Sample records for facilities procedures governing

  1. 76 FR 64055 - Special Rules Governing Certain Information Obtained Under the Clean Air Act: Technical Correction

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-17

    ... natural gas. 211112 Natural gas liquid extraction facilities. Petrochemical Production....... 32511... facilities. 211112 Natural gas liquid extraction facilities. Suppliers of Industrial 325120 Industrial gas... reference in EPA's procedures for handling data collected under the Mandatory Greenhouse Gas Reporting Rule...

  2. 49 CFR 1155.21 - Contents of application.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... meets the definition of a solid waste rail transfer facility at 49 U.S.C. 10909(e)(1)(H). (17) A... a solid waste rail transfer facility, and, if so, why. (c) Environmental impact. The applicant shall... OF TRANSPORTATION RULES OF PRACTICE SOLID WASTE RAIL TRANSFER FACILITIES Procedures Governing...

  3. 49 CFR 1155.21 - Contents of application.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... meets the definition of a solid waste rail transfer facility at 49 U.S.C. 10909(e)(1)(H). (17) A... OF TRANSPORTATION RULES OF PRACTICE SOLID WASTE RAIL TRANSFER FACILITIES Procedures Governing... address of the solid waste rail transfer facility, or, if not available, the city, State, and United...

  4. Infection control in delivery care units, Gujarat state, India: A needs assessment

    PubMed Central

    2011-01-01

    Background Increasingly, women in India attend health facilities for childbirth, partly due to incentives paid under government programs. Increased use of health facilities can alleviate the risks of infections contracted in unhygienic home deliveries, but poor infection control practices in labour and delivery units also cause puerperal sepsis and other infections of childbirth. A needs assessment was conducted to provide information on procedures and practices related to infection control in labour and delivery units in Gujarat state, India. Methods Twenty health care facilities, including private and public primary health centres and referral hospitals, were sampled from two districts in Gujarat state, India. Three pre-tested tools for interviewing and for observation were used. Data collection was based on existing infection control guidelines for clean practices, clean equipment, clean environment and availability of diagnostics and treatment. The study was carried out from April to May 2009. Results Seventy percent of respondents said that standard infection control procedures were followed, but a written procedure was only available in 5% of facilities. Alcohol rubs were not used for hand cleaning and surgical gloves were reused in over 70% of facilities, especially for vaginal examinations in the labour room. Most types of equipment and supplies were available but a third of facilities did not have wash basins with "hands-free" taps. Only 15% of facilities reported that wiping of surfaces was done immediately after each delivery in labour rooms. Blood culture services were available in 25% of facilities and antibiotics are widely given to women after normal delivery. A few facilities had data on infections and reported rates of 3% to 5%. Conclusions This study of current infection control procedures and practices during labour and delivery in health facilities in Gujarat revealed a need for improved information systems, protocols and procedures, and for training and research. Simply incentivizing the behaviour of women to use health facilities for childbirth via government schemes may not guarantee safe delivery. PMID:21599924

  5. 21 CFR 900.16 - Appeals of denials of certification.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... accreditation body. Appeals for facilities that have failed to become accredited are governed by the procedures... facility will not permit inspections or provide access to records or information in a timely fashion; or (3... accreditation body, FDA shall provide the facility with a statement of the grounds on which the denial is based...

  6. 21 CFR 900.16 - Appeals of denials of certification.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... accreditation body. Appeals for facilities that have failed to become accredited are governed by the procedures... facility will not permit inspections or provide access to records or information in a timely fashion; or (3... accreditation body, FDA shall provide the facility with a statement of the grounds on which the denial is based...

  7. Facing the Issue of Facilities Maintenance in California Public Higher Education.

    ERIC Educational Resources Information Center

    California State Postsecondary Education Commission, Sacramento.

    The decision to defer facilities maintenance obligations in California higher education and the extent to which maintenance has been deferred are discussed. Attention is also directed to the educational and fiscal context in which this decision has been made nationally. The policies and procedures governing facilities maintenance and deferral in…

  8. 47 CFR 90.165 - Procedures for mutually exclusive applications.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    .... 90.165 Section 90.165 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) SAFETY AND... Governing Facilities Used to Provide Commercial Mobile Radio Services § 90.165 Procedures for mutually exclusive applications. Mutually exclusive commercial mobile radio service applications are processed in...

  9. 50 CFR 29.21-2 - Application procedures.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ...) State of local governments or agencies or instrumentalities thereof except as to rights-of-way... schedule: (A) For linear facilities (e.g., powerlines, pipelines, roads, etc.). Length Payment Less than 5... application includes both linear and nonlinear facilities, payment will be the aggregate of amounts under...

  10. 50 CFR 29.21-2 - Application procedures.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ...) State of local governments or agencies or instrumentalities thereof except as to rights-of-way... schedule: (A) For linear facilities (e.g., powerlines, pipelines, roads, etc.). Length Payment Less than 5... application includes both linear and nonlinear facilities, payment will be the aggregate of amounts under...

  11. 10 CFR 1704.6 - Procedures for public announcement of meetings.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 10 Energy 4 2013-01-01 2013-01-01 false Procedures for public announcement of meetings. 1704.6 Section 1704.6 Energy DEFENSE NUCLEAR FACILITIES SAFETY BOARD RULES IMPLEMENTING THE GOVERNMENT IN THE SUNSHINE ACT § 1704.6 Procedures for public announcement of meetings. (a) For each meeting, the Board shall...

  12. 10 CFR 1704.6 - Procedures for public announcement of meetings.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 10 Energy 4 2011-01-01 2011-01-01 false Procedures for public announcement of meetings. 1704.6 Section 1704.6 Energy DEFENSE NUCLEAR FACILITIES SAFETY BOARD RULES IMPLEMENTING THE GOVERNMENT IN THE SUNSHINE ACT § 1704.6 Procedures for public announcement of meetings. (a) For each meeting, the Board shall...

  13. 10 CFR 1704.6 - Procedures for public announcement of meetings.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 10 Energy 4 2012-01-01 2012-01-01 false Procedures for public announcement of meetings. 1704.6 Section 1704.6 Energy DEFENSE NUCLEAR FACILITIES SAFETY BOARD RULES IMPLEMENTING THE GOVERNMENT IN THE SUNSHINE ACT § 1704.6 Procedures for public announcement of meetings. (a) For each meeting, the Board shall...

  14. 10 CFR 1704.6 - Procedures for public announcement of meetings.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 10 Energy 4 2014-01-01 2014-01-01 false Procedures for public announcement of meetings. 1704.6 Section 1704.6 Energy DEFENSE NUCLEAR FACILITIES SAFETY BOARD RULES IMPLEMENTING THE GOVERNMENT IN THE SUNSHINE ACT § 1704.6 Procedures for public announcement of meetings. (a) For each meeting, the Board shall...

  15. 10 CFR 1704.6 - Procedures for public announcement of meetings.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 10 Energy 4 2010-01-01 2010-01-01 false Procedures for public announcement of meetings. 1704.6 Section 1704.6 Energy DEFENSE NUCLEAR FACILITIES SAFETY BOARD RULES IMPLEMENTING THE GOVERNMENT IN THE SUNSHINE ACT § 1704.6 Procedures for public announcement of meetings. (a) For each meeting, the Board shall...

  16. 10 CFR 1704.1 - Applicability.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ...). These procedures apply to meetings, as defined herein, of the Members of the Defense Nuclear Facilities... 10 Energy 4 2014-01-01 2014-01-01 false Applicability. 1704.1 Section 1704.1 Energy DEFENSE NUCLEAR FACILITIES SAFETY BOARD RULES IMPLEMENTING THE GOVERNMENT IN THE SUNSHINE ACT § 1704.1...

  17. 10 CFR 1704.1 - Applicability.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ...). These procedures apply to meetings, as defined herein, of the Members of the Defense Nuclear Facilities... 10 Energy 4 2010-01-01 2010-01-01 false Applicability. 1704.1 Section 1704.1 Energy DEFENSE NUCLEAR FACILITIES SAFETY BOARD RULES IMPLEMENTING THE GOVERNMENT IN THE SUNSHINE ACT § 1704.1...

  18. 10 CFR 1704.1 - Applicability.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ...). These procedures apply to meetings, as defined herein, of the Members of the Defense Nuclear Facilities... 10 Energy 4 2012-01-01 2012-01-01 false Applicability. 1704.1 Section 1704.1 Energy DEFENSE NUCLEAR FACILITIES SAFETY BOARD RULES IMPLEMENTING THE GOVERNMENT IN THE SUNSHINE ACT § 1704.1...

  19. 10 CFR 1704.1 - Applicability.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ...). These procedures apply to meetings, as defined herein, of the Members of the Defense Nuclear Facilities... 10 Energy 4 2011-01-01 2011-01-01 false Applicability. 1704.1 Section 1704.1 Energy DEFENSE NUCLEAR FACILITIES SAFETY BOARD RULES IMPLEMENTING THE GOVERNMENT IN THE SUNSHINE ACT § 1704.1...

  20. 10 CFR 1704.1 - Applicability.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ...). These procedures apply to meetings, as defined herein, of the Members of the Defense Nuclear Facilities... 10 Energy 4 2013-01-01 2013-01-01 false Applicability. 1704.1 Section 1704.1 Energy DEFENSE NUCLEAR FACILITIES SAFETY BOARD RULES IMPLEMENTING THE GOVERNMENT IN THE SUNSHINE ACT § 1704.1...

  1. The Facilities Committee. AGB Effective Committee Series

    ERIC Educational Resources Information Center

    Kaiser, Harvey H.

    2012-01-01

    This publication is part of an Association of Governing Boards of Universities and Colleges (AGB) series devoted to strengthening the role of key standing committees of governing boards. While there is no optimum committee system for institutions of higher education, certain principles, practices, and procedures prevail. The best practices…

  2. 49 CFR 1155.10 - Contents of petition.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 49 Transportation 8 2012-10-01 2012-10-01 false Contents of petition. 1155.10 Section 1155.10 Transportation Other Regulations Relating to Transportation (Continued) SURFACE TRANSPORTATION BOARD, DEPARTMENT OF TRANSPORTATION RULES OF PRACTICE SOLID WASTE RAIL TRANSFER FACILITIES Procedures Governing Petitions To Require a Facility in Existence o...

  3. 49 CFR 1155.10 - Contents of petition.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 49 Transportation 8 2013-10-01 2013-10-01 false Contents of petition. 1155.10 Section 1155.10 Transportation Other Regulations Relating to Transportation (Continued) SURFACE TRANSPORTATION BOARD, DEPARTMENT OF TRANSPORTATION RULES OF PRACTICE SOLID WASTE RAIL TRANSFER FACILITIES Procedures Governing Petitions To Require a Facility in Existence o...

  4. 14 CFR 1204.1405 - Approving authority.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... POLICY Use of NASA Airfield Facilities by Aircraft Not Operated for the Benefit of the Federal Government § 1204.1405 Approving authority. The authority to establish limitations and procedures for use of a NASA airfield, as well as the authority to approve or disapprove the use of the NASA airfield facilities subject...

  5. 14 CFR 1204.1405 - Approving authority.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... POLICY Use of NASA Airfield Facilities by Aircraft Not Operated for the Benefit of the Federal Government § 1204.1405 Approving authority. The authority to establish limitations and procedures for use of a NASA airfield, as well as the authority to approve or disapprove the use of the NASA airfield facilities subject...

  6. 14 CFR 1204.1405 - Approving authority.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... POLICY Use of NASA Airfield Facilities by Aircraft Not Operated for the Benefit of the Federal Government § 1204.1405 Approving authority. The authority to establish limitations and procedures for use of a NASA airfield, as well as the authority to approve or disapprove the use of the NASA airfield facilities subject...

  7. 14 CFR 1204.1405 - Approving authority.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... POLICY Use of NASA Airfield Facilities by Aircraft Not Operated for the Benefit of the Federal Government § 1204.1405 Approving authority. The authority to establish limitations and procedures for use of a NASA airfield, as well as the authority to approve or disapprove the use of the NASA airfield facilities subject...

  8. 48 CFR 970.2704-2 - Procedures.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... REGULATIONS DOE MANAGEMENT AND OPERATING CONTRACTS Patents, Data, and Copyrights 970.2704-2 Procedures. (a) The clauses at 48 CFR 970.5227-1, Rights in Data-Facilities, and 48 CFR 970.5227-2, Rights in Data... Government for all data first produced in the performance of the contract and unlimited rights in data...

  9. 48 CFR 970.2704-2 - Procedures.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... REGULATIONS DOE MANAGEMENT AND OPERATING CONTRACTS Patents, Data, and Copyrights 970.2704-2 Procedures. (a) The clauses at 48 CFR 970.5227-1, Rights in Data-Facilities, and 48 CFR 970.5227-2, Rights in Data... Government for all data first produced in the performance of the contract and unlimited rights in data...

  10. 48 CFR 970.2704-2 - Procedures.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... REGULATIONS DOE MANAGEMENT AND OPERATING CONTRACTS Patents, Data, and Copyrights 970.2704-2 Procedures. (a) The clauses at 48 CFR 970.5227-1, Rights in Data-Facilities, and 48 CFR 970.5227-2, Rights in Data... Government for all data first produced in the performance of the contract and unlimited rights in data...

  11. 48 CFR 970.2704-2 - Procedures.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... REGULATIONS DOE MANAGEMENT AND OPERATING CONTRACTS Patents, Data, and Copyrights 970.2704-2 Procedures. (a) The clauses at 48 CFR 970.5227-1, Rights in Data-Facilities, and 48 CFR 970.5227-2, Rights in Data... Government for all data first produced in the performance of the contract and unlimited rights in data...

  12. Administration of Maintenance and Operations in California School Districts: A Handbook for School Administrators and Governing Boards.

    ERIC Educational Resources Information Center

    California State Dept. of Education, Sacramento.

    This handbook provides information that administrators of maintenance and operations in California schools can use in systematically planning and scheduling school facility support services. The first unit, chapter 1, is designed to help members of school district governing boards establish board policies, regulations, and procedures. Topics…

  13. Commercial ELV services and the National Aeronautics and Space Administration - Concord or discord?

    NASA Technical Reports Server (NTRS)

    Frankle, Edward A.

    1988-01-01

    In implementation of the U.S. policy to foster and encourage the commercial expendable launch vehicle (ELV) industry, tensions have developed between the industry and U.S. Government agencies in two distinct areas: industry use of government facilities and government purchase of commercial ELV services. The reasons for the tensions and discrete legal problems for each area are identified and discussed. Specifically, in the use of government facilities area, issues of insurance and indemnification for third-party liability and government property, concerns over priority and scheduling, and dispute-resolution procedures are discussed. In the area of government purchase of ELV launch services, a comparison is made between a launch service purchase and prior procurement practice. In all areas, the conclusion is reached that while problems still exist, they generally are understood and great progress has been made toward their resolution.

  14. Development of a High Accuracy Angular Measurement System for Langley Research Center Hypersonic Wind Tunnel Facilities

    NASA Technical Reports Server (NTRS)

    Newman, Brett; Yu, Si-bok; Rhew, Ray D. (Technical Monitor)

    2003-01-01

    Modern experimental and test activities demand innovative and adaptable procedures to maximize data content and quality while working within severely constrained budgetary and facility resource environments. This report describes development of a high accuracy angular measurement capability for NASA Langley Research Center hypersonic wind tunnel facilities to overcome these deficiencies. Specifically, utilization of micro-electro-mechanical sensors including accelerometers and gyros, coupled with software driven data acquisition hardware, integrated within a prototype measurement system, is considered. Development methodology addresses basic design requirements formulated from wind tunnel facility constraints and current operating procedures, as well as engineering and scientific test objectives. Description of the analytical framework governing relationships between time dependent multi-axis acceleration and angular rate sensor data and the desired three dimensional Eulerian angular state of the test model is given. Calibration procedures for identifying and estimating critical parameters in the sensor hardware is also addressed.

  15. 5 CFR 2604.201 - Public reading room facility and Web site.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 5 Administrative Personnel 3 2012-01-01 2012-01-01 false Public reading room facility and Web site. 2604.201 Section 2604.201 Administrative Personnel OFFICE OF GOVERNMENT ETHICS ORGANIZATION AND PROCEDURES FREEDOM OF INFORMATION ACT RULES AND SCHEDULE OF FEES FOR THE PRODUCTION OF PUBLIC FINANCIAL DISCLOSURE REPORTS FOIA Public Reading Room...

  16. 5 CFR 2604.201 - Public reading room facility and Web site.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 5 Administrative Personnel 3 2014-01-01 2014-01-01 false Public reading room facility and Web site. 2604.201 Section 2604.201 Administrative Personnel OFFICE OF GOVERNMENT ETHICS ORGANIZATION AND PROCEDURES FREEDOM OF INFORMATION ACT RULES AND SCHEDULE OF FEES FOR THE PRODUCTION OF PUBLIC FINANCIAL DISCLOSURE REPORTS FOIA Public Reading Room...

  17. 5 CFR 2604.201 - Public reading room facility and Web site.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 5 Administrative Personnel 3 2013-01-01 2013-01-01 false Public reading room facility and Web site. 2604.201 Section 2604.201 Administrative Personnel OFFICE OF GOVERNMENT ETHICS ORGANIZATION AND PROCEDURES FREEDOM OF INFORMATION ACT RULES AND SCHEDULE OF FEES FOR THE PRODUCTION OF PUBLIC FINANCIAL DISCLOSURE REPORTS FOIA Public Reading Room...

  18. 49 CFR 1155.23 - Additional requirements when filing after an unsatisfactory result from a State, local, or...

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Procedures Governing Applications for a Land-Use-Exemption Permit § 1155.23 Additional requirements when... the facility. (a) When an applicant has previously sought permission from the applicable state, local... siting of the facility, the applicant may petition the Board to accept an application for a land-use...

  19. State Law Approaches to Facility Regulation of Abortion and Other Office Interventions

    PubMed Central

    Daniel, Sara; Cloud, Lindsay K.

    2018-01-01

    Objectives. To compare the prevalence and characteristics of facility laws governing abortion provision specifically (targeted regulation of abortion providers [TRAP] laws); office-based surgeries, procedures, sedation or anesthesia (office interventions) generally (OBS laws); and other procedures specifically. Methods. We conducted cross-sectional legal assessments of state facility laws for office interventions in effect as of August 1, 2016. We coded characteristics for each law and compared characteristics across categories of laws. Results. TRAP laws (n = 55; in 34 states) were more prevalent than OBS laws (n = 25; in 25 states) or laws targeting other procedures (n = 1; in 1 state). TRAP laws often regulated facilities that would not be regulated under OBS laws (e.g., all TRAP laws, but only 2 OBS laws, applied regardless of sedation or anesthesia used). TRAP laws imposed more numerous and more stringent requirements than OBS laws. Conclusions. Many states regulate abortion-providing facilities differently, and more stringently, than facilities providing other office interventions. The Supreme Court’s 2016 decision in Whole Woman’s Health v Hellerstedt casts doubt on the legitimacy of that differential treatment. PMID:29470114

  20. Flat panel display test and evaluation: procedures, standards, and facilities

    NASA Astrophysics Data System (ADS)

    Jackson, Timothy W.; Daniels, Reginald; Hopper, Darrel G.

    1997-07-01

    This paper addresses flat panel display test and evaluation via a discussion of procedures, standards and facilities. Procedures need to be carefully developed and documented to ensure that test accomplished in separate laboratories produce comparable results. The tests themselves must not be a source of inconsistency in test results when such comparisons are made in the course of procurements or new technology prototype evaluations. Standards are necessary to expedite the transition of the new display technologies into applications and to lower the costs of custom parts applied across disparate applications. The flat panel display industry is in the course of ascertaining and formulating such standards as they are of value to designers, manufacturers, marketers and users of civil and military products and equipment. Additionally, in order to inform the DoD and industry, the test and evaluation facilities of the Air Force Research Laboratory Displays Branch are described. These facilities are available to support procurements involving flat panel displays and to examine new technology prototypes. Finally, other government display testing facilities within the Navy and the Army are described.

  1. Critical Value Reporting in Transfusion Medicine: A Survey of Communication Practices in US Facilities.

    PubMed

    Reese, Erika M; Nelson, Randin C; Flegel, Willy A; Byrne, Karen M; Booth, Garrett S

    2017-05-01

    While critical value procedures have been adopted in most areas of the clinical laboratory, their use in transfusion medicine has not been reviewed in detail. The results of this study present a comprehensive overview of critical value reporting and communication practices in transfusion medicine in the United States. A web-based survey was developed to collect data on the prevalence of critical value procedures and practices of communicating results. The survey was distributed via email to US hospital-based blood banks. Of 123 facilities surveyed, 84 (68.3%) blood banks had a critical value procedure. From a panel of 23 common blood bank results, nine results were selected by more than 70% of facilities as either a critical value or requiring rapid communication as defined by an alternate procedure. There was overlap among results communicated by facilities with and without a critical value procedure. The most frequently communicated results, such as incompatible crossmatch for RBC units issued uncrossmatched, delay in finding compatible blood due to a clinically significant antibody, and transfusion reaction evaluation suggestive of a serious adverse event, addressed scenarios associated with the leading reported causes of transfusion-related fatalities. American Society for Clinical Pathology, 2017. This work is written by US Government employees and is in the public domain in the US.

  2. 78 FR 23702 - Copayment for Extended Care Services

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-22

    ... Administrative practice and procedure, Alcohol abuse, Alcoholism, Claims, Day care, Dental health, Drug abuse, Government contracts, Grant programs--health, Grant programs--veterans, Health care, Health facilities... DEPARTMENT OF VETERANS AFFAIRS 38 CFR Part 17 RIN 2900-AO59 Copayment for Extended Care Services...

  3. 78 FR 70863 - Copayment for Extended Care Services

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-27

    ... procedure, Alcohol abuse, Alcoholism, Claims, Day care, Dental health, Drug abuse, Government contracts, Grant programs-health, Grant programs-veterans, Health care, Health facilities, Health professions... DEPARTMENT OF VETERANS AFFAIRS 38 CFR Part 17 RIN 2900-AO59 Copayment for Extended Care Services...

  4. 76 FR 63933 - Notice of Adjustment of Disaster Grant Amounts

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-14

    ... amount for Small Project Grants to State and local governments and private nonprofit facilities for... DEPARTMENT OF HOMELAND SECURITY Notice of Adjustment of Disaster Grant Amounts AGENCY: Federal... grant amount made under section 422, Simplified Procedures, relating to the Public Assistance program...

  5. Miami University Information Manual.

    ERIC Educational Resources Information Center

    Miami Univ., Oxford, OH.

    The 1975 information manual is designed to provide current data on policies, procedures, services, facilities, organization and governance of Miami University and, through the extensive index, quick access to this information. The manual is complementary to the university catalog and directory. Information relating to students is in the Student…

  6. 49 CFR 1155.21 - Contents of application.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 49 Transportation 8 2012-10-01 2012-10-01 false Contents of application. 1155.21 Section 1155.21 Transportation Other Regulations Relating to Transportation (Continued) SURFACE TRANSPORTATION BOARD, DEPARTMENT OF TRANSPORTATION RULES OF PRACTICE SOLID WASTE RAIL TRANSFER FACILITIES Procedures Governing Applications for a Land-Use-Exemption Permi...

  7. 49 CFR 1155.21 - Contents of application.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 49 Transportation 8 2013-10-01 2013-10-01 false Contents of application. 1155.21 Section 1155.21 Transportation Other Regulations Relating to Transportation (Continued) SURFACE TRANSPORTATION BOARD, DEPARTMENT OF TRANSPORTATION RULES OF PRACTICE SOLID WASTE RAIL TRANSFER FACILITIES Procedures Governing Applications for a Land-Use-Exemption Permi...

  8. Establishment of a building audit procedure and analysis for the Kansas Department of Transportation phase 2A : buildings.

    DOT National Transportation Integrated Search

    2013-11-01

    Over the past few years, state governments and entities have become concerned with the energy : consumption and efficiency of their facilities. An effective manner to identify potential to reduce energy and : water consumption and increase building e...

  9. The role of institutions on the effectiveness of malaria treatment in the Ghanaian health sector.

    PubMed

    Amporfu, Eugenia; Nonvignon, Justice

    2015-04-19

    The Ghanaian health sector has undertaken several policies to help improve the quality of care received by patients. This includes the construction of several health facilities, the increase in the training of health workers, especially nurses, and the introduction of incentive packages (such as salary increase) to motivate health workers. The important question is to what extent does the institutional arrangement between the health facilities and the government as well as between health workers and public health facility administration affect the quality of care? The objective of this study is to find the effect of institutional factors on the quality of care. The institutional factors examined were mainly the extent of decentralization between government and health facilities, as well as between health workers and facility administration, the hiring procedure, and job satisfaction. The study used primary data on former patients from sixty six health facilities in three administrative regions of Ghana: the Northern, the Ashanti and the Greater Accra regions. The quality indicator used was effectiveness of treatment as determined by the patient. Ordered logit regression was run for the indicator with patient and health facility characteristics as well as institutional factors as independent variables. The sample size was 2248. The results showed that the patient's level of formal education had a strong influence on the effectiveness of treatment. In addition, effectiveness of treatment differed according to the administrative region in which the facility was located, and according to the extent of decentralization between health facility and government. The quality of instruments used for treatment, the working conditions for health workers, and job satisfaction had no effect on the effectiveness of treatment. Decentralization, the flow of information from government to health facilities and from health facility administrators to health workers are important in ensuring effectiveness. The study recommends further decentralization between health facilities as well as between health workers and administrators. In addition, the study recommends the involvement of health facilities in malaria programs to ensure the flow of information needed for effectiveness of treatment.

