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Sample records for contract health service

  1. 42 CFR 136.24 - Authorization for contract health services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 1 2010-10-01 2010-10-01 false Authorization for contract health services. 136.24 Section 136.24 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH Contract Health Services §...

  2. 42 CFR 136a.13 - Authorization for contract health services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 1 2010-10-01 2010-10-01 false Authorization for contract health services. 136a.13 Section 136a.13 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...

  3. 77 FR 50128 - Office of Direct Service and Contracting Tribes; National Indian Health Outreach and Education...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-20

    ... HUMAN SERVICES Indian Health Service Office of Direct Service and Contracting Tribes; National Indian Health Outreach and Education Cooperative Agreement Announcement Type: Limited Competition Catalog of... Office of Direct Service and Contracting Tribes on the National Indian Health Outreach and...

  4. 78 FR 49533 - Office of Direct Service and Contracting Tribes; National Indian Health Outreach and Education...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-14

    ... HUMAN SERVICES Indian Health Service Office of Direct Service and Contracting Tribes; National Indian Health Outreach and Education; Limited Competition Cooperative Agreements Announcement Type: New Limited... Direct Service and Contracting Tribes is accepting competitive applications for two limited...

  5. 42 CFR 136.22 - Establishment of contract health service delivery areas.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 1 2010-10-01 2010-10-01 false Establishment of contract health service delivery... Services § 136.22 Establishment of contract health service delivery areas. (a) In accordance with the..., contract health service delivery areas are established as follows: (1) The State of Alaska; (2) The...

  6. 42 CFR 136.23 - Persons to whom contract health services will be provided.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... to exceed 180 days from such departure. (d) Foster children. Indian children who are placed in foster... eligible for contract health services while in foster care. (e) Priorities for contract health services...

  7. 42 CFR 136.23 - Persons to whom contract health services will be provided.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... care outside a contract health service delivery area by order of a court of competent jurisdiction and... within a contract health service delivery area; or (2) Do not reside on a reservation but reside within a contract health service delivery area and: (i) Are members of the tribe or tribes located on that...

  8. 78 FR 46985 - Office of Direct Service and Contracting Tribes; National Indian Health Outreach and Education...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-02

    ... HUMAN SERVICES Indian Health Service Office of Direct Service and Contracting Tribes; National Indian Health Outreach and Education; Cooperative Agreement Program Announcement Type: Limited New and Competing... competitive cooperative agreement applications for the National Indian Health Outreach and Education (NIHOE)...

  9. 77 FR 50121 - Office of Direct Service and Contracting Tribes National Indian Health Outreach and Education...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-20

    ... HUMAN SERVICES Indian Health Service Office of Direct Service and Contracting Tribes National Indian... delivery systems through self-determination contracts and compacts ] with the IHS and Tribes that continue... IHS and the Department of Health and Human Services (HHS) based on Tribal input through a broad...

  10. Choice of contracts in the British National Health Service: an empirical study.

    PubMed

    Chalkley, Martin; McVicar, Duncan

    2008-09-01

    Following major reforms of the British National Health Service (NHS) in 1990, the roles of purchasing and providing health services were separated, with the relationship between purchasers and providers governed by contracts. Using a mixed multinomial logit analysis, we show how this policy shift led to a selection of contracts that is consistent with the predictions of a simple model, based on contract theory, in which the characteristics of the health services being purchased and of the contracting parties influence the choice of contract form. The paper thus provides evidence in support of the practical relevance of theory in understanding health care market reform.

  11. Health providers' perspectives on delivering public health services under the contract service policy in rural China: evidence from Xinjian County.

    PubMed

    Zhou, Huixuan; Zhang, Weijun; Zhang, Shengfa; Wang, Fugang; Zhong, You; Gu, Linni; Qu, Zhiyong; Liang, Xiaoyun; Sa, Zhihong; Wang, Xiaohua; Tian, Donghua

    2015-02-27

    To effectively provide public health care for rural residents, the Ministry of Health formally unveiled the contract service policy in rural China in April 2013. As the counterpart to family medicine in some developed countries, the contract service established a compact between village doctors and local governments and a service agreement between doctors and their patients. This study is a rare attempt to explore the perspectives of health providers on the contract service policy, and investigate the demand side's attitude toward the public health services delivered under the contract policy. This evidence from Xinjian County, Jiangxi Province, the first and most representative pilot site of the contract service, could serve as a reference for policymakers to understand the initial effects of the policy, whereby they can regulate and amend some items before extending it to the whole country. Official documents were collected and semi-structured interviews with human resources and villagers in Xinjian County were conducted in September 2013. A purposive sampling method was used, and eight towns from the total 18 towns in Xinjian County were selected. Ultimately, eight managers (one in each township health center), 20 village doctors from eight clinics, and 11 villagers were interviewed. A thematic approach was used to analyze the data, which reflected the people's experiences brought about by the implementation of the contract service policy. While the contract service actually promoted the supply side to provide more public health services to the villagers and contracted patients felt satisfied with the doctor-patient relationship, most health providers complained about the heavy workload, insufficient remuneration, staff shortage, lack of official identity and ineffective performance appraisal, in addition to contempt from some villagers and supervisors after the implementation of the contract service. Contract service is a crucial step for the government to

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

    PubMed

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

    2016-09-01

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

  13. Context matters in NGO-government contracting for health service delivery: a case study from Pakistan.

    PubMed

    Zaidi, Shehla; Mayhew, Susannah H; Cleland, John; Green, Andrew T

    2012-10-01

    Contracting non-governmental organizations (NGOs) for health service provision is gaining increasing importance in low- and middle-income countries. However, the role of the wider context in influencing the effectiveness of contracting is not well studied and is of relevance given that contracting has produced mixed results so far. This paper applies a policy analysis approach to examine the influence of policy and political factors on contracting origin, design and implementation. Evidence is drawn from a country case study of Pakistan involving extensive NGO contracting for human immunodeficiency virus (HIV) prevention services supported by international donor agencies. A multilevel study was conducted using 84 in-depth interviews, 22 semi-structured interviews, document review and direct observation to examine the national policy design, provincial management of contracting and local contract implementation. There were three main findings. First, contracting origin and implementation was an inherently political process affected by the wider policy context. Although in Pakistan a combination of situational events successfully managed to introduce extensive and sophisticated contracting, it ran into difficulties during implementation due to ownership and capacity issues within government. Second, wide-scale contracting was mis-matched with the capacity of local NGOs, which resulted in sub-optimal contract implementation challenging the reliance on market simulation through contracting. Third, we found that contracting can have unintended knock-on effects on both providers and purchasers. As a result of public sector contracts, NGOs became more distanced from their grounded attributes. Effects on government purchasers were more unpredictable, with greater identification with contracting in supportive governance contexts and further distancing in unsupportive contexts. A careful approach is needed in government contracting of NGOs, taking into account acceptance of

  14. 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.

  15. Contracts to devolve health services in fragile states and developing countries: do ethics matter?

    PubMed

    Jayasinghe, S

    2009-09-01

    Fragile states and developing countries increasingly contract out health services to non-state providers (NSPs) (such as non-governmental organisations, voluntary sector and private sector). The paper identifies ethical issues when contracts involve devolution of health services to NSPs and proposes procedures to prevent or resolve these ethical dilemmas. Ethical issues were identified by examining processes of contracting out. Health needs could be used to select areas to be contracted out and to identify service needs. Health needs comprise "disease-burden-related needs", "health-service needs", and "urgency of health-service needs". The mix of services should include an analysis of cost-effectiveness. NSPs should be selected fairly, without bias, and conflicts of interest during their work must be avoided. The population's views must be respected and accountability structures established. Devolved health services should ensure equity of access to healthcare. The services ought to be sustainable and evaluated objectively. Of these issues, conflicts of interest among NSPs and sustainability of health services have not attracted attention in the literature on ethics of health policy. Fair procedures could address these ethical issues-for example, public consultation on issues; decisions based on the public consultation and made on evidence; principles of decisions stated and reasonable; decisions given adequate publicity; a mechanism established to challenge decisions; assurance that mechanisms meet the above conditions; and regular review of the policies. These procedures are complemented by improving self-governance of NSPs, countries' development of guidelines for devolving health services, and measures to educate the public of the client countries on these issues.

  16. The use of standard contracts in the English National Health Service: a case study analysis.

    PubMed

    Petsoulas, Christina; Allen, Pauline; Hughes, David; Vincent-Jones, Peter; Roberts, Jennifer

    2011-07-01

    The use of contracts is vital to market transactions. The introduction of market reforms in health care in the U.K. and other developed countries twenty years ago meant greater use of contracts. In the U.K., health care contracting was widely researched in the 1990s. Yet, despite the changing policy context, the subject has attracted less interest in recent years. This paper seeks to fill a gap by reporting findings from a study of contracting in the English National Health Service (NHS) after the introduction of the national standard contract in 2007. By using economic and socio-legal theories and two case studies we examine the way in which the new contract was implemented in practice and the extent to which implementation conformed to policy intentions and to our theoretical predictions. Data were collected using non-participant observation of 36 contracting meetings, 24 semi-structured interviews, and analysis of documents. We found that despite efforts to introduce a more detailed ('complete') contract, in practice, purchasers and providers often reverted to a more relational style of contracting. Frequently reliance on the NHS hierarchy proved to be indispensable; in particular, formal dispute resolution was avoided and financial risk was re-allocated in compromises that sometimes ignored contractual provisions. Serious data deficiencies and shortages of skilled personnel still caused major difficulties. We conclude that contracting for health care continues to raise serious problems, which may be exacerbated by the impending transfer of responsibility to groups of general practitioners (GPs) who generally lack experience and expertise in large-scale, secondary care contracting. Copyright © 2011 Elsevier Ltd. All rights reserved.

  17. Does contracting of health care in Afghanistan work? Public and service-users' perceptions and experience

    PubMed Central

    2011-01-01

    Background In rebuilding devastated health services, the government of Afghanistan has provided access to basic services mainly by contracting with non-government organisations (NGOs), and more recently the Strengthening Mechanism (SM) of contracting with Provincial Health Offices. Community-based information about the public's views and experience of health services is scarce. Methods Field teams visited households in a stratified random sample of 30 communities in two districts in Kabul province, with health services mainly provided either by an NGO or through the SM and administered a questionnaire about household views, use, and experience of health services, including payments for services and corruption. They later discussed the findings with separate community focus groups of men and women. We calculated weighted frequencies of views and experience of services and multivariate analysis examined the related factors. Results The survey covered 3283 households including 2845 recent health service users. Some 42% of households in the SM district and 57% in the NGO district rated available health services as good. Some 63% of households in the SM district (adjacent to Kabul) and 93% in the NGO district ordinarily used government health facilities. Service users rated private facilities more positively than government facilities. Government service users were more satisfied in urban facilities, if the household head was not educated, if they had enough food in the last week, and if they waited less than 30 minutes. Many households were unwilling to comment on corruption in health services; 15% in the SM district and 26% in the NGO district reported having been asked for an unofficial payment. Despite a policy of free services, one in seven users paid for treatment in government facilities, and three in four paid for medicine outside the facilities. Focus groups confirmed people knew payments were unofficial; they were afraid to talk about corruption. Conclusions

  18. Does contracting of health care in Afghanistan work? Public and service-users' perceptions and experience.

    PubMed

    Cockcroft, Anne; Khan, Amir; Md Ansari, Noor; Omer, Khalid; Hamel, Candyce; Andersson, Neil

    2011-12-21

    In rebuilding devastated health services, the government of Afghanistan has provided access to basic services mainly by contracting with non-government organisations (NGOs), and more recently the Strengthening Mechanism (SM) of contracting with Provincial Health Offices. Community-based information about the public's views and experience of health services is scarce. Field teams visited households in a stratified random sample of 30 communities in two districts in Kabul province, with health services mainly provided either by an NGO or through the SM and administered a questionnaire about household views, use, and experience of health services, including payments for services and corruption. They later discussed the findings with separate community focus groups of men and women. We calculated weighted frequencies of views and experience of services and multivariate analysis examined the related factors. The survey covered 3283 households including 2845 recent health service users. Some 42% of households in the SM district and 57% in the NGO district rated available health services as good. Some 63% of households in the SM district (adjacent to Kabul) and 93% in the NGO district ordinarily used government health facilities. Service users rated private facilities more positively than government facilities. Government service users were more satisfied in urban facilities, if the household head was not educated, if they had enough food in the last week, and if they waited less than 30 minutes. Many households were unwilling to comment on corruption in health services; 15% in the SM district and 26% in the NGO district reported having been asked for an unofficial payment. Despite a policy of free services, one in seven users paid for treatment in government facilities, and three in four paid for medicine outside the facilities. Focus groups confirmed people knew payments were unofficial; they were afraid to talk about corruption. Households used government health

  19. 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.

  20. The psychological contract: is the UK National Health Service a model employer?

    PubMed

    Fielden, Sandra; Whiting, Fiona

    2007-05-01

    The UK National Health Service (NHS) is facing recruitment challenges that mean it will need to become an 'employer of choice' if it is to continue to attract high-quality employees. This paper reports the findings from a study focusing on allied health professional staff (n = 67), aimed at establishing the expectations of the NHS inherent in their current psychological contract and to consider whether the government's drive to make the NHS a model employer meets those expectations. The findings show that the most important aspects of the psychological contract were relational and based on the investment made in the employment relationship by both parties. The employment relationship was one of high involvement but also one where transactional contract items, such as pay, were still of some importance. Although the degree of employee satisfaction with the relational content of the psychological contract was relatively positive, there was, nevertheless, a mismatch between levels of importance placed on such aspects of the contract and levels of satisfaction, with employees increasingly placing greater emphasis on those items the NHS is having the greatest difficulty providing. Despite this apparent disparity between employee expectation and the fulfilment of those expectations, the overall health of the psychological contract was still high.

  1. Challenges of commissioning and contracting for integrated care in the National Health Service (NHS) in England.

    PubMed

    Addicott, Rachael

    2016-01-01

    For many years there has been a separation between purchasing and provision of services in the English National Health Service (NHS). Many studies report that this commissioning function has been weak: purchasers have had little impact or power in negotiations with large acute providers, and have had limited strategic control over the delivery of care. Nevertheless, commissioning has become increasingly embedded in the NHS structure since the arrival of Clinical Commissioning Groups (CCGs) in 2012. Recently, some of these CCGs have focused on how they can contract and commission in different ways to stimulate greater collaboration across providers. This paper examines experiences of commissioning and contracting for integrated care in the English NHS, based on a series of national-level interviews and case studies of five health economies that are implementing novel contracting models. The cases illustrated here demonstrate early experiments to drive innovation through contracting in the NHS that have largely relied on the vision of individual teams or leaders, in combination with external legal, procurement and actuarial support. It is unlikely that this approach will be sustainable or replicable across the country or internationally, despite the best intentions of commissioners. Designing and operating novel contractual approaches will require considerable determination, alongside advanced skills in procurement, contract management and commissioning. The cost of developing new contractual approaches is high, and as the process is difficult and resource-intensive, it is likely that dedicated teams or programs will be required to drive significant improvement.

  2. Assessing the pro-poor effect of different contracting schemes for health services on health facilities in rural Afghanistan.

    PubMed

    Alonge, Olakunle; Gupta, Shivam; Engineer, Cyrus; Salehi, Ahmad Shah; Peters, David H

    2015-12-01

    Despite progress in improving health outcomes in Afghanistan by contracting public health services through non-governmental organizations (NGOs), inequity in access persists between the poor and non-poor. This study examined the distributive effect of different contracting types on primary health services provision between the poor and non-poor in rural Afghanistan. Contracts to NGOs were made to deliver a common set of primary care services in each province, with the funding agencies determining contract terms. The contracting approaches could be classified into three contracting out types (CO-1, CO-2 and CO-3) and a contracting-in (CI) approach based on the contract terms, design and implementation. Exit interviews of patients attending randomly sampled primary health facilities were collected through systematic sampling across 28 provinces at two time points. The outcome, the odds that a client attending a health facility is poor, was modelled using logistic regression with a robust variance estimator, and the effect of contracting was estimated using the difference-in-difference approach combined with stratified analyses. The sample covered 5960 interviews from 306 health facilities in 2005 and 2008. The adjusted odds of a poor client attending a health facility over time increased significantly for facilities under CO-1 and CO-2, with odds ratio of 2.82 (1.49, 5.36) P-value 0.001 and 2.00 (1.33, 3.02) P-value 0.001, respectively. The odds ratios for those under CO-3 and CI were not statistically significantly different over time. When compared with the non-contracting facilities, the adjusted ratio of odds ratios of poor status among clients was significantly higher for only those under CO-1, ratio of 2.50 (1.32, 4.74) P-value 0.005. CO-1 arrangement which allows contractors to decide on how funds are allocated within a fixed lump sum with non-negotiable deliverables, and actively managed through an independent government agency, is effective in improving

  3. Contracting but not without caution: experience with outsourcing of health services in countries of the Eastern Mediterranean Region.

    PubMed Central

    Siddiqi, Sameen; Masud, Tayyeb Imran; Sabri, Belgacem

    2006-01-01

    The public sector in developing countries is increasingly contracting with the non-state sector to improve access, efficiency and quality of health services. We conducted a multicountry study to assess the range of health services contracted out, the process of contracting and its influencing factors in ten countries of the Eastern Mediterranean Region: Afghanistan, Bahrain, Egypt, Islamic Republic of Iran, Jordan, Lebanon, Morocco, Pakistan, the Syrian Arab Republic and Tunisia. Our results showed that Afghanistan, Egypt, Islamic Republic of Iran and Pakistan had experience with outsourcing of primary care services; Jordan, Lebanon and Tunisia extensively contracted out hospital and ambulatory care services; while Bahrain, Morocco and the Syrian Arab Republic outsourced mainly non-clinical services. The interest of the non-state sector in contracting was to secure a regular source of revenue and gain enhanced recognition and credibility. While most countries promoted contracting with the private sector, the legal and bureaucratic support in countries varied with the duration of experience with contracting. The inherent risks evident in the contracting process were reliance on donor funds, limited number of providers in rural areas, parties with vested interests gaining control over the contracting process, as well as poor monitoring and evaluation mechanisms. Contracting provides the opportunity to have greater control over private providers in countries with poor regulatory capacity, and if used judiciously can improve health system performance. PMID:17143460

  4. Contracting but not without caution: experience with outsourcing of health services in countries of the Eastern Mediterranean Region.

    PubMed

    Siddiqi, Sameen; Masud, Tayyeb Imran; Sabri, Belgacem

    2006-11-01

    The public sector in developing countries is increasingly contracting with the non-state sector to improve access, efficiency and quality of health services. We conducted a multicountry study to assess the range of health services contracted out, the process of contracting and its influencing factors in ten countries of the Eastern Mediterranean Region: Afghanistan, Bahrain, Egypt, Islamic Republic of Iran, Jordan, Lebanon, Morocco, Pakistan, the Syrian Arab Republic and Tunisia. Our results showed that Afghanistan, Egypt, Islamic Republic of Iran and Pakistan had experience with outsourcing of primary care services; Jordan, Lebanon and Tunisia extensively contracted out hospital and ambulatory care services; while Bahrain, Morocco and the Syrian Arab Republic outsourced mainly non-clinical services. The interest of the non-state sector in contracting was to secure a regular source of revenue and gain enhanced recognition and credibility. While most countries promoted contracting with the private sector, the legal and bureaucratic support in countries varied with the duration of experience with contracting. The inherent risks evident in the contracting process were reliance on donor funds, limited number of providers in rural areas, parties with vested interests gaining control over the contracting process, as well as poor monitoring and evaluation mechanisms. Contracting provides the opportunity to have greater control over private providers in countries with poor regulatory capacity, and if used judiciously can improve health system performance.

  5. Contracting private sector providers for public sector health services in Jalisco, Mexico: perspectives of system actors

    PubMed Central

    Nigenda, Gustavo H; González, Luz María

    2009-01-01

    Introduction Contracting out health services is a strategy that many health systems in the developing world are following, despite the lack of decisive evidence that this is the best way to improve quality, increase efficiency and expand coverage. A large body of literature has appeared in recent years focusing on the results of several contracting strategies, but very few papers have addressed aspects of the managerial process and how this can affect results. Case description This paper describes and analyses the perceptions and opinions of managers and workers about the benefits and challenges of the contracting model that has been in place for almost 10 years in the State of Jalisco, Mexico. Both qualitative and quantitative information was collected. An open-ended questionnaire was used to obtain information from a group of managers, while information provided by a self-selected group of workers was collected via a closed-ended questionnaire. The analysis contrasted the information obtained from each source. Discussion and Evaluation Findings show that perceptions of managers and workers vary for most of the items studied. For managers the model has been a success, as it has allowed for expansion of coverage based on a cost-effective strategy, while for workers the model also possesses positive elements but fails to provide fair labour relationships, which negatively affects their performance. Conclusion Perspectives of the two main groups of actors in Jalisco's contracting model are important in the design and adjustment of an adequate contracting model that includes managerial elements to give incentives to worker performance, a key element necessary to achieve the model's ultimate objectives. Lessons learnt from this study could be relevant for the experience of contracting models in other developing countries. PMID:19849831

  6. 42 CFR 460.70 - Contracted services.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 4 2014-10-01 2014-10-01 false Contracted services. 460.70 Section 460.70 Public...) PACE Administrative Requirements § 460.70 Contracted services. (a) General rule. The PACE organization must have a written contract with each outside organization, agency, or individual that furnishes...

  7. Quality assurance for contracting of education: a delegated system involving consortia of British National Health Service trusts.

    PubMed

    Humphreys, J; Davis, K

    1995-03-01

    With the creation of the market for education, some regional health authorities (RHAs) in England are inclined to formally involve National Health Service (NHS) trusts in decisions with regard to the nature and location of education contracts. This paper describes a delegated system developed for the South East Thames Regional Health Authority and now being introduced within the Eastern Sector of the South Thames Regional Health Authority. Key features of the system include delegated contract review and a quality levels analysis in which the interests of the RHA and trusts (in both individual and consortium configurations) are accommodated.

  8. Perceived barriers to utilizing maternal and neonatal health services in contracted-out versus government-managed health facilities in the rural districts of Pakistan.

    PubMed

    Riaz, Atif; Zaidi, Shehla; Khowaja, Asif Raza

    2015-03-06

    A number of developing countries have contracted out public health facilities to the Non-Government Organizations (NGOs) in order to improve service utilization. However, there is a paucity of in-depth qualitative information on barriers to access services as a result of contracting from service users' perspective. The objective of this study was to explore perceived barriers to utilizing Maternal and Neonatal Health (MNH) services, in health facilities contracted out by government to NGO for service provision versus in those which are managed by government (non-contracted). A community-based qualitative exploratory study was conducted between April to September 2012 at two contracted-out and four matched non-contracted primary healthcare facilities in Thatta and Chitral, rural districts of Pakistan. Using semi-structured guide, the data were collected through thirty-six Focus Group Discussions (FGDs) conducted with mothers and their spouses in the catchment areas of selected facilities. Thematic analysis was performed using NVivo version 10.0 in which themes and sub-themes emerged. Key barriers reported in contracted sites included physical distance, user charges and familial influences. Whereas, poor functionality of health centres was the main barrier for non-contracted sites with other issues being comparatively less salient. Decision-making patterns for participants of both catchments were largely similar. Spouses and mother-in-laws particularly influenced the decision to utilize health facilities. Contracting out of health facility reduces supply side barriers to MNH services for the community served but distance, user charges and low awareness remain significant barriers. Contracting needs to be accompanied by measures for transportation in remote settings, oversight on user fee charges by contractor, and strong community-based behavior change strategies. © 2015 by Kerman University of Medical Sciences.

  9. The Early Impact Of The 'Alternative Quality Contract' On Mental Health Service Use And Spending In Massachusetts.

    PubMed

    Barry, Colleen L; Stuart, Elizabeth A; Donohue, Julie M; Greenfield, Shelly F; Kouri, Elena; Duckworth, Kenneth; Song, Zirui; Mechanic, Robert E; Chernew, Michael E; Huskamp, Haiden A

    2015-12-01

    Accountable care using global payment with performance bonuses has shown promise in controlling spending growth and improving care. This study examined how an early model, the Alternative Quality Contract (AQC) established in 2009 by Blue Cross Blue Shield of Massachusetts (BCBSMA), has affected care for mental illness. We compared spending and use for enrollees in AQC organizations that did and did not accept financial risk for mental health with enrollees not participating in the contract. Compared with BCBSMA enrollees in organizations not participating in the AQC, we found that enrollees in participating organizations were slightly less likely to use mental health services and, among mental health services users, small declines were detected in total health care spending, but no change was found in mental health spending. The declines in probability of use of mental health services and in total health spending among mental health service users attributable to the AQC were concentrated among enrollees in organizations that accepted financial risk for behavioral health. Interviews with AQC organization leaders suggested that the contractual arrangements did not meaningfully affect mental health care delivery in the program's initial years, but organizations are now at varying stages of efforts to improve mental health integration. Project HOPE—The People-to-People Health Foundation, Inc.

  10. 42 CFR 460.70 - Contracted services.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 4 2013-10-01 2013-10-01 false Contracted services. 460.70 Section 460.70 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...

  11. 42 CFR 460.70 - Contracted services.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 4 2012-10-01 2012-10-01 false Contracted services. 460.70 Section 460.70 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...

  12. 42 CFR 460.70 - Contracted services.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 4 2011-10-01 2011-10-01 false Contracted services. 460.70 Section 460.70 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 (PACE...

  13. Contract health care services; reimbursement and Medicare allowable rates--Bureau of Prisons, Dept. of Justice. Notice.

    PubMed

    1992-01-28

    The Bureau of Prisons is issuing this Statement of Policy to inform the public that when it becomes necessary to supplement the direct delivery system of health care the Bureau provides to persons committed to its custody, the Bureau ordinarily will contract to purchase health services only with those hospitals, physicians and other health care providers which agree to accept, as payment in full, reimbursement at rates no higher than the prevailing Medicare allowable rates (including deductibles and co-payments). This encompasses those rates established by the Health Care Financing Administration as "sole community providers" or "regional referral centers". The Bureau will phase this policy into the administration of its contract health services program.

  14. Some Ramifications of Compensation Limitations in Personal Services Contracts for Direct Health Care Providers

    DTIC Science & Technology

    1990-12-01

    food service, or any other common commercial service that would not require the government to directly supervise the contract employee. In contrast...patients is experienced by the p.. .ian kn residency. The scarcity of these highly specialized individuals (and thus the high wages they command... GMO ) and Pediatricians are not among the physicians on the higher end of the pay scale.10 The table also contains information about the price of the

  15. Consumer Perceptions of Service Contracts.

    ERIC Educational Resources Information Center

    Caudill, Donald W.; Garman, E. Thomas

    1994-01-01

    A study tried to distinguish between consumers (n=440) who bought and did not buy an extended service contract, to find out why a consumer would buy an extended service contract, and to profile those most likely to purchase one. Results showed that most consumers felt such contracts were worthwhile and offered peace of mind. (JOW)

  16. Evaluating the impact of contracting out basic health care services in the state of São Paulo, Brazil.

    PubMed

    Greve, Jane; Schattan Ruas Pereira Coelho, Vera

    2017-09-01

    As a means of dealing with shortcomings in the coverage, quality and efficiency of the public health care sector, several municipalities in the state of São Paulo, Brazil, have started to contract pre-certified non-profit or non-governmental organizations to take part in the delivery of health care services.This paper explores the impact of introducing these contracts in the primary health care sector. Using data on the 645 municipalities in the state of São Paulo and difference-in-differences methods, we estimate the effect of contracting out in the primary health care sector on various dimensions of mortality and health care use. The results show that implementation of the contracting out strategy significantly increases the number of primary health care appointments by approximately one appointment per user of the national health care system per year. Point estimates indicate a reducing effect on hospitalization for preventable diseases. © The Author 2017. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine.

  17. Utility Energy Services Contracts Guide

    SciTech Connect

    2013-09-01

    The UESC Guide is a compilation of samples and templates developed as a resource to help contracting officers implement task orders for UESCs under existing U.S. General Services Administration areawide contracts.

  18. [Health status comparative analysis of the emercom of Russia Federal fire service employees and contract servicemen in the Russian Army].

    PubMed

    Koteev, P K; Kireev, S G; Golovinova, V Iu

    2013-08-01

    Results of health status comparative analysis of the emercom of Russia Federal fire service employees and contract servicemen in the Russian Army are submitted as following. The emercom of russia firemen's average annual rate of primary morbidity is 459,1, that of labor losses' days 8430,8, of disability 0,9, and mortality cases 0,7. The russian army contract servicemen's average annual rate of primary morbidity during the covered period comes to 410,3, that of discharges 7,4, and mortality cases 1,3. The results of comparative analysis show that the rate of contract servicemen's primary morbidity is lower than that of emercom of Russia firemen below 10.6% (p < 0.001), whereas their discharge level is higher above 87% (p < 0.001). In the course of comparison of the emercom of Russia Federal fire service employees' and the Russian Army contract servicemen's primary morbidity structure it was revealed that the indexes of the diseases of respiratory system, traumas and poisoning are higher among the first ones. On the contrary, their indexes were lower in the sphere of circulatory system, skin and hypodermic cellulose diseases. The indexes of circulatory system diseases in the disability (discharge level) structure of the emercom of Russia Federal fire service employees were higher than those of other diseases. It is expedient to use the results of this research in forming of priority assignments and conducting of a complex of curative and prophylactic measures organized by the medical service of the emercom of Russia.

  19. Health Contract in the Classroom

    ERIC Educational Resources Information Center

    Haber, David

    2007-01-01

    A health contract is a technique used by health professionals to help clients achieve a health goal. This article describes a course, "Changing Health Behaviors," in which a health contract strategy is taught and practiced with older adults. The health contract can also be included as a smaller educational component within a gerontology course…

  20. Health Contract in the Classroom

    ERIC Educational Resources Information Center

    Haber, David

    2007-01-01

    A health contract is a technique used by health professionals to help clients achieve a health goal. This article describes a course, "Changing Health Behaviors," in which a health contract strategy is taught and practiced with older adults. The health contract can also be included as a smaller educational component within a gerontology course…

  1. Defense Health Care: Evaluation of TRICARE Pharmacy Services Contract Structure is Warranted

    DTIC Science & Technology

    2013-09-01

    33One of the largest recent mergers was Express Scripts’ acquisition of...has been preparing for its upcoming contract through acquisition planning, which included identifying any needed changes to contract requirements...if any, assessment DOD has done of the appropriateness of its current contract structure. GAO reviewed DOD acquisition planning documents and

  2. Alternative staffing services. Contract transcription.

    PubMed

    Tessier, C

    1992-03-01

    Contract medical transcription services can be of great assistance in meeting the demands for transcription, without jeopardizing patient, physician, or institutional confidentiality. You simply must require the contract service to provide at least the same degree of protection and preservation of confidentiality that you should require inhouse. To achieve this you must make these requirements explicit, comprehensive, comprehensible, believable, and enforceable. Discuss the requirements with prospective contractors. Review them at least annually with existing contractors and when contracts are due for renewal. Be sure to specify the consequence of breaching confidentiality, and if there are breaches, enforce the terms of the contract. Consult your institution's legal counsel both in developing the contract and in enforcing its provisions. Take into consideration your department's and institution's policies, AHIMA's statement on confidentiality, as well as local, state, and federal laws. Above all, never lose sight of the patient. Ultimately, it is not patient information that you are obligated to protect. It is the patient.

