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

    PubMed

    1993-04-01

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

  4. 42 CFR 136.22 - Establishment of contract health service delivery areas.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... areas. 136.22 Section 136.22 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH Contract Health... area after consultation with the tribal governing body or bodies on those reservations included...

  5. 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.

  6. 42 CFR 136.22 - Establishment of contract health service delivery areas.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

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

  7. 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

  8. 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

  9. Improving government health services through contract management: a case from Cambodia.

    PubMed

    Soeters, Robert; Griffiths, Fred

    2003-03-01

    Most government health facilities in Cambodia perform poorly, due to lack of funds, inadequate management and inefficient use of resources, but mostly due to poor motivation of staff. This paper describes contracting as a possible tool for Ministries of Health to improve health service delivery more rapidly than the more traditional reform approaches. In Cambodia, the Ministry of Health started an experiment with contracting in eight districts, covering 1 million people. Health care management in five districts was sub-contracted to private sector operators, and their results were compared with three control districts. Both internal and external reviews showed that after 3 years of implementation, the utilization of health services in the contracted districts improved significantly, in comparison with the control districts. There was adequate competition in awarding the contracts. A Ministry of Health Project Co-ordinating Unit measured the performance of the contractors, and contributed pro-actively. There was no evidence of rent-seeking practices by either the contracting agency or the contractors. This paper describes in more detail the successes and failures in one of the contracted districts, where HealthNet International applied the contracting approach. Despite significantly increased official user fees, constituting 16% of recurrent costs, the utilization of services was equally increased. Patients thought the fees were reasonable because they were still lower than the fees demanded if government health workers charged informally. They also thought that the services were of better quality than in the unregulated private sector. Another important result was that combining strict monitoring with performance-based incentives demonstrates a decrease in total family health expenditure of some 40% from US dollars 18 to US dollars 11 per capita per year. Innovative and decisive management proved to be essential, which is more likely to be achieved by a contracted

  10. Improving government health services through contract management: a case from Cambodia.

    PubMed

    Soeters, Robert; Griffiths, Fred

    2003-03-01

    Most government health facilities in Cambodia perform poorly, due to lack of funds, inadequate management and inefficient use of resources, but mostly due to poor motivation of staff. This paper describes contracting as a possible tool for Ministries of Health to improve health service delivery more rapidly than the more traditional reform approaches. In Cambodia, the Ministry of Health started an experiment with contracting in eight districts, covering 1 million people. Health care management in five districts was sub-contracted to private sector operators, and their results were compared with three control districts. Both internal and external reviews showed that after 3 years of implementation, the utilization of health services in the contracted districts improved significantly, in comparison with the control districts. There was adequate competition in awarding the contracts. A Ministry of Health Project Co-ordinating Unit measured the performance of the contractors, and contributed pro-actively. There was no evidence of rent-seeking practices by either the contracting agency or the contractors. This paper describes in more detail the successes and failures in one of the contracted districts, where HealthNet International applied the contracting approach. Despite significantly increased official user fees, constituting 16% of recurrent costs, the utilization of services was equally increased. Patients thought the fees were reasonable because they were still lower than the fees demanded if government health workers charged informally. They also thought that the services were of better quality than in the unregulated private sector. Another important result was that combining strict monitoring with performance-based incentives demonstrates a decrease in total family health expenditure of some 40% from US dollars 18 to US dollars 11 per capita per year. Innovative and decisive management proved to be essential, which is more likely to be achieved by a contracted

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

    PubMed

    Khim, Keovathanak; Annear, Peter Leslie

    2013-11-01

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

  12. 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.

  13. 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.

  14. 42 CFR 136.23 - Persons to whom contract health services will be provided.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... economic and social ties with that tribe or tribes. (b) Students and transients. Subject to the provisions of this subpart, contract health services will be made available to students and transients who would...) Transients (persons who are in travel or are temporarily employed, such as seasonal or migratory...

  15. 42 CFR 136.23 - Persons to whom contract health services will be provided.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... economic and social ties with that tribe or tribes. (b) Students and transients. Subject to the provisions of this subpart, contract health services will be made available to students and transients who would...) Transients (persons who are in travel or are temporarily employed, such as seasonal or migratory...

  16. 42 CFR 136.23 - Persons to whom contract health services will be provided.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... economic and social ties with that tribe or tribes. (b) Students and transients. Subject to the provisions of this subpart, contract health services will be made available to students and transients who would...) Transients (persons who are in travel or are temporarily employed, such as seasonal or migratory...

  17. 42 CFR 136.23 - Persons to whom contract health services will be provided.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... economic and social ties with that tribe or tribes. (b) Students and transients. Subject to the provisions of this subpart, contract health services will be made available to students and transients who would...) Transients (persons who are in travel or are temporarily employed, such as seasonal or migratory...

  18. Contracting for Services.

    ERIC Educational Resources Information Center

    Jenkins, Robin E.; Nord, Roy

    1982-01-01

    The major steps a college should undertake in contracting for services, including the initial determination as to whether or not contracting is the best way to provide a particular service, are described. Three general activities that apply to decisions about contracting in most circumstances are: investigating service characteristics; identifying…

  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. 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. PMID:26328512

  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. Racial Misclassification of American Indians and Alaska Natives by Indian Health Service Contract Health Service Delivery Area

    PubMed Central

    Jim, Melissa A.; Arias, Elizabeth; Seneca, Dean S.; Hoopes, Megan J.; Jim, Cheyenne C.; Johnson, Norman J.; Wiggins, Charles L.

    2014-01-01

    Objectives. We evaluated the racial misclassification of American Indians and Alaska Natives (AI/ANs) in cancer incidence and all-cause mortality data by Indian Health Service (IHS) Contract Health Service Delivery Area (CHSDA). Methods. We evaluated data from 3 sources: IHS-National Vital Statistics System (NVSS), IHS-National Program of Cancer Registries (NPCR)/Surveillance, Epidemiology and End Results (SEER) program, and National Longitudinal Mortality Study (NLMS). We calculated, within each data source, the sensitivity and classification ratios by sex, IHS region, and urban–rural classification by CHSDA county. Results. Sensitivity was significantly greater in CHSDA counties (IHS-NVSS: 83.6%; IHS-NPCR/SEER: 77.6%; NLMS: 68.8%) than non-CHSDA counties (IHS-NVSS: 54.8%; IHS-NPCR/SEER: 39.0%; NLMS: 28.3%). Classification ratios indicated less misclassification in CHSDA counties (IHS-NVSS: 1.20%; IHS-NPCR/SEER: 1.29%; NLMS: 1.18%) than non-CHSDA counties (IHS-NVSS: 1.82%; IHS-NPCR/SEER: 2.56%; NLMS: 1.81%). Race misclassification was less in rural counties and in regions with the greatest concentrations of AI/AN persons (Alaska, Southwest, and Northern Plains). Conclusions. Limiting presentation and analysis to CHSDA counties helped mitigate the effects of race misclassification of AI/AN persons, although a portion of the population was excluded. PMID:24754617

  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 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. PMID:17143460

  6. 77 FR 5804 - Public Availability of the Department of Health and Human Services FY 2011 Service Contract...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-06

    ... Contract Inventory AGENCY: Office of the Assistant Secretary for Financial Resources, Office of Grants and.... ACTION: Notice of Public Availability of FY 2011 Service Contract Inventories. SUMMARY: In accordance... availability of its FY 2011 Service Contract inventory. This inventory provides information on service...

  7. 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

  8. Service contract management and negotiation.

    PubMed

    Wickesser, T A

    1994-04-01

    Service contract management can have a profound impact on the life cycle cost and general performance of serviced equipment. Negotiating service contracts from the client's perspective can help to ensure that the facility is receiving the best possible service and terms during the contract period. This document shows examples of contract considerations.

  9. Contracting for Classroom Services.

    ERIC Educational Resources Information Center

    McLaughlin, John; Brown, Senn

    2000-01-01

    Like county governments, hospitals, and municipalities, superintendents must develop policies and protocols for requesting proposals, administering contracts, and ensuring desired results of private-sector services. Administrators should consider performance criteria, legal issues, cost and efficiency analysis, contractor evaluation criteria, and…

  10. 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 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, 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...

  13. 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...

  14. 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.

  15. Smooth Sailing with Contract Services.

    ERIC Educational Resources Information Center

    Fickes, Michael

    2001-01-01

    Discusses how to make the contract services relationship work smoothly for educational facilities. Covers topics of food, child care, and transportation services, along with a brief explanation of the benefits of outsourcing on-campus amenities. (GR)

  16. 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…

  17. Contracting out of clinical services in Zimbabwe.

    PubMed

    McPake, B; Hongoro, C

    1995-07-01

    Contracting is increasingly recommended to developing countries as a way of improving the efficiency of the health sector. However, empirical evidence regarding its effectiveness in this respect is almost completely absent. In Zimbabwe, a long standing contract exists between the Ministry of Health and Wankie Colliery to provide clinical services in the Colliery's 400 bed hospital. This paper details a study of the Zimbabweans' experience with the contract. Its success is assessed using comparisons with a neighbouring government hospital of the price of services (vs the cost in the government hospital); the situation of hospital workers; and the quality of services delivered. The Colliery has established a monopoly position for hospital services in the district. However, it appears to offer services of at least as good quality at prices which are lower than the unit costs of the government hospital when capital costs are included. Nevertheless, the contract cannot be considered a success due to the failure to contain its total cost. Approximately 70% of provincial non-salary recurrent expenditure is consumed by the contract while only a minority of the province's population have access to the Colliery hospital. Screening patients, both with respect to their ability to pay and to their need for secondary level services does not take place with the result that utilization levels are not controlled. The study highlights a number of important issues affecting contracting in developing country setting: First, contracted institutions attain powerful bargaining positions if there are no viable competitors and the government does not itself retain capacity to offer an alternative service. Second, specific skills are needed for the management of contracts at all levels. If the process of contract development responds to a crisis driven agenda resulting from civil service retrenchment and public expenditure cuts, it is unlikely that adequate consideration will be given to

  18. Contracting Arrangements in Children's Services.

    ERIC Educational Resources Information Center

    Ainsworth, Frank

    1994-01-01

    Reports on the results of a study undertaken in Pennsylvania and Massachusetts in 1992 of the use of contracting arrangements in children's services. Highlights the positive and negative aspects of contracting for both contractors and providers, and discusses the impact of this approach for the traditional differentiation between nongovernmental…

  19. Contracting for Audit Services.

    ERIC Educational Resources Information Center

    Heifetz, Harry S.

    1987-01-01

    The Single Audit Act of 1984 requires most school districts receiving over $25,000 in federal funds to undergo financial audits. This article highlights requirements for selecting certified public accountants to perform the audit and suggests factors to be considered before drafting a contract or letter of engagement. A sample letter is included.…

  20. 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

  1. 42 CFR 136.30 - Payment to Medicare-participating hospitals for authorized Contract Health Services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... similar hospital services under 42 CFR part 412. Payment for outpatient hospital services shall be made based on a PPS used in the Medicare program to pay for similar hospital services under 42 CFR part 419... to pay for similar SNF services under 42 CFR part 413. (2) For Medicare participating hospitals...

  2. 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.

  3. 42 CFR 136.30 - Payment to Medicare-participating hospitals for authorized Contract Health Services.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... medical education costs; units of blood clotting factor furnished to an eligible patient who is a... similar hospital services under 42 CFR part 412. Payment for outpatient hospital services shall be made based on a PPS used in the Medicare program to pay for similar hospital services under 42 CFR part...

  4. 42 CFR 136.30 - Payment to Medicare-participating hospitals for authorized Contract Health Services.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... medical education costs; units of blood clotting factor furnished to an eligible patient who is a... similar hospital services under 42 CFR part 412. Payment for outpatient hospital services shall be made based on a PPS used in the Medicare program to pay for similar hospital services under 42 CFR part...

  5. 42 CFR 136.30 - Payment to Medicare-participating hospitals for authorized Contract Health Services.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... medical education costs; units of blood clotting factor furnished to an eligible patient who is a... similar hospital services under 42 CFR part 412. Payment for outpatient hospital services shall be made based on a PPS used in the Medicare program to pay for similar hospital services under 42 CFR part...

  6. 42 CFR 136.30 - Payment to Medicare-participating hospitals for authorized Contract Health Services.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... medical education costs; units of blood clotting factor furnished to an eligible patient who is a... similar hospital services under 42 CFR part 412. Payment for outpatient hospital services shall be made based on a PPS used in the Medicare program to pay for similar hospital services under 42 CFR part...

  7. 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

  8. 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

    ... improving the quality of health care for AI/AN people. Supporting improved health care in Indian Country... and expertise on the variety of issues related to the provision of health care to Indian people..., via email or letter, to outline minor missing components (i.e., signature on the SF-424,...

  9. 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...

  10. Why is the General Ophthalmic Services (GOS) Contract that underpins primary eye care in the U.K. contrary to the public health interest?

    PubMed

    Shickle, D; Davey, C J; Slade, S V

    2015-07-01

    The model for delivery of primary eye care in Europe varies from country to country with differing reliance on ophthalmologists, optometrists and dispensing opticians. Comparative analysis of models has tended to focus on interprofessional working arrangements, training and regulatory issues, rather than on whether a particular model is effective for delivering public health goals for that country. National Health Service (NHS) primary eye care services in the UK are predominantly provided under a General Ophthalmic Services (GOS) Contract between the NHS and practice owners (Contractors). Over two-thirds of sight tests conducted in England, Wales and Northern Ireland and all in Scotland are performed under a GOS Contract, however many people entitled to a GOS sight test do not take up their entitlement. The fee paid for sight tests conducted under a GOS Contract in England, Wales and Northern Ireland does not cover the full cost of conducting the examination. The shortfall must be made up through profits of sale of optical appliances but this business model can be a deterrent to establishing practices within socioeconomically deprived communities, and can also be a barrier to uptake of sight tests, even though many people are entitled to a NHS optical voucher towards the cost of spectacles or contact lenses. This paper critiques the GOS Contracts within the UK. We argue that aspects of the way the GOS Contract is implemented are contrary to the public health interest and that different approaches are needed to address eye health inequalities and to reduce preventable sight loss.

  11. 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

    ... will ensure that the information developed and disseminated through the projects is appropriate, useful... between Tribes and HHS. With the limited funds available for ] these projects, HHS must ensure that the...; Health Care Policy Analysis and Review, Budget Formulation and TLDC. Project Period The project...

  12. 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

    ... goals of the President's National HIV/AIDS Strategy (NHAS) to: Reduce the number of people who become infected with HIV, increase access to care and optimize health outcomes for people living with HIV, and.... Amongst AI/AN people, HIV/AIDS exists in both urban and rural populations (and on or near Tribal...

  13. 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. PMID:10711318

  14. 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.

  15. 77 FR 5280 - Service Contracts Inventory

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-02

    ...The U.S. Nuclear Regulatory Commission (NRC) is providing for public information its Inventory of Contracts for Services for Fiscal Year (FY) 2011. The inventory includes service contract actions over $25,000 that were awarded in FY...

  16. 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. PMID:9873335

  17. 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

  18. Different approaches to contracting in health systems.

    PubMed

    Perrot, Jean

    2006-11-01

    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.

  19. Contract Observation in Web Services Environments

    NASA Astrophysics Data System (ADS)

    Bíba, Jiří; Hodík, Jiří; Jakob, Michal; Pěchouček, Michal

    Electronic contracting, based on explicit representation of different parties' commitments, is a promising way to specifying and regulating behaviour in distributed business applications. A key part of contract-based system is a process through which the actual behaviour of individual parties is checked for conformance with contracts set to govern such behaviour. Such checking requires that relevant information on the behaviour of the parties, both with respect to the application processes they execute and to managing their contractual relationships, is captured. The process of collecting all such information, termed contract observation, is the subject of this paper. First, we describe general properties and requirements of such an observation process; afterwards, we discuss specifics of realising contract observation in web services environments. Finally, we show how contract observation has been implemented as part of the IST-CONTRACT web services framework for contract-based systems.

  20. 42 CFR 460.70 - Contracted services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... authorized by the PACE interdisciplinary team. (ii) Accept payment from the PACE organization as payment in...) 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...

  1. Government Contracting for Purchase of Service

    ERIC Educational Resources Information Center

    Wedel, Kenneth R.

    1976-01-01

    Increased government contracting for social services has raised new concerns about the changing relationship between government and the voluntary social welfare sector. Do the potential benefits of such contracting outweigh the hazards? And perhaps more important, is the social work profession prepared to take on the intricacies of contract…

  2. Utility Energy Services Contracts Lessons Learned

    SciTech Connect

    2001-08-01

    This document describes best practices in the use of Utility Energy Services Contracts. The recommendations were generated by a group of innovative energy managers in many successful projects. The topics include project financing, competition between utility franchises, and water conservation.

  3. Practice nurses and the effects of the new general practitioner contract in the English National Health Service: the extension of a professional project?

    PubMed

    McDonald, Ruth; Campbell, Stephen; Lester, Helen

    2009-04-01

    This paper reports the impact on nurses working in primary health care settings of changes to the general practitioner (GP) contract in England implemented in 2004. Previous changes to the GP contract in 1990, which gave financial rewards for health promotion activities, were seen as enabling nurses to take on work that GPs did not want and providing an impetus for the development of a professional project (Broadbent, J. (1998). Practice nurses and the effects of the new general practitioner contract in the British NHS: the advent of a professional project? Social Science & Medicine, 47(4), 497-506). Our study, which involved interviews with nurses from 20 practices, finds that nurses are taking on work which has previously been the exclusive preserve of medical professionals. An increasing emphasis in nurses' accounts on technical skills and knowledge may help decouple nursing from a narrative of caring, which has been seen as detracting from professional advancement. Our research suggests that practice nurse work is changing to reflect a more medical (and masculine) orientation to service delivery. At the same time, nursing work is described as routine and template driven, which may limit claims to 'professional' status. The reaction of some practice nurses to Health Care Assistants encroaching on what was previously practice nurse territory suggests a policing of boundaries, rather than an inclusive approach to colleagues within the nursing team. This resonates with Davies' (Davies, C. (1995). Gender and the professional predicament in nursing. Bucks: Open University Press) suggestion that professionalisation as a process involves compliance with a masculine notion of professionalism (autonomous, elite, individual, divisive, detached) which marginalises feminine attributes and devalues the work done by women. The study also raises questions about the role of caring in general practice settings where nurses choose to prioritise other concerns.

  4. 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…

  5. 78 FR 13710 - Analysis of FY 2011 Service Contract Inventories

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-28

    ... Enterprise IT Helpdesk Support Services; and R704 Agency Audit Services. R407--The contract representing R407... in the amount of $1,588,851. This contract provides Enterprise IT Helpdesk Support Services for...

  6. 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...

  7. 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…

  8. 46 CFR 535.802 - Service contracts.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 9 2011-10-01 2011-10-01 false Service contracts. 535.802 Section 535.802 Shipping FEDERAL MARITIME COMMISSION REGULATIONS AFFECTING OCEAN SHIPPING IN FOREIGN COMMERCE OCEAN COMMON CARRIER... agreement not to follow these guidelines. (e) Voluntary guidelines shall be submitted to the...

  9. 48 CFR 37.104 - Personal services contracts.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 1 2010-10-01 2010-10-01 false Personal services contracts. 37.104 Section 37.104 Federal Acquisition Regulations System FEDERAL ACQUISITION REGULATION SPECIAL CATEGORIES OF CONTRACTING SERVICE CONTRACTING Service Contracts-General 37.104 Personal...

  10. 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.

  11. Trends in the Health Status of Medicare Risk Contract Enrollees

    PubMed Central

    Riley, Gerald; Zarabozo, Carlos

    2006-01-01

    Previous research has found Medicare risk contract enrollees to be healthier than beneficiaries in fee-for-service (FFS). Medicare Current Beneficiary Survey (MCBS) data were used to examine trends in health and functional status measures among risk contract and FFS enrollees from 1991 to 2004. Risk contract enrollees reported better health and functioning, but the differences tended to narrow over time. Most of the differences in trends were observed for functional status measures and institutionalization; differences in trends for perceived health status and prevalence rates of chronic conditions tended to be small or non-existent. The narrowing of functional and health status differences between the risk contract and FFS populations may have implications for payment policy, as well as implications for the role of private health plans in Medicare. PMID:17427847

  12. 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...Namara-O'Hara Service Contract Act Specific Exclusions § 4.121 Contracts for individual services. The Act... direct services to a Federal agency by an individual or individuals.” This exemption, which applies...