  10. Global environment facility: Independent evaluation of the pilot phase; Fondo para el medio ambiente mundial: evaluacion independiente de la etapa experimental

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

    NONE

    1994-06-01

    This study responds to a request by participants in the Global Environment Facility (GEF) for an independent evaluation of the pilot phase. It profiles the GEF, discusses its policy framework, and reviews project development procedures and the strategies and projects in each of the GEF`s four focal areas. The study concludes that fundamental changes must occur and recommends specific reforms, such as articulating more clearly the GEF`s mandate, objectives, and strategies; addressing deficiencies in meeting its global focus; improving capacities and procedures within implementing agencies for managing the portfolio; and increasing non-government organization (NGO), country and community-level participation.

  11. Global environment facility: Independent evaluation of the pilot phase; Fonds pour l`environnement mondial: evaluation independante de la phase pilote

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

    NONE

    1994-12-31

    This study responds to a request by participants in the Global Environment Facility (GEF) for an independent evaluation of the pilot phase. It profiles the GEF, discusses its policy framework, and reviews project development procedures and the strategies and projects in each of the GEF`s four focal areas. The study concludes that fundamental changes must occur and recommends specific reforms, such as articulating more clearly the GEF`s mandate, objectives, and strategies; addressing deficiencies in meeting its global focus; improving capacities and procedures within implementing agencies for managing the portfolio; and increasing non-government organization (NGO), country and community-level participation.

  12. Security Procedures for Golden Laboratories and Administration Offices |

    Science.gov Websites

    photo identification (for example driver's license, passport, or military ID). Upon arrival to NREL's and should park in the Research Support Facility (RSF) Visitor Parking Lot. Visitors will then enter ) window. Visitors need to be prepared to show government-issued photo identification (for example driver's

  13. Establishment of a building audit procedure and analysis for the Kansas Department of Transportation phase 2A : buildings, [technical summary].

    DOT National Transportation Integrated Search

    2013-11-01

    Over the past few years, state governments and entities have become concerned with the energy consumption : and efficiency of their facilities. An effective manner to identify potential to reduce energy and water : consumption and increase building e...

  14. Positive Attitudes: The Building Blocks of Self Esteem.

    ERIC Educational Resources Information Center

    Leopold, Marlene A.

    South Area Alternative School is a disciplinary center for conduct disordered adolescents in Broward County, Florida. The center is governed by a school-wide environmental structure so positive that negative behavior is met by appropriate consequences rather than punishment. The intake procedure includes a tour of the facility, discussion of…

  15. 49 CFR 1155.26 - Transfer and termination of a land-use-exemption permit.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 49 Transportation 8 2010-10-01 2010-10-01 false Transfer and termination of a land-use-exemption permit. 1155.26 Section 1155.26 Transportation Other Regulations Relating to Transportation (Continued... FACILITIES Procedures Governing Applications for a Land-Use-Exemption Permit § 1155.26 Transfer and...

  16. Parts, materials, and processes experience summary, volume 2. [design, engineering, and quality control

    NASA Technical Reports Server (NTRS)

    1973-01-01

    This summary provides the general engineering community with the accumulated experience from ALERT reports issued by NASA and the Government-Industry. Data Exchange Program, and related experience gained by Government and industry. It provides expanded information on selected topics by relating the problem area (failure) to the cause, the investigation and findings, the suggestions for avoidance (inspections, screening tests, proper part applications, requirements for manufacturer's plant facilities, etc.), and failure analysis procedures. Diodes, integrated circuits, and transistors are covered in this volume.

  17. The status of LILW disposal facility construction in Korea

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

    Kim, Min-Seok; Chung, Myung-Sub; Park, Kyu-Wan

    2013-07-01

    In this paper, we discuss the experiences during the construction of the first LILW disposal facility in South Korea. In December 2005, the South Korean Government designated Gyeongju-city as a host city of Low- and Intermediate-Level Radioactive Waste(LILW) disposal site through local referendums held in regions whose local governments had applied to host disposal facility in accordance with the site selection procedures. The LILW disposal facility is being constructed in Bongilri, Yangbuk-myeon, Gyeongju. The official name of the disposal facility is called 'Wolsong Low and Intermediate Level Radioactive Waste Disposal Center (LILW Disposal Center)'. It can dispose of 800,000 drumsmore » of radioactive wastes in a site of 2,100,000 square meters. At the first stage, LILW repository of underground silo type with disposal capacity of 100,000 drums is under construction expected to be completed by June of 2014. The Wolsong Low and Intermediate Level Radioactive Waste Disposal Center consists of surface facilities and underground facilities. The surface facilities include a reception and inspection facility, an interim storage facility, a radioactive waste treatment building, and supporting facilities such as main control center, equipment and maintenance shop. The underground facilities consist of a construction tunnel for transport of construction equipment and materials, an operation tunnel for transport of radioactive waste, an entrance shaft for workers, and six silos for final disposal of radioactive waste. As of Dec. 2012, the overall project progress rate is 93.8%. (authors)« less

  18. Comparative research on NIMBY risk acceptability between Chinese and Japanese college students.

    PubMed

    Wu, Yunqing; Zhai, Guofang; Li, Shasha; Ren, Chongqiang; Tsuchida, Shoji

    2014-10-01

    Along with the progressive acceleration of urbanization, the need to identify potentially troublesome "Not In My Back Yard" (NIMBY) facilities in the city is inevitable. To resolve NIMBY conflict, it is important to know people's NIMBY risk acceptability for these facilities. A questionnaire survey was used among Chinese and Japanese college students to identify NIMBY risk acceptability. LISREL was used to construct a structural equation model to analyze the difference in NIMBY risk acceptability between the Chinese and Japanese college students. Factors that may affect NIMBY risk acceptability were analyzed: "perceiving utility," "perceiving risk," "trust in government," "reasonable compensation," and "procedural justice." The findings show that Japanese students' concerns were greater than Chinese students' concerns. Perceiving utility and perceiving risk were the most important factors that affect people's NIMBY risk acceptability, followed by procedural justice, trust in government, and reasonable compensation. There is a difference between the different cultural backgrounds in confronting the risk: Chinese students focus more on the reputation and value of real estate, while Japanese students pay more attention to environmental pollution and damage to health. Furthermore, cultural influences play a role in students' risk perception. To improve the risk acceptability for NIMBY facilities and provide a basis for resolving NIMBY conflicts, it is necessary to ensure the benefits of the NIMBY facility while reducing environmental pollution. The findings of this study may be of interest for policy makers and practitioners to devise future NIMBY strategies.

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

    Not Available

    The Low-Level Radioactive Waste Policy Amendments Act of 1985 amends the current act to provide regional facilities established through compacts between two or more states. The Act defines the responsibilities of the federal government and the participating states, and provides for inspection by the Nuclear Regulatory Commission and review by Congress. It also establishes procedures for siting and allocation of facilities during the transition period and the requirements for access to regional facilities, which will have a three-year licensing and construction period. There is a graduated ceiling on surcharges until 1992, when the limit is $40 per cubic foot. Themore » Act lists six compacts which are subject to consent.« less

  20. 78 FR 17635 - Foreign-Trade Zone 93-Raleigh-Durham, North Carolina; Notification of Proposed Production...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-22

    ... Printing Plates); Youngsville, North Carolina The Triangle J Council of Governments grantee of FTZ 93... 5 of FTZ 93. The facility is used for the production of aluminum offset printing plates for the.... On its domestic sales, SLP would be able to choose the duty rates during customs entry procedures...

  1. 49 CFR 1155.20 - Notice of intent to apply for a land-use-exemption permit.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 49 Transportation 8 2010-10-01 2010-10-01 false Notice of intent to apply for a land-use-exemption permit. 1155.20 Section 1155.20 Transportation Other Regulations Relating to Transportation (Continued... FACILITIES Procedures Governing Applications for a Land-Use-Exemption Permit § 1155.20 Notice of intent to...

  2. A planar reacting shear layer system for the study of fluid dynamics-combustion interaction

    NASA Technical Reports Server (NTRS)

    Marek, C. J.; Chang, C. T.; Ghorashi, B.; Wey, C. C.; Wey, C.; Mularz, E. J.

    1989-01-01

    A versatile planar reacting shear layer facility is constructed at NASA-Lewis. The research objectives, as well as design, instrumentations and the operational procedures developed for the system are described. The fundamental governing equations and the type of quantitative information that are needed from experiments are described. Additionally, a review of earlier work is presented. Whenever appropriate, comparisons are made with similar systems in other facilities and the main differences are described. Finally, the nonintrusive measurement techniques (PLIF, PMS, LDV, and Schlieren photography) and the type of experiments that are planned are described.

  3. Hydro development in Costa Rica

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

    Young, C.F.

    The initial foreign thrust of private power activities was quite naturally by large companies acquiring existing government-owned facilities in relatively large countries. Only recently, it seems, people have discovered that there are countries in Latin America other than Argentina, Brazil, and Mexico, and that there is interest in having the private sector construct new (and often smaller) facilities, with an increasing emphasis on renewable energy. Costa Rica passed its private power law in 1991 and has clearly been the most progressive country in Central America in promoting greenfield development of private power projects. The country has not been exempt, however,more » from the cyclical nature of the support that governments, utilities and regulatory agencies give to private power producers. The initial enthusiasm and willingness to encourage private power producers inevitably give way to requirements and procedures which impair if not thwart the initial intentions of the private power laws.« less

  4. Government conceptual estimating for contracting and management

    NASA Technical Reports Server (NTRS)

    Brown, J. A.

    1986-01-01

    The use of the Aerospace Price Book, a cost index, and conceptual cost estimating for cost-effective design and construction of space facilities is discussed. The price book consists of over 200 commonly used conceptual elements and 100 systems summaries of projects such as launch pads, processing facilities, and air locks. The cost index is composed of three divisions: (1) bid summaries of major Shuttle projects, (2) budget cost data sheets, and (3) cost management summaries; each of these divisions is described. Conceptual estimates of facilities and ground support equipment are required to provide the most probable project cost for budget, funding, and project approval purposes. Similar buildings, systems, and elements already designed are located in the cost index in order to make the best rough order of magnitude conceptual estimates for development of Space Shuttle facilities. An example displaying the applicability of the conceptual cost estimating procedure for the development of the KSC facilities is presented.

  5. 48 CFR 970.5236-1 - Government facility subcontract approval.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 48 Federal Acquisition Regulations System 5 2011-10-01 2011-10-01 false Government facility... and Contract Clauses for Management and Operating Contracts 970.5236-1 Government facility subcontract approval. As prescribed at 48 CFR 970.3605-2, insert the following clause: Government Facility Subcontract...

  6. 48 CFR 970.5236-1 - Government facility subcontract approval.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 48 Federal Acquisition Regulations System 5 2014-10-01 2014-10-01 false Government facility... and Contract Clauses for Management and Operating Contracts 970.5236-1 Government facility subcontract approval. As prescribed at 48 CFR 970.3605-2, insert the following clause: Government Facility Subcontract...

  7. 48 CFR 970.5236-1 - Government facility subcontract approval.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 48 Federal Acquisition Regulations System 5 2012-10-01 2012-10-01 false Government facility... and Contract Clauses for Management and Operating Contracts 970.5236-1 Government facility subcontract approval. As prescribed at 48 CFR 970.3605-2, insert the following clause: Government Facility Subcontract...

  8. Closure of hazardous and mixed radioactive waste management units at DOE facilities. [Contains glossary

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

    Not Available

    This is document addresses the Federal regulations governing the closure of hazardous and mixed waste units subject to Resource Conservation and Recovery Act (RCRA) requirements. It provides a brief overview of the RCRA permitting program and the extensive RCRA facility design and operating standards. It provides detailed guidance on the procedural requirements for closure and post-closure care of hazardous and mixed waste management units, including guidance on the preparation of closure and post-closure plans that must be submitted with facility permit applications. This document also provides guidance on technical activities that must be conducted both during and after closure ofmore » each of the following hazardous waste management units regulated under RCRA.« less

  9. E-government Facilities Analysis for Public Services in Higher Education

    NASA Astrophysics Data System (ADS)

    Astawa, I. P. M.; Dewi, K. C.

    2018-01-01

    E-Government in higher education can be utilized in order to provide public services to stakeholders both internal and external. The research objectives is to analyze the e-government facilities for public services in higher education. The research began by reviewing the concept of public services and e-government, then continued by analysing e-government facilities based on the E-Government Maturity Level developed by Wirtz and Piehler. The research subject was the e-government website of three universities that ranked the top three of webometrics version (Indonesia country rank), while the research object was e-government facilities for public services. Data collection was done by observing e-government sites via online browsing. The research’s results indicated that all three e-government sites have met four e-government business model and provided e-government services in line with the fourth stage on the e-government development stage. It can concluded that the three universities have achieved e-government maturity at the fourth level.

  10. The 'bankability' of the new waste technologies: an econometric method for risk sharing in private finance waste contracts.

    PubMed

    Black, I; Seaton, R; Chackiath, S; Wagland, S T; Pollard, S J T; Longhurst, P J

    2011-12-01

    The identification of risk and its appropriate allocation to partners in project consortia is essential for minimizing overall project risks, ensuring timely delivery and maximizing benefit for money invested. Risk management guidance available from government bodies, especially in the UK, does not specify methodologies for quantitative risk assessment, nor does it offer a procedure for allocating risk among project partners. Here, a methodology to quantify project risk and potential approaches to allocating risk and their implications are discussed. Construction and operation of a waste management facility through a public-private finance contract are discussed. Public-private partnership contracts are special purpose vehicle (SPV) financing methods promoted by the UK government to boost private sector investment in facilities for public service enhancement. Our findings question the appropriateness of using standard deviation as a measure for project risk and confirm the concept of portfolio theory, suggesting the pooling of risk can reduce total risk and its impact.

  11. Prospective Bundled Payments in a Changing Environment: The Experience of a Self-Funded, State-Sponsored Plan.

    PubMed

    Lawler, Frank H; Wilson, Frank R; Smith, G Keith; Mitchell, Lynn V

    2017-12-01

    Healthcare reimbursement, which has traditionally been based on the quantity of services delivered, is currently moving toward value-based reimbursement-a system that addresses the quantity, quality, and cost of services. One such arrangement has been the evolution of bundled payments for a specific procedure or for an episode of care, paid prospectively or through post-hoc reconciliation. To evaluate the impact of instituting bundled payments that incorporate facility charges, physician fees, and all ancillary charges by the State of Oklahoma HealthChoice public employee insurance plan. From January 1 through December 31, 2016, HealthChoice, a large, government-sponsored Oklahoma health plan, implemented a voluntary, prospective, bundled payment system with network facilities, called Select. The Select program allows members at the time of certification of the services to opt to use participating facilities for specified services at a bundled rate, with deductible and coinsurance covered by the health plan. That is, the program allows any plan member to choose either a participating Select facility with no out-of-pocket costs or standard benefits at a participating network facility. During 2016, more than 7900 procedures were performed for 5907 patients who chose the Select arrangement (also designated as the intervention group). The most common outpatient Select procedures were for cardiology, colonoscopy, and magnetic resonance imaging scans. The most common inpatient procedures for Select-covered patients were in 6 diagnosis-related groups covering spinal fusions, joint replacement surgeries, and percutaneous coronary artery stenting. The allowable costs were similar for bundled procedures at ambulatory surgery centers and at outpatient hospital facilities; the allowable costs for patients not in the Select program (mean, $813) were lower at ambulatory surgery centers than at outpatient hospital departments (mean, $3086) because of differences in case mix. Patients in the Select system who had outpatient procedures had significantly fewer subsequent claims than those who were not in Select for hospitalization (1.7% vs 2.5%, respectively) and emergency department visits (4.4% vs 11.5%, respectively) in the 30 days postprocedure. Quality measures (eg, wound infection and reoperation) were similar for patients who were and were not in the Select group and had procedures. Surgical complication (ie, return to surgery) rates were higher for the Select group. The Select program demonstrated promising results during its first year of operation, suggesting that prospective bundled payment arrangements can be implemented successfully. Further research on reimbursement mechanisms, that is, how to pay physicians and facilities, and quality of outcomes is needed, especially with respect to which procedures are most suitable for this payment arrangement.

  12. Prospective Bundled Payments in a Changing Environment: The Experience of a Self-Funded, State-Sponsored Plan

    PubMed Central

    Lawler, Frank H.; Wilson, Frank R.; Smith, G. Keith; Mitchell, Lynn V.

    2017-01-01

    Background Healthcare reimbursement, which has traditionally been based on the quantity of services delivered, is currently moving toward value-based reimbursement—a system that addresses the quantity, quality, and cost of services. One such arrangement has been the evolution of bundled payments for a specific procedure or for an episode of care, paid prospectively or through post-hoc reconciliation. Objective To evaluate the impact of instituting bundled payments that incorporate facility charges, physician fees, and all ancillary charges by the State of Oklahoma HealthChoice public employee insurance plan. Method From January 1 through December 31, 2016, HealthChoice, a large, government-sponsored Oklahoma health plan, implemented a voluntary, prospective, bundled payment system with network facilities, called Select. The Select program allows members at the time of certification of the services to opt to use participating facilities for specified services at a bundled rate, with deductible and coinsurance covered by the health plan. That is, the program allows any plan member to choose either a participating Select facility with no out-of-pocket costs or standard benefits at a participating network facility. Results During 2016, more than 7900 procedures were performed for 5907 patients who chose the Select arrangement (also designated as the intervention group). The most common outpatient Select procedures were for cardiology, colonoscopy, and magnetic resonance imaging scans. The most common inpatient procedures for Select-covered patients were in 6 diagnosis-related groups covering spinal fusions, joint replacement surgeries, and percutaneous coronary artery stenting. The allowable costs were similar for bundled procedures at ambulatory surgery centers and at outpatient hospital facilities; the allowable costs for patients not in the Select program (mean, $813) were lower at ambulatory surgery centers than at outpatient hospital departments (mean, $3086) because of differences in case mix. Patients in the Select system who had outpatient procedures had significantly fewer subsequent claims than those who were not in Select for hospitalization (1.7% vs 2.5%, respectively) and emergency department visits (4.4% vs 11.5%, respectively) in the 30 days postprocedure. Quality measures (eg, wound infection and reoperation) were similar for patients who were and were not in the Select group and had procedures. Surgical complication (ie, return to surgery) rates were higher for the Select group. Conclusion The Select program demonstrated promising results during its first year of operation, suggesting that prospective bundled payment arrangements can be implemented successfully. Further research on reimbursement mechanisms, that is, how to pay physicians and facilities, and quality of outcomes is needed, especially with respect to which procedures are most suitable for this payment arrangement. PMID:29403570

  13. State Enabling Legislation for Commercial-Scale Wind Power Siting and the Local Government Role

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

    McElfish, J.M.; Gersen, S.

    Siting of commercial-scale wind facilities (>5MW) is determined primarily by state laws. State laws either leave siting regulation to local governments, prescribe and constrain the role for local governments, establish state standards, or preempt local governance by having state institutions govern siting. Siting regulation is extremely important to the advancement of wind generation in the United States. Major siting decisions lie ahead for state and local governments as the nation diversifies its energy portfolio. An increase in the number of new wind facilities, siting in more locations and in more heavily populated areas, will require attention to the laws andmore » regulations that govern siting. Local governments exercise some authority over commercial-scale wind facility siting in 48 of the 50 states. In 34 states, local governments have substantial autonomy to regulate the siting of most or all commercial-scale wind facilities. A few states authorize local governments to regulate wind facility siting, but make the scope of local regulation subject to limitations defined by state law. Eleven states set size thresholds for state regulatory involvement with local governments in these states regulating smaller facilities and state boards regulating larger ones (either exclusively or concurrently with local governments). In just under a third of the states, siting of most or all commercial-scale wind facilities requires approval by both state and local government bodies. Only a few states reserve the regulation of siting of all or virtually all commercial-scale wind facilities to state boards and commissions. The content of the applicable regulations is more important, in general, than the level of government responsible for the decision. Several states that assign siting responsibilities to local governments have specified some of the content and the limits of local regulation. About 1/5 of the states have directed boards and commissions to develop statewide regulations to deal with wind facility siting issues subject to state approval. These requirements most often specify standards for setbacks, wildlife, noise, decommissioning, and other issues.« less

  14. 4 CFR 81.8 - Public reading facility.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 4 Accounts 1 2014-01-01 2013-01-01 true Public reading facility. 81.8 Section 81.8 Accounts GOVERNMENT ACCOUNTABILITY OFFICE RECORDS PUBLIC AVAILABILITY OF GOVERNMENT ACCOUNTABILITY OFFICE RECORDS § 81.8 Public reading facility. GAO maintains a public reading facility in the Law Library at the Government Accountability Office Building, 441 G...

  15. 4 CFR 81.8 - Public reading facility.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 4 Accounts 1 2013-01-01 2013-01-01 false Public reading facility. 81.8 Section 81.8 Accounts GOVERNMENT ACCOUNTABILITY OFFICE RECORDS PUBLIC AVAILABILITY OF GOVERNMENT ACCOUNTABILITY OFFICE RECORDS § 81.8 Public reading facility. GAO maintains a public reading facility in the Law Library at the Government Accountability Office Building, 441 G...

  16. 4 CFR 81.8 - Public reading facility.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 4 Accounts 1 2012-01-01 2012-01-01 false Public reading facility. 81.8 Section 81.8 Accounts GOVERNMENT ACCOUNTABILITY OFFICE RECORDS PUBLIC AVAILABILITY OF GOVERNMENT ACCOUNTABILITY OFFICE RECORDS § 81.8 Public reading facility. GAO maintains a public reading facility in the Law Library at the Government Accountability Office Building, 441 G...

  17. The philosophy of benchmark testing a standards-based picture archiving and communications system.

    PubMed

    Richardson, N E; Thomas, J A; Lyche, D K; Romlein, J; Norton, G S; Dolecek, Q E

    1999-05-01

    The Department of Defense issued its requirements for a Digital Imaging Network-Picture Archiving and Communications System (DIN-PACS) in a Request for Proposals (RFP) to industry in January 1997, with subsequent contracts being awarded in November 1997 to the Agfa Division of Bayer and IBM Global Government Industry. The Government's technical evaluation process consisted of evaluating a written technical proposal as well as conducting a benchmark test of each proposed system at the vendor's test facility. The purpose of benchmark testing was to evaluate the performance of the fully integrated system in a simulated operational environment. The benchmark test procedures and test equipment were developed through a joint effort between the Government, academic institutions, and private consultants. Herein the authors discuss the resources required and the methods used to benchmark test a standards-based PACS.

  18. 32 CFR 766.5 - Conditions governing use of aviation facilities by civil aircraft.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 32 National Defense 5 2012-07-01 2012-07-01 false Conditions governing use of aviation facilities... OF THE NAVY MISCELLANEOUS RULES USE OF DEPARTMENT OF THE NAVY AVIATION FACILITIES BY CIVIL AIRCRAFT § 766.5 Conditions governing use of aviation facilities by civil aircraft. (a) Risk. The use of Navy or...

  19. 32 CFR 766.5 - Conditions governing use of aviation facilities by civil aircraft.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 32 National Defense 5 2014-07-01 2014-07-01 false Conditions governing use of aviation facilities... OF THE NAVY MISCELLANEOUS RULES USE OF DEPARTMENT OF THE NAVY AVIATION FACILITIES BY CIVIL AIRCRAFT § 766.5 Conditions governing use of aviation facilities by civil aircraft. (a) Risk. The use of Navy or...

  20. 32 CFR 766.5 - Conditions governing use of aviation facilities by civil aircraft.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 32 National Defense 5 2013-07-01 2013-07-01 false Conditions governing use of aviation facilities... OF THE NAVY MISCELLANEOUS RULES USE OF DEPARTMENT OF THE NAVY AVIATION FACILITIES BY CIVIL AIRCRAFT § 766.5 Conditions governing use of aviation facilities by civil aircraft. (a) Risk. The use of Navy or...

  1. Chemical safety practice amongst the health workers of Fiji.

    PubMed

    Naduva, Adriu

    2006-09-01

    The National Health Service of Fiji includes private and public institutions that use a variety of chemicals of varying hazardousness. A survey was carried out to describe chemical safety issues amongst health workers in Fiji. Questionnaires were given to 133 private and Government health institutions. Most health facilities lack awareness on safe chemical waste management and do not have technical training on chemical safety. Most institutions do not have chemical handling, packaging and labelling procedure and equipment with a marked deficiency in the vector sector. Most facilities state that they have adequate chemical safety information from the suppliers, while a few alarmingly still resort to container labels and information from colleagues.

  2. 41 CFR 102-74.351 - If a state or local government has a smoke-free ordinance that is more strict than the smoking...

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... government has a smoke-free ordinance that is more strict than the smoking policy for Federal facilities... REGULATION REAL PROPERTY 74-FACILITY MANAGEMENT Facility Management Smoking § 102-74.351 If a state or local government has a smoke-free ordinance that is more strict than the smoking policy for Federal facilities...

  3. 41 CFR 102-74.351 - If a state or local government has a smoke-free ordinance that is more strict than the smoking...

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... government has a smoke-free ordinance that is more strict than the smoking policy for Federal facilities... REGULATION REAL PROPERTY 74-FACILITY MANAGEMENT Facility Management Smoking § 102-74.351 If a state or local government has a smoke-free ordinance that is more strict than the smoking policy for Federal facilities...

  4. 41 CFR 102-74.351 - If a state or local government has a smoke-free ordinance that is more strict than the smoking...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... government has a smoke-free ordinance that is more strict than the smoking policy for Federal facilities... REGULATION REAL PROPERTY 74-FACILITY MANAGEMENT Facility Management Smoking § 102-74.351 If a state or local government has a smoke-free ordinance that is more strict than the smoking policy for Federal facilities...

  5. 41 CFR 102-74.351 - If a state or local government has a smoke-free ordinance that is more strict than the smoking...

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... government has a smoke-free ordinance that is more strict than the smoking policy for Federal facilities... REGULATION REAL PROPERTY 74-FACILITY MANAGEMENT Facility Management Smoking § 102-74.351 If a state or local government has a smoke-free ordinance that is more strict than the smoking policy for Federal facilities...