  3. Utility Energy Services Contracts: Enabling Documents

    SciTech Connect

    2009-05-01

    Utility Energy Services Contracts: Enabling Documents provides materials that clarify the authority for Federal agencies to enter into utility energy services contracts (UESCs), as well as sample documents and resources to ease utility partnership contracting.

  4. 78 FR 11685 - Public Availability of FY 2011 Service Contract Inventory Analysis, FY 2012 Service Contract...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-19

    ... SAFETY BOARD Public Availability of FY 2011 Service Contract Inventory Analysis, FY 2012 Service Contract Inventory, and FY 2012 Service Contract Inventory Planned Analysis for the National Transportation Safety... Service Contract Inventory Analysis, the FY 2012 Service Contract Inventory, and the FY 2012 Service...

  5. 78 FR 13706 - Public Availability of FY 2011 Service Contract Inventory Analysis, FY 2012 Service Contract...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-28

    ... COMMISSION Public Availability of FY 2011 Service Contract Inventory Analysis, FY 2012 Service Contract Inventory, and FY 2012 Service Contract Inventory Planned Analysis for the U.S. International Trade... Service Contract Inventory Analysis, the FY 2012 Service Contract Inventory, and the FY 2012 Service...

  6. 77 FR 5280 - Service Contracts Inventory

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-02

    ... COMMISSION Service Contracts Inventory AGENCY: Nuclear Regulatory Commission. ACTION: Notice of availability... Contracts for Services for Fiscal Year (FY) 2011. The inventory includes service contract actions over $25... . The Inventory of Contracts for Services for FY 2011 can be accessed under ADAMS accession number...

  7. 78 FR 10642 - Service Contracts Inventory

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-14

    ... COMMISSION Service Contracts Inventory AGENCY: Nuclear Regulatory Commission. ACTION: Notice of availability... Contracts for Services for Fiscal Year (FY) 2012. The inventory includes service contract actions over $25... document is referenced. The Inventory of Contracts for Services for FY 2012 can be accessed under ADAMS...

  8. Framing the decision to contract out elderly care and primary health care services – perspectives of local level politicians and civil servants in Finland

    PubMed Central

    2012-01-01

    Background In the literature there are only few empirical studies that analyse the decision makers’ reasoning to contract out health care and social services to private sector. However, the decisions on the delivery patterns of health care and social services are considered to be of great importance as they have a potential to influence citizens’ access to services and even affect their health. This study contributes to filling this cap by exploring the frames used by Finnish local authorities as they talk about contracting out of primary health care and elderly care services. Contracting with the private sector has gained increasing popularity, in Finland, during the past decade, as a practise of organising health care and social services. Methods Interview data drawn from six municipalities through thematic group interviews were used. The data were analysed applying frame analysis in order to reveal the underlying reasoning for the decisions. Results Five argumentation frames were found: Rational reasoning; Pragmatic realism; Promoting diversity among providers; Good for the municipality; Good for the local people. The interviewees saw contracting with the private sector mostly as a means to improve the performance of public providers, to improve service quality and efficiency and to boost the local economy. The decisions to contract out were mainly argued through the good for the municipal administration, political and ideological commitments, available resources and existing institutions. Conclusions This study suggests that the policy makers use a number of grounds to justify their decisions on contracting out. Most of the arguments were related to the benefits of the municipality rather than on what is best for the local people. The citizens were offered the role of active consumers who are willing to purchase services also out-of-pocket. This development has a potential to endanger the affordability of the services and lead to undermining some of the

  9. Framing the decision to contract out elderly care and primary health care services - perspectives of local level politicians and civil servants in Finland.

    PubMed

    Tynkkynen, Liina-Kaisa; Lehto, Juhani; Miettinen, Sari

    2012-07-17

    In the literature there are only few empirical studies that analyse the decision makers' reasoning to contract out health care and social services to private sector. However, the decisions on the delivery patterns of health care and social services are considered to be of great importance as they have a potential to influence citizens' access to services and even affect their health. This study contributes to filling this cap by exploring the frames used by Finnish local authorities as they talk about contracting out of primary health care and elderly care services. Contracting with the private sector has gained increasing popularity, in Finland, during the past decade, as a practise of organising health care and social services. Interview data drawn from six municipalities through thematic group interviews were used. The data were analysed applying frame analysis in order to reveal the underlying reasoning for the decisions. Five argumentation frames were found: Rational reasoning; Pragmatic realism; Promoting diversity among providers; Good for the municipality; Good for the local people. The interviewees saw contracting with the private sector mostly as a means to improve the performance of public providers, to improve service quality and efficiency and to boost the local economy. The decisions to contract out were mainly argued through the good for the municipal administration, political and ideological commitments, available resources and existing institutions. This study suggests that the policy makers use a number of grounds to justify their decisions on contracting out. Most of the arguments were related to the benefits of the municipality rather than on what is best for the local people. The citizens were offered the role of active consumers who are willing to purchase services also out-of-pocket. This development has a potential to endanger the affordability of the services and lead to undermining some of the traditional principles of the Nordic welfare

  10. 5 CFR 842.309 - Contract service.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) FEDERAL EMPLOYEES RETIREMENT SYSTEM-BASIC ANNUITY Credit for Service § 842.309 Contract service. Contract service... explicit statutory authority to appoint an individual into the civil service by contract; or (b) The...

  11. Health contract in the classroom.

    PubMed

    Haber, David

    2007-01-01

    A health contract is a technique used by health professionals to help clients achieve a health goal. This article describes a course, "Changing Health Behaviors," in which a health contract strategy is taught and practiced with older adults. The health contract can also be included as a smaller educational component within a gerontology course that covers risk factors such as sedentary behavior or nutritional deficiency, counseling or health education techniques, or program development. Gerontology students who complete a degree or certificate program may enter a variety of venues in which a health contract can be a useful tool with older clients.

  12. 78 FR 52538 - Office of Direct Service and Contracting Tribes; National Indian Health Outreach and Education...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-23

    ... to continue Health Reform Progress to Implement the Affordable Care Act and Indian Health Care... (PPACA), as amended by the Health Care and Education Reconciliation Act of 2010, Public Law 111- 152, collectively known as the Affordable Care Act, and the Indian Health Care Improvement Act (IHCIA), as...

  13. 7 CFR 868.41 - Contract service.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 7 Agriculture 7 2014-01-01 2014-01-01 false Contract service. 868.41 Section 868.41 Agriculture... FOR CERTAIN AGRICULTURAL COMMODITIES Regulations Original Inspection Service § 868.41 Contract service. Any interested person may enter into a contract with a cooperator or the Service whereby the...

  14. 42 CFR 136.30 - Payment to Medicare-participating hospitals for authorized Contract Health Services.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ..., whether provided as inpatient, outpatient, skilled nursing facility care, as other services of a.... Payment for skilled nursing facility (SNF) services shall be based on a PPS used in the Medicare program... hemophiliac; and the costs of qualified non-physician anesthetists, to the extent such costs would be...

  15. 42 CFR 136.30 - Payment to Medicare-participating hospitals for authorized Contract Health Services.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ..., whether provided as inpatient, outpatient, skilled nursing facility care, as other services of a.... Payment for skilled nursing facility (SNF) services shall be based on a PPS used in the Medicare program... hemophiliac; and the costs of qualified non-physician anesthetists, to the extent such costs would be...

  16. 42 CFR 136.30 - Payment to Medicare-participating hospitals for authorized Contract Health Services.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ..., whether provided as inpatient, outpatient, skilled nursing facility care, as other services of a.... Payment for skilled nursing facility (SNF) services shall be based on a PPS used in the Medicare program... hemophiliac; and the costs of qualified non-physician anesthetists, to the extent such costs would be...

  17. 42 CFR 136.30 - Payment to Medicare-participating hospitals for authorized Contract Health Services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... prospective payment system (PPS) will be based on that PPS. For example, payment for inpatient hospital services shall be made per discharge based on the applicable PPS used by the Medicare program to pay for... based on a PPS used in the Medicare program to pay for similar hospital services under 42 CFR part...

  18. Impact on the Performance of Health Workers Adopted Performance-Related Contracts in the Provision of Basic Public Health Service At Village and Township Levels

    PubMed Central

    ZHAO, Yaojun; HUO, Zhen’ang; WU, Jian; XIE, Shuangbao; ZHANG, Liang; FENG, Zhanchun

    2013-01-01

    Background This paper focus on the impact on the performance of health workers at village and township levels in the provision of a government stipulated package of basic public health service, which adopted the performance-related contracts mode. Methods: The concept of balanced scorecard was adopted and developed to gather the 11 evaluation indicators distributed in four quadrants. These were implemented using on-site questionnaire and interview design. Four thousand and twenty-one respondents at 30 administrative villages including 2674 respondents at 20 pilot villages and 1347 at 10 control villages were investigated. Meanwhile, 62 administration officials from three counties and nine townships were interviewed. Results: Eight of 11 evaluation indicators were obviously better in pilot counties than in Control County, The remaining three indicators respectively represented that equal, inferior to control county, and could not clear judge. Conclusion: The performance of health workers at village and township levels in the provision of basic public health service in pilot counties, which adopted the performance-related contracts mode, is better than before and control county. PMID:23785674

  19. Contracting for professional service agreements.

    PubMed

    Berman, M L

    1995-08-01

    A review of several professional service agreements (PSA) of managed care organizations which contract with gynecologic oncologists in the Southern California area demonstrates several distinct patterns of practice restrictions and financial benefits which can help guide the physician who is considering signing such an agreement. These contracts must be evaluated in a manner similar to any business transaction as they are legally binding and can enhance or adversely impact one's clinical practice. Their advantages include increased numbers of referrals resulting in higher practice income; however, their disadvantages include practice restrictions which can adversely impact office overhead, practice efficiency, and the ability to deliver quality medical care. General guidelines to physicians evaluating a PSA include (1) avoiding "hold harmless" clauses, (2) avoiding contracts which tie enrollment in one plan to others, (3) the need to enter any verbal agreements by managed care administrators into the contract language, and (4) avoidance of actions which might be construed as being in violation of antitrust activities. Furthermore, physicians must avoid contracts which will result in the uncontrolled growth of a practice beyond its capabilities for expansion.

  20. Determinants of Service Contract Outcomes

    DTIC Science & Technology

    2011-04-30

    implications for future research . Journal of Marketing, 49(1), 41–50. Parasuraman, A., Zeithaml, V. A., & Berry, L. L. (1988). SERVQUAL : A multi-item... Relational contract norms and the effectiveness of commercial banking relationships. International Journal of Service Industry, 8(5), 435–452. Podsakoff...release; distribution unlimited 13. SUPPLEMENTARY NOTES Presented at the Naval Postgraduate School?s 8th Annual Acquisition Research Symposium, 10-12

  1. Utility Energy Services Contracts: Enabling Documents

    SciTech Connect

    Thomas, Karen; Vasquez, Deb

    2017-01-01

    The Federal Energy Management Program's 'Utility Energy Service Contracts: Enabling Documents' provide legislative information and materials that clarify the authority for federal agencies to enter into utility energy service contracts, or UESCs.

  2. One Approach to Contracting Out Services.

    ERIC Educational Resources Information Center

    Cryder, Ralph S.

    1985-01-01

    Public agencies can benefit from cost savings in forestry services, park security, and maintenance when park and recreation departments contract out for services. Pros and cons of contracting out and guidelines for this process are offered. (DF)

  3. Provider cost analysis supports results-based contracting out of maternal and newborn health services: an evidence-based policy perspective.

    PubMed

    Hatcher, Peter; Shaikh, Shiraz; Fazli, Hassan; Zaidi, Shehla; Riaz, Atif

    2014-11-13

    There is dearth of evidence on provider cost of contracted out services particularly for Maternal and Newborn Health (MNH). The evidence base is weak for policy makers to estimate resources required for scaling up contracting. This paper ascertains provider unit costs and expenditure distribution at contracted out government primary health centers to inform the development of optimal resource envelopes for contracting out MNH services. This is a case study of provider costs of MNH services at two government Rural Health Centers (RHCs) contracted out to a non-governmental organization in Pakistan. It reports on four selected Basic Emergency Obstetrical and Newborn Care (BEmONC) services provided in one RHC and six Comprehensive Emergency Obstetrical and Newborn Care (CEmONC) services in the other. Data were collected using staff interviews and record review to compile resource inputs and service volumes, and analyzed using the CORE Plus tool. Unit costs are based on actual costs of MNH services and are calculated for actual volumes in 2011 and for volumes projected to meet need with optimal resource inputs. The unit costs per service for actual 2011 volumes at the BEmONC RHC were antenatal care (ANC) visit USD$ 18.78, normal delivery US$ 84.61, newborn care US$ 16.86 and a postnatal care (PNC) visit US$ 13.86; and at the CEmONC RHC were ANC visit US$ 45.50, Normal Delivery US$ 148.43, assisted delivery US$ 167.43, C-section US$ 183.34, Newborn Care US$ 41.07, and PNC visit US$ 27.34. The unit costs for the projected volumes needed were lower due to optimal utilization of resources. The percentage distribution of expenditures at both RHCs was largest for salaries of technical staff, followed by salaries of administrative staff, and then operating costs, medicines, medical and diagnostic supplies. The unit costs of MNH services at the two contracted out government rural facilities remain higher than is optimal, primarily due to underutilization. Provider cost analysis

  4. An Assessment of Private General Practitioners Contracting for Public Health Services Delivery in O.R. Tambo District, South Africa

    PubMed Central

    Hongoro, Charles; Funani, I Itumeleng N.; Chitha, Wezile; Godlimpi, Lizo

    2015-01-01

    Low- and middle-income countries are striving towards universal health coverage in a variety of ways. Achieving this goal requires the participation of both public and the private sector providers. The study sought to assess existing capacity for independent general practitioner contracting in primary care, the reasons for the low uptake of government national contract and the expectations of general practitioners of such contractual arrangements. This was a case study conducted in a rural district of South Africa. The study employed both quantitative and qualitative data collection methods. Data were collected using a general practitioner and practice profiling tool, and a structured questionnaire. A total of 42 general practitioners were interviewed and their practices profiled. Contrary to observed low uptake of the national general practitioner contract, 90% of private doctors who had not yet subscribed to it were actually interested in it. Substantial evidence indicated that private doctors had the capacity to deliver quality care to public patients. However, low uptake of national contarct related mostly to lack of effective communication and consultation between them and national government which created mistrust and apprehension amongst local private doctors. Paradoxically, these general practitioners expressed satisfaction with other existing state contracts. An analysis of the national contract showed that there were likely to benefit more from it given the relatively higher payment rates and the guaranteed nature of this income. Proposed key requisites to enhanced uptake of the national contract related to the type of the contract, payment arrangements and flexibility of the work regime, and prospects for continuous training and clinical improvements. Low uptake of the national General Practitioner contract was due to variety of factors related to lack of understanding of contract details. Such misunderstandings between potential contracting parties

  5. Contracting for intensive care services.

    PubMed

    Dorman, S

    1996-01-01

    Purchasers will increasingly expect clinical services in the NHS internal market to provide objective measures of their benefits and cost effectiveness in order to maintain or develop current funding levels. There is limited scientific evidence to demonstrate the clinical effectiveness of intensive care services in terms of mortality/morbidity. Intensive care is a high-cost service and studies of cost-effectiveness need to take account of case-mix variations, differences in admission and discharge policies, and other differences between units. Decisions over development or rationalisation of intensive care services should be based on proper outcome studies of well defined patient groups. The purchasing function itself requires development in order to support effective contracting.

  6. 46 CFR 530.8 - Service Contracts.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 9 2012-10-01 2012-10-01 false Service Contracts. 530.8 Section 530.8 Shipping FEDERAL MARITIME COMMISSION REGULATIONS AFFECTING OCEAN SHIPPING IN FOREIGN COMMERCE SERVICE CONTRACTS Filing Requirements § 530.8 Service Contracts. (a) Authorized persons shall file with BTCL, in the manner set forth in...

  7. 46 CFR 535.802 - Service contracts.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 9 2012-10-01 2012-10-01 false Service contracts. 535.802 Section 535.802 Shipping... Provisions § 535.802 Service contracts. (a) Ocean common carrier agreements may not prohibit or restrict a member or members of the agreement from engaging in negotiations for service contracts with one or more...

  8. Capitated contracting of integrated health provider organizations.

    PubMed

    Bazzoli, G J; Dynan, L; Burns, L R

    This paper examines global capitation of integrated health provider organizations that link physicians and hospitals, such as physician-hospital organizations and management service organizations. These organizations have proliferated in recent years, but their contracting activity has not been studied. We develop a conceptual model to understand the capitated contracting bargaining process. Exploratory multivariate analysis suggests that global capitation of these organizations is more common in markets with high health maintenance organization (HMO) market share, greater numbers of HMOs, and fewer physician group practices. Additionally, health provider organizations with more complex case mix, nonprofit status, more affiliated physicians, health system affiliations, and diversity in physician organizational arrangements are more likely to have global capitation. Finally, state regulation of provider contracting with self-insured employers appears to have spillover effects on health plan risk contracting with health providers.

  9. Evaluation and mechanism for outcomes exploration of providing public health care in contract service in rural China: a multiple-case study with complex adaptive systems design.

    PubMed

    Zhou, Huixuan; Zhang, Shengfa; Zhang, Weijun; Wang, Fugang; Zhong, You; Gu, Linni; Qu, Zhiyong; Tian, Donghua

    2015-02-27

    The Chinese government has increased the funding for public health in 2009 and experimentally applied a contract service policy (could be seen as a counterpart to family medicine) in 15 counties to promote public health services in the rural areas in 2013. The contract service aimed to convert village doctors, who had privately practiced for decades, into general practitioners under the government management, and better control the rampant chronic diseases. This study made a rare attempt to assess the effectiveness of public health services delivered under the contract service policy, explore the influencing mechanism and draw the implications for the policy extension in the future. Three pilot counties and a non-pilot one with heterogeneity in economic and health development from east to west of China were selected by a purposive sampling method. The case study methods by document collection, non-participant observation and interviews (including key informant interview and focus group interview) with 84 health providers and 20 demanders in multiple level were applied in this study. A thematic approach was used to compare diverse outcomes and analyze mechanism in the complex adaptive systems framework. Without sufficient incentives, the public health services were not conducted effectively, regardless of the implementation of the contract policy. To appropriately increase the funding for public health by local finance and properly allocate subsidy to village doctors was one of the most effective approaches to stimulate health providers and demanders' positivity and promote the policy implementation. County health bureaus acted as the most crucial agents among the complex public health systems. Their mental models influenced by the compound and various environments around them led to the diverse outcomes. If they could provide extra incentives and make the contexts of the systems ripe enough for change, the health providers and demanders would be receptive to the

  10. Different approaches to contracting in health systems.

    PubMed Central

    Perrot, Jean

    2006-01-01

    Contracting is one of the tools increasingly being used to enhance the performance of health systems in both developed and developing countries; it takes different forms and cannot be limited to the mere purchase of services. Actors adopt contracting to formalize all kinds of relations established between them. A typology for this approach will demonstrate its diversity and provide a better understanding of the various issues raised by contracting. In recent years the way health systems are organized has changed significantly. To remedy the under-performance of their health systems, most countries have undertaken reforms that have resulted in major institutional overhaul, including decentralization of health and administrative services, autonomy for public service providers, separation of funding bodies and service providers, expansion of health financing options and the development of the profit or nonprofit private sector. These institutional reshuffles lead not only to multiplication and diversification of the actors involved, but also to greater separation of the service provision and administrative functions. Health systems are becoming more complex and can no longer operate in isolation. Actors are gradually realizing that they need to forge relations. The simplest way to do that is through dialogue, although some prefer a more formal commitment. Interaction between actors may take various forms and be on different scales. There are several types of contractual relations: some are based on the nature of the contract (public or private), others on the parties involved and yet others on the scope of the contract. Here they are classified into three categories according to the object of the contract: delegation of responsibility, act of purchase of services, or cooperation. PMID:17143459

  11. Safety Case for Service Contracts

    SciTech Connect

    Martinez, Israel L.

    2014-07-01

    Safety cases developed for the Facilities Management and Operations Center (FMOC) are based on the requirements in MN471021, Work Planning and Control Criteria for Safe Design and Operations. The FMOC performs maintenance activities in various locations at Sandia National Laboratories, New Mexico (SNL/NM). SNL/NM consists of more than 6,000,000 square feet of buildings, structures, and site infrastructure on approximately 13,000 acres of land. The FMOC performs approximately 7500 service contract work orders a year to assist with operations and maintenance at the SNL/NM site and facilities. As part of the continual improvement process, this Safety Case will be reviewed and updated, as needed, or at a minimum every three years.

  12. Mission and Installation Contracting Command Services Acquisition: Empirical Analysis of Army Service Contract Management Practices

    DTIC Science & Technology

    2011-06-01

    the efficiency and effectiveness of service contracts. In this study, data was collected from two Army contracting offices. This study serves as a pilot... service type affects contract characteristics and management practices. The study also demonstrates that there is a relationship between capacity and...management practices. These findings show that the performance of service contracts can be improved through enhanced contract management process capabilities.

  13. 48 CFR 637.104-70 - Personal services contracts.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 4 2010-10-01 2010-10-01 false Personal services... CATEGORIES OF CONTRACTING SERVICE CONTRACTING Service Contracts-General 637.104-70 Personal services contracts. Pursuant to FAR 37.104(b), DOS statutory authorities for personal services contracts are— (a) For...

  14. 48 CFR 437.104 - Personal services contracts.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 4 2010-10-01 2010-10-01 false Personal services... CATEGORIES OF CONTRACTING SERVICE CONTRACTING Service Contracts-General 437.104 Personal services contracts. USDA has the following specific statutory authorities to contract for personal services: (a) Section...

  15. 48 CFR 637.104 - Personal services contracts.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 4 2010-10-01 2010-10-01 false Personal services contracts. 637.104 Section 637.104 Federal Acquisition Regulations System DEPARTMENT OF STATE SPECIAL CATEGORIES OF CONTRACTING SERVICE CONTRACTING Service Contracts-General 637.104 Personal services contracts...

  16. Partnerships in Information Services: The Contract Library.

    ERIC Educational Resources Information Center

    Hatfield, Deborah

    1994-01-01

    Discusses contracting for library and information services, particularly between universities and corporations, and gives an example of a successful partnership between Lexmark International, Inc., and the University of Kentucky. Topics addressed include financial considerations; improving services without increasing staff; and confidentiality…

  17. 48 CFR 37.105 - Competition in service contracting.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 1 2010-10-01 2010-10-01 false Competition in service... SPECIAL CATEGORIES OF CONTRACTING SERVICE CONTRACTING Service Contracts-General 37.105 Competition in... provisions of statute and part 6 of this regulation requiring competition apply fully to service contracts...

  18. 29 CFR 4.121 - Contracts for individual services.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 1 2010-07-01 2010-07-01 true Contracts for individual services. 4.121 Section 4.121 Labor Office of the Secretary of Labor LABOR STANDARDS FOR FEDERAL SERVICE CONTRACTS Application of the McNamara-O'Hara Service Contract Act Specific Exclusions § 4.121 Contracts for individual services. The...

  19. Performance Problems in Service Contracting

    DTIC Science & Technology

    1988-01-01

    Administration and Larson Building Care, Inc., B-207771, et al., 83-1 CPD 194. 130. Starlite Services, Inc., B-219418, 85-2 CPD 410. 100 Y] Y , ,’ ,v...1 CPD 621. 146. Kleen-Rite Corporation, B-1836591, 75-2 CPD 1. 147. Id. 148. Richard M. Walsh Associates, Inc., B-216730, 85-1 CPD 621. 149. Starlite

  20. Competing for Contract Support Services

    DTIC Science & Technology

    1979-12-01

    integrity, fairness, objectivity, and absence of bias or favoritism in the procurement process. Zemansky is a strong advocate of competition for...architectural, engineering and consulting firms that render professional services. In discussing the pro’s and cons of comnetitive procurement, Zemansky developed...contractors, overpayment for shoddy products or "kick backs" (,1 :5]. Zemansky concludes that, without delving into a detailed analysis of numerous

  1. 48 CFR 1342.102 - Assignment of contract audit services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 5 2010-10-01 2010-10-01 false Assignment of contract audit services. 1342.102 Section 1342.102 Federal Acquisition Regulations System DEPARTMENT OF COMMERCE CONTRACT MANAGEMENT CONTRACT ADMINISTRATION Contract Audit Services 1342.102 Assignment of contract...

  2. 48 CFR 1342.102 - Assignment of contract audit services.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 48 Federal Acquisition Regulations System 5 2014-10-01 2014-10-01 false Assignment of contract audit services. 1342.102 Section 1342.102 Federal Acquisition Regulations System DEPARTMENT OF COMMERCE CONTRACT MANAGEMENT CONTRACT ADMINISTRATION Contract Audit Services 1342.102 Assignment of contract...

  3. 14 CFR 1261.409 - Contracting for collection services.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... litigation. (b) Funding of collection service contracts: (1) NASA may fund a collection service contract on a... contract on a contingent-fee basis—that is, by including a provision in the contract permitting the contractor to deduct its fee from amounts collected under the contract. The fee should be based on...

  4. 14 CFR 1261.409 - Contracting for collection services.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... litigation. (b) Funding of collection service contracts: (1) NASA may fund a collection service contract on a... contract on a contingent-fee basis—that is, by including a provision in the contract permitting the contractor to deduct its fee from amounts collected under the contract. The fee should be based on...

  5. 14 CFR 1261.409 - Contracting for collection services.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... litigation. (b) Funding of collection service contracts: (1) NASA may fund a collection service contract on a... contract on a contingent-fee basis—that is, by including a provision in the contract permitting the contractor to deduct its fee from amounts collected under the contract. The fee should be based on...

  6. 14 CFR § 1261.409 - Contracting for collection services.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... litigation. (b) Funding of collection service contracts: (1) NASA may fund a collection service contract on a... contract on a contingent-fee basis—that is, by including a provision in the contract permitting the contractor to deduct its fee from amounts collected under the contract. The fee should be based on...

  7. 14 CFR 1261.409 - Contracting for collection services.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... litigation. (b) Funding of collection service contracts: (1) NASA may fund a collection service contract on a... contract on a contingent-fee basis—that is, by including a provision in the contract permitting the contractor to deduct its fee from amounts collected under the contract. The fee should be based on...

  8. 29 CFR 4.133 - Beneficiary of contract services.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 1 2010-07-01 2010-07-01 true Beneficiary of contract services. 4.133 Section 4.133 Labor Office of the Secretary of Labor LABOR STANDARDS FOR FEDERAL SERVICE CONTRACTS Application of the McNamara-O'Hara Service Contract Act Particular Application of Contract Coverage Principles §...

  9. 29 CFR 4.120 - Contracts for public utility services.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 1 2010-07-01 2010-07-01 true Contracts for public utility services. 4.120 Section 4.120 Labor Office of the Secretary of Labor LABOR STANDARDS FOR FEDERAL SERVICE CONTRACTS Application of the McNamara-O'Hara Service Contract Act Specific Exclusions § 4.120 Contracts for public...

  10. 48 CFR 842.102 - Assignment of contract audit services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 5 2010-10-01 2010-10-01 false Assignment of contract audit services. 842.102 Section 842.102 Federal Acquisition Regulations System DEPARTMENT OF VETERANS AFFAIRS CONTRACT MANAGEMENT CONTRACT ADMINISTRATION AND AUDIT SERVICES Contract Audit Services 842.102...

  11. 48 CFR 3037.104-70 - Personal service contracts.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 7 2010-10-01 2010-10-01 false Personal service contracts. 3037.104-70 Section 3037.104-70 Federal Acquisition Regulations System DEPARTMENT OF HOMELAND SECURITY, HOMELAND SECURITY ACQUISITION REGULATION (HSAR) SPECIAL CATEGORIES OF CONTRACTING SERVICE CONTRACTING Service Contracts-General...

  12. 48 CFR 3037.104 - Personal services contracts.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 7 2010-10-01 2010-10-01 false Personal services contracts. 3037.104 Section 3037.104 Federal Acquisition Regulations System DEPARTMENT OF HOMELAND SECURITY, HOMELAND SECURITY ACQUISITION REGULATION (HSAR) SPECIAL CATEGORIES OF CONTRACTING SERVICE CONTRACTING Service Contracts-General 3037.104...

  13. 48 CFR 3037.104-90 - Personal services contracts (USCG).

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 7 2010-10-01 2010-10-01 false Personal services contracts (USCG). 3037.104-90 Section 3037.104-90 Federal Acquisition Regulations System DEPARTMENT OF HOMELAND SECURITY, HOMELAND SECURITY ACQUISITION REGULATION (HSAR) SPECIAL CATEGORIES OF CONTRACTING SERVICE CONTRACTING Service Contracts-General...

  14. 46 CFR 535.802 - Service contracts.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 9 2010-10-01 2010-10-01 false Service contracts. 535.802 Section 535.802 Shipping FEDERAL MARITIME COMMISSION REGULATIONS AFFECTING OCEAN SHIPPING IN FOREIGN COMMERCE OCEAN COMMON CARRIER AND MARINE TERMINAL OPERATOR AGREEMENTS SUBJECT TO THE SHIPPING ACT OF 1984 Mandatory and Prohibited...

  15. Contract Training Services Strategic Business Plan.

    ERIC Educational Resources Information Center

    Sir Sandford Fleming Coll., Peterborough (Ontario).

    Recommending organizational structures and strategies to achieve growth in contract training services (CTS) at Ontario's (Canada) Fleming College, this report reviews external conditions and proposes effective college responses. Following an overview of results and a recommended organizational chart, the planning process is reviewed and a…

  16. Health Contract with Sedentary Older Adults

    ERIC Educational Resources Information Center

    Haber, David; Rhodes, Darson

    2004-01-01

    Purpose: Health educators used health contracts with sedentary older adults for the purpose of increasing exercise or physical activity. Design and Methods: Two health educators helped 25 sedentary older adults complete health contracts, and then they conducted follow-up evaluations. The percentage of scheduled exercise sessions successfully…

  17. Health Contract with Sedentary Older Adults

    ERIC Educational Resources Information Center

    Haber, David; Rhodes, Darson

    2004-01-01

    Purpose: Health educators used health contracts with sedentary older adults for the purpose of increasing exercise or physical activity. Design and Methods: Two health educators helped 25 sedentary older adults complete health contracts, and then they conducted follow-up evaluations. The percentage of scheduled exercise sessions successfully…

  18. Specification Section 01065S ES&H for Service Contracts

    SciTech Connect

    Kirsch, Greg C.

