivery and interviews with staff and clients. Other identified weaknesses were inconsistency of drawing the growth curve in the child's health booklet and lack of explanation about the child's progress to the mother. The QIT first aimed to improve the organization of patient flow. It integrated curative care into the CRENA service. The patient now moves from reception to health education, weighing station, counseling and appointment for return visits, curative care, and supplement distribution. The integrated curative service and reorganized patient flow clarify the role of the providers.

  14. Interim Project Results: United Parcel Service's Second-Generation Hybrid-Electric Delivery Vans (Fact Sheet)

    SciTech Connect

    Not Available

    2012-01-01

    This fact sheet describes the performance evaluation of United Parcel Service's second-generation hybrid-electric delivery vans. The Fleet Test and Evaluation Team at the National Renewable Energy Laboratory (NREL) is evaluating the 18-month, in-service performance of 11 of these vans along with 11 comparable conventional diesel vans operating in Minneapolis, Minnesota. As a complement to the field study, the team recently completed fuel economy and emissions testing at NREL's Renewable Fuels and Lubricants (ReFUEL) laboratory.

  15. Telehealth: A Rapidly Developing Service Delivery Model For Occupational Therapy

    PubMed Central

    Cason, Jana

    2014-01-01

    Over the past decade, the practice of occupational therapy has been increasingly influenced by technological advances in the use of information and communication technologies (ICT) and associated changes in health care policy. Emergent from this evolution is the application of telehealth to deliver occupational therapy services to a client who is in a different physical location than the provider. This article furnishes an overview of the evidence for telehealth use in occupational therapy, discusses key policy considerations, and provides resources to guide practitioners in the ethical use of telehealth. PMID:25945220

  16. Telehealth: a rapidly developing service delivery model for occupational therapy.

    PubMed

    Cason, Jana

    2014-01-01

    Over the past decade, the practice of occupational therapy has been increasingly influenced by technological advances in the use of information and communication technologies (ICT) and associated changes in health care policy. Emergent from this evolution is the application of telehealth to deliver occupational therapy services to a client who is in a different physical location than the provider. This article furnishes an overview of the evidence for telehealth use in occupational therapy, discusses key policy considerations, and provides resources to guide practitioners in the ethical use of telehealth. PMID:25945220

  17. The perceived impact of the National Health Service on personalised nutrition service delivery among the UK public.

    PubMed

    Fallaize, Rosalind; Macready, Anna L; Butler, Laurie T; Ellis, Judi A; Berezowska, Aleksandra; Fischer, Arnout R H; Walsh, Marianne C; Gallagher, Caroline; Stewart-Knox, Barbara J; Kuznesof, Sharon; Frewer, Lynn J; Gibney, Mike J; Lovegrove, Julie A

    2015-04-28

    Personalised nutrition (PN) has the potential to reduce disease risk and optimise health and performance. Although previous research has shown good acceptance of the concept of PN in the UK, preferences regarding the delivery of a PN service (e.g. online v. face-to-face) are not fully understood. It is anticipated that the presence of a free at point of delivery healthcare system, the National Health Service (NHS), in the UK may have an impact on end-user preferences for deliverances. To determine this, supplementary analysis of qualitative data obtained from focus group discussions on PN service delivery, collected as part of the Food4Me project in the UK and Ireland, was undertaken. Irish data provided comparative analysis of a healthcare system that is not provided free of charge at the point of delivery to the entire population. Analyses were conducted using the 'framework approach' described by Rabiee (Focus-group interview and data analysis. Proc Nutr Soc 63, 655-660). There was a preference for services to be led by the government and delivered face-to-face, which was perceived to increase trust and transparency, and add value. Both countries associated paying for nutritional advice with increased commitment and motivation to follow guidelines. Contrary to Ireland, however, and despite the perceived benefit of paying, UK discussants still expected PN services to be delivered free of charge by the NHS. Consideration of this unique challenge of free healthcare that is embedded in the NHS culture will be crucial when introducing PN to the UK.

  18. The perceived impact of the National Health Service on personalised nutrition service delivery among the UK public.

    PubMed

    Fallaize, Rosalind; Macready, Anna L; Butler, Laurie T; Ellis, Judi A; Berezowska, Aleksandra; Fischer, Arnout R H; Walsh, Marianne C; Gallagher, Caroline; Stewart-Knox, Barbara J; Kuznesof, Sharon; Frewer, Lynn J; Gibney, Mike J; Lovegrove, Julie A

    2015-04-28

    Personalised nutrition (PN) has the potential to reduce disease risk and optimise health and performance. Although previous research has shown good acceptance of the concept of PN in the UK, preferences regarding the delivery of a PN service (e.g. online v. face-to-face) are not fully understood. It is anticipated that the presence of a free at point of delivery healthcare system, the National Health Service (NHS), in the UK may have an impact on end-user preferences for deliverances. To determine this, supplementary analysis of qualitative data obtained from focus group discussions on PN service delivery, collected as part of the Food4Me project in the UK and Ireland, was undertaken. Irish data provided comparative analysis of a healthcare system that is not provided free of charge at the point of delivery to the entire population. Analyses were conducted using the 'framework approach' described by Rabiee (Focus-group interview and data analysis. Proc Nutr Soc 63, 655-660). There was a preference for services to be led by the government and delivered face-to-face, which was perceived to increase trust and transparency, and add value. Both countries associated paying for nutritional advice with increased commitment and motivation to follow guidelines. Contrary to Ireland, however, and despite the perceived benefit of paying, UK discussants still expected PN services to be delivered free of charge by the NHS. Consideration of this unique challenge of free healthcare that is embedded in the NHS culture will be crucial when introducing PN to the UK. PMID:25812432

  19. Progress or Change: Issues in Educating the Emotionally Disturbed. Volume 2: Service Delivery.

    ERIC Educational Resources Information Center

    Haring, Norris G., Ed.; Noel, Margaret M., Ed.

    Seven papers address issues in service delivery of educational programs for emotionally disturbed students. M. Noel begins with "Public School Programs for the Emotionally Disturbed: An Overview," in which she reviews past and present approaches and models. In "Pathways to Success: Working with Seriously Emotionally Disturbed Students in a Public…

  20. The network data delivery service: A real-time data connectivity system

    NASA Technical Reports Server (NTRS)

    Pardo-Castellote, Gerardo; Schneider, Stan

    1994-01-01

    A network data-sharing system, the Network Data Delivery Service (NDDS), is discussed. The NDDS system relies on a bipartite model consisting of the following: information producers (sources) and information consumers (sinks). The example provided by a dual-arm robotic system is examined.

  1. Speech-Language Pathologist and General Educator Collaboration: A Model for Tier 2 Service Delivery

    ERIC Educational Resources Information Center

    Watson, Gina D.; Bellon-Harn, Monica L.

    2014-01-01

    Tier 2 supplemental instruction within a response to intervention framework provides a unique opportunity for developing partnerships between speech-language pathologists and classroom teachers. Speech-language pathologists may participate in Tier 2 instruction via a consultative or collaborative service delivery model depending on district needs.…

  2. State Plan for the Delivery of Special Education Programs and Services.

    ERIC Educational Resources Information Center

    Michigan State Dept. of Education, Lansing.

    Michigan's plan for the development and delivery of comprehensive, quality education programs and services for handicapped children in the state is reported. The four major goals of the plan encompass not only the need for comprehensive special education programs, but also the organizational and communications structures necessary for the delivery…

  3. Moral, Legal, and Functional Dimensions of Inclusive Service Delivery in Catholic Schools

    ERIC Educational Resources Information Center

    Scanlan, Martin

    2009-01-01

    Catholic school educators are morally compelled by Catholic social teaching to foster inclusive service delivery for students who have traditionally been marginalized in schools, including students in poverty, students of color, English language learners, and students with special needs. This article applies this moral context to analyze the legal…

  4. Speech-Language Pathologists' Comfort Levels in English Language Learner Service Delivery

    ERIC Educational Resources Information Center

    Kimble, Carlotta

    2013-01-01

    This study examined speech-language pathologists' (SLPs) comfort levels in providing service delivery to English language learners (ELLs) and limited English proficient (LEP) students. Participants included 192 SLPs from the United States and Guam. Participants completed a brief, six-item questionnaire that investigated their perceptions…

  5. A Process for Restructuring Service Delivery Models for Inclusion in New York State.

    ERIC Educational Resources Information Center

    Black, Jim; And Others

    This paper describes a process for restructuring service-delivery models for inclusion in New York State schools. The process is based on several assumptions, some of which include: (1) Home-zone school placement or choice/magnet school options are the preferred placement for special education students; (2) inclusion models must restructure…

  6. Legal Services Delivery at Public Institutions of Higher Education in a New England State

    ERIC Educational Resources Information Center

    Sargent, Frank A.

    2010-01-01

    While most university leaders have realized the need for having some form of legal services system in place, many struggle with what delivery method, in-house counsel or external law firms, to use (Santora & Kaplin, 2003). This study investigated why some colleges and universities employ in-house counsel, while others rely on private law firms.…

  7. Current Practices in Special Education Service Delivery and Differences between Instructional Settings

    ERIC Educational Resources Information Center

    Platt, Marguerite D.

    2013-01-01

    Despite nationwide advances in special education service delivery practices, disparities exist between the educational outcomes of students with disabilities versus students without disabilities. There is often disparity in teachers' roles and instructional practices in coteaching classrooms, as well as in their pullout resource classroom…

  8. Improving Bilingual Service Delivery in Catholic Schools through Two-Way Immersion

    ERIC Educational Resources Information Center

    Scanlan, Martin; Zehrbach, Gareth

    2010-01-01

    Catholic elementary schools underserve Latino students, especially those who are bilingual. This paper presents a conceptual argument for Catholic elementary schools to improve this by pursuing the two-way immersion model of bilingual service delivery in Spanish and English. The argument is presented in three stages. First, we show that Catholic…

  9. Contribution of Professional School Counselors' Values and Leadership Practices to Their Programmatic Service Delivery

    ERIC Educational Resources Information Center

    Shillingford, M. Ann; Lambie, Glenn W.

    2010-01-01

    School counselors are called to be leaders to support the development of all students. The study in this article investigated the contributions of the values (Schwartz, 1992) and leadership practices (Posner & Kouzes, 1988) of 163 school counselors to their programmatic service delivery (Scarborough, 2005). Leadership practices made significant…

  10. 76 FR 54829 - Advisory Committee On International Postal and Delivery Services

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-02

    ...As required by the Federal Advisory Committee Act, Public Law 92-463, the Department of State gives notice of a meeting of the Advisory Committee on International Postal and Delivery Services. This Committee has been formed in fulfillment of the provisions of the 2006 Postal Accountability and Enhancement Act (Pub. L. 109-435) and in accordance with the Federal Advisory Committee...

  11. A Universal Method for Evaluating Psychotherapy Service Delivery Systems: The Attrition Curve.

    ERIC Educational Resources Information Center

    Phillips, E. Lakin

    Data previously reported (Garfield, 1978) on the number of clients/patients appearing at psychotherapy sessions from intake to termination did not identify the attritional features of service delivery systems. These earlier studies were retabulated and new data were accumulated from several contemporary sources: a university counseling center, an…

  12. Young Children with Disabilities in Israel: System of Early Intervention Service Delivery

    ERIC Educational Resources Information Center

    Shulman, Cory; Meadan, Hedda; Sandhaus, Yoram

    2012-01-01

    This article aims to analyze early intervention programs in Israel according to the Developmental Systems Model (Guralnick, 2001), in an attempt to identify strengths and areas for further development for service delivery for young children with disabilities in Israel. Early intervention in Israel is part of a comprehensive healthcare model…

  13. Variables Affecting Delivery of Exceptional Child Services to Rural Areas and Suggested Educational Approaches.

    ERIC Educational Resources Information Center

    Frith, Greg

    Discussed are such variables affecting delivery of services to exceptional children in rural areas as incidence of handicapping conditions, family size, transportation, and communication; and recommended are such educational approaches to the problem as personnel recruitment, parent involvement, mainstreaming, and multi-system cooperation. (IM)

  14. Staff Recommendations Concerning the Delivery of Hepatitis-Related Services in County Health Departments

    ERIC Educational Resources Information Center

    Rainey, Jacquie

    2007-01-01

    Background: This paper describes a portion of a larger evaluation project of a state hepatitis prevention program. Purpose: The study explored the suggestions of key informants related to the delivery of hepatitis services in the state. Methods: Researchers conducted key informant interviews lasting 30 to 45 minutes. Results: Important findings…

  15. Clients, Consumers, and Citizens: Using Market Mechanisms for the Delivery of Public Services.

    ERIC Educational Resources Information Center

    Pascal, Anthony H.

    The ethical and technical superiority of a consumer-oriented system for the delivery of many public services, as compared to a client-based system, is demonstrated. The meaning of planning in a modern democratic society is examined. From distinctions drawn between the meaning of private and public goods in economic theory, some useful categories…

  16. Service Delivery and Related Issues at the Trace Research and Development Center.

    ERIC Educational Resources Information Center

    Smith, R. O.