  6. 41 CFR 102-74.351 - If a state or local government has a smoke-free ordinance that is more strict than the smoking...

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... government has a smoke-free ordinance that is more strict than the smoking policy for Federal facilities... REGULATION REAL PROPERTY 74-FACILITY MANAGEMENT Facility Management Smoking § 102-74.351 If a state or local government has a smoke-free ordinance that is more strict than the smoking policy for Federal facilities...

  7. Transboundary hazardous waste management. Part I: Waste management policy of importing countries.

    PubMed

    Fan, Kuo-Shuh; Chang, Tien Chin; Ni, Shih-Piao; Lee, Ching-Hwa

    2005-12-01

    Mixed metal-containing waste, polychlorinated biphenyls (PCB) containing capacitors, printed circuit boards, steel mill dust and metal sludge were among the most common wastes exported from Taiwan. Before the implementation of the self-monitoring model programme of the Basel Convention (secretariat of the Basel Convention 2001) in the Asia region, Taiwan conducted a comprehensive 4-year follow-up project involving government authorities and the waste disposal facilities of the importing countries. A total of five countries and nine plants were visited in 2001-2002. The following outcomes can be drawn from these investigations. The Chinese government adopts the strategies of 'on-site processing' and 'relative centralization' on the waste management by tightening permitting and increasing site inspection. A three-level reviewing system is adopted for the import application. The United States have not signed the Basel Convention yet; the procedures of hazardous waste import rely on bilateral agreements. Importers are not required to provide official notification from the waste exporting countries. The operation, administration, monitoring and licensing of waste treatment plants are governed by the state environmental bureau. Finland, France and Belgium are members of the European Union. The procedures and policies of waste import are similar. All of the documents associated with transboundary movement require the approval of each government involved. Practically, the notification forms and tracking forms effectively manage the waste movement.

  8. Health care and personal care needs among residents in nursing homes, group homes, and congregate housing in Japan: why does transition occur, and where can the frail elderly establish a permanent residence?

    PubMed

    Nakanishi, Miharu; Hattori, Keiko; Nakashima, Taeko; Sawamura, Kanae

    2014-01-01

    Japan has had high rates of transition to nursing homes from other long term care facilities. It has been hypothesized that care transitions occur because a resident's condition deteriorates. The aim of the present study was to compare the health care and personal care needs of residents in nursing homes, group homes, and congregate housing in Japan. The present study was conducted using a cross-sectional study design. The present study included 70,519 elderly individuals from 5 types of residential facilities: care medical facilities (heavy medical care; n = 17,358), geriatric intermediate care facilities (rehabilitation aimed toward a discharge to home; n = 26,136), special nursing homes (permanent residence; n = 20,564), group homes (group living, n = 1454), and fee-based homes for the elderly (congregate housing; n = 5007). The managing director at each facility provided information on the residents' health care and personal care needs, including activities of daily living (ADLs), level of required care, level of cognitive impairment, current disease treatment, and medical procedures. A multinomial logistic regression analysis demonstrated a significantly lower rate of medical procedures among the residents in special nursing homes compared with those in care medical facilities, geriatric intermediate care facilities, group homes, and fee-based homes for the elderly. The residents of special nursing homes also indicated a significantly lower level of required care than those in care medical facilities. The results of our study suggest that care transitions occur because of unavailable permanent residence option for people who suffer with medical deterioration. The national government should modify residential facilities by reorganizing several types of residential facilities into nursing homes that provide a place of permanent residence. Copyright © 2014 American Medical Directors Association, Inc. Published by Elsevier Inc. All rights reserved.

  9. Cyber Mutual Assistance Workshop Report

    DTIC Science & Technology

    2018-02-01

    Information Technology, Nuclear Reactors, Materials/Waste, Defense Industrial Base, Critical Manufacturing, Food/ Agriculture Government Facilities and...Manufacturing, Food/ Agriculture Government Facilities and Chemical, Commercial Facilities [DHS 2017c]. Distributed Energy Resources (DER) are

  10. 41 CFR 102-74.190 - Are portable heaters, fans and other such devices allowed in Government-controlled facilities?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ..., fans and other such devices allowed in Government-controlled facilities? 102-74.190 Section 102-74.190... § 102-74.190 Are portable heaters, fans and other such devices allowed in Government-controlled facilities? Federal agencies are prohibited from operating portable heaters, fans, and other such devices in...

  11. Assessment of infection control practices in maternity units in Southern Nigeria.

    PubMed

    Friday, Okonofua; Edoja, Okpokunu; Osasu, Aigbogun; Chinenye, Nwandu; Cyril, Mokwenye; Lovney, Kanguru; Julia, Hussein

    2012-12-01

    Puerperal sepsis accounts for 12% of maternal deaths in Nigeria. To date, little is known about the background hospital factors that predispose pregnant women to puerperal infection that leads to mortality. The objective of this study was to investigate the nature and pattern of existing policies and practices relating to infection control in maternity care centres in Edo state, South-South Nigeria. Cross-sectional study consisting of in-depth interviews with service providers, observation of clinical practices and examination of medical records. Public and private health-care facilities in eight local government areas (LGAs) selected from the three senatorial districts of Edo State, Nigeria. Health providers from 63 primary, secondary and tertiary maternity care centres. Sixty-three health-care facilities were sampled from eight LGAs from the three senatorial districts in Edo State. Three pre-tested tools were adapted to the local setting and used to interview key informants in the health facilities and to observe for practices and records relating to infection control. Of the 63 health facilities, 68% (43) reported that they had infection control procedures in place, while only 25% (16) reported that they documented these as manuals or charts. Only 13% (8) of facilities had infection control committees; 11% (7) routinely carried out audits of maternal deaths, while 33% (21) reported that they had an ongoing programme for staff training on infection control. A high proportion of the health facilities reported that staff routinely wash their hands before and after sterile procedures, but only half of the facilities were observed to have 24-h running water and only two-thirds had soap and antiseptic solutions in delivery and operating theatre areas. Although more than 90% (57) of the health facilities reported that they use sterile gloves routinely, unused sterile gloves were found in only 60% (38) of these facilities, and recycled gloves in 11.1% (7). The results of this study suggest the need for improved record-keeping procedures, the development of appropriate policies and protocols for infection control and staff training on infection control in maternity care facilities in Edo State. A public health education and advocacy programme to create awareness on clean delivery places as an approach for reducing maternal morbidity and mortality and to build political will for implementing related activities is also urgently needed.

  12. Case-mix and quality indicators in Chinese elder care homes: are there differences between government-owned and private-sector facilities?

    PubMed

    Liu, Chang; Feng, Zhanlian; Mor, Vincent

    2014-02-01

    To assess the association between ownership of Chinese elder care facilities and their performance quality and to compare the case-mix profile of residents and facility characteristics in government-owned and private-sector homes. Cross-sectional study. Census of elder care homes surveyed in Nanjing (2009) and Tianjin (2010). Elder care facilities located in urban Nanjing (n = 140, 95% of all) and urban Tianjin (n = 157, 97% of all). A summary case-mix index based on activity of daily living (ADL) limitations and cognitive impairment was created to measure levels of care needs of residents in each facility. Structure, process, and outcome measures were selected to assess facility-level quality of care. A structural quality measure, understaffing relative to resident levels of care needs, which indicates potentially inadequate staffing given resident case-mix, was also developed. Government-owned homes had significantly higher occupancy rates, presumably reflecting popular demand for publicly subsidized beds, but served residents who, on average, have fewer ADL and cognitive functioning limitations than those in private-sector facilities. Across a range of structure, process, and outcome measures of quality, there is no clear evidence suggesting advantages or disadvantages of either ownership type, although when staffing-to-resident ratio is gauged relative to resident case-mix, private-sector facilities were more likely to be understaffed than government-owned facilities. In Nanjing and Tianjin, private-sector homes were more likely to be understaffed, although their residents were sicker and frailer on average than those in government facilities. It is likely that the case-mix differences are the result of selective admission policies that favor healthier residents in government facilities than in private-sector homes. © 2014, Copyright the Authors Journal compilation © 2014, The American Geriatrics Society.

  13. Lessons learned from the Siting Process of an Interim Storage Facility in Spain - 12024

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

    Lamolla, Meritxell Martell

    2012-07-01

    On 29 December 2009, the Spanish government launched a site selection process to host a centralised interim storage facility for spent fuel and high-level radioactive waste. It was an unprecedented call for voluntarism among Spanish municipalities to site a controversial facility. Two nuclear municipalities, amongst a total of thirteen municipalities from five different regions, presented their candidatures to host the facility in their territories. For two years the government did not make a decision. Only in November 30, 2011, the new government elected on 20 November 2011 officially selected a non-nuclear municipality, Villar de Canas, for hosting this facility. Thismore » paper focuses on analysing the factors facilitating and hindering the siting of controversial facilities, in particular the interim storage facility in Spain. It demonstrates that involving all stakeholders in the decision-making process should not be underestimated. In the case of Spain, all regional governments where there were candidate municipalities willing to host the centralised interim storage facility, publicly opposed to the siting of the facility. (author)« less

  14. The context and limitations of female sterilization services in Pakistan.

    PubMed

    Khan, Adnan Ahmad; Khan, Ayesha; Abbas, Khadija; Tirmizi, Syed Farhan Ali; ul Islam, Zia

    2013-04-01

    Female sterilization has long been the most popular method of family planning (FP) in Pakistan, and yet most public health experts feel it contributes little to controlling family size or to population welfare. We used Pakistan Demographic Health Survey (PDHS) data to understand the role female sterilization plays in the overall context of FP in Pakistan. We performed a secondary analysis of data from the PDHS 1990-1 and 2006-7 to study factors that lead to sterilization and trends in the use of the procedure. In addition, census data were multiplied by proportions from PDHS data to estimate the number of women availing sterilization services. Around 1.9 million women in Pakistan are currently sterilized--up from 0.55 million in 1990-1, and around 173,867 undergo the procedure, annually. Women usually receive sterilization after 30 years of age (mean = 39) and after six children. The probability of sterilization increases with age, family size, and urban residence, and is unaffected by poverty, province of residence, or the woman or her husband's education. Most sterilizationis conducted in public sector facilities. Sterilization in Pakistan may be common, but occurs too late to have any significant effect on family size or benefit public health. Future avenues to make this option more useful to women and society would be to improve the repertoire and access and quality of FP services that are available, and to address governance issues that limit the performance and utility of government facilities.

  15. 4 CFR 28.13 - Special procedure for Workforce Restructuring Action.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ....13 Section 28.13 Accounts GOVERNMENT ACCOUNTABILITY OFFICE GENERAL PROCEDURES GOVERNMENT ACCOUNTABILITY OFFICE PERSONNEL APPEALS BOARD; PROCEDURES APPLICABLE TO CLAIMS CONCERNING EMPLOYMENT PRACTICES AT THE GOVERNMENT ACCOUNTABILITY OFFICE Procedures § 28.13 Special procedure for Workforce Restructuring...

  16. 48 CFR 235.015-70 - Special use allowances for research facilities acquired by educational institutions.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... performance of DoD contracts; (2) Existing facilities, either Government or nongovernment, cannot meet program... effort which results in the special use allowance being excessive compared to the Government research... Defense contracts. FAR 31.3 governs how much the Government will reimburse the institution for the...

  17. Assessment of Surgical and Trauma Capacity in Potosí, Bolivia.

    PubMed

    Blair, Kevin J; Boeck, Marissa A; Gallardo Barrientos, José Luis; Hidalgo López, José Luis; Helenowski, Irene B; Nwomeh, Benedict C; Shapiro, Michael B; Swaroop, Mamta

    Scaling up surgical and trauma care in low- and middle-income countries could prevent nearly 2 million annual deaths. Various survey instruments exist to measure surgical and trauma capacity, including Personnel, Infrastructure, Procedures, Equipment, and Supplies (PIPES) and International Assessment of Capacity for Trauma (INTACT). We sought to evaluate surgical and trauma capacity in the Bolivian department of Potosí using a combined PIPES and INTACT tool, with additional questions to further inform intervention targets. In June and July 2014 a combined PIPES and INTACT survey was administered to 20 government facilities in Potosí with a minimum of 1 operating room: 2 third-level, 10 second-level, and 8 first-level facilities. A surgeon, head physician, director, or obstetrician-gynecologist completed the survey. Additional personnel responded to 4 short-answer questions. Survey items were divided into subsections, and PIPES and INTACT indices calculated. Medians were compared via Wilcoxon rank sum and Kruskal-Wallis tests. Six of 20 facilities were located in the capital city and designated urban. Urban establishments had higher median PIPES (8.5 vs 6.7, P = .11) and INTACT (8.5 vs 6.9, P = .16) indices compared with rural. More than half of surgeons and anesthesiologists worked in urban hospitals. Urban facilities had higher median infrastructure and procedure scores compared with rural. Fifty-three individuals completed short-answer questions. Training was most desired in laparoscopic surgery and trauma management; less than half of establishments reported staff with trauma training. Surgical and trauma capacity in Potosí was most limited in personnel, infrastructure, and procedures at rural facilities, with greater personnel deficiencies than previously reported. Interventions should focus on increasing the number of surgical and anesthesia personnel in rural areas, with a particular focus on the reported desire for trauma management training. Results have been made available to key stakeholders in Potosí to inform targeted quality improvement interventions. Copyright © 2017 Icahn School of Medicine at Mount Sinai. Published by Elsevier Inc. All rights reserved.

  18. Case-Mix and Quality Indicators in Chinese Elder Care Homes: Are There Differences between Government-owned and Private-sector Facilities?

    PubMed Central

    Liu, Chang

    2015-01-01

    Objective To assess the association between ownership of Chinese elder care facilities and their performance quality; and to compare the case-mix profile of residents and facility characteristics in government-owned and private-sector homes. Design Cross-sectional study. Setting Census of elder care homes surveyed in Nanjing (in 2009) and Tianjin (in 2010). Population 140 (or 95% of all) elder care facilities located in urban Nanjing, and 157 (or 97% of all) facilities in urban Tianjin. Main study outcome measures We created a summary case-mix index based on activities of daily living (ADL) limitations and cognitive impairment to measure levels of care needs among residents in each facility. We selected structure, process, and outcome measures to assess facility-level quality of care. We also developed a structural quality measure, under-staffing relative to residents’ levels of care needs, which indicates potentially inadequate staffing given the residents’ case-mix. Results Government-owned homes have significantly higher occupancy rates, presumably reflecting popular demand for publicly subsidized beds, but they serve residents who, on average, have fewer ADL and cognitive functioning limitations than do private-sector facilities. Across a range of structure, process, and outcome measures of quality, there is no clear evidence suggesting advantages or disadvantages to either ownership type. However, when staffing to resident ratio is gauged relative to residents’ case-mix, private-sector facilities were more likely to be under-staffed than government-owned facilities. Conclusions In Nanjing and Tianjin, private-sector homes were more likely to be understaffed, although their residents were sicker and frailer, on average, than those in government facilities. The case-mix differences are likely the result of selective admission policies that favor relatively healthier residents in government facilities than in private-sector homes. PMID:24433350

  19. Women's use of private and government health facilities for childbirth in Nairobi's informal settlements.

    PubMed

    Bazant, Eva S; Koenig, Michael A; Fotso, Jean-Christophe; Mills, Samuel

    2009-03-01

    The private sector's role in increasing the use of maternal health care for the poor in developing countries has received increasing attention, yet few data exist for urban slums. Using household-survey data from 1,926 mothers in two informal settlements in Nairobi, Kenya, collected in 2006, we describe and examine the factors associated with women's use of private and government health facilities for childbirth. More women gave birth at private facilities located in the settlements than at government facilities, and one-third of the women gave birth at home or with the assistance of a traditional birth attendant. In multivariate models, women's education, ethnic group, and household wealth were associated with institutional deliveries, especially in government hospitals. Residents in the more disadvantaged settlement were more likely than those in the better-off settlement to give birth in private facilities. In urban areas, maternal health services in both the government and private sectors should be strengthened, and efforts made to reach out to women who give birth at home.

  20. Terminal-area STOL operating systems experiments program

    NASA Technical Reports Server (NTRS)

    Smith, D. W.; Watson, D.; Christensen, J. V.

    1973-01-01

    Information which will aid in the choice by the U.S. Government and industry of system concepts, design criteria, operating procedures for STOL aircraft and STOL ports, STOL landing guidance systems, air traffic control systems, and airborne avionics and flight control systems. Ames has developed a terminal-area STOL operating systems experiments program which is a part of the joint DOT/NASA effort is discussed. The Ames operating systems experiments program, its objectives, the program approach, the program schedule, typical experiments, the research facilities to be used, and the program status are described.

  1. 4 CFR 28.56 - Hearing procedures, conduct and copies of exhibits.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 4 Accounts 1 2010-01-01 2010-01-01 false Hearing procedures, conduct and copies of exhibits. 28.56 Section 28.56 Accounts GOVERNMENT ACCOUNTABILITY OFFICE GENERAL PROCEDURES GOVERNMENT ACCOUNTABILITY... GOVERNMENT ACCOUNTABILITY OFFICE Procedures Hearings § 28.56 Hearing procedures, conduct and copies of...

  2. 4 CFR 28.9 - Procedures; general.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 4 Accounts 1 2010-01-01 2010-01-01 false Procedures; general. 28.9 Section 28.9 Accounts GOVERNMENT ACCOUNTABILITY OFFICE GENERAL PROCEDURES GOVERNMENT ACCOUNTABILITY OFFICE PERSONNEL APPEALS BOARD; PROCEDURES APPLICABLE TO CLAIMS CONCERNING EMPLOYMENT PRACTICES AT THE GOVERNMENT ACCOUNTABILITY OFFICE...

  3. 4 CFR 28.12 - General Counsel procedures.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 4 Accounts 1 2010-01-01 2010-01-01 false General Counsel procedures. 28.12 Section 28.12 Accounts GOVERNMENT ACCOUNTABILITY OFFICE GENERAL PROCEDURES GOVERNMENT ACCOUNTABILITY OFFICE PERSONNEL APPEALS BOARD; PROCEDURES APPLICABLE TO CLAIMS CONCERNING EMPLOYMENT PRACTICES AT THE GOVERNMENT ACCOUNTABILITY OFFICE...

  4. 4 CFR 28.8 - Informal procedural advice.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 4 Accounts 1 2010-01-01 2010-01-01 false Informal procedural advice. 28.8 Section 28.8 Accounts GOVERNMENT ACCOUNTABILITY OFFICE GENERAL PROCEDURES GOVERNMENT ACCOUNTABILITY OFFICE PERSONNEL APPEALS BOARD; PROCEDURES APPLICABLE TO CLAIMS CONCERNING EMPLOYMENT PRACTICES AT THE GOVERNMENT ACCOUNTABILITY OFFICE...

  5. 7 CFR 353.8 - Accreditation of non-government facilities.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 7 Agriculture 5 2012-01-01 2012-01-01 false Accreditation of non-government facilities. 353.8 Section 353.8 Agriculture Regulations of the Department of Agriculture (Continued) ANIMAL AND PLANT HEALTH INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE EXPORT CERTIFICATION § 353.8 Accreditation of non-government...

  6. 12 CFR 516.180 - What procedures govern the conduct of the meeting?

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 12 Banks and Banking 5 2010-01-01 2010-01-01 false What procedures govern the conduct of the meeting? 516.180 Section 516.180 Banks and Banking OFFICE OF THRIFT SUPERVISION, DEPARTMENT OF THE TREASURY APPLICATION PROCESSING PROCEDURES Meeting Procedures § 516.180 What procedures govern the conduct...

  7. Medicaid program; revision to Medicaid upper payment limit requirements for hospital services, nursing facility services, intermediate care facility services for the mentally retarded, and clinic services. Health Care Financing Administration (HCFA), HHS. Final rule.

    PubMed

    2001-01-12

    This final rule modifies the Medicaid upper payment limits for inpatient hospital services, outpatient hospital services, nursing facility services, intermediate care facility services for the mentally retarded, and clinic services. For each type of Medicaid inpatient service, existing regulations place an upper limit on overall aggregate payments to all facilities and a separate aggregate upper limit on payments made to State-operated facilities. This final rule establishes an aggregate upper limit that applies to payments made to government facilities that are not State government-owned or operated, and a separate aggregate upper limit on payments made to privately-owned and operated facilities. This rule also eliminates the overall aggregate upper limit that had applied to these services. With respect to outpatient hospital and clinic services, this final rule establishes an aggregate upper limit on payments made to State government-owned or operated facilities, an aggregate upper limit on payments made to government facilities that are not State government-owned or operated, and an aggregate upper limit on payments made to privately-owned and operated facilities. These separate upper limits are necessary to ensure State Medicaid payment systems promote economy and efficiency. We are allowing a higher upper limit for payment to non-State public hospitals to recognize the higher costs of inpatient and outpatient services in public hospitals. In addition, to ensure continued beneficiary access to care and the ability of States to adjust to the changes in the upper payment limits, the final rule includes a transition period for States with approved rate enhancement State plan amendments.

  8. Measuring governance at health facility level: developing and validation of simple governance tool in Zambia.

    PubMed

    Mutale, Wilbroad; Mwanamwenge, Margaret Tembo; Balabanova, Dina; Spicer, Neil; Ayles, Helen

    2013-08-09

    Governance has been cited as a key determinant of economic growth, social advancement and overall development. Achievement of millennium development goals is partly dependant on governance practices. In 2007, Health Systems 20/20 conducted an Internet-based survey on the practice of good governance. The survey posed a set of good practices related to health governance and asked respondents to indicate whether their experience confirmed or disconfirmed those practices. We applied the 17 governance statements in rural health facilities of Zambia. The aim was to establish whether the statements were reliable and valid for assessing governance practices at primary care level. Both quantitative and qualitative methods were used. We first applied the governance statements developed by the health system 20/20 and then conducted focus group discussion and In-depth interviews to explore some elements of governance including accountability and community participation. The target respondents were the health facility management team and community members. The sample size include 42 health facilities. Data was analyzed using SPSS version 17 and Nvivo version 9. The 95% one-sided confidence interval for Cronbach's alpha was between 0.69 and 0.74 for the 16 items.The mean score for most of the items was above 3. Factor analysis yielded five principle components: Transparency, community participation, Intelligence & vision, Accountability and Regulation & oversight. Most of the items (6) clustered around the transparency latent factor. Chongwe district performed poorly in overall mean governance score and across the five domains of governance. The overall scores in Chongwe ranged between 51 and 94% with the mean of 80%. Kafue and Luangwa districts had similar overall mean governance scores (88%). Community participation was generally low. Generally, it was noted that community members lacked capacity to hold health workers accountable for drugs and medical supplies. The study successfully validated and applied the new tool for evaluating health system governance at health facility level. The results have shown that it is feasible to measure governance practices at health facility level and that the adapted tool is fairly reliable with the 95% one-sided confidence interval for Cronbach's alpha laying between 0.69 and 0.74 for the 16 items. Caution should be taken when interpreting overall scores as they tended to mask domain specific variations.

  9. 'Safe', yet violent? Women's experiences with obstetric violence during hospital births in rural Northeast India.

    PubMed

    Chattopadhyay, Sreeparna; Mishra, Arima; Jacob, Suraj

    2017-11-03

    The majority of maternal health interventions in India focus on increasing institutional deliveries to reduce maternal mortality, typically by incentivising village health workers to register births and making conditional cash transfers to mothers for hospital births. Based on over 15 months of ethnographically informed fieldwork conducted between 2015 and 2017 in rural Assam, the Indian state with the highest recorded rate of maternal deaths, we find that while there has been an expansion in institutional deliveries, the experience of childbirth in government facilities is characterised by obstetric violence. Poor and indigenous women who disproportionately use state facilities report both tangible and symbolic violence including iatrogenic procedures such as episiotomies, in some instances done without anaesthesia, improper pelvic examinations, beating and verbal abuse during labour, with sometimes the shouting directed at accompanying relatives. While the expansion of institutional deliveries and access to emergency obstetric care is likely to reduce maternal mortality, in the absence of humane care during labour, institutional deliveries will continue to be characterised by the paradox of "safe" births (defined as simply reducing maternal deaths) and the deployment of violent practices during labour, underscoring the unequal and complex relationship between the bodies of the poor and reproductive governance.

  10. 48 CFR 252.239-7011 - Special construction and equipment charges.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... this clause, the Government shall have the right to terminate the service under the Cancellation or...) The Government will not directly reimburse the Contractor for the cost of constructing any facilities... the Contractor stops using facilities or equipment which the Government has, in whole or part...

  11. 48 CFR 252.239-7011 - Special construction and equipment charges.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... the Contractor stops using facilities or equipment which the Government has, in whole or part... equipment attributable to the Government's contribution. Determine the value of the facilities and equipment...— (1) Recurring charges for the services, facilities, and equipment do not include in the rate base any...

  12. Education Facilities Sector-Specific Plan: An Annex to the Government Facilities Sector-Specific Plan

    ERIC Educational Resources Information Center

    US Department of Homeland Security, 2010

    2010-01-01

    Critical infrastructure and key resources (CIKR) provide the essential services that support basic elements of American society. Compromise of these CIKR could disrupt key government and industry activities, facilities, and systems, producing cascading effects throughout the Nation's economy and society and profoundly affecting the national…

  13. 20 CFR 655.1101 - What are the responsibilities of the government agencies and the facilities that participate in...

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... Workers as Registered Nurses? § 655.1101 What are the responsibilities of the government agencies and the.... (b) Facility's attestation responsibilities. Each facility seeking one or more H-1C nurse(s) must, as... admission or for the adjustment or extension of status of H-1C nurses. The facility must attach a copy of...

  14. 48 CFR 23.704 - Application to Government-owned or -leased facilities.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... TECHNOLOGIES, OCCUPATIONAL SAFETY, AND DRUG-FREE WORKPLACE Contracting for Environmentally Preferable Products... and contracts for support services at a Government-owned or -operated facility include provisions that...