    2014-07-01

    Section Includes: Requirements and guidelines in performance of work concerning protection of environment and property, and the safety and health of Contractors, Sandia National Laboratories (SNL) and Department of Energy (DOE) employees, visitors to SNL, and members of the public. This Section is applicable only to Service Contracts that do not involve construction or construction-like activities. Construction and construction-like activities are covered by Section 01065, Environment, Safety and Health (ES&H) for Construction Contracts. The entire ES&H program shall focus on safe-by-design intent, understanding the technical basis for the work, identifying and controlling energy sources, unacceptable consequences, risk assessments, and positive verification.

  19. 7 CFR 1717.606 - Standard forms of construction contracts, and engineering and architectural services contracts.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... engineering and architectural services contracts. 1717.606 Section 1717.606 Agriculture Regulations of the... Standard forms of construction contracts, and engineering and architectural services contracts. All..., materials, equipment, engineering services, and architectural services, regardless of the source of funding...

  20. 7 CFR 1717.606 - Standard forms of construction contracts, and engineering and architectural services contracts.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... engineering and architectural services contracts. 1717.606 Section 1717.606 Agriculture Regulations of the... Standard forms of construction contracts, and engineering and architectural services contracts. All..., materials, equipment, engineering services, and architectural services, regardless of the source of funding...

  1. 7 CFR 1717.606 - Standard forms of construction contracts, and engineering and architectural services contracts.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... engineering and architectural services contracts. 1717.606 Section 1717.606 Agriculture Regulations of the... Standard forms of construction contracts, and engineering and architectural services contracts. All..., materials, equipment, engineering services, and architectural services, regardless of the source of funding...

  2. 7 CFR 1717.606 - Standard forms of construction contracts, and engineering and architectural services contracts.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... engineering and architectural services contracts. 1717.606 Section 1717.606 Agriculture Regulations of the... Standard forms of construction contracts, and engineering and architectural services contracts. All..., materials, equipment, engineering services, and architectural services, regardless of the source of funding...

  3. 7 CFR 1717.606 - Standard forms of construction contracts, and engineering and architectural services contracts.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... engineering and architectural services contracts. 1717.606 Section 1717.606 Agriculture Regulations of the... Standard forms of construction contracts, and engineering and architectural services contracts. All..., materials, equipment, engineering services, and architectural services, regardless of the source of funding...

  4. 48 CFR 37.105 - Competition in service contracting.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 48 Federal Acquisition Regulations System 1 2014-10-01 2014-10-01 false Competition in service... SPECIAL CATEGORIES OF CONTRACTING SERVICE CONTRACTING Service Contracts-General 37.105 Competition in... provisions of statute and part 6 of this regulation requiring competition apply fully to service...

  5. 48 CFR 37.105 - Competition in service contracting.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 48 Federal Acquisition Regulations System 1 2012-10-01 2012-10-01 false Competition in service... SPECIAL CATEGORIES OF CONTRACTING SERVICE CONTRACTING Service Contracts-General 37.105 Competition in... provisions of statute and part 6 of this regulation requiring competition apply fully to service...

  6. 48 CFR 37.105 - Competition in service contracting.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 48 Federal Acquisition Regulations System 1 2013-10-01 2013-10-01 false Competition in service... SPECIAL CATEGORIES OF CONTRACTING SERVICE CONTRACTING Service Contracts-General 37.105 Competition in... provisions of statute and part 6 of this regulation requiring competition apply fully to service...

  7. 48 CFR 37.105 - Competition in service contracting.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 48 Federal Acquisition Regulations System 1 2011-10-01 2011-10-01 false Competition in service... SPECIAL CATEGORIES OF CONTRACTING SERVICE CONTRACTING Service Contracts-General 37.105 Competition in... provisions of statute and part 6 of this regulation requiring competition apply fully to service...

  8. 77 FR 8818 - Publication of FY 2011 Service Contract Inventory

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-15

    ... PROTECTION Publication of FY 2011 Service Contract Inventory AGENCY: Bureau of Consumer Financial Protection. ACTION: Notice of public availability of FY 2011 Service Contract Inventory. SUMMARY: In accordance with... of the FY 2011 service contract inventory. This inventory provides information on service...

  9. 77 FR 63805 - Federal Acquisition Regulation; Information Collection; Service Contracting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-17

    ..., company name (if any), and ``Information Collection 9000-0152, Service Contracting'' on your attached... Regulation; Information Collection; Service Contracting AGENCY: Department of Defense (DOD), General Services... collection requirement concerning service contracting. A notice was published in the Federal Register at...

  10. 77 FR 12336 - Public Availability of Office of Acquisitions and Contract Management FY 2011 Service Contract...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-29

    ... Availability of Office of Acquisitions and Contract Management FY 2011 Service Contract Inventory AGENCY: United States Peace Corps. ACTION: Notice of public availability of FY 2011 Service Contract Inventories...-guidance-11052010.pdf . The Office of Acquisitions and Contract Management has posted its inventory and a...

  11. 48 CFR 46.304 - Fixed-price service contracts.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 48 Federal Acquisition Regulations System 1 2013-10-01 2013-10-01 false Fixed-price service... CONTRACT MANAGEMENT QUALITY ASSURANCE Contract Clauses 46.304 Fixed-price service contracts. The contracting officer shall insert the clause at 52.246-4, Inspection of Services—Fixed-Price, in solicitations...

  12. 48 CFR 46.304 - Fixed-price service contracts.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 48 Federal Acquisition Regulations System 1 2014-10-01 2014-10-01 false Fixed-price service... CONTRACT MANAGEMENT QUALITY ASSURANCE Contract Clauses 46.304 Fixed-price service contracts. The contracting officer shall insert the clause at 52.246-4, Inspection of Services—Fixed-Price, in solicitations...

  13. 48 CFR 46.304 - Fixed-price service contracts.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 48 Federal Acquisition Regulations System 1 2011-10-01 2011-10-01 false Fixed-price service... CONTRACT MANAGEMENT QUALITY ASSURANCE Contract Clauses 46.304 Fixed-price service contracts. The contracting officer shall insert the clause at 52.246-4, Inspection of Services—Fixed-Price, in solicitations...

  14. 48 CFR 46.304 - Fixed-price service contracts.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 1 2010-10-01 2010-10-01 false Fixed-price service... CONTRACT MANAGEMENT QUALITY ASSURANCE Contract Clauses 46.304 Fixed-price service contracts. The contracting officer shall insert the clause at 52.246-4, Inspection of Services—Fixed-Price, in solicitations...

  15. 48 CFR 46.304 - Fixed-price service contracts.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 48 Federal Acquisition Regulations System 1 2012-10-01 2012-10-01 false Fixed-price service... CONTRACT MANAGEMENT QUALITY ASSURANCE Contract Clauses 46.304 Fixed-price service contracts. The contracting officer shall insert the clause at 52.246-4, Inspection of Services—Fixed-Price, in solicitations...

  16. 48 CFR 46.305 - Cost-reimbursement service contracts.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 1 2010-10-01 2010-10-01 false Cost-reimbursement service contracts. 46.305 Section 46.305 Federal Acquisition Regulations System FEDERAL ACQUISITION REGULATION CONTRACT MANAGEMENT QUALITY ASSURANCE Contract Clauses 46.305 Cost-reimbursement service contracts. The...

  17. 7 CFR 1942.119 - Professional services and borrower contracts.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 13 2011-01-01 2009-01-01 true Professional services and borrower contracts. 1942.119... SERVICE, RURAL BUSINESS-COOPERATIVE SERVICE, RURAL UTILITIES SERVICE, AND FARM SERVICE AGENCY, DEPARTMENT... Small Community Facilities Projects § 1942.119 Professional services and borrower contracts. (a)...

  18. Security for Information Technology Service Contracts

    DTIC Science & Technology

    1998-01-01

    Carnegie Mellon University Software Engineering Institute Security for Information Technology Service Contracts Julia Allen Gary Ford Barbara Fraser...copyright license under the clause at 52.227-7013. This document is available through Asset Source for Software Engineering Technology (ASSET): 1350 Earl...your systems information technology software that operates in support of the day-to-day business and operations of your organization Who should read

  19. Cartographic services contract...for everything geographic

    USGS Publications Warehouse

    ,

    2003-01-01

    The U.S. Geological Survey's (USGS) Cartographic Services Contract (CSC) is used to award work for photogrammetric and mapping services under the umbrella of Architect-Engineer (A&E) contracting. The A&E contract is broad in scope and can accommodate any activity related to standard, nonstandard, graphic, and digital cartographic products. Services provided may include, but are not limited to, photogrammetric mapping and aerotriangulation; orthophotography; thematic mapping (for example, land characterization); analog and digital imagery applications; geographic information systems development; surveying and control acquisition, including ground-based and airborne Global Positioning System; analog and digital image manipulation, analysis, and interpretation; raster and vector map digitizing; data manipulations (for example, transformations, conversions, generalization, integration, and conflation); primary and ancillary data acquisition (for example, aerial photography, satellite imagery, multispectral, multitemporal, and hyperspectral data); image scanning and processing; metadata production, revision, and creation; and production or revision of standard USGS products defined by formal and informal specification and standards, such as those for digital line graphs, digital elevation models, digital orthophoto quadrangles, and digital raster graphics.

  20. 78 FR 17205 - Notice of Availability of Service Contract Inventories

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-20

    ... Notice of Availability of Service Contract Inventories AGENCY: Federal Maritime Commission. ACTION: Notice of availability of service contract inventories. FOR FURTHER INFORMATION CONTACT: Karen V. Gregory... notice to advise the public of the availability of the FY 2011 Service Contract Inventory Analysis, the...

  1. 78 FR 12368 - Priority Mail Contract; Negotiated Service Agreement

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-22

    ... Priority Mail Contract; Negotiated Service Agreement AGENCY: Postal Regulatory Commission. ACTION: Notice... Priority Mail Contract 47 Negotiated Service Agreement. This notice informs the public of the filing... Service filed notice that it has agreed to an amendment to existing Priority Mail Contract 47, which was...

  2. 76 FR 5431 - Publication of FY 2010 Service Contract Inventory

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-31

    ... Publication of FY 2010 Service Contract Inventory AGENCY: Departmental Offices, Treasury. ACTION: Notice of publication of Fiscal Year 2010 Service Contract Inventory. ] SUMMARY: The Department of the Treasury Fiscal Year (FY) 2010 Service Contract Inventory is available to the public at...

  3. 38 CFR 1.917 - Contracting for collection services.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... AFFAIRS GENERAL PROVISIONS Standards for Collection of Claims § 1.917 Contracting for collection services. (a) VA has authority to contract for collection services to recover delinquent debts, provided that.... 3718(d), such contracts may provide that the fee a contractor charges the agency for such services...

  4. 42 CFR 422.220 - Exclusion of services furnished under a private contract.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 3 2011-10-01 2011-10-01 false Exclusion of services furnished under a private contract. 422.220 Section 422.220 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICARE PROGRAM MEDICARE ADVANTAGE PROGRAM Relationships...

  5. 42 CFR 422.220 - Exclusion of services furnished under a private contract.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 3 2010-10-01 2010-10-01 false Exclusion of services furnished under a private contract. 422.220 Section 422.220 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICARE PROGRAM MEDICARE ADVANTAGE PROGRAM Relationships...

  6. Analytical services contract reform alternatives project

    SciTech Connect

    Hunt, J.W.; Fox, M.R.; Kristofzski, J.G.; Minette, M.J.

    1995-03-23

    Westinghouse Hanford Company (WHC) was directed by the U.S. Department of Energy, Richland Operations Office (DOE-RL) to examine the feasibility of outsourcing all or part of its laboratory and analytical functions as part of a contract reform effort. The analytical services provided by WHC were found to be significantly greater than that of a typical environmental laboratory which provides sample analysis based on a simple sample in-report out model. In addition to high-volume production analysis, the work scope includes special analytical services, technical consulting, sample handling and disposition, and special material preparations. Numerous broad ranging potential contract reform alternatives were identified and categorized into seven main alternatives with associated sub-alternatives. Issues associated with each alternative varied significantly depending on the alternative. Fifteen issues were identified and described including human resources, contract, and procurement areas. Readers of this report will perhaps identify additional alternatives and/or issues. In addressing the issues, it was determined that those issues pertaining to labor relations and procurement require major policy resolutions by WHC/DOE senior management prior to being able to establish meaningful assumptions for cost/benefit analyses of the seven alternatives. Further review was therefore stopped without economic analyses or recommendation for any specific alternative. Accordingly, this report is intended to fulfill the requirements of RL Milestone AS-95-016.

  7. 77 FR 6143 - Public Availability of FY 2010 Service Contract Inventory Analysis and FY 2011 Service Contract...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-07

    ... SAFETY BOARD Public Availability of FY 2010 Service Contract Inventory Analysis and FY 2011 Service Contract Inventory for the National Transportation Safety Board AGENCY: National Transportation Safety Board. ACTION: Notice of Public Availability of FY 2010 Service Contract Inventory Analysis and FY...

  8. 78 FR 12106 - Public Availability of Office of Acquisitions and Contract Management FY 2012 Service Contract...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-21

    ... Availability of Office of Acquisitions and Contract Management FY 2012 Service Contract Inventory AGENCY...-inventories-guidance-11052010.pdf . The Office of Acquisitions and Contract Management has posted its... inventory should be directed to Sandra R. Harrell in the Office of Acquisitions and Contract Management...

  9. 7 CFR 1724.31 - Engineering services contracts.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 11 2010-01-01 2010-01-01 false Engineering services contracts. 1724.31 Section 1724..., DEPARTMENT OF AGRICULTURE ELECTRIC ENGINEERING, ARCHITECTURAL SERVICES AND DESIGN POLICIES AND PROCEDURES Engineering Services § 1724.31 Engineering services contracts. The provisions of this section apply only to...

  10. 7 CFR 1724.31 - Engineering services contracts.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 7 Agriculture 11 2012-01-01 2012-01-01 false Engineering services contracts. 1724.31 Section 1724..., DEPARTMENT OF AGRICULTURE ELECTRIC ENGINEERING, ARCHITECTURAL SERVICES AND DESIGN POLICIES AND PROCEDURES Engineering Services § 1724.31 Engineering services contracts. The provisions of this section apply only to...

  11. 7 CFR 1724.31 - Engineering services contracts.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 7 Agriculture 11 2014-01-01 2014-01-01 false Engineering services contracts. 1724.31 Section 1724..., DEPARTMENT OF AGRICULTURE ELECTRIC ENGINEERING, ARCHITECTURAL SERVICES AND DESIGN POLICIES AND PROCEDURES Engineering Services § 1724.31 Engineering services contracts. The provisions of this section apply only to...

  12. 7 CFR 1724.31 - Engineering services contracts.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 7 Agriculture 11 2013-01-01 2013-01-01 false Engineering services contracts. 1724.31 Section 1724..., DEPARTMENT OF AGRICULTURE ELECTRIC ENGINEERING, ARCHITECTURAL SERVICES AND DESIGN POLICIES AND PROCEDURES Engineering Services § 1724.31 Engineering services contracts. The provisions of this section apply only to...

  13. 7 CFR 1724.31 - Engineering services contracts.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 11 2011-01-01 2011-01-01 false Engineering services contracts. 1724.31 Section 1724..., DEPARTMENT OF AGRICULTURE ELECTRIC ENGINEERING, ARCHITECTURAL SERVICES AND DESIGN POLICIES AND PROCEDURES Engineering Services § 1724.31 Engineering services contracts. The provisions of this section apply only to...

  14. 48 CFR 237.102-72 - Contracts for management services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Contracts-General 237.102-72 Contracts for management services. In accordance with Section 802 of the... 48 Federal Acquisition Regulations System 3 2010-10-01 2010-10-01 false Contracts for management services. 237.102-72 Section 237.102-72 Federal Acquisition Regulations System DEFENSE ACQUISITION...

  15. 76 FR 22070 - Federal Acquisition Regulation; Service Contracts Reporting Requirements

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-20

    ... Administration (NASA). ACTION: Proposed rule. SUMMARY: DoD, GSA, and NASA are proposing to amend the Federal... funding source for the contract; (4) The total dollar amount invoiced for services under the contract; (5... other agency's funding. This guidance provided a framework to help agencies prepare service contract...

  16. 29 CFR 1450.17 - Contracting for collection services.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... recovered under collection service contracts (or by agency employees on behalf of the agency) in the... 29 Labor 4 2011-07-01 2011-07-01 false Contracting for collection services. 1450.17 Section 1450... COLLECTIONS OF CLAIMS OWED THE UNITED STATES Administrative Offset-Consumer Reporting Agencies-Contracting...

  17. Estimating Health Services Requirements

    NASA Technical Reports Server (NTRS)

    Alexander, H. M.

    1985-01-01

    In computer program NOROCA populations statistics from National Center for Health Statistics used with computational procedure to estimate health service utilization rates, physician demands (by specialty) and hospital bed demands (by type of service). Computational procedure applicable to health service area of any size and even used to estimate statewide demands for health services.

  18. Army Information Technology Enterprise Solutions-2 Services Contract

    DTIC Science & Technology

    2007-08-09

    satisfy worldwide development, deployment, operation, maintenance, and sustainment requirements for the Army. This contract is intended to provide IT...a single contract or a multiple award contract to satisfy two or more requirements of a department, agency, or activity for supplies or services...requirements in the preparation of the ITES-2S contract. ITES-2S is a $20 billion multiple-award contract that will satisfy multiple requirements

  19. 48 CFR 3037.104-91 - Personal services contracts with individuals under the authority of 10 U.S.C. 1091 (USCG).

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... services contracts with individuals under the authority of 10 U.S.C. 1091 (USCG). (a) Health care personal... facility. Acquisitions of health care services using personal services contracts are exempt from posting... 48 Federal Acquisition Regulations System 7 2013-10-01 2012-10-01 true Personal services contracts...

  20. 49 CFR 37.23 - Service under contract.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 49 Transportation 1 2010-10-01 2010-10-01 false Service under contract. 37.23 Section 37.23 Transportation Office of the Secretary of Transportation TRANSPORTATION SERVICES FOR INDIVIDUALS WITH DISABILITIES (ADA) Applicability § 37.23 Service under contract. (a) When a public entity enters into...

  1. 49 CFR 37.23 - Service under contract.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 49 Transportation 1 2011-10-01 2011-10-01 false Service under contract. 37.23 Section 37.23 Transportation Office of the Secretary of Transportation TRANSPORTATION SERVICES FOR INDIVIDUALS WITH DISABILITIES (ADA) Applicability § 37.23 Service under contract. Link to an amendment published at 76 FR...

  2. 49 CFR 37.23 - Service under contract.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 49 Transportation 1 2012-10-01 2012-10-01 false Service under contract. 37.23 Section 37.23 Transportation Office of the Secretary of Transportation TRANSPORTATION SERVICES FOR INDIVIDUALS WITH DISABILITIES (ADA) Applicability § 37.23 Service under contract. (a) When a public entity enters into...

  3. 49 CFR 37.23 - Service under contract.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 49 Transportation 1 2014-10-01 2014-10-01 false Service under contract. 37.23 Section 37.23 Transportation Office of the Secretary of Transportation TRANSPORTATION SERVICES FOR INDIVIDUALS WITH DISABILITIES (ADA) Applicability § 37.23 Service under contract. (a) When a public entity enters into...

  4. 49 CFR 37.23 - Service under contract.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 49 Transportation 1 2013-10-01 2013-10-01 false Service under contract. 37.23 Section 37.23 Transportation Office of the Secretary of Transportation TRANSPORTATION SERVICES FOR INDIVIDUALS WITH DISABILITIES (ADA) Applicability § 37.23 Service under contract. (a) When a public entity enters into...

  5. Improving the quality of health care through contracting: a study of health authority practice.

    PubMed Central

    Gray, J D; Donaldson, L J

    1996-01-01

    OBJECTIVES: To investigate approaches of district health authorities to quality in contracting. DESIGN: Descriptive survey. SETTING: All district health authorities in one health region of England in a National Health Service accounting year. MATERIAL: 129 quality specifications used in contracting for services in six specialties (eight general quality specifications and 121 service specific quality specifications) MAIN MEASURES: Evaluation of the use of quality specifications; their scope and content in relation to established criteria of healthcare quality. RESULTS: Most district health authorities developed quality specifications which would be applicable to their local hospital. When purchasing care outside their boundaries they adopted the quality specifications developed by other health authorities. The service specific quality specifications were more limited in scope than the general quality specifications. The quality of clinical care was referred to in 75% of general and 43% of service specific quality specifications. Both types of specification considered quality issues in superficial and broad terms only. Established features of quality improvement were rarely included. Prerequisites to ensure provider accountability and satisfactory delivery of service specifications were not routinely included in contracts. CONCLUSION: Quality specifications within service contracts are commonly used by health authorities. This study shows that their use of this approach to quality improvement is inconsistent and unlikely to achieve desired quality goals. Continued reliance on the current approach is holding back a more fundamental debate on how to create effective management of quality improvement through the interaction between purchasers and providers of health care. PMID:10164143

  6. 48 CFR 52.222-53 - Exemption from Application of the Service Contract Act to Contracts for Certain Services...

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... services are furnished at prices that are, or are based on, established catalog or market prices. An... employee who will perform the services under the contract will spend only a small portion of his or her... benefits) plan for all service employees performing work under the contract as the Contractor uses...

  7. 48 CFR 52.222-53 - Exemption from Application of the Service Contract Act to Contracts for Certain Services...

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... services are furnished at prices that are, or are based on, established catalog or market prices. An... employee who will perform the services under the contract will spend only a small portion of his or her... benefits) plan for all service employees performing work under the contract as the Contractor uses...

  8. Defining Medically Necessary Services To Protect Children. Protecting Consumer Rights in Public Systems: Managed Mental Health Care Policy. A Series of Issue Papers on Contracting for Managed Behavioral Health Care, #5.

    ERIC Educational Resources Information Center

    Bazelon Center for Mental Health Law, Washington, DC.

    This issue paper is designed to help families, advocates and policymakers ensure that "medically necessary" standards in public-sector contracts for managed mental health care protect children's rights, particularly the rights of children who have serious emotional disturbance. Fundamental principles for developing sound contracts for…

  9. Contracting Maintenance Services: An Easy Question, but a Difficult Answer.

    ERIC Educational Resources Information Center

    Geiger, Philip E.

    2003-01-01

    Discusses issues involved in outsourcing school maintenance and custodial services. There are many advantages to this approach, but it has definite drawbacks. In many instances, a combination of contract and employee services works well. (SLD)

  10. 77 FR 38640 - Cooperative Agreements for the Office of Direct Service and Contracting Tribes Under the National...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-28

    ... HUMAN SERVICES Indian Health Service Cooperative Agreements for the Office of Direct Service and Contracting Tribes Under the National Indian Health Outreach and Education Program Announcement Type: New... Health Service (IHS) is accepting applications for two limited competition cooperative agreements for...

  11. 12 CFR 701.26 - Credit union service contracts.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 12 Banks and Banking 7 2014-01-01 2014-01-01 false Credit union service contracts. 701.26 Section 701.26 Banks and Banking NATIONAL CREDIT UNION ADMINISTRATION REGULATIONS AFFECTING CREDIT UNIONS ORGANIZATION AND OPERATION OF FEDERAL CREDIT UNIONS § 701.26 Credit union service contracts. A Federal...

  12. 75 FR 13381 - Nondisplacement of Qualified Workers Under Service Contracts

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-19

    ... location, to offer those employees employed under the predecessor contract whose employment will be... hires the predecessor's employees. A carryover work force reduces disruption to the delivery of services... hires the majority of the predecessor's employees when a service contract ends and the work is taken...

  13. 7 CFR 1942.119 - Professional services and borrower contracts.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... Small Community Facilities Projects § 1942.119 Professional services and borrower contracts. (a) Loans...) The District Director will, with assistance as necessary by the State Director and OGC, concur in agreements between borrowers and third parties such as contracts for professional and technical services....

  14. 7 CFR 1942.119 - Professional services and borrower contracts.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... Small Community Facilities Projects § 1942.119 Professional services and borrower contracts. (a) Loans...) The District Director will, with assistance as necessary by the State Director and OGC, concur in agreements between borrowers and third parties such as contracts for professional and technical services....

  15. 76 FR 31998 - Posting of Service Contract Inventory

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-02

    ... MANAGEMENT Posting of Service Contract Inventory AGENCY: Office of Personnel Management. ACTION: Notice of... services contracts exceeding $25,000 that were awarded by the agency in Fiscal Year (FY) 2010. The... Appropriations Act, Public Law 111-117, and with a Memorandum from the Office of Federal Procurement Policy dated...

  16. Contracting for Public Service Delivery: An Alternative for Boomtowns. WRDC Paper No. 14.

    ERIC Educational Resources Information Center

    Lovejoy, Stephen B.; And Others

    Contracting for public services (e.g., social services, administrative functions, maintenance services, and health and security) is an attractive alternative for communities which could potentially undergo the boom/bust cycle of energy development. Typical communities surrounding new or proposed energy development projects (especially in the…

  17. Prison health care: is contracting out healthy?

    PubMed

    Bedard, Kelly; Frech, H E

    2009-11-01

    US prison health care has recently been in the news and in the courts. A particular issue is whether prisons should contract out for health care. Contracting out has been growing over the past few decades. The stated motivation for this change ranges from a desire to improve the prison healthcare system, sometimes in response to a court mandate, to a desire to reduce costs. This study is a first attempt to quantify the impact of this change on inmate health. As morbidity measures are not readily obtainable, we focus on mortality. More specifically, we use a panel of state prisons from 1979 to 1990 and a fixed effects Poisson model to estimate the change in mortality associated with increase in the percentage of medical personnel employed under contract. In contrast to the first stated aim of contracting, we find that a 13% increase in percentage of medical personnel employed under contract increases mortality by 1.3%. Copyright (c) 2009 John Wiley & Sons, Ltd.

  18. Predicting performance in contracting of basic health care to NGOs: experience from large-scale contracting in Uttar Pradesh, India.

    PubMed

    Heard, Anna; Awasthi, Maya Kant; Ali, Jabir; Shukla, Neena; Forsberg, Birger C

    2011-07-01

    Escalating costs and increasing pressure to improve health services have driven a trend toward contracting with the private sector to provide traditionally state-run services. Such contracting is seen as an opportunity to combine theorized advantages of contracting with the efficiency of the private sector. There is still a limited understanding of the preconditions for successful use of contracting and the resources needed for their appropriate use and sustainability. This study assesses the large-scale contracting of 294 non-governmental organizations (NGOs) for delivery of basic health services in Uttar Pradesh, a state with almost 170 million in India. Due to high rates of discontinuation or non-renewal of contracts based on poor performance in the project, a better method for selecting partners was requested. Data on characteristics of the NGOs (intake data) and performance/outcome monitoring indicators were combined to identify correlations. The results showed that NGOs selected were generally small but well-established, had implemented at least two large projects, and had more non-health experience than health experience. Bivariate regressions of outcome score on each input variable showed that training experience, proposal quality and having 'health' contained in the objectives of the organization were statistically significant predictors of good performance. Factors relating to financial capacity, staff qualification, previous experience with health or non-health projects, and age of establishment were not. A combined training plus proposal score was highly predictive of outcome score (β = 1.37, P < 0.001). The combined score was found to be a much better predictor of outcome scores than a total score used to select NGOs (β = 0.073, P = 0.539). The study provides valuable information from large-scale contracting. Conclusions on criteria for selecting NGOs for providing basic health care could guide other governments choosing to contract for such services.

  19. Analysis of NPS Contracting Service Quality

    DTIC Science & Technology

    2014-12-01

    Purchasing and supply chain management. Mason, OH: Cengage Learning . Navy Marine Corps Acquisition Regulation Supplement (NMCARS). (2014). NMCARS Part...The goal is to identify and implement best practices and lessons learned from other contracting organizations that provide academic and research... learned . Finally, the SERVQUAL model can be applied to any defense contracting agency or tailored to any organization within the executive branch

  20. Trade in health services.

    PubMed

    Chanda, Rupa

    2002-01-01

    In light of the increasing globalization of the health sector, this article examines ways in which health services can be traded, using the mode-wise characterization of trade defined in the General Agreement on Trade in Services. The trade modes include cross- border delivery of health services via physical and electronic means, and cross-border movement of consumers, professionals, and capital. An examination of the positive and negative implications of trade in health services for equity, efficiency, quality, and access to health care indicates that health services trade has brought mixed benefits and that there is a clear role for policy measures to mitigate the adverse consequences and facilitate the gains. Some policy measures and priority areas for action are outlined, including steps to address the "brain drain"; increasing investment in the health sector and prioritizing this investment better; and promoting linkages between private and public health care services to ensure equity. Data collection, measures, and studies on health services trade all need to be improved, to assess better the magnitude and potential implications of this trade. In this context, the potential costs and benefits of trade in health services are shaped by the underlying structural conditions and existing regulatory, policy, and infrastructure in the health sector. Thus, appropriate policies and safeguard measures are required to take advantage of globalization in health services.

  1. Trade in health services.

    PubMed Central

    Chanda, Rupa

    2002-01-01

    In light of the increasing globalization of the health sector, this article examines ways in which health services can be traded, using the mode-wise characterization of trade defined in the General Agreement on Trade in Services. The trade modes include cross- border delivery of health services via physical and electronic means, and cross-border movement of consumers, professionals, and capital. An examination of the positive and negative implications of trade in health services for equity, efficiency, quality, and access to health care indicates that health services trade has brought mixed benefits and that there is a clear role for policy measures to mitigate the adverse consequences and facilitate the gains. Some policy measures and priority areas for action are outlined, including steps to address the "brain drain"; increasing investment in the health sector and prioritizing this investment better; and promoting linkages between private and public health care services to ensure equity. Data collection, measures, and studies on health services trade all need to be improved, to assess better the magnitude and potential implications of this trade. In this context, the potential costs and benefits of trade in health services are shaped by the underlying structural conditions and existing regulatory, policy, and infrastructure in the health sector. Thus, appropriate policies and safeguard measures are required to take advantage of globalization in health services. PMID:11953795

  2. Retrospective targeted HCV lookback using centralized contracted notification service.

    PubMed

    Saxena, Sunita; Shulman, Ira A; Pachciarz, Judith; Downey, Nancy; Figueroa, Priscilla I

    2003-06-01

    Mandated HCV 2.0 lookback significantly challenged the human and financial resources available to the six Los Angeles County Department of Health Services (DHS) hospital blood banks. To comply with FDA requirements, DHS developed a centralized process that utilized the services of a contract vendor for performing HCV lookback. A DHS public health nurse acted as HCV lookback coordinator and as liaison with the vendor. Cases were electronically forwarded to the vendor, who then reviewed the patient's chart to obtain information necessary for tracking the patient through commercial databases. The vendor was responsible for notifying the recipient for pretest counseling and for providing documentation of all efforts. In total, 411 recipients were identified, of which, 168 cases were completed by the hospitals, 243 were forwarded to the vendor, 50 percent were deceased, 21 percent were contacted, and 28 percent could not be contacted, and 1 percent could not be located on any databases. The vendor contacted 35 of 66 cases that the hospitals had unsuccessfully attempted to contact. Of the cases forwarded to the vendor, 82 percent were completed on time. Delays were attributable to the vendor in less than 2 percent of cases. The cost per case forwarded to the vendor was 322 US dollars. Utilizing a professional service to conduct HCV recipient notifications is an effective strategy for meeting FDA deadlines and for freeing transfusion service staff to perform critical functions. It remains to be seen whether such strategies offer a cost savings.