  13. 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...

  14. 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...

  15. 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...

  16. 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...

  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...

  18. 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...

  19. 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...

  20. 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...

  1. 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...

  2. 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...

  3. 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...

  4. 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....

  5. 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.

  6. 49 CFR 1039.17 - Protective service contracts exemption.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... service contracts exemption. Contracts for protective services against heat or cold, provided to or on.... This exemption shall remain in effect, unless modified or revoked by a subsequent order of this Board....

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

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 CFR part 1724 for architectural and engineering services, and in 7 CFR part 1726 for construction... 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....

  8. 7 CFR 1717.606 - Standard forms of construction contracts, and engineering and architectural services contracts.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 CFR part 1724 for architectural and engineering services, and in 7 CFR part 1726 for construction... 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....

  9. 7 CFR 1717.606 - Standard forms of construction contracts, and engineering and architectural services contracts.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 7 CFR part 1724 for architectural and engineering services, and in 7 CFR part 1726 for construction... 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....

  10. 7 CFR 1717.606 - Standard forms of construction contracts, and engineering and architectural services contracts.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 7 CFR part 1724 for architectural and engineering services, and in 7 CFR part 1726 for construction... 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....

  11. 7 CFR 1717.606 - Standard forms of construction contracts, and engineering and architectural services contracts.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 7 CFR part 1724 for architectural and engineering services, and in 7 CFR part 1726 for construction... 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....

  12. Behavioral health and managed care contracting under SCHIP.

    PubMed

    Rosenbaum, Sara; Sonosky, Colleen; Shaw, Karen; Mauery, D Richard

    2002-09-01

    This Policy Brief examines behavioral health managed care contracting under separately administered State Children's Health Insurance Programs (SCHIP), i.e., programs that operate under the direct authority of Title XXI of the Social Security Act rather than as expansions of Medicaid. Most separate SCHIP programs buy managed care style health insurance for some or most of their enrolled children. Because Title XXI provides states with far greater administrative flexibility than Medicaid with respect to coverage and benefit design, provision of services, and administration of managed care arrangements,studying separate SCHIP managed care products sheds important light on how states might approach insurance and managed care design generally in the area of behavioral health were Medicaid modified through section 1115 demonstration or federal statutory authority to permit greater latitude. To conduct this analysis, two nationwide databases maintained by the George Washington University Center for Health Services Research and Policy (CHSRP) were used: a database consisting of all Medicaid MCO-style managed care contracts in use in Calendar Year 2000; and a nationwide database consisting of contracts used by separate SCHIP programs for the same calendar year. As of the point of collection in 2000 there were 33 such separate programs; according to CMS' latest website information, that total has now reached 35. Both sets of contracts were analyzed and separated into their components by lawyers experienced in managed care contract analysis and interpretation. The data were entered into working tables that organize the contents of the contracts into a series of searchable domains.

  13. 75 FR 13381 - Nondisplacement of Qualified Workers Under Service Contracts

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-19

    ... Executive Order establishes a general policy of the Federal Government that service contracts and... (Executive Order 13495). 74 FR 6103. This Order establishes that, when a service contract expires and a... 13495 sets forth a general policy of the Federal Government that service contracts and solicitations...

  14. 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... available agency appropriations. See 4 CFR 102.6(b)(1) and (3). (2) NASA may also fund a collection service... the National Aeronautics and Space Administration (NASA) § 1261.409 Contracting for...

  15. 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,...

  16. 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... McNamara-O'Hara Service Contract Act Specific Exclusions § 4.120 Contracts for public utility... utility services, including electric light and power, water, steam, and gas.” This exemption is...

  17. 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... available agency appropriations. See 4 CFR 102.6(b)(1) and (3). (2) NASA may also fund a collection service... the National Aeronautics and Space Administration (NASA) § 1261.409 Contracting for...

  18. 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... available agency appropriations. See 4 CFR 102.6(b)(1) and (3). (2) NASA may also fund a collection service... the National Aeronautics and Space Administration (NASA) § 1261.409 Contracting for...

  19. 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... available agency appropriations. See 4 CFR 102.6(b)(1) and (3). (2) NASA may also fund a collection service... the National Aeronautics and Space Administration (NASA) § 1261.409 Contracting for...

  20. 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... available agency appropriations. See 4 CFR 102.6(b)(1) and (3). (2) NASA may also fund a collection service... Activities of the National Aeronautics and Space Administration (NASA) § 1261.409 Contracting for...

  1. 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...

  2. 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.... L. 111-117), the Office of Acquisitions and Contract Management is publishing this notice to advise.... The information is organized by function to show how contracted resources are distributed...

  3. 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: Office of Acquisitions and Contract Management (OACM), Peace Corps. ACTION: Notice of Public Availability... Consolidated Appropriations Act of 2010 (Pub. L. 111-117), the Office of Acquisitions and Contract...

  4. 48 CFR 237.102-72 - Contracts for management services.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 48 Federal Acquisition Regulations System 3 2012-10-01 2012-10-01 false Contracts for management... Contracts-General 237.102-72 Contracts for management services. In accordance with Section 802 of the... to the development or production of a major system, only if— (a) The contract prohibits...

  5. 48 CFR 237.102-72 - Contracts for management services.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 48 Federal Acquisition Regulations System 3 2013-10-01 2013-10-01 false Contracts for management... Contracts-General 237.102-72 Contracts for management services. In accordance with Section 802 of the... to the development or production of a major system, only if— (a) The contract prohibits...

  6. 48 CFR 237.102-72 - Contracts for management 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 management... Contracts-General 237.102-72 Contracts for management services. In accordance with Section 802 of the... to the development or production of a major system, only if— (a) The contract prohibits...

  7. 48 CFR 237.102-72 - Contracts for management services.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 48 Federal Acquisition Regulations System 3 2011-10-01 2011-10-01 false Contracts for management... Contracts-General 237.102-72 Contracts for management services. In accordance with Section 802 of the... to the development or production of a major system, only if— (a) The contract prohibits...

  8. 48 CFR 237.102-72 - Contracts for management services.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 48 Federal Acquisition Regulations System 3 2014-10-01 2014-10-01 false Contracts for management... Contracts-General 237.102-72 Contracts for management services. In accordance with Section 802 of the... to the development or production of a major system, only if— (a) The contract prohibits...

  9. 48 CFR 217.171 - Multiyear contracts for services.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 48 Federal Acquisition Regulations System 3 2013-10-01 2013-10-01 false Multiyear contracts for services. 217.171 Section 217.171 Federal Acquisition Regulations System DEFENSE ACQUISITION REGULATIONS SYSTEM, DEPARTMENT OF DEFENSE CONTRACTING METHODS AND CONTRACT TYPES SPECIAL CONTRACTING...

  10. 48 CFR 217.171 - Multiyear contracts for services.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 48 Federal Acquisition Regulations System 3 2012-10-01 2012-10-01 false Multiyear contracts for services. 217.171 Section 217.171 Federal Acquisition Regulations System DEFENSE ACQUISITION REGULATIONS SYSTEM, DEPARTMENT OF DEFENSE CONTRACTING METHODS AND CONTRACT TYPES SPECIAL CONTRACTING...

  11. 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...

  12. 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...

  13. 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...

  14. 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...

  15. 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...

  16. 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.

  17. 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

  18. 41 CFR 101-5.307 - Public Health Service.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 41 Public Contracts and Property Management 2 2013-07-01 2012-07-01 true Public Health Service... AND COMPLEXES 5.3-Federal Employee Health Services § 101-5.307 Public Health Service. (a) The only authorized contact point for assistance of and consultation with the Public Health Service is the...

  19. 41 CFR 101-5.307 - Public Health Service.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 41 Public Contracts and Property Management 2 2011-07-01 2007-07-01 true Public Health Service... AND COMPLEXES 5.3-Federal Employee Health Services § 101-5.307 Public Health Service. (a) The only authorized contact point for assistance of and consultation with the Public Health Service is the...

  20. 41 CFR 101-5.307 - Public Health Service.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 41 Public Contracts and Property Management 2 2014-07-01 2012-07-01 true Public Health Service... AND COMPLEXES 5.3-Federal Employee Health Services § 101-5.307 Public Health Service. (a) The only authorized contact point for assistance of and consultation with the Public Health Service is the...

  1. 41 CFR 101-5.307 - Public Health Service.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 41 Public Contracts and Property Management 2 2012-07-01 2012-07-01 false Public Health Service... AND COMPLEXES 5.3-Federal Employee Health Services § 101-5.307 Public Health Service. (a) The only authorized contact point for assistance of and consultation with the Public Health Service is the...

  2. 41 CFR 101-5.307 - Public Health Service.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 41 Public Contracts and Property Management 2 2010-07-01 2010-07-01 true Public Health Service... AND COMPLEXES 5.3-Federal Employee Health Services § 101-5.307 Public Health Service. (a) The only authorized contact point for assistance of and consultation with the Public Health Service is the...

  3. 48 CFR 37.104 - Personal services contracts.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 48 Federal Acquisition Regulations System 1 2011-10-01 2011-10-01 false Personal services contracts. 37.104 Section 37.104 Federal Acquisition Regulations System FEDERAL ACQUISITION REGULATION.... (f) Personal services contracts for the services of individual experts or consultants are limited...

  4. 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...

  5. 40 CFR 13.13 - Contracting for collection services.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 1 2010-07-01 2010-07-01 false Contracting for collection services. 13... STANDARDS Collection § 13.13 Contracting for collection services. EPA will use private collection services where it determines that their use is in the best interest of the Government. Where EPA determines...

  6. 40 CFR 13.13 - Contracting for collection services.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 1 2011-07-01 2011-07-01 false Contracting for collection services. 13... STANDARDS Collection § 13.13 Contracting for collection services. EPA will use private collection services where it determines that their use is in the best interest of the Government. Where EPA determines...

  7. Behavioral health and managed care contracting under SCHIP.

    PubMed

    Rosenbaum, Sara; Sonosky, Colleen; Shaw, Karen; Mauery, D Richard

    2002-09-01

    This Policy Brief examines behavioral health managed care contracting under separately administered State Children's Health Insurance Programs (SCHIP), i.e., programs that operate under the direct authority of Title XXI of the Social Security Act rather than as expansions of Medicaid. Most separate SCHIP programs buy managed care style health insurance for some or most of their enrolled children. Because Title XXI provides states with far greater administrative flexibility than Medicaid with respect to coverage and benefit design, provision of services, and administration of managed care arrangements,studying separate SCHIP managed care products sheds important light on how states might approach insurance and managed care design generally in the area of behavioral health were Medicaid modified through section 1115 demonstration or federal statutory authority to permit greater latitude. To conduct this analysis, two nationwide databases maintained by the George Washington University Center for Health Services Research and Policy (CHSRP) were used: a database consisting of all Medicaid MCO-style managed care contracts in use in Calendar Year 2000; and a nationwide database consisting of contracts used by separate SCHIP programs for the same calendar year. As of the point of collection in 2000 there were 33 such separate programs; according to CMS' latest website information, that total has now reached 35. Both sets of contracts were analyzed and separated into their components by lawyers experienced in managed care contract analysis and interpretation. The data were entered into working tables that organize the contents of the contracts into a series of searchable domains. PMID:12542079

  8. College Health: Health Services and Common Health Problems

    MedlinePlus

    ... Conditions Nutrition & Fitness Emotional Health College Health: Health Services and Common Health Problems Posted under Health Guides . ... March 2015. +Related Content What are student health services? The student health services (sometimes called the student ...

  9. 75 FR 82095 - Service Contracts Inventory

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-29

    ... at the NRC's electronic Reading Room at http://www.nrc.gov/reading-rm/adams.html . From this page... funding source for the contract; 4. The contract type and date of the award; 5. The name of the...

  10. 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…

  11. 48 CFR 1437.170 - Special service contract requirements.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... contract requirements. The following types of services shall be acquired as specified in the following Departmental regulations: (a) Aircraft-related services and maintenance shall be acquired as prescribed in...

  12. 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... SERVICES CONTRACTS UNDER THE INDIAN SELF-DETERMINATION AND EDUCATION ASSISTANCE ACT Federal Tort Claims Act... provide health care services under a personal services contract providing services in a facility that...

  13. Contracting for health and curative care use in Afghanistan between 2004 and 2005

    PubMed Central

    Arur, Aneesa; Peters, David; Hansen, Peter; Mashkoor, Mohammad Ashraf; Steinhardt, Laura C.; Burnham, Gilbert

    2010-01-01

    Afghanistan has used several approaches to contracting as part of its national strategy to increase access to basic health services. This study compares changes in the utilization of outpatient curative services from 2004 to 2005 between the different approaches for contracting-out services to non-governmental service providers, contracting-in technical assistance at public sector facilities, and public sector facilities that did not use contracting. We find that both contracting-in and contracting-out approaches are associated with substantial double difference increases in service use from 2004 to 2005 compared with non-contracted facilities. The double difference increase in contracting-out facilities for outpatient visits is 29% (P < 0.01), while outpatient visits from female patients increased 41% (P < 0.01), use by the poorest quintile increased 68% (P < 0.01) and use by children aged under 5 years increased 27% (P < 0.05). Comparing the individual contracting-out approaches, we find similar increases in outpatient visits when contracts are managed directly by the Ministry of Public Health compared with when contracts are managed by an experienced international non-profit organization. Finally, contracting-in facilities show even larger increases in all the measures of utilization other than visits from children under 5. Although there are minor differences in the results between contracting-out approaches, these differences cannot be attributed to a specific contracting-out approach because of factors limiting the comparability of the groups. It is nonetheless clear that the government was able to manage contracts effectively despite early concerns about their lack of experience, and that contracting has helped to improve utilization of basic health services. PMID:19850664

  14. Contracting for health and curative care use in Afghanistan between 2004 and 2005.

    PubMed

    Arur, Aneesa; Peters, David; Hansen, Peter; Mashkoor, Mohammad Ashraf; Steinhardt, Laura C; Burnham, Gilbert

    2010-03-01

    Afghanistan has used several approaches to contracting as part of its national strategy to increase access to basic health services. This study compares changes in the utilization of outpatient curative services from 2004 to 2005 between the different approaches for contracting-out services to non-governmental service providers, contracting-in technical assistance at public sector facilities, and public sector facilities that did not use contracting. We find that both contracting-in and contracting-out approaches are associated with substantial double difference increases in service use from 2004 to 2005 compared with non-contracted facilities. The double difference increase in contracting-out facilities for outpatient visits is 29% (P < 0.01), while outpatient visits from female patients increased 41% (P < 0.01), use by the poorest quintile increased 68% (P < 0.01) and use by children aged under 5 years increased 27% (P < 0.05). Comparing the individual contracting-out approaches, we find similar increases in outpatient visits when contracts are managed directly by the Ministry of Public Health compared with when contracts are managed by an experienced international non-profit organization. Finally, contracting-in facilities show even larger increases in all the measures of utilization other than visits from children under 5. Although there are minor differences in the results between contracting-out approaches, these differences cannot be attributed to a specific contracting-out approach because of factors limiting the comparability of the groups. It is nonetheless clear that the government was able to manage contracts effectively despite early concerns about their lack of experience, and that contracting has helped to improve utilization of basic health services.

  15. 48 CFR 3037.104-70 - Personal service contracts.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 48 Federal Acquisition Regulations System 7 2011-10-01 2011-10-01 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...

  16. 12 CFR 701.26 - Credit union service contracts.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 12 Banks and Banking 6 2011-01-01 2011-01-01 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 credit union may act as a representative of...

  17. 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...

  18. 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...

  19. 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...

  20. 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...

  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. 46 CFR 530.8 - Service Contracts.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    .... Subsequent references in the contract to the contract parties shall be consistent with the first reference (e...) alphanumeric characters in length (“SC Number”); and (2) A consecutively numbered amendment number no more than... Agreement Number(s) assigned by the Commission under 46 CFR part 535 (if applicable); and (4) An...

  3. 29 CFR 1926.15 - Relationship to the Service Contract Act; Walsh-Healey Public Contracts Act.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ...-Healey Public Contracts Act. (a) A contract for “construction” is one for nonpersonal service. See, e.g., 41 CFR 1-1.208. Section 2(e) of the Service Contract Act of 1965 requires as a condition of every... 29 Labor 8 2011-07-01 2011-07-01 false Relationship to the Service Contract Act;...

  4. 29 CFR 1926.15 - Relationship to the Service Contract Act; Walsh-Healey Public Contracts Act.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ...-Healey Public Contracts Act. (a) A contract for “construction” is one for nonpersonal service. See, e.g., 41 CFR 1-1.208. Section 2(e) of the Service Contract Act of 1965 requires as a condition of every... 29 Labor 8 2010-07-01 2010-07-01 false Relationship to the Service Contract Act;...

  5. 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

  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....

  7. 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.…

  8. 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.

  9. 7 CFR 1724.21 - Architectural services contracts.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ..., 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 2010-01-01 2010-01-01 false Architectural services contracts. 1724.21...

  10. 48 CFR 37.104 - Personal services contracts.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ...) Agencies shall not award personal services contracts unless specifically authorized by statute (e.g., 5 U.S... equipment furnished by the Government. (3) Services are applied directly to the integral effort of agencies... which apply in acquiring the personal services of experts or consultants in this manner (e.g.,...

  11. 48 CFR 437.104 - Personal services contracts.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 706(a) of the Organic Act of 1944 (7 U.S.C. 2225) authorizes contracting with persons or organizations on a temporary basis, without regard to civil service compensation classification standards in 5 U.S... contract with technically qualified persons, firms or organizations to perform research,...

  12. 48 CFR 970.2210 - Service Contract Act.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 5 2010-10-01 2010-10-01 false Service Contract Act. 970.2210 Section 970.2210 Federal Acquisition Regulations System DEPARTMENT OF ENERGY AGENCY SUPPLEMENTARY... DOE facilities, but it is applicable to subcontracts under such contracts (see 970.5244-1(x))....

  13. 48 CFR 970.2210 - Service Contract Act.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 48 Federal Acquisition Regulations System 5 2011-10-01 2011-10-01 false Service Contract Act. 970.2210 Section 970.2210 Federal Acquisition Regulations System DEPARTMENT OF ENERGY AGENCY SUPPLEMENTARY... DOE facilities, but it is applicable to subcontracts under such contracts (see 970.5244-1(x))....

  14. 48 CFR 970.2210 - Service Contract Act.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 48 Federal Acquisition Regulations System 5 2013-10-01 2013-10-01 false Service Contract Act. 970.2210 Section 970.2210 Federal Acquisition Regulations System DEPARTMENT OF ENERGY AGENCY SUPPLEMENTARY... DOE facilities, but it is applicable to subcontracts under such contracts (see 970.5244-1(x))....

  15. 48 CFR 970.2210 - Service Contract Act.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 48 Federal Acquisition Regulations System 5 2014-10-01 2014-10-01 false Service Contract Act. 970.2210 Section 970.2210 Federal Acquisition Regulations System DEPARTMENT OF ENERGY AGENCY SUPPLEMENTARY... DOE facilities, but it is applicable to subcontracts under such contracts (see 970.5244-1(x))....

  16. 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)

  17. 48 CFR 237.104 - Personal services contracts.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... for grade GS-15 (see 5 CFR 304.105(a)). (ii) The contract may provide for the same per diem and travel... 48 Federal Acquisition Regulations System 3 2011-10-01 2011-10-01 false Personal services contracts. 237.104 Section 237.104 Federal Acquisition Regulations System DEFENSE ACQUISITION...

  18. 48 CFR 237.104 - Personal services contracts.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ...) Acquisition of the services is advantageous to the national defense; (3) DoD personnel with necessary skills...), shall be in accordance with agency procedures. (D) The contracting officer must ensure that the requiring activity provides a copy of the approval with the purchase request. (E) The contracting...

  19. 48 CFR 237.104 - Personal services contracts.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ...) Acquisition of the services is advantageous to the national defense; (3) DoD personnel with necessary skills...), shall be in accordance with agency procedures. (D) The contracting officer must ensure that the requiring activity provides a copy of the approval with the purchase request. (E) The contracting...

  20. 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).

  1. Health information services technologies.

    PubMed

    McCracken, S B

    1996-01-01

    Increasing demands for provider profiling have led to the growth of health information services units within payers and health plans. An important decision faced by these groups is whether to buy or build the information infrastructure necessary to support the activities of the department. The article offers an overview of a system that was collaboratively designed and built by Blue Cross and Blue Shield of Iowa and the Dartmouth Medical School. A case study illustrating the flexibility of the information system in adapting ambulatory care groups to the fee-for-service payer industry is reviewed. PMID:10154373

  2. 38 CFR 17.142 - Authority to approve sharing agreements, contracts for scarce medical specialist services and...