    The environmental context of the Trace Center is first briefly described as background for a more detailed description of the center's service delivery activities in the field of rehabilitation/education technology. Trace serves four major functions in rehabilitation/education technology. As a nationally funded rehabilitation engineering center,…

  17. Preferences of Students with General Learning Difficulties for Different Service Delivery Modes

    ERIC Educational Resources Information Center

    Vlachou, Anastasia; Didaskalou, Eleni; Argyrakouli, Effi

    2006-01-01

    This study was designed to elicit the views and preferences of primary education students with general learning difficulties concerning different service delivery modes. The main areas to be investigated were: (a) their current educational provision, (b) alternative modes of provision and (c) the most appropriate provider (mainstream or special…

  18. Problems and Strategies Regarding Regionalizing Service Delivery: Educational Collaboratives in Rural America.

    ERIC Educational Resources Information Center

    Helge, Doris

    A review of five studies by the National Rural Project determined the impact of educational collaboratives on rural special education, including types of educational collaboratives, variations within collaborative structures, benefits of collaboratives for rural special education, problems related to regional service delivery structures, and…

  19. Treatment Strategies for Self-Injurious Behavior in a Large Service-Delivery Network.

    ERIC Educational Resources Information Center

    Altmeyer, Bernd K.; And Others

    1987-01-01

    The scope of psychoactive drug use within a statewide (Texas) institutional service delivery network was examined, with a focus on its role in the treatment of self-injurious behavior and other aberrant behaviors in the retarded. Insufficient use of behavioral technology and overuse of physical and chemical restraints were indicated. (Author/DB)

  20. Program Intensity and Service Delivery Models in the Schools: SLP Survey Results

    ERIC Educational Resources Information Center

    Brandel, Jayne; Loeb, Diane Frome

    2011-01-01

    Purpose: School-based speech-language pathologists (SLPs) routinely work with team members to make recommendations regarding an intervention program's intensity and method of service delivery for children with speech and language impairments. In this study, student, SLP, and workplace characteristics that may influence SLPs' recommendations were…

  1. Refugee Children Traumatized by War and Violence: The Challenge Offered to the Service Delivery System.

    ERIC Educational Resources Information Center

    Benjamin, Marva P.; Morgan, Patti C.

    This document summarizes issues presented by 16 scholars, researchers, and practitioners from the United States and Canada at a conference on refugee children traumatized by war and violence and suggests a service delivery model for these children and their families. A large percentage of the legal and illegal immigrants who have entered the…

  2. The "P" Word: Productivity in the Delivery of Career Guidance Services

    ERIC Educational Resources Information Center

    Watts, A. G.; Dent, Gareth

    2006-01-01

    The case for more attention to productivity in career guidance delivery is related to the pressures both for greater public accountability and for increasing access to services without massive increases in resources. The term "productivity" is defined and its applications in a career guidance context are explored. Possible strategies for enhancing…

  3. Improving Service Delivery: Investigating the Role of Information Sharing, Job Characteristics, and Employee Satisfaction

    ERIC Educational Resources Information Center

    Bontis, Nick; Richards, David; Serenko, Alexander

    2011-01-01

    Purpose: The purpose of this study is to propose and test a model designed to investigate the impact of job characteristics, employee satisfaction, and information sharing on two key indicators of quality service delivery, such as worker perceptions of their efficiency and customer focus. Design/methodology/approach: During the project, 9,060…

  4. An Evaluation of the Impact of HEW Assistance on Recent Immigrants in the State of Hawaii. A Study of Health, Education and Welfare Service Delivery to Hawaii Immigrants: Recommendations to the U.S. Department of Health, Education, and Welfare.

    ERIC Educational Resources Information Center

    Agbayani, Amefil

    This study identifies the problems and needs of recent immigrants to Hawaii, identifies those factors that hinder the effective delivery of Federally funded health, educational, and social services to immigrants, and recommends ways in which government agencies can meet immigrant needs in Hawaii. The study is based on a 1978 survey in which…

  5. University Educational Service Delivery Strategy in a Changing World: Implications for Ethical Values and Leadership Integrity in Nigeria

    ERIC Educational Resources Information Center

    Akintayo, D. I.

    2008-01-01

    This paper examined university educational service delivery strategy in a changing world as it affects ethical values and leadership integrity in Nigeria. This was for the purpose of determining appropriate strategies for improving the quality of service delivery system in Nigerian universities. The paper submits that the quality and quantity of…

  6. Protective Services for Abused and Neglected Children and Their Families. A Guide for State and Local Department of Public Social Services on the Delivery of Protective Services.

    ERIC Educational Resources Information Center

    Community Research Applications, Inc., New York, NY.

    Provided is a guide to assist state and local agencies in improving the administration and management of services to abused and neglected children and their families. Protective services at the state level are covered in the first section, including such topics as organization; initiating and reacting to proposed state legislation; developing…

  7. [Nurses' and patients' experience of combined health service delivery to all population groups in a hospital].

    PubMed

    Poggenpoel, M; Uys, H; Botes, A; Dörfling, C; Greeff, M; Gross, E; Müller, M; Nolte, A

    1996-06-01

    In a community hospital in Gauteng, the hospital management had, on short notice, to provide combined health services to all population groups. In the past different health services were delivered to each population group. The integration of health service delivery was a sudden change. Based on this, research questions arose, namely: how do nurses and patients experience this change, and how could they be assisted to adjust to the change. The research objectives were twofold, namely: to explore and describe nurses and patients' experience of combined health delivery to all population groups and based on the results to make recommendations to assist them with adjustment to a combined health delivery system. An exploratory, descriptive and contextual research design was followed. Trustworthiness was ensured by applying Guba's approach. Phenomenological and individual focus interviews were conducted with forty nurses and patients who were selected purposively. Field notes were written after completion of each interview. The transcribed data was analysed by using Giorgi's and Kerlinger's methods combined. Results were discussed and a literature control completed. The most important conclusions reached were: there was an insufficient administrative structure in the hospital as a result of insufficient preparation for the combined health service delivery for all population groups; the whites' perception of different populations groups is based on an ethnocentric Western approach. This led to their experience of culture shock that resulted in feelings of anger/frustration, fear and sadness; the willingness of other populations groups to adjust to combined health service delivery led to their experience of happiness; there exists communication problems between population groups because of their not being able to communicate in their own language and the difference in communication styles; the verbalised Christian viewpoint and values of whites nurses and patients are not

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

    ERIC Educational Resources Information Center

    Derryck, Dennis A.; Leyes, Richard

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

  9. Assets for Employment in Aboriginal Community-Based Human Services Agencies

    ERIC Educational Resources Information Center

    Brown, Jason; Fraehlich, Cheryl

    2012-01-01

    The purpose of the present study was to explore the prior educational and employment experiences of staff members in urban Aboriginal human services agencies. A total of 44 individuals employed by one of three community sites within one Canadian inner city generated 85 unique responses to the question: "What were your employment and education…

  10. 75 FR 58417 - Agency Information Collection Activities: Application-Alternative Inspection Services (SENTRI...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-24

    ... Federal Register (75 FR 38821) on July 6, 2010, allowing for a 60-day comment period. This notice allows...-- Alternative Inspection Services (SENTRI Application and FAST Commercial Driver Application) AGENCY: U.S... Form 823S) and the FAST Commercial Driver Application (CBP Form 823F). This is a proposed extension...

  11. 76 FR 22696 - Missouri River Energy Services, Western Minnesota Municipal Power Agency; Notice of Motion To...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-22

    ...; Notice of Motion To Withdraw Filing and Request for Expedited Action On March 23, 2011, Missouri River Energy Services and Western Minnesota Municipal Power Agency (collectively, MRES/WMMPA) filed a motion to... Markets Tariff. MRES/WMMPA also request that the Commission act on this motion no later than May 1,...

  12. 41 CFR 102-118.40 - How does my agency order transportation and transportation services?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 41 Public Contracts and Property Management 3 2010-07-01 2010-07-01 false How does my agency order transportation and transportation services? 102-118.40 Section 102-118.40 Public Contracts and Property... TRANSPORTATION 118-TRANSPORTATION PAYMENT AND AUDIT Ordering and Paying for Transportation and...

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

    ERIC Educational Resources Information Center

    Henderson, Everett; Manjarrez, Carlos

    2010-01-01

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

  14. 77 FR 26544 - Agency Information Collection Activities: Proposed Collection; Comment Request; Servicing of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-04

    ... Vehicle Air Conditioners, EPA ICR Number 1617.07, OMB Control Number 2060-0247 AGENCY: Environmental... consideration may perform any service on a motor vehicle air conditioner involving the refrigerant for such air... vehicle air conditioner without being properly trained and certified, nor without using properly...

  15. 76 FR 15993 - Revision of Agency Information Collection for Financial Assistance and Social Services

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-22

    ... Bureau of Indian Affairs Revision of Agency Information Collection for Financial Assistance and Social... Budget a revision to the information collection, titled ``Financial Assistance & Social Services, 25 CFR... expires March 31, 2012. The information collection requires applicants to provide information in...

  16. 75 FR 77904 - Office of Community Oriented Policing Services; Agency Information Collection Activities...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-14

    ... Review: COPS Non Hiring Progress Report. The Department of Justice (DOJ) Office of Community Oriented Policing Services (COPS) will be submitting the following information collection request to the Office of... Form/Collection: COPS Progress Report. (3) Agency form number, if any, and the applicable component...

  17. 75 FR 30061 - Office of Community Oriented Policing Services; Agency Information Collection Activities...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-28

    ... collection; comments requested ACTION: 30 Day Notice of Information Collection Under Review: COPS' Rural Law... Policing Services (COPS) has submitted the following information collection request to the Office of... the Form/Collection: COPS' Rural Law Enforcement National Training Assessment. (3) Agency form...

  18. 75 FR 75697 - Office of Community Oriented Policing Services; Agency Information Collection Activities...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-06

    ... Collection Under Review: COPS Application Package. The Department of Justice (DOJ) Office of Community Oriented Policing Services (COPS), has submitted the following information collection request to the Office... requested. (2) Title of the Form/Collection: COPS Application Package. (3) Agency form number, if any,...

  19. Education Service Agencies: Status and Trends. ESA Study Series/Report No. I.

    ERIC Educational Resources Information Center

    Stephens, E. Robert; And Others

    A comprehensive descriptive study of educational service agencies (ESAs), this project sought to provide an initial database on ESAs that could support future inquiry, to assemble information on present practice that could be used by states to guide the formation of new ESA systems or the modification of existing ones, and to develop an improved…

  20. 76 FR 17963 - Renewal of Agency Information Collection for Application for Job Placement and Training Services...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-31

    ... Bureau of Indian Affairs Renewal of Agency Information Collection for Application for Job Placement and... Job Placement and Training Services. The information collection is currently authorized by OMB Control... information collection conducted under 25 CFR part 26 to administer the job placement and training...

  1. 76 FR 54001 - Agency Information Collection (Election To Apply Selected Reserve Services to either Montgomery...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-30

    ... Bill-Active Duty or to the Montgomery GI Bill-Selected Reserve) Activity Under OMB Review AGENCY... INFORMATION: Title: Election to Apply Selected Reserve Services to Either Montgomery GI Bill-Active Duty or to... previously approved collection. Abstract: Reservist who participant in the Montgomery GI Bill-- Active...

  2. 77 FR 65707 - Agency Information Collection Activities: Request for Certification of Military or Naval Service...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-30

    ... SECURITY U.S. Citizenship and Immigration Services Agency Information Collection Activities: Request for... Approved Collection ACTION: 60-Day Notice. SUMMARY: The Department of Homeland Security (DHS), U.S... cost to the respondent, and the actual information collection instruments. DATES: Comments...

  3. 78 FR 70414 - Agency Information Collection (Supportive Services for Veteran Families (SSVF) Program...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-25

    ... AFFAIRS Agency Information Collection (Supportive Services for Veteran Families (SSVF) Program..., Department of Veterans Affairs, will submit the collection of information abstracted below to the Office of... information collection and its expected cost and burden and includes the actual data collection...

  4. 76 FR 4322 - Availability of the Fiscal Year 2009 Missile Defense Agency Services Contracts Inventory Pursuant...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-25

    ... United States Code as amended by the National Defense Authorization Act for Fiscal Year 2008 (NDAA 08... of the Secretary Availability of the Fiscal Year 2009 Missile Defense Agency Services Contracts... Procurement and Acquisition Policy, Office of Strategic Sourcing (DPAP/SS) will make available to the...

  5. 75 FR 41920 - Agency Information Collection; Activity Under OMB Review; Airline Service Quality Performance...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-19

    ... on the following collection of information was published on April 16, 2010 (75 FR 21716). DATES...; Airline Service Quality Performance--Part 234 AGENCY: Research & Innovative Technology Administration..., Office of Airline Information, RTS-42, Room E36-303, RITA, BTS, 1200 New Jersey Avenue, SE.,...