  3. Bonneville Purchasing Instructions. Appendix 14A, Contracting Officer`s Technical Representatives` Guide for Services Contracts.

    SciTech Connect

    United States. Bonneville Power Administration.

    1993-07-01

    This guide outlines the duties of BPA personnel designated as Contracting Officers Technical Representatives (COTRs). The BPA Administrator gives contracting officers (COs) in BPA responsibility and authority for awarding and administering contracts. COs are authorized to designate other BPA employees to act as their representatives for purposes of contract administration, from the time of contract award until final receipt and acceptance of the contracted services. COTRs are the individuals primarily relied upon to perform technical contract administration functions. Similar functions for supply and construction contracts are performed by engineering representatives, construction inspectors, and inspectors. Although this Guide is written primarily with the COTR in mind, the concept and operation of teamwork is essential throughout the entire process of contract administration. The CO administers the contract during performance, but rarely has expertise in all of the relevant technical areas. Therefore, CO decisions rely on input from a team. The COTR is an indispensable member of that team. The instructions in this Guide are designed to facilitate this essential CO-COTR cooperation. COTR duties are usually additional to those required of the COTR in his or her assigned line organization. The COTR is still accountable to the line supervisor for performance of regularly-assigned duties. These duties are to be reflected appropriately in performance appraisals and job descriptions. For contract administration duties, however, the COTR reports directly to, and is accountable only to, the CO. The COTR`s supervisor must allow sufficient time to ensure that the COTR can adequately monitor the contract for technical compliance. This Guide is designed for COTRs who are performing service contract (including intergovernmental contract) administration functions as an adjunct to their normal technical duties.

  4. Management Levers That Drive Services Contracting Success

    DTIC Science & Technology

    2013-11-10

    unique process that provides a cradle-to-grave acquisition approach (Apte & Rendon, 2007). In their third exploratory research study , conducted in 2008...of the contactors ability to maintain qualified individuals in key positions as outlined in the contract. The utilization of small business rating...contains an assessment of the contractors’ ability to integrate small businesses in the execution of the contract. These ratings are completed and

  5. 78 FR 10174 - Public Availability of General Services Administration FY 2012 Service Contract Inventory

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-13

    ... ADMINISTRATION Public Availability of General Services Administration FY 2012 Service Contract Inventory AGENCY: General Services Administration (GSA). ACTION: Notice of Public Availability of FY 2012 Service Contract... Appropriations Act Public Law 111-117, GSA is publishing this notice to advise the public of the availability of...

  6. 77 FR 12724 - International Postal Service-Global Expedited Package Services (GEPS) Contracts

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-02

    ... Part 20 International Postal Service--Global Expedited Package Services (GEPS) Contracts AGENCY: Postal... requirements that a mailer must meet in order to qualify for a Global Expedited Package Services (GEPS... change for the international competitive product Global Expedited Package Services (GEPS) Contracts. The...

  7. Products, Service Contracts, Operations, and Tools in Sheltered Workshops.

    ERIC Educational Resources Information Center

    Walls, Richard T.; And Others

    1982-01-01

    Among findings of surveys on general capabilities for contract work completed by 737 sheltered workshops were that electronic/electrical assembly and wood pallet manufacture were the most common products; collating and mailing the most common service contracts; and bagging /packaging and assembly the most predominant hand operations. (Author/CL)

  8. 48 CFR 52.222-41 - Service Contract Labor Standards.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... benefits which shall be retroactive to the date such class or classes of employees commenced contract work... employee subject to the Service Contract Labor Standards statute— (A) Name and address and social security..., or refunds from the total daily or weekly compensation of each employee. (ii) For those classes of...

  9. 48 CFR 237.172 - Service Contracts Surveillance.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... Surveillance. 237.172 Section 237.172 Federal Acquisition Regulations System DEFENSE ACQUISITION REGULATIONS...-General 237.172 Service Contracts Surveillance. Ensure that quality assurance surveillance plans are....) Retain quality assurance surveillance plans in the official contract file. See https://sam.dau.mil, Step...

  10. 48 CFR 237.172 - Service Contracts Surveillance.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Surveillance. 237.172 Section 237.172 Federal Acquisition Regulations System DEFENSE ACQUISITION REGULATIONS...-General 237.172 Service Contracts Surveillance. Ensure that quality assurance surveillance plans are....) Retain quality assurance surveillance plans in the official contract file. See https://sam.dau.mil, Step...

  11. 48 CFR 237.172 - Service Contracts Surveillance.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... Surveillance. 237.172 Section 237.172 Federal Acquisition Regulations System DEFENSE ACQUISITION REGULATIONS...-General 237.172 Service Contracts Surveillance. Ensure that quality assurance surveillance plans are....) Retain quality assurance surveillance plans in the official contract file. See https://sam.dau.mil, Step...

  12. 48 CFR 237.172 - Service Contracts Surveillance.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... Surveillance. 237.172 Section 237.172 Federal Acquisition Regulations System DEFENSE ACQUISITION REGULATIONS...-General 237.172 Service Contracts Surveillance. Ensure that quality assurance surveillance plans are....) Retain quality assurance surveillance plans in the official contract file. See https://sam.dau.mil, Step...

  13. 48 CFR 237.172 - Service Contracts Surveillance.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... Surveillance. 237.172 Section 237.172 Federal Acquisition Regulations System DEFENSE ACQUISITION REGULATIONS...-General 237.172 Service Contracts Surveillance. Ensure that quality assurance surveillance plans are....) Retain quality assurance surveillance plans in the official contract file. See https://sam.dau.mil, Step...

  14. 77 FR 5519 - Public Availability of the Federal Communications Commission's FY 2011 Service Contract Inventory...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-03

    ... COMMISSION Public Availability of the Federal Communications Commission's FY 2011 Service Contract Inventory and FY 2010 Service Contract Inventory Analysis AGENCY: Federal Communications Commission. ACTION: Notice of public availability of service contract inventory and analysis. SUMMARY: The...

  15. 77 FR 12273 - Public Availability of Department of Energy FY 2011 Service Contract Inventory

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-29

    ....gov/management/downloads/service-contract-inventory . FOR FURTHER INFORMATION CONTACT: Questions... Availability of Department of Energy FY 2011 Service Contract Inventory AGENCY: Department of Energy. ACTION: Notice of Public Availability of FY 2011 Service Contract Inventories. SUMMARY: In accordance...

  16. 7 CFR 1724.21 - Architectural services contracts.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ..., DEPARTMENT OF AGRICULTURE ELECTRIC ENGINEERING, ARCHITECTURAL SERVICES AND DESIGN POLICIES AND PROCEDURES... the architect furnishes or obtains all architectural services related to the design and construction... 7 Agriculture 11 2011-01-01 2011-01-01 false Architectural services contracts. 1724.21 Section...

  17. 48 CFR 217.171 - Multiyear contracts for services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 3 2010-10-01 2010-10-01 false Multiyear contracts for services. 217.171 Section 217.171 Federal Acquisition Regulations System DEFENSE ACQUISITION REGULATIONS... of services (and items of supply relating to such services), even though funds are limited by statute...

  18. Utility Energy Services Contracts: Enabling Documents, May 2009 (Book)

    SciTech Connect

    Not Available

    2009-05-01

    Enabling Documents, delivered by the U.S. Department of Energy's Federal Energy Management Program (FEMP) to provide materials that clarify the authority for federal agencies to enter into utility energy services contracts (UESCs).

  19. 48 CFR 42.102 - Assignment of contract audit services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Directory of Federal Contract Audit Offices. The audit request should include a suspense date and should... requests for services on a case-by-case basis, if resources of the audit agency are inadequate to...

  20. 47 CFR 54.604 - Consortia, telecommunications services, and existing contracts.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 47 Telecommunication 3 2013-10-01 2013-10-01 false Consortia, telecommunications services, and... Telecommunications Program § 54.604 Consortia, telecommunications services, and existing contracts. (a) Consortia. (1) Under the Telecommunications Program, an eligible health care provider may join a consortium with...

  1. 47 CFR 54.604 - Consortia, telecommunications services, and existing contracts.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 47 Telecommunication 3 2014-10-01 2014-10-01 false Consortia, telecommunications services, and... Telecommunications Program § 54.604 Consortia, telecommunications services, and existing contracts. (a) Consortia. (1) Under the Telecommunications Program, an eligible health care provider may join a consortium with...

  2. 25 CFR 900.193 - Does FTCA coverage extend to individuals who provide health care services under a personal...

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... health care services under a personal services contract providing services in a facility that is owned... provide health care services under a personal services contract providing services in a facility that is... INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR, AND INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN...

  3. 25 CFR 900.193 - Does FTCA coverage extend to individuals who provide health care services under a personal...

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... health care services under a personal services contract providing services in a facility that is owned... provide health care services under a personal services contract providing services in a facility that is... INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR, AND INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN...

  4. 25 CFR 900.193 - Does FTCA coverage extend to individuals who provide health care services under a personal...

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... health care services under a personal services contract providing services in a facility that is owned... provide health care services under a personal services contract providing services in a facility that is... INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR, AND INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN...

  5. 25 CFR 900.193 - Does FTCA coverage extend to individuals who provide health care services under a personal...

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... health care services under a personal services contract providing services in a facility that is owned... provide health care services under a personal services contract providing services in a facility that is... INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR, AND INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN...

  6. 25 CFR 900.193 - Does FTCA coverage extend to individuals who provide health care services under a personal...

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... health care services under a personal services contract providing services in a facility that is owned... provide health care services under a personal services contract providing services in a facility that is... INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR, AND INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN...

  7. 77 FR 37907 - Information Collection; Service Contracting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-25

    ... per week, and the uncompensated overtime rate for direct charge Fair Labor Standards Act--exempt personnel. This permits Government contracting officers to ascertain cost realism of proposed labor rates... Paperwork Reduction Act the Regulatory Secretariat will be submitting to the Office of Management and Budget...

  8. Implementation of the Service Contract Act of 1965.

    DTIC Science & Technology

    1980-12-01

    services through the use of service employees. Service employees are defined in the bill as guards, watchmen , and any person in a recognized trade or...those workers covered under the previous 8(b) definition which read as follows: (b) The term "service employees" means guards, watchmen , and any person...2036J" It will be noted that this like the similar as guards, watchmen , and employees performing provision in the Contract Work Hours and only

  9. A fuzzy inference system to evaluate contract service provider performance.

    PubMed

    Cruz, Antonio Miguel; Denis, Ernesto Rodriguez

    2005-01-01

    This paper puts forward a fuzzy inference system for evaluating the quality performance of service contract providers. An Application Service Provider was designed and put online, featuring surveys to establish the most useful indicators to evaluate the quality of the service. This model was implemented in 10 separate hospitals. As a result, the service cost-acquisition cost ratio in these cases was reduced from 16.14% to 6.09% in the period 2001-January 2003.

  10. Psychological contract breach among allied health professionals.

    PubMed

    Rodwell, John; Gulyas, Andre

    2015-01-01

    Allied health professionals are vital for effective healthcare yet there are continuing shortages of these employees. Building on work with other healthcare professionals, the purpose of this paper is to investigate the influence of psychological contract (PC) breach and types of organisational justice on variables important to retention among allied health professionals: mental health and organisational commitment. The potential effects of justice on the negative outcomes of breach were examined. Multiple regressions analysed data from 113 allied health professionals working in a medium-large Australian healthcare organisation. The main negative impacts on respondents' mental health and commitment were from high PC breach, low procedural and distributive justice and less respectful treatment from organisational representatives. The interaction between procedural justice and breach illustrates that breach may be forgivable if processes are fair. Surprisingly, a betrayal or "aggravated breach effect" may occur after a breach when interpersonal justice is high. Further, negative affectivity was negatively related to respondents' mental health (affective outcomes) but not commitment (work-related attitude). Healthcare organisations should ensure the fairness of decisions and avoid breaking promises within their control. If promises cannot reasonably be kept, transparency of processes behind the breach may allow allied health professionals to understand that the organisation did not purposefully fail to fulfil expectations. This study offers insights into how breach and four types of justice interact to influence employee mental health and work attitudes among allied health professionals.

  11. 29 CFR 4.111 - Contracts “to furnish services.”

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 1 2010-07-01 2010-07-01 true Contracts âto furnish services.â 4.111 Section 4.111 Labor Office of the Secretary of Labor LABOR STANDARDS FOR FEDERAL SERVICE CONTRACTS Application of the McNamara-O'Hara Service Contract Act Covered Contracts Generally § 4.111 Contracts “to furnish...

  12. 48 CFR 237.102-73 - Prohibition on contracts for services of senior mentors.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 48 Federal Acquisition Regulations System 3 2011-10-01 2011-10-01 false Prohibition on contracts... DEFENSE ACQUISITION REGULATIONS SYSTEM, DEPARTMENT OF DEFENSE SPECIAL CATEGORIES OF CONTRACTING SERVICE CONTRACTING Service Contracts-General 237.102-73 Prohibition on contracts for services of senior mentors....

  13. 48 CFR 237.102-73 - Prohibition on contracts for services of senior mentors.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 48 Federal Acquisition Regulations System 3 2014-10-01 2014-10-01 false Prohibition on contracts... DEFENSE ACQUISITION REGULATIONS SYSTEM, DEPARTMENT OF DEFENSE SPECIAL CATEGORIES OF CONTRACTING SERVICE CONTRACTING Service Contracts-General 237.102-73 Prohibition on contracts for services of senior mentors....

  14. 48 CFR 237.102-73 - Prohibition on contracts for services of senior mentors.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 48 Federal Acquisition Regulations System 3 2013-10-01 2013-10-01 false Prohibition on contracts... DEFENSE ACQUISITION REGULATIONS SYSTEM, DEPARTMENT OF DEFENSE SPECIAL CATEGORIES OF CONTRACTING SERVICE CONTRACTING Service Contracts-General 237.102-73 Prohibition on contracts for services of senior mentors....

  15. 48 CFR 237.102-73 - Prohibition on contracts for services of senior mentors.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 48 Federal Acquisition Regulations System 3 2012-10-01 2012-10-01 false Prohibition on contracts... DEFENSE ACQUISITION REGULATIONS SYSTEM, DEPARTMENT OF DEFENSE SPECIAL CATEGORIES OF CONTRACTING SERVICE CONTRACTING Service Contracts-General 237.102-73 Prohibition on contracts for services of senior mentors....

  16. Contracting for Child & Family Services: A Mission-Sensitive Guide.

    ERIC Educational Resources Information Center

    Kahn, Alfred J.; Kamerman, Sheila B.

    This report presents a guide to successful contracting of child and family social services during a new era in child welfare. The six chapters focus on: (1) "Privatization, Purchase of Service, Managed Care, and the Child Welfare Reform Agenda" (the continuing crisis, reforming the local child welfare delivery system, and the federal…

  17. 38 CFR 1.917 - Contracting for collection services.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... a fixed-fee basis (i.e., payment of a fixed fee determined without regard to the amount actually... otherwise specifically provided by law, VA shall deposit all amounts recovered under collection service... collection service contract, VA, pursuant to 31 U.S.C. 3302, shall deposit: (i) Amounts equal to the original...

  18. 48 CFR 42.203 - Contract administration services directory.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 48 Federal Acquisition Regulations System 1 2011-10-01 2011-10-01 false Contract administration services directory. 42.203 Section 42.203 Federal Acquisition Regulations System FEDERAL ACQUISITION... services within designated geographic areas and at specified contractor plants. Federal agencies may...

  19. 48 CFR 42.203 - Contract administration services directory.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 48 Federal Acquisition Regulations System 1 2013-10-01 2013-10-01 false Contract administration services directory. 42.203 Section 42.203 Federal Acquisition Regulations System FEDERAL ACQUISITION... services within designated geographic areas and at specified contractor plants. Federal agencies may...

  20. 29 CFR 4.113 - Contracts to furnish services “through the use of service employees.”

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 1 2010-07-01 2010-07-01 true Contracts to furnish services âthrough the use of service employees.â 4.113 Section 4.113 Labor Office of the Secretary of Labor LABOR STANDARDS FOR FEDERAL SERVICE CONTRACTS Application of the McNamara-O'Hara Service Contract Act Covered Contracts Generally §...

  1. [Marketing in health service].

    PubMed

    Ameri, Cinzia; Fiorini, Fulvio

    2014-01-01

    The gradual emergence of marketing activities in public health demonstrates an increased interest in this discipline, despite the lack of an adequate and universally recognized theoretical model. For a correct approach to marketing techniques, it is opportune to start from the health service, meant as a service rendered. This leads to the need to analyse the salient features of the services. The former is the intangibility, or rather the ex ante difficulty of making the patient understand the true nature of the performance carried out by the health care worker. Another characteristic of all the services is the extreme importance of the regulator, which means who performs the service (in our case, the health care professional). Indeed the operator is of crucial importance in health care: being one of the key issues, he becomes a part of the service itself. Each service is different because the people who deliver it are different, furthermore there are many variables that can affect the performance. Hence it arises the difficulty in measuring the services quality as well as in establishing reference standards.

  2. 78 FR 7858 - Publication of Fiscal Year 2012 Service Contract Inventory

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-04

    ... Publication of Fiscal Year 2012 Service Contract Inventory AGENCY: Departmental Offices, Treasury. ACTION: Notice of publication of Fiscal Year 2012 Service Contract Inventory. SUMMARY: The Department of the...) 2012 Service Contract Inventory. The Inventory lists all service contract actions over $25,000...

  3. 78 FR 20089 - Public Availability of FY 2012 Service Contract Inventories

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-03

    ... Office of Procurement and Property Management Public Availability of FY 2012 Service Contract Inventories.... ACTION: Notice of public availability of FY 2012 Service Contract inventories. SUMMARY: In accordance... Service Contract inventory. This inventory provides information on FY 2012 service contract actions...

  4. 48 CFR 237.102-71 - Limitation on service contracts for military flight simulators.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... SERVICE CONTRACTING Service Contracts-General 237.102-71 Limitation on service contracts for military... 48 Federal Acquisition Regulations System 3 2012-10-01 2012-10-01 false Limitation on service contracts for military flight simulators. 237.102-71 Section 237.102-71 Federal Acquisition...

  5. 48 CFR 237.102-71 - Limitation on service contracts for military flight simulators.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... SERVICE CONTRACTING Service Contracts-General 237.102-71 Limitation on service contracts for military... 48 Federal Acquisition Regulations System 3 2013-10-01 2013-10-01 false Limitation on service contracts for military flight simulators. 237.102-71 Section 237.102-71 Federal Acquisition...

  6. 48 CFR 237.102-71 - Limitation on service contracts for military flight simulators.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... SERVICE CONTRACTING Service Contracts-General 237.102-71 Limitation on service contracts for military... 48 Federal Acquisition Regulations System 3 2014-10-01 2014-10-01 false Limitation on service contracts for military flight simulators. 237.102-71 Section 237.102-71 Federal Acquisition...

  7. 48 CFR 237.102-71 - Limitation on service contracts for military flight simulators.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... SERVICE CONTRACTING Service Contracts-General 237.102-71 Limitation on service contracts for military... 48 Federal Acquisition Regulations System 3 2011-10-01 2011-10-01 false Limitation on service contracts for military flight simulators. 237.102-71 Section 237.102-71 Federal Acquisition...

  8. 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…

  9. 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…

  10. 48 CFR 52.222-53 - Exemption From Application of the Service Contract Labor Standards to Contracts for Certain...

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... operations. (b) The contract services are furnished at prices that are, or are based on, established catalog... manufacturer or Contractor. (c) Each service employee who will perform the services under the contract will... uses the same compensation (wage and fringe benefits) plan for all service employees performing...

  11. 76 FR 70660 - Prohibition on Federal Protective Service Guard Services Contracts With Business Concerns Owned...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-15

    ... clause to read as follows: 3052.209-70 Prohibition on contracts with corporate expatriates. As prescribed... SECURITY 48 CFR Parts 3009 and 3052 RIN 1601-AA55 Prohibition on Federal Protective Service Guard Services Contracts With Business Concerns Owned, Controlled, or Operated by an Individual Convicted of a...

  12. Outsourcing in public health: a case study of contract failure and its aftermath.

    PubMed

    Young, Suzanne

    2008-01-01

    Outsourcing has been used in Australia as part of the new public management agenda with the aim of increasing efficiency and decreasing costs. In the public health sector its use has been problematic and the purpose of this paper is to explore the largest Australian health contract at the time; investigating the reasons, the processes and the outcomes. Specifically, it investigates why the contract failed and the lessons to be learned from its subsequent awarding. The paper uses a case study approach to investigate in depth the outsourcing decision. Alongside savings in costs, changes to work practices and reduction in union power, it was found that the outsourcing contract produced problems with service quality, sharing of culture, relationships between contract and internal staff, and in managing the contract and staff; and reductions in trust and morale of both internal and contract staff. Inadequate contract specifications and subsequent under pricing was the cause of contract termination, poor quality, and difficulties in contract management. The paper provides important lessons for decision makers when outsourcing in public health. The paper investigates the largest outsourcing contract in public health in Australia in the 1990s. It investigates the failure of the initial contract and its subsequent awarding to another vendor. The case study approach provides an in-depth analysis of this decision.

  13. Franchising Reproductive Health Services

    PubMed Central

    Stephenson, Rob; Tsui, Amy Ong; Sulzbach, Sara; Bardsley, Phil; Bekele, Getachew; Giday, Tilahun; Ahmed, Rehana; Gopalkrishnan, Gopi; Feyesitan, Bamikale

    2004-01-01

    Objectives Networks of franchised health establishments, providing a standardized set of services, are being implemented in developing countries. This article examines associations between franchise membership and family planning and reproductive health outcomes for both the member provider and the client. Methods Regression models are fitted examining associations between franchise membership and family planning and reproductive health outcomes at the service provider and client levels in three settings. Results Franchising has a positive association with both general and family planning client volumes, and the number of family planning brands available. Similar associations with franchise membership are not found for reproductive health service outcomes. In some settings, client satisfaction is higher at franchised than other types of health establishments, although the association between franchise membership and client outcomes varies across the settings. Conclusions Franchise membership has apparent benefits for both the provider and the client, providing an opportunity to expand access to reproductive health services, although greater attention is needed to shift the focus from family planning to a broader reproductive health context. PMID:15544644

  14. Consumer Health: Products and Services.

    ERIC Educational Resources Information Center

    Haag, Jessie Helen

    This book presents a general overview of consumer health, its products and services. Consumer health is defined as those topics dealing with a wise selection of health products and services, agencies concerned with the control of these products and services, evaluation of quackery and health misconceptions, health careers, and health insurance.…

  15. Consumer Health: Products and Services.

    ERIC Educational Resources Information Center

    Haag, Jessie Helen

    This book presents a general overview of consumer health, its products and services. Consumer health is defined as those topics dealing with a wise selection of health products and services, agencies concerned with the control of these products and services, evaluation of quackery and health misconceptions, health careers, and health insurance.…

  16. Markets, information asymmetry and health care: towards new social contracts.

    PubMed

    Bloom, Gerald; Standing, Hilary; Lloyd, Robert

    2008-05-01

    This paper explores the implications of the increasing role of informal as well as formal markets in the health systems of many low and middle-income countries. It focuses on institutional arrangements for making the benefits of expert medical knowledge widely available in the face of the information asymmetries that characterise health care. It argues that social arrangements can be understood as a social contract between actors, underpinned by shared behavioural norms, and embedded in a broader political economy. This contract is expressed through a variety of actors and institutions, not just through the formal personnel and arrangements of a health sector. Such an understanding implies that new institutional arrangements, such as the spread of reputation-based trust mechanisms can emerge or be adapted from other parts of the society and economy. The paper examines three relational aspects of health systems: the encounter between patient and provider; mechanisms for generating trust in goods and services in the context of highly marketised systems; and the establishment of socially legitimated regulatory regimes. This analysis is used to review experiences of health system innovation and change from a number of low income and transition countries.

  17. Peterson's Contract Services for Higher Education. The Directory of Outsource Service Vendors for Colleges and Universities.

    ERIC Educational Resources Information Center

    Peterson's Guides, Inc., Princeton, NJ.

    This directory provides information on various types of contract and outsourcing services available to colleges and universities. It contains profiles of approximately 2,000 service providers in 16 major categories: academic services, such as admissions, media and video conferencing, and testing; administrative services; advertising and marketing;…

  18. Peterson's Contract Services for Higher Education. The Directory of Outsource Service Vendors for Colleges and Universities.

    ERIC Educational Resources Information Center

    Peterson's Guides, Inc., Princeton, NJ.

    This directory provides information on various types of contract and outsourcing services available to colleges and universities. It contains profiles of approximately 2,000 service providers in 16 major categories: academic services, such as admissions, media and video conferencing, and testing; administrative services; advertising and marketing;…

  19. 48 CFR 237.104 - Personal services contracts.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... health care services must be approved by the commander of the medical/dental treatment facility where the... services provided in medical treatment facilities; (2) Health care services at locations outside of medical treatment facilities (such as the provision of medical screening examinations at military...

  20. 48 CFR 237.104 - Personal services contracts.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... health care services must be approved by the commander of the medical/dental treatment facility where the... services provided in medical treatment facilities; (2) Health care services at locations outside of medical treatment facilities (such as the provision of medical screening examinations at military...

  1. 48 CFR 237.104 - Personal services contracts.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... health care services must be approved by the commander of the medical/dental treatment facility where the... services provided in medical treatment facilities; (2) Health care services at locations outside of medical treatment facilities (such as the provision of medical screening examinations at military...

  2. 42 CFR 475.105 - Prohibition against contracting with health care facilities.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... facilities. 475.105 Section 475.105 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF... with health care facilities. (a) Basic rule. Except as permitted under paragraph (b) of this section, the following are not eligible for QIO contracts: (1) A health care facility in the QIO area. (2) An...

  3. Adverse or acceptable: negotiating access to a post-apartheid health care contract

    PubMed Central

    2014-01-01

    Background As in many fragile and post-conflict countries, South Africa’s social contract has formally changed from authoritarianism to democracy, yet access to services, including health care, remains inequitable and contested. We examine access barriers to quality health services and draw on social contract theory to explore ways in which a post-apartheid health care contract is narrated, practiced and negotiated by patients and providers. We consider implications for conceptualizing and promoting more inclusive, equitable health services in a post-conflict setting. Methods Using in-depth interviews with 45 patients and 67 providers, and field observations from twelve health facilities in one rural and two urban sub-districts, we explore access narratives of those seeking and delivering – negotiating - maternal health, tuberculosis and antiretroviral services in South Africa. Results Although South Africa’s right to access to health care is constitutionally guaranteed, in practice, a post-apartheid health care contract is not automatically or unconditionally inclusive. Access barriers, including poverty, an under-resourced, hierarchical health system, the nature of illness and treatment, and negative attitudes and actions, create conditions for insecure or adverse incorporation into this contract, or even exclusion (sometimes temporary) from health care services. Such barriers are exacerbated by differences in the expectations that patients and providers have of each other and the contract, leading to differing, potentially conflicting, identities of inclusion and exclusion: defaulting versus suffering patients, uncaring versus overstretched providers. Conversely, caring, respectful communication, individual acts of kindness, and institutional flexibility and leadership may mitigate key access barriers and limit threats to the contract, fostering more positive forms of inclusion and facilitating easier access to health care. Conclusions Building health in

  4. Adverse or acceptable: negotiating access to a post-apartheid health care contract.

    PubMed

    Harris, Bronwyn; Eyles, John; Penn-Kekana, Loveday; Thomas, Liz; Goudge, Jane

    2014-05-15

    As in many fragile and post-conflict countries, South Africa's social contract has formally changed from authoritarianism to democracy, yet access to services, including health care, remains inequitable and contested. We examine access barriers to quality health services and draw on social contract theory to explore ways in which a post-apartheid health care contract is narrated, practiced and negotiated by patients and providers. We consider implications for conceptualizing and promoting more inclusive, equitable health services in a post-conflict setting. Using in-depth interviews with 45 patients and 67 providers, and field observations from twelve health facilities in one rural and two urban sub-districts, we explore access narratives of those seeking and delivering - negotiating - maternal health, tuberculosis and antiretroviral services in South Africa. Although South Africa's right to access to health care is constitutionally guaranteed, in practice, a post-apartheid health care contract is not automatically or unconditionally inclusive. Access barriers, including poverty, an under-resourced, hierarchical health system, the nature of illness and treatment, and negative attitudes and actions, create conditions for insecure or adverse incorporation into this contract, or even exclusion (sometimes temporary) from health care services. Such barriers are exacerbated by differences in the expectations that patients and providers have of each other and the contract, leading to differing, potentially conflicting, identities of inclusion and exclusion: defaulting versus suffering patients, uncaring versus overstretched providers. Conversely, caring, respectful communication, individual acts of kindness, and institutional flexibility and leadership may mitigate key access barriers and limit threats to the contract, fostering more positive forms of inclusion and facilitating easier access to health care. Building health in fragile and post-conflict societies requires

  5. 48 CFR 3452.237-70 - Identification of reports under consulting services contracts.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... under consulting services contracts. 3452.237-70 Section 3452.237-70 Federal Acquisition Regulations... CONTRACT CLAUSES Texts of Provisions and Clauses 3452.237-70 Identification of reports under consulting... contracts for consulting services: Identification of Reports Under Consulting Service Contracts (AUG 1987...

  6. 7 CFR 52.51 - Charges for inspection services on a contract basis.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 7 Agriculture 2 2012-01-01 2012-01-01 false Charges for inspection services on a contract basis... and Charges § 52.51 Charges for inspection services on a contract basis. (a) Irrespective of fees and... contract, and the charges for such inspection service provided in such contracts shall be on such basis...