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... medical specialist services and contracts for other medical services. The Under Secretary for Health is... and § 17.210 and which may be negotiated pursuant to the provisions of 41 CFR 8-3.204(c); (b) Contracts with schools and colleges of medicine, osteopathy, dentistry, podiatry, optometry, and...

  3. 38 CFR 17.142 - Authority to approve sharing agreements, contracts for scarce medical specialist services and...

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... medical specialist services and contracts for other medical services. The Under Secretary for Health is... and § 17.210 and which may be negotiated pursuant to the provisions of 41 CFR 8-3.204(c); (b) Contracts with schools and colleges of medicine, osteopathy, dentistry, podiatry, optometry, and...

  4. 38 CFR 17.142 - Authority to approve sharing agreements, contracts for scarce medical specialist services and...

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... medical specialist services and contracts for other medical services. The Under Secretary for Health is... and § 17.210 and which may be negotiated pursuant to the provisions of 41 CFR 8-3.204(c); (b) Contracts with schools and colleges of medicine, osteopathy, dentistry, podiatry, optometry, and...

  5. 78 FR 10642 - Service Contracts Inventory

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-14

    ... From the Federal Register Online via the Government Publishing Office NUCLEAR REGULATORY... available documents online in the NRC Library at http://www.nrc.gov/reading-rm/adams.html . To begin the...: http://www.nrc.gov/about-nrc/contracting.html . NRC's PDR: You may examine and purchase copies...

  6. The organization of health services for Indian people.

    PubMed Central

    Rhoades, E R; Reyes, L L; Buzzard, G D

    1987-01-01

    The Indian Health Service (IHS) is a bureau of the Health Resources and Services Administration, an agency of the Public Health Service. It was formed in 1955 by a transfer of health services from the Bureau of Indian Affairs, Department of the Interior. Since that time, IHS has grown larger and more complicated and has become a truly complex national organization that is responsible for direct and contract health care services to approximately 1 million Indian people. The historical background of the Service, its present organization, and the services that it provides through a variety of organizational structures are outlined in this report. PMID:3112842

  7. A market analysis approach to bidding for capitated clinical laboratory and pathology services contracts.

    PubMed

    Markel, S F; Venner, A M

    1995-07-01

    Traditional episodic, fee-for-service medical care and indemnity-type insurance are rapidly being replaced by managed health care plans that often include financial risk assumption by health care providers. This paper describes the application of marketing principles to the evaluation and capture of capitated clinical laboratory and pathology services contracts. It includes a method for developing capitation rates and describes advantages enjoyed by hospital-based laboratories that enhance their competitiveness in the marketplace. PMID:7625905

  8. 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... personal services of experts and consultants is included in section 832 of the Homeland Security Act, 6...

  9. 48 CFR 3037.104-70 - Personal service contracts.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 48 Federal Acquisition Regulations System 7 2013-10-01 2012-10-01 true Personal service contracts. 3037.104-70 Section 3037.104-70 Federal Acquisition Regulations System DEPARTMENT OF HOMELAND SECURITY... personal services of experts and consultants is included in section 832 of the Homeland Security Act, 6...

  10. 76 FR 53719 - Nondisplacement of Qualified Workers Under Service Contracts

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-29

    ... Service Contracts (Executive Order 13495, E.O. 13495, or Order). 74 FR 6103 (Feb. 4, 2009). This Order... a service employee as defined in the SCA. 74 FR 6103 (Feb. 4, 2009). See 41 U.S.C. 6701(3). Section... purposes of the Order. 74 FR 6103-04 (Feb. 4, 2009). Section 4 of Executive Order 13495 authorizes the...

  11. 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...

  12. 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...

  13. 40 CFR 13.13 - Contracting for collection services.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 40 Protection of Environment 1 2013-07-01 2013-07-01 false Contracting for collection services. 13.13 Section 13.13 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY GENERAL CLAIMS COLLECTION....C. 1692 et seq.)), and with applicable regulations of the Internal Revenue Service; (c) Require...

  14. Privatization, Contracting, and Reform of Child and Family Social Services.

    ERIC Educational Resources Information Center

    Kamerman, Sheila B.; Kahn, Alfred J.

    Critical to the success of initiatives to reform and restructure educational and community services to improve the lives of children is the way in which they are financed. This report explores the movement toward privatization through contracting in managing, financing, and delivering child and family social services and provides a conceptual…

  15. Health care: a social contract in transition.

    PubMed

    Hill, T P

    1996-09-01

    Health care reform around the world is born in considerable measure of the need to reconcile our growing capacity to provide effective health care with diminishing economic means to sustain this capacity indefinitely. It is precisely under these circumstances that the conflict between individual rights to health care and the state's responsibilities to provide it becomes unavoidable. Although it cannot be eliminated, the conflict can be managed. But the task requires us to go beyond formulating economic policies or designing new structural systems for delivering health care. It requires an understanding of the purpose of health care for individuals and society. It includes stipulating limitations for individual rights and state responsibilities. Because of these limitations, the task must be guided by the requirements of justice. Health care as both a private and common good is at the center of a distributive struggle. At one level the focus of this struggle is economic and political. At another level it is moral and revolves around the concept of health itself, considered in its biological, psychological and social dimensions. Here the issue becomes health as a right, together with the implications such a right has for our efforts to balance the freedom of individual health-related behavior with the interests of the public's health. What, in that balance, are the rights of the individual and the responsibilities of the state? Can the individual citizen hold the state accountable for securing the conditions necessary for health? Can the state hold its citizens accountable for irresponsible health-related behavior? A discussion of providing liver transplantation sheds considerable light on these questions, while suggesting a paradigm for use with general health care services. Central to this paradigm is the welfare concept of right, balanced by the understanding that a citizen's claim on health care services is limited. In the final analysis, justice in health care

  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. PMID:18316147

  17. 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.

  18. 77 FR 37907 - Information Collection; Service Contracting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-25

    ... GENERAL SERVICES ADMINISTRATION NATIONAL AERONAUTICS AND SPACE ADMINISTRATION Information Collection... (OMB) a request to review and approve an extension of a currently approved information collection... collection of information is necessary for the proper performance of functions of the Federal...

  19. Performance-based contracting and the moderating influence of caseworker role overload on service provision in child welfare

    PubMed Central

    Chuang, Emmeline; Wells, Rebecca; Green, Sherri; Reiter, Kristin

    2012-01-01

    Although performance-based contracts have become increasingly popular in child welfare, administrators are developing these contracts with little empirically guided information about how internal work conditions may influence the services families receive. This study examines how child welfare caseworker role overload moderates associations between child welfare agencies’ use of performance-based contracting and services provided to families. Analyses using data from the National Survey of Child and Adolescent Well-Being suggest that when caseworkers experience high role overload, use of performance-based contracts may decrease caregivers’ likelihood of receiving necessary social and behavioral health services. These findings and their implications are discussed. PMID:22347768

  20. 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)...

  1. 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

  2. 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…

  3. 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…

  4. 46 CFR 530.8 - Service Contracts.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... Agreement Number(s) assigned by the Commission under 46 CFR part 535 (if applicable); and (4) An indication... or commodities involved; (4) The minimum volume or portion; (5) The service commitments; (6) The line... terms are contained in a publication widely available to the public and well known within the...

  5. 48 CFR 52.222-51 - Exemption From Application of the Service Contract Labor Standards to Contracts for Maintenance...

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... Contracts for Maintenance, Calibration, or Repair of Certain Equipment—Requirements. As prescribed in 22... Standards to Contracts for Maintenance, Calibration, or Repair of Certain Equipment—Requirements (MAY 2014... of the Service Contract Labor Standards to Contracts for Maintenance, Calibration, or Repair...

  6. Service contract of Renault Kerax 440 truck with deductible and policy limit coverage modification

    NASA Astrophysics Data System (ADS)

    Bustami, Pasaribu, Udjianna. S.; Husniah, Hennie

    2016-02-01

    In this paper we discuss a service contracts with coverage modification that only offer preventive maintenance and corrective maintenance for Renault Kerax 440 Truck by service contract provider. Corrective maintenance costs is modified with deductible and policy limit during the period of the service contract. Demand for a service contract is only influenced by the price of the service contract, deductible, and policy limit offered by producer to consumer. The main problem in this thesis is determining the price of a service contract, deductible, and policy limit to get maximum profit for producer for each of service contract.

  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... Responsibilities 801.602-73 Review requirements for scarce medical specialist contracts and contracts for health-care resources. For contracts to be awarded under the authority of either 38 U.S.C. 7409 or 38...

  8. 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

    ... scarce medical specialist contracts and contracts for health-care resources. 801.602-73 Section 801.602... Responsibilities 801.602-73 Review requirements for scarce medical specialist contracts and contracts for health-care resources. For contracts to be awarded under the authority of either 38 U.S.C. 7409 or 38...

  9. 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... Responsibilities 801.602-73 Review requirements for scarce medical specialist contracts and contracts for health-care resources. For contracts to be awarded under the authority of either 38 U.S.C. 7409 or 38...

  10. 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... Responsibilities 801.602-73 Review requirements for scarce medical specialist contracts and contracts for health-care resources. For contracts to be awarded under the authority of either 38 U.S.C. 7409 or 38...

  11. 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... Responsibilities 801.602-73 Review requirements for scarce medical specialist contracts and contracts for health-care resources. For contracts to be awarded under the authority of either 38 U.S.C. 7409 or 38...

  12. 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

    ... information is organized by function to show how contracted resources are distributed throughout the agency... of Management and Budget's Office of Federal Procurement Policy (OFPP). OFPP's guidance is...

  13. 48 CFR 3009.171 - Prohibition on Federal Protective Service guard services contracts with business concerns owned...

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Protective Service guard services contracts with business concerns owned, controlled, or operated by an... OF HOMELAND SECURITY, HOMELAND SECURITY ACQUISITION REGULATION (HSAR) ACQUISITION PLANNING CONTRACTOR... services contracts with business concerns owned, controlled, or operated by an individual convicted of...

  14. 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... 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...

  15. 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;…

  16. Senior friendly health services.

    PubMed

    Hart, Brian; Frank, Christopher; Hoffman, Jennifer; Dickey, Donna; Kristjansson, Joyce

    2006-01-01

    As our population continues to age and to put increasing pressures on the health care system, we need to evolve the system to be sensitive to the unique needs of seniors. There are many examples of innovative, evidence-based strategies that have been shown to improve outcomes for elderly individuals utilizing health services. The association between the physical environment and its negative impact on outcomes for hospitalized geriatric patients is well recognized. The use of strategies such as an audit tool to guide modifications of the physical environment or formal programs such as HELP, are good examples of practical approaches that can be implemented. The challenge today is for leaders in the healthcare system to champion and develop principles and a vision of care that supports implementation of these elder-friendly approaches.

  17. 38 CFR 1.917 - Contracting for collection services.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... appropriations; (2) VA may also fund a collection service contract on a contingent-fee basis (i.e., by including... Treasury for debt collection. See 31 U.S.C. 3711(g), 31 CFR 285.12(e), and 38 CFR 1.910. (d) VA may enter... collection services. 1.917 Section 1.917 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF...

  18. 38 CFR 1.917 - Contracting for collection services.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... appropriations; (2) VA may also fund a collection service contract on a contingent-fee basis (i.e., by including... Treasury for debt collection. See 31 U.S.C. 3711(g), 31 CFR 285.12(e), and 38 CFR 1.910. (d) VA may enter... collection services. 1.917 Section 1.917 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF...

  19. 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…

  20. 48 CFR 52.222-41 - Service Contract Labor Standards.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ..., and regulations of the Secretary of Labor (29 CFR part 4). This clause does not apply to contracts or... in subpart C of 29 CFR part 4. (c) Compensation. (1) Each service employee employed in the... pursuant to point schemes or other job factors may, for example, be relied upon. Guidance may also...

  1. 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.... The Office of the Legal Adviser is the DOS legal counsel for the purposes of FAR 37.104(e)....

  2. 29 CFR 4.133 - Beneficiary of contract services.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... and with the Government and if its principal purpose is “to furnish services in the United States... distinguished from the United States Government or its personnel, are exempt. This exemption is necessary and..., the legislative history makes specific reference to such contracts as those for furnishing...

  3. 29 CFR 4.133 - Beneficiary of contract services.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... and with the Government and if its principal purpose is “to furnish services in the United States... distinguished from the United States Government or its personnel, are exempt. This exemption is necessary and..., the legislative history makes specific reference to such contracts as those for furnishing...

  4. 29 CFR 4.133 - Beneficiary of contract services.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... and with the Government and if its principal purpose is “to furnish services in the United States... distinguished from the United States Government or its personnel, are exempt. This exemption is necessary and..., the legislative history makes specific reference to such contracts as those for furnishing...

  5. 48 CFR 211.106 - Purchase descriptions for service contracts.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 3 2010-10-01 2010-10-01 false Purchase descriptions for service contracts. 211.106 Section 211.106 Federal Acquisition Regulations System DEFENSE ACQUISITION REGULATIONS SYSTEM, DEPARTMENT OF DEFENSE ACQUISITION PLANNING DESCRIBING AGENCY NEEDS Selecting...

  6. 48 CFR 211.106 - Purchase descriptions for service contracts.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 48 Federal Acquisition Regulations System 3 2011-10-01 2011-10-01 false Purchase descriptions for service contracts. 211.106 Section 211.106 Federal Acquisition Regulations System DEFENSE ACQUISITION REGULATIONS SYSTEM, DEPARTMENT OF DEFENSE ACQUISITION PLANNING DESCRIBING AGENCY NEEDS Selecting...

  7. 48 CFR 217.171 - Multiyear contracts for services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... instructor skills (e.g., training for pilots and aircrew members or foreign language training). (iv) Base... 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...

  8. 48 CFR 42.203 - Contract administration services directory.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... services within designated geographic areas and at specified contractor plants. Federal agencies may access it on the Internet at https://pubapp.dcma.mil/CASD/main.jsp. For additional information contact... 48 Federal Acquisition Regulations System 1 2012-10-01 2012-10-01 false Contract...

  9. 48 CFR 42.203 - Contract administration services directory.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... services within designated geographic areas and at specified contractor plants. Federal agencies may access it on the Internet at https://pubapp.dcma.mil/CASD/main.jsp. For additional information contact... 48 Federal Acquisition Regulations System 1 2014-10-01 2014-10-01 false Contract...

  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

    ... commercial customers. (e)(1) Except for services identified in FAR 22.1003-4(d)(1)(iv), the subcontractor for... 29 CFR 4.123(e)(2)(iii) and 29 CFR 4.5(c) will be followed. (h) The Contractor shall include the... of the Service Contract Labor Standards to Contracts for Certain Services-Requirements....

  11. 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...

  12. 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...

  13. 76 FR 5375 - Public Availability of General Services Administration FY 2010 Service Contract Inventory

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-31

    ... ADMINISTRATION Public Availability of General Services Administration FY 2010 Service Contract Inventory AGENCY: Office of Acquisition Policy; General Services Administration (GSA). ACTION: Notice. SUMMARY: This notice... Consolidated Appropriations Act of 2010 (Pub. L. 111-117), GSA is publishing this notice to advise the...

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

    PubMed

    Wang, Yan; Eggleston, Karen; Yu, Zhenjie; Zhang, Qiong

    2013-01-17

    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.

  15. 42 CFR 417.103 - Providers of basic and supplemental health services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... contracts with the HMO. (2) A staff or medical group model HMO may have as providers of basic health... family planning agencies. (d) Supplemental health services must be provided or arranged for by the HMO and need not be provided by providers of basic health services under contract with the HMO. (e)...

  16. [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.

  17. 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....

  18. 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,...

  19. 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,...

  20. 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,...

  1. 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,...

  2. 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,...

  3. 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,...

  4. 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,...

  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. 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. PMID:23898737

  7. A classification of service types and glossary of terminology for non-government mental health services.

    PubMed

    Wood, Christie; Pennebaker, Duane

    2004-01-01

    This article presents a defined classification of non-government community mental health services designed for reporting by the non-government sector. Initial classification involved review of the relevant literature, advisory committee consultation and content analysis of the Department of Health, Western Australia's service specifications and service contracts. A proposed classification was evaluated by a sample of 50 non-government service providers via focus groups and telephone interviews for internal validity and applicability. The revised classification was validated by Victorian government and non-government providers. The final validated classification contained one service class, seven service types and seven service sub-types, accompanied by a glossary of terms.

  8. 78 FR 11903 - Public Availability of the National Science Foundation Analysis of the 2011 Service Contract...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-20

    ... From the Federal Register Online via the Government Publishing Office NATIONAL SCIENCE FOUNDATION Public Availability of the National Science Foundation Analysis of the 2011 Service Contract Inventory and the Plan for Analyzing the 2012 Service Contract Inventory AGENCY: National Science...

  9. 76 FR 11969 - Defense Federal Acquisition Regulation Supplement; Appendix A, Armed Services Board of Contract...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-04

    ...; Appendix A, Armed Services Board of Contract Appeals, Part 2--Rules CFR Correction In Title 48 of the Code...--ARMED SERVICES BOARD OF CONTRACT APPEALS * * * * * Part 2--Rules Approved 15 July 1963. Revised 1...

  10. 48 CFR 52.222-52 - Exemption From Application of the Service Contract Labor Standards to Contracts for Certain...

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 48 Federal Acquisition Regulations System 2 2014-10-01 2014-10-01 false Exemption From Application of the Service Contract Labor Standards to Contracts for Certain Services-Certification. 52.222-52 Section 52.222-52 Federal Acquisition Regulations System FEDERAL ACQUISITION REGULATION (CONTINUED) CLAUSES AND FORMS SOLICITATION PROVISIONS...

  11. 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.

  12. [Coverage of health services].

    PubMed

    Martínez-Narváez, G

    1992-01-01

    In this paper the concepts and criteria related to health coverage are discussed in the context of the organization of national health systems. The main international agreements based on WHO/PAHO proposals are also described. The relationship between primary health care and health coverage is analyzed and the evolution of the programs for the extension of health coverage in Mexico are discussed, with emphasis on the problems of overlap and definition of the universe in the several institutions of the health sector. Finally, the author reviews the problems to measure coverage in order to guarantee social and operative efficiency of the Mexican health system. PMID:1411776

  13. 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...

  14. 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...

  15. 78 FR 13743 - Department of State FY11 Service Contract Inventory

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-28

    ... 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 FY12 and its analysis of the FY11 inventory. They...

  16. 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...

  17. 77 FR 13508 - Certainty of Terms of Service Contracts and NVOCC Service Arrangements

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-07

    ... Rulemaking (NPR) published on October 13, 2011, 76 FR 63581, the Federal Maritime Commission (FMC or... Carrier service arrangements (NSA). The NPR was intended to remove uncertainty in the use of freight rate or other indices in service contracts and NSAs, while also assisting common carriers and shippers...

  18. 78 FR 977 - Public Availability of the Department of Transportation FY 2012 Service Contract Inventory

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-07

    ... Procurement Policy (OFPP). OFPP's guidance is available at http://www.whitehouse.gov/sites/default/files/omb...-secretary-administration/procurement/service-contract-inventory . Questions regarding the service...

  19. 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…

  20. 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…

  1. Health services research and health policy.

    PubMed

    Banta, H D; Bauman, P

    1976-01-01

    Health services research (HSR) has the potential to influence the decision-making process in a health services system that is acutelearchers feel, with some truth, that their research has had only a limited effect on health policy. Some reasons for this are described, including the primacy of political, rather than technical, considerations in policy making, the lack of a comprehensive health policy, and the poor quality and irrelevance of much HSR. The role of funding for HSR by the Federal government is described; it is shown that the Federal effort is fragmented, despite the consolidation efforts made in 1968. Increased support for specific targeted, problem-solving health services research is proposed, and some possible methods to achieve this are described.

  2. 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.

  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. 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.

  5. 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

  6. 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

  7. Health Services and Collective Bargaining

    ERIC Educational Resources Information Center

    Torrence, William D.