  6. Women's perceptions of antenatal, delivery, and postpartum services in rural Tanzania

    PubMed Central

    Mahiti, Gladys Reuben; Mkoka, Dickson Ally; Kiwara, Angwara Dennis; Mbekenga, Columba Kokusiima; Hurtig, Anna-Karin; Goicolea, Isabel

    2015-01-01

    Background Maternal health care provision remains a major challenge in developing countries. There is agreement that the provision of quality clinical services is essential if high rates of maternal death are to be reduced. However, despite efforts to improve access to these services, a high number of women in Tanzania do not access them. The aim of this study is to explore women's views about the maternal health services (pregnancy, delivery, and postpartum period) that they received at health facilities in order to identify gaps in service provision that may lead to low-quality maternal care and increased risks associated with maternal morbidity and mortality in rural Tanzania. Design We gathered qualitative data from 15 focus group discussions with women attending a health facility after child birth and transcribed it verbatim. Qualitative content analysis was used for analysis. Results ‘Three categories emerged that reflected women's perceptions of maternal health care services: “mothers perceive that maternal health services are beneficial,” “barriers to accessing maternal health services” such as availability and use of traditional birth attendants (TBAs) and the long distances between some villages, and “ambivalence regarding the quality of maternal health services” reflecting that women had both positive and negative perceptions in relation to quality of health care services offered’. Conclusions Mothers perceived that maternal health care services are beneficial during pregnancy and delivery, but their awareness of postpartum complications and the role of medical services during that stage were poor. The study revealed an ambivalence regarding the perceived quality of health care services offered, partly due to shortages of material resources. Barriers to accessing maternal health care services, such as the cost of transport and the use of TBAs, were also shown. These findings call for improvement on the services provided. Improvements

  7. The delivery of veterinary services to poorer communities: the case of rural Orissa, India.

    PubMed

    Ahuja, V; Morrenhof, J; Sen, A

    2003-12-01

    This paper presents the results of a field survey on use patterns and demand for clinical veterinary services in one of the poorest states of India, namely, Orissa. A demand function was estimated using Poisson regression and demand elasticities were obtained for various income groups. The survey shows that large numbers of households, including the poor, pay prices that are significantly higher than those prescribed. There is no targeting of cheaper services towards the poor. The analysis also suggests that for a given service and place of service, the poor actually paid more on a per veterinary visit basis. As a result, the rate of service utilisation was significantly lower for poor households. Demand analysis confirmed that the demand for veterinary services is not determined by subsidised service delivery, but by access to output markets and general awareness levels. In the light of these findings, the paper makes a number of recommendations for redefining the role of the Government in veterinary service delivery in Orissa.

  8. Challenges for a local service agency to address domestic violence -a case study from rural Indonesia.

    PubMed

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

    2014-08-15

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

  9. Determinants of antenatal care, institutional delivery and postnatal care services utilization in Nigeria

    PubMed Central

    Dahiru, Tukur; Oche, Oche Mansur

    2015-01-01

    Introduction Utilization of antenatal care, institutional delivery and postnatal care services in Nigeria are poor even by african average. Methods We analysed the 2013 Nigeria DHS to determine factors associated with utilization of these health MCH indicators by employing both bivariate and multivariate logistic regressions. Results Overall, 54% of women had at least four ANC visits, 37% delivered in health facility and 29% of new born had postnatal care within two of births. Factors that consistently predict the utilization of the three MCH services are maternal and husband's level education, place of residence, wealth level and parity. Antenatal care strongly predicts both health facility delivery (OR = 2.16, 95%CI: 1.99-2.34) and postnatal care utilization (OR = 4.67, 95%CI: 3.95-5.54); while health facility delivery equally predicting postnatal care (OR = 2.84, 95%CI: 2.20-2.80). Conclusion Improving utilization of these three MCH indicators will require targeting women in the rural areas and those with low level of education as well as creating demand for health facility delivery. Improving ANC use by making it available and accessible will have a multiplier effect of improving facility delivery which will lead to improved postnatal care utilization. PMID:26587168

  10. Examining models of mental health service delivery in the emergency department.

    PubMed

    Wand, Timothy; White, Kathryn

    2007-10-01

    The purpose of the present paper was to review the current models of mental health service delivery used in the emergency department (ED) setting. A search was conducted of the nursing and medical literature from 1990 to 2007 for relevant articles and reports. Consideration was also given to the global and local context influencing contemporary mental health services. Wider sociopolitical and socioeconomic influences and systemic changes in health-care delivery have dictated a considerable shift in attention for mental health services worldwide. The ED is a topical location that has attracted interest and necessitated a response. The mental health liaison nurse (MHLN) role embedded within the ED structure has demonstrated the most positive outcomes to date. This model aims to raise mental health awareness and address concerns over patient-focused outcomes such as reduced waiting times, therapeutic intervention and more efficient coordination of care and follow up for individuals presenting to the ED in psychological distress. Further research is required into all methods of mental health service delivery to the ED. The MHLN role is a cost-effective approach that has gained widespread approval from ED staff and mental health patients and is consistent with national and international expectations for mental health services to become fully integrated within general health care. The mental health nurse practitioner role situated within the ED represents a potentially promising alternative for enhanced public access to specialized mental health care. PMID:17828651

  11. The health maintenance organization strategy: a corporate takeover of health services delivery.

    PubMed

    Salmon, J W

    1975-01-01

    This paper presents a political economic framework for viewing the social organization of the delivery of health care servies and predicting a qualitatively different institutional configuration involving the health maintenance organization. The principal forces impacting American capitalism today are leading to a fundamental restructuring for increased social efficiency of the entire social welfare sector, including the health services industry. The method to achieve this restructuring involves health policy directed at raising the contribution to the social surplus from the delivery of health care services and eventual corporate domination. The health maintenance organization conceptualization is examined with suggestions as to how the HMO strategy promoted by the state leads to this corporate takeover. The mechanism and extent of the present corporate involvement are examined and implications of health services as a social control mechanism are presented.

  12. Project Overview: United Parcel Service's Second-Generation Hybrid-Electric Delivery Vans (Fact Sheet)

    SciTech Connect

    Not Available

    2011-11-01

    This fact sheet describes UPS second generation hybrid-electric delivery vehicles as compared to conventional delivery vehicles. Medium-duty commercial vehicles such as moving trucks, beverage-delivery trucks, and package-delivery vans consume almost 2,000 gal of fuel per year on average. United Parcel Service (UPS) operates hybrid-electric package-delivery vans to reduce the fuel use and emissions of its fleet. In 2008, the National Renewable Energy Laboratory's (NREL's) Fleet Test and Evaluation Team evaluated the first generation of UPS' hybrid delivery vans. These hybrid vans demonstrated 29%-37% higher fuel economy than comparable conventional diesel vans, which contributed to UPS' decision to add second-generation hybrid vans to its fleet. The Fleet Test and Evaluation Team is now evaluating the 18-month, in-service performance of 11 second-generation hybrid vans and 11 comparable conventional diesel vans operated by UPS in Minneapolis, Minnesota. The evaluation also includes testing fuel economy and emissions at NREL's Renewable Fuels and Lubricants (ReFUEL) Laboratory and comparing diesel particulate filter (DPF) regeneration. In addition, a followup evaluation of UPS' first-generation hybrid vans will show how those vehicles performed over three years of operation. One goal of this project is to provide a consistent comparison of fuel economy and operating costs between the second-generation hybrid vans and comparable conventional vans. Additional goals include quantifying the effects of hybridization on DPF regeneration and helping UPS select delivery routes for its hybrid vans that maximize the benefits of hybrid technology. This document introduces the UPS second-generation hybrid evaluation project. Final results will be available in mid-2012.

  13. Factors to consider in the delivery of quality services by hospitals.

    PubMed

    Mercier, S; Fikes, J

    1998-05-01

    The focus of any health care provider, such as a hospital, is on assessing and improving the well-being of the people in the system's target area, and it is this focus that differentiates health care providers from other enterprises. The purpose of this article is to identify the essential factors in the delivery of quality services by hospitals. These factors include patients' active participation in their delivery, the nature of the clinical procedures, and the management of the interaction of all the customers involved in the process.

  14. The impact of racism on the delivery of health care and mental health services.

    PubMed

    Hollar, M C

    2001-01-01

    This article presents research findings useful in formulating a Best Practices Model for the delivery of mental health services to underserved minority populations. Aspects of the role of racism in health care delivery and public health planning are explored. An argument is made for inclusion of the legacy of the slavery experience and the history of racism in America in understanding the current health care crisis in the African-American population. The development of an outline in APA DSM IV for the use of cultural formulations in psychiatric diagnosis is discussed.

  15. Evaluation Study of a Broadband Multicasting Service over a Gigabit Ethernet Delivery Network

    NASA Astrophysics Data System (ADS)

    Stergiou, E.; Meletiou, G.; Vasiliadis, D. C.; Rizos, G. E.; Margariti, S. V.

    2008-11-01

    Multicasting networks are usually implemented for delivering audio and video. Consequently, the performance evaluation of a reliable multicasting architecture is useful in active delivery systems. In this paper we analyze and present a broadband multicasting system under an Internet environment using a typical IP multicasting mechanism. The test-bed multicasting scheme was based on both IGMP and MCOP protocols, where a Gigabit Ethernet was used as delivery network at client's segment. The evaluation study provides measurements for the two most significant performance metrics, the required Bandwidth and the Round Trip Time (RTT) of a packet versus the number of multicasting clients over 2.4 Mbps multicasting service rate.

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

    PubMed

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

    2015-01-01

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

  17. SUPPLEMENTING THE PROGRAMS AND SERVICES OF RURAL SCHOOL SYSTEMS BY NEW TYPE REGIONAL SERVICE AGENCIES.

    ERIC Educational Resources Information Center

    LOVELESS, JOHN E.

    THE INTERMEDIATE DISTRICT, ESTABLISHED BY LAW IN NEW YORK STATE IN 1948, IS A COOPERATIVE EDUCATIONAL VENTURE PROVIDING SMALL RURAL SCHOOLS WITH SERVICES WHICH ARE NOT USUALLY POSSIBLE, DUE TO THE SIZE AND ISOLATION OF THESE SCHOOL DISTRICTS. SEVERAL OF THESE INTERMEDIATE DISTRICTS, LABELED BOCES (BOARD OF COOPERATIVE EDUCATIONAL SERVICES), HAVE…

  18. The use of information and communications technology for health service delivery in Namibia: perspectives of the health service providers.

    PubMed

    Shivute, Meke I; Maumbe, Blessing M; Owei, Vesper T

    2008-01-01

    We surveyed health service providers in Namibia to find out how they used information and communication technologies (ICTs) to deliver health services to their patients. A structured questionnaire was administered to 21 health service providers in two regions of the country (one urban, one rural). There was overwhelming consensus among the health service providers that ICTs were very important, especially for medical services (100%). Ninety-one percent of health service providers viewed ICT as helping them to interact with other providers in other health institutions. The most commonly used ICT was the telephone, which was used in the admission areas of most health institutions (36%); the next most commonly used ICT was the PC (23%). The most commonly used channels for communication with patients were the telephone followed by TV. Some of the problems common to all health institutions in Namibia were poor budgetary resources and lack of basic infrastructure such as electricity or telephone lines. There is a need to promote ICT use for health service delivery and also to stimulate patients to use ICT to access health services and relevant information.

  19. Community-Based Occupational Therapy Services for Children: A Quebec Survey on Service Delivery

    ERIC Educational Resources Information Center

    Cotellesso, Annie; Mazer, Barbara; Majnemer, Annette

    2009-01-01

    Community-based occupational therapy (OT) services are intended to promote social integration and minimize disability. The objective of this study was to describe community-based OT services for children in the province of Quebec, Canada. Specific aims included (a) to determine the proportion of Centres Locaux de Services Communautaires (CLSCs)…

  20. Mental Health Service Delivery Systems and Perceived Qualifications of Mental Health Service Providers in School Settings

    ERIC Educational Resources Information Center

    Dixon, Decia Nicole

    2009-01-01

    Latest research on the mental health status of children indicates that schools are key providers of mental health services (U.S. Department of Health and Human Services, 2003). The push for school mental health services has only increased as stakeholders have begun to recognize the significance of sound mental health as an essential part of…

  1. 41 CFR 102-76.20 - What issues must Federal agencies consider in providing site planning and landscape design services?

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... agencies consider in providing site planning and landscape design services? 102-76.20 Section 102-76.20...) FEDERAL MANAGEMENT REGULATION REAL PROPERTY 76-DESIGN AND CONSTRUCTION Design and Construction § 102-76.20 What issues must Federal agencies consider in providing site planning and landscape design services?...

  2. 41 CFR 102-76.20 - What issues must Federal agencies consider in providing site planning and landscape design services?

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... agencies consider in providing site planning and landscape design services? 102-76.20 Section 102-76.20...) FEDERAL MANAGEMENT REGULATION REAL PROPERTY 76-DESIGN AND CONSTRUCTION Design and Construction § 102-76.20 What issues must Federal agencies consider in providing site planning and landscape design services?...

  3. 41 CFR 102-76.20 - What issues must Federal agencies consider in providing site planning and landscape design services?

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... agencies consider in providing site planning and landscape design services? 102-76.20 Section 102-76.20...) FEDERAL MANAGEMENT REGULATION REAL PROPERTY 76-DESIGN AND CONSTRUCTION Design and Construction § 102-76.20 What issues must Federal agencies consider in providing site planning and landscape design services?...