  15. [Autonomy for financial management in public and private healthcare facilities in Brazil].

    PubMed

    Santos, Maria Angelica Borges dos; Madeira, Fátima Carvalho; Passos, Sonia Regina Lambert; Bakr, Felipe; Oliveira, Klivia Brayner de; Andreazzi, Marco Antonio Ratzsch de

    2014-01-01

    Autonomy in financial management is an advantage in public administration. A 2009 National Healthcare Facility Survey showed that 3.9% of Brazil's 52,055 public healthcare facilities had some degree of financial autonomy. Such autonomy was more common in inpatient facilities (17.8%), those managed by State governments (26.3%), and in Southern Brazil (6.6%). Autonomy was mainly partial (for resources in specific areas, relating to small outlays, consumables and capital goods, and outsourced services or personnel). 74.3% of 2,264 public facilities with any financial autonomy were under direct government administration. Financial autonomy in public healthcare facilities appears to be linked to local political decisions and not necessarily to the facility's specific legal and administrative status. However, legal status displays distinct scopes of autonomy - those under direct government administration tend to be less autonomous, and those under private businesses more autonomous; 85.8% of the 45,394 private healthcare facilities reported that they were financially autonomous.

  16. A Qualitative Analysis of Facilities Maintenance--A School Governance Function in South Africa

    ERIC Educational Resources Information Center

    Xaba, M. I.

    2012-01-01

    I analysed school facilities maintenance, a school governance function in South Africa. Qualitative interviews were conducted with 13 principals and three deputy principals as coordinators of this function at their schools. The interviews were purposively and conveniently selected to gather data regarding school facilities maintenance and gain…

  17. Condemned: America's Public Schools.

    ERIC Educational Resources Information Center

    Vangen, Clara M. W.

    2001-01-01

    Presents some facts about Government Accounting Standards Board 34/35, which mandates that all government facilities institute an accounting system that will depreciate all capital assets, and what this means for state educational facilities. (GR)

  18. A Study on Governance and Human Resources for Cooperative Road Facilities Management

    NASA Astrophysics Data System (ADS)

    Ohno, Sachiko; Takagi, Akiyoshi; Kurauchi, Fumitaka; Demura, Yoshifumi

    Within today's infrastructure management, Asset Management systems are becoming a mainstream feature. For region where the risk is low, it is necessary to create a "cooperative road facilities management system". This research both examined and suggested what kind of cooperative road facilities management system should be promoted by the regional society. Concretely, this study defines the operational realities of a previous case. It discusses the problem of the road facilities management as a governance. Furthermore, its realization depends on "the cooperation between municipalities", "the private-sector initiative", and "residents participation" .Also, it discusses the problem of human resources for governance. Its realization depends on "the engineers' promotion", and "creation of a voluntary activity of the resident" as a human resources. Moreover, it defines that the intermediary is important because the human resources tied to the governance. As a result, the prospect of the road facilities management is shown by the role of the player and the relation among player.

  19. 4 CFR 28.60 - Briefs.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 4 Accounts 1 2010-01-01 2010-01-01 false Briefs. 28.60 Section 28.60 Accounts GOVERNMENT ACCOUNTABILITY OFFICE GENERAL PROCEDURES GOVERNMENT ACCOUNTABILITY OFFICE PERSONNEL APPEALS BOARD; PROCEDURES APPLICABLE TO CLAIMS CONCERNING EMPLOYMENT PRACTICES AT THE GOVERNMENT ACCOUNTABILITY OFFICE Procedures...

  20. 4 CFR 28.50 - Enforcement.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 4 Accounts 1 2010-01-01 2010-01-01 false Enforcement. 28.50 Section 28.50 Accounts GOVERNMENT ACCOUNTABILITY OFFICE GENERAL PROCEDURES GOVERNMENT ACCOUNTABILITY OFFICE PERSONNEL APPEALS BOARD; PROCEDURES APPLICABLE TO CLAIMS CONCERNING EMPLOYMENT PRACTICES AT THE GOVERNMENT ACCOUNTABILITY OFFICE Procedures...

  1. 4 CFR 28.58 - Transcript.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 4 Accounts 1 2010-01-01 2010-01-01 false Transcript. 28.58 Section 28.58 Accounts GOVERNMENT ACCOUNTABILITY OFFICE GENERAL PROCEDURES GOVERNMENT ACCOUNTABILITY OFFICE PERSONNEL APPEALS BOARD; PROCEDURES APPLICABLE TO CLAIMS CONCERNING EMPLOYMENT PRACTICES AT THE GOVERNMENT ACCOUNTABILITY OFFICE Procedures...

  2. 4 CFR 28.48 - Service.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 4 Accounts 1 2010-01-01 2010-01-01 false Service. 28.48 Section 28.48 Accounts GOVERNMENT ACCOUNTABILITY OFFICE GENERAL PROCEDURES GOVERNMENT ACCOUNTABILITY OFFICE PERSONNEL APPEALS BOARD; PROCEDURES APPLICABLE TO CLAIMS CONCERNING EMPLOYMENT PRACTICES AT THE GOVERNMENT ACCOUNTABILITY OFFICE Procedures...

  3. 4 CFR 28.57 - Public hearings.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 4 Accounts 1 2010-01-01 2010-01-01 false Public hearings. 28.57 Section 28.57 Accounts GOVERNMENT ACCOUNTABILITY OFFICE GENERAL PROCEDURES GOVERNMENT ACCOUNTABILITY OFFICE PERSONNEL APPEALS BOARD; PROCEDURES APPLICABLE TO CLAIMS CONCERNING EMPLOYMENT PRACTICES AT THE GOVERNMENT ACCOUNTABILITY OFFICE Procedures...

  4. 4 CFR 28.59 - Official record.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 4 Accounts 1 2010-01-01 2010-01-01 false Official record. 28.59 Section 28.59 Accounts GOVERNMENT ACCOUNTABILITY OFFICE GENERAL PROCEDURES GOVERNMENT ACCOUNTABILITY OFFICE PERSONNEL APPEALS BOARD; PROCEDURES APPLICABLE TO CLAIMS CONCERNING EMPLOYMENT PRACTICES AT THE GOVERNMENT ACCOUNTABILITY OFFICE Procedures...

  5. Strategic Defense Initiative Demonstration/Validation Program Environmental Assessment. Space-Based Surveillance and Tracking System (SSTS),

    DTIC Science & Technology

    1987-08-01

    take place in both contractor and government facilities. The on-orbit evaluation could utilize modified launch facilities depending on the launch...technological issues : o Telescope Optics: Verify that the distortions associated vith large optical elements satisfy detection and tracking requirements; verify...Validation program vould be car- ried out at contractor facilities that 1’ave not been identified and at six government facilities (Arnold Engineering

  6. 41 CFR 102-34.210 - May I use a Government motor vehicle for transportation between places of employment and mass...

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... motor vehicle for transportation between places of employment and mass transit facilities? 102-34.210... of employment and mass transit facilities? Yes, you may use a Government motor vehicle for transportation between places of employment and mass transit facilities under the following conditions: (a) The...

  7. Supportive supervision for medicines management in government health facilities in Kiambu County, Kenya: a health workers' perspective.

    PubMed

    Agoro, Oscar Otieno; Osuga, Ben Onyango; Adoyo, Maureen

    2015-01-01

    Effective supportive supervision is widely recognized as essential for optimal management of medicines in government health facilities and also in contributing towards improved access and utilization of health services. This study sought to examine the extent supportive supervision for medicines management in government health facilities from a health worker perspective. A cross-sectional study was done targeting health workers managing medicines in government health facilities in Kiambu County. One hundred and thirty eight respondents took part in the study which explored the quality of supportive supervision from a health worker's perspective, and also examined the factors influencing their contentment with the level of supervision received. A statistical analysis was done using SPSS 21 and Excel 2013. Supervisory visits from all levels of health management were not regularly done, standard checklists were not routinely used, and action plans irregularly developed and followed up. Only 54 (38.6%) respondents were satisfied with the levels of supportive supervision that they received, with satisfaction significantly differing across the professional cadres, χ (2) (12, n = 138) = 29.762, p = .003; across the different tiers of health facilities, r s (138) = 0.341, p < .001; and with the education levels of the respondents, r s (138) = 0.381, p < .001. The study concluded that supportive supervision for medicines management that government health facilities received was still inadequate, and health workers were dissatisfied with the level of supervision that they received. The study recommends a review of the support supervision policy at the county level to address the unearthed inefficiencies and improve supervision for medicines management in government health facilities.

  8. 4 CFR 28.47 - Motion to quash.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 4 Accounts 1 2010-01-01 2010-01-01 false Motion to quash. 28.47 Section 28.47 Accounts GOVERNMENT ACCOUNTABILITY OFFICE GENERAL PROCEDURES GOVERNMENT ACCOUNTABILITY OFFICE PERSONNEL APPEALS BOARD; PROCEDURES APPLICABLE TO CLAIMS CONCERNING EMPLOYMENT PRACTICES AT THE GOVERNMENT ACCOUNTABILITY OFFICE Procedures...

  9. 32 CFR 1904.3 - Procedures governing acceptance of service of process.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... INTELLIGENCE AGENCY PROCEDURES GOVERNING ACCEPTANCE OF SERVICE OF PROCESS § 1904.3 Procedures governing... addressed as follows: Litigation Division, Office of General Counsel, Central Intelligence Agency... Director and Deputy Director of Central Intelligence—in his or her individual capacity. (3) Mail Service...

  10. 32 CFR 1904.3 - Procedures governing acceptance of service of process.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... INTELLIGENCE AGENCY PROCEDURES GOVERNING ACCEPTANCE OF SERVICE OF PROCESS § 1904.3 Procedures governing... addressed as follows: Litigation Division, Office of General Counsel, Central Intelligence Agency... Director and Deputy Director of Central Intelligence—in his or her individual capacity. (3) Mail Service...

  11. 32 CFR 1904.3 - Procedures governing acceptance of service of process.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... INTELLIGENCE AGENCY PROCEDURES GOVERNING ACCEPTANCE OF SERVICE OF PROCESS § 1904.3 Procedures governing... addressed as follows: Litigation Division, Office of General Counsel, Central Intelligence Agency... Director and Deputy Director of Central Intelligence—in his or her individual capacity. (3) Mail Service...

  12. 32 CFR 1904.3 - Procedures governing acceptance of service of process.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... INTELLIGENCE AGENCY PROCEDURES GOVERNING ACCEPTANCE OF SERVICE OF PROCESS § 1904.3 Procedures governing... addressed as follows: Litigation Division, Office of General Counsel, Central Intelligence Agency... Director and Deputy Director of Central Intelligence—in his or her individual capacity. (3) Mail Service...

  13. 32 CFR 1904.3 - Procedures governing acceptance of service of process.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... INTELLIGENCE AGENCY PROCEDURES GOVERNING ACCEPTANCE OF SERVICE OF PROCESS § 1904.3 Procedures governing... addressed as follows: Litigation Division, Office of General Counsel, Central Intelligence Agency... Director and Deputy Director of Central Intelligence—in his or her individual capacity. (3) Mail Service...

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

    PubMed Central

    2011-01-01

    Background In rebuilding devastated health services, the government of Afghanistan has provided access to basic services mainly by contracting with non-government organisations (NGOs), and more recently the Strengthening Mechanism (SM) of contracting with Provincial Health Offices. Community-based information about the public's views and experience of health services is scarce. Methods Field teams visited households in a stratified random sample of 30 communities in two districts in Kabul province, with health services mainly provided either by an NGO or through the SM and administered a questionnaire about household views, use, and experience of health services, including payments for services and corruption. They later discussed the findings with separate community focus groups of men and women. We calculated weighted frequencies of views and experience of services and multivariate analysis examined the related factors. Results The survey covered 3283 households including 2845 recent health service users. Some 42% of households in the SM district and 57% in the NGO district rated available health services as good. Some 63% of households in the SM district (adjacent to Kabul) and 93% in the NGO district ordinarily used government health facilities. Service users rated private facilities more positively than government facilities. Government service users were more satisfied in urban facilities, if the household head was not educated, if they had enough food in the last week, and if they waited less than 30 minutes. Many households were unwilling to comment on corruption in health services; 15% in the SM district and 26% in the NGO district reported having been asked for an unofficial payment. Despite a policy of free services, one in seven users paid for treatment in government facilities, and three in four paid for medicine outside the facilities. Focus groups confirmed people knew payments were unofficial; they were afraid to talk about corruption. Conclusions Households used government health services but preferred private services. The experience of service users was similar in the SM and NGO districts. People made unofficial payments in government facilities, whether SM or NGO run. Tackling corruption in health services is an important part of anti-corruption measures in Afghanistan. PMID:22376191

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

    PubMed

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

    2011-12-21

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

  16. Fostering good governance at peripheral public health facilities: an experience from Nepal.

    PubMed

    Gurung, G; Tuladhar, S

    2013-01-01

    The Nepalese primary healthcare system at sub-district level consists of three different levels of health facility to serve the mostly rural population. The Ministry of Health and Population decentralised health services by handing over 1433 health facilities in 28 districts to Health Facility Operation and Management Committees (HFOMCs), which were formed following a public meeting, and consist of 9 to 13 members, representing the health facility in-charge, elected members of the village development committee, dalit (disadvantaged caste) and women members. The purpose was to make this local committee responsible for managing all affairs of the health facility. However, the handing over of the health facilities to HFOMCs was not matched by an equivalent increase in the managerial capacity of the members, which potentially makes this initiative ineffective. The Health Facility Management Strengthening Program was implemented in 13 districts to foster good governance in the health facilities by increasing the capacity of HFOMCs. This effort focuses on capacity building of HFOMCs as a continuous process rather than a one-off event. Training, follow-up and promotional activities were conducted. This article focuses on how good governance at the peripheral public health facilities in Nepal can be fostered through the active engagement and capacity building of HFOMCs. This article used baseline and monitoring data collected during technical support visits to HFOMCs and their members between July 2008 and October 2011. The results show that the Health Facility Management Strengthening Program was quite successful in strengthening local health governance in the health facilities. The level of community engagement in governance improved, that is, the number of effective HFOMC meetings increased, the inclusion of dalit/women members in the decision-making process expanded, resource mobilization was facilitated, and community accountability, as measured by health facility opening days, increased. Furthermore, availability of technical staff, supervision and monitoring, and display of the citizen charter increased, and health services became more inclusive. Several lessons emerged. Functioning of HFOMCs is largely dependent on the process of selecting members, the staff and community's support of the HFOMC, and a sense of volunteerism and team spirit among the members. Similarly, to ensure the effective participation of dalit/woman members, the educational and livelihood empowerment of the members is deemed necessary. Furthermore, capacity building of and giving authority to HFOMCs should go hand-in-hand. Local governance of health facilities was fostered through the local people's active engagement in HFOMCs and capacity building of the HFOMC members.

  17. When More is Less: The Case of Disconnected Information Systems in Indonesian Public Health Facilities

    NASA Astrophysics Data System (ADS)

    Wahid, Fathul; Teduh Dirgahayu, Raden; Hamzah, Almed; Setiaji, Hari

    2018-03-01

    The clear majority of previous studies have found that the absence of information systems to properly manage data is one of the main challenges in improving public health management. The present study offers an alternate perspective, revealing other emerging problems in cases where there are many information systems in place but without sufficient orchestration. The national government of Indonesia has been coercive in its implementation of various information systems without involving users at public health facilities, which has created many problems on the ground. The problems identified relate to the quality of the disconnected information systems currently in use, the lack of human resource development, unclear procedures, uncoordinated reports and the absence of an incentive scheme. The present study also highlights some practical implications, including the use of a more holistic perspective in designing and developing an integrated public health information infrastructure.

  18. Background and current status of postmortem imaging in Japan: short history of "Autopsy imaging (Ai)".

    PubMed

    Okuda, Takahisa; Shiotani, Seiji; Sakamoto, Namiko; Kobayashi, Tomoya

    2013-02-10

    There is a low autopsy rate and wide distribution of computed tomography (CT) and magnetic resonance imaging (MRI) scanners in Japan. Therefore, many Japanese hospitals, including 36% of the hospitals with in-patient facilities and 89% of large hospitals with ER facilities conduct postmortem imaging (PMI), use clinical scanners to screen for causes in unusual deaths as an alternative to an autopsy or to determine whether an autopsy is needed. The Japanese PMI examination procedure is generally referred to as "autopsy imaging" (Ai) and the term "Ai" is now commonly used by the Japanese government. Currently, 26 of 47 Japanese prefectures have at least one Ai Center with scanners that are dedicated for PMI. Here, we briefly review the history of Japanese PMI (Ai) from 1985 to the present. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

  19. For support of USAMRMC Biological Weapons Convention, treaty and statement implementation activities. Final report, 1 March 1996-28 February 1997

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

    Fox, J.

    Program of work to provide support to the Biological Arms Control Treaty Office (BACTO) of the U.S. Army Medical Research and Material Command (USAMRMC), in the development of Army and U.S. Government negotiation, implementation and compliance policies and preparations regarding potential verification and confidence measures for the 1975 Biological Weapons Convention (BWC) and related biological weapons agreements. Support services provided included the preparation of Army installations and commands for implementation of visits pursuant to the U.S./UK/Russian Trilateral Statement on BW. Support included site assistance visit, development of required facility documentation and briefings, identification of additional facilities potentially subject to access,more » and support to DOD development of guidelines, procedures, documentation, and other materials for the conduct of visits. Specific tasks under this contract included: identification and delineation of `Military Biological Facilities` and related activities at Army installations; development of visit implementation documentation for the Army; assessment of potentially at-risk equities and sensitivities at relevant facilities; facility staff training and preparation; and review and modification of facility inputs to annual BWC Confidence Building Measure Declarations. Also supported the provision of timely and critical technical support to the Joint Staff and OSD in the development of DoD negotiation biological arms control positions.« less

  20. 12 CFR 7.2000 - Corporate governance procedures.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... amended 1994, and as amended thereafter), or the Model Business Corporation Act (1984, as amended 1994... OPERATIONS Corporate Practices § 7.2000 Corporate governance procedures. (a) General. A national bank... soundness, a national bank may elect to follow the corporate governance procedures of the law of the state...

  1. 12 CFR 7.2000 - Corporate governance procedures.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... amended 1994, and as amended thereafter), or the Model Business Corporation Act (1984, as amended 1994... OPERATIONS Corporate Practices § 7.2000 Corporate governance procedures. (a) General. A national bank... soundness, a national bank may elect to follow the corporate governance procedures of the law of the state...

  2. Guidelines for port authorities and governments on the privatization of port facilities

    DOT National Transportation Integrated Search

    1998-09-23

    Definitions of privatization as there are port practitioners and experts. In these circumstances, drafting "Guidelines for Port Authorities and Governments on the privatization of port facilities" is a challenge. The ten-step approach presented in th...

  3. 4 CFR 28.42 - Discovery procedures and protective orders.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 4 Accounts 1 2010-01-01 2010-01-01 false Discovery procedures and protective orders. 28.42 Section 28.42 Accounts GOVERNMENT ACCOUNTABILITY OFFICE GENERAL PROCEDURES GOVERNMENT ACCOUNTABILITY OFFICE... ACCOUNTABILITY OFFICE Procedures Discovery § 28.42 Discovery procedures and protective orders. (a) Discovery from...

  4. Alternatives for Financing Higher Education Facilities.

    ERIC Educational Resources Information Center

    Leslie, Larry L.; Felix, Frank J.

    1980-01-01

    How state governments should finance public college and university facilities is discussed. A framework for analyzing the capital financing alternatives available to state governments is described. Several alternatives in Arizona--including state appropriations, leasing, and revenue bonding--are considered as an illustration. (Author/MLW)

  5. A survey of the perception of the quality of and preference of healthcare services amongst residents of Abeokuta South Local Government, Ogun State, Nigeria.

    PubMed

    Oredola, A S; Odusanya, O O

    2017-09-01

    The choice of healthcare facilities by individuals is determined in part by their taste, satisfaction with services, and the perceived quality of care provided. The aim of the study was to explore the healthcare preferences of residents of Abeokuta South Local Government Area (LGA) and their perception of quality of services received, and to determine the factors influencing their choice of healthcare facilities. A descriptive cross-sectional study design was used to assess perception of clients regarding quality of healthcare received and their choice of healthcare service delivery. Data were collected using a pre-tested interviewer-administered questionnaire, and analysis was done using SPSS version 17. Statistical significance was set at P <0.05. The mean age of respondents was 45.7 ± 11.7 years. Government-owned general hospitals were preferred for common health problems such as body pain and fever. Overall, about 73% of the respondents preferred government-owned facilities. Determinants of the preference of the government facilities were reduced cost (P< 0.001) and effectiveness of care (P= 0.024), whereas private facilities were preferred more significantly because of short waiting time and good attitude of staff (P = < 0.001). Almost 78% of the respondents were satisfied with the quality of care received. Government-owned general hospitals were the preferred source of health services and the quality of healthcare services received was generally perceived to be high.

  6. Health facilities at the district level in Indonesia

    PubMed Central

    Heywood, Peter; Harahap, Nida P

    2009-01-01

    Background At Independence the Government of Indonesia inherited a weak and unevenly distributed health system to which much of the population had only limited access. In response, the government decided to increase the number of facilities and to locate them closer to the people. To staff these health facilities the government introduced obligatory government service for all new graduates in medicine, nursing and midwifery. Most of these staff also established private practices in the areas in which they were located. The health information system contains little information on the health care facilities established for private practice by these staff. This article reports on the results of enumerating all health facilities in 15 districts in Java. Methods We enumerated all healthcare facilities, public and private, by type in each of 15 districts in Java. Results The enumeration showed a much higher number of healthcare facilities in each district than is shown in most reports and in the health information system which concentrates on public, multi-provider facilities. Across the 15 districts: 86% of facilities were solo-provider facilities for outpatient services; 13% were multi-provider facilities for outpatient services; and 1% were multi-provider facilities offering both outpatient and inpatient services. Conclusion The relatively good distribution of health facilities in Indonesia was achieved through establishing public health centers at the sub-district level and staffing them through a system of compulsory service for doctors, nurses and midwives. Subsequently, these public sector staff also established solo-provider facilities for their own private practice; these solo-provider facilities, of which those for nurses are almost half, comprise the largest category of outpatient care facilities, most are not included in official statistics. Now that Indonesia no longer has mandatory service for newly graduated doctors, nurses and midwives, it will have difficulty maintaining the distribution of facilities and providers established through the 1980s. The current challenge is to envision a new health system that responds to the changing disease patterns as well as the changes in distribution of health facilities. PMID:19445728

  7. 32 CFR 1806.3 - Procedures governing acceptance of service of process.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... COUNTERINTELLIGENCE CENTER PROCEDURES GOVERNING ACCEPTANCE OF SERVICE OF PROCESS § 1806.3 Procedures governing acceptance of service of process. (a) Service of Process Upon the NACIC or a NACIC Employee in an Official..., personal service of process may be accepted only by NACIC Counsel, Director, NACIC, or Deputy Director...

  8. Reflections on the implementation of governance structures for early-stage clinical innovation.

    PubMed

    Cowie, Luke; Sandall, Jane; Ehrich, Kathryn

    2013-12-01

    This paper seeks to further explore the question of how best to monitor and govern innovative clinical procedures in their earliest phase of development. We examine the potential value of proposed governance frameworks, such as the IDEAL model, and examine the functioning of a novel procedures review committee. The paper draws upon 20 qualitative, semi-structured interviews. Nine interviews were conducted with members of a committee that was established as a means of governing innovative procedures within a large National Health Service Foundation Trust hospital in the UK. Eleven interviews were conducted with health providers involved with the development of a variety of novel clinical procedures. Prominent themes from the data include the potential willingness of clinicians to engage with regulatory frameworks for innovative procedures, existing ways in which clinicians and others attempt to ensure patient's safety and manage uncertainty in the context of novel procedures, views on the potential benefits and drawbacks of engaging with a review committee for novel procedures, and the pragmatic considerations and potential unintended consequences that are entailed in the implementation of regulatory requirements for the monitoring of innovative procedures. The views of committee members and clinical innovators help us to understand the practical issues of implementing governance structures for novel clinical procedures. The data illustrate those factors that must be taken into account if governance is to support innovation rather than act as an inhibiting factor in the development of new clinical procedures. © 2012 John Wiley & Sons Ltd.

  9. 4 CFR 22.22 - Accelerated and Small Claims Procedures [Rule 22].

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 4 Accounts 1 2013-01-01 2013-01-01 false Accelerated and Small Claims Procedures [Rule 22]. 22.22 Section 22.22 Accounts GOVERNMENT ACCOUNTABILITY OFFICE GENERAL PROCEDURES RULES OF PROCEDURE OF THE GOVERNMENT ACCOUNTABILITY OFFICE CONTRACT APPEALS BOARD § 22.22 Accelerated and Small Claims Procedures [Rule...

  10. 4 CFR 22.22 - Accelerated and Small Claims Procedures [Rule 22].

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 4 Accounts 1 2010-01-01 2010-01-01 false Accelerated and Small Claims Procedures [Rule 22]. 22.22 Section 22.22 Accounts GOVERNMENT ACCOUNTABILITY OFFICE GENERAL PROCEDURES RULES OF PROCEDURE OF THE GOVERNMENT ACCOUNTABILITY OFFICE CONTRACT APPEALS BOARD § 22.22 Accelerated and Small Claims Procedures [Rule...

  11. 4 CFR 22.22 - Accelerated and Small Claims Procedures [Rule 22].

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 4 Accounts 1 2011-01-01 2011-01-01 false Accelerated and Small Claims Procedures [Rule 22]. 22.22 Section 22.22 Accounts GOVERNMENT ACCOUNTABILITY OFFICE GENERAL PROCEDURES RULES OF PROCEDURE OF THE GOVERNMENT ACCOUNTABILITY OFFICE CONTRACT APPEALS BOARD § 22.22 Accelerated and Small Claims Procedures [Rule...