    1974-01-01

    A rationale is suggested for designing and developing education and training programs in labor relations for hospital managements. Also, federal work stoppage data are identified as they relate to medical and other health services. (AG)

  8. Mental health services. Poor relations.

    PubMed

    Mahoney, J; Sashidharan, S

    1999-04-01

    The case for London requiring greater resources for mental health services than other parts of the country has not been proved. Liverpool, Birmingham and Manchester are among the six most deprived areas in England. Spending per capita on mental health services in inner London is double that in Birmingham and Liverpool and 40 per cent higher than in Manchester. A national strategy is needed to address inequities in funding.

  9. 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...

  10. 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...

  11. 29 CFR 1926.15 - Relationship to the Service Contract Act; Walsh-Healey Public Contracts Act.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... furnish services to the United States through the use of “service employees,” that certain safety and... the United States or District of Columbia for construction, alteration, and/or repair, including...., 41 CFR 1-1.208. Section 2(e) of the Service Contract Act of 1965 requires as a condition of...

  12. 29 CFR 1926.15 - Relationship to the Service Contract Act; Walsh-Healey Public Contracts Act.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... furnish services to the United States through the use of “service employees,” that certain safety and... the United States or District of Columbia for construction, alteration, and/or repair, including...., 41 CFR 1-1.208. Section 2(e) of the Service Contract Act of 1965 requires as a condition of...

  13. Health services in Indonesia.

    PubMed

    Kosen, S; Gunawan, S

    In Indonesia, rapid economic development has led to a reduction in poverty among the 195 million inhabitants. While population increased more than 50% from 1971 to 1990, the annual growth rate, crude birth rate, and total fertility rates have declined rapidly. Life expectancy has increased from 45.7 years in 1971 to 62.7 in 1994 as crude death rates and infant and child mortality rates have declined. Causes of death have shifted from infectious to chronic diseases, but in 1992 major causes of death in children under 5 years old were preventable, and the maternal mortality rate was 425/100,000. Policies which guide the development of health care call for improvements in quality of life, adherence to humanitarian principles, use of scientifically approved traditional medicine, and provision of public health through a three-tiered system. Health care is financed by the government and the community, and managed care has been encouraged. Foreign aid has bolstered development in the health sector. Adequate sanitation has been achieved for 35% of the population, and 65% of urban and 35% of rural residents have reasonable access to clean water. Improvements in health indicators include 55% contraceptive prevalence, reduction in prevalence of anemia during pregnancy, 55.8% of pregnant women receiving prenatal care, a decrease in protein-energy malnutrition among children under five, and high vaccination coverage. Remaining public health problems include malaria, tuberculosis, dengue hemorrhagic fever, an increase in HIV/AIDS, iodine-deficiency, an increasing number of traffic fatalities, and an increasing number of smokers. New health policies have been instituted to meet these challenges as Indonesia's need for a productive and competitive labor force increases.

  14. 48 CFR 52.222-51 - Exemption from Application of the Service Contract Act to Contracts for Maintenance, Calibration...

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... the contract shall become subject to the Service Contract Act. In such case, the procedures at 29 CFR 4.123(e)(1)(iv) and 29 CFR 4.5(c) will be followed. (f) The Contractor shall include the substance... course of trade between buyers and sellers free to bargain, which can be substantiated from...

  15. 48 CFR 52.222-48 - Exemption from Application of the Service Contract Act to Contracts for Maintenance, Calibration...

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... of the Service Contract Act to Contracts for Maintenance, Calibration, or Repair of Certain Equipment..., Calibration, or Repair of Certain Equipment Certification. As prescribed in 22.1006(e)(1), insert the..., Calibration, or Repair of Certain Equipment Certification (FEB 2009) (a) The offeror shall check the...

  16. 48 CFR 52.222-51 - Exemption from Application of the Service Contract Act to Contracts for Maintenance, Calibration...

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... of the Service Contract Act to Contracts for Maintenance, Calibration, or Repair of Certain Equipment..., Calibration, or Repair of Certain Equipment—Requirements. As prescribed in 22.1006(e)(2), insert the following... prices for the maintenance, calibration, or repair of equipment. (1) An “established catalog price” is...

  17. 48 CFR 52.222-51 - Exemption from Application of the Service Contract Act to Contracts for Maintenance, Calibration...

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... of the Service Contract Act to Contracts for Maintenance, Calibration, or Repair of Certain Equipment..., Calibration, or Repair of Certain Equipment—Requirements. As prescribed in 22.1006(e)(2), insert the following... prices for the maintenance, calibration, or repair of equipment. (1) An “established catalog price” is...

  18. 48 CFR 52.222-48 - Exemption from Application of the Service Contract Act to Contracts for Maintenance, Calibration...

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... of the Service Contract Act to Contracts for Maintenance, Calibration, or Repair of Certain Equipment..., Calibration, or Repair of Certain Equipment Certification. As prescribed in 22.1006(e)(1), insert the..., Calibration, or Repair of Certain Equipment Certification (FEB 2009) (a) The offeror shall check the...

  19. 48 CFR 52.222-48 - Exemption from Application of the Service Contract Act to Contracts for Maintenance, Calibration...

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... of the Service Contract Act to Contracts for Maintenance, Calibration, or Repair of Certain Equipment..., Calibration, or Repair of Certain Equipment Certification. As prescribed in 22.1006(e)(1), insert the..., Calibration, or Repair of Certain Equipment Certification (FEB 2009) (a) The offeror shall check the...

  20. 48 CFR 52.222-51 - Exemption from Application of the Service Contract Act to Contracts for Maintenance, Calibration...

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... of the Service Contract Act to Contracts for Maintenance, Calibration, or Repair of Certain Equipment..., Calibration, or Repair of Certain Equipment—Requirements. As prescribed in 22.1006(e)(2), insert the following... prices for the maintenance, calibration, or repair of equipment. (1) An “established catalog price” is...

  1. 48 CFR 52.222-48 - Exemption from Application of the Service Contract Act to Contracts for Maintenance, Calibration...

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... of the Service Contract Act to Contracts for Maintenance, Calibration, or Repair of Certain Equipment..., Calibration, or Repair of Certain Equipment Certification. As prescribed in 22.1006(e)(1), insert the..., Calibration, or Repair of Certain Equipment Certification (FEB 2009) (a) The offeror shall check the...

  2. 48 CFR 237.106 - Funding and term of service contracts.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 3 2010-10-01 2010-10-01 false Funding and term of service contracts. 237.106 Section 237.106 Federal Acquisition Regulations System DEFENSE ACQUISITION REGULATIONS SYSTEM, DEPARTMENT OF DEFENSE SPECIAL CATEGORIES OF CONTRACTING SERVICE CONTRACTING...

  3. 48 CFR 237.106 - Funding and term of service contracts.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 48 Federal Acquisition Regulations System 3 2012-10-01 2012-10-01 false Funding and term of service contracts. 237.106 Section 237.106 Federal Acquisition Regulations System DEFENSE ACQUISITION REGULATIONS SYSTEM, DEPARTMENT OF DEFENSE SPECIAL CATEGORIES OF CONTRACTING SERVICE CONTRACTING...

  4. 48 CFR 237.106 - Funding and term of service contracts.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 48 Federal Acquisition Regulations System 3 2014-10-01 2014-10-01 false Funding and term of service contracts. 237.106 Section 237.106 Federal Acquisition Regulations System DEFENSE ACQUISITION REGULATIONS SYSTEM, DEPARTMENT OF DEFENSE SPECIAL CATEGORIES OF CONTRACTING SERVICE CONTRACTING...

  5. 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...

  6. 77 FR 8818 - Public Availability of Consumer Product Safety Commission FY 2011 Service Contract Inventory

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-15

    ... COMMISSION Public Availability of Consumer Product Safety Commission FY 2011 Service Contract Inventory... contract inventory for fiscal year (``FY'') 2011. This inventory provides information on service contract..., MD 20814. Telephone: 301-504-7009; email dhutton@cpsc.gov . SUPPLEMENTARY INFORMATION: On December...

  7. 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

    ... COMMISSION Public Availability of Consumer Product Safety Commission FY 2012 Service Contract Inventory... contract inventory for fiscal year (FY) 2012. This inventory provides information on service contract..., MD 20814. Telephone: 301-504-7009; email: dhutton@cpsc.gov . SUPPLEMENTARY INFORMATION: On...

  8. 48 CFR 237.106 - Funding and term of service contracts.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 48 Federal Acquisition Regulations System 3 2011-10-01 2011-10-01 false Funding and term of service contracts. 237.106 Section 237.106 Federal Acquisition Regulations System DEFENSE ACQUISITION REGULATIONS SYSTEM, DEPARTMENT OF DEFENSE SPECIAL CATEGORIES OF CONTRACTING SERVICE CONTRACTING...

  9. 48 CFR 52.222-49 - Service Contract Labor Standards-Place of Performance Unknown.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... Standards-Place of Performance Unknown. 52.222-49 Section 52.222-49 Federal Acquisition Regulations System... Text of Provisions and Clauses 52.222-49 Service Contract Labor Standards—Place of Performance Unknown... Performance Unknown (MAY 2014) (a) This contract is subject to the Service Contract Labor Standards...

  10. 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....

  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...

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

    PubMed

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

    2016-09-01

    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.

  13. Social insurance for health service.

    PubMed

    Roemer, M I

    1997-06-01

    Implementation of social insurance for financing health services has yielded different patterns depending on a country's economic level and its government's political ideology. By the late 19th century, thousands of small sickness funds operated in Europe, and in 1883 Germany's Chancellor Bismarck led the enactment of a law mandating enrollment by low-income workers. Other countries followed, with France completing Western European coverage in 1928. The Russian Revolution in 1917 led to a National Health Service covering everyone from general revenues by 1937. New Zealand legislated universal population coverage in 1939. After World War II, Scandinavian countries extended coverage to everyone and Britain introduced its National Health Service covering everyone with comprehensive care and financed by general revenues in 1948. Outside of Europe Japan adopted health insurance in 1922, covering everyone in 1946. Chile was the first developing country to enact statutory health insurance in 1924 for industrial workers, with extension to all low-income people with its "Servicio Nacional de Salud" in 1952. India covered 3.5 percent of its large population with the Employees' State Insurance Corporation in 1948, and China after its 1949 revolution developed four types of health insurance for designated groups of workers and dependents. Sub-Saharan African countries took limited health insurance actions in the late 1960s and 1970s. By 1980, some 85 countries had enacted social security programs to finance or deliver health services or both.

  14. [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. PMID:26060960

  15. 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

  16. 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...

  17. 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...

  18. 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...

  19. 29 CFR 4.113 - Contracts to furnish services “through the use of service employees.”

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Government wants under the contract are of a type that will require the use of service employees as defined... exclusively by persons who are not service employees, i.e., persons who are bona fide executive... 29 Labor 1 2012-07-01 2012-07-01 false Contracts to furnish services âthrough the use of...

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

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Government wants under the contract are of a type that will require the use of service employees as defined... exclusively by persons who are not service employees, i.e., persons who are bona fide executive... 29 Labor 1 2011-07-01 2011-07-01 false Contracts to furnish services âthrough the use of...

  1. 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....

  2. 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....

  3. 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....

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

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ...-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....

  6. 76 FR 38179 - Information Collection; General Services Administration; Information Specific to a Contract or...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-29

    ... ADMINISTRATION Information Collection; General Services Administration; Information Specific to a Contract or... previously approved information collection requirement regarding information specific to a contract or..., Procurement Analyst, Acquisition Policy Division, at telephone (202) 219-1813 or e-mail...

  7. 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...

  8. 78 FR 10174 - Public Availability of General Services Administration FY 2012 Service Contract Inventory

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-13

    ... Appropriations Act Public Law 111-117, GSA is publishing this notice to advise the public of the availability of...: 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 Paul.Boyle@gsa.gov . SUPPLEMENTARY INFORMATION: In accordance...

  9. A longitudinal perspective on health plan-provider risk contracting.

    PubMed

    Hurley, Robert; Grossman, Joy; Lake, Timothy; Casalino, Lawrence

    2002-01-01

    During the past decade many health plans adopted risk-contracting arrangements that transferred substantial financial risk and care management responsibility to physician groups and hospital-sponsored integrated delivery systems. Risk transfer arrangements are now believed to be in steep decline, but there is little empirical evidence on this topic, particularly at the local-market level. Data from the Community Tracking Study were used to examine changes in risk contracting from 1996 to 2000. A decline in reliance on risk contracting is evident in nearly all markets. However, retrenchment in risk contracting has followed different patterns ranging from refinements in the scope of risk transfer to reduced use of risk arrangements to total rejection of risk-sharing arrangements. Modified risk-transfer agreements remain viable in several markets, but continued refinement in the nature and scope of risk sharing will be necessary.

  10. [Mental health services in Australia].

    PubMed

    Kisely, Steve; Lesage, Alain

    2014-01-01

    Canada is 1.5 times the size of Australia. Australia's population of 20 million is located principally on the east coast. Like Canada, the Australia has a federal system of Government with 5 States and two territories. Each State and territory has its own legislation on mental health. The federal (Commonwealth) Government is responsible for health care planning. In addition, the federal Government subsidizes an insurance program (Medicare) that covers visits to specialists and family physicians, while provincial governments are involved in the provision of hospital care and community mental health services. The Commonwealth government also subsidises the cost of medication through the Pharmaceutical Benefits Scheme. These funds are supplemented by private health insurance. Mental health costs account for 6.5 per cent of all health care costs. Primary care treats the majority of common psychological disorders such as anxiety or depression, while specialist mental health services concentrate on those with severe mental illness. There have been 4 national mental health plans since 1992 with the long term aims of promoting mental health, increasing the quality and responsiveness of services, and creating a consistent approach to mental health service system reform among Australian states and territories. These systematic cycles of planning have first allowed a shift from psychiatric hospitals to community services, from reliance on psychiatric hospitals as pivotal to psychiatric care system. Community care budgets have increased, but overall have decreased with money not following patients; but recent deployment of federally funded through Medicare access to psychotherapy by psychologists for common mental disorders in primary care have increased overall budget. Concerns remain that shift to youth first onset psychosis clinics may come from older long-term psychotic patients, a form of discrimination whilst evidence amount of excess mortality by cardio

  11. [Mental health services in Australia].

    PubMed

    Kisely, Steve; Lesage, Alain

    2014-01-01

    Canada is 1.5 times the size of Australia. Australia's population of 20 million is located principally on the east coast. Like Canada, the Australia has a federal system of Government with 5 States and two territories. Each State and territory has its own legislation on mental health. The federal (Commonwealth) Government is responsible for health care planning. In addition, the federal Government subsidizes an insurance program (Medicare) that covers visits to specialists and family physicians, while provincial governments are involved in the provision of hospital care and community mental health services. The Commonwealth government also subsidises the cost of medication through the Pharmaceutical Benefits Scheme. These funds are supplemented by private health insurance. Mental health costs account for 6.5 per cent of all health care costs. Primary care treats the majority of common psychological disorders such as anxiety or depression, while specialist mental health services concentrate on those with severe mental illness. There have been 4 national mental health plans since 1992 with the long term aims of promoting mental health, increasing the quality and responsiveness of services, and creating a consistent approach to mental health service system reform among Australian states and territories. These systematic cycles of planning have first allowed a shift from psychiatric hospitals to community services, from reliance on psychiatric hospitals as pivotal to psychiatric care system. Community care budgets have increased, but overall have decreased with money not following patients; but recent deployment of federally funded through Medicare access to psychotherapy by psychologists for common mental disorders in primary care have increased overall budget. Concerns remain that shift to youth first onset psychosis clinics may come from older long-term psychotic patients, a form of discrimination whilst evidence amount of excess mortality by cardio

  12. 42 CFR 417.440 - Entitlement to health care services from an HMO or CMP.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 3 2013-10-01 2013-10-01 false Entitlement to health care services from an HMO or..., COMPETITIVE MEDICAL PLANS, AND HEALTH CARE PREPAYMENT PLANS Enrollment, Entitlement, and Disenrollment under Medicare Contract § 417.440 Entitlement to health care services from an HMO or CMP. (a) Basic rules....

  13. 42 CFR 417.440 - Entitlement to health care services from an HMO or CMP.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 3 2012-10-01 2012-10-01 false Entitlement to health care services from an HMO or..., COMPETITIVE MEDICAL PLANS, AND HEALTH CARE PREPAYMENT PLANS Enrollment, Entitlement, and Disenrollment under Medicare Contract § 417.440 Entitlement to health care services from an HMO or CMP. (a) Basic rules....

  14. 42 CFR 417.440 - Entitlement to health care services from an HMO or CMP.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 3 2010-10-01 2010-10-01 false Entitlement to health care services from an HMO or... MEDICAL PLANS, AND HEALTH CARE PREPAYMENT PLANS Enrollment, Entitlement, and Disenrollment under Medicare Contract § 417.440 Entitlement to health care services from an HMO or CMP. (a) Basic rules. (1) Subject...

  15. 42 CFR 417.440 - Entitlement to health care services from an HMO or CMP.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 3 2011-10-01 2011-10-01 false Entitlement to health care services from an HMO or... MEDICAL PLANS, AND HEALTH CARE PREPAYMENT PLANS Enrollment, Entitlement, and Disenrollment under Medicare Contract § 417.440 Entitlement to health care services from an HMO or CMP. (a) Basic rules. (1) Subject...

  16. 42 CFR 417.440 - Entitlement to health care services from an HMO or CMP.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 3 2014-10-01 2014-10-01 false Entitlement to health care services from an HMO or..., COMPETITIVE MEDICAL PLANS, AND HEALTH CARE PREPAYMENT PLANS Enrollment, Entitlement, and Disenrollment under Medicare Contract § 417.440 Entitlement to health care services from an HMO or CMP. (a) Basic rules....

  17. 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

  18. 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…

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

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 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...

  20. 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...

  1. 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....

  2. 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....

  3. Fund-holding and contracting for community nursing services: a selective review of the literature.

    PubMed

    Livesey, H

    1998-09-01

    In the context of social, political and economic pressures fund-holding has been described as the 'wild card' in the Health Care Reforms in the United Kingdom of the 1990s. Set against an international drive to reform health care and increase the efficient and effective use of resources, fund-holding by general practice is seen as one means of enhancing the contribution of a primary care led National Health Service (NHS). It is advocated that a primary care led NHS will enhance and strengthen the position of nursing in the health care context. In order to fully exploit such a position it is argued that primary care nurses must adopt a systems view, recognizing broader strategic issues upon which to base marketing approaches to the contracting process. PMID:9756214

  4. 42 CFR 136.350 - Contracts with Urban Indian organizations.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 1 2014-10-01 2014-10-01 false Contracts with Urban Indian organizations. 136.350 Section 136.350 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH Indian Health Care Improvement Act Programs Subdivision J-6-Contracts with...

  5. 42 CFR 136.350 - Contracts with Urban Indian organizations.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 1 2012-10-01 2012-10-01 false Contracts with Urban Indian organizations. 136.350 Section 136.350 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH Indian Health Care Improvement Act Programs Subdivision J-6-Contracts with...

  6. Area health education centers and health science library services.

    PubMed Central

    West, R T; Howard, F H

    1977-01-01

    A study to determine the impact that the Area Health Education Center type of programs may have on health science libraries was conducted by the Extramural Programs, National Library of Medicine, in conjunction with a contract awarded by the Bureau of Health Manpower, Health Resources Administration, to develop an inventory of the AHEC type of projects in the United States. Specific study tasks included a review of these programs as they relate to library and information activities, on-site surveys on the programs to define their needs for library services and information, and a categorization of library activities. A major finding was that health science libraries and information services are generally not included in AHEC program planning and development, although information and information exchange is a fundamental part of the AHEC type of programs. This study suggests that library inadequacies are basically the result of this planning failure and of a lack of financial resources; however, many other factors may be contributory. The design and value of library activities for these programs needs explication. PMID:884349

  7. Area health education centers and health science library services.

    PubMed

    West, R T; Howard, F H

    1977-07-01

    A study to determine the impact that the Area Health Education Center type of programs may have on health science libraries was conducted by the Extramural Programs, National Library of Medicine, in conjunction with a contract awarded by the Bureau of Health Manpower, Health Resources Administration, to develop an inventory of the AHEC type of projects in the United States. Specific study tasks included a review of these programs as they relate to library and information activities, on-site surveys on the programs to define their needs for library services and information, and a categorization of library activities. A major finding was that health science libraries and information services are generally not included in AHEC program planning and development, although information and information exchange is a fundamental part of the AHEC type of programs. This study suggests that library inadequacies are basically the result of this planning failure and of a lack of financial resources; however, many other factors may be contributory. The design and value of library activities for these programs needs explication.