  4. 3 CFR - Designation of Officials of the Court Services and Offender Supervision Agency to Act as Director

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 3 The President 1 2011-01-01 2011-01-01 false Designation of Officials of the Court Services and Offender Supervision Agency to Act as Director Presidential Documents Other Presidential Documents Memorandum of August 17, 2010 Designation of Officials of the Court Services and Offender Supervision Agency to Act as Director Memorandum for...

  5. Planning for State Systems of Education Service Agencies: Some Conceptual and Methodological Considerations. ESA Study Series/Report No. VIII.

    ERIC Educational Resources Information Center

    Stephens Associates, Burtonsville, MD.

    Based on a review of the literature, these guidelines are intended to assist policy planners and decision makers at state and local levels interested in establishing a state system of education service agencies (ESAs) or in modifying an existing system. The report offers an overview of education service agencies and organizes the guidelines into…

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

    ERIC Educational Resources Information Center

    Seiler, Lauren H.; And Others

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

  7. 29 CFR 1471.645 - Do other Federal agencies know if the Federal Mediation and Conciliation Service agrees to a...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

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

  8. 76 FR 40981 - Agency Information Collection Activities: Proposed Collection; Comment Request; Generic Clearance...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-12

    ... of DOT/MARAD and other listed Executive Agencies, published a 60-day notice (75 FR 80542) in the... Request; Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery AGENCY... (Generic ICR): ``Generic Clearance for the Collection of Qualitative Feedback on Agency Service...

  9. Health Personnel Requirements, Service Delivery, and National Policy: A Conversation with Thomas D. Hatch.

    ERIC Educational Resources Information Center

    VandenBos, Gary R.; Batchelor, Walter F.

    1983-01-01

    In this discussion, the director of the Bureau of Health Professions in the Health Resoruces and Services Administration describes the current organization of his agency, programs it has undertaken related to psychology and mental health, and health personnel utilization studies it has initiated. (GC)

  10. The House That TRACES Built: A Conceptual Model of Service Delivery Systems and Implications for Change.

    ERIC Educational Resources Information Center

    Schalock, Mark D.; And Others

    1994-01-01

    This article develops a framework for a common definition of system and system change drawing heavily from current understandings within chaos theory, quantum physics, and self-ordering systems. The framework is discussed in the context of TRACES, the national technical assistance agency for students with deaf blindness, and service delivery…

  11. Multi-agency voices: a thematic analysis of multi-agency working practices within the setting of a Child and Adolescent Mental Health Service.

    PubMed

    Salmon, Gill; Rapport, Frances

    2005-10-01

    This qualitative study aims to explore the types and purpose of discourse emerging when professionals from a Child and Adolescent Mental Health Service meet with professionals from other agencies to discuss cases. The aim reflects current political and contextual agendas influencing agencies to work more closely together and obstacles to achieving this goal highlighted in the literature such as the need for agencies to develop a common language to discuss children of concern. Data were collected through eight audio-taped meetings involving CAMHS and members of other agencies such as social services and education. A thematic analysis identified nine themes, defined according to their discourse type, including: single agency discourse; case complexity discourse and multi-agency discourse. Results indicate that agencies are hindered from working more closely together and developing a common language for use in multi-agency meetings, because they tend to have different understandings of the terminology used and a common consensus about language and meaning is not usually negotiated within the meeting. There is a need for greater awareness amongst staff from different professional groups and agencies that meaning given by one group will often need to be clarified by others and assumptions about common understandings should not be made. PMID:16308167

  12. Challenges in researching violence affecting health service delivery in complex security environments.

    PubMed

    Foghammar, Ludvig; Jang, Suyoun; Kyzy, Gulzhan Asylbek; Weiss, Nerina; Sullivan, Katherine A; Gibson-Fall, Fawzia; Irwin, Rachel

    2016-08-01

    Complex security environments are characterized by violence (including, but not limited to "armed conflict" in the legal sense), poverty, environmental disasters and poor governance. Violence directly affecting health service delivery in complex security environments includes attacks on individuals (e.g. doctors, nurses, administrators, security guards, ambulance drivers and translators), obstructions (e.g. ambulances being stopped at checkpoints), discrimination (e.g. staff being pressured to treat one patient instead of another), attacks on and misappropriation of health facilities and property (e.g. vandalism, theft and ambulance theft by armed groups), and the criminalization of health workers. This paper examines the challenges associated with researching the context, scope and nature of violence directly affecting health service delivery in these environments. With a focus on data collection, it considers how these challenges affect researchers' ability to analyze the drivers of violence and impact of violence. This paper presents key findings from two research workshops organized in 2014 and 2015 which convened researchers and practitioners in the fields of health and humanitarian aid delivery and policy, and draws upon an analysis of organizational efforts to address violence affecting healthcare delivery and eleven in-depth interviews with representatives of organizations working in complex security environments. Despite the urgency and impact of violence affecting healthcare delivery, there is an overall lack of research that is of health-specific, publically accessible and comparable, as well as a lack of gender-disaggregated data, data on perpetrator motives and an assessment of the 'knock-on' effects of violence. These gaps limit analysis and, by extension, the ability of organizations operating in complex security environments to effectively manage the security of their staff and facilities and to deliver health services. Increased research

  13. Challenges in researching violence affecting health service delivery in complex security environments.

    PubMed

    Foghammar, Ludvig; Jang, Suyoun; Kyzy, Gulzhan Asylbek; Weiss, Nerina; Sullivan, Katherine A; Gibson-Fall, Fawzia; Irwin, Rachel

    2016-08-01

    Complex security environments are characterized by violence (including, but not limited to "armed conflict" in the legal sense), poverty, environmental disasters and poor governance. Violence directly affecting health service delivery in complex security environments includes attacks on individuals (e.g. doctors, nurses, administrators, security guards, ambulance drivers and translators), obstructions (e.g. ambulances being stopped at checkpoints), discrimination (e.g. staff being pressured to treat one patient instead of another), attacks on and misappropriation of health facilities and property (e.g. vandalism, theft and ambulance theft by armed groups), and the criminalization of health workers. This paper examines the challenges associated with researching the context, scope and nature of violence directly affecting health service delivery in these environments. With a focus on data collection, it considers how these challenges affect researchers' ability to analyze the drivers of violence and impact of violence. This paper presents key findings from two research workshops organized in 2014 and 2015 which convened researchers and practitioners in the fields of health and humanitarian aid delivery and policy, and draws upon an analysis of organizational efforts to address violence affecting healthcare delivery and eleven in-depth interviews with representatives of organizations working in complex security environments. Despite the urgency and impact of violence affecting healthcare delivery, there is an overall lack of research that is of health-specific, publically accessible and comparable, as well as a lack of gender-disaggregated data, data on perpetrator motives and an assessment of the 'knock-on' effects of violence. These gaps limit analysis and, by extension, the ability of organizations operating in complex security environments to effectively manage the security of their staff and facilities and to deliver health services. Increased research

  14. Managing competition in public and private mental health agencies: implications for services and policy.

    PubMed

    Clark, R E; Dorwart, R A; Epstein, S S

    1994-01-01

    There were clear differences in our study between the management strategies employed by public agencies and those favored by private agencies. These differences, however, appeared to reflect the realities of financing rather than any fundamental differences in their orientation toward public service. There was no clear evidence that particular management practices affected an agency's performance on measures of financial access or acceptance of referrals from public hospitals. Government regulation and pressure from advocacy groups probably helped to maintain private agencies' focus on these and other public goals. From a public policy perspective, choosing a provider solely on the basis of ownership status is, at best, a naive approach to providing public mental health treatment. Not only is there great variation in process and practices within both private and public groups, but external factors such as competition from private practitioners may also exert a stronger influence on agency behavior than does ownership status. Because most current proposals for health care reform rely heavily on increased competition among providers to achieve their goals, the importance of ownership status as a predictor of conduct or performance may be further diminished. The emphasis on competition could increase differences between urban agencies and those in rural areas where there is less competition and, therefore, require different contracting approaches. As we move toward a health care system based on competition, administrators and policy makers will be forced to abandon their reliance on stereotypical public/private agency behavior as guides for policy decisions. Instead, they will have to consider more carefully the effects of political and market influences as well as agency characteristics when choosing community mental health providers. PMID:7997222

  15. Constraints in animal health service delivery and sustainable improvement alternatives in North Gondar, Ethiopia.

    PubMed

    Kebede, Hassen; Melaku, Achenef; Kebede, Elias

    2014-01-01

    Poor livestock health services remain one of the main constraints to livestock production in many developing countries, including Ethiopia. A study was carried out in 11 districts of North Gondar, from December 2011 to September 2012, with the objective of identifying the existing status and constraints of animal health service delivery, and thus recommending possible alternatives for its sustainable improvement. Data were collected by using pre-tested questionnaires and focus group discussion. Findings revealed that 46.34% of the responding farmers had taken their animals to government veterinary clinics after initially trying treatments with local medication. More than 90.00% of the clinical cases were diagnosed solely on clinical signs or even history alone. The antibacterial drugs found in veterinary clinics were procaine penicillin (with or without streptomycin), oxytetracycline and sulphonamides, whilst albendazole, tetramisole and ivermectin were the only anthelmintics. A thermometer was the only clinical aid available in all clinics, whilst only nine (45.00%) clinics had a refrigerator. In the private sector, almost 95.00% were retail veterinary pharmacies and only 41.20% fulfilled the requirement criteria set. Professionals working in the government indicated the following problems: lack of incentives (70.00%), poor management and lack of awareness (60.00%) and inadequate budget (40.00%). For farmers, the most frequent problems were failure of private practitioners to adhere to ethical procedures (74.00%) and lack of knowledge of animal diseases and physical distance from the service centre (50.00%). Of all responding farmers, 58.54% preferred the government service, 21.14% liked both services equally and 20.33% preferred the private service. Farmers' indiscriminate use of drugs from the black market (23.00%) was also mentioned as a problem by private practitioners. Sustainable improvement of animal health service delivery needs increased awareness for all

  16. Constraints in animal health service delivery and sustainable improvement alternatives in North Gondar, Ethiopia.

    PubMed

    Kebede, Hassen; Melaku, Achenef; Kebede, Elias

    2014-11-12

    Poor livestock health services remain one of the main constraints to livestock production in many developing countries, including Ethiopia. A study was carried out in 11 districts of North Gondar, from December 2011 to September 2012, with the objective of identifying the existing status and constraints of animal health service delivery, and thus recommending possible alternatives for its sustainable improvement. Data were collected by using pre-tested questionnaires and focus group discussion. Findings revealed that 46.34% of the responding farmers had taken their animals to government veterinary clinics after initially trying treatments with local medication. More than 90.00% of the clinical cases were diagnosed solely on clinical signs or even history alone. The antibacterial drugs found in veterinary clinics were procaine penicillin (with or without streptomycin), oxytetracycline and sulphonamides, whilst albendazole, tetramisole and ivermectin were the only anthelmintics. A thermometer was the only clinical aid available in all clinics, whilst only nine (45.00%) clinics had a refrigerator. In the private sector, almost 95.00% were retail veterinary pharmacies and only 41.20% fulfilled the requirement criteria set. Professionals working in the government indicated the following problems: lack of incentives (70.00%), poor management and lack of awareness (60.00%) and inadequate budget (40.00%). For farmers, the most frequent problems were failure of private practitioners to adhere to ethical procedures (74.00%) and lack of knowledge of animal diseases and physical distance from the service centre (50.00%). Of all responding farmers, 58.54% preferred the government service, 21.14% liked both services equally and 20.33% preferred the private service. Farmers' indiscriminate use of drugs from the black market (23.00%) was also mentioned as a problem by private practitioners. Sustainable improvement of animal health service delivery needs increased awareness for all

  17. Leadership styles of service professionals aiding women of abuse: enhancing service delivery.

    PubMed

    Haeseler, Lisa Ann

    2013-01-01

    Leadership styles of service professionals--including social workers and teachers--in the area of family abuse were investigated. Leadership characteristics of the professionals were measured by their responses to a survey. Results indicated that the interviewed service professionals demonstrated productive leadership traits. Study findings are congruent with leadership styles described in the research. Holistic and collaborative services are required to enhance care for women of abuse, as their needs are multifaceted and complex. Specific leadership styles promote better care for women; leaders need to collaboratively initiate and deliver more interdisciplinary and unified service.