  7. 29 CFR Appendix B to Part 9 - Notice to Service Contract Employees

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 29 Labor 1 2013-07-01 2013-07-01 false Notice to Service Contract Employees B Appendix B to Part 9 Labor Office of the Secretary of Labor NONDISPLACEMENT OF QUALIFIED WORKERS UNDER SERVICE CONTRACTS Pt. 9, App. B Appendix B to Part 9—Notice to Service Contract Employees The contract for (insert type...

  8. 49 CFR 1039.17 - Protective service contracts exemption.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 49 Transportation 8 2010-10-01 2010-10-01 false Protective service contracts exemption. 1039.17 Section 1039.17 Transportation Other Regulations Relating to Transportation (Continued) SURFACE TRANSPORTATION BOARD, DEPARTMENT OF TRANSPORTATION GENERAL RULES AND REGULATIONS EXEMPTIONS § 1039.17...

  9. Notification: Administration of Emergency and Rapid Response Services Contracts

    EPA Pesticide Factsheets

    Project #OA-FY13-0046, October 23, 2012. The EPA OIG’s Office of Audit plans to begin the preliminary research phase of an audit evaluating Region 6’s administration and management of the Emergency and Rapid Response Services (ERRS) contracts.

  10. 29 CFR 4.133 - Beneficiary of contract services.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ..., the legislative history makes specific reference to such contracts as those for furnishing food... those entered into by the National Park Service) principally for the furnishing of food, lodging...) and the Fair Labor Standards Act (29 U.S.C. 201 et seq.)....

  11. 29 CFR 4.133 - Beneficiary of contract services.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ..., the legislative history makes specific reference to such contracts as those for furnishing food... those entered into by the National Park Service) principally for the furnishing of food, lodging...) and the Fair Labor Standards Act (29 U.S.C. 201 et seq.)....

  12. 29 CFR 4.133 - Beneficiary of contract services.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ..., the legislative history makes specific reference to such contracts as those for furnishing food... those entered into by the National Park Service) principally for the furnishing of food, lodging...) and the Fair Labor Standards Act (29 U.S.C. 201 et seq.)....

  13. Pupil Transportation Guide: Cost Analysis, Service Options, and Contract Administration.

    ERIC Educational Resources Information Center

    California State Dept. of Education, Sacramento.

    Designed to help school administrators improve the efficiency of pupil transportation programs and control costs, this guide provides detailed guidance on how to collect and analyze costs, assess the effects of service levels and policies, and develop and administer a pupil transportation contract. Following an introductory chapter, part I…

  14. Legal Issues in Contracting Out for Public Education Services.

    ERIC Educational Resources Information Center

    Russo, Charles J.; And Others

    1995-01-01

    Discusses the legal issues related to privatization. States with "charter" schools have not established guidelines for local school districts entering into privatization contracts for services. It is argued that public schools operate under state law, and therefore, vendors operating under state law become de facto public companies, making the…

  15. Contracting Janitorial Services. A Training and Production Model.

    ERIC Educational Resources Information Center

    Smith, Christopher A.

    This book provides a model to help facilities for training handicapped persons to teach janitorial work and set up a contracting program for janitorial services. The book is organized in three sections. The first section outlines the training production model, including hints on beginning the venture, separation of training and contracting…

  16. Contract law for the hospital and health administrator.

    PubMed

    Bates, P W

    1986-01-01

    The author discusses the concept of a legal 'contract' and gives many examples of its application in hospitals and health settings. He describes the main features of a contract and gives special attention to personnel and clinical ramifications and to the role of agents in making contracts on behalf of hospitals.

  17. Defense Science Board Task Force on Improvements To Services Contracting

    DTIC Science & Technology

    2011-03-01

    research and development  ( R &D) efforts cover the full spectrum from providing hardware to providing services.  While all contracted services can...Support  of  Agriculture  Insect  and  Disease  Control  R &D  to  Z300‐ Restoration‐Maintenance, Repair, Alterations. The ability to tag each contract...FPDS  DOD FY2010  (billions)  R Professional, Administrative and Management Support Services $47.6 A Research and Development 42.3 Y Construction of

  18. Office for prevention and health services assessment

    NASA Astrophysics Data System (ADS)

    Wright, James A.

    1994-12-01

    The Air Force Surgeon General has established the Office for Prevention and Health Care ASsessment (OPHSA) to become the center of excellence for preventive services and health care assessment in the U.S. Air Force and the Department of Defense. OPHSA using the principles of total quality management and integrated teams will evaluate, compare, and modify preventive services delivery guidelines to preserve the fighting force by preventing illness and injuries in military populations. OPHSA will evaluate and formulate health care delivery guidelines to improve health care access and delivery to military patient populations. OPHSA will develop data to determine the health status and health needs to beneficiary populations so medical managers can deliver medical care in the most cost effective manner. OPHSA is located at Brooks Air Force Base in San Antonio, Texas. OPHSA will have thirty seven active duty military, civil service, and contract employees and should be fully functional by the end of 1995.

  19. 78 FR 26657 - Proposed Extension of the Labor Standards for Federal Service Contracts Information Collection

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-07

    ... Hour Division RIN 1235-0007 Proposed Extension of the Labor Standards for Federal Service Contracts... Standards for Federal Service Contracts--Regulations 29 CFR, Part 4. A copy of the proposed information... the McNamara-O'Hara Service Contract Act (SCA), 41 U.S.C. 351 et seq. The McNamara-O'Hara Service...

  20. 48 CFR 52.232-6 - Payment Under Communication Service Contracts With Common Carriers.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Communication Service Contracts With Common Carriers. 52.232-6 Section 52.232-6 Federal Acquisition Regulations... CLAUSES Text of Provisions and Clauses 52.232-6 Payment Under Communication Service Contracts With Common... regulated communication services by common carriers: Payment Under Communication Service Contracts...

  1. Successful contracting of prevention services: fighting malnutrition in Senegal and Madagascar.

    PubMed

    Marek, T; Diallo, I; Ndiaye, B; Rakotosalama, J

    1999-12-01

    There are very few documented large-scale successes in nutrition in Africa, and virtually no consideration of contracting for preventive services. This paper describes two successful large-scale community nutrition projects in Africa as examples of what can be done in prevention using the contracting approach in rural as well as urban areas. The two case-studies are the Secaline project in Madagascar, and the Community Nutrition Project in Senegal. The article explains what is meant by 'success' in the context of these two projects, how these results were achieved, and how certain bottlenecks were avoided. Both projects are very similar in the type of service they provide, and in combining private administration with public finance. The article illustrates that contracting out is a feasible option to be seriously considered for organizing certain prevention programmes on a large scale. There are strong indications from these projects of success in terms of reducing malnutrition, replicability and scale, and community involvement. When choosing that option, a government can tap available private local human resources through contracting out, rather than delivering those services by the public sector. However, as was done in both projects studied, consideration needs to be given to using a contract management unit for execution and monitoring, which costs 13-17% of the total project's budget. Rigorous assessments of the cost-effectiveness of contracted services are not available, but improved health outcomes, targeting of the poor, and basic cost data suggest that the programmes may well be relatively cost-effective. Although the contracting approach is not presented as the panacea to solve the malnutrition problem faced by Africa, it can certainly provide an alternative in many countries to increase coverage and quality of services.

  2. 76 FR 63581 - Certainty of Terms of Service Contracts and NVOCC Service Arrangements

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-13

    ... levels available to the public without charge, but access to their historical data requires payment of... impediments to small shippers having the option of index-linked service contracts. The Commission...

  3. Performance-based contracting in Wisconsin public health: transforming state-local relations.

    PubMed

    Chapin, John; Fetter, Bruce

    2002-01-01

    In 2000, the Wisconsin Division of Public Health reorganized its allocation of federal and state funds by basing contracts on performance rather than audited costs. This created a quasi market in which the state acted as the buyer and the local health departments as the sellers of public health services. In its first year of operation, the program more effectively defined public health objectives to its funders and constituencies, linked its fiscal accountability more closely to attainment, and documented performance more carefully. In the next two years, the program will focus on improving the quality of objectives and training all parties in negotiation skills. The 2003-6 contract cycle will concentrate on multiyear and multiprogram objectives and a Web-based contract management system. This new contract system will not, however, be established permanently until its long-range impact on funding levels and population health status is known.

  4. Health Promotion through the Use of Nurse-Client Contracts.

    ERIC Educational Resources Information Center

    Van Dover, Leslie J.

    Much of the practice of community health nurses is focused on health promotion. Nurse-client contracting has been used with clients experiencing hypertension, diabetes, or arthritis. A study was conducted to determine whether nurse-client contracting would be useful as a method for providing nursing care to assist sexually active young women to…

  5. 48 CFR 801.602-73 - Review requirements for scarce medical specialist contracts and contracts for health-care resources.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... scarce medical specialist contracts and contracts for health-care resources. 801.602-73 Section 801.602... VETERANS AFFAIRS ACQUISITION REGULATION SYSTEM Career Development, Contracting Authority, and Responsibilities 801.602-73 Review requirements for scarce medical specialist contracts and contracts for...

  6. 48 CFR 801.602-73 - Review requirements for scarce medical specialist contracts and contracts for health-care resources.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... scarce medical specialist contracts and contracts for health-care resources. 801.602-73 Section 801.602... VETERANS AFFAIRS ACQUISITION REGULATION SYSTEM Career Development, Contracting Authority, and Responsibilities 801.602-73 Review requirements for scarce medical specialist contracts and contracts for...

  7. 48 CFR 801.602-73 - Review requirements for scarce medical specialist contracts and contracts for health-care resources.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... scarce medical specialist contracts and contracts for health-care resources. 801.602-73 Section 801.602... VETERANS AFFAIRS ACQUISITION REGULATION SYSTEM Career Development, Contracting Authority, and Responsibilities 801.602-73 Review requirements for scarce medical specialist contracts and contracts for...

  8. 48 CFR 801.602-73 - Review requirements for scarce medical specialist contracts and contracts for health-care resources.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... scarce medical specialist contracts and contracts for health-care resources. 801.602-73 Section 801.602... VETERANS AFFAIRS ACQUISITION REGULATION SYSTEM Career Development, Contracting Authority, and Responsibilities 801.602-73 Review requirements for scarce medical specialist contracts and contracts for...

  9. 48 CFR 36.702 - Forms for use in contracting for architect-engineer services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... contracting for architect-engineer services. 36.702 Section 36.702 Federal Acquisition Regulations System FEDERAL ACQUISITION REGULATION SPECIAL CATEGORIES OF CONTRACTING CONSTRUCTION AND ARCHITECT-ENGINEER CONTRACTS Standard and Optional Forms for Contracting for Construction, Architect-Engineer Services,...

  10. 48 CFR 1342.102-70 - Interagency contract administration and audit services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... close-out audit is not required, an audit may be requested regardless of the contract value when the... administration and audit services. 1342.102-70 Section 1342.102-70 Federal Acquisition Regulations System DEPARTMENT OF COMMERCE CONTRACT MANAGEMENT CONTRACT ADMINISTRATION Contract Audit Services...

  11. 48 CFR 1348.201 - Clauses for supply or service contracts.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 48 Federal Acquisition Regulations System 5 2014-10-01 2014-10-01 false Clauses for supply or service contracts. 1348.201 Section 1348.201 Federal Acquisition Regulations System DEPARTMENT OF COMMERCE CONTRACT MANAGEMENT VALUE ENGINEERING Contract Clauses 1348.201 Clauses for supply or service contracts...

  12. 48 CFR 36.702 - Forms for use in contracting for architect-engineer services.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... contracting for architect-engineer services. 36.702 Section 36.702 Federal Acquisition Regulations System FEDERAL ACQUISITION REGULATION SPECIAL CATEGORIES OF CONTRACTING CONSTRUCTION AND ARCHITECT-ENGINEER CONTRACTS Standard and Optional Forms for Contracting for Construction, Architect-Engineer Services, and...

  13. 48 CFR 36.702 - Forms for use in contracting for architect-engineer services.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... contracting for architect-engineer services. 36.702 Section 36.702 Federal Acquisition Regulations System FEDERAL ACQUISITION REGULATION SPECIAL CATEGORIES OF CONTRACTING CONSTRUCTION AND ARCHITECT-ENGINEER CONTRACTS Standard and Optional Forms for Contracting for Construction, Architect-Engineer Services, and...

  14. 48 CFR 1342.102-70 - Interagency contract administration and audit services.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 48 Federal Acquisition Regulations System 5 2014-10-01 2014-10-01 false Interagency contract administration and audit services. 1342.102-70 Section 1342.102-70 Federal Acquisition Regulations System DEPARTMENT OF COMMERCE CONTRACT MANAGEMENT CONTRACT ADMINISTRATION Contract Audit Services...

  15. 76 FR 57014 - Award Fee for Service and End-Item Contracts

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-15

    ... NASA FAR Supplement (NFS) to update the Award Fee for Service Contracts clause (NFS 1852.216-76) to... closeout of the contract. In addition, the Award Fee for End Item Contracts clause (NFS 1852.216-77) is being updated to add language similar to that contained in the Award Fee for Service Contracts clause...

  16. 48 CFR 36.702 - Forms for use in contracting for architect-engineer services.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... contracting for architect-engineer services. 36.702 Section 36.702 Federal Acquisition Regulations System FEDERAL ACQUISITION REGULATION SPECIAL CATEGORIES OF CONTRACTING CONSTRUCTION AND ARCHITECT-ENGINEER CONTRACTS Standard and Optional Forms for Contracting for Construction, Architect-Engineer Services, and...

  17. 48 CFR 648.201 - Clauses for supply or service contracts.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 48 Federal Acquisition Regulations System 4 2012-10-01 2012-10-01 false Clauses for supply or service contracts. 648.201 Section 648.201 Federal Acquisition Regulations System DEPARTMENT OF STATE CONTRACT MANAGEMENT VALUE ENGINEERING Contract Clauses 648.201 Clauses for supply or service contracts....

  18. 48 CFR 648.201 - Clauses for supply or service contracts.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 48 Federal Acquisition Regulations System 4 2011-10-01 2011-10-01 false Clauses for supply or service contracts. 648.201 Section 648.201 Federal Acquisition Regulations System DEPARTMENT OF STATE CONTRACT MANAGEMENT VALUE ENGINEERING Contract Clauses 648.201 Clauses for supply or service contracts....

  19. 48 CFR 648.201 - Clauses for supply or service contracts.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 48 Federal Acquisition Regulations System 4 2013-10-01 2013-10-01 false Clauses for supply or service contracts. 648.201 Section 648.201 Federal Acquisition Regulations System DEPARTMENT OF STATE CONTRACT MANAGEMENT VALUE ENGINEERING Contract Clauses 648.201 Clauses for supply or service contracts....

  20. 48 CFR 648.201 - Clauses for supply or service contracts.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 4 2010-10-01 2010-10-01 false Clauses for supply or service contracts. 648.201 Section 648.201 Federal Acquisition Regulations System DEPARTMENT OF STATE CONTRACT MANAGEMENT VALUE ENGINEERING Contract Clauses 648.201 Clauses for supply or service contracts....

  1. 48 CFR 648.201 - Clauses for supply or service contracts.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 48 Federal Acquisition Regulations System 4 2014-10-01 2014-10-01 false Clauses for supply or service contracts. 648.201 Section 648.201 Federal Acquisition Regulations System DEPARTMENT OF STATE CONTRACT MANAGEMENT VALUE ENGINEERING Contract Clauses 648.201 Clauses for supply or service contracts....

  2. 48 CFR 37.106 - Funding and term of service contracts.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 48 Federal Acquisition Regulations System 1 2013-10-01 2013-10-01 false Funding and term of... REGULATION SPECIAL CATEGORIES OF CONTRACTING SERVICE CONTRACTING Service Contracts-General 37.106 Funding and...). (b) The head of an executive agency, except NASA, may enter into a contract, exercise an option,...

  3. 48 CFR 37.106 - Funding and term of service contracts.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 48 Federal Acquisition Regulations System 1 2011-10-01 2011-10-01 false Funding and term of... REGULATION SPECIAL CATEGORIES OF CONTRACTING SERVICE CONTRACTING Service Contracts-General 37.106 Funding and...). (b) The head of an executive agency, except NASA, may enter into a contract, exercise an option,...

  4. 48 CFR 37.106 - Funding and term of service contracts.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 48 Federal Acquisition Regulations System 1 2014-10-01 2014-10-01 false Funding and term of... REGULATION SPECIAL CATEGORIES OF CONTRACTING SERVICE CONTRACTING Service Contracts-General 37.106 Funding and...). (b) The head of an executive agency, except NASA, may enter into a contract, exercise an option,...

  5. 48 CFR 37.106 - Funding and term of service contracts.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 1 2010-10-01 2010-10-01 false Funding and term of... REGULATION SPECIAL CATEGORIES OF CONTRACTING SERVICE CONTRACTING Service Contracts-General 37.106 Funding and...). (b) The head of an executive agency, except NASA, may enter into a contract, exercise an option,...

  6. 48 CFR 37.106 - Funding and term of service contracts.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 48 Federal Acquisition Regulations System 1 2012-10-01 2012-10-01 false Funding and term of... REGULATION SPECIAL CATEGORIES OF CONTRACTING SERVICE CONTRACTING Service Contracts-General 37.106 Funding and...). (b) The head of an executive agency, except NASA, may enter into a contract, exercise an option,...

  7. Contracting with private providers for primary care services: evidence from urban China

    PubMed Central

    2013-01-01

    Controversy surrounds the role of the private sector in health service delivery, including primary care and population health services. China’s recent health reforms call for non-discrimination against private providers and emphasize strengthening primary care, but formal contracting-out initiatives remain few, and the associated empirical evidence is very limited. This paper presents a case study of contracting with private providers for urban primary and preventive health services in Shandong Province, China. The case study draws on three primary sources of data: administrative records; a household survey of over 1600 community residents in Weifang and City Y; and a provider survey of over 1000 staff at community health stations (CHS) in both Weifang and City Y. We supplement the quantitative data with one-on-one, in-depth interviews with key informants, including local officials in charge of public health and government finance. We find significant differences in patient mix: Residents in the communities served by private community health stations are of lower socioeconomic status (more likely to be uninsured and to report poor health), compared to residents in communities served by a government-owned CHS. Analysis of a household survey of 1013 residents shows that they are more willing to do a routine health exam at their neighborhood CHS if they are of low socioeconomic status (as measured either by education or income). Government and private community health stations in Weifang did not statistically differ in their performance on contracted dimensions, after controlling for size and other CHS characteristics. In contrast, the comparison City Y had lower performance and a large gap between public and private providers. We discuss why these patterns arose and what policymakers and residents considered to be the main issues and concerns regarding primary care services. PMID:23327666

  8. Implications for health services.

    PubMed Central

    Grimley Evans, J

    1997-01-01

    Health services for older people in the NHS have developed pragmatically, and reflect the nature of disease in later life and the need to agree objectives of care with patients. Although services are likely to be able to cope with the immediate future, the growth of the elderly population anticipated from 2030 calls for long-term planning and research. The issue of funding requires immediate political thought and action. Scientifically the focus needs to be on maximizing the efficiency of services by health services research and reducing the incidence of disability in later life through research on its biological and social determinants. Senescence is a progressive loss of adaptability due to an interaction between intrinsic (genetic) processes with extrinsic factors in environment and lifestyle. There are grounds for postulating that a policy of postponement of the onset of disability, by modifications of lifestyle and environment, could reduce the average duration of disability before death. The new political structures of Europe offer under exploited-unexploited opportunities for the necessary research. PMID:9460074

  9. 32 CFR 728.54 - U.S. Public Health Service (USPHS), other than members of the uniformed services.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 32 National Defense 5 2013-07-01 2013-07-01 false U.S. Public Health Service (USPHS), other than... FACILITIES Beneficiaries of Other Federal Agencies § 728.54 U.S. Public Health Service (USPHS), other than... 43 (Contract Health Service Purchase Order for Hospital Services Rendered) or HRSA form 64...

  10. 32 CFR 728.54 - U.S. Public Health Service (USPHS), other than members of the uniformed services.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 32 National Defense 5 2010-07-01 2010-07-01 false U.S. Public Health Service (USPHS), other than... FACILITIES Beneficiaries of Other Federal Agencies § 728.54 U.S. Public Health Service (USPHS), other than... 43 (Contract Health Service Purchase Order for Hospital Services Rendered) or HRSA form 64...

  11. 32 CFR 728.54 - U.S. Public Health Service (USPHS), other than members of the uniformed services.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 32 National Defense 5 2014-07-01 2014-07-01 false U.S. Public Health Service (USPHS), other than... FACILITIES Beneficiaries of Other Federal Agencies § 728.54 U.S. Public Health Service (USPHS), other than... 43 (Contract Health Service Purchase Order for Hospital Services Rendered) or HRSA form 64...

  12. 32 CFR 728.54 - U.S. Public Health Service (USPHS), other than members of the uniformed services.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 32 National Defense 5 2012-07-01 2012-07-01 false U.S. Public Health Service (USPHS), other than... FACILITIES Beneficiaries of Other Federal Agencies § 728.54 U.S. Public Health Service (USPHS), other than... 43 (Contract Health Service Purchase Order for Hospital Services Rendered) or HRSA form 64...

  13. 76 FR 12072 - Public Availability of Commodity Futures Trading Commission FY 2010 Service Contract Inventory

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-04

    ....whitehouse.gov/sites/default/files/omb/procurement/memo/service-contract-inventories-guidance-11052010.pdf.../cftcserviceinventory_2010.pdf . FOR FURTHER INFORMATION CONTACT: Questions regarding the service contract inventory...

  14. 77 FR 5513 - Public Availability of Environmental Protection Agency FY 2011 Service Contract Inventory

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-03

    ... inventory should be directed to Linear Cherry in the Office of Acquisition Management, Headquarters... AGENCY Public Availability of Environmental Protection Agency FY 2011 Service Contract Inventory AGENCY: Environmental Protection Agency. ACTION: Notice of Public Availability of FY 2011 Service Contract...

  15. 78 FR 7821 - Public Availability of Railroad Retirement Board FY 2012 Service Contract Inventory

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-04

    ... From the Federal Register Online via the Government Publishing Office RAILROAD RETIREMENT BOARD Public Availability of Railroad Retirement Board FY 2012 Service Contract Inventory AGENCY: Railroad Retirement Board (RRB). ACTION: Notice of Public Availability of FY 2012 Service Contract Inventory....

  16. 77 FR 4384 - Public Availability of Railroad Retirement Board FY 2011 Service Contract Inventory

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-27

    ... From the Federal Register Online via the Government Publishing Office RAILROAD RETIREMENT BOARD Public Availability of Railroad Retirement Board FY 2011 Service Contract Inventory AGENCY: Railroad Retirement Board (RRB). ACTION: Notice of Public Availability of FY 2011 Service Contract...

  17. 48 CFR 801.602-73 - Review requirements for scarce medical specialist contracts and contracts for health-care resources.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Responsibilities 801.602-73 Review requirements for scarce medical specialist contracts and contracts for health... 48 Federal Acquisition Regulations System 5 2010-10-01 2010-10-01 false Review requirements for scarce medical specialist contracts and contracts for health-care resources. 801.602-73 Section 801.602...

  18. Mobile contract services: what you need to know.

    PubMed

    Inman, M

    2000-01-01

    With sufficient planning and ongoing attention to detail, the performance of a mobile imaging service provider can exceed expectations and requirements. The relationship can prove to be mutually agreeable and profitable for many years. But, when contracting mobile services, you cannot spend too much time on initial research and detail. Several scenarios present outsourcing or mobile services as an acceptable alternative to purchase or lease: outdated equipment, novel or under-utilized technologies, the need for incrementally added or temporary service. To find suitable providers, check with peer sources in your area for recommendations; look specifically for facilities that are comparable in size and volume to your facility. Expect that larger volume facilities will rate more favorable schedules or pricing. Obtain and check references. Require mobile service providers to adhere to the same state and federal laws, rules and regulations that govern your facility; receive the assurance of compliance in writing if it is not specifically addressed in the contract. JCAHO requires that any contract service provider be governed by the same requirements as the accredited facility. Several other rules or licensing requirements may also pertain to mobile services. A prevailing reason for outsourcing imaging services is high equipment costs that cannot be justified with current volume projections. However, equipment quality should not be compromised; it must meet your needs and be in good repair. The mobile service provider you choose should be an extension of your department; quality standards must exist unilaterally. The set rule for assessing mobile service fees is that there is no set rule. There are many ways to negotiate the fee schedule so that it meets the needs of both parties. An effective marketing campaign lets physicians and patients know what you have available. Work with the mobile service provider to plan an initial announcement or open house. The mobile

  19. Health Services and Financing of Treatment

    PubMed Central

    Stewart, Maureen T.; Horgan, Constance M.

    2011-01-01

    Financing, payment, and organization and management of alcohol and other drug (AOD) treatment services are closely intertwined and together determine whether people have access to treatment, how the treatment system is designed, and the quality and cost of treatment services. Since the 1960s, changes in these arrangements have driven changes in the delivery of AOD treatment, and recent developments, including the passage of Federal parity legislation and health reform, as well as increasing use of performance contracting, promise to bring additional changes. This article outlines the current state of the AOD treatment system and highlights implications of these impending changes for access to and quality of AOD treatment services. PMID:23580023

  20. 41 CFR 302-12.102 - What contracted relocation services may we provide at Government expense?

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 41 Public Contracts and Property Management 4 2013-07-01 2012-07-01 true What contracted relocation services may we provide at Government expense? 302-12.102 Section 302-12.102 Public Contracts and... 12-USE OF A RELOCATION SERVICES COMPANY Agency's Use of a Relocation Services Company § 302-12.102...

  1. 41 CFR 302-12.104 - What is the purpose of contracting for relocation 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 is the purpose of contracting for relocation services? 302-12.104 Section 302-12.104 Public Contracts and Property Management... RELOCATION SERVICES COMPANY Agency's Use of a Relocation Services Company § 302-12.104 What is the purpose of...

  2. 41 CFR 302-12.103 - May we separately contract for each type of relocation service?

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 41 Public Contracts and Property Management 4 2014-07-01 2014-07-01 false May we separately contract for each type of relocation service? 302-12.103 Section 302-12.103 Public Contracts and Property... A RELOCATION SERVICES COMPANY Agency's Use of a Relocation Services Company § 302-12.103 May we...

  3. 41 CFR 302-12.103 - May we separately contract for each type of relocation service?

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 41 Public Contracts and Property Management 4 2013-07-01 2012-07-01 true May we separately contract for each type of relocation service? 302-12.103 Section 302-12.103 Public Contracts and Property... A RELOCATION SERVICES COMPANY Agency's Use of a Relocation Services Company § 302-12.103 May we...

  4. 41 CFR 302-12.102 - What contracted relocation services may we provide at Government expense?

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 41 Public Contracts and Property Management 4 2012-07-01 2012-07-01 false What contracted relocation services may we provide at Government expense? 302-12.102 Section 302-12.102 Public Contracts and... 12-USE OF A RELOCATION SERVICES COMPANY Agency's Use of a Relocation Services Company § 302-12.102...

  5. 41 CFR 302-12.104 - What is the purpose of contracting for relocation 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 is the purpose of contracting for relocation services? 302-12.104 Section 302-12.104 Public Contracts and Property Management... RELOCATION SERVICES COMPANY Agency's Use of a Relocation Services Company § 302-12.104 What is the purpose of...

  6. 41 CFR 302-12.103 - May we separately contract for each type of relocation service?

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 41 Public Contracts and Property Management 4 2012-07-01 2012-07-01 false May we separately contract for each type of relocation service? 302-12.103 Section 302-12.103 Public Contracts and Property... A RELOCATION SERVICES COMPANY Agency's Use of a Relocation Services Company § 302-12.103 May we...

  7. 41 CFR 302-12.102 - What contracted relocation services may we provide at Government expense?

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 41 Public Contracts and Property Management 4 2014-07-01 2014-07-01 false What contracted relocation services may we provide at Government expense? 302-12.102 Section 302-12.102 Public Contracts and... 12-USE OF A RELOCATION SERVICES COMPANY Agency's Use of a Relocation Services Company § 302-12.102...

  8. 41 CFR 302-12.104 - What is the purpose of contracting for relocation 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 is the purpose of contracting for relocation services? 302-12.104 Section 302-12.104 Public Contracts and Property Management... RELOCATION SERVICES COMPANY Agency's Use of a Relocation Services Company § 302-12.104 What is the purpose of...

  9. 29 CFR Appendix B to Part 9 - Notice to Service Contract Employees

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 29 Labor 1 2012-07-01 2012-07-01 false Notice to Service Contract Employees B Appendix B to Part 9 Labor Office of the Secretary of Labor NONDISPLACEMENT OF QUALIFIED WORKERS UNDER SERVICE CONTRACTS (effective date pending) Pt. 9, App. B Appendix B to Part 9—Notice to Service Contract Employees The...

  10. 29 CFR 4.132 - Services and other items to be furnished under a single contract.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 1 2010-07-01 2010-07-01 true Services and other items to be furnished under a single contract. 4.132 Section 4.132 Labor Office of the Secretary of Labor LABOR STANDARDS FOR FEDERAL SERVICE CONTRACTS Application of the McNamara-O'Hara Service Contract Act Particular Application of...

  11. 48 CFR 552.232-72 - Final Payment Under Building Services Contracts.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Building Services Contracts. 552.232-72 Section 552.232-72 Federal Acquisition Regulations System GENERAL... and Clauses 552.232-72 Final Payment Under Building Services Contracts. As prescribed in 532.904(c), insert the following clause: Final Payment Under Building Services Contracts (NOV 2009) Before...

  12. 48 CFR 552.232-72 - Final Payment Under Building Services Contracts.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... Building Services Contracts. 552.232-72 Section 552.232-72 Federal Acquisition Regulations System GENERAL... and Clauses 552.232-72 Final Payment Under Building Services Contracts. As prescribed in 532.904(c), insert the following clause: Final Payment Under Building Services Contracts (NOV 2009) Before...

  13. 77 FR 23293 - Service Contract Inventory for Fiscal Year (FY) 2011

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-18

    ... Service Contract Inventory for Fiscal Year (FY) 2011 AGENCY: Office of Special Counsel. ACTION: Notice of availability--FY 2011 Service Contract Inventory. SUMMARY: Through this notice, the Special Counsel announces the availability of the Office of Special Counsel's service contract inventory on its Web site, at...

  14. Energy service contracts in regional engineering center for small and medium businesses

    NASA Astrophysics Data System (ADS)

    Gil'manshin, I. R.; Kashapov, N. F.

    2014-12-01

    The analysis of the energy service contracts development in Russia is given in the article. The role of the Complex learning centres in the field of energy efficiency in the promotion of energy service contracts is described. The reasons of constraining the development of energy service contracts are described.

  15. 48 CFR 1552.232-73 - Payments-fixed-rate services contract.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... services contract. 1552.232-73 Section 1552.232-73 Federal Acquisition Regulations System ENVIRONMENTAL... Clauses 1552.232-73 Payments—fixed-rate services contract. As prescribed in 1532.111, insert the following in indefinite delivery/indefinite quantity contracts with fixed services rates....