  12. 4 CFR 22.22 - Accelerated and Small Claims Procedures [Rule 22].

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 4 Accounts 1 2012-01-01 2012-01-01 false Accelerated and Small Claims Procedures [Rule 22]. 22.22 Section 22.22 Accounts GOVERNMENT ACCOUNTABILITY OFFICE GENERAL PROCEDURES RULES OF PROCEDURE OF THE GOVERNMENT ACCOUNTABILITY OFFICE CONTRACT APPEALS BOARD § 22.22 Accelerated and Small Claims Procedures [Rule...

  13. 42 CFR 405.2102 - Definitions.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... facilities under emergency circumstances. ESRD Network organization. The administrative governing body to the network and liaison to the Federal government. ESRD service. The type of care or services furnished to an... and/or utilization of such services is made. Network, ESRD. All Medicare-approved ESRD facilities in a...

  14. 42 CFR 405.2102 - Definitions.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... facilities under emergency circumstances. ESRD Network organization. The administrative governing body to the network and liaison to the Federal government. ESRD service. The type of care or services furnished to an... and/or utilization of such services is made. Network, ESRD. All Medicare-approved ESRD facilities in a...

  15. 42 CFR 405.2102 - Definitions.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... facilities under emergency circumstances. ESRD Network organization. The administrative governing body to the network and liaison to the Federal government. ESRD service. The type of care or services furnished to an... and/or utilization of such services is made. Network, ESRD. All Medicare-approved ESRD facilities in a...

  16. Idaho Geothermal Commercialization Program. Idaho geothermal handbook

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

    Hammer, G.D.; Esposito, L.; Montgomery, M.

    The following topics are covered: geothermal resources in Idaho, market assessment, community needs assessment, geothermal leasing procedures for private lands, Idaho state geothermal leasing procedures - state lands, federal geothermal leasing procedures - federal lands, environmental and regulatory processes, local government regulations, geothermal exploration, geothermal drilling, government funding, private funding, state and federal government assistance programs, and geothermal legislation. (MHR)

  17. Regional governance: strategies and disputes in health region management

    PubMed Central

    dos Santos, Adriano Maia; Giovanella, Ligia

    2014-01-01

    OBJECTIVE To analyze the regional governance of the health systemin relation to management strategies and disputes. METHODOLOGICAL PROCEDURES A qualitative study with health managers from 19 municipalities in the health region of Bahia, Northeastern Brazil. Data were drawn from 17 semi-structured interviews of state, regional, and municipal health policymakers and managers; a focus group; observations of the regional interagency committee; and documents in 2012. The political-institutional and the organizational components were analyzed in the light of dialectical hermeneutics. RESULTS The regional interagency committee is the chief regional governance strategy/component and functions as a strategic tool for strengthening governance. It brings together a diversity of members responsible for decision making in the healthcare territories, who need to negotiate the allocation of funding and the distribution of facilities for common use in the region. The high turnover of health secretaries, their lack of autonomy from the local executive decisions, inadequate technical training to exercise their function, and the influence of party politics on decision making stand as obstacles to the regional interagency committee’s permeability to social demands. Funding is insufficient to enable the fulfillment of the officially integrated agreed-upon program or to boost public supply by the system, requiring that public managers procure services from the private market at values higher than the national health service price schedule (Brazilian Unified Health System Table). The study determined that “facilitators” under contract to health departments accelerated access to specialized (diagnostic, therapeutic and/or surgical) services in other municipalities by direct payment to physicians for procedure costs already covered by the Brazilian Unified Health System. CONCLUSIONS The characteristics identified a regionalized system with a conflictive pattern of governance and intermediate institutionalism. The regional interagency committee’s managerial routine needs to incorporate more democratic devices for connecting with educational institutions, devices that are more permeable to social demands relating to regional policy making. PMID:25210821

  18. Implementation of the free maternity services policy and its implications for health system governance in Kenya

    PubMed Central

    Smith, Helen

    2017-01-01

    Introduction To move towards universal health coverage, the government of Kenya introduced free maternity services in all public health facilities in June 2013. User fees are, however, important sources of income for health facilities and their removal has implications for the way in which health facilities are governed. Objective To explore how implementation of Kenya’s financing policy has affected the way in which the rules governing health facilities are made, changed, monitored and enforced. Methods Qualitative research was carried out using semistructured interviews with 39 key stakeholders from six counties in Kenya: 10 national level policy makers, 10 county level policy makers and 19 implementers at health facilities. Participants were purposively selected using maximum variation sampling. Data analysis was informed by the institutional analysis framework, in which governance is defined by the rules that distribute roles among key players and shape their actions, decisions and interactions. Results Lack of clarity about the new policy (eg, it was unclear which services were free, leading to instances of service user exploitation), weak enforcement mechanisms (eg, delayed reimbursement to health facilities, which led to continued levying of service charges) and misaligned incentives (eg, the policy led to increased uptake of services thereby increasing the workload for health workers and health facilities losing control of their ability to generate and manage their own resources) led to weak policy implementation, further complicated by the concurrent devolution of the health system. Conclusion The findings show the consequences of discrepancies between formal institutions and informal arrangements. In introducing new policies, policy makers should ensure that corresponding institutional (re)arrangements, enforcement mechanisms and incentives are aligned with the objectives of the implementers. PMID:29177098

  19. 48 CFR 47.104-1 - Government rate tender procedures.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 1 2010-10-01 2010-10-01 false Government rate tender... CONTRACT MANAGEMENT TRANSPORTATION General 47.104-1 Government rate tender procedures. (a) 49 U.S.C. 10721 and 13712 rates are published in Government rate tenders and apply to shipments moving for the account...

  20. 48 CFR 47.104-1 - Government rate tender procedures.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 48 Federal Acquisition Regulations System 1 2014-10-01 2014-10-01 false Government rate tender... CONTRACT MANAGEMENT TRANSPORTATION General 47.104-1 Government rate tender procedures. (a) 49 U.S.C. 10721 and 13712 rates are published in Government rate tenders and apply to shipments moving for the account...

  1. 28 CFR 45.4 - Personal use of Government property.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Government office and library equipment and facilities are hereby authorized: (1) Personal uses that involve... Departmental policies governing the use of electronic mail; and 41 CFR (FPMR) 101-35.201, governing the...

  2. 4 CFR 28.131 - Corrective action proceedings.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... Accounts GOVERNMENT ACCOUNTABILITY OFFICE GENERAL PROCEDURES GOVERNMENT ACCOUNTABILITY OFFICE PERSONNEL APPEALS BOARD; PROCEDURES APPLICABLE TO CLAIMS CONCERNING EMPLOYMENT PRACTICES AT THE GOVERNMENT ACCOUNTABILITY OFFICE Corrective Action, Disciplinary and Stay Proceedings § 28.131 Corrective action proceedings...

  3. 4 CFR 81.8 - Public reading facility.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ....8 Public reading facility. GAO maintains a public reading facility in the Law Library at the Government Accountability Office Building, 441 G Street, NW., Washington, DC. The facility shall be open to...

  4. 4 CFR 81.8 - Public reading facility.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ....8 Public reading facility. GAO maintains a public reading facility in the Law Library at the Government Accountability Office Building, 441 G Street, NW., Washington, DC. The facility shall be open to...

  5. Mobilising community collectivisation among female sex workers to promote STI service utilisation from the government healthcare system in Andhra Pradesh, India.

    PubMed

    Parimi, Prabhakar; Mishra, Ram Manohar; Tucker, Saroj; Saggurti, Niranjan

    2012-10-01

    To assess the association between female sex workers' (FSWs) degree of community collectivisation and self-efficacy, utilisation of sexually transmitted infection (STI) services from government-run health centres in Andhra Pradesh, India. Cross-sectional analyses of 1986 FSWs recruited using a probability-based sampling from five districts of Andhra Pradesh during 2010-2011. Multiple logistic regression models were constructed to assess associations. The independent variables included-collective efficacy, collective agency and collective action-measured using a series of items that assessed the grouping of the community on issues that concern most sex workers. An additional independent variable included FSWs belonging to an area where there was a project partnership with government health centres to provide STI treatment services to FSWs. The outcome indicators included self-efficacy for service utilisation from government health facilities and the treatment for STIs from government health facilities at least once in the past year experience of STI symptoms. Of the 1986 FSWs, nearly two-fifths (39.5%) reported a high level of overall collectivisation (collective efficacy: 89%, collective agency: 50.7%; collective action: 12.7%). Sex workers with a high degree compared with low degree of overall collectivisation were significantly more likely to report high self-efficacy to use government health facilities (75.0% vs 57.3%, adjusted OR 2.5, 95% CI 2.0 to 3.1) and to use government health centres for STI treatment in past 1 year (78.1% vs 63.2%, adjusted OR 2.1, 95% CI 1.6 to 2.8), irrespective of project partnership with government centres. The current research findings reinforce the need for stronger community mobilisation for better utilisation of government health facilities for STI and HIV prevention interventions.

  6. 47 CFR 4.5 - Definitions of outage, special offices and facilities, and 911 special facilities.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... facilities, and 911 special facilities. 4.5 Section 4.5 Telecommunication FEDERAL COMMUNICATIONS COMMISSION... Definitions of outage, special offices and facilities, and 911 special facilities. (a) Outage is defined as a... government facilities.” 911 special facilities are addressed separately in paragraph (e) of this section. (c...

  7. 48 CFR 252.239-7005 - Rates, charges, and services.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... services. (d) For nontariffed services, the Contractor shall charge the Government at the lowest rate and... customer. (e) Recurring charges for services and facilities shall, in each case, start with the... Government may stop the use of any service or facilities furnished under this agreement/contract at any time...

  8. 48 CFR 1515.408 - Solicitation provisions and contract clauses.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... month period(s) of performance and performance is on a Government facility; Alternate II for... dedicated staff for a twelve month period(s) of performance and performance is not on a Government facility... needed to fit an individual acquisition, and (2) 1552.215-73, General Financial and Organizational...

  9. 48 CFR 1515.408 - Solicitation provisions and contract clauses.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... month period(s) of performance and performance is on a Government facility; Alternate II for... dedicated staff for a twelve month period(s) of performance and performance is not on a Government facility... needed to fit an individual acquisition, and (2) 1552.215-73, General Financial and Organizational...

  10. 32 CFR 809a.4 - Use of Government facilities.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 32 National Defense 6 2010-07-01 2010-07-01 false Use of Government facilities. 809a.4 Section 809a.4 National Defense Department of Defense (Continued) DEPARTMENT OF THE AIR FORCE ADMINISTRATION... in interference with, or prevention of, the orderly accomplishment of the mission of an installation...

  11. 32 CFR 809a.4 - Use of Government facilities.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 32 National Defense 6 2013-07-01 2013-07-01 false Use of Government facilities. 809a.4 Section 809a.4 National Defense Department of Defense (Continued) DEPARTMENT OF THE AIR FORCE ADMINISTRATION... in interference with, or prevention of, the orderly accomplishment of the mission of an installation...

  12. 32 CFR 809a.4 - Use of Government facilities.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 32 National Defense 6 2011-07-01 2011-07-01 false Use of Government facilities. 809a.4 Section 809a.4 National Defense Department of Defense (Continued) DEPARTMENT OF THE AIR FORCE ADMINISTRATION... in interference with, or prevention of, the orderly accomplishment of the mission of an installation...

  13. 32 CFR 809a.4 - Use of Government facilities.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 32 National Defense 6 2012-07-01 2012-07-01 false Use of Government facilities. 809a.4 Section 809a.4 National Defense Department of Defense (Continued) DEPARTMENT OF THE AIR FORCE ADMINISTRATION... in interference with, or prevention of, the orderly accomplishment of the mission of an installation...

  14. 32 CFR 809a.4 - Use of Government facilities.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 32 National Defense 6 2014-07-01 2014-07-01 false Use of Government facilities. 809a.4 Section 809a.4 National Defense Department of Defense (Continued) DEPARTMENT OF THE AIR FORCE ADMINISTRATION... in interference with, or prevention of, the orderly accomplishment of the mission of an installation...

  15. 76 FR 64010 - Special Rules Governing Certain Information Obtained Under the Clean Air Act: Technical Correction

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-17

    ... natural gas. 211112 Natural gas liquid extraction facilities. Petrochemical Production 32511 Ethylene.... Suppliers of Natural Gas and NGLs 221210 Natural gas distribution facilities. 211112 Natural gas liquid... Gas Reporting Rule, which are provided in the Special Rules Governing Certain Information Obtained...

  16. 4 CFR 28.133 - Stay proceedings.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... GOVERNMENT ACCOUNTABILITY OFFICE GENERAL PROCEDURES GOVERNMENT ACCOUNTABILITY OFFICE PERSONNEL APPEALS BOARD; PROCEDURES APPLICABLE TO CLAIMS CONCERNING EMPLOYMENT PRACTICES AT THE GOVERNMENT ACCOUNTABILITY OFFICE Corrective Action, Disciplinary and Stay Proceedings § 28.133 Stay proceedings. (a) Prior to the effective...

  17. A tool and index to assess surgical capacity in low income countries: an initial implementation in Sierra Leone.

    PubMed

    Groen, Reinou S; Kamara, Thaim B; Dixon-Cole, Richmond; Kwon, Steven; Kingham, T Peter; Kushner, Adam L

    2012-08-01

    A first step toward improving surgical care in many low and middle income countries is to document the need. To facilitate the collection and analysis of surgical capacity data and measure changes over time, Surgeons OverSeas (SOS) developed a tool and index based on personnel, infrastructure, procedures, equipment, and supplies (PIPES). A follow-up assessment of 10 government hospitals in Sierra Leone was completed 42 months after an initial survey in 2008 using the PIPES tool. An index based on number of operating rooms, personnel, infrastructure, procedures, equipment, and supplies was calculated. An index was also calculated, using the 2008 data for comparison. Most hospitals demonstrated an increased index that correlated with site visits that verified improved conditions. Connaught Hospital in Sierra Leone had the highest score (9.2), consistent with its being the best equipped and staffed Ministry of Health and Sanitation facility. Makeni District Hospital had the greatest increase, from 3.8 to 7.5, consistent with a newly constructed facility. The PIPES tool was easily administered at hospitals in Sierra Leone and an index was found useful. Surgical capacity in Sierra Leone improved between 2008 and 2011, as demonstrated by an increase in the overall PIPES indices.

  18. Family presence during cardiopulmonary resuscitation: using evidence-based knowledge to guide the advanced practice nurse in developing formal policy and practice guidelines.

    PubMed

    Doolin, Christopher T; Quinn, Lisa D; Bryant, Lesley G; Lyons, Ann A; Kleinpell, Ruth M

    2011-01-01

    To provide advanced practice nurses (APNs) with the best available evidence for implementation of policies and procedures to allow family presence during cardiopulmonary resuscitation (CPR) in the acute care environment. A comprehensive review of research-based articles from Ebsco Host, CINAHL, Pre-CINAHL, and Medline Plus, as well as statement alerts from nursing credentialing bodies, and practice guidelines were reviewed. Kolcaba's Theory of Comfort and Lewin's Three Step Change Theory provide a framework for implementation of formal policies and procedures. Best available evidence showed more support in favor of allowing families at the bedside during CPR. Implementation of policies and procedures allowing family presence enables facilities to change and grow in a holistic and family-oriented atmosphere. With this evidence-based knowledge the APN will be able to disseminate information to facilitate collaborative change in current practices surrounding staff education, decision making, and self-governance. The APN can then address controversial changes when developing formal policies and procedures, which will increase patient satisfaction and outcomes. ©2010 The Author Journal compilation ©2010 American Academy of Nurse Practitioners.

  19. 41 CFR 301-70.900 - May we use our Government aircraft to carry passengers?

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Government aircraft, i.e., aircraft that you own, borrow, operate as a bailed aircraft, or hire as a... Government aircraft to carry passengers? 301-70.900 Section 301-70.900 Public Contracts and Property...-INTERNAL POLICY AND PROCEDURE REQUIREMENTS Policies and Procedures for Agencies That Own or Hire Government...

  20. 41 CFR 301-70.900 - May we use our Government aircraft to carry passengers?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Government aircraft, i.e., aircraft that you own, borrow, operate as a bailed aircraft, or hire as a... Government aircraft to carry passengers? 301-70.900 Section 301-70.900 Public Contracts and Property...-INTERNAL POLICY AND PROCEDURE REQUIREMENTS Policies and Procedures for Agencies That Own or Hire Government...

  1. 42 CFR 137.297 - If the environmental review procedures of a Federal agency are adopted by a Self-Governance Tribe...

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... environmental laws, not the Self-Governance Tribe. ... 42 Public Health 1 2011-10-01 2011-10-01 false If the environmental review procedures of a Federal agency are adopted by a Self-Governance Tribe, is the Self-Governance Tribe responsible for ensuring the...

  2. Quality Assessment of Family Planning Sterilization Services at Health Care Facilities: Case Record Audit.

    PubMed

    Mathur, Medha; Goyal, Ram Chandra; Mathur, Navgeet

    2017-05-01

    Quality of sterilization services is a matter of concern in India because population control is a necessity. Family Planning Sterilization (FPS) services provided at public health care facilities need to be as per Standard Operating Procedures. To assess the quality of FPS services by audit of case records at selected health care facilities. This cross-sectional study was conducted for two and a half year duration at selected public health care facilities of central India by simple random sampling where FPS services were provided. As per the standards of Government of India, case records were audited and compliance was calculated to assess the quality of services. Results of record audit were satisfactory but important criteria like previous contraceptive history and postoperative counselling were found to be deviated from standards. At Primary Health Centres (PHCs) only 89.5% and at Community Health Centres (CHCs) 58.7% of records were having details of previous contraceptive history. Other criteria like mental illness (only 70% at CHCs) assessment were also inadequate. Although informed consent was found to be having 100% compliance in all records. Quality of care in FPS services is the matter of concern in present scenario for better quality of services. This study may enlighten the policy makers regarding improvements needed for providing quality care.

  3. Energy Efficiency in Water and Wastewater Facilities

    EPA Pesticide Factsheets

    Learn how local governments have achieved sustained energy improvements at their water and wastewater facilities through equipment upgrades, operational modifications, and modifications to facility buildings.

  4. Tax exemption: why not-for-profits deserve it.

    PubMed

    Annis, R; Kistner, W G

    1988-04-01

    Not-for-profit healthcare facilities' tax-exempt status is coming under attack, particularly in congressional hearings on the unrelated business income tax. Therefore tax-exempt providers must keep adequate records of all services and expenditures to demonstrate and preserve their exempt nature. A facility qualifies for tax exemption by demonstrating that it is legally organized to achieve its exempt purpose and that the bulk of its activities is directed toward that goal. The exemption indicates an agreement between the government and the facility: The government is willing to forgo collection of the tax due because the facility performs tasks that would otherwise befall the government, in particular, caring for the indigent. In addition to such care, other social goods flowing from tax-exempt healthcare facilities include their responsiveness to the needs of the nation, their desire to benefit the community, the medical training they provide, and their role as outlets for philanthropy. Before great changes are made in the unrelated business income tax, tax-exempt facilities must make legislatures and the public aware of the vital services they provide.

  5. Profit versus public health: the need to improve the food environment in recreational facilities.

    PubMed

    Olstad, Dana Lee; Raine, Kim D

    2013-01-08

    Despite their wellness mandate, many publicly funded recreational facilities offer primarily unhealthy foods. Governments have developed programs and resources to assist facilities to improve their food offerings, however the challenge to incent preferential sale of healthier foods remains substantial. In the Canadian province of Alberta, uptake of government-issued voluntary nutrition guidelines for recreational facilities has been limited, and offers of free assistance to implement them as part of a research study were not embraced. Financial constraints appear to be the most important barrier to offering healthier items in Alberta's recreational facilities, as facility and food service managers perceive that selling healthier foods is unprofitable and might jeopardize sponsorship agreements. Mandatory government regulation may therefore be required to overcome the barriers to offering healthier foods in this setting. The advantages of a regulatory approach appear to outweigh any disadvantages, with benefits for population health, more effective use of public funds, and greater equity for the public and industry. Adverse effects on corporate profitability and freedom of choice are expected to be limited. Regulation may offer an efficient, effective and equitable means of ensuring that recreational facilities support child health and do not undermine it by exposing children to unhealthy food environments.

  6. 4 CFR 28.43 - Compelling discovery.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 4 Accounts 1 2010-01-01 2010-01-01 false Compelling discovery. 28.43 Section 28.43 Accounts GOVERNMENT ACCOUNTABILITY OFFICE GENERAL PROCEDURES GOVERNMENT ACCOUNTABILITY OFFICE PERSONNEL APPEALS BOARD; PROCEDURES APPLICABLE TO CLAIMS CONCERNING EMPLOYMENT PRACTICES AT THE GOVERNMENT ACCOUNTABILITY OFFICE...

  7. FERC ruling highlights differences between notification and certification procedures for qualifying facilities

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

    Not Available

    1984-06-01

    On June 15, the FERC dismissed a motion by the Puerto Rico Electric Power Authority (PREPA) to intervene to challenge the filing of Merck, Sharp and Dohme Quimica De Puerto Rico, Inc. (Merck), for qualifying status under PURPA. (Docket QF 84-188). The FERC's reason for dismissing the motion for intervention was that the Merck submission was not a true application for certification, but rather, merely a notice that the proposed facility would in fact be a qualifying facility. Under FERC rules, a qualifying cogenerator or small power producer may follow either of two procedures: (1) an application procedure, under whichmore » the FERC will rule on whether a particular facility is a qualifying facility, or (2) a notification procedure, under which FERC does not rule. The application is a voluntary, optional procedure, provided by FERC for situations in which a potential qualifying facility requires affirmative certification, typically for financing purposes. Otherwise, merely filing a notification is sufficient for a qualifying facility to be able to take advantage of the benefits of PURPA.« less

  8. Can contracted out health facilities improve access, equity, and quality of maternal and newborn health services? Evidence from Pakistan.

    PubMed

    Zaidi, Shehla; Riaz, Atif; Rabbani, Fauziah; Azam, Syed Iqbal; Imran, Syeda Nida; Pradhan, Nouhseen Akber; Khan, Gul Nawaz

    2015-11-25

    The case of contracting out government health services to non-governmental organizations (NGOs) has been weak for maternal, newborn, and child health (MNCH) services, with documented gains being mainly in curative services. We present an in-depth assessment of the comparative advantages of contracting out on MNCH access, quality, and equity, using a case study from Pakistan. An end-line, cross-sectional assessment was conducted of government facilities contracted out to a large national NGO and government-managed centres serving as controls, in two remote rural districts of Pakistan. Contracting out was specific for augmenting MNCH services but without contractual performance incentives. A household survey, a health facility survey, and focus group discussions with client and spouses were used for assessment. Contracted out facilities had a significantly higher utilization as compared to control facilities for antenatal care, delivery, postnatal care, emergency obstetric care, and neonatal illness. Contracted facilities had comparatively better quality of MNCH services but not in all aspects. Better household practices were also seen in the district where contracting involved administrative control over outreach programs. Contracting was also faced with certain drawbacks. Facility utilization was inequitably higher amongst more educated and affluent clients. Contracted out catchments had higher out-of-pocket expenses on MNCH services, driven by steeper transport costs and user charges for additional diagnostics. Contracting out did not influence higher MNCH service coverage rates across the catchment. Physical distances, inadequate transport, and low demand for facility-based care in non-emergency settings were key client-reported barriers. Contracting out MNCH services at government health facilities can improve facility utilization and bring some improvement in  quality of services. However, contracting out of health facilities is insufficient to increase service access across the catchment in remote rural contexts and requires accompanying measures for demand enhancement, transportation access, and targeting of the more disadvantaged clientele.

  9. 76 FR 302 - Pesticides; Satisfaction of Data Requirements; Procedures To Ensure Protection of Data Submitters...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-04

    ... Pesticides; Satisfaction of Data Requirements; Procedures To Ensure Protection of Data Submitters' Rights..., concerning the revision of its regulations which govern procedures for the satisfaction of data requirements... regulations which govern procedures for the satisfaction of data requirements under the Federal Insecticide...

  10. 42 CFR 137.297 - If the environmental review procedures of a Federal agency are adopted by a Self-Governance Tribe...

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 1 2010-10-01 2010-10-01 false If the environmental review procedures of a Federal agency are adopted by a Self-Governance Tribe, is the Self-Governance Tribe responsible for ensuring the... Process § 137.297 If the environmental review procedures of a Federal agency are adopted by a Self...

  11. 10 CFR 708.28 - What procedures govern a hearing conducted by the Office of Hearings and Appeals?

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 10 Energy 4 2010-01-01 2010-01-01 false What procedures govern a hearing conducted by the Office of Hearings and Appeals? 708.28 Section 708.28 Energy DEPARTMENT OF ENERGY DOE CONTRACTOR EMPLOYEE PROTECTION PROGRAM Investigation, Hearing and Decision Process § 708.28 What procedures govern a hearing conducted by the Office of Hearings and Appeal...

  12. 20 CFR 361.14 - Procedures for salary offset: Imposition of interest, penalties and administrative costs.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... BOARD INTERNAL ADMINISTRATION, POLICY AND PROCEDURES RECOVERY OF DEBTS OWED TO THE UNITED STATES GOVERNMENT BY GOVERNMENT EMPLOYEES § 361.14 Procedures for salary offset: Imposition of interest, penalties...

  13. 4 CFR 28.49 - Return of service.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 4 Accounts 1 2010-01-01 2010-01-01 false Return of service. 28.49 Section 28.49 Accounts GOVERNMENT ACCOUNTABILITY OFFICE GENERAL PROCEDURES GOVERNMENT ACCOUNTABILITY OFFICE PERSONNEL APPEALS BOARD; PROCEDURES APPLICABLE TO CLAIMS CONCERNING EMPLOYMENT PRACTICES AT THE GOVERNMENT ACCOUNTABILITY OFFICE...