  18. Leadership styles of service professionals aiding women of abuse: enhancing service delivery.

    PubMed

    Haeseler, Lisa Ann

    2013-01-01

    Leadership styles of service professionals--including social workers and teachers--in the area of family abuse were investigated. Leadership characteristics of the professionals were measured by their responses to a survey. Results indicated that the interviewed service professionals demonstrated productive leadership traits. Study findings are congruent with leadership styles described in the research. Holistic and collaborative services are required to enhance care for women of abuse, as their needs are multifaceted and complex. Specific leadership styles promote better care for women; leaders need to collaboratively initiate and deliver more interdisciplinary and unified service. PMID:23368994

  19. Location-based health information services: a new paradigm in personalised information delivery.

    PubMed

    Boulos, Maged N Kamel

    2003-01-10

    Brute health information delivery to various devices can be easily achieved these days, making health information instantly available whenever it is needed and nearly anywhere. However, brute health information delivery risks overloading users with unnecessary information that does not answer their actual needs, and might even act as noise, masking any other useful and relevant information delivered with it. Users' profiles and needs are definitely affected by where they are, and this should be taken into consideration when personalising and delivering information to users in different locations. The main goal of location-based health information services is to allow better presentation of the distribution of health and healthcare needs and Internet resources answering them across a geographical area, with the aim to provide users with better support for informed decision-making. Personalised information delivery requires the acquisition of high quality metadata about not only information resources, but also information service users, their geographical location and their devices. Throughout this review, experience from a related online health information service, HealthCyberMap http://healthcybermap.semanticweb.org/, is referred to as a model that can be easily adapted to other similar services. HealthCyberMap is a Web-based directory service of medical/health Internet resources exploring new means to organise and present these resources based on consumer and provider locations, as well as the geographical coverage or scope of indexed resources. The paper also provides a concise review of location-based services, technologies for detecting user location (including IP geolocation), and their potential applications in health and healthcare.

  20. SOA-Based Model for Value-Added ITS Services Delivery

    PubMed Central

    Herrera-Quintero, Luis Felipe; Maciá-Pérez, Francisco; Marcos-Jorquera, Diego; Gilart-Iglesias, Virgilio

    2014-01-01

    Integration is currently a key factor in intelligent transportation systems (ITS), especially because of the ever increasing service demands originating from the ITS industry and ITS users. The current ITS landscape is made up of multiple technologies that are tightly coupled, and its interoperability is extremely low, which limits ITS services generation. Given this fact, novel information technologies (IT) based on the service-oriented architecture (SOA) paradigm have begun to introduce new ways to address this problem. The SOA paradigm allows the construction of loosely coupled distributed systems that can help to integrate the heterogeneous systems that are part of ITS. In this paper, we focus on developing an SOA-based model for integrating information technologies (IT) into ITS to achieve ITS service delivery. To develop our model, the ITS technologies and services involved were identified, catalogued, and decoupled. In doing so, we applied our SOA-based model to integrate all of the ITS technologies and services, ranging from the lowest-level technical components, such as roadside unit as a service (RSUAAS), to the most abstract ITS services that will be offered to ITS users (value-added services). To validate our model, a functionality case study that included all of the components of our model was designed. PMID:25019101

  1. Using the structure of social networks to map inter-agency relationships in public health services.

    PubMed

    West, Robert M; House, Allan O; Keen, Justin; Ward, Vicky L

    2015-11-01

    This article investigates network governance in the context of health and wellbeing services in England, focussing on relationships between managers in a range of services. There are three aims, namely to investigate, (i) the configurations of networks, (ii) the stability of network relationships over time and, (iii) the balance between formal and informal ties that underpin inter-agency relationships. Latent position cluster network models were used to characterise relationships. Managers were asked two questions, both designed to characterise informal relationships. The resulting networks differed substantially from one another in membership. Managers described networks of relationships that spanned organisational boundaries, and that changed substantially over time. The findings suggest that inter-agency co-ordination depends more on informal than on formal relationships.

  2. 75 FR 5081 - Agency Information Collection Activities: Proposed Collection; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-01

    ...-management support, decision support, delivery system design, information systems, and organization of care... HUMAN SERVICES Agency for Healthcare Research and Quality Agency Information Collection Activities... (AHRQ) to request that the Office of Management and Budget (OMB) approve the proposed...

  3. Building Rural Surgical Networks: An Evidence-Based Approach to Service Delivery and Evaluation.

    PubMed

    Kornelsen, Jude; Friesen, Randy

    2016-08-01

    Formalized rural health service delivery networks are emerging as an over-arching response to the attrition of rural surgical and maternity services in Canada. In effective networks, there is strong collaborative leadership, form follows function, core network elements are identified and site-specific variations are accommodated to meet the surgical needs of the population in each geographic catchment. The network catchment must reflect the natural alliances that already exist among health professionals, policy makers, health administrators, academic institutions and communities. Although each key stakeholder plays a key role in determining success, value is added through the synergistic interplay of all participants. PMID:27585024

  4. Service Delivery Experiences and Intervention Needs of Military Families with Children with ASD.

    PubMed

    Davis, Jennifer M; Finke, Erinn; Hickerson, Benjamin

    2016-05-01

    The purpose of this study was to describe the experiences of military families with children with autism spectrum disorder (ASD) specifically as it relates to relocation. Online survey methodology was used to gather information from military spouses with children with ASD. The finalized dataset included 189 cases. Descriptive statistics and frequency analyses were used to examine participant demographics and service delivery questions. Results indicated the larger sample of military spouses largely confirmed the experiences reported qualitatively in previous studies and contributed information that was previously unknown about variables associated with the access, availability, quality, and frequency of intervention services for military families with children with ASD. PMID:26780908

  5. The importance of uncertainties in scenario analyses--A study on future ecosystem service delivery in Flanders.

    PubMed

    Landuyt, Dries; Broekx, Steven; Engelen, Guy; Uljee, Inge; Van der Meulen, Maarten; Goethals, Peter L M

    2016-05-15

    Land use is rapidly changing and is significantly affecting ecosystem service delivery all around the world. The socio-economic context and political choices largely determine land use change. This land use change, driven by socio-economic pressures, will impact diverse elements of the environment including, for example, air quality, soil properties, water infiltration and food and wood production, impacts that can be linked to the provisioning of ecosystem services. To gain more insight into the effects of alternative socio-economic developments on ecosystem service delivery, land use change models are being coupled to ecosystem service delivery models to perform scenario analyses. Although the uncertainty of the results of these kind of scenario analyses are generally far from negligible, studies rarely take them into account. In this study, a cellular automaton land use change model is coupled to Bayesian belief network ecosystem service delivery models to facilitate the study of error propagation in scenario analysis. The proposed approach is applied to model the impact of alternative socio-economic developments on ecosystem service delivery in Flanders, Belgium and to assess the impact of land use allocation uncertainty on the uncertainty associated to future ecosystem service delivery. Results suggest that taking into account uncertainties may have an effect on policy recommendations that come out of the scenario analysis. However, in this study, uncertainties in the applied ecosystem service models were dominant, reducing the importance of accounting for land use allocation uncertainty. PMID:26930321

  6. Investigation of the mediating effects of IT governance-value delivery on service quality and ERP performance

    NASA Astrophysics Data System (ADS)

    Tsai, Wen-Hsien; Chou, Yu-Wei; Leu, Jun-Der; Chao Chen, Der; Tsaur, Tsen-Shu

    2015-02-01

    This study aimed to explore the mediating effects of IT governance (ITG)-value delivery in the relationships among the quality of vendor service, the quality of consultant services, ITG-value delivery and enterprise resource planning (ERP) performance. The sampling of this research was acquired from a questionnaire survey concerning ERP implementations in Taiwan. In this survey, 4366 questionnaires were sent to manufacturing and service companies listed in the TOP 5000: The Largest Corporations in Taiwan 2009. The results showed that an ERP system will exhibit a decreased error rate and improved performance if ERP system vendors and consultants provide good service quality. The results also demonstrated that significant relationships exist among the quality of vendor service, the quality of consultant services and value delivery. The contribution of this article is twofold. First, it found that value delivery provides an effective measure of ERP performance under an ITG framework. Second, it provides evidence of the partial mediating effects of value delivery between service quality and ERP performance. In other words, if enterprises want to improve ERP performance, they need to consider factors such as value delivery and the quality of a vendor/consultant's service.

  7. Health workforce governance: Processes, tools and actors towards a competent workforce for integrated health services delivery.

    PubMed

    Barbazza, Erica; Langins, Margrieta; Kluge, Hans; Tello, Juan

    2015-12-01

    A competent health workforce is a vital resource for health services delivery, dictating the extent to which services are capable of responding to health needs. In the context of the changing health landscape, an integrated approach to service provision has taken precedence. For this, strengthening health workforce competencies is an imperative, and doing so in practice hinges on the oversight and steering function of governance. To aid health system stewards in their governing role, this review seeks to provide an overview of processes, tools and actors for strengthening health workforce competencies. It draws from a purposive and multidisciplinary review of literature, expert opinion and country initiatives across the WHO European Region's 53 Member States. Through our analysis, we observe distinct yet complementary roles can be differentiated between health services delivery and the health system. This understanding is a necessary prerequisite to gain deeper insight into the specificities for strengthening health workforce competencies in order for governance to rightly create the institutional environment called for to foster alignment. Differentiating between the contribution of health services and the health system in the strengthening of health workforce competencies is an important distinction for achieving and sustaining health improvement goals.

  8. Delivery of crop pollination services is an insufficient argument for wild pollinator conservation.

    PubMed

    Kleijn, David; Winfree, Rachael; Bartomeus, Ignasi; Carvalheiro, Luísa G; Henry, Mickaël; Isaacs, Rufus; Klein, Alexandra-Maria; Kremen, Claire; M'Gonigle, Leithen K; Rader, Romina; Ricketts, Taylor H; Williams, Neal M; Lee Adamson, Nancy; Ascher, John S; Báldi, András; Batáry, Péter; Benjamin, Faye; Biesmeijer, Jacobus C; Blitzer, Eleanor J; Bommarco, Riccardo; Brand, Mariëtte R; Bretagnolle, Vincent; Button, Lindsey; Cariveau, Daniel P; Chifflet, Rémy; Colville, Jonathan F; Danforth, Bryan N; Elle, Elizabeth; Garratt, Michael P D; Herzog, Felix; Holzschuh, Andrea; Howlett, Brad G; Jauker, Frank; Jha, Shalene; Knop, Eva; Krewenka, Kristin M; Le Féon, Violette; Mandelik, Yael; May, Emily A; Park, Mia G; Pisanty, Gideon; Reemer, Menno; Riedinger, Verena; Rollin, Orianne; Rundlöf, Maj; Sardiñas, Hillary S; Scheper, Jeroen; Sciligo, Amber R; Smith, Henrik G; Steffan-Dewenter, Ingolf; Thorp, Robbin; Tscharntke, Teja; Verhulst, Jort; Viana, Blandina F; Vaissière, Bernard E; Veldtman, Ruan; Ward, Kimiora L; Westphal, Catrin; Potts, Simon G

    2015-06-16

    There is compelling evidence that more diverse ecosystems deliver greater benefits to people, and these ecosystem services have become a key argument for biodiversity conservation. However, it is unclear how much biodiversity is needed to deliver ecosystem services in a cost-effective way. Here we show that, while the contribution of wild bees to crop production is significant, service delivery is restricted to a limited subset of all known bee species. Across crops, years and biogeographical regions, crop-visiting wild bee communities are dominated by a small number of common species, and threatened species are rarely observed on crops. Dominant crop pollinators persist under agricultural expansion and many are easily enhanced by simple conservation measures, suggesting that cost-effective management strategies to promote crop pollination should target a different set of species than management strategies to promote threatened bees. Conserving the biological diversity of bees therefore requires more than just ecosystem-service-based arguments.

  9. Improving consistency and quality of service delivery: implications for the addiction treatment field.

    PubMed

    Knott, Anne Marie; Corredoira, Rafael; Kimberly, John

    2008-09-01

    Addiction treatment providers face serious problems in delivering consistent, high-quality services over time. Among those providers with multiple treatment sites, there is also intersite variability. This is a serious problem in the addiction field, likely to be made worse as new technologies are introduced and/or as there is industry consolidation (Corredoira, R., Kimberly, J. (2006) Industry evolution through consolidation: Implications for addiction treatment. Journal of Substance Abuse Treatment 31, 255-265.). Although serious, these problems in managing and monitoring to assure consistent service quality have been faced by many other industries. Here, we review evidence from research in other industries regarding three different forms of management (vertical integration, franchising, and licensing) across a chain of individual service providers. We show how each management form affects the level, consistency, and improvement of service delivery over time. In addition, we discuss how such performance advantages affect customer demand as well as regulatory endorsement of the consolidated firm and its approach.