  8. 41 CFR 101-5.304 - Type of occupational health services.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 41 Public Contracts and Property Management 2 2012-07-01 2012-07-01 false Type of occupational health services. 101-5.304 Section 101-5.304 Public Contracts and Property Management Federal Property Management Regulations System FEDERAL PROPERTY MANAGEMENT REGULATIONS GENERAL 5-CENTRALIZED SERVICES...

  9. 41 CFR 101-5.304 - Type of occupational health services.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 41 Public Contracts and Property Management 2 2014-07-01 2012-07-01 true Type of occupational health services. 101-5.304 Section 101-5.304 Public Contracts and Property Management Federal Property Management Regulations System FEDERAL PROPERTY MANAGEMENT REGULATIONS GENERAL 5-CENTRALIZED SERVICES...

  10. 41 CFR 101-5.304 - Type of occupational health services.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 41 Public Contracts and Property Management 2 2013-07-01 2012-07-01 true Type of occupational health services. 101-5.304 Section 101-5.304 Public Contracts and Property Management Federal Property Management Regulations System FEDERAL PROPERTY MANAGEMENT REGULATIONS GENERAL 5-CENTRALIZED SERVICES...

  11. Child Mental Health Services, Inc.

    ERIC Educational Resources Information Center

    Milner, Betty

    School and residential therapeutic programs of Child Health Mental Services, Inc. serving schizophrenic, autistic, and emotionally disturbed children and youth (2-21 years old) are described. The residential components include a family unit home as well as a supervised apartment living program. Admissions procedures for the school program are…

  12. Community Education and Health Services.

    ERIC Educational Resources Information Center

    Campbell, Elizabeth

    Because it is based on the premise that learning is a lifelong process and that citizen involvement is essential to neighborhood problem solving, community education is particularly attuned to the current needs of cities and can be a major vehicle for cities attempting to provide convenient, comprehensive health services in an efficient,…

  13. 76 FR 31998 - Posting of Service Contract Inventory

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-02

    ... of the inventory can be found at: http://www.opm.gov/doingbusiness/contract/businessops.aspx . FOR... Contracting, Office of Personnel Management, 1900 E Street, NW., Room 1342, Washington, DC 20415. Phone...

  14. [Regulation of radiotherapy and chemotherapy services by health plan organizations in Brazil].

    PubMed

    Lima, Sheyla Maria Lemos; Portela, Margareth Crisóstomo; Ugá, Maria Alicia Domíngues; de Vasconcellos, Maurício Teixeira Leite

    2014-01-01

    This paper characterizes regulatory procedures applied by private health plan operators on their outpatient radiotherapy and chemotherapy services, especially via contracts, and outlines the health care providers’ perception on regulation. The study relied on primary data, taking into consideration 638 hospitals and outpatient health care units with the services in question. A stratified random sample was selected, resulting in the inclusion of 54 units that are representative of the population, excluding hospitals that only provide radiotherapy. Private chemotherapy services are largely funded by health insurance plans (75.0%), while radiotherapy services are predominantly covered by the public health system (49.0%). Contracts are not applied by third part payers, in their potential, as regulatory and health care coordination instruments. The mechanisms of regulation applied by third part payers are centered on services use control and administrative aspects. It is recognized the need of adjustments for a health care quality focus, and contracts may contribute in this sense.

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

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 1 2010-10-01 2010-10-01 false Clauses for supply or service contracts. 48.201 Section 48.201 Federal Acquisition Regulations System FEDERAL ACQUISITION REGULATION CONTRACT MANAGEMENT VALUE ENGINEERING Contract Clauses 48.201 Clauses for supply or...

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

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 48 Federal Acquisition Regulations System 1 2011-10-01 2011-10-01 false Clauses for supply or service contracts. 48.201 Section 48.201 Federal Acquisition Regulations System FEDERAL ACQUISITION REGULATION CONTRACT MANAGEMENT VALUE ENGINEERING Contract Clauses 48.201 Clauses for supply or...

  17. 75 FR 54179 - National Park Service Concession Contracts; Implementation of Alternative Valuation Formula for...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-03

    ... Grand Teton National Park (new contract). LSI, established in 1998 by the terms of Public Law 105-391... National Park Service Concession Contracts; Implementation of Alternative Valuation Formula for Leasehold Surrender Interest Under the Signal Mountain Lodge and Leek's Marina Proposed Concession Contract,...

  18. 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...

  19. 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...

  20. 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...

  1. 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...

  2. 77 FR 2726 - General Services Administration Acquisition Regulation; Information Collection; Contract...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-19

    ... ADMINISTRATION General Services Administration Acquisition Regulation; Information Collection; Contract Financing... 1142 was inadvertently deleted as part of the rewrite of GSAR regulations on Contract Financing. GSA... Information Collection 3090- 0080, Contract Financing Final Payment; (GSAR Part 532 and 552.232-72; GSA...

  3. 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....

  4. [Smart cards in health services].

    PubMed

    Rienhoff, O

    2001-10-01

    Since the early 1980-ties it has been tried to utilise smart cards in health care. All industrialised countries participated in those efforts. The most sustainable analyses took place in Europe--specifically in the United Kingdom, France, and Germany. The first systems installed (the service access cards in F and G, the Health Professional Card in F) are already conceptionally outdated today. The senior understanding of the great importance of smart cards for security of electronic communication in health care does contrast to a hesitating behaviour of the key players in health care and health politics in Germany. There are clear hints that this may relate to the low informatics knowledge of current senior management.

  5. 48 CFR 2937.103-70 - Department of Labor checklist to aid analysis and review of requirements for service contracts.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... checklist to aid analysis and review of requirements for service contracts. 2937.103-70 Section 2937.103-70 Federal Acquisition Regulations System DEPARTMENT OF LABOR GENERAL CONTRACTING REQUIREMENTS SERVICE CONTRACTING Service Contracts-General 2937.103-70 Department of Labor checklist to aid analysis and review...

  6. 48 CFR 2937.103-70 - Department of Labor checklist to aid analysis and review of requirements for service contracts.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... checklist to aid analysis and review of requirements for service contracts. 2937.103-70 Section 2937.103-70 Federal Acquisition Regulations System DEPARTMENT OF LABOR GENERAL CONTRACTING REQUIREMENTS SERVICE CONTRACTING Service Contracts-General 2937.103-70 Department of Labor checklist to aid analysis and review...

  7. 48 CFR 2937.103-70 - Department of Labor checklist to aid analysis and review of requirements for service contracts.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... checklist to aid analysis and review of requirements for service contracts. 2937.103-70 Section 2937.103-70 Federal Acquisition Regulations System DEPARTMENT OF LABOR GENERAL CONTRACTING REQUIREMENTS SERVICE CONTRACTING Service Contracts-General 2937.103-70 Department of Labor checklist to aid analysis and review...

  8. 17 CFR 256.01-4 - Construction or service contracts, and centralized procurement accounting.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... services performed by the service company in connection with the procurement of goods for associate... COMPANIES AND SUBSIDIARY SERVICE COMPANIES, PUBLIC UTILITY HOLDING COMPANY ACT OF 1935 General Instructions... or service contracts, under which the service company undertakes projects to construct...

  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. Abortion health services in Canada

    PubMed Central

    Norman, Wendy V.; Guilbert, Edith R.; Okpaleke, Christopher; Hayden, Althea S.; Steven Lichtenberg, E.; Paul, Maureen; White, Katharine O’Connell; Jones, Heidi E.

    2016-01-01

    Abstract Objective To determine the location of Canadian abortion services relative to where reproductive-age women reside, and the characteristics of abortion facilities and providers. Design An international survey was adapted for Canadian relevance. Public sources and professional networks were used to identify facilities. The bilingual survey was distributed by mail and e-mail from July to November 2013. Setting Canada. Participants A total of 94 abortion facilities were identified. Main outcome measures The number and location of services were compared with the distribution of reproductive-age women by location of residence. Results We identified 94 Canadian facilities providing abortion in 2012, with 48.9% in Quebec. The response rate was 83.0% (78 of 94). Facilities in every jurisdiction with services responded. In Quebec and British Columbia abortion services are nearly equally present in large urban centres and rural locations throughout the provinces; in other Canadian provinces services are chiefly located in large urban areas. No abortion services were identified in Prince Edward Island. Respondents reported provision of 75 650 abortions in 2012 (including 4.0% by medical abortion). Canadian facilities reported minimal or no harassment, in stark contrast to American facilities that responded to the same survey. Conclusion Access to abortion services varies by region across Canada. Services are not equitably distributed in relation to the regions where reproductive-age women reside. British Columbia and Quebec have demonstrated effective strategies to address disparities. Health policy and service improvements have the potential to address current abortion access inequity in Canada. These measures include improved access to mifepristone for medical abortion; provincial policies to support abortion services; routine abortion training within family medicine residency programs; and increasing the scope of practice for nurses and midwives to include abortion

  11. Developing School Health Services in Massachusetts: A Public Health Model

    ERIC Educational Resources Information Center

    Sheetz, Anne H.

    2003-01-01

    In 1993 the Massachusetts Department of Public Health (MDPH) began defining essential components of school health service programs, consistent with the public health model. The MDPH designed and funded the Enhanced School Health Service Programs to develop 4 core components of local school health services: (a) strengthening the administrative…

  12. 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...

  13. 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...

  14. 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...

  15. 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...

  16. 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...

  17. 29 CFR 4.111 - Contracts “to furnish services.”

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ...., 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...

  18. 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...

  19. 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...

  20. 34 CFR 303.13 - Health services.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 34 Education 2 2010-07-01 2010-07-01 false Health services. 303.13 Section 303.13 Education... DISABILITIES General Purpose, Eligibility, and Other General Provisions § 303.13 Health services. (a) As used in this part, health services means services necessary to enable a child to benefit from the...

  1. 34 CFR 303.13 - Health services.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 34 Education 2 2011-07-01 2010-07-01 true Health services. 303.13 Section 303.13 Education... DISABILITIES General Purpose, Eligibility, and Other General Provisions § 303.13 Health services. (a) As used in this part, health services means services necessary to enable a child to benefit from the...

  2. Afghanistan's basic package of health services: its development and effects on rebuilding the health system.

    PubMed

    Newbrander, William; Ickx, Paul; Feroz, Ferozuddin; Stanekzai, Hedayatullah

    2014-01-01

    In 2001, Afghanistan's Ministry of Public Health inherited a devastated health system and some of the worst health statistics in the world. The health system was rebuilt based on the Basic Package of Health Services (BPHS). This paper examines why the BPHS was needed, how it was developed, its content and the changes resulting from the rebuilding. The methods used for assessing change were to review health outcome and health system indicator changes from 2004 to 2011 structured along World Health Organisation's six building blocks of health system strengthening. BPHS implementation contributed to success in improving health status by translating policy and strategy into practical interventions, focusing health services on priority health problems, clearly defining the services to be delivered at different service levels and helped the Ministry to exert its stewardship role. BPHS was expanded nationwide by contracting out its provision of services to non-governmental organisations. As a result, access to and utilisation of primary health care services in rural areas increased dramatically because the number of BPHS facilities more than doubled; access for women to basic health care improved; more deliveries were attended by skilled personnel; supply of essential medicines increased; and the health information system became more functional. PMID:24865404

  3. Afghanistan's Basic Package of Health Services: Its development and effects on rebuilding the health system

    PubMed Central

    Newbrander, William; Ickx, Paul; Feroz, Ferozuddin; Stanekzai, Hedayatullah

    2014-01-01

    In 2001, Afghanistan's Ministry of Public Health inherited a devastated health system and some of the worst health statistics in the world. The health system was rebuilt based on the Basic Package of Health Services (BPHS). This paper examines why the BPHS was needed, how it was developed, its content and the changes resulting from the rebuilding. The methods used for assessing change were to review health outcome and health system indicator changes from 2004 to 2011 structured along World Health Organisation's six building blocks of health system strengthening. BPHS implementation contributed to success in improving health status by translating policy and strategy into practical interventions, focusing health services on priority health problems, clearly defining the services to be delivered at different service levels and helped the Ministry to exert its stewardship role. BPHS was expanded nationwide by contracting out its provision of services to non-governmental organisations. As a result, access to and utilisation of primary health care services in rural areas increased dramatically because the number of BPHS facilities more than doubled; access for women to basic health care improved; more deliveries were attended by skilled personnel; supply of essential medicines increased; and the health information system became more functional. PMID:24865404

  4. 76 FR 57014 - Award Fee for Service and End-Item Contracts

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-15

    ... SPACE ADMINISTRATION 48 CFR Part 1852 RIN 2700-AD70 Award Fee for Service and End-Item Contracts AGENCY... NASA FAR Supplement (NFS) to update the Award Fee for Service Contracts clause (NFS 1852.216-76) to clarify that the amount of award fee held in reserve, if any, shall not exceed $100,000 for the...

  5. 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...

  6. 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...

  7. 78 FR 12042 - Public Availability of Defense Nuclear Facilities Safety Board FY 2011 Service Contract Inventory...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-21

    ... From the Federal Register Online via the Government Publishing Office DEFENSE NUCLEAR FACILITIES SAFETY BOARD Public Availability of Defense Nuclear Facilities Safety Board FY 2011 Service Contract Inventory Analysis/FY 2012 Service Contract Inventory AGENCY: Defense Nuclear Facilities Safety Board...

  8. 77 FR 7138 - Public Availability of Commodity Futures Trading Commission FY 2011 Service Contract Inventory

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-10

    ... information on service contract actions over $25,000 that were made in FY 2011. The information is organized... been developed in accordance with guidance issued on November 5, 2010 by the Office of Management and... service contract inventory should be directed to Sonda R. Owens in the Office of Financial...

  9. 76 FR 5354 - Public Availability of Defense Nuclear Facilities Safety Board FY 2010 Service Contract Inventory

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-31

    ... Inventory AGENCY: Defense Nuclear Facilities Safety Board (Board). ACTION: Notice of public availability of FY 2010 Service Contract Inventories. SUMMARY: In accordance with Section 743 of Division C of the... public of the availability of the FY 2010 Service Contract inventory. This inventory provides...

  10. 75 FR 14095 - Defense Federal Acquisition Regulation Supplement; Appendix A, Armed Services Board of Contract...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-24

    ...; Appendix A, Armed Services Board of Contract Appeals, Part 1--Charter AGENCY: Defense Acquisition... Charter of the Armed Services Board of Contract Appeals (ASBCA), dated May 14, 2007. The ASBCA is... Army, Navy, and Air Force in hearing, considering, and determining appeals by contractors...

  11. 48 CFR 1552.232-73 - Payments-fixed-rate services contract.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 48 Federal Acquisition Regulations System 6 2011-10-01 2011-10-01 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....

  12. 48 CFR 52.222-49 - Service Contract Act-Place of Performance Unknown.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... of Performance Unknown. 52.222-49 Section 52.222-49 Federal Acquisition Regulations System FEDERAL... Provisions and Clauses 52.222-49 Service Contract Act—Place of Performance Unknown. As prescribed in 22.1006(f), insert the following clause: Service Contract Act—Place of Performance Unknown (MAY 1989)...

  13. 48 CFR 52.222-49 - Service Contract Act-Place of Performance Unknown.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... of Performance Unknown. 52.222-49 Section 52.222-49 Federal Acquisition Regulations System FEDERAL... Provisions and Clauses 52.222-49 Service Contract Act—Place of Performance Unknown. As prescribed in 22.1006(f), insert the following clause: Service Contract Act—Place of Performance Unknown (MAY 1989)...

  14. 48 CFR 52.222-49 - Service Contract Act-Place of Performance Unknown.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... of Performance Unknown. 52.222-49 Section 52.222-49 Federal Acquisition Regulations System FEDERAL... Provisions and Clauses 52.222-49 Service Contract Act—Place of Performance Unknown. As prescribed in 22.1006(f), insert the following clause: Service Contract Act—Place of Performance Unknown (MAY 1989)...

  15. 77 FR 23293 - Service Contract Inventory for Fiscal Year (FY) 2011

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-18

    ... From the Federal Register Online via the Government Publishing Office OFFICE OF SPECIAL COUNSEL 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...

  16. 78 FR 52457 - Defense Federal Acquisition Regulation Supplement; Appendix A, Armed Services Board of Contract...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-23

    ...; Appendix A, Armed Services Board of Contract Appeals, Part 1--Charter CFR Correction 0 In Title 48 of the..., in Appendix A to Chapter 2, add two lines to the list immediately preceding Part 1-- Charter to read as follows: Appendix A to Chapter 2--Armed Services Board of Contract Appeals * * * * *...

  17. 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... statutory and regulatory authorities and requirements. The task force's findings and...

  18. Evaluating a health service taskforce.

    PubMed

    Moullin, Max

    2004-01-01

    A large number of taskforces and other quality improvement teams have been set up to achieve change in recent years, both in health and elsewhere, but there has been relatively little systematic evaluation of the benefits obtained. This paper discusses alternative methodologies and frameworks for assessing the value of taskforces and other quality improvement teams in the public sector and concludes that the Performance Prism, used in conjunction with the public sector scorecard, a variant of the balanced scorecard, is most appropriate. The paper then describes a case study on the evaluation of a UK health service taskforce using the recommended approach and reflects on its successes and limitations. PMID:15481691

  19. 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

  20. 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. PMID:25276589

  1. 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.

  2. Privatisation in reproductive health services in Pakistan: three case studies.

    PubMed

    Ravindran, T K Sundari

    2010-11-01

    Privatisation in Pakistan's health sector was part of the Structural Adjustment Programme that started in 1998 following the country's acute foreign exchange crisis. This paper examines three examples of privatisation which have taken place in service delivery, management and capacity-building functions in the health sector: 1) large-scale contracting out of publicly-funded health services to private, not-for-profit organisations; 2) social marketing/franchising networks providing reproductive health services; and 3) a public-private partnership involving a consortium of private players and the government of Pakistan. It assesses the extent to which these initiatives have contributed to promoting equitable access to good quality, comprehensive reproductive health services. The paper concludes that these forms of privatisation in Pakistan's health sector have at best made available a limited range of fragmented reproductive health services, often of sub-optimal quality, to a fraction of the population, with poor returns in terms of health and survival, especially for women. This analysis has exposed a deep-rooted malaise within the health system as an important contributor to this situation. Sustained investment in health system strengthening is called for, where resources from both public and private sectors are channelled towards achieving health equity, under the stewardship of the state and with active participation by and accountability to members of civil society. PMID:21111347

  3. 42 CFR 434.40 - Contract requirements.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 4 2010-10-01 2010-10-01 false Contract requirements. 434.40 Section 434.40 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL ASSISTANCE PROGRAMS CONTRACTS Contracts With Health Insuring Organizations § 434.40...

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

    PubMed

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

    2007-09-01

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

  5. 42 CFR 489.29 - Special requirements concerning beneficiaries served by the Indian Health Service, Tribal health...

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... rates of payment established under 42 CFR part 136, subpart D as payment in full for the following programs: (1) A contract health service (CHS) program under 42 CFR part 136, subpart C, of the Indian Health Service (IHS); (2) A CHS program under 42 CFR part 136, subpart C, carried out by an Indian...

  6. 42 CFR 489.29 - Special requirements concerning beneficiaries served by the Indian Health Service, Tribal health...

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... rates of payment established under 42 CFR part 136, subpart D as payment in full for the following programs: (1) A contract health service (CHS) program under 42 CFR part 136, subpart C, of the Indian Health Service (IHS); (2) A CHS program under 42 CFR part 136, subpart C, carried out by an Indian...

  7. 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.

  8. Prevention and dental health services.

    PubMed

    Widström, Eeva

    2004-01-01

    There has been, and still is a firm belief that regular use of dental services is beneficial for all. Thus governments in most European countries have shown some interest in training oral health care professionals, distributing the dental workforce and cost sharing. Constantly evolving treatment options and the introduction of new methods make dental clinicians feel uncertain as to which treatments are most useful, who would benefit from them, and which treatments will achieve cost-effective health gain. Although there is a considerable quantity of scientific literature showing that most available preventive measures are effective, and the number of sensible best-practice guidelines in prevention is growing, there are few studies on cost-efficiency of different methods and, secondly, the prevention and treatment guidelines are poorly known among general practitioners. In the eyes of the public, it is obvious that preventive methods practised by patients at home have been eclipsed by clinical procedures performed in dental clinics. Reliance on an increasingly individualistic approach to health care leads to the medicalisation of issues that are not originally health or medical problems. It is important to move general oral disease prevention back to the people who must integrate this in their daily routines. Prevention primarily based on healthy lifestyles, highlighted in the new public health strategy of the European Union (EU), is the key to future health policy.