  16. 48 CFR 1552.232-73 - Payments-fixed-rate services contract.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... services contract. 1552.232-73 Section 1552.232-73 Federal Acquisition Regulations System ENVIRONMENTAL... Clauses 1552.232-73 Payments—fixed-rate services contract. As prescribed in 1532.111, insert the following in indefinite delivery/indefinite quantity contracts with fixed services rates....

  17. 48 CFR 1552.232-73 - Payments-fixed-rate services contract.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... services contract. 1552.232-73 Section 1552.232-73 Federal Acquisition Regulations System ENVIRONMENTAL... Clauses 1552.232-73 Payments—fixed-rate services contract. As prescribed in 1532.111, insert the following in indefinite delivery/indefinite quantity contracts with fixed services rates....

  18. 76 FR 9399 - Department of State FY10 Service Contract Inventory

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-17

    ... Department of State FY10 Service Contract Inventory AGENCY: Department of State. ACTION: Notice of the release of the Department of State FY10 Service Contract Inventory. SUMMARY: The Department of State has publically released its Service Contract Inventory for FY10. Section 743 of Division C of the FY...

  19. 76 FR 6499 - Public Availability of FY 2010 Service Contract Inventories

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-04

    ... Availability of FY 2010 Service Contract Inventories ACTION: Notice of public availability of FY 2010 Service Contract Inventories. SUMMARY: In accordance with Section 743 of Division C of the Consolidated... notice to advise the public of the availability of the FY 2010 Service Contract inventory. This...

  20. 78 FR 18966 - Publication of Fiscal Year 2012 Service Contract Inventory

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-28

    ... SUPERVISION AGENCY FOR THE DISTRICT OF COLUMBIA Publication of Fiscal Year 2012 Service Contract Inventory... Public Availability of FY 2012 Service Contract Inventory. SUMMARY: In accordance with Section 743 of... Agency (CSOSA) hereby advises the public of the availability of the FY 2012 Service Contract...

  1. 78 FR 21919 - Public Availability of Fiscal Year 2012 Service Contract Inventory

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-12

    ... COMMISSION Public Availability of Fiscal Year 2012 Service Contract Inventory AGENCY: Commodity Futures... Inventory. FOR FURTHER INFORMATION CONTACT: Questions regarding the Service Contract Inventory should be... notifying the public of the availability of the agency's FY 2012 Service Contract Inventory. CFTC has...

  2. 41 CFR 302-12.104 - What is the purpose of contracting for relocation 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 is the purpose of contracting for relocation services? 302-12.104 Section 302-12.104 Public Contracts and Property Management... RELOCATION SERVICES COMPANY Agency's Use of a Relocation Services Company § 302-12.104 What is the purpose...

  3. 41 CFR 302-12.105 - How must we administer a relocation services contract?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 41 Public Contracts and Property Management 4 2010-07-01 2010-07-01 false How must we administer a relocation services contract? 302-12.105 Section 302-12.105 Public Contracts and Property Management Federal... SERVICES COMPANY Agency's Use of a Relocation Services Company § 302-12.105 How must we administer...

  4. 41 CFR 302-12.104 - What is the purpose of contracting for relocation services?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 41 Public Contracts and Property Management 4 2010-07-01 2010-07-01 false What is the purpose of contracting for relocation services? 302-12.104 Section 302-12.104 Public Contracts and Property Management... RELOCATION SERVICES COMPANY Agency's Use of a Relocation Services Company § 302-12.104 What is the purpose...

  5. 77 FR 5614 - Department of State FY11 Service Contract Inventory

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-03

    ... Department of State FY11 Service Contract Inventory AGENCY: Department of State. ACTION: Notice of the release of the Department of State FY11 Service Contract Inventory. SUMMARY: The Department of State has publically released its Service Contract Inventory for FY11 and its analysis of the FY10 inventory. They are...

  6. 48 CFR 552.232-72 - Final Payment Under Building Services Contracts.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... Building Services Contracts. 552.232-72 Section 552.232-72 Federal Acquisition Regulations System GENERAL... and Clauses 552.232-72 Final Payment Under Building Services Contracts. As prescribed in 532.904(c), insert the following clause: Final Payment Under Building Services Contracts (MAR 2012) Before final...

  7. 48 CFR 532.905-70 - Final payment-construction and building service contracts.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... and building service contracts. 532.905-70 Section 532.905-70 Federal Acquisition Regulations System...-70 Final payment—construction and building service contracts. The following procedures apply to construction and building service contracts: (a) The Government shall pay the final amount due the Contractor...

  8. 48 CFR 532.905-70 - Final payment-construction and building service contracts.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... and building service contracts. 532.905-70 Section 532.905-70 Federal Acquisition Regulations System...-70 Final payment—construction and building service contracts. The following procedures apply to construction and building service contracts: (a) The Government shall pay the final amount due the Contractor...

  9. 48 CFR 532.905-70 - Final payment-construction and building service contracts.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... and building service contracts. 532.905-70 Section 532.905-70 Federal Acquisition Regulations System...-70 Final payment—construction and building service contracts. The following procedures apply to construction and building service contracts: (a) The Government shall pay the final amount due the Contractor...

  10. 48 CFR 552.232-72 - Final Payment Under Building Services Contracts.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... Building Services Contracts. 552.232-72 Section 552.232-72 Federal Acquisition Regulations System GENERAL... and Clauses 552.232-72 Final Payment Under Building Services Contracts. As prescribed in 532.904(c), insert the following clause: Final Payment Under Building Services Contracts (MAR 2012) Before final...

  11. 48 CFR 552.232-72 - Final Payment Under Building Services Contracts.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... Building Services Contracts. 552.232-72 Section 552.232-72 Federal Acquisition Regulations System GENERAL... and Clauses 552.232-72 Final Payment Under Building Services Contracts. As prescribed in 532.904(c), insert the following clause: Final Payment Under Building Services Contracts (MAR 2012) Before final...

  12. 7 CFR 91.45 - Charges for laboratory services on a contract basis.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 3 2011-01-01 2011-01-01 false Charges for laboratory services on a contract basis... laboratory services on a contract basis. (a) Irrespective of hourly fee rates and charges prescribed in § 91.... In addition, the charges for such laboratory services, provided in such contracts, shall be on...

  13. 7 CFR 52.51 - Charges for inspection services on a contract basis.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 7 Agriculture 2 2013-01-01 2013-01-01 false Charges for inspection services on a contract basis... Inspection and Certification Fees and Charges § 52.51 Charges for inspection services on a contract basis. (a...) Charges for year-round in-plant inspection services on a contract basis will be billed to the...

  14. 7 CFR 91.45 - Charges for laboratory services on a contract basis.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 7 Agriculture 3 2012-01-01 2012-01-01 false Charges for laboratory services on a contract basis... laboratory services on a contract basis. (a) Irrespective of hourly fee rates and charges prescribed in § 91.... In addition, the charges for such laboratory services, provided in such contracts, shall be on...

  15. 7 CFR 91.45 - Charges for laboratory services on a contract basis.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 3 2010-01-01 2010-01-01 false Charges for laboratory services on a contract basis... laboratory services on a contract basis. (a) Irrespective of hourly fee rates and charges prescribed in § 91.... In addition, the charges for such laboratory services, provided in such contracts, shall be on...

  16. 7 CFR 91.45 - Charges for laboratory services on a contract basis.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 7 Agriculture 3 2014-01-01 2014-01-01 false Charges for laboratory services on a contract basis... laboratory services on a contract basis. (a) Irrespective of hourly fee rates and charges prescribed in § 91.... In addition, the charges for such laboratory services, provided in such contracts, shall be on...

  17. 7 CFR 52.51 - Charges for inspection services on a contract basis.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 7 Agriculture 2 2014-01-01 2014-01-01 false Charges for inspection services on a contract basis... Inspection and Certification Fees and Charges § 52.51 Charges for inspection services on a contract basis. (a...) Charges for year-round in-plant inspection services on a contract basis will be billed to the...

  18. 7 CFR 91.45 - Charges for laboratory services on a contract basis.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 7 Agriculture 3 2013-01-01 2013-01-01 false Charges for laboratory services on a contract basis... laboratory services on a contract basis. (a) Irrespective of hourly fee rates and charges prescribed in § 91.... In addition, the charges for such laboratory services, provided in such contracts, shall be on...

  19. 76 FR 14969 - Public Availability of Environmental Protection Agency FY 2010 Service Contract Inventory

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-18

    ... service contract inventory should be directed to Linear Cherry in the Office of Acquisition Management... AGENCY Public Availability of Environmental Protection Agency FY 2010 Service Contract Inventory AGENCY: Environmental Protection Agency. ACTION: Notice of public availability of FY 2010 Service Contract...

  20. Health Occupations Education. Health Services Careers.

    ERIC Educational Resources Information Center

    Oklahoma State Dept. of Vocational and Technical Education, Stillwater. Curriculum and Instructional Materials Center.

    Twenty-four units on health service careers are presented in this teacher's guide. The units are organized into four sections as follow: Section A--Orientation (health careers, career success, Health Occupations Students of America); Section B--Health and First Aid (personal health, community health, and first aid); Section C--Body Structure and…

  1. Health Occupations Education. Health Services Careers.

    ERIC Educational Resources Information Center

    Oklahoma State Dept. of Vocational and Technical Education, Stillwater. Curriculum and Instructional Materials Center.

    Twenty-four units on health service careers are presented in this teacher's guide. The units are organized into four sections as follow: Section A--Orientation (health careers, career success, Health Occupations Students of America); Section B--Health and First Aid (personal health, community health, and first aid); Section C--Body Structure and…

  2. The fiction of health Services.

    PubMed

    Echeverry, Oscar

    2012-04-01

    What we know today as Health Services is a fiction, perhaps shaped involuntarily, but with deep health repercussions, more negative than positive. About 24 centuries ago, Asclepius, god of medicine, and Hygeia, goddess of hygiene and health, generated a dichotomy between disease and health that remains with us until today. The confusing substitution of Health Services with Medical Services began toward the end of the XIX century. But it was in 1948 when the so called English National Health Service became a landmark in the world with its model being adopted by many countries with resulting distortion of the true meaning of Health Services. The consequences of this fiction have been ominous. It is necessary to call things by their names and not deceive society. To correct the serious imbalance between Medical Services and Health Services, Hygeia and Asclepius must become a brother and sisterhood.

  3. The fiction of health Services

    PubMed Central

    2012-01-01

    What we know today as Health Services is a fiction, perhaps shaped involuntarily, but with deep health repercussions, more negative than positive. About 24 centuries ago, Asclepius, god of medicine, and Hygeia, goddess of hygiene and health, generated a dichotomy between disease and health that remains with us until today. The confusing substitution of Health Services with Medical Services began toward the end of the XIX century. But it was in 1948 when the so called English National Health Service became a landmark in the world with its model being adopted by many countries with resulting distortion of the true meaning of Health Services. The consequences of this fiction have been ominous. It is necessary to call things by their names and not deceive society. To correct the serious imbalance between Medical Services and Health Services, Hygeia and Asclepius must become a brother and sisterhood. PMID:24893062

  4. Service Contract Compliance Management in Business Process Management

    NASA Astrophysics Data System (ADS)

    El Kharbili, Marwane; Pulvermueller, Elke

    Compliance management is a critical concern for corporations, required to respect contracts. This concern is particularly relevant in the context of business process management (BPM) as this paradigm is getting adopted more widely for-designing and building IT systems. Enforcing contractual compliance needs to be modeled at different levels of a BPM framework, which also includes the service layer. In this paper, we discuss requirements and methods for modeling contractual compliance for an SOA-supported BPM. We also show how business rule management integrated into an industry BPM tool allows modeling and processing functional and non-functional-property constraints which may be extracted from business process contracts. This work proposes a framework that responds to the requirements identified and proposes an architecture implementing it. Our approach is also illustrated by an example.

  5. 41 CFR 101-5.304 - Type of occupational health services.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... health services. 101-5.304 Section 101-5.304 Public Contracts and Property Management Federal Property... FEDERAL BUILDINGS AND COMPLEXES 5.3-Federal Employee Health Services § 101-5.304 Type of occupational health services. The type of occupational health services made available to occupying agencies will be...

  6. 41 CFR 101-5.304 - Type of occupational health services.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... health services. 101-5.304 Section 101-5.304 Public Contracts and Property Management Federal Property... FEDERAL BUILDINGS AND COMPLEXES 5.3-Federal Employee Health Services § 101-5.304 Type of occupational health services. The type of occupational health services made available to occupying agencies will be...

  7. 41 CFR 101-5.304 - Type of occupational health services.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... health services. 101-5.304 Section 101-5.304 Public Contracts and Property Management Federal Property... FEDERAL BUILDINGS AND COMPLEXES 5.3-Federal Employee Health Services § 101-5.304 Type of occupational health services. The type of occupational health services made available to occupying agencies will be as...

  8. Individual health services

    PubMed Central

    Schnell-Inderst, Petra; Hunger, Theresa; Hintringer, Katharina; Schwarzer, Ruth; Seifert-Klauss, Vanadin Regina; Gothe, Holger; Wasem, Jürgen; Siebert, Uwe

    2011-01-01

    Background The German statutory health insurance (GKV) reimburses all health care services that are deemed sufficient, appropriate, and efficient. According to the German Medical Association (BÄK), individual health services (IGeL) are services that are not under liability of the GKV, medically necessary or recommendable or at least justifiable. They have to be explicitly requested by the patient and have to be paid out of pocket. Research questions The following questions regarding IGeL in the outpatient health care of GKV insurants are addressed in the present report: What is the empirical evidence regarding offers, utilization, practice, acceptance, and the relation between physician and patient, as well as the economic relevance of IGeL? What ethical, social, and legal aspects are related to IGeL? For two of the most common IGeL, the screening for glaucoma and the screening for ovarian and endometrial cancer by vaginal ultrasound (VUS), the following questions are addressed: What is the evidence for the clinical effectiveness? Are there sub-populations for whom screening might be beneficial? Methods The evaluation is divided into two parts. For the first part a systematic literature review of primary studies and publications concerning ethical, social and legal aspects is performed. In the second part, rapid assessments of the clinical effectiveness for the two examples, glaucoma and VUS screening, are prepared. Therefore, in a first step, HTA-reports and systematic reviews are searched, followed by a search for original studies published after the end of the research period of the most recent HTA-report included. Results 29 studies were included for the first question. Between 19 and 53% of GKV members receive IGeL offers, of which three-quarters are realised. 16 to 19% of the insurants ask actively for IGeL. Intraocular tension measurement is the most common single IGeL service, accounting for up to 40% of the offers. It is followed by ultrasound assessments

  9. Indian Health Service: Community Health

    MedlinePlus

    ... Press Releases Reports to Congress Tribal Leader Letters Urban Leader Letters IHS Home Community Health Community Health ... Office of Tribal Self Governance - 08E05 Office of Urban Indian Health Programs - 08E65C Accessibility Budget Contact Information ...

  10. HealthEast Care: a direct contracting company.

    PubMed

    Burrows, S N

    1997-01-01

    HealthEast Care has contracted directly with large self-funded Minnesota employers, including 3M, since 1992. These innovative direct contracting arrangements continue to demonstrate how collaborative efforts between health care purchasers and providers can be of advantage to those enrolled in self-funded and noninsured health plans. Insured HMO enrollment in Minnesota has been flat since 1991, while enrollment in self-funded plans and in noninsured public health plans has doubled during the same period. Minnesota is a bellwether state on the threshold of reform that will shift the power race for health care change from HMOs to purchasers and providers responding to consumer needs.

  11. Contracting with limited commitment: evidence from employment-based health insurance contracts.

    PubMed

    Crocker, Keith J; Moran, John R

    2003-01-01

    Impediments to worker mobility serve to mitigate the attrition of healthy individuals from employer-sponsored insurance pools, thereby creating a de facto commitment mechanism that allows for more complete insurance of health risks than would be possible in the absence of such frictions. Using data on health insurance contracts obtained from the 1987 National Medical Expenditure Survey, we find that the quantity of insurance provided is positively related to the degree of worker commitment. These results illustrate the importance of commitment in the design of long-term contracts, and provide an additional rationale for the bundling of health insurance with employment.

  12. DOD Service Acquisition: Improved Use of Available Data Needed to Better Manage and Forecast Service Contract Requirements

    DTIC Science & Technology

    2016-02-01

    of DOD’s total contract spending. House Report 113-446 contained a provision for GAO to evaluate DOD’s management of contracted services. This... House Armed Services Committee report 113-446 contained a provision for us to assess the processes and procedures DOD employs to acquire services.3 This...adequate in- house staff to do all the evaluations, contractor services were obtained. Although the contract was not planned and budgeted for through

  13. 48 CFR 48.201 - Clauses for supply or service contracts.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... REGULATION CONTRACT MANAGEMENT VALUE ENGINEERING Contract Clauses 48.201 Clauses for supply or service contracts. (a) General. The contracting officer shall insert a value engineering clause in solicitations and... specified in subparagraphs (1) through (5) and in paragraph (f) below. A value engineering clause may be...

  14. 48 CFR 48.201 - Clauses for supply or service contracts.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... REGULATION CONTRACT MANAGEMENT VALUE ENGINEERING Contract Clauses 48.201 Clauses for supply or service contracts. (a) General. The contracting officer shall insert a value engineering clause in solicitations and... specified in subparagraphs (1) through (5) and in paragraph (f) below. A value engineering clause may be...

  15. 48 CFR 48.201 - Clauses for supply or service contracts.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... REGULATION CONTRACT MANAGEMENT VALUE ENGINEERING Contract Clauses 48.201 Clauses for supply or service contracts. (a) General. The contracting officer shall insert a value engineering clause in solicitations and... specified in subparagraphs (1) through (5) and in paragraph (f) below. A value engineering clause may be...

  16. 48 CFR 48.201 - Clauses for supply or service contracts.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... REGULATION CONTRACT MANAGEMENT VALUE ENGINEERING Contract Clauses 48.201 Clauses for supply or service contracts. (a) General. The contracting officer shall insert a value engineering clause in solicitations and... specified in subparagraphs (1) through (5) and in paragraph (f) below. A value engineering clause may be...

  17. 48 CFR 48.201 - Clauses for supply or service contracts.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... REGULATION CONTRACT MANAGEMENT VALUE ENGINEERING Contract Clauses 48.201 Clauses for supply or service contracts. (a) General. The contracting officer shall insert a value engineering clause in solicitations and... specified in subparagraphs (1) through (5) and in paragraph (f) below. A value engineering clause may be...

  18. 32 CFR 728.54 - U.S. Public Health Service (USPHS), other than members of the uniformed services.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 32 National Defense 5 2011-07-01 2011-07-01 false U.S. Public Health Service (USPHS), other than members of the uniformed services. 728.54 Section 728.54 National Defense Department of Defense (Continued... 43 (Contract Health Service Purchase Order for Hospital Services Rendered) or HRSA form 64 (Purchase...

  19. 76 FR 37660 - Rules of Practice Before the Postal Service Board of Contract Appeals

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-28

    ... 955 Rules of Practice Before the Postal Service Board of Contract Appeals AGENCY: Postal Service. ACTION: Final rule. SUMMARY: The Postal Service is revising portions of the rules of practice before the.... Executive Summary The rules of practice in proceedings before the Postal Service Board of Contract Appeals...

  20. 76 FR 10628 - International Product Change-International Business Reply Service Contract

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-25

    ... From the Federal Register Online via the Government Publishing Office POSTAL SERVICE International Product Change--International Business Reply Service Contract AGENCY: Postal Service TM . ACTION: Notice... International Business Reply Service Competitive Contract 3 to the Competitive Products List pursuant to 39...

  1. A Contract Language for Service-Oriented Dynamic Collaborations

    NASA Astrophysics Data System (ADS)

    Nepal, Surya; Zic, John; Chen, Shiping

    Dynamic collaborations are built using contributed resources that have come across the organizational boundaries. These resources include data, application, software, tools as well as infrastructures, and are typically subject to a rich set of access policies. The automated instantiation of a collaboration using such resources including their interoperability is a difficult problem. Existing systems are either built for specific resources, or use manual and ad-hoc approaches. This problem has attracted the Web Services community, where Web Services standards such as WSLA and WS-CDL have been proposed to address similar problems. These approaches are designed to deal with scenarios involving two parties: a service provider and a service consumer. They do not scale well to multiparty nature of dynamic collaborations. This paper proposes a contract language for dynamic multiparty collaborations that captures the contributed resources and negotiated agreements on them, as well as the mechanisms for instantiation and termination of the collaboration. The language itself has been defined using XML Schema and has been implemented in a dynamic collaboration platform to provide a connectivity service.

  2. 48 CFR 52.223-2 - Affirmative Procurement of Biobased Products Under Service and Construction Contracts.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Biobased Products Under Service and Construction Contracts. 52.223-2 Section 52.223-2 Federal Acquisition... Procurement of Biobased Products Under Service and Construction Contracts (DEC 2007) (a) In the performance of... CONTRACT CLAUSES Text of Provisions and Clauses 52.223-2 Affirmative Procurement of Biobased Products...

  3. 77 FR 4821 - Public Availability of DHS Fiscal Year 2011 Service Contract Inventory

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-31

    ... SECURITY Public Availability of DHS Fiscal Year 2011 Service Contract Inventory AGENCY: Office of the Chief... Contract inventory. This inventory provides information on service contract actions over $25,000 that were... distributed throughout the agency. The inventory has been developed in accordance with guidance issued...

  4. 78 FR 6827 - Public Availability of DHS Fiscal Year 2012 Service Contract Inventory

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-31

    ... SECURITY Public Availability of DHS Fiscal Year 2012 Service Contract Inventory AGENCY: Office of the Chief... Contract inventory. This inventory provides information on service contract actions over $25,000 that were... distributed throughout the agency. The inventory has been developed in accordance with guidance issued...

  5. 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....

  6. 29 CFR Appendix B to Part 9 - Notice to Service Contract Employees

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... contract and one or more nonfederal service contracts as part of a single job is not entitled to an offer... in a manner that was designed to avoid the purposes of this part. Time limit to accept offer: If you... 29 Labor 1 2014-07-01 2013-07-01 true Notice to Service Contract Employees B Appendix B to Part 9...

  7. 48 CFR 452.237-78 - Contracts with Consulting Firms for Services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 4 2010-10-01 2010-10-01 false Contracts with Consulting....237-78 Contracts with Consulting Firms for Services. As prescribed in 437.270(b), insert a clause substantially as follows: Contracts with Consulting Firms for Services (FEB 1988) Offerors are specifically...

  8. 48 CFR 1348.201 - Clauses for supply or service contracts.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 5 2010-10-01 2010-10-01 false Clauses for supply or service contracts. 1348.201 Section 1348.201 Federal Acquisition Regulations System DEPARTMENT OF COMMERCE CONTRACT MANAGEMENT VALUE ENGINEERING Contract Clauses 1348.201 Clauses for supply or service...

  9. 48 CFR 1348.201 - Clauses for supply or service contracts.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 48 Federal Acquisition Regulations System 5 2012-10-01 2012-10-01 false Clauses for supply or service contracts. 1348.201 Section 1348.201 Federal Acquisition Regulations System DEPARTMENT OF COMMERCE CONTRACT MANAGEMENT VALUE ENGINEERING Contract Clauses 1348.201 Clauses for supply or service...

  10. 48 CFR 1348.201 - Clauses for supply or service contracts.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 48 Federal Acquisition Regulations System 5 2013-10-01 2013-10-01 false Clauses for supply or service contracts. 1348.201 Section 1348.201 Federal Acquisition Regulations System DEPARTMENT OF COMMERCE CONTRACT MANAGEMENT VALUE ENGINEERING Contract Clauses 1348.201 Clauses for supply or service...

  11. 48 CFR 1348.201 - Clauses for supply or service contracts.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 48 Federal Acquisition Regulations System 5 2011-10-01 2011-10-01 false Clauses for supply or service contracts. 1348.201 Section 1348.201 Federal Acquisition Regulations System DEPARTMENT OF COMMERCE CONTRACT MANAGEMENT VALUE ENGINEERING Contract Clauses 1348.201 Clauses for supply or service...

  12. 7 CFR 51.42 - Charges for inspection services on a contract basis.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 2 2010-01-01 2010-01-01 false Charges for inspection services on a contract basis... for inspection services on a contract basis. Irrespective of fees and charges prescribed in the foregoing sections, the Administrator may enter into contracts with applicants to perform...

  13. 7 CFR 51.42 - Charges for inspection services on a contract basis.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 2 2011-01-01 2011-01-01 false Charges for inspection services on a contract basis... for inspection services on a contract basis. Irrespective of fees and charges prescribed in the foregoing sections, the Administrator may enter into contracts with applicants to perform...

  14. 7 CFR 51.42 - Charges for inspection services on a contract basis.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 7 Agriculture 2 2014-01-01 2014-01-01 false Charges for inspection services on a contract basis... and Charges at Destination Markets § 51.42 Charges for inspection services on a contract basis... provided for in such contracts shall be on such basis as will reimburse the Agricultural Marketing...

  15. 7 CFR 51.42 - Charges for inspection services on a contract basis.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 7 Agriculture 2 2013-01-01 2013-01-01 false Charges for inspection services on a contract basis... and Charges at Destination Markets § 51.42 Charges for inspection services on a contract basis... provided for in such contracts shall be on such basis as will reimburse the Agricultural Marketing...

  16. 7 CFR 51.42 - Charges for inspection services on a contract basis.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 7 Agriculture 2 2012-01-01 2012-01-01 false Charges for inspection services on a contract basis... for inspection services on a contract basis. Irrespective of fees and charges prescribed in the foregoing sections, the Administrator may enter into contracts with applicants to perform...

  17. 29 CFR 4.112 - Contracts to furnish services “in the United States.”

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 1 2010-07-01 2010-07-01 true Contracts to furnish services âin the United States.â 4.112 Section 4.112 Labor Office of the Secretary of Labor LABOR STANDARDS FOR FEDERAL SERVICE CONTRACTS Application of the McNamara-O'Hara Service Contract Act Covered Contracts Generally § 4.112 Contracts...

  18. [The contracting of teaching hospitals in the Brazilian Unified Health System].

    PubMed

    Lima, Sheyla Maria Lemos; Rivera, Francisco Javier Uribe

    2012-09-01

    This study identifies the potential and limitations of contracting to improve health care management, accountability and quality, and expand the participation of teaching hospitals in the health service network in the context of the Restructuring Program of Teaching Hospitals in the Brazilian Unified Health System. It is a case study of four teaching hospitals and their contracting State Health Departments. According to the hospital managers, the association is weak between contracting and the presence of mechanisms for hospital insertion into the health service network with practices and structures for managerial and healthcare qualification in the hospital. More structured hospitals in managerial and healthcare terms were more structured between contracting and the State Health Department. There was an increase in production of medium complexity outpatient care and a decrease in primary healthcare procedures. The proposal is for ongoing managerial development of the hospital and of the State Health Department, review of the operational plan, budgeting, monitoring mechanisms and an incentive system, bonding in the teams, among others.

  19. Contracting and Procurement for Evidence-Based Interventions in Public-Sector Human Services: A Case Study

    PubMed Central

    Willging, Cathleen E.; Aarons, Gregory A.; Trott, Elise M.; Green, Amy E.; Finn, Natalie; Ehrhart, Mark G.; Hecht, Debra B.

    2016-01-01

    Sustainment of evidence-based interventions (EBIs) in human services depends on the inner context of community-based organizations (CBOs) that provide services and the outer context of their broader environment. Increasingly, public officials are experimenting with contracting models from for-profit industries to procure human services. In this case study, we conducted qualitative interviews with key government and CBO stakeholders to examine implementation of the Best Value-Performance Information Procurement System to contract for EBIs in a child welfare system. Findings suggest that stakeholder relationships may be compromised when procurement disregards local knowledge, communication, collaboration, and other factors supporting EBIs and public health initiatives. PMID:26386977

  20. 41 CFR 302-12.114 - May we use a relocation services contract for services which we are contractually bound to obtain...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... services contract for services which we are contractually bound to obtain under another travel services... services which we are contractually bound to obtain under another travel services contract? No, you may not use a relocation services contract to which you are contractually bound to obtain the services...

  1. 48 CFR 227.7107 - Contracts for architect-engineer services.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ...-engineer services. 227.7107 Section 227.7107 Federal Acquisition Regulations System DEFENSE ACQUISITION... Rights in Technical Data 227.7107 Contracts for architect-engineer services. This section sets forth... of construction and architect-engineer services. ...

  2. 48 CFR 227.7107 - Contracts for architect-engineer services.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ...-engineer services. 227.7107 Section 227.7107 Federal Acquisition Regulations System DEFENSE ACQUISITION... Rights in Technical Data 227.7107 Contracts for architect-engineer services. This section sets forth... of construction and architect-engineer services. ...

  3. 48 CFR 227.7107 - Contracts for architect-engineer services.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ...-engineer services. 227.7107 Section 227.7107 Federal Acquisition Regulations System DEFENSE ACQUISITION... Rights in Technical Data 227.7107 Contracts for architect-engineer services. This section sets forth... of construction and architect-engineer services. ...

  4. 48 CFR 227.7107 - Contracts for architect-engineer services.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ...-engineer services. 227.7107 Section 227.7107 Federal Acquisition Regulations System DEFENSE ACQUISITION... Rights in Technical Data 227.7107 Contracts for architect-engineer services. This section sets forth... of construction and architect-engineer services. ...

  5. 77 FR 5253 - Public Availability of General Services Administration FY 2011 Service Contract Inventory

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-02

    ... CONTACT: Questions regarding the service contract inventory should be directed to Mr. Paul F. Boyle in the Office of Acquisition Policy at (202) 501-0324 or via email to paul.boyle@gsa.gov . SUPPLEMENTARY... Act Public Law 111-117, GSA is publishing this notice to advise the public of the availability of...

  6. Service quality in health care.

    PubMed

    Kenagy, J W; Berwick, D M; Shore, M F

    1999-02-17

    Although US health care is described as "the world's largest service industry," the quality of service--that is, the characteristics that shape the experience of care beyond technical competence--is rarely discussed in the medical literature. This article illustrates service quality principles by analyzing a routine encounter in health care from a service quality point of view. This illustration and a review of related literature from both inside and outside health care has led to the following 2 premises: First, if high-quality service had a greater presence in our practices and institutions, it would improve clinical outcomes and patient and physician satisfaction while reducing cost, and it would create competitive advantage for those who are expert in its application. Second, many other industries in the service sector have taken service quality to a high level, their techniques are readily transferable to health care, and physicians caring for patients can learn from them.