  10. Delivery of crop pollination services is an insufficient argument for wild pollinator conservation.

    PubMed

    Kleijn, David; Winfree, Rachael; Bartomeus, Ignasi; Carvalheiro, Luísa G; Henry, Mickaël; Isaacs, Rufus; Klein, Alexandra-Maria; Kremen, Claire; M'Gonigle, Leithen K; Rader, Romina; Ricketts, Taylor H; Williams, Neal M; Lee Adamson, Nancy; Ascher, John S; Báldi, András; Batáry, Péter; Benjamin, Faye; Biesmeijer, Jacobus C; Blitzer, Eleanor J; Bommarco, Riccardo; Brand, Mariëtte R; Bretagnolle, Vincent; Button, Lindsey; Cariveau, Daniel P; Chifflet, Rémy; Colville, Jonathan F; Danforth, Bryan N; Elle, Elizabeth; Garratt, Michael P D; Herzog, Felix; Holzschuh, Andrea; Howlett, Brad G; Jauker, Frank; Jha, Shalene; Knop, Eva; Krewenka, Kristin M; Le Féon, Violette; Mandelik, Yael; May, Emily A; Park, Mia G; Pisanty, Gideon; Reemer, Menno; Riedinger, Verena; Rollin, Orianne; Rundlöf, Maj; Sardiñas, Hillary S; Scheper, Jeroen; Sciligo, Amber R; Smith, Henrik G; Steffan-Dewenter, Ingolf; Thorp, Robbin; Tscharntke, Teja; Verhulst, Jort; Viana, Blandina F; Vaissière, Bernard E; Veldtman, Ruan; Ward, Kimiora L; Westphal, Catrin; Potts, Simon G

    2015-01-01

    There is compelling evidence that more diverse ecosystems deliver greater benefits to people, and these ecosystem services have become a key argument for biodiversity conservation. However, it is unclear how much biodiversity is needed to deliver ecosystem services in a cost-effective way. Here we show that, while the contribution of wild bees to crop production is significant, service delivery is restricted to a limited subset of all known bee species. Across crops, years and biogeographical regions, crop-visiting wild bee communities are dominated by a small number of common species, and threatened species are rarely observed on crops. Dominant crop pollinators persist under agricultural expansion and many are easily enhanced by simple conservation measures, suggesting that cost-effective management strategies to promote crop pollination should target a different set of species than management strategies to promote threatened bees. Conserving the biological diversity of bees therefore requires more than just ecosystem-service-based arguments. PMID:26079893

  11. Delivery of crop pollination services is an insufficient argument for wild pollinator conservation

    PubMed Central

    Kleijn, David; Winfree, Rachael; Bartomeus, Ignasi; Carvalheiro, Luísa G; Henry, Mickaël; Isaacs, Rufus; Klein, Alexandra-Maria; Kremen, Claire; M'Gonigle, Leithen K; Rader, Romina; Ricketts, Taylor H; Williams, Neal M; Lee Adamson, Nancy; Ascher, John S; Báldi, András; Batáry, Péter; Benjamin, Faye; Biesmeijer, Jacobus C; Blitzer, Eleanor J; Bommarco, Riccardo; Brand, Mariëtte R; Bretagnolle, Vincent; Button, Lindsey; Cariveau, Daniel P; Chifflet, Rémy; Colville, Jonathan F; Danforth, Bryan N; Elle, Elizabeth; Garratt, Michael P.D.; Herzog, Felix; Holzschuh, Andrea; Howlett, Brad G; Jauker, Frank; Jha, Shalene; Knop, Eva; Krewenka, Kristin M; Le Féon, Violette; Mandelik, Yael; May, Emily A; Park, Mia G; Pisanty, Gideon; Reemer, Menno; Riedinger, Verena; Rollin, Orianne; Rundlöf, Maj; Sardiñas, Hillary S; Scheper, Jeroen; Sciligo, Amber R; Smith, Henrik G; Steffan-Dewenter, Ingolf; Thorp, Robbin; Tscharntke, Teja; Verhulst, Jort; Viana, Blandina F; Vaissière, Bernard E; Veldtman, Ruan; Westphal, Catrin; Potts, Simon G

    2015-01-01

    There is compelling evidence that more diverse ecosystems deliver greater benefits to people, and these ecosystem services have become a key argument for biodiversity conservation. However, it is unclear how much biodiversity is needed to deliver ecosystem services in a cost-effective way. Here we show that, while the contribution of wild bees to crop production is significant, service delivery is restricted to a limited subset of all known bee species. Across crops, years and biogeographical regions, crop-visiting wild bee communities are dominated by a small number of common species, and threatened species are rarely observed on crops. Dominant crop pollinators persist under agricultural expansion and many are easily enhanced by simple conservation measures, suggesting that cost-effective management strategies to promote crop pollination should target a different set of species than management strategies to promote threatened bees. Conserving the biological diversity of bees therefore requires more than just ecosystem-service-based arguments. PMID:26079893

  12. Prehospital Electronic Patient Care Report Systems: Early Experiences from Emergency Medical Services Agency Leaders

    PubMed Central

    Landman, Adam B.; Lee, Christopher H.; Sasson, Comilla; Van Gelder, Carin M.; Curry, Leslie A.

    2012-01-01

    Background As the United States embraces electronic health records (EHRs), improved emergency medical services (EMS) information systems are also a priority; however, little is known about the experiences of EMS agencies as they adopt and implement electronic patient care report (e-PCR) systems. We sought to characterize motivations for adoption of e-PCR systems, challenges associated with adoption and implementation, and emerging implementation strategies. Methods We conducted a qualitative study using semi-structured in-depth interviews with EMS agency leaders. Participants were recruited through a web-based survey of National Association of EMS Physicians (NAEMSP) members, a didactic session at the 2010 NAEMSP Annual Meeting, and snowball sampling. Interviews lasted approximately 30 minutes, were recorded and professionally transcribed. Analysis was conducted by a five-person team, employing the constant comparative method to identify recurrent themes. Results Twenty-three interviewees represented 20 EMS agencies from the United States and Canada; 14 EMS agencies were currently using e-PCR systems. The primary reason for adoption was the potential for e-PCR systems to support quality assurance efforts. Challenges to e-PCR system adoption included those common to any health information technology project, as well as challenges unique to the prehospital setting, including: fear of increased ambulance run times leading to decreased ambulance availability, difficulty integrating with existing hospital information systems, and unfunded mandates requiring adoption of e-PCR systems. Three recurring strategies emerged to improve e-PCR system adoption and implementation: 1) identify creative funding sources; 2) leverage regional health information organizations; and 3) build internal information technology capacity. Conclusion EMS agencies are highly motivated to adopt e-PCR systems to support quality assurance efforts; however, adoption and implementation of e

  13. Educating Aging Service Agency Staff About Discussing End-of-Life Wishes.

    PubMed

    Flowers, Kimberlie; Howe, Judith L

    2015-01-01

    Seventy-five percent of Americans support the idea of Advance Directives (ADs) but less than 20% complete one, resulting in increased hospitalization costs, unwanted treatment, and difficult family decisions. Engaging community resources for public education may be effective for increasing understanding and completion of ADs. This project focused on workers in an agency serving older adults. A training program was developed with the goal of increasing their understanding of the process and benefits of Health Care Proxies (HCPs) and ADs through hands-on experience, increasing relevant skills and willingness to discuss with consumers, and to implement an agency protocol increasing documentation of HCPs for consumers. After a small proof-of-concept pilot, all staff members were asked to participate in the educational program. The pilot program delivery found increased staff knowledge as well as motivation to complete HCPs among the staff themselves and their own families. This program resulted in increased staff knowledge of EOL documents, willingness to engage in EOL discussions, and an increase in documented HCPs. This program has relevance for workers in other agencies as they engage older consumers to encourage completion of ADs. This experiential approach to staff education increased their understanding and willingness to initiate EOL discussion with consumers.

  14. Coproduction without Experts: A Study of People Involved in Community Health and Well-Being Service Delivery

    ERIC Educational Resources Information Center

    Ledger, Alison; Slade, Bonnie

    2015-01-01

    Coproduction (equal professional-public involvement in service delivery) has been widely promoted as a means of revolutionising health and social care. Service providers/professionals are tasked with working more in partnership with service users/clients, recognising their experiences and knowledge as critical to the success of the interaction.…

  15. Monitoring and evaluation of contracts for health service delivery in Costa Rica.

    PubMed

    Abramson, W B

    2001-12-01

    The Costa Rican Social Security Fund (CCSS) has been purchasing primary health care services from the Costa Rican Cooperative, COOPESALUD. The CCSS has made significant progress in establishing performance indicators and conducting evaluations of progress against those indicators. After laying out a general framework for developing performance indicators, this paper analyzes the CCSS's evaluation of its 1998 contract with COOPESALUD in terms of objectives, performance indicators, evaluation results, and use of the evaluation results. The objectives of the COOPESALUD contract, as they are stated within the body of the contract, are to increase coverage, improve quality and increase efficiency. Contract performance is measured through three categories of indicators: organization, service delivery and quality. Service delivery targets are set in terms of volume of services based upon geographic population. A 'yes' or a 'no' rating to indicate whether a particular system is in place is used for scoring organization and quality targets. While the CCSS contract is one of the most advanced in the region, many aspects could be improved. By setting indicator targets based upon population estimates, it is difficult for the CCSS to accurately assess COOPESALUD's performance. Although the CCSS conducts periodic evaluations through formal mechanisms, and some data on volume of service delivery are available, the data gathered in all three categories do not provide the purchaser with information directly related to all of the contract objectives nor to contractor performance. The indicators spelled out in the contract, and the evaluation of those indicators, do not seek to measure quantifiable results or impact through numerical data. There are no process or result indicators in place. The evaluation results could therefore tend to be fairly superficial - based upon population coverage and not on effectiveness of treatment, quality of treatment or efficient resource use.

  16. 76 FR 23536 - Agency Information Collection Activities: Proposed Collection; Comment Request; Generic Clearance...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-27

    ... December 22, 2010 (75 FR 80542). Total Burden Estimate for the Department of Agriculture Current Actions...; Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery April 22, 2011...): ``Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery'' to OMB...

  17. Still too far to walk: Literature review of the determinants of delivery service use

    PubMed Central

    Gabrysch, Sabine; Campbell, Oona MR

    2009-01-01

    Background Skilled attendance at childbirth is crucial for decreasing maternal and neonatal mortality, yet many women in low- and middle-income countries deliver outside of health facilities, without skilled help. The main conceptual framework in this field implicitly looks at home births with complications. We expand this to include "preventive" facility delivery for uncomplicated childbirth, and review the kinds of determinants studied in the literature, their hypothesized mechanisms of action and the typical findings, as well as methodological difficulties encountered. Methods We searched PubMed and Ovid databases for reviews and ascertained relevant articles from these and other sources. Twenty determinants identified were grouped under four themes: (1) sociocultural factors, (2) perceived benefit/need of skilled attendance, (3) economic accessibility and (4) physical accessibility. Results There is ample evidence that higher maternal age, education and household wealth and lower parity increase use, as does urban residence. Facility use in the previous delivery and antenatal care use are also highly predictive of health facility use for the index delivery, though this may be due to confounding by service availability and other factors. Obstetric complications also increase use but are rarely studied. Quality of care is judged to be essential in qualitative studies but is not easily measured in surveys, or without linking facility records with women. Distance to health facilities decreases use, but is also difficult to determine. Challenges in comparing results between studies include differences in methods, context-specificity and the substantial overlap between complex variables. Conclusion Studies of the determinants of skilled attendance concentrate on sociocultural and economic accessibility variables and neglect variables of perceived benefit/need and physical accessibility. To draw valid conclusions, it is important to consider as many influential

  18. Outplacement Services for Displaced Employees: Attitudes of Human Resource Managers Based on Differences in Internal and External Delivery

    ERIC Educational Resources Information Center

    Kilcrease, Kelly M.

    2013-01-01

    The results from a survey of 238 human resources executives from organizations that offer outplacement counseling (OPC) internally and 168 that offer it externally suggest that internal OPC delivery is inferior to external OPC delivery. The author found that most internal OPC organizations did not offer the 13 traditional OPC services, even when…

  19. A Comparison of Speech Sound Intervention Delivered by Telepractice and Side-by-Side Service Delivery Models

    ERIC Educational Resources Information Center

    Grogan-Johnson, Sue; Schmidt, Anna Marie; Schenker, Jason; Alvares, Robin; Rowan, Lynne E.; Taylor, Jacquelyn

    2013-01-01

    Telepractice has the potential to provide greater access to speech-language intervention services for children with communication impairments. Substantiation of this delivery model is necessary for telepractice to become an accepted alternative delivery model. This study investigated the progress made by school-age children with speech sound…

  20. River rehabilitation for the delivery of multiple ecosystem services at the river network scale.

    PubMed

    Gilvear, David J; Spray, Chris J; Casas-Mulet, Roser

    2013-09-15

    This paper presents a conceptual framework and methodology to assist with optimising the outcomes of river rehabilitation in terms of delivery of multiple ecosystem services and the benefits they represent for humans at the river network scale. The approach is applicable globally, but was initially devised in the context of a project critically examining opportunities and constraints on delivery of river rehabilitation in Scotland. The spatial-temporal approach highlighted is river rehabilitation measure, rehabilitation scale, location on the stream network, ecosystem service and timescale specific and could be used as initial scoping in the process of planning rehabilitation at the river network scale. The levels of service delivered are based on an expert-derived scoring system based on understanding how the rehabilitation measure assists in reinstating important geomorphological, hydrological and ecological processes and hence intermediate or primary ecosystem function. The framework permits a "total long-term (>25 years) ecosystem service score" to be calculated which is the cumulative result of the combined effect of the number of and level of ecosystem services delivered over time. Trajectories over time for attaining the long-term ecosystem service score for each river rehabilitation measures are also given. Scores could also be weighted according to societal values and economic valuation. These scores could assist decision making in relation to river rehabilitation at the catchment scale in terms of directing resources towards alternative scenarios. A case study is presented of applying the methodology to the Eddleston Water in Scotland using proposed river rehabilitation options for the catchment to demonstrate the value of the approach. Our overall assertion is that unless sound conceptual frameworks are developed that permit the river network scale ecosystem services of river rehabilitation to be evaluated as part of the process of river basin planning

  1. 41 CFR 102-118.65 - Can my agency receive electronic billing for payment of transportation services?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... electronic billing for payment of transportation services? 102-118.65 Section 102-118.65 Public Contracts and... Transportation Services § 102-118.65 Can my agency receive electronic billing for payment of transportation... to use electronic billing for the procurement and billing of transportation services....