  9. 48 CFR 237.104 - Personal services contracts.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... procedures do not apply to contracts awarded to business entities other than individuals. Selections made... intelligence component or counter-intelligence organization of DoD; or (iii) Directly support the mission of... GS-15 (see 5 CFR 304.105(a)). (ii) The contract may provide for the same per diem and travel...

  10. 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.

  11. A preliminary assessment of financial stability, efficiency, health systems and health outcomes using performance-based contracts in Belize.

    PubMed

    Bowser, Diana M; Figueroa, Ramon; Natiq, Laila; Okunogbe, Adeyemi

    2013-01-01

    Over the last 10 years, Belize has implemented a National Health Insurance (NHI) program that uses performance-based contracts with both public and private facilities to improve financial sustainability, efficiency and service provision. Data were collected at the facility, district and national levels in order to assess trends in financial sustainability, efficiency payments, year-end bonuses and health system and health outcomes. A difference-in-difference approach was used to assess the difference in technical efficiency between private and public facilities. The results show that per capita spending on services provided by the NHI program has decreased over the period 2006-2009 from BZ$177 to BZ$136. The private sector has achieved higher levels of technical efficiency, but lower percentages of efficiency and year-end bonus payments. Districts with contracts through the NHI program showed greater improvements in facility births, nurse density, reducing maternal mortality, diabetes deaths and morbidity from bronchitis, emphysema and asthma than districts without contracts over the period 2006-2010. This preliminary assessment of Belize's pay-for-performance system provides some positive results, however further research is needed to use the lessons learned from Belize to implement similar reforms in other systems.

  12. The use of private-sector contracts for primary health care: theory, evidence and lessons for low-income and middle-income countries.

    PubMed Central

    Palmer, N.

    2000-01-01

    Contracts for the delivery of public services are promoted as a means of harnessing the resources of the private sector and making publicly funded services more accountable, transparent and efficient. This is also argued for health reforms in many low- and middle-income countries, where reform packages often promote the use of contracts despite the comparatively weaker capacity of markets and governments to manage them. This review highlights theories and evidence relating to contracts for primary health care services and examines their implications for contractual relationships in low- and middle-income countries. PMID:10916919

  13. 45 CFR 96.45 - Preventive health and health services.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 45 Public Welfare 1 2012-10-01 2012-10-01 false Preventive health and health services. 96.45 Section 96.45 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION BLOCK GRANTS Direct Funding of Indian Tribes and Tribal Organizations § 96.45 Preventive health and health...

  14. 45 CFR 96.45 - Preventive health and health services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 45 Public Welfare 1 2010-10-01 2010-10-01 false Preventive health and health services. 96.45 Section 96.45 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION BLOCK GRANTS Direct Funding of Indian Tribes and Tribal Organizations § 96.45 Preventive health and health...

  15. 45 CFR 96.45 - Preventive health and health services.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 45 Public Welfare 1 2013-10-01 2013-10-01 false Preventive health and health services. 96.45 Section 96.45 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION BLOCK GRANTS Direct Funding of Indian Tribes and Tribal Organizations § 96.45 Preventive health and health...

  16. 45 CFR 96.45 - Preventive health and health services.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 45 Public Welfare 1 2014-10-01 2014-10-01 false Preventive health and health services. 96.45 Section 96.45 Public Welfare Department of Health and Human Services GENERAL ADMINISTRATION BLOCK GRANTS Direct Funding of Indian Tribes and Tribal Organizations § 96.45 Preventive health and health...

  17. 45 CFR 96.45 - Preventive health and health services.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 45 Public Welfare 1 2011-10-01 2011-10-01 false Preventive health and health services. 96.45 Section 96.45 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION BLOCK GRANTS Direct Funding of Indian Tribes and Tribal Organizations § 96.45 Preventive health and health...

  18. 42 CFR 475.105 - Prohibition against contracting with health care facilities, affiliates, and payor organizations.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 4 2014-10-01 2014-10-01 false Prohibition against contracting with health care... contracting with health care facilities, affiliates, and payor organizations. (a) Basic rule. Except as... health care facility in the QIO area. (2) A health care facility affiliate; that is, an organization...

  19. Homeless health needs: shelter and health service provider perspective.

    PubMed

    Hauff, Alicia J; Secor-Turner, Molly

    2014-01-01

    The effects of homelessness on health are well documented, although less is known about the challenges of health care delivery from the perspective of service providers. Using data from a larger health needs assessment, the purpose of this study was to describe homeless health care needs and barriers to access utilizing qualitative data collected from shelter staff (n = 10) and health service staff (n = 14). Shelter staff members described many unmet health needs and barriers to health care access, and discussed needs for other supportive services in the area. Health service providers also described multiple health and service needs, and the need for a recuperative care setting for this population. Although a variety of resources are currently available for homeless health service delivery, barriers to access and gaps in care still exist. Recommendations for program planning are discussed and examined in the context of contributing factors and health care reform.

  20. Nature and determinants of customer expectations of service recovery in health care.

    PubMed

    Dasu, S; Rao, J

    1999-01-01

    Service recovery refers to the service provider's response to a dissatisfied customer. This article proposes a model of customer expectations of service recovery in health care services. The model discusses two types of service recovery expectations: will and should. An exploratory study indicates that industry reputation and personal experiences drive customers' "will-expectations" of service recovery while "should-expectations" can be explained via norm, fairness, social contract and hospitality theories. PMID:10557397

  1. 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....

  2. 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....

  3. Adolescent health promotion and risk reduction: cementing the social contract between pediatricians and the schools.

    PubMed Central

    Elias, M. J.; Kress, J. S.; Gager, P. J.; Hancock, M. E.

    1994-01-01

    In this article the implications of a biopsychosocial model of adolescent health promotion for the delivery of relevant services in the schools are examined. Adolescent health status is reviewed and is found, despite existing efforts for health promotion and risk reduction, to be in need of substantial improvement. For this to happen, having an early and sustained positive impact on the health trajectory of children is essential; further school-based and school-linked curricular efforts for health promotion are a necessary feature of a successful strategy for adolescent health promotion. In fact, this approach brings to life the social contract between pediatricians and the public to apply the biopsychosocial model at both clinical and societal levels. Curricula serve as the glue that binds diverse health-related concerns and findings emerging from health research into a coordinated, thorough, and detailed strategy and set of actions for school-based and school-linked health promotion efforts. School-linked health programs are consistent with a biopsychosocial perspective, from which the school is best viewed as a health-promoting environment, centered in concepts and practices outlined in and conveyed through the curriculum and associated instructional practices and delivery systems. Many benefits can result from pediatricians and other medical professionals taking a renewed, prominent role in comprehensive school-based and school-linked health promotion efforts, beginning in the early grades, when the trajectory of adolescent health is strongly set into motion. PMID:8069279

  4. Public health service administration and academia. A joint venture.

    PubMed

    Campbell, B F; King, J B

    1992-12-01

    Joint ventures between service and academia are designed to enhance the quality of client services, enrich faculty teaching experiences and skills, and strengthen communication channels. The joint venture described in this article is an example of how public health nursing services and academia can be united through faculty participation in administration. Included in the discussion are the impetus for the project, the contract negotiations, the positive outcomes and disadvantages of the venture, and questions that should be raised when a similar venture is considered.

  5. Health Services Manual. Hicksville Public Schools.

    ERIC Educational Resources Information Center

    1987

    This procedure manual describes the uniform procedures used by the Hicksville, New York School District's Health Services Program. Its objectives are to establish a uniform set of health services guidelines and procedures, to update all health forms, to maintain an awareness of the current changes in health laws that govern school districts, and…

  6. Health Service Delivery in Developing Countries

    ERIC Educational Resources Information Center

    Benyoussef, Amor

    1977-01-01

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

  7. Guidelines for Health Services for Migrant Students.

    ERIC Educational Resources Information Center

    Strazicich, Mirko, Ed.

    This publication provides a standard by which California migrant education health staff can plan, implement, and evaluate a health program for students in grades K-12. Following sections which describe current state legislation, the need for health services, and California's objectives and activities regarding health services for migrant students…

  8. 76 FR 22070 - Federal Acquisition Regulation; Service Contracts Reporting Requirements

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-20

    ....g., at or above the simplified acquisition threshold (SAT) for cost-reimbursement, time-and... selected for cost- reimbursement, time-and-materials, and labor-hour contracts (i.e., at or above the...

  9. 48 CFR 42.203 - Contract administration services directory.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... names and telephone numbers of those DCMA and other agency offices that offer contract administration... it on the Internet at http://www.dcma.mil/. For additional information contact—Defense...

  10. 77 FR 63805 - Federal Acquisition Regulation; Information Collection; Service Contracting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-17

    ... FR 37907, on June 25, 2012. No comments were received. Public comments are particularly invited on... personnel. This permits Government contracting officers to ascertain cost realism of proposed labor...

  11. 42 CFR 136a.15 - Health Service Delivery Areas.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

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

  12. 42 CFR 136a.15 - Health Service Delivery Areas.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

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

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

    Code of Federal Regulations, 2010 CFR

    2010-10-01

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

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

    Code of Federal Regulations, 2012 CFR

    2012-10-01

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

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

    Code of Federal Regulations, 2013 CFR

    2013-10-01

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

  16. [Patient-Proposed Health Services].

    PubMed

    Fujiwara, Yasuhiro

    2016-06-01

    The Patient-Proposed Health Services(PPHS)was launched in April 2016. PPHS was proposed by the Council for Regulatory Reform, which was established in January 2013 under the Second Abe Administration. After discussion within the council, PPHS was published in the Japan Revitalization Strategy(2014 revised edition), which was endorsed by the Cabinet on June 24, 2014. PPHS was proposed therein as a new mechanism within the mixed billing system to apply for a combination of treatment not covered by the public health insurance with treatment covered by the insurance. Subsequently, PPHS was submitted for diet deliberations in April and May 2015 and inserted into article 63 of the health insurance act in accordance with "a law for making partial amendments to the National Health Insurance Act, etc., in order to create a sustainable medical insurance system", which was promulgated on May 29, 2015. In this paper I will review the background of the birth of PPHS and discuss its overview. PMID:27306801

  17. 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.

  18. Pharmaceutical services in the United States Public Health Service.

    PubMed

    Paavola, F G; Dermanoski, K R; Pittman, R E

    1997-04-01

    The status of pharmaceutical services in the United States Public Health Service (PHS) is described. The PHS has been the principal health agency of the United States for nearly 200 years, directing its resources to meeting the nation's changing health needs. Pharmacists are assigned to all eight operating divisions of the PHS (a major component of the Department of Health and Human Services), as well as other federal agencies and programs. Pharmacists assigned to the Indian Health Service, the National Institutes of Health, the United States Coast Guard, the Immigration and Naturalization Service, the Federal Bureau of Prisons, and Saint Elizabeths Hospital provide pharmaceutical services to a broad range of patients and settings. Some PHS pharmacists are involved in bringing new drugs to market in the Food and Drug Administration, participating in research protocols at the National Institutes of Health, and helping the underserved populations through the programs of the Health Resources and Services Administration. Still other PHS pharmacists provide leadership and program management at the Agency for Health Care Policy and Research, the Agency for Toxic Substances and Disease Registry, the Centers for Disease Control and Prevention, the Substance Abuse and Mental Health Services Administration, and the Health Care Financing Administration. Pharmacists in the PHS work in a broad array of settings, in many cases providing care for the underserved.

  19. Empowerment and the performance of health services.

    PubMed

    Lloyd, P; Braithwaite, J; Southon, G

    1999-01-01

    Addresses the issue of empowerment and its possible role in promoting the effectiveness of health services. Empowerment represents the ability of people within organisations to use their own initiative to further organisational interests. However, despite its apparent simplicity, the concept turns out to be quite complex and to have unanticipated implications. We explore some of these implications in health service organisations, and their consequences for health policy. Our conclusion is that many health policies may well act to degrade the empowerment of health service workers, and hence the performance of health service organisations.

  20. 31 CFR 545.406 - Exportation of services; performance of service contracts; legal services.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... TALIBAN (AFGHANISTAN) SANCTIONS REGULATIONS Interpretations § 545.406 Exportation of services; performance....201 or where the benefit of such services is otherwise received in the territory of Afghanistan... received in the territory of Afghanistan controlled by the Taliban. Note to § 545.406. See § 545.513...

  1. Mental Health Service Delivery Systems and Perceived Qualifications of Mental Health Service Providers in School Settings

    ERIC Educational Resources Information Center

    Dixon, Decia Nicole

    2009-01-01

    Latest research on the mental health status of children indicates that schools are key providers of mental health services (U.S. Department of Health and Human Services, 2003). The push for school mental health services has only increased as stakeholders have begun to recognize the significance of sound mental health as an essential part of…

  2. 48 CFR 452.237-78 - Contracts with Consulting Firms for Services.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 48 Federal Acquisition Regulations System 4 2011-10-01 2011-10-01 false Contracts with Consulting Firms for Services. 452.237-78 Section 452.237-78 Federal Acquisition Regulations System DEPARTMENT OF AGRICULTURE CLAUSES AND FORMS SOLICITATION PROVISIONS AND CONTRACT CLAUSES Texts of Provisions and Clauses...

  3. 48 CFR 227.7206 - Contracts for architect-engineer services.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 48 Federal Acquisition Regulations System 3 2014-10-01 2014-10-01 false Contracts for architect-engineer services. 227.7206 Section 227.7206 Federal Acquisition Regulations System DEFENSE ACQUISITION REGULATIONS SYSTEM, DEPARTMENT OF DEFENSE GENERAL CONTRACTING REQUIREMENTS PATENTS, DATA, AND COPYRIGHTS Rights in Computer Software and...

  4. 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 AGENCY: Office of Procurement and Property Management, Departmental Management, Department of Agriculture... $25,000. The information is organized by function to show how contracted resources are...

  5. 48 CFR 1837.104 - Personal services contracts. (NASA supplements paragraph (b))

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    .... (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...

  6. 48 CFR Appendix A to Chapter 2 - Armed Services Board of Contract Appeals

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Contract Appeals A Appendix A to Chapter 2 Federal Acquisition Regulations System DEFENSE ACQUISITION REGULATIONS SYSTEM, DEPARTMENT OF DEFENSE Ch. 2, App. A Appendix A to Chapter 2—Armed Services Board of Contract Appeals Pt. Part 1—Charter Part 2—Rules Authority: 41 U.S.C. 421 and 48 CFR chapter 1....

  7. 48 CFR 52.223-2 - Affirmative Procurement of Biobased Products Under Service and Construction Contracts.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 2 2010-10-01 2010-10-01 false Affirmative Procurement of... CONTRACT CLAUSES Text of Provisions and Clauses 52.223-2 Affirmative Procurement of Biobased Products Under... Procurement of Biobased Products Under Service and Construction Contracts (DEC 2007) (a) In the performance...

  8. 48 CFR 728.313 - Contract clauses for insurance of transportation or transportation-related services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 5 2010-10-01 2010-10-01 false Contract clauses for insurance of transportation or transportation-related services. 728.313 Section 728.313 Federal Acquisition...) USAID is required by law to include language in all its direct contracts and subcontracts ensuring...

  9. 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 services contract. 1552.232-73 Section 1552.232-73 Federal Acquisition Regulations System ENVIRONMENTAL PROTECTION AGENCY CLAUSES AND FORMS SOLICITATION PROVISIONS AND CONTRACT CLAUSES Texts of Provisions and Clauses 1552.232-73...

  10. 48 CFR 5152.245-9001 - Government property for installation support services (cost-reimbursement contracts).

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... Installation Support Services (Cost-Reimbursement Contracts) (OCT 1989) (DEV) (a) Government-furnished property... Government-furnished property. The Contracting Officer may, by written notice, decrease the Government-furnished property or substitute other property for the property being used by the contractor. In the...

  11. 48 CFR 5152.245-9001 - Government property for installation support services (cost-reimbursement contracts).

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Installation Support Services (Cost-Reimbursement Contracts) (OCT 1989) (DEV) (a) Government-furnished property... Government-furnished property. The Contracting Officer may, by written notice, decrease the Government-furnished property or substitute other property for the property being used by the contractor. In the...

  12. 48 CFR 5152.245-9001 - Government property for installation support services (cost-reimbursement contracts).

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... Installation Support Services (Cost-Reimbursement Contracts) (OCT 1989) (DEV) (a) Government-furnished property... Government-furnished property. The Contracting Officer may, by written notice, decrease the Government-furnished property or substitute other property for the property being used by the contractor. In the...

  13. 48 CFR 5152.245-9001 - Government property for installation support services (cost-reimbursement contracts).

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... Installation Support Services (Cost-Reimbursement Contracts) (OCT 1989) (DEV) (a) Government-furnished property... Government-furnished property. The Contracting Officer may, by written notice, decrease the Government-furnished property or substitute other property for the property being used by the contractor. In the...

  14. 48 CFR 5152.245-9001 - Government property for installation support services (cost-reimbursement contracts).

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... Installation Support Services (Cost-Reimbursement Contracts) (OCT 1989) (DEV) (a) Government-furnished property... Government-furnished property. The Contracting Officer may, by written notice, decrease the Government-furnished property or substitute other property for the property being used by the contractor. In the...

  15. 48 CFR 3009.171-3 - Determination of eligibility for award of FPS guard service contracts.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... eligibility for award of FPS guard service contracts upon identification of the apparent successful offeror as... contracting officer in writing upon any felony conviction of personnel who own, control or operate a business concern as defined in (HSAR) 48 CFR 3009.171-4 at any time during the duration of an Indefinite...

  16. Directions in contracting for psychiatric services managed care firms.

    PubMed

    Rodriguez, A R

    1990-01-01

    An "irresistible force" has surely emerged in American healthcare; its name is Managed Care. It's a force embarked on an economic holy war, fired by the passions and anxieties of a competitive market economy that now seems uncommitted to spending more on health services. Its army is made up of an ununited confederation of utilization review organizations, health maintenance organizations (HMOs), preferred provider organizations (PPOs), exclusive provider organizations (EPOs), and a number of other entities that have been enlisted to restrain++ the medical-industrial complex. In their march across America, they have frequently assailed the shibboleths and established structures of treatment systems, especially psychiatry and often fought with one another. While some are mercenary forces, others appear as peoples' armies, committed to preserving and strengthening the healthcare system they are transforming. As it encounters the inhabitants of this domain, Managed Care becomes both their master and their slave. As with any occupying force, it must win their hearts and minds over to the new way of doing things. The winning-over process is not going well now. Many patients and providers are angry at the inefficiencies, unproven effectiveness, administrative burdens, affronts to traditions, and threats to quality sometimes posed by Managed Care. This collective unrest has resulted in both a mounting resistance to the problems emanating from managed care changes in the healthcare system and a call to check its unrestrained incursions into professional practice through regulation. The growing tension between what seems an irresistible force and an immovable object can be viewed as part of the natural evolution of all change, particularly in a free market or in a society with requisite checks and balances.(ABSTRACT TRUNCATED AT 250 WORDS) PMID:10115465

  17. 42 CFR 475.105 - Prohibition against contracting with health care facilities.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 4 2012-10-01 2012-10-01 false Prohibition against contracting with health care... 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)...

  18. 42 CFR 475.105 - Prohibition against contracting with health care facilities.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 4 2011-10-01 2011-10-01 false Prohibition against contracting with health care... 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)...

  19. 42 CFR 475.105 - Prohibition against contracting with health care facilities.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 4 2013-10-01 2013-10-01 false Prohibition against contracting with health care... 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)...

  20. 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

    ... on service contract actions over $25,000 that were made in FY 2011. The information is organized by... developed in accordance with guidance issued on December 19, 2011 by the Office of Management and...

  1. 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

    ... information on service contract actions over $25,000 that were made in FY 2011. The information is organized... guidance issued by the Office of Management and Budget's Office of Federal Procurement Policy (OFPP)...

  2. 77 FR 7139 - Public Availability of Defense Nuclear Facilities Safety Board; FY 2010 Service Contract...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-10

    ... guidance issued on December 19, 2011, by the Office of Management and Budget's Office of Federal... service contract actions over $25,000 that were made in FY 2011. The information is organized by...

  3. 76 FR 5589 - Public Availability of Federal Election Commission, Procurement Division FY 2010 Service Contract...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-01

    ... on service contract actions over $25,000 that were made in FY 2010. The information is organized by... developed in accordance with guidance issued on November 5, 2010 by the Office of Management and...