  14. 4 CFR 28.55 - Scheduling the hearing.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 4 Accounts 1 2010-01-01 2010-01-01 false Scheduling the hearing. 28.55 Section 28.55 Accounts GOVERNMENT ACCOUNTABILITY OFFICE GENERAL PROCEDURES GOVERNMENT ACCOUNTABILITY OFFICE PERSONNEL APPEALS BOARD; PROCEDURES APPLICABLE TO CLAIMS CONCERNING EMPLOYMENT PRACTICES AT THE GOVERNMENT ACCOUNTABILITY OFFICE...

  15. 4 CFR 28.40 - Statement of purpose.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 4 Accounts 1 2010-01-01 2010-01-01 false Statement of purpose. 28.40 Section 28.40 Accounts GOVERNMENT ACCOUNTABILITY OFFICE GENERAL PROCEDURES GOVERNMENT ACCOUNTABILITY OFFICE PERSONNEL APPEALS BOARD; PROCEDURES APPLICABLE TO CLAIMS CONCERNING EMPLOYMENT PRACTICES AT THE GOVERNMENT ACCOUNTABILITY OFFICE...

  16. 9 CFR 354.210 - Minimum standards for sanitation, facilities, and operating procedures in official plants.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 9 Animals and Animal Products 2 2012-01-01 2012-01-01 false Minimum standards for sanitation, facilities, and operating procedures in official plants. 354.210 Section 354.210 Animals and Animal Products... sanitation, facilities, and operating procedures in official plants. The provisions of §§ 354.210 to 354.247...

  17. 9 CFR 354.210 - Minimum standards for sanitation, facilities, and operating procedures in official plants.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 9 Animals and Animal Products 2 2011-01-01 2011-01-01 false Minimum standards for sanitation, facilities, and operating procedures in official plants. 354.210 Section 354.210 Animals and Animal Products... sanitation, facilities, and operating procedures in official plants. The provisions of §§ 354.210 to 354.247...

  18. 9 CFR 354.210 - Minimum standards for sanitation, facilities, and operating procedures in official plants.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 9 Animals and Animal Products 2 2014-01-01 2014-01-01 false Minimum standards for sanitation, facilities, and operating procedures in official plants. 354.210 Section 354.210 Animals and Animal Products... sanitation, facilities, and operating procedures in official plants. The provisions of §§ 354.210 to 354.247...

  19. 9 CFR 354.210 - Minimum standards for sanitation, facilities, and operating procedures in official plants.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 9 Animals and Animal Products 2 2010-01-01 2010-01-01 false Minimum standards for sanitation, facilities, and operating procedures in official plants. 354.210 Section 354.210 Animals and Animal Products... sanitation, facilities, and operating procedures in official plants. The provisions of §§ 354.210 to 354.247...

  20. 9 CFR 354.210 - Minimum standards for sanitation, facilities, and operating procedures in official plants.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 9 Animals and Animal Products 2 2013-01-01 2013-01-01 false Minimum standards for sanitation, facilities, and operating procedures in official plants. 354.210 Section 354.210 Animals and Animal Products... sanitation, facilities, and operating procedures in official plants. The provisions of §§ 354.210 to 354.247...

  1. Development of a Simplified Sustainable Facilities Guide

    DTIC Science & Technology

    2003-04-18

    Government Through Efficient Energy Management , June 3, 1999 EO 13148 Greening the Government Through Leadership in Environmental Management ...architects, engineers, and project managers . - The United States Green Building Council (USGBC) has created the " Leadership in Energy and...SIMPLIFIED SUSTAINABLE FACILITIES GUIDE THESIS Presented to the Faculty Department of Systems and Engineering Management

  2. 41 CFR 102-74.175 - Are Government-leased buildings required to conform with the policies in this subpart?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Contracts and Property Management Federal Property Management Regulations System (Continued) FEDERAL MANAGEMENT REGULATION REAL PROPERTY 74-FACILITY MANAGEMENT Facility Management Energy Conservation § 102-74... 41 Public Contracts and Property Management 3 2010-07-01 2010-07-01 false Are Government-leased...

  3. 40 CFR 160.81 - Standard operating procedures.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 40 Protection of Environment 25 2013-07-01 2013-07-01 false Standard operating procedures. 160.81... GOOD LABORATORY PRACTICE STANDARDS Testing Facilities Operation § 160.81 Standard operating procedures. (a) A testing facility shall have standard operating procedures in writing setting forth study...

  4. 40 CFR 160.81 - Standard operating procedures.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 40 Protection of Environment 24 2014-07-01 2014-07-01 false Standard operating procedures. 160.81... GOOD LABORATORY PRACTICE STANDARDS Testing Facilities Operation § 160.81 Standard operating procedures. (a) A testing facility shall have standard operating procedures in writing setting forth study...

  5. 40 CFR 160.81 - Standard operating procedures.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 40 Protection of Environment 25 2012-07-01 2012-07-01 false Standard operating procedures. 160.81... GOOD LABORATORY PRACTICE STANDARDS Testing Facilities Operation § 160.81 Standard operating procedures. (a) A testing facility shall have standard operating procedures in writing setting forth study...

  6. 10 CFR 26.127 - Procedures.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 10 Energy 1 2011-01-01 2011-01-01 false Procedures. 26.127 Section 26.127 Energy NUCLEAR REGULATORY COMMISSION FITNESS FOR DUTY PROGRAMS Licensee Testing Facilities § 26.127 Procedures. (a) Licensee testing facilities shall develop, implement, and maintain clear and well-documented procedures for...

  7. 10 CFR 26.127 - Procedures.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 10 Energy 1 2010-01-01 2010-01-01 false Procedures. 26.127 Section 26.127 Energy NUCLEAR REGULATORY COMMISSION FITNESS FOR DUTY PROGRAMS Licensee Testing Facilities § 26.127 Procedures. (a) Licensee testing facilities shall develop, implement, and maintain clear and well-documented procedures for...

  8. 32 CFR 766.8 - Procedure for review, approval, execution and distribution of aviation facility licenses.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... CIVIL AIRCRAFT § 766.8 Procedure for review, approval, execution and distribution of aviation facility... license and Certificate of Insurance to the Commander, Naval Facilities Engineering Command or his... Facilities Engineering Command or his designated representative. (1) Upon receipt, the Commander, Naval...

  9. 4 CFR 28.10 - Notice of petition rights.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 4 Accounts 1 2010-01-01 2010-01-01 false Notice of petition rights. 28.10 Section 28.10 Accounts GOVERNMENT ACCOUNTABILITY OFFICE GENERAL PROCEDURES GOVERNMENT ACCOUNTABILITY OFFICE PERSONNEL APPEALS BOARD; PROCEDURES APPLICABLE TO CLAIMS CONCERNING EMPLOYMENT PRACTICES AT THE GOVERNMENT ACCOUNTABILITY OFFICE...

  10. 4 CFR 28.62 - Decision on the record.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 4 Accounts 1 2010-01-01 2010-01-01 false Decision on the record. 28.62 Section 28.62 Accounts GOVERNMENT ACCOUNTABILITY OFFICE GENERAL PROCEDURES GOVERNMENT ACCOUNTABILITY OFFICE PERSONNEL APPEALS BOARD; PROCEDURES APPLICABLE TO CLAIMS CONCERNING EMPLOYMENT PRACTICES AT THE GOVERNMENT ACCOUNTABILITY OFFICE...

  11. 46 CFR 502.201 - General provisions governing discovery.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 9 2010-10-01 2010-10-01 false General provisions governing discovery. 502.201 Section... AND PROCEDURE Depositions, Written Interrogatories, and Discovery § 502.201 General provisions governing discovery. (a) Applicability. The procedures described in this subpart are available in all...

  12. Prepared to react? Assessing the functional capacity of the primary health care system in rural Orissa, India to respond to the devastating flood of September 2008.

    PubMed

    Phalkey, Revati; Dash, Shisir R; Mukhopadhyay, Alok; Runge-Ranzinger, Silvia; Marx, Michael

    2012-01-01

    Early detection of an impending flood and the availability of countermeasures to deal with it can significantly reduce its health impacts. In developing countries like India, public primary health care facilities are frontline organizations that deal with disasters particularly in rural settings. For developing robust counter reacting systems evaluating preparedness capacities within existing systems becomes necessary. The objective of the study is to assess the functional capacity of the primary health care system in Jagatsinghpur district of rural Orissa in India to respond to the devastating flood of September 2008. An onsite survey was conducted in all 29 primary and secondary facilities in five rural blocks (administrative units) of Jagatsinghpur district in Orissa state. A pre-tested structured questionnaire was administered face to face in the facilities. The data was entered, processed and analyzed using STATA(®) 10. Data from our primary survey clearly shows that the healthcare facilities are ill prepared to handle the flood despite being faced by them annually. Basic utilities like electricity backup and essential medical supplies are lacking during floods. Lack of human resources along with missing standard operating procedures; pre-identified communication and incident command systems; effective leadership; and weak financial structures are the main hindering factors in mounting an adequate response to the floods. The 2008 flood challenged the primary curative and preventive health care services in Jagatsinghpur. Simple steps like developing facility specific preparedness plans which detail out standard operating procedures during floods and identify clear lines of command will go a long way in strengthening the response to future floods. Performance critiques provided by the grass roots workers, like this one, should be used for institutional learning and effective preparedness planning. Additionally each facility should maintain contingency funds for emergency response along with local vendor agreements to ensure stock supplies during floods. The facilities should ensure that baseline public health standards for health care delivery identified by the Government are met in non-flood periods in order to improve the response during floods. Building strong public primary health care systems is a development challenge. The recovery phases of disasters should be seen as an opportunity to expand and improve services and facilities.

  13. Prepared to react? Assessing the functional capacity of the primary health care system in rural Orissa, India to respond to the devastating flood of September 2008

    PubMed Central

    Phalkey, Revati; Dash, Shisir R.; Mukhopadhyay, Alok; Runge-Ranzinger, Silvia; Marx, Michael

    2012-01-01

    Background Early detection of an impending flood and the availability of countermeasures to deal with it can significantly reduce its health impacts. In developing countries like India, public primary health care facilities are frontline organizations that deal with disasters particularly in rural settings. For developing robust counter reacting systems evaluating preparedness capacities within existing systems becomes necessary. Objective The objective of the study is to assess the functional capacity of the primary health care system in Jagatsinghpur district of rural Orissa in India to respond to the devastating flood of September 2008. Methods An onsite survey was conducted in all 29 primary and secondary facilities in five rural blocks (administrative units) of Jagatsinghpur district in Orissa state. A pre-tested structured questionnaire was administered face to face in the facilities. The data was entered, processed and analyzed using STATA® 10. Results Data from our primary survey clearly shows that the healthcare facilities are ill prepared to handle the flood despite being faced by them annually. Basic utilities like electricity backup and essential medical supplies are lacking during floods. Lack of human resources along with missing standard operating procedures; pre-identified communication and incident command systems; effective leadership; and weak financial structures are the main hindering factors in mounting an adequate response to the floods. Conclusion The 2008 flood challenged the primary curative and preventive health care services in Jagatsinghpur. Simple steps like developing facility specific preparedness plans which detail out standard operating procedures during floods and identify clear lines of command will go a long way in strengthening the response to future floods. Performance critiques provided by the grass roots workers, like this one, should be used for institutional learning and effective preparedness planning. Additionally each facility should maintain contingency funds for emergency response along with local vendor agreements to ensure stock supplies during floods. The facilities should ensure that baseline public health standards for health care delivery identified by the Government are met in non-flood periods in order to improve the response during floods. Building strong public primary health care systems is a development challenge. The recovery phases of disasters should be seen as an opportunity to expand and improve services and facilities. PMID:22435044

  14. Preserving Catholic identity in mergers--an ethical and Canon Law perspective.

    PubMed

    Vowell, T H

    1992-03-01

    A merger or joint venture between a Catholic healthcare facility and a non-Catholic healthcare facility that provides procedures the Catholic Church believes to violate moral principles raises a number of issues to be considered by diocesan bishops. The 1983 Code of Canon Law provides bishops with guidelines to help establish the Catholicity of a Catholic hospital that has affiliated with a non-Catholic hospital. The diocesan bishop exercises his authority through a threefold ministry of teaching, sanctifying, and governing. These ministries stand as a reminder of his decision-making authority in matters that affect the spiritual state and growth of those entrusted to his care. Catholic identity, as it is presented in the Code of Canon Law, can be determined through the presence of a relationship between an institution and ecclesiastical authorities, the legal establishment of the entity, and a degree of control that the Church exercises over the institution. When evaluating a possible merger of joint venture between a Catholic hospital and a non-Catholic hospital that is performing procedures not in accord with Catholic Church teaching, the diocesan bishop must consider what limits must be observed. The good effects of the affiliation must be intended and direct, and the harmful effects must be perceived as unintended and indirect. The difficulties in determining and protecting the identity of Catholic hospitals in possible mergers or joint ventures should not prevent facilities from considering alternative forms of corporate structures. The Code of Canon Law and the Church's ethical teachings provide guidelines to ensure these possibilities.

  15. Diversity and Similarity of Anesthesia Procedures in the United States During and Among Regular Work Hours, Evenings, and Weekends.

    PubMed

    Dexter, Franklin; Epstein, Richard H; Dutton, Richard P; Kordylewski, Hubert; Ledolter, Johannes; Rosenberg, Henry; Hindman, Bradley J

    2016-12-01

    Anesthesiologists providing care during off hours (ie, weekends or holidays, or cases started during the evening or late afternoon) are more likely to care for patients at greater risk of sustaining major adverse events than when they work during regular hours (eg, Monday through Friday, from 7:00 AM to 2:59 PM). We consider the logical inconsistency of using subspecialty teams during regular hours but not during weekends or evenings. We analyzed data from the Anesthesia Quality Institute's National Anesthesia Clinical Outcomes Registry (NACOR). Among the hospitals in the United States, we estimated the average number of common types of anesthesia procedures (ie, diversity measured as inverse of Herfindahl index), and the average difference in the number of common procedures between 2 off-hours periods (regular hours versus weekends, and regular hours versus evenings). We also used NACOR data to estimate the average similarity in the distributions of procedures between regular hours and weekends and between regular hours and evenings in US facilities. Results are reported as mean ± standard error of the mean among 399 facilities nationwide with weekend cases. The distributions of common procedures were moderately similar (ie, not large, <.8) between regular hours and evenings (similarity index .59 ± .01) and between regular hours and weekends (similarity index, .55 ± .02). For most facilities, the number of common procedures differed by <5 procedures between regular hours and evenings (74.4% of facilities, P < .0001) and between regular hours and weekends (64.7% of facilities, P < .0001). The average number of common procedures was 13.59 ± .12 for regular hours, 13.12 ± .13 for evenings, and 9.43 ± .13 for weekends. The pairwise differences by facility were .13 ± .07 procedures (P = .090) between regular hours and evenings and 3.37 ± .12 procedures (P < .0001) between regular hours and weekends. In contrast, the differences were -5.18 ± .12 and 7.59 ± .13, respectively, when calculated using nationally pooled data. This was because the numbers of common procedures were 32.23 ± .05, 37.41 ± .11, and 24.64 ± .12 for regular hours, evenings, and weekends, respectively (ie, >2x the number of common procedures calculated by facility). The numbers of procedures commonly performed at most facilities are fewer in number than those that are commonly performed nationally. Thus, decisions on anesthesia specialization should be based on quantitative analysis of local data rather than national recommendations using pooled data. By facility, the number of different procedures that take place during regular hours and off hours (diversity) is essentially the same, but there is only moderate similarity in the procedures performed. Thus, at many facilities, anesthesiologists who work principally within a single specialty during regular work hours will likely not have substantial contemporary experience with many procedures performed during off hours.

  16. Effect of public-private partnership in treatment of sexually transmitted infections among female sex workers in Andhra Pradesh, India.

    PubMed

    Kokku, Suresh Babu; Mahapatra, Bidhubhusan; Tucker, Saroj; Saggurti, Niranjan; Prabhakar, Parimi

    2014-02-01

    Providing sexually transmitted infection (STI) services to female sex workers (FSWs) in rural and resource constrained settings is a challenge. This paper describes an approach to address this challenge through a partnership with government health facilities, and examines the effect of this partnership on the utilization of STI services by FSWs in Andhra Pradesh, India. Partnerships were formed with 46 government clinics located in rural areas for providing STI treatment to FSWs in 2007. Government health facilities were supported by local and State level non-government organizations (NGOs) through provision of medicines, training of medical staff, outreach in the communities, and other coordination activities. Data from programme monitoring and behaviour tracking survey were used to examine the accessibility and acceptability in utilization of STI services from partnership clinics. The number of FSWs accessing services at the partnership clinics increased from 1627 in 2007 to over 15,000 in 2010. The average number of annual visits by FSWs to these clinics in 2010 was 3.4. In opinion surveys, the majority of FSWs accessing services at the partnership clinics expressed confidence that they would continue to receive effective services from the government facilities even if the programme terminates. The overall attitude of FSWs to visit government clinics was more positive among FSWs from partnership clinic areas compared to those from non-partnership clinic areas. The partnership mechanism between the NGO-supported HIV prevention programme and government clinic facilities appeared to be a promising opportunity to provide timely and accessible STI services for FSWs living in rural and remote areas.

  17. 5 CFR 2601.202 - Procedure.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 5 Administrative Personnel 3 2013-01-01 2013-01-01 false Procedure. 2601.202 Section 2601.202 Administrative Personnel OFFICE OF GOVERNMENT ETHICS ORGANIZATION AND PROCEDURES IMPLEMENTATION OF OFFICE OF GOVERNMENT ETHICS STATUTORY GIFT ACCEPTANCE AUTHORITY Guidelines for Solicitation and Acceptance of Gifts...

  18. 5 CFR 2601.202 - Procedure.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 5 Administrative Personnel 3 2014-01-01 2014-01-01 false Procedure. 2601.202 Section 2601.202 Administrative Personnel OFFICE OF GOVERNMENT ETHICS ORGANIZATION AND PROCEDURES IMPLEMENTATION OF OFFICE OF GOVERNMENT ETHICS STATUTORY GIFT ACCEPTANCE AUTHORITY Guidelines for Solicitation and Acceptance of Gifts...

  19. 5 CFR 2601.202 - Procedure.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 5 Administrative Personnel 3 2011-01-01 2011-01-01 false Procedure. 2601.202 Section 2601.202 Administrative Personnel OFFICE OF GOVERNMENT ETHICS ORGANIZATION AND PROCEDURES IMPLEMENTATION OF OFFICE OF GOVERNMENT ETHICS STATUTORY GIFT ACCEPTANCE AUTHORITY Guidelines for Solicitation and Acceptance of Gifts...

  20. 5 CFR 2601.202 - Procedure.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 5 Administrative Personnel 3 2012-01-01 2012-01-01 false Procedure. 2601.202 Section 2601.202 Administrative Personnel OFFICE OF GOVERNMENT ETHICS ORGANIZATION AND PROCEDURES IMPLEMENTATION OF OFFICE OF GOVERNMENT ETHICS STATUTORY GIFT ACCEPTANCE AUTHORITY Guidelines for Solicitation and Acceptance of Gifts...

  1. Ambulatory anesthesia for cosmetic surgery in Brazil.

    PubMed

    May, Diego Marcelo

    2016-08-01

    Outpatient plastic surgery is growing around the world. This industry faces unique challenges in terms of patient selection and standards of practice to ensure safety and cost-effectiveness. This review will highlight information about anesthesia practice for outpatient cosmetic surgery in Brazil, especially regarding regulation, legislation, and medical tourism. Medical tourism is growing worldwide, with a flow of patients traveling from developed to developing countries where procedures can be done at a fraction of the cost as in the patient's home country. Though generally well tolerated, there are concerns about incomplete data on outcomes of office-based surgeries and lack of safety standards. Brazil is one of the world's leaders in cosmetic surgery. Strong legislation governing outpatient facilities and continued development of accrediting standards for healthcare facilities are indications of a commitment to patient safety and high quality of care. Although the market for medical tourism in this country is high, there are still barriers to overcome before Brazil reaches its full potential in this industry.

  2. 14 CFR 1204.1403 - Available airport facilities.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... AUTHORITY AND POLICY Use of NASA Airfield Facilities by Aircraft Not Operated for the Benefit of the Federal Government § 1204.1403 Available airport facilities. The facilities available vary at each NASA Installation having an airfield. The airport facilities available are: (a) Shuttle Landing Facility—(1) Runways...

  3. 14 CFR 1204.1403 - Available airport facilities.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... AUTHORITY AND POLICY Use of NASA Airfield Facilities by Aircraft Not Operated for the Benefit of the Federal Government § 1204.1403 Available airport facilities. The facilities available vary at each NASA Installation having an airfield. The airport facilities available are: (a) Shuttle Landing Facility—(1) Runways...

  4. 4 CFR 28.61 - Burden and degree of proof.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 4 Accounts 1 2010-01-01 2010-01-01 false Burden and degree of proof. 28.61 Section 28.61 Accounts GOVERNMENT ACCOUNTABILITY OFFICE GENERAL PROCEDURES GOVERNMENT ACCOUNTABILITY OFFICE PERSONNEL APPEALS BOARD; PROCEDURES APPLICABLE TO CLAIMS CONCERNING EMPLOYMENT PRACTICES AT THE GOVERNMENT ACCOUNTABILITY OFFICE...

  5. 42 CFR 137.329 - What environmental considerations must be included in the construction project agreement?

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... SELF-GOVERNANCE Construction Project Assumption Process § 137.329 What environmental considerations....311. (c) Identification of the environmental review procedures adopted by the Self-Governance Tribe... environmental determination in accordance with the Self-Governance Tribe's adopted procedures. ...

  6. Residential Proximity to Environmental Hazards and Adverse Health Outcomes

    PubMed Central

    Maantay, Juliana A.; Chakraborty, Jayajit

    2011-01-01

    How living near environmental hazards contributes to poorer health and disproportionate health outcomes is an ongoing concern. We conducted a substantive review and critique of the literature regarding residential proximity to environmental hazards and adverse pregnancy outcomes, childhood cancer, cardiovascular and respiratory illnesses, end-stage renal disease, and diabetes. Several studies have found that living near hazardous wastes sites, industrial sites, cropland with pesticide applications, highly trafficked roads, nuclear power plants, and gas stations or repair shops is related to an increased risk of adverse health outcomes. Government agencies should consider these findings in establishing rules and permitting and enforcement procedures to reduce pollution from environmentally burdensome facilities and land uses. PMID:22028451

  7. Air cargo: An Integrated Systems View. 1978 Summer Faculty Fellowship Program in Engineering Systems Design

    NASA Technical Reports Server (NTRS)

    Keaton, A. (Editor); Eastman, R. (Editor); Hargrove, A. (Editor); Rabiega, W. (Editor); Olsen, R. (Editor); Soberick, M. (Editor)

    1978-01-01

    The national air cargo system is analyzed and how it should be in 1990 is prescribed in order to operate successfully through 2015; that is through one equipment cycle. Elements of the system which are largely under control of the airlines and the aircraft manufacturers are discussed. The discussion deals with aircraft, networks, facilities, and procedures. The regulations which govern the movement of air freight are considered. The larger public policy interests which must be served by the kind of system proposed, the air cargo integrated system (ACIS), are addressed. The possible social, economical, political, and environment impacts of the system are considered. Recommendations are also given.

  8. Total cost comparison of 2 biopsy methods for nonpalpable breast lesions.

    PubMed

    Bodai, B I; Boyd, B; Brown, L; Wadley, H; Zannis, V J; Holzman, M

    2001-05-01

    To identify, quantify, and compare total facility costs for 2 breast biopsy methods: vacuum-assisted biopsy (VAB) and needle-wire-localized open surgical biopsy (OSB). A time-and-motion study was done to identify unit resources used in both procedures. Costs were imputed from published literature to value resources. A comparison of the total (fixed and variable) costs of the 2 procedures was done. A convenience sample of 2 high-volume breast biopsy (both VAB and OSB) facilities was identified. A third facility (OSB only) and 8 other sites (VAB only) were used to capture variation. Staff interviews, patient medical records, and billing data were used to check observed data. One hundred and sixty-seven uncomplicated procedures (71 OSBs, 96 VABs) were observed. Available demographic and clinical data were analyzed to assess selection bias, and sensitivity analyses were done on the main assumptions. The total facility costs of the VAB procedure were lower than the costs of the OSB procedure. The overall cost advantage for using VAB ranges from $314 to $843 per procedure depending on the facility type. Variable cost comparison indicated little difference between the 2 procedures. The largest fixed cost difference was $763. Facilities must consider the cost of new technology, especially when the new technology is as effective as the present technology. The seemingly high cost of equipment might negatively influence a decision to adopt VAB, but when total facility costs were analyzed, the new technology was less costly.

  9. 32 CFR 766.8 - Procedure for review, approval, execution and distribution of aviation facility licenses.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... distribution of aviation facility licenses. 766.8 Section 766.8 National Defense Department of Defense (Continued) DEPARTMENT OF THE NAVY MISCELLANEOUS RULES USE OF DEPARTMENT OF THE NAVY AVIATION FACILITIES BY CIVIL AIRCRAFT § 766.8 Procedure for review, approval, execution and distribution of aviation facility...

  10. 32 CFR 766.8 - Procedure for review, approval, execution and distribution of aviation facility licenses.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... distribution of aviation facility licenses. 766.8 Section 766.8 National Defense Department of Defense (Continued) DEPARTMENT OF THE NAVY MISCELLANEOUS RULES USE OF DEPARTMENT OF THE NAVY AVIATION FACILITIES BY CIVIL AIRCRAFT § 766.8 Procedure for review, approval, execution and distribution of aviation facility...