  2. Violence prevention in the ED: linkage of the ED to a social service agency.

    PubMed

    Zun, Leslie S; Downey, La Vonne; Rosen, Jodi

    2003-10-01

    Interpersonal violence continues to be a problem in the United States, most prominent in the inner-city minority young persons population. The medical approach of "treat 'em and street 'em" philosophy has led to foregoing the psychosocial needs of injured young persons. This study describes a program to link young persons who are victims of interpersonal violence to a healthcare system and a social service agency in an effort to meet their psychosocial needs. An unvalidated screening tool was developed by a team consisting of an EP, social worker, and public health scientist to determine the young victims' psychosocial needs. Patients aged 10 to 24 years who were victims of interpersonal violence (excluding child abuse, sexual assault, and domestic violence) were randomly assigned in the study. The control group was given a list of services and the treatment group received an assessment, case management, and referral to appropriate resources. The study site was a community, teaching level 1 trauma center. The study was approved by the institutional review board. Numbers of referrals in both groups were counted and compared using SPSS (version 10, Chicago, IL). One hundred eighty-eight victims of interpersonal violence were enrolled. A total of 82.5% were male, 65.4% were African American and 31.4% were Hispanic. At the end of 6 months, 78 of the 96 young persons (81.3%) in the treatment group made one or more contacts with their case manager and made use of social service, healthcare, and other referrals. Education (21.6%), job readiness (19.1%), and mental health (11.9%) were the most frequently used services. Nine of the 92 (9.8%) in the control group used services; most of these referrals were for social services (7 of 9 respondents) and the others were healthcare-related. The difference in utilization of services between the treatment and the control groups were found to be significant different (95% confidence interval, 1.41-1.55, significance =.00), and there

  3. PRISMA: a new model of integrated service delivery for the frail older people in Canada

    PubMed Central

    Hébert, Réjean; Durand, Pierre J.; Dubuc, Nicole; Tourigny, André

    2003-01-01

    Abstract Purpose PRISMA is an innovative co-ordination-type Integrated Service Delivery System developed to improve continuity and increase the efficacy and efficiency of services, especially for older and disabled populations. Description The mechanisms and tools developed and implemented by PRISMA include: (1) co-ordination between decision-makers and managers, (2) a single entry point, (3) a case management process, (4) individualised service plans, (5) a single assessment instrument based on the clients' functional autonomy, and (6) a computerised clinical chart for communicating between institutions for client monitoring purposes. Preliminary results The efficacy of this model has been tested in a pilot project that showed a decreased incidence of functional decline, a decreased burden for caregivers and a smaller proportion of older people wishing to be institutionalised. Conclusion The on-going implementation and effectiveness study will show evidence of its real value and its impact on clienteles and cost. PMID:16896376

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

    PubMed

    Lockwood, Andrée

    2007-01-01

    Project FIND has been providing innovative supportive housing, nutrition, and social support to homeless and low- and moderate-income seniors on New York City's West Side since 1967. This article profiles this nonprofit, community-based agency, which was established to meet the needs of the frail and isolated elderly, and has continued to grow and evolve in response to changing demographics, neighborhood gentrification, and needs of both the homeless as well as the active "younger old." The article describes creative programming that has distinguished Project FIND's response to seniors' needs beyond basic housing and nutrition. It also explores what it takes to successfully provide senior services using limited resources and examines challenges for the future both nationally and for the agency. PMID:18236959

  5. Virtual Ethernet ring architecture for reliable Ethernet service delivery over SDH/SONET

    NASA Astrophysics Data System (ADS)

    Parikh, Anand

    2002-09-01

    With its low cost, ubiquity, and scale, Ethernet is the technology most widely envisioned to change the economics of packet service delivery for both carriers and their customers. This paper discusses a new architecture that simplifies and lowers the cost to deliver data services. By fully integrating Ethernet with existing SONET/SDH networks in a "Virtual Ethernet Ring," carriers can now provide a multipoint Ethernet service that can span long distances across multiple metro areas. This architecture leverages the plug-and-play advantages of Ethernet - auto-provisioning, broadcast and discovery, etc. - across a distributed wide area network. It provides the advantage of granular, software-provisioned bandwidth to the customer. It also provides SONET/SDH quality resilience with security and bandwidth guarantee. By incorporating protocol mediation technology, this architecture enables the migration from today's frame relay, ATM and IP services to a new generation of granular, readily scalable Ethernet services such as Ethernet Private Line, Ethernet Virtual Private Lines and Internet/Frame Relay/ATM/Access Services.

  6. Acceptability of telemedicine and other cancer genetic counseling models of service delivery in geographically remote settings.

    PubMed

    McDonald, Eileen; Lamb, Amanda; Grillo, Barbara; Lucas, Lee; Miesfeldt, Susan

    2014-04-01

    This work examined acceptability of cancer genetic counseling models of service delivery among Maine residents at risk for hereditary cancer susceptibility disorders. Pre-counseling, participants ranked characteristics reflecting models of care from most to least important including: mode-of-communication (in-person versus telegenetics), provider level of training (genetic specialty versus some training/experience), delivery format (one-on-one versus group counseling), and location (local versus tertiary service requiring travel). Associations between models of care characteristic rankings and patient characteristics, including rural residence, perceived cancer risk, and perceived risk for a hereditary cancer risk susceptibility disorder were examined. A total of 149/300 (49.7% response rate) individuals from 11/16 Maine counties responded; 30.8% were from rural counties; 92.2% indicated that an important/the most important model of care characteristic is provider professional qualifications. Among other characteristics, 65.1% ranked one-on-one counseling as important/the most important. In-person and local counseling were ranked the two least important characteristics (51.8% and 52.1% important/the most important, respectively). Responses did not vary by patient characteristics with the exception of greater acceptance of group counseling among those at perceived high personal cancer risk. Cancer telegenetic services hold promise for access to expert providers in a one-on-one format for rurally remote clients.

  7. 48 CFR 206.302-1 - Only one responsible source and no other supplies or services will satisfy agency requirements.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... departments and agencies from entering into contracts for studies, analyses, or consulting services (see FAR...) The contract benefits the national defense by taking advantage of a unique and significant...

  8. Strategic philanthropy: an opportunity for partnership between corporations and health/human service agencies.

    PubMed

    Marx, J D

    1996-01-01

    The study is a national survey of corporate philanthropy programs. The original problem underlying the study is the long-term decline in the percentage of total corporate contributions to health and human services. A questionnaire, mailed in May of 1993, was used to investigate the impact of strategic philanthropy on the relationship between corporations and health/human service organizations. Corporations strategically prioritizing their philanthropic support were expected to create new opportunities for partnerships between business and health/human service agencies. The survey resulted in a sample of 226 corporations. The results showed statistically significant support for the hypothesis that highly strategic philanthropy programs will be more likely to enter into a health/human service partnership than less strategic programs. The multiple regression analysis method was used to control for the effects of corporate size, industry type, the (corporate) contributions management organization, and United Way credibility. Based upon the results of the study, United Way is recommended to consider new roles for itself as a facilitator of partnerships between business and health/human service organizations. PMID:10160410

  9. 41 CFR 302-3.421 - What are the income tax consequences when my agency pays for property management services?

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 41 Public Contracts and Property Management 4 2011-07-01 2011-07-01 false What are the income tax... § 302-3.421 What are the income tax consequences when my agency pays for property management services... and local income taxes you incur on the expenses your agency pays. Note to § 302-3.421: You may...

  10. 41 CFR 102-76.25 - What standards must Federal agencies meet in providing architectural and interior design services?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

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

  11. 41 CFR 302-3.421 - What are the income tax consequences if my agency pays for property management services?

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 41 Public Contracts and Property Management 4 2014-07-01 2014-07-01 false What are the income tax... § 302-3.421 What are the income tax consequences if my agency pays for property management services... and local income taxes you incur on the expenses your agency pays. Note to § 302-3.421: You may...

  12. 41 CFR 302-3.421 - What are the income tax consequences if my agency pays for property management services?

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 41 Public Contracts and Property Management 4 2013-07-01 2012-07-01 true What are the income tax... § 302-3.421 What are the income tax consequences if my agency pays for property management services... and local income taxes you incur on the expenses your agency pays. Note to § 302-3.421: You may...

  13. 41 CFR 302-3.421 - What are the income tax consequences if my agency pays for property management services?

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 41 Public Contracts and Property Management 4 2012-07-01 2012-07-01 false What are the income tax... § 302-3.421 What are the income tax consequences if my agency pays for property management services... and local income taxes you incur on the expenses your agency pays. Note to § 302-3.421: You may...

  14. Career opportunities for college graduates with the Agricultural Research Service Agency of the U.S. Department of Agriculture

    Technology Transfer Automated Retrieval System (TEKTRAN)

    The Agricultural Research Service is the principal scientific research agency of the U.S. Department of Agriculture. This agency employs more than 7,600 people working at various locations in the United States and U.S. territories. Careers for new scientists span a variety of disciplines such as c...

  15. Community based service delivery: power and pathology: or, social rehabilitation is still a 'commie plot'.

    PubMed

    Gregory, R J

    2001-01-15

    Service delivery in the broad field of rehabilitation has been declining in quantity and quality for people with disabilities, the dispossessed, and others. The context, that is, our communities, has similarly been weakened. Meanwhile, the world's resources and wealth and talent flow freely up the hierarchies to the powers-that-be, the wealthy and the elite. In turn, these powerful people regard social action efforts to redress the underlying social, economic, and political imbalances as a 'Commie plot'. More, not less, social rehabilitation is needed to make human communities fit again. PMID:11213319

  16. Illicit drug use as a challenge to the delivery of end-of-life care services to homeless persons: perceptions of health and social services professionals.

    PubMed

    McNeil, Ryan; Guirguis-Younger, Manal

    2012-06-01

    Homeless persons tend to die younger than the housed population and have complex, often unmet, end-of-life care needs. High levels of illicit drug use among this population are a particular challenge for health and social services professionals involved in end-of-life care services delivery. This article explores the challenges of end-of-life care services to homeless illicit drug users based on data collected during a national study on end-of-life care services delivery to homeless persons in Canada. The authors conducted qualitative interviews with 50 health and social services professionals involved in health services delivery to homeless persons in five cities. Interviews were transcribed verbatim and analysed thematically. Themes were organised into two domains. First, barriers preventing homeless illicit drug users from accessing end-of-life care services, such as competing priorities (e.g. withdrawal management), lack of trust in healthcare providers and discrimination. Second, challenges to end-of-life care services delivery to this population in health and social care settings, including non-disclosure of illicit drug use, pain and symptom management, interruptions in care, and lack of experience with addictions. The authors identify a need for increased research on the role of harm reduction in end-of-life care settings to address these challenges.

  17. Religion-Related Child Maltreatment: A Profile of Cases Encountered by Legal and Social Service Agencies.

    PubMed

    Bottoms, Bette L; Goodman, Gail S; Tolou-Shams, Marina; Diviak, Kathleen R; Shaver, Phillip R

    2015-08-01

    Religion can foster, facilitate, and be used to justify child maltreatment. Yet religion-related child abuse and neglect have received little attention from social scientists. We examined 249 cases of religion-related child maltreatment reported to social service agencies, police departments, and prosecutors' offices nationwide. We focused on cases involving maltreatment perpetrated by persons with religious authority, such as ministers and priests; the withholding of medical care for religious reasons; and abusive attempts to rid a child of supposed evil. By providing a descriptive statistical profile of the major features of these cases, we illustrate how these varieties of religion-related child maltreatment occur, who the victims and perpetrators are, and how religion-related child abuse and neglect are reported and processed by the social service and criminal justice systems. We end with a call for greater research attention to these important offenses against children.