  4. 78 FR 77450 - Public Availability of Federal Election Commission, Procurement Division FY2013 Service Contract...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-23

    ... on service contract actions over $25,000 that was made in FY2013. The information is organized by... developed in accordance with guidance issued on December 19, 2011 by the Office of Management and...

  5. 78 FR 11646 - Public Availability of Federal Election Commission, Procurement Division FY 2012 Service Contract...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-19

    ... on service contract actions over $25,000 that were made in FY 2012. The information is organized by... developed in accordance with guidance issued on December 19, 2011 by the Office of Management and...

  6. 76 FR 30716 - Public Availability of the Federal Communications Commission FY 2010 Service Contract Inventory

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-26

    ... information on service contract actions over $25,000 that were made in FY 2010. The information is organized... been developed in accordance with guidance issued on November 5, 2010 by the Office of Management...

  7. 78 FR 7858 - Publication of Fiscal Year 2012 Service Contract Inventory

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-04

    ... Treasury will make available to the public at http://www.treasury.gov/about/organizational-structure... service contract inventory. Treasury submitted its inventory for FY 2012 to the Office of Management...

  8. 78 FR 14415 - Publication of Fiscal Year 2012 Service Contract Inventory Analysis

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-05

    ... public at http://www.treasury.gov/about/organizational-structure/offices/Pages/Office-of-the-Procurement... service contract inventory. Treasury submitted its inventory for FY 2012 to the Office of Management...

  9. 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

    ... regarding the service contract inventory should be directed to David Graham in the Acquisitions Management Branch at (202) 273-4047 or david.graham@nlrb.gov . Dated: January 26, 2012. By Direction of the...

  10. 77 FR 7183 - Public Availability of the National Aeronautics and Space Administration FY 2011 Service Contract...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-10

    ... From the Federal Register Online via the Government Publishing Office NATIONAL AERONAUTICS AND SPACE ADMINISTRATION Public Availability of the National Aeronautics and Space Administration FY 2011 Service Contract Inventory AGENCY: National Aeronautics and Space Administration. ACTION: Notice of...

  11. 78 FR 13383 - Public Availability of the National Aeronautics and Space Administration FY 2012 Service Contract...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-27

    ... From the Federal Register Online via the Government Publishing Office NATIONAL AERONAUTICS AND SPACE ADMINISTRATION Public Availability of the National Aeronautics and Space Administration FY 2012 Service Contract Inventory (SCI) AGENCY: Office of Procurement, National Aeronautics and...

  12. 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

    ... information on service contract actions over $25,000 that were made in FY 2010. The information is organized... has been developed in accordance with guidance issued on November 5, 2010 by the Office of...

  13. Regional health library service in northern Ireland.

    PubMed

    Crawford, D S

    1990-10-01

    The regional medical library service provided to physicians, hospitals, nurses, social workers, and health care administrators throughout Northern Ireland by the Queen's University of Belfast is described. A brief outline of the National Health Service in the United Kingdom is given, and the library service is described in terms of collections, cataloging, interlibrary loan, and reference. PMID:2224299

  14. Improving Coordination of Addiction Health Services Organizations with Mental Health and Public Health Services.

    PubMed

    Guerrero, Erick G; Andrews, Christina; Harris, Lesley; Padwa, Howard; Kong, Yinfei; M S W, Karissa Fenwick

    2016-01-01

    In this mixed-method study, we examined coordination of mental health and public health services in addiction health services (AHS) in low-income racial and ethnic minority communities in 2011 and 2013. Data from surveys and semistructured interviews were used to evaluate the extent to which environmental and organizational characteristics influenced the likelihood of high coordination with mental health and public health providers among outpatient AHS programs. Coordination was defined and measured as the frequency of interorganizational contact among AHS programs and mental health and public health providers. The analytic sample consisted of 112 programs at time 1 (T1) and 122 programs at time 2 (T2), with 61 programs included in both periods of data collection. Forty-three percent of AHS programs reported high frequency of coordination with mental health providers at T1 compared to 66% at T2. Thirty-one percent of programs reported high frequency of coordination with public health services at T1 compared with 54% at T2. Programs with culturally responsive resources and community linkages were more likely to report high coordination with both services. Qualitative analysis highlighted the role of leadership in leveraging funding and developing creative solutions to deliver coordinated care. Overall, our findings suggest that AHS program funding, leadership, and cultural competence may be important drivers of program capacity to improve coordination with health service providers to serve minorities in an era of health care reform.

  15. [Communication in the health service].

    PubMed

    Panini, Roberta; Fiorini, Fulvio

    2014-01-01

    In the last twenty years, the hospitals have become firms, therefore they have had the necessity to differentiate from each other.Thus, as it is done in the commercial firms, in the health service different formality of communication are studied and introduced in order to attract new consumers and to maintain their trust. Furthermore, due to the introduction of the digitization in the Public Administrations, the communication has become more transparent.A systematic application of communication tools is more and more spread among the Sanitary Firms, whether they are Local Firm or Hospital Firm.Regarding the reference population, communication tools are used with different purposes such as educational and informative. In addition, they are applied as institutional marketing tool, in order to show the offered potentialities and also to increase the level of satisfaction in the patients/consumers who perceive the typology of reception and treatment during the sanitary performance. PMID:25098464

  16. 48 CFR 217.171 - Multiyear contracts for services.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... services (e.g., ground maintenance, in-plane refueling, bus transportation, and refuse collection and disposal); and (5) Environmental remediation services for— (i) An active military installation; (ii)...

  17. Contractions

    MedlinePlus

    ... feel tightening of your uterus muscles at irregular intervals or a squeezing sensation in your lower abdomen ... beginning of childbirth. These contractions come at regular intervals, usually move from the back to the lower ...

  18. 78 FR 80369 - Federal Acquisition Regulation; Service Contracts Reporting Requirements

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-31

    ...)(3), within six months of the effective date of the final rule, if the remaining period of... remain on the base contract, which is defined as-- (i) A performance period that extends beyond October 1..., GSA, and NASA published a proposed rule in the Federal Register at 76 FR 22070 on April 20, 2011,...

  19. 48 CFR 217.171 - Multiyear contracts for services.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... contract performance and the anticipated useful commercial life of the plant or equipment. As used in this section, “useful commercial life” means the commercial utility of the facilities rather than the physical life, with due consideration given to such factors as the location, specialized nature,...

  20. Children's Health Services Manual. Revised Edition.

    ERIC Educational Resources Information Center

    South Carolina State Dept. of Health and Environmental Control, Columbia.

    This manual for South Carolina's child health personnel covers program planning, evaluation, monitoring, and administration, and provides standards, procedures, policies, and regulations concerning health services for children in the state. An initial section on children's health services covers eligibility; the Women, Infants and Children…

  1. Hispanics and Culturally Sensitive Mental Health Services.

    ERIC Educational Resources Information Center

    Hispanic Research Center Research Bulletin, 1985

    1985-01-01

    The objective of improving mental health care for Hispanics has been reviewed, most often, as dependent upon the provision of culturally sensitive mental health services. "Cultural sensitivity," however, is an imprecise term, especially when efforts are made to put it into operation when providing mental health services to Hispanic clients.…

  2. Health Services Assistant. Revised. Instructor Guide.

    ERIC Educational Resources Information Center

    Missouri Univ., Columbia. Instructional Materials Lab.

    This color-coded curriculum guide was developed to help health services educators prepare students for health services occupations. The curriculum is organized in 20 units that cover the following topics: interpersonal relationships and the health care team; communication and observation skills; safety considerations; microbiology; the body as a…

  3. Public Service Ethics in Health Sciences Libraries.

    ERIC Educational Resources Information Center

    Wood, M. Sandra

    1991-01-01

    Discussion of ethics in libraries focuses on health sciences libraries. Highlights include distinguishing features of reference services in health sciences libraries, including the technical nature of the literature and pressures and time constraints on health care personnel; quality of service; access to information; confidentiality; intellectual…

  4. Payment contracts in a preventive health care system: a perspective from operations management.

    PubMed

    Yaesoubi, Reza; Roberts, Stephen D

    2011-12-01

    We consider a health care system consisting of two noncooperative parties: a health purchaser (payer) and a health provider, where the interaction between the two parties is governed by a payment contract. We determine the contracts that coordinate the health purchaser-health provider relationship; i.e. the contracts that maximize the population's welfare while allowing each entity to optimize its own objective function. We show that under certain conditions (1) when the number of customers for a preventive medical intervention is verifiable, there exists a gate-keeping contract and a set of concave piecewise linear contracts that coordinate the system, and (2) when the number of customers is not verifiable, there exists a contract of bounded linear form and a set of incentive-feasible concave piecewise linear contracts that coordinate the system.

  5. Marginal analysis in practice: an alternative to needs assessment for contracting health care.

    PubMed Central

    Cohen, D.

    1994-01-01

    Prioritising health care services on the basis of total needs can lead to inefficient use of resources. A better option is to determine priorities by marginal analysis, which examines the effects of altering the existing balance of expenditure between health care programmes. Resources to support investment are released from disinvestments-that is, the strategy is resource neutral. Thus an increase in total health benefits is achieved independent of any gains that may result from increased spending on health. In 1989 the Welsh Health Planning Forum identified 10 health gain areas, outlining within each one where further investment was likely to produce health gains and where disinvestment might be considered. All Welsh districts then attempted, with varying degrees of success, to produce a resource neutral strategy. Mid Glamorgan further explored the possibility of using marginal analysis in producing its strategy and influencing its policy for contracting. Working groups for most health gain areas each proposed 10 programmes for investment and a further 10 for disinvestment, which were then evaluated by a core evaluation team. In the case of maternal and child health the team dropped 10 of the 20 proposals. The remainder were considered by the health authority, which dropped a further proposal. Nine of the original 20 proposals thus formally became policy for 1995. PMID:7950568

  6. Preventive Health Services Utilization Among Korean Americans.

    PubMed

    Kim, Kyeongmo; Casado, Banghwa Lee

    2016-01-01

    This study examined the use of preventive health services among Korean American adults. Data were drawn from a cross-sectional survey of 212 Korean Americans in the Chicago, Illinois, metropolitan area. Guided by the Andersen's behavioral model, the authors examined whether predisposing (age, gender, marital status, household size, education), enabling (income, health insurance, English proficiency, citizenship, social network), and need (health status) factors are predictive of Korean Americans' preventive health services utilization. A binomial logistic regression showed that younger age, male, noncitizen, low income, no insurance, a larger family network, and better perceived health were associated with decreased odds of using preventive health services. PMID:27171558

  7. Effectively engaging the private sector through vouchers and contracting - A case for analysing health governance and context.

    PubMed

    Nachtnebel, Matthias; O'Mahony, Ashleigh; Pillai, Nandini; Hort, Kris

    2015-11-01

    Health systems of low and middle income countries in the Asia Pacific have been described as mixed, where public and private sector operate in parallel. Gaps in the provision of primary health care (PHC) services have been picked up by the private sector and led to its growth; as can an enabling regulatory environment. The question whether governments should purchase services from the private sector to address gaps in service provision has been fiercely debated. This purposive review draws evidence from systematic reviews, and additional published and grey literature, for input into a policy brief on purchasing PHC-services from the private sector for underserved areas in the Asia Pacific region. Additional published and grey literature on vouchers and contracting as mechanisms to engage the private sector was used to supplement the conclusions from systematic reviews. We analysed the literature through a policy lens, or alternatively, a 'bottom-up' approach which incorporates components of a realist review. Evidence indicates that both vouchers and contracting can improve health service outcomes in underserved areas. These outcomes however are strongly influenced by (1) contextual factors, such as roles and functions attributable to a shared set of key actors (2) the type of delivered services and community demand (3) design of the intervention, notably provider autonomy and trust (4) governance capacity and provision of stewardship. Examining the experience of vouchers and contracting to expand health services through engagement with private sector providers in the Asia Pacific found positive effects with regards to access and utilisation of health services, but more importantly, highlighted the significance of contextual factors, appropriate selection of mechanism for services provided, and governance arrangements and stewardship capacity. In fact, for governments seeking to engage the private sector, analysis of context and capacities are potentially a more

  8. Effectively engaging the private sector through vouchers and contracting - A case for analysing health governance and context.

    PubMed

    Nachtnebel, Matthias; O'Mahony, Ashleigh; Pillai, Nandini; Hort, Kris

    2015-11-01

    Health systems of low and middle income countries in the Asia Pacific have been described as mixed, where public and private sector operate in parallel. Gaps in the provision of primary health care (PHC) services have been picked up by the private sector and led to its growth; as can an enabling regulatory environment. The question whether governments should purchase services from the private sector to address gaps in service provision has been fiercely debated. This purposive review draws evidence from systematic reviews, and additional published and grey literature, for input into a policy brief on purchasing PHC-services from the private sector for underserved areas in the Asia Pacific region. Additional published and grey literature on vouchers and contracting as mechanisms to engage the private sector was used to supplement the conclusions from systematic reviews. We analysed the literature through a policy lens, or alternatively, a 'bottom-up' approach which incorporates components of a realist review. Evidence indicates that both vouchers and contracting can improve health service outcomes in underserved areas. These outcomes however are strongly influenced by (1) contextual factors, such as roles and functions attributable to a shared set of key actors (2) the type of delivered services and community demand (3) design of the intervention, notably provider autonomy and trust (4) governance capacity and provision of stewardship. Examining the experience of vouchers and contracting to expand health services through engagement with private sector providers in the Asia Pacific found positive effects with regards to access and utilisation of health services, but more importantly, highlighted the significance of contextual factors, appropriate selection of mechanism for services provided, and governance arrangements and stewardship capacity. In fact, for governments seeking to engage the private sector, analysis of context and capacities are potentially a more

  9. 48 CFR 3052.209-76 - Prohibition on Federal Protective Service guard services contracts with business concerns owned...

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... or business ethics and that an award would be consistent with the mission of FPS. The business... longer calls into question the individual or business concern's integrity or business ethics and that an... Protective Service guard services contracts with business concerns owned, controlled, or operated by...

  10. 48 CFR 3052.209-76 - Prohibition on Federal Protective Service guard services contracts with business concerns owned...

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... or business ethics and that an award would be consistent with the mission of FPS. The business... longer calls into question the individual or business concern's integrity or business ethics and that an... Protective Service guard services contracts with business concerns owned, controlled, or operated by...

  11. 48 CFR 3052.209-76 - Prohibition on Federal Protective Service guard services contracts with business concerns owned...

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... or business ethics and that an award would be consistent with the mission of FPS. The business... longer calls into question the individual or business concern's integrity or business ethics and that an... Protective Service guard services contracts with business concerns owned, controlled, or operated by...

  12. 48 CFR 3052.209-76 - Prohibition on Federal Protective Service guard services contracts with business concerns owned...

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... or business ethics and that an award would be consistent with the mission of FPS. The business... longer calls into question the individual or business concern's integrity or business ethics and that an... Protective Service guard services contracts with business concerns owned, controlled, or operated by...

  13. 48 CFR 317.204 - Contracts.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 4 2010-10-01 2010-10-01 false Contracts. 317.204 Section 317.204 Federal Acquisition Regulations System HEALTH AND HUMAN SERVICES CONTRACTING METHODS AND CONTRACT TYPES SPECIAL CONTRACTING METHODS Options 317.204 Contracts. (e) The total of the basic and...

  14. 78 FR 23735 - Analysis of Service Contract Inventory for FY 2011 and the Planned Analysis of the FY 2012...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-22

    ...; ] AGENCY FOR INTERNATIONAL DEVELOPMENT Analysis of Service Contract Inventory for FY 2011 and the Planned... Development's Analysis of Service Contract Inventory for FY 2011 and the Planned Analysis of the FY 2012...; (2) The methodology used by the Agency to support its analysis (e.g. sample contract files,...

  15. 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 STUDIES OF HAZARDOUS SUBSTANCES RELEASES AND FACILITIES PUBLIC HEALTH SERVICE POLICIES ON...

  16. 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 STUDIES OF HAZARDOUS SUBSTANCES RELEASES AND FACILITIES PUBLIC HEALTH SERVICE POLICIES ON...

  17. 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 STUDIES OF HAZARDOUS SUBSTANCES RELEASES AND FACILITIES PUBLIC HEALTH SERVICE POLICIES ON...

  18. 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 STUDIES OF HAZARDOUS SUBSTANCES RELEASES AND FACILITIES PUBLIC HEALTH SERVICE POLICIES ON...

  19. 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 STUDIES OF HAZARDOUS SUBSTANCES RELEASES AND FACILITIES PUBLIC HEALTH SERVICE POLICIES ON...

  20. Packaging effective community service delivery: the utility of mandates and contracts in obtaining administrative cooperation.

    PubMed

    Woodard, K L

    1994-01-01

    Voluntary agreements, mandates, and contracts integrate networks of social service organizations, allowing them to function as coordinated wholes. The author reviews the history of contracting and mandating in the public sector. It is hypothesized that contracted relationships formalize agreements between local organizations dependent on others. Mandated relationships are perceived to be important by policy-makers at a state or federal level. The differential acceptance and rejection of these relationships in the community is explored. Data from social service agencies are used to compare administrators' assessments of the effectiveness of mandated and contracted relationships used to coordinate a group of agencies delivering services to children. When a mandated relationship has been formalized into a contract by a local administrator the perceived effectiveness of that relationship is higher than any other relationship in the community. If the mandated relationship has not been formalized by a contract this relationship is perceived to be the least effective. Important mandated inter-organizational ties without monetary incentives are less likely to work. Local administrators having developed the contracted ties see these ties as producing a higher level of performance. PMID:10138341

  1. Indian Health Trends and Services, 1974 Edition.

    ERIC Educational Resources Information Center

    Public Health Service (DHEW), Washington, DC. Div. of Indian Health.

    The American Indian Health Service (AIHS), subsidiary of the Department of Health, Education, and Welfare, is dedicated to elevating the health status of Indian and Alaskan Native peoples by: developing modern health facilities; encouraging Indian acquaintance with and participation in existing programs; being responsive to the concept of…

  2. 77 FR 18106 - Award Fee for Service and End-Item Contracts

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-27

    ... September 15, 2011 (76 FR 57014) updating NFS clause 52.216-76 to clarify that the amount of withheld award... SPACE ADMINISTRATION 48 CFR Part 1852 RIN 2700-AD70 Award Fee for Service and End-Item Contracts AGENCY... change, a final rule amending the NASA FAR Supplement (NFS) to update the Award Fee for Service...

  3. 76 FR 9328 - Public Availability of Consumer Product Safety Commission FY 2010 Service Contract Inventory

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-17

    ..., Division of Procurement Services, U.S. Consumer Product Safety Commission, 4330 East West Highway, Bethesda... work location of contractor and subcontractor employees, expressed as full-time equivalents for direct.../sites/default/files/omb/procurement/memo/service-contract-inventories-guidance-11052010.pdf .) The...

  4. Contracting for Facilities Services. Critical Issues in Facilities Management. No. 9.

    ERIC Educational Resources Information Center

    APPA: Association of Higher Education Facilities Officers, Alexandria, VA.

    This book has been designed to provide practical information to managers on how to work with outside contractors in the higher education facilities area, and provides "real world" advice on the opportunities and pitfalls of privatization. Overviews and detailed case studies of contracting-out for services such as custodial services and grounds…

  5. 78 FR 12357 - Public Availability of Department of Labor FY 2012 Service Contract Inventory

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-22

    ... Secretary for Administration and Management. ACTION: Notice of Public Availability of FY 2012 Service... information on service contract actions over $25,000 made in FY 2012. The information is organized by function... developed in accordance with guidance issued on November 5, 2010, by the Office of Management and...

  6. 76 FR 5614 - Public Availability of Department of Labor FY 2010 Service Contract Inventory

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-01

    ... Secretary for Administration and Management, Labor. ACTION: Notice of public availability of FY 2010 service... on service contract actions over $25,000 made in FY 2010. The information is organized by function to... in accordance with guidance issued on November 5, 2010, by the Office of Management and...

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

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... MARKETING SERVICE (Standards, Inspections, Marketing Practices), DEPARTMENT OF AGRICULTURE (CONTINUED....37, or in other sections of this subchapter E, the Deputy Administrator may enter into contracts with... basis as will reimburse the Agricultural Marketing Service of the Department for the full cost...