  11. 32 CFR 766.8 - Procedure for review, approval, execution and distribution of aviation facility licenses.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... distribution of aviation facility licenses. 766.8 Section 766.8 National Defense Department of Defense (Continued) DEPARTMENT OF THE NAVY MISCELLANEOUS RULES USE OF DEPARTMENT OF THE NAVY AVIATION FACILITIES BY CIVIL AIRCRAFT § 766.8 Procedure for review, approval, execution and distribution of aviation facility...

  12. 32 CFR 766.8 - Procedure for review, approval, execution and distribution of aviation facility licenses.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... distribution of aviation facility licenses. 766.8 Section 766.8 National Defense Department of Defense (Continued) DEPARTMENT OF THE NAVY MISCELLANEOUS RULES USE OF DEPARTMENT OF THE NAVY AVIATION FACILITIES BY CIVIL AIRCRAFT § 766.8 Procedure for review, approval, execution and distribution of aviation facility...

  13. 76 FR 50663 - Revisions to Form, Procedures and Criteria for Certification of Qualifying Facility Status for a...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-16

    ... facilities. List of Subjects in 18 CFR Part 292 Electric power, Electric power plants, Electric utilities... to Form, Procedures and Criteria for Certification of Qualifying Facility Status for a Small Power... small power production or cogeneration facility. DATES: August 16, 2011. FOR FURTHER INFORMATION CONTACT...

  14. Challenges and opportunities of integration of community based Management of Acute Malnutrition into the government health system in Bangladesh: a qualitative study.

    PubMed

    Ireen, Santhia; Raihan, Mohammad Jyoti; Choudhury, Nuzhat; Islam, M Munirul; Hossain, Md Iqbal; Islam, Ziaul; Rahman, S M Mustafizur; Ahmed, Tahmeed

    2018-04-10

    Severe acute malnutrition (SAM) in children is the most serious form of malnutrition and is associated with very high rates of morbidity and mortality. For sustainable SAM management, United Nations recommends integration of community based management of acute malnutrition (CMAM) into the health system. The objective of the study was to assess the preparedness of the health system to implement CMAM in Bangladesh. The assessment was undertaken during January to May 2014 by conducting document review, key informant interviews, and direct observation. A total of 38 key informant interviews were conducted among government policy makers and program managers (n = 4), nutrition experts (n = 2), health and nutrition implementing partners (n = 2), development partner (n = 1), government health system staff (n = 5), government front line field workers (n = 22), and community members (n = 2). The assessment was based on: workforce, service delivery, financing, governance, information system, medical supplies, and the broad socio-political context. The government of Bangladesh has developed inpatient and outpatient guidelines for the management of SAM. There are cadres of community health workers of government and non-government actors who can be adequately trained to conduct CMAM. Inpatient management of SAM is available in 288 facilities across the country. However, only 2.7% doctors and 3.3% auxiliary staff are trained on facility based management of SAM. In functional facilities, uninterrupted supply of medicines and therapeutic diet are not available. There is resistance and disagreement among nutrition stakeholders regarding import or local production of ready-to-use therapeutic food (RUTF). Nutrition coordination is fragile and there is no functional supra-ministerial coordination platform for multi-sectoral and multi-stakeholder nutrition. There is an enabling environment for CMAM intervention in Bangladesh although health system strengthening is needed considering the barriers that have been identified. Training of facility based health staff, government community workers, and ensuring uninterrupted supply of medicines and logistics to the functional facilities should be the immediate priorities. Availability of ready-to-use therapeutic food (RUTF) is a critical component of CMAM and government should promote in-country production of RUTF for effective integration of CMAM into the health system in Bangladesh.

  15. Performance Contracting and Energy Efficiency in the State Government Market

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

    Bharvirkar, Ranjit; Goldman, Charles; Gilligan, Donald

    There is growing interest in energy efficiency (EE) among state policymakers as a result of increasing environmental concerns, rising electricity and natural gas prices, and lean economic times that motivate states to look more aggressively for cost-saving opportunities in public sector buildings. One logical place for state policymakers to demonstrate their commitment to energy efficiency is to 'lead by example' by developing and implementing strategies to reduce the energy consumption of state government facilities through investments in energy efficient technologies. Traditionally, energy efficiency improvements at state government facilities are viewed as a subset in the general category of building maintenancemore » and construction. These projects are typically funded through direct appropriations. However, energy efficiency projects are often delayed or reduced in scope whereby not all cost-effective measures are implemented because many states have tight capital budgets. Energy Savings Performance Contracting (ESPC) offers a potentially useful strategy for state program and facility managers to proactively finance and develop energy efficiency projects. In an ESPC project, Energy Service Companies (ESCOs) typically guarantee that the energy and cost savings produced by the project will equal or exceed all costs associated with implementing the project over the term of the contract. ESCOs typically provide turnkey design, installation, and maintenance services and also help arrange project financing. Between 1990 and 2006, U.S. ESCOs reported market activity of {approx}$28 Billion, with about {approx}75-80% of that activity concentrated in the institutional markets (K-12 schools, colleges/universities, state/local/federal government and hospitals). In this study, we review the magnitude of energy efficiency investment in state facilities and identify 'best practices' while employing performance contracting in the state government sector. The state government market is defined to include state offices, state universities, correctional facilities, and other state facilities. This study is part of a series of reports prepared by Lawrence Berkeley National Laboratory (LBNL) and the National Association of Energy Services Companies (NAESCO) on the ESCO market and industry trends. The scope of previous reports was much broader: Goldman et al. (2002) analyzed ESCO project costs and savings in public and private sector facilities, Hopper et al. (2005) focused on ESCO project activity in all public and institutional sectors, while Hopper et al (2007) provided aggregate results of a comprehensive survey of ESCOs on current industry activity and future prospects. We decided to focus the current study on ESCO and energy efficiency activity and potential market barriers in the state government market because previous studies suggested that this institutional sector has significant remaining energy efficiency opportunities. Moreover, ESCO activity in the state government market has lagged behind other institutional markets (e.g., K-12 schools, local governments, and the federal market). Our primary objectives were as follows: (1) Assess existing state agency energy information and data sources that could be utilized to develop performance metrics to assess progress among ESPC programs in states; (2) Conduct a comparative review of the performance of selected state ESPC programs in reducing energy usage and costs in state government buildings; and (3) Delineate the extent to which state government sector facilities are implementing energy efficiency projects apart from ESPC programs using other strategies (e.g. utility ratepayer-funded energy efficiency programs, loan funds).« less

  16. 36 CFR 64.6 - Application procedures.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Application procedures. State and local units of government applying for grants under this program will comply... Circulars 74-4 (Cost Principles Applicable to Grants and Contracts with State and Local Governments) and OMB Circular No. A-102 (Uniform Administrative Requirements for Grants-in-Aid to State and local governments...

  17. 36 CFR 64.6 - Application procedures.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Application procedures. State and local units of government applying for grants under this program will comply... Circulars 74-4 (Cost Principles Applicable to Grants and Contracts with State and Local Governments) and OMB Circular No. A-102 (Uniform Administrative Requirements for Grants-in-Aid to State and local governments...

  18. 36 CFR 64.6 - Application procedures.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Application procedures. State and local units of government applying for grants under this program will comply... Circulars 74-4 (Cost Principles Applicable to Grants and Contracts with State and Local Governments) and OMB Circular No. A-102 (Uniform Administrative Requirements for Grants-in-Aid to State and local governments...

  19. 36 CFR 64.6 - Application procedures.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Application procedures. State and local units of government applying for grants under this program will comply... Circulars 74-4 (Cost Principles Applicable to Grants and Contracts with State and Local Governments) and OMB Circular No. A-102 (Uniform Administrative Requirements for Grants-in-Aid to State and local governments...

  20. 4 CFR 28.145 - Policy.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 4 Accounts 1 2010-01-01 2010-01-01 false Policy. 28.145 Section 28.145 Accounts GOVERNMENT ACCOUNTABILITY OFFICE GENERAL PROCEDURES GOVERNMENT ACCOUNTABILITY OFFICE PERSONNEL APPEALS BOARD; PROCEDURES APPLICABLE TO CLAIMS CONCERNING EMPLOYMENT PRACTICES AT THE GOVERNMENT ACCOUNTABILITY OFFICE Ex Parte Communications § 28.145 Policy. It is the...

  1. 14 CFR § 1204.1403 - Available airport facilities.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... AUTHORITY AND POLICY Use of NASA Airfield Facilities by Aircraft Not Operated for the Benefit of the Federal Government § 1204.1403 Available airport facilities. The facilities available vary at each NASA Installation having an airfield. The airport facilities available are: (a) Shuttle Landing Facility—(1) Runways...

  2. 15 CFR 716.6 - Facility agreements.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 15 Commerce and Foreign Trade 2 2011-01-01 2011-01-01 false Facility agreements. 716.6 Section 716... ROUTINE INSPECTIONS OF DECLARED FACILITIES § 716.6 Facility agreements. (a) Description and requirements. A facility agreement is a site-specific agreement between the U.S. Government and the OPCW. Its...

  3. 15 CFR 716.6 - Facility agreements.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 15 Commerce and Foreign Trade 2 2013-01-01 2013-01-01 false Facility agreements. 716.6 Section 716... ROUTINE INSPECTIONS OF DECLARED FACILITIES § 716.6 Facility agreements. (a) Description and requirements. A facility agreement is a site-specific agreement between the U.S. Government and the OPCW. Its...

  4. Utilizing Regional Centers in Sustaining Upgraded Russian Federation Ministry of Defense Sites

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

    Kaldenbach, Karen Yvonne; Chainikov, General Vladimir; Fedorov, General Victor

    2010-01-01

    Since the mid-1990s the governments of the United States (U.S.) and the Russian Federation (RF) have been collaborating on nonproliferation projects, particularly in the protection of nuclear material through the Department of Energy's (DOE) National Nuclear Security Administration (NNSA). To date, this collaboration has resulted in upgrades to more than 72 RF Ministry of Defense (MOD) sensitive sites and facilities. These upgrades include physical protection systems (PPS), facilities to ensure material remains secure in various configurations, and infrastructure to support, maintain, and sustain upgraded sites. Significant effort on the part of both governments has also been expended to ensure thatmore » personnel obtain the necessary skills and training to both operate and maintain the security systems, thereby ensuring long term sustainability. To accomplish this, initial vendor training on physical protection systems was provided to key personnel, and an approved training curriculum was developed to teach the skills of operating, managing, administering, and maintaining the installed physical protection systems. This approach also included documentation of the processes and procedures to support infrastructure, requisite levels of maintenance and testing of systems and equipment, lifecycle management support, inventory systems and spare parts caches. One of the core components in the U.S. exit strategy and full transition to the RF MOD is the development and utilization of regional centers to facilitate centralized training and technical support to upgraded MOD sites in five regions of the RF. To date, two regional centers and one regional classroom facility are functional, and two additional regional centers are currently under construction. This paper will address the process and logistics of regional center establishment and the future vision for integrated regional center support by the RF MOD.« less

  5. 25 CFR 580.2 - When may the Commission waive its procedural rules governing appellate proceedings before the...

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 25 Indians 2 2014-04-01 2014-04-01 false When may the Commission waive its procedural rules... IN APPEAL PROCEEDINGS BEFORE THE COMMISSION § 580.2 When may the Commission waive its procedural rules governing appellate proceedings before the Commission? The procedural provisions of parts 580...

  6. 25 CFR 580.2 - When may the Commission waive its procedural rules governing appellate proceedings before the...

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 25 Indians 2 2013-04-01 2013-04-01 false When may the Commission waive its procedural rules... IN APPEAL PROCEEDINGS BEFORE THE COMMISSION § 580.2 When may the Commission waive its procedural rules governing appellate proceedings before the Commission? The procedural provisions of parts 580...

  7. National Ignition Facility, High-Energy-Density and Inertial Confinement Fusion, Peer-Review Panel (PRP) Final Report

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

    Keane, C. J.

    2014-01-28

    The National Ignition Facility (NIF) at Lawrence Livermore National Laboratory (LLNL) is operated as a National Nuclear Security Administration (NNSA) user facility in accordance with Department of Energy (DOE) best practices, including peer-reviewed experiments, regular external reviews of performance, and the use of a management structure that facilitates user and stakeholder feedback. NIF facility time is managed using processes similar to those in other DOE science facilities and is tailored to meet the mix of missions and customers that NIF supports. The NIF Governance Plan describes the process for allocating facility time on NIF and for creating the shot schedule.more » It also includes the flow of responsibility from entity to entity. The plan works to ensure that NIF meets its mission goals using the principles of scientific peer review, including transparency and cooperation among the sponsor, the NIF staff, and the various user communities. The NIF Governance Plan, dated September 28, 2012, was accepted and signed by LLNL Director Parney Albright, NIF Director Ed Moses, and Don Cook and Thomas D’Agostino of NNSA. Figure 1 shows the organizational structure for NIF Governance.« less

  8. Integrating repositories with fuel cycles: The airport authority model

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

    Forsberg, C.

    2012-07-01

    The organization of the fuel cycle is a legacy of World War II and the cold war. Fuel cycle facilities were developed and deployed without consideration of the waste management implications. This led to the fuel cycle model of a geological repository site with a single owner, a single function (disposal), and no other facilities on site. Recent studies indicate large economic, safety, repository performance, nonproliferation, and institutional incentives to collocate and integrate all back-end facilities. Site functions could include geological disposal of spent nuclear fuel (SNF) with the option for future retrievability, disposal of other wastes, reprocessing with fuelmore » fabrication, radioisotope production, other facilities that generate significant radioactive wastes, SNF inspection (navy and commercial), and related services such as SNF safeguards equipment testing and training. This implies a site with multiple facilities with different owners sharing some facilities and using common facilities - the repository and SNF receiving. This requires a different repository site institutional structure. We propose development of repository site authorities modeled after airport authorities. Airport authorities manage airports with government-owned runways, collocated or shared public and private airline terminals, commercial and federal military facilities, aircraft maintenance bases, and related operations - all enabled and benefiting the high-value runway asset and access to it via taxi ways. With a repository site authority the high value asset is the repository. The SNF and HLW receiving and storage facilities (equivalent to the airport terminal) serve the repository, any future reprocessing plants, and others with needs for access to SNF and other wastes. Non-public special-built roadways and on-site rail lines (equivalent to taxi ways) connect facilities. Airport authorities are typically chartered by state governments and managed by commissions with members appointed by the state governor, county governments, and city governments. This structure (1) enables state and local governments to work together to maximize job and tax benefits to local communities and the state, (2) provides a mechanism to address local concerns such as airport noise, and (3) creates an institutional structure with large incentives to maximize the value of the common asset, the runway. A repository site authority would have a similar structure and be the local interface to any national waste management authority. (authors)« less

  9. 5 CFR 2634.909 - Procedures, penalties, and ethics agreements.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 5 Administrative Personnel 3 2011-01-01 2011-01-01 false Procedures, penalties, and ethics agreements. 2634.909 Section 2634.909 Administrative Personnel OFFICE OF GOVERNMENT ETHICS GOVERNMENT ETHICS... Financial Disclosure Reports § 2634.909 Procedures, penalties, and ethics agreements. (a) The provisions of...

  10. 5 CFR 2634.909 - Procedures, penalties, and ethics agreements.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 5 Administrative Personnel 3 2010-01-01 2010-01-01 false Procedures, penalties, and ethics agreements. 2634.909 Section 2634.909 Administrative Personnel OFFICE OF GOVERNMENT ETHICS GOVERNMENT ETHICS... Financial Disclosure Reports § 2634.909 Procedures, penalties, and ethics agreements. (a) The provisions of...

  11. 40 CFR 47.130 - Performance of grant.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ..., and additional funding may be awarded for continuations. (c) Procurement procedures, which are found in 40 CFR part 33 for all recipients other than State and local governments. Procurement procedures for State and local governments are described in 40 CFR part 31. These procedures include provisions...

  12. 5 CFR 2634.909 - Procedures, penalties, and ethics agreements.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 5 Administrative Personnel 3 2012-01-01 2012-01-01 false Procedures, penalties, and ethics agreements. 2634.909 Section 2634.909 Administrative Personnel OFFICE OF GOVERNMENT ETHICS GOVERNMENT ETHICS... Financial Disclosure Reports § 2634.909 Procedures, penalties, and ethics agreements. (a) The provisions of...

  13. 5 CFR 2634.909 - Procedures, penalties, and ethics agreements.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 5 Administrative Personnel 3 2014-01-01 2014-01-01 false Procedures, penalties, and ethics agreements. 2634.909 Section 2634.909 Administrative Personnel OFFICE OF GOVERNMENT ETHICS GOVERNMENT ETHICS... Financial Disclosure Reports § 2634.909 Procedures, penalties, and ethics agreements. (a) The provisions of...

  14. 5 CFR 2634.909 - Procedures, penalties, and ethics agreements.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 5 Administrative Personnel 3 2013-01-01 2013-01-01 false Procedures, penalties, and ethics agreements. 2634.909 Section 2634.909 Administrative Personnel OFFICE OF GOVERNMENT ETHICS GOVERNMENT ETHICS... Financial Disclosure Reports § 2634.909 Procedures, penalties, and ethics agreements. (a) The provisions of...

  15. 77 FR 51943 - Procedures for Safety Investigations

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-28

    ... DEFENSE NUCLEAR FACILITIES SAFETY BOARD 10 CFR Part 1708 Procedures for Safety Investigations AGENCY: Defense Nuclear Facilities Safety Board. ACTION: Proposed rule; extension of comment period. SUMMARY: The Defense Nuclear Facilities Safety Board is extending the time for comments on its proposed...

  16. 48 CFR 970.1707-3 - Terms governing work for others.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... work is performed in accordance with DOE policies, procedures and directives applicable to the contract... 48 Federal Acquisition Regulations System 5 2010-10-01 2010-10-01 false Terms governing work for... governing work for others. (a) DOE's internal review and approval procedural requirements for individual...

  17. 4 CFR 28.45 - Admission of facts and genuineness of documents.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 4 Accounts 1 2010-01-01 2010-01-01 false Admission of facts and genuineness of documents. 28.45 Section 28.45 Accounts GOVERNMENT ACCOUNTABILITY OFFICE GENERAL PROCEDURES GOVERNMENT ACCOUNTABILITY... GOVERNMENT ACCOUNTABILITY OFFICE Procedures Discovery § 28.45 Admission of facts and genuineness of documents...

  18. 47 CFR 1.77 - Detailed application procedures; cross references.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ...). More detailed procedures are set forth in this chapter as follows: (a) Rules governing applications for authorizations in the Broadcast Radio Services are set forth in subpart D of this part. (b) Rules governing... subpart F of this part. (d) Rules governing applications for authorizations in the Experimental Radio...

  19. 47 CFR 1.77 - Detailed application procedures; cross references.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ...). More detailed procedures are set forth in this chapter as follows: (a) Rules governing applications for authorizations in the Broadcast Radio Services are set forth in subpart D of this part. (b) Rules governing... subpart F of this part. (d) Rules governing applications for authorizations in the Experimental Radio...

  20. 47 CFR 1.77 - Detailed application procedures; cross references.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ...). More detailed procedures are set forth in this chapter as follows: (a) Rules governing applications for authorizations in the Broadcast Radio Services are set forth in subpart D of this part. (b) Rules governing... subpart F of this part. (d) Rules governing applications for authorizations in the Experimental Radio...

  1. 47 CFR 1.77 - Detailed application procedures; cross references.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ...). More detailed procedures are set forth in this chapter as follows: (a) Rules governing applications for authorizations in the Broadcast Radio Services are set forth in subpart D of this part. (b) Rules governing... subpart F of this part. (d) Rules governing applications for authorizations in the Experimental Radio...

  2. 47 CFR 1.77 - Detailed application procedures; cross references.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ...). More detailed procedures are set forth in this chapter as follows: (a) Rules governing applications for authorizations in the Broadcast Radio Services are set forth in subpart D of this part. (b) Rules governing... subpart F of this part. (d) Rules governing applications for authorizations in the Experimental Radio...

  3. 47 CFR 36.157 - Host/remote message Cable and Wire Facilities (C&WF)-Category 4-apportionment procedures.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 47 Telecommunication 2 2011-10-01 2011-10-01 false Host/remote message Cable and Wire Facilities... TELECOMMUNICATIONS COMPANIES 1 Telecommunications Property Cable and Wire Facilities § 36.157 Host/remote message Cable and Wire Facilities (C&WF)—Category 4—apportionment procedures. (a) Host/Remote Message C&WF...

  4. 47 CFR 36.157 - Host/remote message Cable and Wire Facilities (C&WF)-Category 4-apportionment procedures.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 47 Telecommunication 2 2010-10-01 2010-10-01 false Host/remote message Cable and Wire Facilities... TELECOMMUNICATIONS COMPANIES 1 Telecommunications Property Cable and Wire Facilities § 36.157 Host/remote message Cable and Wire Facilities (C&WF)—Category 4—apportionment procedures. (a) Host/Remote Message C&WF...

  5. Facilities Policies and Procedures Manual. South Carolina Commission on Higher Education. Division of Finance, Facilities, and Statistical Services.

    ERIC Educational Resources Information Center

    South Carolina Commission on Higher Education, Columbia.

    This manual outlines the policies and procedures related to the submission and review of facilities projects at South Carolina's public colleges and universities. It provides an overview of the South Carolina Commission on Higher Education's role and responsibilities and its general policy regarding permanent improvements to facilities. The report…

  6. 28 CFR 35.152 - Jails, detention and correctional facilities, and community correctional facilities.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... management of adult and juvenile justice jails, detention and correctional facilities, and community... OF JUSTICE NONDISCRIMINATION ON THE BASIS OF DISABILITY IN STATE AND LOCAL GOVERNMENT SERVICES...

  7. 28 CFR 35.152 - Jails, detention and correctional facilities, and community correctional facilities.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... management of adult and juvenile justice jails, detention and correctional facilities, and community... OF JUSTICE NONDISCRIMINATION ON THE BASIS OF DISABILITY IN STATE AND LOCAL GOVERNMENT SERVICES...

  8. 28 CFR 35.152 - Jails, detention and correctional facilities, and community correctional facilities.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... management of adult and juvenile justice jails, detention and correctional facilities, and community... OF JUSTICE NONDISCRIMINATION ON THE BASIS OF DISABILITY IN STATE AND LOCAL GOVERNMENT SERVICES...

  9. 28 CFR 35.152 - Jails, detention and correctional facilities, and community correctional facilities.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... management of adult and juvenile justice jails, detention and correctional facilities, and community... OF JUSTICE NONDISCRIMINATION ON THE BASIS OF DISABILITY IN STATE AND LOCAL GOVERNMENT SERVICES...

  10. 21 CFR 58.81 - Standard operating procedures.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... LABORATORY PRACTICE FOR NONCLINICAL LABORATORY STUDIES Testing Facilities Operation § 58.81 Standard operating procedures. (a) A testing facility shall have standard operating procedures in writing setting... following: (1) Animal room preparation. (2) Animal care. (3) Receipt, identification, storage, handling...

  11. 21 CFR 58.81 - Standard operating procedures.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... LABORATORY PRACTICE FOR NONCLINICAL LABORATORY STUDIES Testing Facilities Operation § 58.81 Standard operating procedures. (a) A testing facility shall have standard operating procedures in writing setting... following: (1) Animal room preparation. (2) Animal care. (3) Receipt, identification, storage, handling...

  12. 21 CFR 58.81 - Standard operating procedures.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... LABORATORY PRACTICE FOR NONCLINICAL LABORATORY STUDIES Testing Facilities Operation § 58.81 Standard operating procedures. (a) A testing facility shall have standard operating procedures in writing setting... following: (1) Animal room preparation. (2) Animal care. (3) Receipt, identification, storage, handling...

  13. 21 CFR 58.81 - Standard operating procedures.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... LABORATORY PRACTICE FOR NONCLINICAL LABORATORY STUDIES Testing Facilities Operation § 58.81 Standard operating procedures. (a) A testing facility shall have standard operating procedures in writing setting... following: (1) Animal room preparation. (2) Animal care. (3) Receipt, identification, storage, handling...

  14. Collaboration between Government and Non-Governmental Organizations (NGOs) in Delivering Curative Health Services in North Darfur State, Sudan- a National Report.

    PubMed

    I A Yagub, Abdallah

    2014-05-01

    North Darfur State has been affected by conflict since 2003 and the government has not been able to provide adequate curative health services to the people. The government has come to rely on Non-Governmental Organizations (NGOs) to provide curative health services. This study was conducted to examine the existing collaboration between government and NGOs in curative health service delivery in North Darfur State, and to identify the challenges that affect their collaboration. Documentary data were collected from government offices and medical organizations. Primary data were obtained through interviews with government and NGOs representatives. The interviews were conducted with (1) expatriates working for international NGOs (N=15) and (2), health professionals and administrators working in the health sector (N= 45). The collaboration between the government and NGOs has been very weak because of security issues and lack of trust. The NGOs collaborate by providing human and financial resources, material and equipment, and communication facilities. The NGOs supply 70% of curative health services, and contribute 52.9% of the health budget in North Darfur State. The NGOs have employed 1 390 health personnel, established 44 health centres and manage and support 83 health facilities across the State. The NGOs have played a positive role in collaborating with the government in North Darfur State in delivering curative health services, while government's role has been negative. The problem that faces the government in future is how health facilities will be run should a peaceful settlement be reached and NGOs leave the region.

  15. Management of adenolymphangitis and lymphoedema due to lymphatic filariasis in resource-limited North-eastern Nigeria.