  7. Health Insurance as a Two-Part Pricing Contract *

    PubMed Central

    Lakdawalla, Darius; Sood, Neeraj

    2013-01-01

    Monopolies appear throughout health care. We show that health insurance operates like a conventional two-part pricing contract that allows monopolists to extract profits without inefficiently constraining quantity. When insurers are free to offer a range of insurance contracts to different consumer types, health insurance markets perfectly eliminate deadweight losses from upstream health care monopolies. Frictions limiting the sorting of different consumer types into different insurance contracts restore some of these upstream monopoly losses, which manifest as higher rates of uninsurance, rather than as restrictions in quantity utilized by insured consumers. Empirical analysis of pharmaceutical patent expiration supports the prediction that heavily insured markets experience little or no efficiency loss under monopoly, while less insured markets exhibit behavior more consistent with the standard theory of monopoly. PMID:23997354

  8. 42 CFR 417.103 - Providers of basic and supplemental health services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 3 2010-10-01 2010-10-01 false Providers of basic and supplemental health services... Providers of basic and supplemental health services. (a)(1) The HMO must provide that the services of health... contracts with the HMO. (2) A staff or medical group model HMO may have as providers of basic...

  9. [Terrorism, public health and health services].

    PubMed

    Arcos González, Pedro; Castro Delgado, Rafael; Cuartas Alvarez, Tatiana; Pérez-Berrocal Alonso, Jorge

    2009-01-01

    Today the terrorism is a problem of global distribution and increasing interest for the international public health. The terrorism related violence affects the public health and the health care services in an important way and in different scopes, among them, increase mortality, morbidity and disability, generates a context of fear and anxiety that makes the psychopathological diseases very frequent, seriously alters the operation of the health care services and produces important social, political and economic damages. These effects are, in addition, especially intense when the phenomenon takes place on a chronic way in a community. The objective of this paper is to examine the relation between terrorism and public health, focusing on its effects on public health and the health care services, as well as to examine the possible frames to face the terrorism as a public health concern, with special reference to the situation in Spain. To face this problem, both the public health systems and the health care services, would have to especially adapt their approaches and operational methods in six high-priority areas related to: (1) the coordination between the different health and non health emergency response agencies; (2) the reinforcement of the epidemiological surveillance systems; (3) the improvement of the capacities of the public health laboratories and response emergency care systems to specific types of terrorism as the chemical or biological terrorism; (3) the mental health services; (4) the planning and coordination of the emergency response of the health services; (5) the relations with the population and mass media and, finally; (6) a greater transparency in the diffusion of the information and a greater degree of analysis of the carried out health actions in the scope of the emergency response.

  10. Health care's service fanatics.

    PubMed

    Merlino, James I; Raman, Ananth

    2013-05-01

    The Cleveland Clinic has long had a reputation for medical excellence. But in 2009 the CEO acknowledged that patients did not think much of their experience there and decided to act. Since then the Clinic has leaped to the top tier of patient-satisfaction surveys, and it now draws hospital executives from around the world who want to study its practices. The Clinic's journey also holds Lessons for organizations outside health care that must suddenly compete by creating a superior customer experience. The authors, one of whom was critical to steering the hospital's transformation, detail the processes that allowed the Clinic to excel at patient satisfaction without jeopardizing its traditional strengths. Hospital leaders: Publicized the problem internally. Seeing the hospital's dismal service scores shocked employees into recognizing that serious flaws existed. Worked to understand patients' needs. Management commissioned studies to get at the root causes of dissatisfaction. Made everyone a caregiver. An enterprisewide program trained everyone, from physicians to janitors, to put the patient first. Increased employee engagement. The Clinic instituted a "caregiver celebration" program and redoubled other motivational efforts. Established new processes. For example, any patient, for any reason, can now make a same-day appointment with a single call. Set patients' expectations. Printed and online materials educate patients about their stays--before they're admitted. Operating a truly patient-centered organization, the authors conclude, isn't a program; it's a way of life.

  11. 42 CFR 93.204 - Contract.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 1 2013-10-01 2013-10-01 false Contract. 93.204 Section 93.204 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH ASSESSMENTS AND HEALTH EFFECTS... MISCONDUCT Definitions § 93.204 Contract. Contract means an acquisition instrument awarded under the...

  12. 42 CFR 93.204 - Contract.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 1 2012-10-01 2012-10-01 false Contract. 93.204 Section 93.204 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH ASSESSMENTS AND HEALTH EFFECTS... MISCONDUCT Definitions § 93.204 Contract. Contract means an acquisition instrument awarded under the...

  13. 42 CFR 93.204 - Contract.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 1 2014-10-01 2014-10-01 false Contract. 93.204 Section 93.204 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH ASSESSMENTS AND HEALTH EFFECTS... MISCONDUCT Definitions § 93.204 Contract. Contract means an acquisition instrument awarded under the...

  14. 42 CFR 93.204 - Contract.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 1 2011-10-01 2011-10-01 false Contract. 93.204 Section 93.204 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH ASSESSMENTS AND HEALTH EFFECTS... MISCONDUCT Definitions § 93.204 Contract. Contract means an acquisition instrument awarded under the...

  15. 42 CFR 93.204 - Contract.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 1 2010-10-01 2010-10-01 false Contract. 93.204 Section 93.204 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH ASSESSMENTS AND HEALTH EFFECTS... MISCONDUCT Definitions § 93.204 Contract. Contract means an acquisition instrument awarded under the...

  16. 48 CFR 227.7206 - Contracts for architect-engineer services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Rights in Computer Software and Computer Software Documentation 227.7206 Contracts for architect-engineer services. Follow 227.7107 when contracting for architect-engineer services. ...-engineer services. 227.7206 Section 227.7206 Federal Acquisition Regulations System DEFENSE...

  17. 48 CFR 227.7206 - Contracts for architect-engineer services.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ...-engineer services. 227.7206 Section 227.7206 Federal Acquisition Regulations System DEFENSE ACQUISITION... Rights in Computer Software and Computer Software Documentation 227.7206 Contracts for architect-engineer services. Follow 227.7107 when contracting for architect-engineer services. ...

  18. 48 CFR 227.7206 - Contracts for architect-engineer services.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ...-engineer services. 227.7206 Section 227.7206 Federal Acquisition Regulations System DEFENSE ACQUISITION... Rights in Computer Software and Computer Software Documentation 227.7206 Contracts for architect-engineer services. Follow 227.7107 when contracting for architect-engineer services. ...

  19. 48 CFR 227.7206 - Contracts for architect-engineer services.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ...-engineer services. 227.7206 Section 227.7206 Federal Acquisition Regulations System DEFENSE ACQUISITION... Rights in Computer Software and Computer Software Documentation 227.7206 Contracts for architect-engineer services. Follow 227.7107 when contracting for architect-engineer services. ...

  20. 48 CFR 227.7206 - Contracts for architect-engineer services.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ...-engineer services. 227.7206 Section 227.7206 Federal Acquisition Regulations System DEFENSE ACQUISITION... Rights in Computer Software and Computer Software Documentation 227.7206 Contracts for architect-engineer services. Follow 227.7107 when contracting for architect-engineer services. ...

  1. 50 CFR 260.80 - Charges for inspection service on a contract basis.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... inspection service on a contract basis. Irrespective of fees and charges prescribed in the foregoing sections... 50 Wildlife and Fisheries 9 2011-10-01 2011-10-01 false Charges for inspection service on a contract basis. 260.80 Section 260.80 Wildlife and Fisheries NATIONAL MARINE FISHERIES SERVICE,...

  2. 50 CFR 260.80 - Charges for inspection service on a contract basis.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... inspection service on a contract basis. Irrespective of fees and charges prescribed in the foregoing sections... 50 Wildlife and Fisheries 11 2014-10-01 2014-10-01 false Charges for inspection service on a contract basis. 260.80 Section 260.80 Wildlife and Fisheries NATIONAL MARINE FISHERIES SERVICE,...

  3. 50 CFR 260.80 - Charges for inspection service on a contract basis.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... inspection service on a contract basis. Irrespective of fees and charges prescribed in the foregoing sections... 50 Wildlife and Fisheries 11 2013-10-01 2013-10-01 false Charges for inspection service on a contract basis. 260.80 Section 260.80 Wildlife and Fisheries NATIONAL MARINE FISHERIES SERVICE,...

  4. 50 CFR 260.80 - Charges for inspection service on a contract basis.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... inspection service on a contract basis. Irrespective of fees and charges prescribed in the foregoing sections... 50 Wildlife and Fisheries 11 2012-10-01 2012-10-01 false Charges for inspection service on a contract basis. 260.80 Section 260.80 Wildlife and Fisheries NATIONAL MARINE FISHERIES SERVICE,...

  5. 18 CFR 367.24 - Construction and service contracts for other companies.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... service contracts for other companies. 367.24 Section 367.24 Conservation of Power and Water Resources... POWER ACT AND NATURAL GAS ACT General Instructions § 367.24 Construction and service contracts for other... service company undertakes projects to construct physical property for associate or...

  6. [The contracting process and outsourcing in health: the scenario for dispute between public and private interests].

    PubMed

    Albuquerque, Maria do Socorro Veloso; Morais, Heloísa Maria Mendonça de; Lima, Luci Praciano

    2015-06-01

    This research analyzed the public-private composition in the municipal health network and aspects of the contracting/outsourcing process for services over the period from 2001 to 2008. The research method used was a case study with documentary research and interviews. The interviewees were former secretaries of health, directors of regulation and district managers. The categories of analysis used were public funds, care networks and public control. The results showed that the contracting was restricted to philanthropic units. With respect to the other private establishments linked to the public care network, non-compliance with programmatic aspects was detected, such as the lack of regulation of bidding processes required for contracting. Management authorities did not actively pursue building up state public services, or the formation of care networks. The contracted establishments conducted their activities without effective external and internal control mechanisms, which are paramount for the proper use of public resources. The authors conclude that the contracting process does not significantly alter the standard of buying and selling of services and indeed does not enhance the empowering process of the role of the public domain.

  7. An Analysis of Department of Defense Services Contract Trends, 1990-2011

    DTIC Science & Technology

    2012-12-01

    sources. It first describes the trends in overall DoD service contracting, breaking the dollars obligated down by DoD component (Army, Air Force Navy...breaking the dollars obligated down by DoD component (Army, Air Force, Navy, and civilian agencies), by service area, by level of competition, by...other sources. Section 3 of this report presents data on overall DoD services contract spending by contracting entity (Army, Air Force, Navy, and

  8. 76 FR 9382 - Public Availability of the Securities and Exchange Commission FY 2010 Service Contract Inventory

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-17

    ....whitehouse.gov/sites/default/files/omb/procurement/memo/service-contract-inventories-guidance-11052010.pdf.../offices/oacq/secfy2010servicecontractinventories.pdf . FOR FURTHER INFORMATION CONTACT: Questions...

  9. 48 CFR 52.204-15 - Service Contract Reporting Requirements for Indefinite-Delivery Contracts.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... with vendors, such as long-term arrangements for materials or supplies that benefit multiple contracts... timely manner, the Contracting Officer will exercise appropriate contractual remedies. In addition, the...

  10. Indian Health Service

    MedlinePlus

    ... Month Breast Cancer Awareness Month October is National Health Literacy Month Flu Season October is Domestic Violence Awareness ... Awareness Month 10/10/2017 October is National Health Literacy Month 10/06/2017 Flu Season 10/05/ ...

  11. 48 CFR 1837.104 - Personal services contracts. (NASA supplements paragraph (b))

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... contracts. (NASA supplements paragraph (b)) 1837.104 Section 1837.104 Federal Acquisition Regulations System... Contracts-General 1837.104 Personal services contracts. (NASA supplements paragraph (b)) (b) Section 203(c)(9) of the National Aeronautics and Space Act of 1958 (42 U.S.C. 2473(c)(9)) authorizes NASA “to...

  12. 48 CFR 1837.104 - Personal services contracts. (NASA supplements paragraph (b))

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... contracts. (NASA supplements paragraph (b)) 1837.104 Section 1837.104 Federal Acquisition Regulations System... Contracts-General 1837.104 Personal services contracts. (NASA supplements paragraph (b)) (b) Section 203(c)(9) of the National Aeronautics and Space Act of 1958 (42 U.S.C. 2473(c)(9)) authorizes NASA “to...

  13. 48 CFR 1837.104 - Personal services contracts. (NASA supplements paragraph (b))

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... contracts. (NASA supplements paragraph (b)) 1837.104 Section 1837.104 Federal Acquisition Regulations System... Contracts-General 1837.104 Personal services contracts. (NASA supplements paragraph (b)) (b) Section 203(c)(9) of the National Aeronautics and Space Act of 1958 (42 U.S.C. 2473(c)(9)) authorizes NASA “to...

  14. 48 CFR 1837.104 - Personal services contracts. (NASA supplements paragraph (b))

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... contracts. (NASA supplements paragraph (b)) 1837.104 Section 1837.104 Federal Acquisition Regulations System... Contracts-General 1837.104 Personal services contracts. (NASA supplements paragraph (b)) (b) Section 203(c)(9) of the National Aeronautics and Space Act of 1958 (42 U.S.C. 2473(c)(9)) authorizes NASA “to...

  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. 75 FR 22706 - Defense Federal Acquisition Regulation Supplement; Service Contract Surveillance (DFARS Case 2008...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-30

    ... the simplified acquisition threshold, and that contracts for services have appropriate performance management or surveillance plans prepared for the work being performed under the contract. DATES: Effective...: A. Background The DoD improvement plan for the GAO High Risk Area--Contract Management, includes...

  17. 38 CFR 1.917 - Contracting for collection services.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... if and to the extent that funding for the contract is provided for in advance by an appropriation act...) VA may enter into contracts for debtor asset and income search reports. In accordance with 31...

  18. 38 CFR 1.917 - Contracting for collection services.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... if and to the extent that funding for the contract is provided for in advance by an appropriation act...) VA may enter into contracts for debtor asset and income search reports. In accordance with 31...

  19. 48 CFR 52.204-14 - Service Contract Reporting Requirements.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... with vendors, such as long-term arrangements for materials or supplies that benefit multiple contracts... exercise appropriate contractual remedies. In addition, the Contracting Officer will make the Contractor's...

  20. School Health Services.

    ERIC Educational Resources Information Center

    Wilson, Charles C., Ed.

    A comprehensive guide for health procedures in small and large school systems, this volume emphasizes the need for coordination of school efforts with those of parents, departments of health, private practitioners of medicine and dentistry, and community health agencies. Particular attention is given to the role of the teacher in school health…

  1. Guidelines for School Health Services.

    ERIC Educational Resources Information Center

    Dougherty, Sarah; And Others

    This publication was designed to assist chief school administrators, school nurses, school physicians, staff, and other school health personnel in developing, implementing, and evaluating sound school health programs for New Jersey public school students. Section I delineates responsibility for school health services, discussing the role of…

  2. Guidelines for School Health Services.

    ERIC Educational Resources Information Center

    Dougherty, Sarah; And Others

    This publication was designed to assist chief school administrators, school nurses, school physicians, staff, and other school health personnel in developing, implementing, and evaluating sound school health programs for New Jersey public school students. Section I delineates responsibility for school health services, discussing the role of…

  3. Assessing uncertainty in outsourcing clinical services at tertiary health centers.

    PubMed

    Billi, John E; Pai, Chih-Wen; Spahlinger, David A

    2007-01-01

    When tertiary health centers face capacity constraint, one feasible strategy to meet service demand is outsourcing clinical services to qualified community providers. Clinical outsourcing enables tertiary health centers to meet the expectations of service timeliness and provides good opportunities to collaborate with other health care providers. However, outsourcing may result in dependence and loss of control for the tertiary health centers. Other parties involved in clinical outsourcing such as local partners, patients, and payers may also encounter potential risks as well as enjoy benefits in an outsourcing arrangement. Recommendations on selecting potential outsourcing partners are given to minimize the risks associated with an outsourcing contract.

  4. Academic Health Systems Management: The Rationale Behind Capitated Contracts

    PubMed Central

    Taheri, Paul A.; Butz, David A.; Greenfield, Lazar J.

    2000-01-01

    Objective To determine why hospitals enter into “capitated” contracts, which often generate accounting losses. The authors’ hypothesis is that hospitals coordinate contracts to keep beds full and that in principal, capitated contracts reflect sound capacity management. Summary Background Data In high-overhead industries, different consumers pay different prices for similar services (e.g., full-fare vs. advanced-purchase plane tickets, full tuition vs. financial aid). Some consumers gain access by paying less than total cost. Hospitals, like other high-overhead business enterprises, must optimize the use of their capacity, amortizing overhead over as many patients as possible. This necessity for enhanced throughput forces hospitals and health systems to discount empty beds, sometimes to the point where they incur accounting losses serving some payors. Methods The authors analyzed the cost accounting system at their university teaching hospital to compare hospital and intensive care unit (ICU) lengths of stay (LOS), variable direct costs (VDC), overhead of capitated patients, and reimbursement versus other payors for all hospital discharges (n = 29,036) in fiscal year 1998. The data were analyzed by diagnosis-related groups (DRGs), length of stay (LOS), insurance carrier, proximity to hospital, and discharge disposition. Patients were then distinguished across payor categories based on their resource utilization, proximity to the hospital, DRG, LOS, and discharge status. Results The mean cost for capitated patients was $4,887, less than half of the mean cost of $10,394 for the entire hospitalized population. The mean capitated reimbursement was $928/day, exceeding the mean daily VDC of $616 but not the total cost of $1,445/day. Moreover, the mean total cost per patient day of treating a capitated patient was $400 less than the mean total cost per day for noncapitated patients. The hospital’s capitated health maintenance organization (HMO) patients made up 16

  5. 48 CFR 52.222-44 - Fair Labor Standards Act and Service Contract Labor Standards-Price Adjustment.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... and Service Contract Labor Standards-Price Adjustment. 52.222-44 Section 52.222-44 Federal Acquisition... CONTRACT CLAUSES Text of Provisions and Clauses 52.222-44 Fair Labor Standards Act and Service Contract... Labor Standards Act And Service Contract Labor Standards—Price Adjustment (MAY 2014) (a) This...

  6. 77 FR 14570 - Public Availability of the National Endowment for the Humanities FY 2011 Service Contract Inventory

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-12

    ... Service Contract Inventory AGENCY: National Endowment for the Humanities. ACTION: Notice of public availability of FY 2011 service contract inventory. SUMMARY: In accordance with Section 743 of Division C of... Contract Inventory. This inventory provides information on service contract actions over $25,000 that...

  7. Manpower Mix for Health Services

    PubMed Central

    Shuman, Larry J.; Young, John P.; Naddor, Eliezer

    1971-01-01

    A model is formulated to determine the mix of manpower and technology needed to provide health services of acceptable quality at a minimum total cost to the community. Total costs include both the direct costs associated with providing the services and with developing additional manpower and the indirect costs (shortage costs) resulting from not providing needed services. The model is applied to a hypothetical neighborhood health center, and its sensitivity to alternative policies is investigated by cost-benefit analyses. Possible extensions of the model to include dynamic elements in health delivery systems are discussed, as is its adaptation for use in hospital planning, with a changed objective function. PMID:5095652

  8. Should community-based services be publicly funded or contracted out?

    PubMed

    Lyzwinski, Lynnette Nathalie

    2013-06-01

    The introduction of Canada's Medicare in 1966 established precedence for a universally accessible and equitable healthcare system. Although Canada has been a leader in building the foundations of socialized medicine, it has stalled short of fulfilling a vision promulgated by its architects of a system that operates on a continuum of care. The aim of this review was to examine whether the expansion of publicly funded services under the Canada Health Act would be an economically and socially viable policy option. A literature review of the direct and indirect social and economic costs associated with contracting out community-based services in the form of outpatient rehabilitative care, palliative care, and home care was conducted. This article concludes that the private financing of community-based services increases healthcare costs in the long term through increased density and frequency of acute care utilization. It is associated with increased indirect costs in the form of caregiver burden and reduced labor market participation of informal caregivers. The expansion of publicly funded community-based services minimizes these direct health and indirect societal costs. The integration of publicly funded community-based services under the Canada Health Act would ensure that the principles of Medicare in the form of equity and accessibility would be enforced while maintaining an economically sustainable healthcare system.

  9. The Next Generation of Post-placement and Post-adoption Services: A Complementary Contract Approach.

    ERIC Educational Resources Information Center

    Burnell, Alan; Briggs, Adrian

    1995-01-01

    Discusses postplacement adoption service contracts between East Sussex Social Services and the Post-Adoption Centre (PAC). Describes how PAC originally provided subscription services to local authorities, but when limitations of the subscription service were recognized, a collaborative service with more local authority was developed. (AJH)

  10. 29 CFR 4.111 - Contracts “to furnish services.”

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ...., no hard and fast rule can be laid down as to the precise meaning of the term principal purpose. This... crating, for food service, and for miscellaneous housekeeping services. Covered contracts for...

  11. 29 CFR 4.111 - Contracts “to furnish services.”

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ...., no hard and fast rule can be laid down as to the precise meaning of the term principal purpose. This... crating, for food service, and for miscellaneous housekeeping services. Covered contracts for...

  12. 29 CFR 4.111 - Contracts “to furnish services.”

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ...., no hard and fast rule can be laid down as to the precise meaning of the term principal purpose. This... crating, for food service, and for miscellaneous housekeeping services. Covered contracts for...

  13. 29 CFR 4.111 - Contracts “to furnish services.”

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ...., no hard and fast rule can be laid down as to the precise meaning of the term principal purpose. This... crating, for food service, and for miscellaneous housekeeping services. Covered contracts for...

  14. 77 FR 5062 - Public Availability of National Labor Relations Board's FY 2011 Service Contract Inventory

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-01

    ... From the Federal Register Online via the Government Publishing Office NATIONAL LABOR RELATIONS BOARD Public Availability of National Labor Relations Board's FY 2011 Service Contract Inventory AGENCY: National Labor Relations Board. ACTION: Notice of public availability of FY 2011 Service...

  15. 76 FR 26296 - Public Availability of Federal Labor Relations Authority FY 2010 Service Contract Inventory

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-06

    ... From the Federal Register Online via the Government Publishing Office FEDERAL LABOR RELATIONS AUTHORITY Public Availability of Federal Labor Relations Authority FY 2010 Service Contract Inventory AGENCY: Federal Labor Relations Authority. ACTION: Notice of Public Availability of FY 2010 Service...

  16. 76 FR 40937 - Public Availability of National Labor Relations Board's FY 2010 Service Contract Inventory

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-12

    ... From the Federal Register Online via the Government Publishing Office NATIONAL LABOR RELATIONS BOARD Public Availability of National Labor Relations Board's FY 2010 Service Contract Inventory AGENCY: National Labor Relations Board. ACTION: Notice of public availability of FY 2010 Service...

  17. 77 FR 1689 - Public Availability of Federal Labor Relations Authority FY 2011 Service Contract Inventory

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-11

    ... From the Federal Register Online via the Government Publishing Office FEDERAL LABOR RELATIONS AUTHORITY Public Availability of Federal Labor Relations Authority FY 2011 Service Contract Inventory AGENCY: Federal Labor Relations Authority. ACTION: Notice of Public Availability of FY 2011 Service...

  18. The implicit contract: implications for health social work.

    PubMed

    McCoyd, Judith L M

    2010-05-01

    Identifying common patient dynamics is useful for developing social work practice sensitivity in health social work. This article draws on findings from a study of women who terminated desired pregnancies because of fetal anomalies and identifies dynamics that may be applicable to many health settings. Data suggest that women have expectations that submission to medical care, particularly high-tech medical care, should ensure a positive outcome--in this case a healthy baby. Analysis of data reveals the presence of an implicit contract that the women hold with the medical system,"Mother Nature," or society. The analysis carries an implication that health social work should help patients develop realistic expectations about health care. The presence of implicit contracts may have further implications for liability and litigation. Social work roles and interventions are addressed.

  19. 48 CFR 529.401-71 - Contracts for supplies and services usable by the DC Government.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 48 Federal Acquisition Regulations System 4 2011-10-01 2011-10-01 false Contracts for supplies and services usable by the DC Government. 529.401-71 Section 529.401-71 Federal Acquisition Regulations System... Contracts for supplies and services usable by the DC Government. Insert 552.229-71, Federal...

  20. 48 CFR 529.401-71 - Contracts for supplies and services usable by the DC Government.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 48 Federal Acquisition Regulations System 4 2013-10-01 2013-10-01 false Contracts for supplies and services usable by the DC Government. 529.401-71 Section 529.401-71 Federal Acquisition Regulations System... Contracts for supplies and services usable by the DC Government. Insert 552.229-71, Federal...

  1. 48 CFR 529.401-71 - Contracts for supplies and services usable by the DC Government.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 48 Federal Acquisition Regulations System 4 2012-10-01 2012-10-01 false Contracts for supplies and services usable by the DC Government. 529.401-71 Section 529.401-71 Federal Acquisition Regulations System... Contracts for supplies and services usable by the DC Government. Insert 552.229-71, Federal...

  2. 48 CFR 529.401-71 - Contracts for supplies and services usable by the DC Government.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 48 Federal Acquisition Regulations System 4 2014-10-01 2014-10-01 false Contracts for supplies and services usable by the DC Government. 529.401-71 Section 529.401-71 Federal Acquisition Regulations System... Contracts for supplies and services usable by the DC Government. Insert 552.229-71, Federal...

  3. 48 CFR 227.7107 - Contracts for architect-engineer services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 3 2010-10-01 2010-10-01 false Contracts for architect... Rights in Technical Data 227.7107 Contracts for architect-engineer services. This section sets forth... of construction and architect-engineer services....

  4. 29 CFR 4.119 - Contracts for services of communications companies.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 1 2010-07-01 2010-07-01 true Contracts for services of communications companies. 4.119... communications companies. The Act, in paragraph (4) of section 7, exempts from its provisions “any contract for the furnishing of services by radio, telephone, telegraph, or cable companies, subject to...

  5. 29 CFR 4.119 - Contracts for services of communications companies.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 29 Labor 1 2011-07-01 2011-07-01 false Contracts for services of communications companies. 4.119... communications companies. The Act, in paragraph (4) of section 7, exempts from its provisions “any contract for the furnishing of services by radio, telephone, telegraph, or cable companies, subject to...

  6. 29 CFR 4.119 - Contracts for services of communications companies.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 29 Labor 1 2013-07-01 2013-07-01 false Contracts for services of communications companies. 4.119... communications companies. The Act, in paragraph (4) of section 7, exempts from its provisions “any contract for the furnishing of services by radio, telephone, telegraph, or cable companies, subject to...

  7. 29 CFR 4.119 - Contracts for services of communications companies.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 29 Labor 1 2012-07-01 2012-07-01 false Contracts for services of communications companies. 4.119... communications companies. The Act, in paragraph (4) of section 7, exempts from its provisions “any contract for the furnishing of services by radio, telephone, telegraph, or cable companies, subject to...

  8. 41 CFR 302-12.102 - What contracted relocation services may we provide at Government expense?

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 41 Public Contracts and Property Management 4 2011-07-01 2011-07-01 false What contracted... Property Management Federal Travel Regulation System RELOCATION ALLOWANCES RESIDENCE TRANSACTION ALLOWANCES 12-USE OF A RELOCATION SERVICES COMPANY Agency's Use of a Relocation Services Company §...

  9. 41 CFR 302-12.102 - What contracted relocation services may we provide at Government expense?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 41 Public Contracts and Property Management 4 2010-07-01 2010-07-01 false What contracted... Property Management Federal Travel Regulation System RELOCATION ALLOWANCES RESIDENCE TRANSACTION ALLOWANCES 12-USE OF A RELOCATION SERVICES COMPANY Agency's Use of a Relocation Services Company §...

  10. 48 CFR 529.401-71 - Contracts for supplies and services usable by the DC Government.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 4 2010-10-01 2010-10-01 false Contracts for supplies and services usable by the DC Government. 529.401-71 Section 529.401-71 Federal Acquisition Regulations System... Contracts for supplies and services usable by the DC Government. Insert 552.229-71, Federal Tax-DC...

  11. 76 FR 52952 - Student Services Contract EP-11-D-000403 Yin Gu; Transfer of Data

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-24

    ... AGENCY Student Services Contract EP-11-D-000403 Yin Gu; Transfer of Data AGENCY: Environmental Protection... Rodenticide Act (FIFRA) and the Federal Food, Drug, and Cosmetic Act (FFDCA), including information that may... Student Services Contract EP- 11-D-000403 Yin Gu in accordance with 40 CFR 2.307(h)(3) and...

  12. 48 CFR 728.313 - Contract clauses for insurance of transportation or transportation-related services.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... insurance of transportation or transportation-related services. 728.313 Section 728.313 Federal Acquisition Regulations System AGENCY FOR INTERNATIONAL DEVELOPMENT GENERAL CONTRACTING REQUIREMENTS BONDS AND INSURANCE Insurance 728.313 Contract clauses for insurance of transportation or transportation-related services....

  13. 48 CFR 28.313 - Contract clauses for insurance of transportation or transportation-related services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... insurance of transportation or transportation-related services. 28.313 Section 28.313 Federal Acquisition Regulations System FEDERAL ACQUISITION REGULATION GENERAL CONTRACTING REQUIREMENTS BONDS AND INSURANCE Insurance 28.313 Contract clauses for insurance of transportation or transportation-related services....

  14. 48 CFR 28.313 - Contract clauses for insurance of transportation or transportation-related services.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... insurance of transportation or transportation-related services. 28.313 Section 28.313 Federal Acquisition Regulations System FEDERAL ACQUISITION REGULATION GENERAL CONTRACTING REQUIREMENTS BONDS AND INSURANCE Insurance 28.313 Contract clauses for insurance of transportation or transportation-related services....

  15. 48 CFR 1428.306-70 - Insurance for aircraft services contracts.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... aircraft services contracts. (a) Policy. The CO shall insert minimum insurance requirements in aircraft... 48 Federal Acquisition Regulations System 5 2011-10-01 2011-10-01 false Insurance for aircraft services contracts. 1428.306-70 Section 1428.306-70 Federal Acquisition Regulations System DEPARTMENT...

  16. 48 CFR 1428.306-70 - Insurance for aircraft services contracts.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... aircraft services contracts. (a) Policy. The CO shall insert minimum insurance requirements in aircraft... 48 Federal Acquisition Regulations System 5 2010-10-01 2010-10-01 false Insurance for aircraft services contracts. 1428.306-70 Section 1428.306-70 Federal Acquisition Regulations System DEPARTMENT...

  17. 48 CFR 728.313 - Contract clauses for insurance of transportation or transportation-related services.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... insurance of transportation or transportation-related services. 728.313 Section 728.313 Federal Acquisition Regulations System AGENCY FOR INTERNATIONAL DEVELOPMENT GENERAL CONTRACTING REQUIREMENTS BONDS AND INSURANCE Insurance 728.313 Contract clauses for insurance of transportation or transportation-related services....