  18. Religion-Related Child Maltreatment: A Profile of Cases Encountered by Legal and Social Service Agencies.

    PubMed

    Bottoms, Bette L; Goodman, Gail S; Tolou-Shams, Marina; Diviak, Kathleen R; Shaver, Phillip R

    2015-08-01

    Religion can foster, facilitate, and be used to justify child maltreatment. Yet religion-related child abuse and neglect have received little attention from social scientists. We examined 249 cases of religion-related child maltreatment reported to social service agencies, police departments, and prosecutors' offices nationwide. We focused on cases involving maltreatment perpetrated by persons with religious authority, such as ministers and priests; the withholding of medical care for religious reasons; and abusive attempts to rid a child of supposed evil. By providing a descriptive statistical profile of the major features of these cases, we illustrate how these varieties of religion-related child maltreatment occur, who the victims and perpetrators are, and how religion-related child abuse and neglect are reported and processed by the social service and criminal justice systems. We end with a call for greater research attention to these important offenses against children. PMID:26294386

  19. Delivery.

    PubMed

    Miller, Thomas A

    2013-11-01

    Enthusiasm greeted the development of synthetic organic insecticides in the mid-twentieth century, only to see this give way to dismay and eventually scepticism and outright opposition by some. Regardless of how anyone feels about this issue, insecticides and other pesticides have become indispensable, which creates something of a dilemma. Possibly as a result of the shift in public attitude towards insecticides, genetic engineering of microbes was first met with scepticism and caution among scientists. Later, the development of genetically modified crop plants was met with an attitude that hardened into both acceptance and hard-core resistance. Transgenic insects, which came along at the dawn of the twenty-first century, encountered an entrenched opposition. Those of us responsible for studying the protection of crops have been affected more or less by these protagonist and antagonistic positions, and the experiences have often left one thoughtfully mystified as decisions are made by non-participants. Most of the issues boil down to concerns over delivery mechanisms.

  20. Delivery

    PubMed Central

    Miller, Thomas A

    2013-01-01

    Enthusiasm greeted the development of synthetic organic insecticides in the mid-twentieth century, only to see this give way to dismay and eventually scepticism and outright opposition by some. Regardless of how anyone feels about this issue, insecticides and other pesticides have become indispensable, which creates something of a dilemma. Possibly as a result of the shift in public attitude towards insecticides, genetic engineering of microbes was first met with scepticism and caution among scientists. Later, the development of genetically modified crop plants was met with an attitude that hardened into both acceptance and hard-core resistance. Transgenic insects, which came along at the dawn of the twenty-first century, encountered an entrenched opposition. Those of us responsible for studying the protection of crops have been affected more or less by these protagonist and antagonistic positions, and the experiences have often left one thoughtfully mystified as decisions are made by non-participants. Most of the issues boil down to concerns over delivery mechanisms. © 2013 Society of Chemical Industry PMID:23852646

  1. 45 CFR 61.9 - Reporting civil judgments related to the delivery of a health care item or service.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... of a health care item or service. 61.9 Section 61.9 Public Welfare DEPARTMENT OF HEALTH AND HUMAN... ON HEALTH CARE PROVIDERS, SUPPLIERS AND PRACTITIONERS Reporting of Information § 61.9 Reporting civil judgments related to the delivery of a health care item or service. (a) Who must report. Federal and...

  2. 45 CFR 61.9 - Reporting civil judgments related to the delivery of a health care item or service.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... of a health care item or service. 61.9 Section 61.9 Public Welfare DEPARTMENT OF HEALTH AND HUMAN... ON HEALTH CARE PROVIDERS, SUPPLIERS AND PRACTITIONERS Reporting of Information § 61.9 Reporting civil judgments related to the delivery of a health care item or service. (a) Who must report. Federal and...

  3. 45 CFR 60.14 - Reporting civil judgments related to the delivery of a health care item or service.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... of a health care item or service. 60.14 Section 60.14 Public Welfare DEPARTMENT OF HEALTH AND HUMAN... civil judgments related to the delivery of a health care item or service. (a) Who must report. Federal and state attorneys and health plans must report civil judgments against health care...

  4. 45 CFR 60.14 - Reporting civil judgments related to the delivery of a health care item or service.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... of a health care item or service. 60.14 Section 60.14 Public Welfare Department of Health and Human... civil judgments related to the delivery of a health care item or service. (a) Who must report. Federal and state attorneys and health plans must report civil judgments against health care...

  5. 45 CFR 61.9 - Reporting civil judgments related to the delivery of a health care item or service.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... of a health care item or service. 61.9 Section 61.9 Public Welfare DEPARTMENT OF HEALTH AND HUMAN... ON HEALTH CARE PROVIDERS, SUPPLIERS AND PRACTITIONERS Reporting of Information § 61.9 Reporting civil judgments related to the delivery of a health care item or service. (a) Who must report. Federal and...

  6. Consumer-Directed Goal Planning in the Delivery of Assistive Technology Services for People Who Are Ageing with Intellectual Disabilities

    ERIC Educational Resources Information Center

    Mirza, Mansha; Hammel, Joy

    2009-01-01

    Background: A consumer-directed service-delivery approach to assistive technology and environmental modification intervention was examined with people who were ageing with intellectual disabilities. Material and Methods: The intervention was based on a collaborative approach involving consumers, their social supports and service deliverers. Thirty…

  7. Quasi-Experimental Study of the Effectiveness of an Integrated Service Delivery Network for the Frail Elderly

    ERIC Educational Resources Information Center

    Tourigny, Andre; Durand, Pierre J.; Bonin, Lucie; Hebert, Rejean; Rochette, Louis

    2004-01-01

    The aim of this study was to examine the effectiveness of a new, integrated service delivery (ISD) network of health and social services for frail elderly living in a semi-urban community. A quasi-experimental study was conducted from 1997 to 2000, with measures taken before implementation (T0) and every 12 months after implementation for a 3-year…

  8. Message Delivery System for the National Library and Information Service Network: General Requirements. Network Planning Paper Number 4, 1978.

    ERIC Educational Resources Information Center

    Hartmann, David C., Ed.

    The Message Delivery System described, a facility that will link automatic bibliographic services and permit the transmission of messages among the various services, is one of the basic requirements for the development of a comprehensive computerized bibliographic system of nationwide scope. The system will enable users of one system to have…

  9. Students' Satisfaction with Service Delivery in Federal Universities in South-South Geo-Political Zone, Nigeria

    ERIC Educational Resources Information Center

    Akpoiroro, Roseline M.; Okon, James E.

    2015-01-01

    The study was designed to investigate the level of students' satisfaction with service delivery in federal universities in South-south geopolitical zone of Nigeria in terms of educational, library, security, medical, transport, hostel, and ICT services. Survey design was used to carry out the study, the hypothesis was formulated and literature…

  10. A Comparison of the Costs and Educational Outcomes of Three Models of Service Delivery for Special Needs Students.

    ERIC Educational Resources Information Center

    Pruslow, John T.

    This paper reports on a cost analysis of Kings Park (New York) Central School District's expenditures for special education services and relates that analysis to a comparison of proposed models of service delivery. The first section of the paper reviews the current status of New York State's initiative to document educational outcomes for special…

  11. Systems modelling and simulation in health service design, delivery and decision making.

    PubMed

    Pitt, Martin; Monks, Thomas; Crowe, Sonya; Vasilakis, Christos

    2016-01-01

    The ever increasing pressures to ensure the most efficient and effective use of limited health service resources will, over time, encourage policy makers to turn to system modelling solutions. Such techniques have been available for decades, but despite ample research which demonstrates potential, their application in health services to date is limited. This article surveys the breadth of approaches available to support delivery and design across many areas and levels of healthcare planning. A case study in emergency stroke care is presented as an exemplar of an impactful application of health system modelling. This is followed by a discussion of the key issues surrounding the application of these methods in health, what barriers need to be overcome to ensure more effective implementation, as well as likely developments in the future.

  12. The value of Good Manufacturing Practice to a Blood Service in managing the delivery of quality.

    PubMed

    Slopecki, A; Smith, K; Moore, S

    2007-04-01

    The delivery of 'quality' in transfusion medicine is addressed by considering how safe and efficacious blood, blood components, reagents, and services can be provided through the application of an effective quality assurance management system. The creation of such a system in the UK is reviewed through the development of the UK Guide to Good Pharmaceutical Manufacturing Practice from 1971 to the present. It provides simple practical guidance and standards. The UK experience shows how quality assurance has evolved, it is not offered as a model to be followed. The UK approach merged with that of the European Union from the early 1990s. The use of such a quality management system to support the application of licensing and accreditation standards relevant to the work of a modern Blood Service is considered, as are processes to learn about the effective and efficacious use of blood and blood components.

  13. Research on the Caretaking of Children of Incarcerated Parents: Findings and Their Service Delivery Implications

    PubMed Central

    Hanlon, Thomas E.; Carswell, Steven B.; Rose, Marc

    2007-01-01

    This paper reviews research findings on caretaking-related problems associated with the absence of parents from the home following incarceration. It focuses on the impact of incarceration on the welfare and adjustment of urban African American children and on the assumption of caretaking responsibilities by other caretakers, principally maternal grandmothers. Noting the complex situational difficulties involved and the potential burdens associated with surrogate parenting in general, and with this population in particular, the service-provider implications of this parenting arrangement are considered in this review. Findings indicate that problems associated with incarceration of parents tend to be intergenerational and vary considerably in complexity and severity. To the extent that they impact the children involved, these issues should be addressed in coordinated service delivery focusing on prevention. PMID:18311320

  14. Computerized Coordinated Service Center: A Comparison of Service Methodologies and Costs in the Urban and Rural Area.

    ERIC Educational Resources Information Center

    Waldman, Risa J.; And Others

    Ten parallel human service agencies (five urban and five rural) were compared to identify variations in the service delivery system and to compare the costs of service provision. The agencies responded to approximately 36 questions covering eight major areas and were compared and contrasted, urban versus rural, according to the type of agency. All…

  15. 42 CFR 441.545 - Service models.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... agency-provider model is a delivery method in which the services and supports are provided by entities... 42 Public Health 4 2014-10-01 2014-10-01 false Service models. 441.545 Section 441.545 Public... models. A State may choose one or more of the following as the service delivery model to provide...

  16. 42 CFR 441.545 - Service models.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... agency-provider model is a delivery method in which the services and supports are provided by entities... 42 Public Health 4 2012-10-01 2012-10-01 false Service models. 441.545 Section 441.545 Public... models. A State may choose one or more of the following as the service delivery model to provide...

  17. 42 CFR 441.545 - Service models.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... agency-provider model is a delivery method in which the services and supports are provided by entities... 42 Public Health 4 2013-10-01 2013-10-01 false Service models. 441.545 Section 441.545 Public... models. A State may choose one or more of the following as the service delivery model to provide...

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

    PubMed

    Keilman, Peggy

    2005-02-01

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

  19. Sport Psychology Service Provision: Preferences for Consultant Characteristics and Mode of Delivery among Elite Malaysian Athletes

    PubMed Central

    Ponnusamy, Vellapandian; Grove, J. Robert

    2014-01-01

    Factors relevant to the working alliance between athletes and sport psychology consultants were investigated in a sample of elite Malaysian athletes (n = 217). The athletes represented a variety of team and individual sports, and they provided information about the perceived importance of seven consultant characteristics/behaviors as well as seven program delivery options. At a full-sample level, general preferences were expressed for consultants to lead a physically active lifestyle, regularly attend training sessions and competitions, and have prior experience as an athlete or coach. General preferences were also expressed for program content to be determined by the coach or consultant, and for regular, small doses of mental skills training to be delivered in a face-to-face context throughout the year. At a sub-group level, team sport athletes had stronger preferences than individual sport athletes for program delivery on a group/team basis, while individual sport athletes had stronger preferences than team sport athletes for having a role in determining program content. Findings are discussed in relation to dominant value themes within Malaysian society and the reinforcement of these themes within specific sport subcultures. Key points Consultant characteristics and program delivery methods have an impact on the effectiveness of sport psychology services. Preferred consultant characteristics and preferred methods of delivery may be affected by cultural and subcultural values. Elite Malaysian athletes prefer consultants to lead a physically active lifestyle; to regularly attend training/competition; and to have prior experience as an athlete or coach. Elite Malaysian athletes also prefer that the coach or consultant determine program content, and that mental skills training take place in a face-to-face context throughout the year. PMID:25177193

  20. Sport Psychology Service Provision: Preferences for Consultant Characteristics and Mode of Delivery among Elite Malaysian Athletes.

    PubMed

    Ponnusamy, Vellapandian; Grove, J Robert

    2014-09-01

    Factors relevant to the working alliance between athletes and sport psychology consultants were investigated in a sample of elite Malaysian athletes (n = 217). The athletes represented a variety of team and individual sports, and they provided information about the perceived importance of seven consultant characteristics/behaviors as well as seven program delivery options. At a full-sample level, general preferences were expressed for consultants to lead a physically active lifestyle, regularly attend training sessions and competitions, and have prior experience as an athlete or coach. General preferences were also expressed for program content to be determined by the coach or consultant, and for regular, small doses of mental skills training to be delivered in a face-to-face context throughout the year. At a sub-group level, team sport athletes had stronger preferences than individual sport athletes for program delivery on a group/team basis, while individual sport athletes had stronger preferences than team sport athletes for having a role in determining program content. Findings are discussed in relation to dominant value themes within Malaysian society and the reinforcement of these themes within specific sport subcultures. Key pointsConsultant characteristics and program delivery methods have an impact on the effectiveness of sport psychology services.Preferred consultant characteristics and preferred methods of delivery may be affected by cultural and subcultural values.Elite Malaysian athletes prefer consultants to lead a physically active lifestyle; to regularly attend training/competition; and to have prior experience as an athlete or coach.Elite Malaysian athletes also prefer that the coach or consultant determine program content, and that mental skills training take place in a face-to-face context throughout the year.