  8. 78 FR 21919 - Public Availability of Fiscal Year 2012 Service Contract Inventory

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-12

    ... From the Federal Register Online via the Government Publishing Office ] COMMODITY FUTURES TRADING COMMISSION Public Availability of Fiscal Year 2012 Service Contract Inventory AGENCY: Commodity Futures... this notice to advise the public of the availability of CFTC's Fiscal Year (FY) 2012 Service...

  9. Evolution of Policy Leading to the 2006 General Dental Service Contract and Some Possible Outcomes

    ERIC Educational Resources Information Center

    Downer, Martin C.; Drugan, Caroline S.

    2007-01-01

    Background and objective: This paper was designed to rehearse the evolution of policy for the UK NHS General Dental Service (and related services) since its inception in 1948, culminating in the establishment of a new contract for general dental practitioners in 2006. Methods: Information was abstracted from the literature, historical records,…

  10. 18 CFR 367.24 - Construction and service contracts for other companies.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... COMPANY ACT OF 2005, FEDERAL POWER ACT AND NATURAL GAS ACT UNIFORM SYSTEM OF ACCOUNTS FOR CENTRALIZED... 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...

  11. 78 FR 6168 - Public Availability of Social Security Administration Fiscal Year (FY) 2012 Service Contract...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-29

    ... ADMINISTRATION Public Availability of Social Security Administration Fiscal Year (FY) 2012 Service Contract Inventory AGENCY: Social Security Administration. ACTION: Notice of Public Availability of FY 2012 Service... Appropriations Act of 2010 (Pub. L. 111-117), we are publishing this notice to advise the public of...

  12. 77 FR 3836 - Public Availability of Social Security Administration Fiscal Year (FY) 2011 Service Contract...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-25

    ... ADMINISTRATION Public Availability of Social Security Administration Fiscal Year (FY) 2011 Service Contract Inventory AGENCY: Social Security Administration. ACTION: Notice of Public Availability of FY 2011 Service... Appropriations Act of 2010 (Pub. L. 111-117), we are publishing this notice to advise the public of...

  13. 34 CFR 303.526 - Policy for contracting or otherwise arranging for services.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... INTERVENTION PROGRAM FOR INFANTS AND TODDLERS WITH DISABILITIES State Administration Policies and Procedures Related to Financial Matters § 303.526 Policy for contracting or otherwise arranging for services. Each... requirement that all early intervention services must meet State standards and be consistent with...

  14. 34 CFR 303.526 - Policy for contracting or otherwise arranging for services.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... INTERVENTION PROGRAM FOR INFANTS AND TODDLERS WITH DISABILITIES State Administration Policies and Procedures Related to Financial Matters § 303.526 Policy for contracting or otherwise arranging for services. Each... requirement that all early intervention services must meet State standards and be consistent with...

  15. 42 CFR 93.220 - Public Health Service or PHS.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 1 2010-10-01 2010-10-01 false Public Health Service or PHS. 93.220 Section 93.220 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH ASSESSMENTS AND HEALTH EFFECTS STUDIES OF HAZARDOUS SUBSTANCES RELEASES AND FACILITIES PUBLIC HEALTH SERVICE POLICIES...

  16. 42 CFR 93.220 - Public Health Service or PHS.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... Health, and the Substance Abuse and Mental Health Services Administration, and the offices of the... 42 Public Health 1 2012-10-01 2012-10-01 false Public Health Service or PHS. 93.220 Section 93.220 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH ASSESSMENTS...

  17. 42 CFR 93.220 - Public Health Service or PHS.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... Health, and the Substance Abuse and Mental Health Services Administration, and the offices of the... 42 Public Health 1 2013-10-01 2013-10-01 false Public Health Service or PHS. 93.220 Section 93.220 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH ASSESSMENTS...

  18. 42 CFR 93.220 - Public Health Service or PHS.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... Health, and the Substance Abuse and Mental Health Services Administration, and the offices of the... 42 Public Health 1 2011-10-01 2011-10-01 false Public Health Service or PHS. 93.220 Section 93.220 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH ASSESSMENTS...

  19. 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

    ... of certain public contracting laws in title 41, United States Code. DATES: Effective Date: November... public contracting laws in title 41, United States Code, by Public Law 111-350, 124 Stat. 367 (Jan. 4... Convicted of a Felony , 74 FR 58851 (Nov. 16, 2009), implementing prohibitions related to contracting...

  20. Communication Access to Health and Social Services

    ERIC Educational Resources Information Center

    Parr, Susie; Pound, Carole; Hewitt, Alan

    2006-01-01

    This article describes the efforts of a group of people in the United Kingdom at Connect-the communication disability network-to make health and social services more communicatively accessible to people with aphasia. The project involved listening to people with aphasia talk about their experiences with health and social care services and working…

  1. A School Health Service for Children?

    ERIC Educational Resources Information Center

    Mayall, Berry; Storey, Pamela

    1998-01-01

    The Children's Health in Primary Schools Study used questionnaires from 620 schools and six case studies to examine school health services in England and Wales. Findings revealed variation in quantity and quality of service. This article argues, on grounds of efficiency, convenience, and complementarity, that children should have access to school…

  2. Acceptance of Swedish e-health services

    PubMed Central

    Jung, Mary-Louise; Loria, Karla

    2010-01-01

    Objective: To investigate older people’s acceptance of e-health services, in order to identify determinants of, and barriers to, their intention to use e-health. Method: Based on one of the best-established models of technology acceptance, Technology Acceptance Model (TAM), in-depth exploratory interviews with twelve individuals over 45 years of age and of varying backgrounds are conducted. Results: This investigation could find support for the importance of usefulness and perceived ease of use of the e-health service offered as the main determinants of people’s intention to use the service. Additional factors critical to the acceptance of e-health are identified, such as the importance of the compatibility of the services with citizens’ needs and trust in the service provider. Most interviewees expressed positive attitudes towards using e-health and find these services useful, convenient, and easy to use. Conclusion: E-health services are perceived as a good complement to traditional health care service delivery, even among older people. These people, however, need to become aware of the e-health alternatives that are offered to them and the benefits they provide. PMID:21289860

  3. Private equity investment in health care services.

    PubMed

    Robbins, Catherine J; Rudsenske, Todd; Vaughan, James S

    2008-01-01

    Sophisticated private equity investors in health services provide venture capital for early-stage companies, growth capital for mid-stage companies, and equity capital for buyouts of mid-stage and mature companies. They pursue opportunities in provider sectors that are large and have a stable reimbursement environment, such as acute care services; sectors with room to execute consolidation strategies, such as labs; alternative-site sectors, such as "storefront" medicine; and clinical services, such as behavioral health, that are subject to profitably increasing quality and lowering costs. The innovations created through private equity investments could challenge established health services organizations.

  4. Local Government Health Services in Interwar England:

    PubMed Central

    Gorsky, Martin

    2011-01-01

    Summary This article provides a critical discussion of recent work on local government health care and health services in interwar England. A literature review examines case study approaches and comparative quantitative surveys, highlighting conventional and revisionist interpretations. Noting the differing selection criteria evident in some works, it argues that studies based upon a limited number of personal health services provide an insufficient basis for assessing local health activity and policy. There follows a regional study demonstrating various discrepancies between health financing data in local sources and those in nationally collated returns. These in turn give rise to various problems of assessment and interpretation in works relying on the latter, particularly with respect to services for schoolchildren and long-stay patients. The case study points to the importance of integrating poor law medical services in evaluations, and of learning more about the role of government subsidy in supporting expanding services. PMID:22080797

  5. Designing online health services for patients.

    PubMed

    Crotty, Bradley H; Slack, Warner V

    2016-01-01

    Patients are increasingly interacting with their healthcare system through online health services, such as patient portals and telehealth programs. Recently, Shabrabani and Mizrachi provided data outlining factors that are most important for users or potential users of these online services. The authors conclude convincingly that while online health services have great potential to be helpful to their users, they could be better designed. As patients and their families play an increasingly active role in their health care, online health services should be made easier for them to use and better suited to their health-related needs. Further, the online services should be more welcoming to people of all literacy levels and from all socioeconomic backgrounds. PMID:27307985

  6. Group Health Cooperative's community services initiative.

    PubMed

    Hildebrandt, K M; Beery, W L; Pearson, D C

    1993-12-01

    Service to the broader community is an important component of Group Health Cooperative's (GHC's) tradition, values, and mission. The role and potential of community services in a staff model HMO requires consensus, careful planning and communication, and attention to results. This paper describes GHC's efforts to define, implement, and sustain its community services initiative.

  7. First impressions: towards becoming a health-literate health service.

    PubMed

    Johnson, Anne

    2014-05-01

    A 'health-literate organisation' recognises that miscommunication is very common and can negatively affect consumer care and outcomes, and makes it easier for people to navigate, understand, and use health information and services. This paper reports on the First Impressions Activities conducted by consumers to assess aspects of the literacy environment of a rural health service. The First Impressions Activities consists of three tools to assist health services to begin to consider some of the characteristics of their organisation that help and hinder a consumer's ability to physically navigate their way to and about the health service. The results show that navigation to and within the rural health service was made more complex due to lack of information, difficulty finding information, inconsistent terminology used in signage, missing signage, signage obscured by foliage, and incorrect signage.

  8. Health care reform and family planning services.

    PubMed

    Policar, M

    1993-01-01

    With the reforms expected for US health care, the question remains as to the impact on family planning services. Although the focus is on health care finance reform, the mix of patients seen, the incentives for decision making, and the interactions between health care providers will change. Definition of key concepts is provided for universal access, managed competition, and managed care. The position of the obstetrician/gynecologist (Ob/Gyn) does not fit well within the scheme for managed health care, because Ob/Gyns are both primary care providers and specialists in women's health care. Most managed health care systems presently consider Ob/Gyn to be a specialty. Public family planning clinics, which have a client constituency of primarily uninsured women, may have to compete with traditional private sector providers. "Ambulatory health care providers" have developed a reputation for high quality, cost effective preventive health care services; this record should place providers with a range of services in a successful position. Family planning providers in a managed competition system will be at a disadvantage. 3 scenarios possible under managed competition are identified as the best case, out of the mainstream, and most likely. The best case is when primary reproductive health care services, contraception, sexually transmitted disease screening and management, and preventive services are all obtained directly from reproductive health care providers. Under managed care, this means allowing for an additional entry gatekeeper to specialized services. The benefits are to clients who prefer seeing reproductive health care providers first; reproductive services would be separated from medical services. The out of the mainstream scenario would place contraceptive services and other preventive services as outside the mandated benefits. The government would still provide Title X type programs for the indigent. The most likely scenario is one where primary care providers

  9. 41 CFR 101-4.440 - Health and insurance benefits and services.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... insurance benefits and services. Subject to § 101-4.235(d), in providing a medical, hospital, accident, or life insurance benefit, service, policy, or plan to any of its students, a recipient shall not... 41 Public Contracts and Property Management 2 2010-07-01 2010-07-01 true Health and...

  10. Contract management in USA hospitals: service duplication and access within local markets.

    PubMed

    Carey, Kathleen; Dor, Avi

    2008-08-01

    This paper examines the extent to which hospitals that are under external contract management engage in service duplication, as well as the degree to which the various services they offer contribute to or detract from community access. The study incorporates all USA hospitals using data from the American Hospital Association Annual Survey Database, supplemented by county level measures obtained from the area resource file (ARF). Using data on the 3794 hospitals classified as acute care facilities in 2002, we performed a set of logistic regressions that analyzed whether a hospital offered each of 74 distinct services. For each service (regression), key independent variables measured the number of other hospitals in the local market area that also offered the service. Local area market definitions are the areas circumscribed by the hospital within distances of 10 and 20 miles. Results suggest that contract-managed (CM) hospitals display a more competitive pattern (service duplication) than hospitals in general, but CM hospitals that are the sole provider of services locally are less likely to offer services than traditionally managed sole hospital providers. Contract management does not appear to offer any particular advantages in improving access to hospital services.

  11. Health and health services in Central America.

    PubMed

    Garfield, R M; Rodriguez, P F

    1985-08-16

    Despite rapid economic growth since World War II, health conditions improved only slowly in most of Central America. This is a result of poor medical, social, and economic infrastructure, income maldistribution, and the poor utilization of health investments. The economic crisis of the 1980s and civil strife have further endangered health in the region. Life expectancy has fallen among men in El Salvador and civil strife has become the most common cause of death in Guatemala, Nicaragua, and El Salvador. Large-scale US assistance has done little to improve conditions, and refugees continue to pour into North America. It is estimated that there are more than a million refugees within Central America, while a million have fled to the United States. Costa Rica and Nicaragua are partial exceptions to this dismal health picture. An effective approach to the many health problems in Central America will require joint planning and cooperation among all countries in the region.

  12. Health and health services in Central America.

    PubMed

    Garfield, R M; Rodriguez, P F

    1985-08-16

    Despite rapid economic growth since World War II, health conditions improved only slowly in most of Central America. This is a result of poor medical, social, and economic infrastructure, income maldistribution, and the poor utilization of health investments. The economic crisis of the 1980s and civil strife have further endangered health in the region. Life expectancy has fallen among men in El Salvador and civil strife has become the most common cause of death in Guatemala, Nicaragua, and El Salvador. Large-scale US assistance has done little to improve conditions, and refugees continue to pour into North America. It is estimated that there are more than a million refugees within Central America, while a million have fled to the United States. Costa Rica and Nicaragua are partial exceptions to this dismal health picture. An effective approach to the many health problems in Central America will require joint planning and cooperation among all countries in the region. PMID:4021026

  13. Acceptance of selective contracting: the role of trust in the health insurer

    PubMed Central

    2013-01-01

    Background In a demand oriented health care system based on managed competition, health insurers have incentives to become prudent buyers of care on behalf of their enrolees. They are allowed to selectively contract care providers. This is supposed to stimulate competition between care providers and both increase the quality of care and contain costs in the health care system. However, health insurers are reluctant to implement selective contracting; they believe their enrolees will not accept this. One reason, insurers believe, is that enrolees do not trust their health insurer. However, this has never been studied. This paper aims to study the role played by enrolees’ trust in the health insurer on their acceptance of selective contracting. Methods An online survey was conducted among 4,422 people insured through a large Dutch health insurance company. Trust in the health insurer, trust in the purchasing strategy of the health insurer and acceptance of selective contracting were measured using multiple item scales. A regression model was constructed to analyse the results. Results Trust in the health insurer turned out to be an important prerequisite for the acceptance of selective contracting among their enrolees. The association of trust in the purchasing strategy of the health insurer with acceptance of selective contracting is stronger for older people than younger people. Furthermore, it was found that men and healthier people accepted selective contracting by their health insurer more readily. This was also true for younger people with a low level of trust in their health insurer. Conclusion This study provides insight into factors that influence people’s acceptance of selective contracting by their health insurer. This may help health insurers to implement selective contracting in a way their enrolees will accept and, thus, help systems of managed competition to develop. PMID:24083663

  14. Mental health services in the Solomon Islands.

    PubMed

    Orotaloa, Paul; Blignault, Ilse

    2012-06-01

    The Solomon Islands comprise an archipelago of nearly 1,000 islands and coral atolls and have an estimated population of 549,574 people. Formal mental health services date back to 1950 when an asylum was established. Since then the process of mental health service development has been largely one of incremental change, with a major boost to community services in the last two decades. During the 1990s a mental health outpatient clinic was established in Honiara, together with attempts to recruit nursing staff as psychiatric coordinators in the provinces. In 1996, the Ministry commenced sending registered nurses for psychiatric training in Papua New Guinea. By 2010, there were 13 psychiatric nurses and one psychiatrist, with a second psychiatrist in training. A National Mental Health Policy was drafted in 2009 but is yet to be endorsed by Cabinet. A significant portion of the population still turns to traditional healers or church leaders for purposes of healing, seeking help from Western medicine only after all other alternatives in the community have been exhausted. There is still a long way to go before mental health services are available, affordable and accessible to the whole population, including people living in geographically remote areas. Realization of this vision requires increased resourcing for mental health services; improved communication and collaboration between the centrally-based, national mental health services and the provincial health services; and closer, ongoing relationships between all stakeholders and partners, both locally and internationally. PMID:26767360

  15. Mental health services in the Solomon Islands.

    PubMed

    Orotaloa, Paul; Blignault, Ilse

    2012-06-01

    The Solomon Islands comprise an archipelago of nearly 1,000 islands and coral atolls and have an estimated population of 549,574 people. Formal mental health services date back to 1950 when an asylum was established. Since then the process of mental health service development has been largely one of incremental change, with a major boost to community services in the last two decades. During the 1990s a mental health outpatient clinic was established in Honiara, together with attempts to recruit nursing staff as psychiatric coordinators in the provinces. In 1996, the Ministry commenced sending registered nurses for psychiatric training in Papua New Guinea. By 2010, there were 13 psychiatric nurses and one psychiatrist, with a second psychiatrist in training. A National Mental Health Policy was drafted in 2009 but is yet to be endorsed by Cabinet. A significant portion of the population still turns to traditional healers or church leaders for purposes of healing, seeking help from Western medicine only after all other alternatives in the community have been exhausted. There is still a long way to go before mental health services are available, affordable and accessible to the whole population, including people living in geographically remote areas. Realization of this vision requires increased resourcing for mental health services; improved communication and collaboration between the centrally-based, national mental health services and the provincial health services; and closer, ongoing relationships between all stakeholders and partners, both locally and internationally.

  16. 29 CFR 4.120 - Contracts for public utility services.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... transmission and sale of electric power and energy. (See H. Rept. No. 948, 89th Cong., 1st sess., p. 4) ... utility services, including electric light and power, water, steam, and gas.” This exemption is applicable... be those between Federal electric power marketing agencies and investor-owned electric...

  17. Gesundes Kinzigtal Integrated Care: improving population health by a shared health gain approach and a shared savings contract

    PubMed Central

    H., Hildebrandt; C., Hermann; R., Knittel; M., Richter-Reichhelm; A., Siegel; W., Witzenrath

    2010-01-01

    Introduction Integrated care solutions need supportive financial incentives. In this paper, we describe the financial architecture and operative details of the integrated pilot Gesundes Kinzigtal. Description of integrated care case Located in Southwest Germany, Gesundes Kinzigtal is one of the few population-based integrated care approaches in Germany, organising care across all health service sectors and indications. The system serving around half of the population of the region is run by a regional health management company (Gesundes Kinzigtal GmbH) in cooperation with the physicians' network in the region (MQNK), a German health care management company with a background in medical sociology and health economics (OptiMedis AG) and with two statutory health insurers (among them is the biggest health insurer in Southwest Germany: AOK Baden-Württemberg). Discussion and (preliminary) conclusion The shared savings contract between Gesundes Kinzigtal GmbH and the two health insurers, providing financial incentives for managers and health care providers to realize a substantial efficiency gain, could be an appropriate contractual base of Gesundes Kinzigtal's population health gain approach. This approach is based on the assumption that a more effective trans-sector organization of Germany's health care system and increased investments in well-designed preventive programmes will lead to a reduction in morbidity, and in particular to a reduced incidence and prevalence of chronic diseases. This, in turn, is to lead to a comparative reduction in health care cost. Although the comparative cost in the Kinzigtal region has been reduced from the onset of Gesundes Kinzigtal Integrated Care, only future research will have to demonstrate whether—and to what extent—cost reduction may be attributed to a real population health gain. PMID:20689772

  18. Mental Health Care in a High School Based Health Service.

    ERIC Educational Resources Information Center

    Jepson, Lisa; Juszczak, Linda; Fisher, Martin

    1998-01-01

    Describes the mental-health and medical services provided at a high-school-based service center. Five years after the center's inception mental health visits had quadrupled. One third of students utilizing the center reported substance abuse within their family. Other reasons for center use included pregnancy, suicidal ideation, obesity,…

  19. Health Services for Migrant Children.

    ERIC Educational Resources Information Center

    Bove, Beverly A.

    Intended as a resource for administrators, teachers, nurses, paraprofessionals, health coordinators, and community action personnel who are interested in meeting the health needs of migrant children, this handbook offers suggestions for organizing community resources in providing health care to migrant children. Poor nutrition, the lack of dental…

  20. Planning Campus Health Care Services 2.

    ERIC Educational Resources Information Center

    Douglas, Bruce L.

    1975-01-01

    In a context of forecasts of major changes for America's entire health care system, colleges and universities are exploring the implications of new trends in campus health care delivery. On January 30-31, 1975, the Society for College and University Planning sponsored a workshop on "Campus Health Care Services" in Chicago to discuss such issues as…