  18. 48 CFR 728.313 - Contract clauses for insurance of transportation or transportation-related services.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... insurance of transportation or transportation-related services. 728.313 Section 728.313 Federal Acquisition Regulations System AGENCY FOR INTERNATIONAL DEVELOPMENT GENERAL CONTRACTING REQUIREMENTS BONDS AND INSURANCE Insurance 728.313 Contract clauses for insurance of transportation or transportation-related services....

  19. 78 FR 33392 - Public Availability of Consumer Product Safety Commission FY 2012 Service Contract Inventory

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-04

    ...The Consumer Product Safety Commission (CPSC or we), in accordance with section 743(c) of Division C of the Consolidated Appropriations Act, 2010 (Pub. L. 111-117, 123 Stat. 3034, 3216), is announcing the availability of CPSC's service contract inventory for fiscal year (FY) 2012. This inventory provides information on service contract actions over $25,000 that CPSC made in FY 2012.

  20. 48 CFR 1552.232-73 - Payments-fixed-rate services contract.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 48 Federal Acquisition Regulations System 6 2013-10-01 2013-10-01 false Payments-fixed-rate... Clauses 1552.232-73 Payments—fixed-rate services contract. As prescribed in 1532.111, insert the following in indefinite delivery/indefinite quantity contracts with fixed services rates. Payments—Fixed-Rate...

  1. 34 CFR 303.121 - Policy for contracting or otherwise arranging for services.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... for a Statewide System Minimum Components of A Statewide System § 303.121 Policy for contracting or otherwise arranging for services. Each system must include a policy pertaining to the contracting or making... intervention services in the State, consistent with the provisions of part C of the Act, including the...

  2. 34 CFR 303.121 - Policy for contracting or otherwise arranging for services.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... for a Statewide System Minimum Components of A Statewide System § 303.121 Policy for contracting or otherwise arranging for services. Each system must include a policy pertaining to the contracting or making... intervention services in the State, consistent with the provisions of part C of the Act, including the...

  3. 77 FR 26232 - Federal Acquisition Regulation; Nondisplacement of Qualified Workers Under Service Contracts

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-03

    ... subcontractors shall, except as otherwise provided herein, in good faith offer those employees (other than... service contractors and their subcontractors under successor contracts to offer employees of the... Randolph-Sheppard Act; and Employees who were hired to work under a Federal service contract and one or...

  4. 75 FR 34439 - Defense Science Board Task Force on Improvements to Services Contracting; Notice of Advisory...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-17

    ... of the Secretary Defense Science Board Task Force on Improvements to Services Contracting; Notice of... meetings. SUMMARY: The Defense Science Board Task Force on Improvements to Services Contracting will meet in closed session on July 28-29 and on September 22-23, 2010, in Arlington, VA. DATES: The...

  5. 77 FR 14522 - Public Availability of Federal Election Commission, Procurement Division FY 2011 Service Contract...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-12

    ... Inventory AGENCY: Federal Election Commission. ACTION: Notice of public availability of FY 2011 Service Contract inventories. SUMMARY: In accordance with Section 743 of Division C of the Consolidated... public of the availability of the FY 2010 Service Contract inventory. This inventory provides...

  6. 76 FR 5364 - Public Availability of Department of Energy FY 2010 Service Contract Inventory

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-31

    ... the inventory at the following link: http://www.management.energy.gov/policy_guidance/competitive... Availability of Department of Energy FY 2010 Service Contract Inventory AGENCY: Department of Energy. ACTION: Notice of public availability of FY 2010 Service Contract Inventories. SUMMARY: In accordance...

  7. 78 FR 14091 - Public Availability of Equal Employment Opportunity Commission (EEOC) FY 2012 Service Contract...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-04

    ... Inventory AGENCY: Equal Employment Opportunity Commission. ACTION: Notice of Public Availability of FY 2012 Service Contract Inventories. SUMMARY: In accordance with Section 743 of Division C of the Consolidated... to advise the public of the availability of the FY 2012 Service Contract inventory. This...

  8. 76 FR 5559 - Public Availability of Department of Commerce FY 2010 Service Contract Inventory

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-01

    ...; ] DEPARTMENT OF COMMERCE Public Availability of Department of Commerce FY 2010 Service Contract Inventory AGENCY: Department of Commerce. ACTION: Notice of Public Availability of FY 2010 Service Contract... 2010 (Pub. L. 111-117), Department of Commerce is publishing this notice to advise the public of...

  9. 46 CFR Appendix A to Part 530 - Instructions for the Filing of Service Contracts

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 46 Shipping 9 2014-10-01 2014-10-01 false Instructions for the Filing of Service Contracts A Appendix A to Part 530 Shipping FEDERAL MARITIME COMMISSION REGULATIONS AFFECTING OCEAN SHIPPING IN FOREIGN COMMERCE SERVICE CONTRACTS Pt. 530, App. A Appendix A to Part 530—Instructions for the Filing of...

  10. 46 CFR Appendix A to Part 530 - Instructions for the Filing of Service Contracts

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 9 2011-10-01 2011-10-01 false Instructions for the Filing of Service Contracts A Appendix A to Part 530 Shipping FEDERAL MARITIME COMMISSION REGULATIONS AFFECTING OCEAN SHIPPING IN FOREIGN COMMERCE SERVICE CONTRACTS Pt. 530, App. A Appendix A to Part 530—Instructions for the Filing of...

  11. 48 CFR 837.403 - Contract clause.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 48 Federal Acquisition Regulations System 5 2012-10-01 2012-10-01 false Contract clause. 837.403... OF CONTRACTING SERVICE CONTRACTING Nonpersonal Health Care Services 837.403 Contract clause. The contracting officer shall insert the clause at 852.237-7, Indemnification and medical liability insurance, in...

  12. 48 CFR 837.403 - Contract clause.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 48 Federal Acquisition Regulations System 5 2014-10-01 2014-10-01 false Contract clause. 837.403... OF CONTRACTING SERVICE CONTRACTING Nonpersonal Health Care Services 837.403 Contract clause. The contracting officer shall insert the clause at 852.237-7, Indemnification and medical liability insurance, in...

  13. 48 CFR 837.403 - Contract clause.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 5 2010-10-01 2010-10-01 false Contract clause. 837.403... OF CONTRACTING SERVICE CONTRACTING Nonpersonal Health Care Services 837.403 Contract clause. The contracting officer shall insert the clause at 852.237-7, Indemnification and medical liability insurance, in...

  14. Use of performance standards in behavioral health carve-out contracts among Fortune 500 firms.

    PubMed

    Merrick, E L; Garnick, D W; Horgan, C M; Goldin, D; Hodgkin, D; Sciegaj, M

    1999-06-25

    To determine the prevalence and nature of performance standards in specialty managed behavioral healthcare contracts among Fortune 500 companies. This was a cross-sectional survey of all companies listed on the Fortune 500 during 1994, 1995, or both. From April 1997 to May 1998 we conducted a mailed survey with phone follow-up. Of the 68% of firms that responded, over one third reported carve-out contracts. The survey focused on whether companies had behavioral health carve-out contracts with specialty vendors and characteristics of these contracts, including the use of performance standards. More than three quarters of the Fortune 500 companies reporting specialty behavioral healthcare contracts used at least one performance standard. Most common were administrative standards (70.2%) and customer service standards (69.4%). About half of the companies used quality standards, whereas only a third used provider-related standards. Most (58.8%) companies using performance standards also specified financial consequences. Larger Fortune 500 firms were significantly more likely to use performance standards. Risk contracts and contracts that included all covered employees were also more likely to include some categories of standards. Administrative and customer service standards may be most common because companies find it easier to specify those standards, especially compared with clinical quality measures. To the extent that employers want to obtain the most value from their behavioral healthcare purchasing, we expect that more will begin to adopt quality standards in their contracts, especially as performance measures become more refined. Reliance on accreditation, however, is an alternative approach for employers.

  15. 48 CFR 316.307 - Contract clauses.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 4 2010-10-01 2010-10-01 false Contract clauses. 316.307 Section 316.307 Federal Acquisition Regulations System HEALTH AND HUMAN SERVICES CONTRACTING METHODS AND CONTRACT TYPES TYPES OF CONTRACTS Cost-reimbursement Contracts 316.307 Contract clauses. (a) If a...

  16. Mobile Health (mHealth) Services and Online Health Educators

    PubMed Central

    Anshari, Muhammad; Almunawar, Mohammad Nabil

    2016-01-01

    Mobile technology enables health-care organizations to extend health-care services by providing a suitable environment to achieve mobile health (mHealth) goals, making some health-care services accessible anywhere and anytime. Introducing mHealth could change the business processes in delivering services to patients. mHealth could empower patients as it becomes necessary for them to become involved in the health-care processes related to them. This includes the ability for patients to manage their personal information and interact with health-care staff as well as among patients themselves. The study proposes a new position to supervise mHealth services: the online health educator (OHE). The OHE should be occupied by special health-care staffs who are trained in managing online services. A survey was conducted in Brunei and Indonesia to discover the roles of OHE in managing mHealth services, followed by a focus group discussion with participants who interacted with OHE in a real online health scenario. Data analysis showed that OHE could improve patients’ confidence and satisfaction in health-care services. PMID:27257387

  17. Mobile Health (mHealth) Services and Online Health Educators.

    PubMed

    Anshari, Muhammad; Almunawar, Mohammad Nabil

    2016-01-01

    Mobile technology enables health-care organizations to extend health-care services by providing a suitable environment to achieve mobile health (mHealth) goals, making some health-care services accessible anywhere and anytime. Introducing mHealth could change the business processes in delivering services to patients. mHealth could empower patients as it becomes necessary for them to become involved in the health-care processes related to them. This includes the ability for patients to manage their personal information and interact with health-care staff as well as among patients themselves. The study proposes a new position to supervise mHealth services: the online health educator (OHE). The OHE should be occupied by special health-care staffs who are trained in managing online services. A survey was conducted in Brunei and Indonesia to discover the roles of OHE in managing mHealth services, followed by a focus group discussion with participants who interacted with OHE in a real online health scenario. Data analysis showed that OHE could improve patients' confidence and satisfaction in health-care services.

  18. Electronic Health Services

    PubMed Central

    Khalil, Mounir M; Jones, Ray

    2007-01-01

    Information and communication technologies have made dramatic changes in our lives. Healthcare communities also made use of these technologies. Using computerized medical knowledge, electronic patients’ information and telecommunications a lot of applications are now established throughout the world. These include better ways of information management, remote education, telemedicine and public services. Yet, a lot of people don't know about these technologies and their applications. Understanding the concepts and ideologies behind these terms, knowing how they will be implemented, what is it like to use them and what benefit will be gained, are basic knowledge steps approaching these technologies. Difficulties using these services, especially in developing countries should not be neglected or underestimated. PMID:21503245

  19. 34 CFR 303.16 - Health services.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 34 Education 2 2012-07-01 2012-07-01 false Health services. 303.16 Section 303.16 Education... DISABILITIES General Definitions Used in This Part § 303.16 Health services. (a) Health services mean services..., the changing of dressings or colostomy collection bags, and other health services; and...

  20. 34 CFR 303.16 - Health services.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 34 Education 2 2014-07-01 2013-07-01 true Health services. 303.16 Section 303.16 Education... DISABILITIES General Definitions Used in This Part § 303.16 Health services. (a) Health services mean services..., the changing of dressings or colostomy collection bags, and other health services; and (2...

  1. 34 CFR 303.16 - Health services.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 34 Education 2 2013-07-01 2013-07-01 false Health services. 303.16 Section 303.16 Education... DISABILITIES General Definitions Used in This Part § 303.16 Health services. (a) Health services mean services..., the changing of dressings or colostomy collection bags, and other health services; and (2...

  2. Who decides which pharmacy services are provided in UK National Health Service hospitals?

    PubMed

    Cotter, S M; McKee, M; Strong, P M

    1997-02-01

    An interview survey of 129 UK National Health Service doctors, nurses, pharmacists and managers at eight acute care hospitals was conducted in 1994. The survey examined several topics including whether the introduction of the internal market had affected hospital pharmacy services and what those effects had been. An internal market has been introduced and it has had significant effects on the nature and structure of hospital pharmacy services. Directorate pharmacy services were available at six sites. Contracts for specific, usually novel, services had been implemented at one site and contracts had been introduced widely at another hospital. However, all the features of a market were not present at any site. Market orientation also has implications for the equity of service provision, primarily because decision-making regarding service provision is increasingly in the hands of the clinical directors, rather than pharmacy managers. The effects of this change are not yet clear.

  3. Community service contracting for older people in urban China: a case study in Guangdong Province.

    PubMed

    Lin, Wenyi

    2016-01-01

    Contracting of community services to non-governmental service-providing organisations - mainly social work agencies - is an emerging phenomenon and a social innovation with regard to delivering community services in urban China. Contracting of community services for the older person, which is the focus of this study, is embedded in the macro context of the development of social service contracting in China. Qualitative research techniques, including document analysis, case study, participant observation and in-depth interviews, were adopted for this study. Nine government officials, three staff working in Community Residents' Committees, 15 staff working in social work agencies and 41 older people were interviewed in an effort to understand the impact and challenges of community service contracting in urban China. The findings showed that the involvement of social work agencies in the community service provision system results in integration of community resources, expansion of service coverage and enhancement of older people's access to community services. However, several problems may impede the development of community service provision in the context of contracting in China. These include purchaser-oriented rather than user-oriented service provision, older people's negative attitude towards social work services, inappropriate performance measurement, reliance of non-government organisations on government funding and ambiguous definition of community services.

  4. 31 CFR 538.406 - Exportation of services; performance of service contracts; legal services.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... to services performed on behalf of the Government of Sudan, or where the benefit of such services is otherwise received in Sudan, when such services are performed: (1) In the United States; (2) By a U.S... States. (b) The benefit of services performed anywhere in the world on behalf of the Government of...

  5. 31 CFR 538.406 - Exportation of services; performance of service contracts; legal services.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... to services performed on behalf of the Government of Sudan, or where the benefit of such services is otherwise received in Sudan, when such services are performed: (1) In the United States; (2) By a U.S... States. (b) The benefit of services performed anywhere in the world on behalf of the Government of...

  6. 31 CFR 538.406 - Exportation of services; performance of service contracts; legal services.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... to services performed on behalf of the Government of Sudan, or where the benefit of such services is otherwise received in Sudan, when such services are performed: (1) In the United States; (2) By a U.S... States. (b) The benefit of services performed anywhere in the world on behalf of the Government of...

  7. 31 CFR 538.406 - Exportation of services; performance of service contracts; legal services.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... to services performed on behalf of the Government of Sudan, or where the benefit of such services is otherwise received in Sudan, when such services are performed: (1) In the United States; (2) By a U.S... States. (b) The benefit of services performed anywhere in the world on behalf of the Government of...

  8. 31 CFR 538.406 - Exportation of services; performance of service contracts; legal services.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... to services performed on behalf of the Government of Sudan, or where the benefit of such services is otherwise received in Sudan, when such services are performed: (1) In the United States; (2) By a U.S... States. (b) The benefit of services performed anywhere in the world on behalf of the Government of...

  9. 47 CFR 1.1919 - Contracting for collection services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... enter into contracts for debtor asset and income search reports. In accordance with 31 U.S.C. 3718(d... such authority prior to the offer; (3) Specifically requires, as a term of its contract with the... accordance with 31 U.S.C. 3718(d), or as otherwise permitted by law. (d) The Commission may enter...

  10. 47 CFR 1.1919 - Contracting for collection services.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... institution. (e) The Commission may enter into contracts for debtor asset and income search reports. In... the Commission has granted such authority prior to the offer; (3) Specifically requires, as a term of... Commission may enter into contracts for locating and recovering assets of the United States, such...

  11. 47 CFR 1.1919 - Contracting for collection services.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... institution. (e) The Commission may enter into contracts for debtor asset and income search reports. In... the Commission has granted such authority prior to the offer; (3) Specifically requires, as a term of... Commission may enter into contracts for locating and recovering assets of the United States, such...

  12. 47 CFR 1.1919 - Contracting for collection services.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... enter into contracts for debtor asset and income search reports. In accordance with 31 U.S.C. 3718(d... such authority prior to the offer; (3) Specifically requires, as a term of its contract with the... accordance with 31 U.S.C. 3718(d), or as otherwise permitted by law. (d) The Commission may enter...

  13. 47 CFR 1.1919 - Contracting for collection services.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... institution. (e) The Commission may enter into contracts for debtor asset and income search reports. In... the Commission has granted such authority prior to the offer; (3) Specifically requires, as a term of... Commission may enter into contracts for locating and recovering assets of the United States, such...

  14. Oversight of Aegis’s Performance on Security Services Contracts in Iraq with the Department of Defense

    DTIC Science & Technology

    2009-01-14

    for three Reconstruction Security Support Services ( RSSS ) contracts. This report focuses on the RSSS contracts, examining the cost of the...SECURITY SERVICES CONTRACTS IN IRAQ WITH THE DEPARTMENT OF DEFENSE What SIGIR Found In addition to the $612.8 million in RSSS contract costs...at costs that are not readily available. Under the RSSS contract, almost 1,400 Aegis personnel provide DoD a variety of security services

  15. Office of Inspector General report on audit of controls over the ADP support services contract

    SciTech Connect

    1997-08-15

    In March 1995, the Department awarded a cost-plus-award-fee contract to DynCorp valued at approximately $246 million over 5 years for ADP support services at Headquarters. The performance period for the contract was a 3-year base period with two 1-year options. The contract statement of work identified 24 information management functional areas that required technical support services, including Automated Office Systems Support and Local Area Network support. The purpose of the audit was to evaluate the cost-plus-award-fee contract for ADP support services at Headquarters. The objective was to determine whether the Department`s program offices at Headquarters were managing their ADP support services contract costs.

  16. 48 CFR 733.270-1 - Designation of Armed Services Board of Contract Appeals (ASBCA) to hear and determine appeals...

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... Services Board of Contract Appeals (ASBCA) to hear and determine appeals under USAID contracts. 733.270-1... CONTRACTING REQUIREMENTS PROTESTS, DISPUTES, AND APPEALS USAID Procedures for Disputes and Appeals 733.270-1 Designation of Armed Services Board of Contract Appeals (ASBCA) to hear and determine appeals under USAID...

  17. 48 CFR 733.270-1 - Designation of Armed Services Board of Contract Appeals (ASBCA) to hear and determine appeals...

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... Services Board of Contract Appeals (ASBCA) to hear and determine appeals under USAID contracts. 733.270-1... CONTRACTING REQUIREMENTS PROTESTS, DISPUTES, AND APPEALS USAID Procedures for Disputes and Appeals 733.270-1 Designation of Armed Services Board of Contract Appeals (ASBCA) to hear and determine appeals under USAID...

  18. 48 CFR 733.270-1 - Designation of Armed Services Board of Contract Appeals (ASBCA) to hear and determine appeals...

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... Services Board of Contract Appeals (ASBCA) to hear and determine appeals under USAID contracts. 733.270-1... CONTRACTING REQUIREMENTS PROTESTS, DISPUTES, AND APPEALS USAID Procedures for Disputes and Appeals 733.270-1 Designation of Armed Services Board of Contract Appeals (ASBCA) to hear and determine appeals under USAID...

  19. 48 CFR 733.270-1 - Designation of Armed Services Board of Contract Appeals (ASBCA) to hear and determine appeals...

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Services Board of Contract Appeals (ASBCA) to hear and determine appeals under USAID contracts. 733.270-1... CONTRACTING REQUIREMENTS PROTESTS, DISPUTES, AND APPEALS USAID Procedures for Disputes and Appeals 733.270-1 Designation of Armed Services Board of Contract Appeals (ASBCA) to hear and determine appeals under USAID...

  20. 48 CFR 733.270-1 - Designation of Armed Services Board of Contract Appeals (ASBCA) to hear and determine appeals...

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... Services Board of Contract Appeals (ASBCA) to hear and determine appeals under USAID contracts. 733.270-1... CONTRACTING REQUIREMENTS PROTESTS, DISPUTES, AND APPEALS USAID Procedures for Disputes and Appeals 733.270-1 Designation of Armed Services Board of Contract Appeals (ASBCA) to hear and determine appeals under USAID...

  1. An optimization modeling approach to awarding large fire support wildfire helicopter contracts from the US Forest Service

    Treesearch

    Stephanie A. Snyder; Keith D. Stockmann; Gaylord E. Morris

    2012-01-01

    The US Forest Service used contracted helicopter services as part of its wildfire suppression strategy. An optimization decision-modeling system was developed to assist in the contract selection process. Three contract award selection criteria were considered: cost per pound of delivered water, total contract cost, and quality ratings of the aircraft and vendors....

  2. Health Careers Opportunity Program (HCOP). Section 787 (Public Health Service Act). Program Guide.

    ERIC Educational Resources Information Center

    Department of Health and Human Services, Washington, DC.

    This document summarizes the requirements and guidelines for the Health Careers Opportunity Program (HCOP). This program is authorized by Section 787 of the Public Health Service Act to make grants to and contracts with postsecondary institutions to carry out programs which assist individuals from disadvantaged backgrounds to enter and graduate…

  3. Innovation in Health Services

    PubMed Central

    Kaluzny, Arnold D.

    1974-01-01

    The arrangements comprising the health care delivery system are analyzed in terms of social organization, and selected characteristics of the system are discussed that are pertinent to the study of diffusion and adoption of various types of innovations. Research currently under way or completed is then reviewed in terms of its contribution to overall understanding of the phenomenon of innovation, on both the individual practitioner and the organizational levels. The analysis is then used to delineate problem areas needing further study. The article provides a useful context in which to consider substantive findings of future empirical research. PMID:4606674

  4. 41 CFR 301-73.200 - Must we require our employees to use GSA's contract passenger transportation services program?

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Public Contracts and Property Management Federal Travel Regulation System TEMPORARY DUTY (TDY) TRAVEL ALLOWANCES AGENCY RESPONSIBILITIES 73-TRAVEL PROGRAMS Contract Passenger Transportation Services § 301-73.200... such services are available to your agency....

  5. 41 CFR 301-73.200 - Must we require our employees to use GSA's contract passenger transportation services program?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Public Contracts and Property Management Federal Travel Regulation System TEMPORARY DUTY (TDY) TRAVEL ALLOWANCES AGENCY RESPONSIBILITIES 73-TRAVEL PROGRAMS Contract Passenger Transportation Services § 301-73.200... such services are available to your agency....

  6. 41 CFR 301-73.200 - Must we require our employees to use GSA's contract passenger transportation services program?

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Public Contracts and Property Management Federal Travel Regulation System TEMPORARY DUTY (TDY) TRAVEL ALLOWANCES AGENCY RESPONSIBILITIES 73-TRAVEL PROGRAMS Contract Passenger Transportation Services § 301-73.200... such services are available to your agency....

  7. 41 CFR 301-73.200 - Must we require our employees to use GSA's contract passenger transportation services program?

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Public Contracts and Property Management Federal Travel Regulation System TEMPORARY DUTY (TDY) TRAVEL ALLOWANCES AGENCY RESPONSIBILITIES 73-TRAVEL PROGRAMS Contract Passenger Transportation Services § 301-73.200... such services are available to your agency....

  8. 41 CFR 301-73.200 - Must we require our employees to use GSA's contract passenger transportation services program?

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Public Contracts and Property Management Federal Travel Regulation System TEMPORARY DUTY (TDY) TRAVEL ALLOWANCES AGENCY RESPONSIBILITIES 73-TRAVEL PROGRAMS Contract Passenger Transportation Services § 301-73.200... such services are available to your agency....

  9. Strategic contracting practices to improve procurement of health commodities

    PubMed Central

    Arney, Leslie; Yadav, Prashant; Miller, Roger; Wilkerson, Taylor

    2014-01-01

    ABSTRACT Public-sector entities responsible for procurement of essential medicines and health commodities in developing countries often lack the technical capacity to efficiently ensure supply security. Under strict public scrutiny and pressures to be transparent, many agencies continue to use archaic procurement methods and to depend on inflexible forecasts and cumbersome tendering processes. On the basis of semi-structured literature reviews and interviews, we identified framework agreements as a strategic procurement practice used by the U.S. federal government that may also be suitable for global health supply chains. Framework agreements are long-term contracts that provide the terms and conditions under which smaller repeat purchasing orders may be issued for a defined period of time. Such agreements are common in U.S. and United Nations procurement systems and in other developed countries and multilateral organizations. In contrast, framework agreements appear to be seldom used in procurement of health commodities in countries of sub-Saharan Africa. The current practice of floating tenders multiple times a year contributes to long lead times and stock-outs, and it hampers the manufacturer's or supplier's ability to plan and respond to the government's needs. To date, government's use of strategic contracting practices in public procurement of health commodities has not received much attention in most developing countries. It may present an opportunity for substantial improvements in procurement efficiency and commodity availability. Enabling legislation and strengthened technical capacity to develop and manage long-term contracts could facilitate the use of framework contracts in sub-Saharan Africa, with improved supply security and cost savings likely to result. PMID:25276589

  10. Strategic contracting practices to improve procurement of health commodities.

    PubMed

    Arney, Leslie; Yadav, Prashant; Miller, Roger; Wilkerson, Taylor

    2014-08-01

    Public-sector entities responsible for procurement of essential medicines and health commodities in developing countries often lack the technical capacity to efficiently ensure supply security. Under strict public scrutiny and pressures to be transparent, many agencies continue to use archaic procurement methods and to depend on inflexible forecasts and cumbersome tendering processes. On the basis of semi-structured literature reviews and interviews, we identified framework agreements as a strategic procurement practice used by the U.S. federal government that may also be suitable for global health supply chains. Framework agreements are long-term contracts that provide the terms and conditions under which smaller repeat purchasing orders may be issued for a defined period of time. Such agreements are common in U.S. and United Nations procurement systems and in other developed countries and multilateral organizations. In contrast, framework agreements appear to be seldom used in procurement of health commodities in countries of sub-Saharan Africa. The current practice of floating tenders multiple times a year contributes to long lead times and stock-outs, and it hampers the manufacturer's or supplier's ability to plan and respond to the government's needs. To date, government's use of strategic contracting practices in public procurement of health commodities has not received much attention in most developing countries. It may present an opportunity for substantial improvements in procurement efficiency and commodity availability. Enabling legislation and strengthened technical capacity to develop and manage long-term contracts could facilitate the use of framework contracts in sub-Saharan Africa, with improved supply security and cost savings likely to result.

  11. A national public health service.

    PubMed Central

    Galbraith, N S

    1981-01-01

    The development of the British public health services is briefly reviewed and it is suggested that two types of epidemiologist (Community Physician) are necessary in each locality: one concerned with medical administration and health care planning-the medical administrator, and the other with the prevention of disease-the clinical epidemiologist. A new nation public health service is proposed to revive disease prevention with four main features: (1) A district Clinical Epidemiologist who is a member of the district department of community medicine with responsibility for prevention but with no district administrative duties. (2) A District Epidemiology Unit comprising other appropriate staff. (3) National specialist epidemiology units within the NHS with service roles to support and coordinate the District Clinical Epidemiologists. (4) A national authority within the NHS with responsibility for prevention and for administering the national specialist units. PMID:7007637

  12. 34 CFR 682.416 - Requirements for third-party servicers and lenders contracting with third-party servicers.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... of the Act and with the FFEL programs regulations; and (3) Has adequate personnel who are... the servicer. (e) Independent audits. (1) A third-party servicer shall arrange for an independent audit of its administration of the FFELP loan portfolio unless— (i) The servicer contracts with only one...

  13. 48 CFR 237.104 - Personal services contracts.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... authorizing official may issue a blanket D&F for classes of contracts. (B) Prepare each D&F in accordance with... be entered into under this authority include clinical social workers, psychologists, psychiatrists...

  14. 48 CFR 237.104 - Personal services contracts.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... authorizing official may issue a blanket D&F for classes of contracts. (B) Prepare each D&F in accordance with... be entered into under this authority include clinical social workers, psychologists, psychiatrists...

  15. 78 FR 13710 - Analysis of FY 2011 Service Contract Inventories

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-28

    ... courts have developed a body of law drawn from the statute. The NLRB consists of 51 regional, sub..., Tuvell, and Company. This contract with a base year and four (4) one-year options totals $942,148....

  16. Forest restoration and forest communities: have local communities benefited from forest service contracting of ecosystem management?

    PubMed

    Moseley, Cassandra; Reyes, Yolanda E

    2008-08-01

    Conservation-based development programs have sought to create economic opportunities for people negatively impacted by biological diversity protection. The USDA Forest Service, for example, developed policies and programs to create contracting opportunities for local communities to restore public lands to replace jobs lost from reduced timber harvest. This article examines 12 years of Forest Service land management contracting in western Oregon, Washington, and northern California to evaluate if contractors located in communities near national forests have been awarded more land management contracts and contract value over time. We find that land management contracting spending has declined dramatically and, once we control for intervening factors, we find that local contractors have received a smaller proportion of land management contracts over time.

  17. Forest Restoration and Forest Communities: Have Local Communities Benefited from Forest Service Contracting of Ecosystem Management?

    NASA Astrophysics Data System (ADS)

    Moseley, Cassandra; Reyes, Yolanda E.

    2008-08-01

    Conservation-based development programs have sought to create economic opportunities for people negatively impacted by biological diversity protection. The USDA Forest Service, for example, developed policies and programs to create contracting opportunities for local communities to restore public lands to replace jobs lost from reduced timber harvest. This article examines 12 years of Forest Service land management contracting in western Oregon, Washington, and northern California to evaluate if contractors located in communities near national forests have been awarded more land management contracts and contract value over time. We find that land management contracting spending has declined dramatically and, once we control for intervening factors, we find that local contractors have received a smaller proportion of land management contracts over time.

  18. Full Food Service Contract for Army Dining Facilities

    DTIC Science & Technology

    1982-01-01

    agencies shall, at all reasonable times, have access to the premises for official inspections or to conduct site visits for follow-on contracts. 1.3.9...reperformed. 1.5.1.2 Maintaining an Inspection File. The contractor shall maintain a file of the records of all inspections conducted and...Contractor shall conduct customer surveys and other studies when required by the Contracting Officer. Forms for evaluation will be furnished by the

  19. 25 CFR 900.216 - What other statutes and regulations apply to contract disputes?

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... contract disputes? (a) The Contract Disputes Act of 1978 (CDA), Public Law 95-563 (41 U.S.C. 601 as amended... HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES CONTRACTS UNDER THE INDIAN SELF-DETERMINATION...

  20. Centralized contracting an imperative for reducing health system costs.

    PubMed

    Baskel, Christopher

    2014-03-01

    As a health system expands, there is a concomitant need for its leaders to take steps to ensure that redundancies in purchasing processes do not drive up costs to unsustainable levels. Spectrum Health in Grand Rapids, Mich., tackled this challenge by instituting a revenue-driven, patient-care-focused value analysis process that centralized contracting processes in several areas of nonsalary expense. Spectrum went on to uncover opportunities for cutting costs in its decentralized, non-purchase order expenses, saving 24 percent in the first of four arenas.