    PubMed

    Akogun, O B; Badaki, J A

    2011-09-01

    Procedures for health facility-based management of lymphoedema and adenolymphangitis (ADL) have proved very effective in some countries. Unfortunately, in resource-poor communities of Africa where health facilities are few, overburdened and inaccessible, an alternative approach is required. Community-based care (CC), patient care (PC) and health facility care (HC) approaches were compared. In the CC arm, communities were required to select one of their members for care-giving to its affected members, while in the PC, participants were allocated to groups under a leader with responsibility for care giving to group members. In HC, care was given by the nearest health facility. Caregivers from the three arms were trained and supplies were kept at the local government health office. At the sixth month of intervention, 325 lymphoedema and adenolymphangitis patients had been recruited into the study as participants. Within 12 months, compliance with hygiene practices increased from 29.4% to 62.6% and ADL episodes declined from 43.1% to 4.4% in the community designs arm and the cost on the health system was minimal. However, in the patient and health care arms, compliance and accessibility to supplies was severely affected by poor coordination, delay in resource collection leading to very minimal effect on lesions, odour, ADL frequency and duration. Participants abandoned the health facilities after the second visit. Community care approach was more culturally acceptable and effective for the management lymphoedema and ADL than other approaches. Copyright © 2010 Elsevier B.V. All rights reserved.

  16. 42 CFR 488.60 - Special procedures for approving end stage renal disease facilities.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 5 2011-10-01 2011-10-01 false Special procedures for approving end stage renal disease facilities. 488.60 Section 488.60 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES... ENFORCEMENT PROCEDURES Special Requirements § 488.60 Special procedures for approving end stage renal disease...

  17. 42 CFR 488.60 - Special procedures for approving end stage renal disease facilities.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 5 2010-10-01 2010-10-01 false Special procedures for approving end stage renal disease facilities. 488.60 Section 488.60 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES... ENFORCEMENT PROCEDURES Special Requirements § 488.60 Special procedures for approving end stage renal disease...

  18. 42 CFR 488.60 - Special procedures for approving end stage renal disease facilities.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 5 2013-10-01 2013-10-01 false Special procedures for approving end stage renal disease facilities. 488.60 Section 488.60 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES... ENFORCEMENT PROCEDURES Special Requirements § 488.60 Special procedures for approving end stage renal disease...

  19. 42 CFR 488.60 - Special procedures for approving end stage renal disease facilities.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 5 2014-10-01 2014-10-01 false Special procedures for approving end stage renal disease facilities. 488.60 Section 488.60 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES... ENFORCEMENT PROCEDURES Special Requirements § 488.60 Special procedures for approving end stage renal disease...

  20. 42 CFR 488.60 - Special procedures for approving end stage renal disease facilities.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 5 2012-10-01 2012-10-01 false Special procedures for approving end stage renal disease facilities. 488.60 Section 488.60 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES... ENFORCEMENT PROCEDURES Special Requirements § 488.60 Special procedures for approving end stage renal disease...

  1. 20 CFR 655.1135 - What appeals procedures are available concerning ETA's actions on a facility's Attestation?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... Nurses? § 655.1135 What appeals procedures are available concerning ETA's actions on a facility's...) representing nurses at the facility shall be a party to the appeal. Appeals shall be in writing; shall set...

  2. 20 CFR 655.1135 - What appeals procedures are available concerning ETA's actions on a facility's Attestation?

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... Nurses? § 655.1135 What appeals procedures are available concerning ETA's actions on a facility's...) representing nurses at the facility shall be a party to the appeal. Appeals shall be in writing; shall set...

  3. Nutrition Standards for Food Service Guidelines for Foods Served or Sold in Municipal Government Buildings or Worksites, United States, 2014

    PubMed Central

    Zaganjor, Hatidza; Moore, Latetia V; Carlson, Susan; Kimmons, Joel; Galuska, Deborah

    2016-01-01

    Introduction The Institute of Medicine and Centers for Disease Control and Prevention have recommended that government agencies use nutrition standards for foods and beverages sold and provided at their facilities. In this study, we examine written nutrition standards for foods sold or served in local government buildings or worksites among US municipalities. Methods We used data from a 2014 national survey of 1,945 municipal governments serving populations of 1,000 or more to assess the presence of written nutrition standards, the food groups or nutrients addressed by standards, and the populations served by facilities where standards are applied. The prevalence of standards was estimated by municipality population size, rural–urban status, census region, poverty prevalence, education level, and racial/ethnic composition. Results Overall, 3.2% of US municipalities reported nutrition standards with greater prevalence observed among large municipalities (12.8% of municipalities with ≥50,000 people vs 2.2% of municipalities with <2,500 people, P < .001). Prevalence differed by region, and standards were most common in the West (6.6%) and least common in the Midwest (2.0%, P = .003).The most common nutrition topics addressed in standards were offering low-calorie beverages, fruits and vegetables, and free drinking water. Most standards applied to facilities serving government employees (67%) or the general public (66%), with fewer serving institutionalized populations (23%). Conclusion Few municipal governments reported having written nutrition standards for foods and beverages sold in their facilities in 2014. Implementing nutrition standards for foods sold or served by local governments is a strategy for increasing access to healthier foods and beverages among municipal employees and local residents. PMID:28005531

  4. Firm-Level Perspectives on Public Sector Engagement with Private Healthcare Providers: Survey Evidence from Ghana and Kenya

    PubMed Central

    Sood, Neeraj; Burger, Nicholas; Yoong, Joanne; Kopf, Dan; Spreng, Connor

    2011-01-01

    Background Health systems in Sub-Saharan Africa (SSA) are in urgent need of improvement. The private health sector is a major provider of care in the region and it will remain a significant actor in the future. Any efforts by SSA governments to improve health systems performance therefore has to account for the private health sector. Regional and international actors increasingly recognize importance of effectively engaging with the private health sector, and initiatives to improve engagement are underway in several countries. However, there is little systematic analysis of private health providers' view and experience with engagement. Methodology/Principal Findings In this study we surveyed private health facilities in Kenya and Ghana to understand the extent to which and how governments interact and engage with these facilities. The results suggest that government engagement with private health facilities is quite limited. The primary focus of this engagement is “command-and-control” type regulations to improve the quality of care. There is little attention paid to building the capacity of health care businesses through either technical or financial assistance. The vast majority of these facilities also receive no government assistance in meeting public health and social goals. Finally, government engagement with private pharmacies is often neglected and clinics receive a disproportionate share of government assistance. Conclusions/Significance Overall, our findings suggest that there may be considerable untapped potential for greater engagement with private health facilities—particularly pharmacies. Improving engagement will likely help governments with limited resources to better take advantage of the private sector capacity to meet access and equity objectives and to accelerate the achievement of the Millennium Development Goals. PMID:22132092

  5. Nutrition Standards for Food Service Guidelines for Foods Served or Sold in Municipal Government Buildings or Worksites, United States, 2014.

    PubMed

    Onufrak, Stephen J; Zaganjor, Hatidza; Moore, Latetia V; Carlson, Susan; Kimmons, Joel; Galuska, Deborah

    2016-12-22

    The Institute of Medicine and Centers for Disease Control and Prevention have recommended that government agencies use nutrition standards for foods and beverages sold and provided at their facilities. In this study, we examine written nutrition standards for foods sold or served in local government buildings or worksites among US municipalities. We used data from a 2014 national survey of 1,945 municipal governments serving populations of 1,000 or more to assess the presence of written nutrition standards, the food groups or nutrients addressed by standards, and the populations served by facilities where standards are applied. The prevalence of standards was estimated by municipality population size, rural-urban status, census region, poverty prevalence, education level, and racial/ethnic composition. Overall, 3.2% of US municipalities reported nutrition standards with greater prevalence observed among large municipalities (12.8% of municipalities with ≥50,000 people vs 2.2% of municipalities with <2,500 people, P < .001). Prevalence differed by region, and standards were most common in the West (6.6%) and least common in the Midwest (2.0%, P = .003).The most common nutrition topics addressed in standards were offering low-calorie beverages, fruits and vegetables, and free drinking water. Most standards applied to facilities serving government employees (67%) or the general public (66%), with fewer serving institutionalized populations (23%). Few municipal governments reported having written nutrition standards for foods and beverages sold in their facilities in 2014. Implementing nutrition standards for foods sold or served by local governments is a strategy for increasing access to healthier foods and beverages among municipal employees and local residents.

  6. Effect of public-private partnership in treatment of sexually transmitted infections among female sex workers in Andhra Pradesh, India

    PubMed Central

    Kokku, Suresh Babu; Mahapatra, Bidhubhusan; Tucker, Saroj; Saggurti, Niranjan; Prabhakar, Parimi

    2014-01-01

    Background & objectives: Providing sexually transmitted infection (STI) services to female sex workers (FSWs) in rural and resource constrained settings is a challenge. This paper describes an approach to address this challenge through a partnership with government health facilities, and examines the effect of this partnership on the utilization of STI services by FSWs in Andhra Pradesh, India. Methods: Partnerships were formed with 46 government clinics located in rural areas for providing STI treatment to FSWs in 2007. Government health facilities were supported by local and State level non-government organizations (NGOs) through provision of medicines, training of medical staff, outreach in the communities, and other coordination activities. Data from programme monitoring and behaviour tracking survey were used to examine the accessibility and acceptability in utilization of STI services from partnership clinics. Results: The number of FSWs accessing services at the partnership clinics increased from 1627 in 2007 to over 15,000 in 2010. The average number of annual visits by FSWs to these clinics in 2010 was 3.4. In opinion surveys, the majority of FSWs accessing services at the partnership clinics expressed confidence that they would continue to receive effective services from the government facilities even if the programme terminates. The overall attitude of FSWs to visit government clinics was more positive among FSWs from partnership clinic areas compared to those from non-partnership clinic areas. Interpretation & conclusions: The partnership mechanism between the NGO-supported HIV prevention programme and government clinic facilities appeared to be a promising opportunity to provide timely and accessible STI services for FSWs living in rural and remote areas. PMID:24718405

  7. [What has been brought to residents and communities by the nuclear power plant accident? Special and serious disaster relief procedure modification after the 2011 Tohoku earthquake and tsunami in Fukushima].

    PubMed

    Ishikawa, Kazunobu

    2011-01-01

    After the catastrophic 2011 Tohoku earthquake and tsunami which struck cities and towns on the Japanese Pacific coast, Fukushima has been the focus of special and serious disaster relief procedures modification regarding nuclear power plant accidents. To date, the Japanese government has repeatedly issued evacuation orders to more than 100,000 residents. Huge numbers of refugees are still uncertain if they can return home and re-cultivate their farm land. Ambiguous public announcements concerning the radiation risks seem to have aggravated feelings of insecurity, fear and the desire to escape, both at home and abroad. This disaster has seriously undermined trust internationally and locally in Fukushima. Harmful rumors added further difficulties. In response to this disaster, local government, medical institutions, care facilities, police, emergency services and the self-defense forces continue to put their utmost effort into reconstruction. This seismic disaster has reminded us that supplies of water, electricity, gas, gasoline and telephone/communication facilities are essential prerequisites for reconstruction and daily life. Disaster and radiation medical association teams actively participated in the rescue efforts, and a number of organized medical teams cared for about 15,000 refugees in 100 shelters. We also visited home-bound patients, who were unable to evacuate from the 20-30 km inner evacuation area. In this relief role, we need to consider the following; (1) professionals, both healthcare and nuclear engineers, must always be prepared for unexpected circumstances, (2) the daily organic cooperation of individuals and units is closely linked to readiness against sudden risks, and (3) appropriate accountability is essential to assuage the fears of residents and refugees. A sincere learning process may benefit those innocent refugees who may be forced to abandon their homes permanently.

  8. A Comparative Evaluation of Public Health Centers with Private Health Training Centers on Primary Healthcare Parameters in India: a Study by Data Envelopment Analysis Technique

    PubMed Central

    Davey, Sanjeev; Raghav, Santosh Kumar; Singh, Jai Vir; Davey, Anuradha; Singh, Nirankar

    2015-01-01

    Background: The evaluation of primary healthcare services provided by health training centers of a private medical college has not been studied in comparison with government health facilities in Indian context. Data envelopment analysis (DEA) is one such technique of operations research, which can be used on health facilities for identifying efficient operating practices and strategies for relatively efficient or inefficient health centers by calculating their efficiency scores. Materials and Methods: This study was carried out by DEA technique by using basic radial models (constant ratio to scale (CRS)) in linear programming via DEAOS free online Software among four decision making units (DMUs; by comparing efficiency of two private health centers of a private medical college of India with two public health centers) in district Muzaffarnagar of state Uttar Pradesh. The input and output records of all these health facilities (two from private and two from Government); for 6 months duration from 1st Jan 2014 to 1st July 2014 was taken for deciding their efficiency scores. Results: The efficiency scores of primary healthcare services in presence of doctors (100 vs 30%) and presence of health staff (100 vs 92%) were significantly better from government health facilities as compared to private health facilities (P < 0.0001). Conclusions: The evaluation of primary healthcare services delivery by DEA technique reveals that the government health facilities group were more efficient in delivery of primary healthcare services as compared to private training health facilities group, which can be further clarified in by more in-depth studies in future. PMID:26435598

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

    PubMed

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

    2015-03-06

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

  10. Cross-sectional survey of treatment practices for urethritis at pharmacies, private clinics and government health facilities in coastal Kenya: many missed opportunities for HIV prevention.

    PubMed

    Mugo, Peter M; Duncan, Sarah; Mwaniki, Samuel W; Thiong'o, Alexander N; Gichuru, Evanson; Okuku, Haile Selassie; van der Elst, Elise M; Smith, Adrian D; Graham, Susan M; Sanders, Eduard J

    2013-11-01

    While bacterial sexually transmitted infections (STIs) are important cofactors for HIV transmission, STI control has received little attention in recent years. The aim of this study was to assess STI treatment and HIV testing referral practices among health providers in Kenya. In 2011 we assessed quality of case management for male urethritis at pharmacies, private clinics and government health facilities in coastal Kenya using simulated visits at pharmacies and interviews at pharmacies and health facilities. Quality was assessed using Ministry of Health guidelines. Twenty (77%) of 26 pharmacies, 20 (91%) of 22 private clinics and all four government facilities in the study area took part. The median (IQR) number of adult urethritis cases per week was 5 (2-10) at pharmacies, 3 (1-3) at private clinics and 5 (2-17) at government facilities. During simulated visits, 10% of pharmacies prescribed recommended antibiotics at recommended dosages and durations and, during interviews, 28% of pharmacies and 27% of health facilities prescribed recommended antibiotics at recommended dosages and durations. Most regimens were quinolone-based. HIV testing was recommended during 10% of simulated visits, 20% of pharmacy interviews and 25% of health facility interviews. In an area of high STI burden, most men with urethritis seek care at pharmacies and private clinics. Most providers do not comply with national guidelines and very few recommend HIV testing. In order to reduce the STI burden and mitigate HIV transmission, there is an urgent need for innovative dissemination of up-to-date guidelines and inclusion of all health providers in HIV/STI programmes.

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

    PubMed Central

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

    2015-01-01

    Background: A number of developing countries have contracted out public health facilities to the Non-Government Organizations (NGOs) in order to improve service utilization. However, there is a paucity of in-depth qualitative information on barriers to access services as a result of contracting from service users’ perspective. The objective of this study was to explore perceived barriers to utilizing Maternal and Neonatal Health (MNH) services, in health facilities contracted out by government to NGO for service provision versus in those which are managed by government (non-contracted). Methods: A community-based qualitative exploratory study was conducted between April to September 2012 at two contracted-out and four matched non-contracted primary healthcare facilities in Thatta and Chitral, rural districts of Pakistan. Using semi-structured guide, the data were collected through thirty-six Focus Group Discussions (FGDs) conducted with mothers and their spouses in the catchment areas of selected facilities. Thematic analysis was performed using NVivo version 10.0 in which themes and sub-themes emerged. Results: Key barriers reported in contracted sites included physical distance, user charges and familial influences. Whereas, poor functionality of health centres was the main barrier for non-contracted sites with other issues being comparatively less salient. Decision-making patterns for participants of both catchments were largely similar. Spouses and mother-in-laws particularly influenced the decision to utilize health facilities. Conclusion: Contracting out of health facility reduces supply side barriers to MNH services for the community served but distance, user charges and low awareness remain significant barriers. Contracting needs to be accompanied by measures for transportation in remote settings, oversight on user fee charges by contractor, and strong community-based behavior change strategies. PMID:25905478

  12. Organization and Procedures for Funding Higher Education in the Federal Republic of Germany.

    ERIC Educational Resources Information Center

    Karpen, Ulrich

    1985-01-01

    The system for financing higher education in West Germany is outlined, including the principles, organization, and procedures for resource allocation, state and university responsibilities, institutional governance and the roles of individuals and groups at various levels of governance, and institutional procedures for budgeting and auditing. (MSE)

  13. 28 CFR 65.85 - Procedures for State or local governments applying for funding.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 28 Judicial Administration 2 2012-07-01 2012-07-01 false Procedures for State or local governments applying for funding. 65.85 Section 65.85 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) EMERGENCY FEDERAL LAW ENFORCEMENT ASSISTANCE Immigration Emergency Fund § 65.85 Procedures for State or...

  14. 28 CFR 65.85 - Procedures for State or local governments applying for funding.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 28 Judicial Administration 2 2014-07-01 2014-07-01 false Procedures for State or local governments applying for funding. 65.85 Section 65.85 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) EMERGENCY FEDERAL LAW ENFORCEMENT ASSISTANCE Immigration Emergency Fund § 65.85 Procedures for State or...

  15. 28 CFR 65.85 - Procedures for State or local governments applying for funding.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Procedures for State or local governments applying for funding. 65.85 Section 65.85 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) EMERGENCY FEDERAL LAW ENFORCEMENT ASSISTANCE Immigration Emergency Fund § 65.85 Procedures for State or...

  16. 28 CFR 65.85 - Procedures for State or local governments applying for funding.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 28 Judicial Administration 2 2011-07-01 2011-07-01 false Procedures for State or local governments applying for funding. 65.85 Section 65.85 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) EMERGENCY FEDERAL LAW ENFORCEMENT ASSISTANCE Immigration Emergency Fund § 65.85 Procedures for State or...

  17. 28 CFR 65.85 - Procedures for State or local governments applying for funding.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 28 Judicial Administration 2 2013-07-01 2013-07-01 false Procedures for State or local governments applying for funding. 65.85 Section 65.85 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) EMERGENCY FEDERAL LAW ENFORCEMENT ASSISTANCE Immigration Emergency Fund § 65.85 Procedures for State or...

  18. Case study of medical evacuation before and after the Fukushima Daiichi nuclear power plant accident in the great east Japan earthquake.

    PubMed

    Okumura, Tetsu; Tokuno, Shinichi

    2015-01-01

    In Japan, participants in the disaster-specific medical transportation system have received ongoing training since 2002, incorporating lessons learned from the Great Hanshin Earthquake. The Great East Japan Earthquake occurred on March 11, 2011, and the very first disaster-specific medical transport was performed. This article reviews in detail the central government's control and coordination of the disaster medical transportation process following the Great East Japan Earthquake and the Fukushima Daiichi Nuclear Power Plant Accident. In total, 124 patients were air transported under the coordination of the C5 team in the emergency response headquarter of the Japanese Government. C5 includes experts from the Cabinet Office, Cabinet Secretariat, Fire Defense Agency, Ministry of Health, Labour and Welfare, and Ministry of Defense. In the 20-30 km evacuation zone around the Fukushima Daiichi nuclear power plant, 509 bedridden patients were successfully evacuated without any fatalities during transportation. Many lessons have been learned in disaster-specific medical transportation. The national government, local government, police, and fire agencies have made significant progress in their mutual communication and collaboration. Fortunately, hospital evacuation from the 20-30 km area was successfully performed with the aid of local emergency physicians and Disaster Medical Assistance Teams (DMATs) who have vast experience in patient transport in the course of day-to-day activities. The emergency procedures that are required during crises are an extension of basic daily procedures that are performed by emergency medical staff and first responders, such as fire fighters, emergency medical technicians, or police officers. Medical facilities including nursing homes should have a plan for long-distance (over 100 km) evacuation, and the plan should be routinely reevaluated with full-scale exercises. In addition, hospital evacuation in disaster settings should be supervised by emergency physicians and be handled by disaster specialists who are accustomed to patient transportation on a daily basis.

  19. 76 FR 77699 - Special Procedural Rules Governing Periods When the National Labor Relations Board Lacks a Quorum...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-14

    ... NATIONAL LABOR RELATIONS BOARD 29 CFR Part 102 Special Procedural Rules Governing Periods When the National Labor Relations Board Lacks a Quorum of Members AGENCY: National Labor Relations Board. ACTION: Final rule. SUMMARY: The National Labor Relations Board is revising its rules governing the...

  20. An analytical procedure to assist decision-making in a government research organization

    Treesearch

    H. Dean Claxton; Giuseppe Rensi

    1972-01-01

    An analytical procedure to help management decision-making in planning government research is described. The objectives, activities, and restrictions of a government research organization are modeled in a consistent analytical framework. Theory and methodology is drawn from economics and mathe-matical programing. The major analytical aspects distinguishing research...

  1. Operation Sumatra Assist: surgery for survivors of the tsunami disaster in Indonesia.

    PubMed

    Chambers, Anthony J; Campion, Michael J; Courtenay, Brett G; Crozier, John A; New, Charles H

    2006-01-01

    The tsunami of 26 December 2004 was one of the deadliest natural disasters recorded, with the Indonesian province of Aceh being the most devastated region. As part of the Australian Government's response to the disaster, the Australian Defence Force deployed personnel from the Sydney-based 1st Health Support Battalion to Banda Aceh, the capital of the province. This unit joined with medical personnel from the New Zealand Defence Force to form the ANZAC field hospital. The mission of this unit as part of Operation Sumatra Assist was to provide medical and surgical care to the people of Aceh during the critical stages of rebuilding of the tsunami-devastated region. Surgical teams of the ANZAC field hospital were some of the first to provide definitive surgical care to the critically injured survivors of the disaster. During the first 4 weeks of the deployment, 173 surgical procedures were carried out for 71 patients in this facility. Thirty patients underwent 119 procedures (69% of total) for injuries sustained in the tsunami. Most of these patients required debridements, dressing changes and wound management procedures for the management of severe soft tissue infections. Three amputations were carried out. The remaining 41 patients underwent 54 procedures (31%) for emergent surgical conditions unrelated to the disaster.

  2. NDE detectability of fatigue-type cracks in high-strength alloys: NDI reliability assessments

    NASA Technical Reports Server (NTRS)

    Christner, Brent K.; Long, Donald L.; Rummel, Ward D.

    1988-01-01

    This program was conducted to generate quantitative flaw detection capability data for the nondestructive evaluation (NDE) techniques typically practiced by aerospace contractors. Inconel 718 and Haynes 188 alloy test specimens containing fatigue flaws with a wide distribution of sizes were used to assess the flaw detection capabilities at a number of contractor and government facilities. During this program 85 inspection sequences were completed presenting a total of 20,994 fatigue cracks to 53 different inspectors. The inspection sequences completed included 78 liquid penetrant, 4 eddy current, and 3 ultrasonic evaluations. The results of the assessment inspections are presented and discussed. In generating the flaw detection capability data base, procedures for data collection, data analysis, and specimen care and maintenance were developed, demonstrated, and validated. The data collection procedures and methods that evolved during this program for the measurement of flaw detection capabilities and the effects of inspection variables on performance are discussed. The Inconel 718 and Haynes 188 test specimens that were used in conducting this program and the NDE assessment procedures that were demonstrated, provide NASA with the capability to accurately assess the flaw detection capabilities of specific inspection procedures being applied or proposed for use on current and future fracture control hardware program.

  3. 41 CFR 101-28.203-1 - Government storage activity.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 41 Public Contracts and Property Management 2 2013-07-01 2012-07-01 true Government storage... DISTRIBUTION 28.2-Interagency Cross-Servicing in Storage Activities § 101-28.203-1 Government storage activity. A Government activity or facility utilized for the receipt, storage, and issue of supplies...

  4. 41 CFR 101-28.203-1 - Government storage activity.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 41 Public Contracts and Property Management 2 2012-07-01 2012-07-01 false Government storage... DISTRIBUTION 28.2-Interagency Cross-Servicing in Storage Activities § 101-28.203-1 Government storage activity. A Government activity or facility utilized for the receipt, storage, and issue of supplies...

  5. 32 CFR 728.80 - U.S. Government employees.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 32 National Defense 5 2014-07-01 2014-07-01 false U.S. Government employees. 728.80 Section 728.80... FOR ELIGIBLE PERSONS AT NAVY MEDICAL DEPARTMENT FACILITIES Other Persons § 728.80 U.S. Government... Government who sustain injuries while in the performance of duty, including diseases proximately caused by...

  6. An Industry in the Making: The Emergence of Institutional Elder Care in Urban China

    PubMed Central

    Feng, Zhanlian; Zhan, Heying Jenny; Feng, Xiaotian; Liu, Chang; Sun, Mingyue; Mor, Vincent

    2013-01-01

    Demographic shifts in China pose unprecedented challenges in the care of a rapidly growing older population. Sporadic reports suggest the recent emergence of institutional elder care in China, but little is currently known about this phenomenon. This study documents the growth, ownership, financing, staffing, and resident characteristics of elder care institutions using survey data collected in 2009 from Nanjing, China, supplemented with government registry data from seven additional major Chinese cities. Between one-half and two-thirds of facilities operating in these cities were founded in the last decade, primarily in the non-government sector. In Nanjing, government ownership dominated homes built before 1990 (96%) but was increasingly rare in the 1990s (60%) and in the 2000s (23%), a pattern observed in the other seven cities as well. In Nanjing, the average home now draws more than 80% of its daily operating revenues from private-pay or other non-government sources, and this share increases sharply with the recency of facility establishment. The majority (85%) of non-government-owned homes are receiving ongoing per-bed subsidies from the government. The lack of clinical staff characterizes the majority of study facilities; most care staff are rural migratory workers. There is considerable variability across facilities in the case-mix of residents in terms of functional dependence and acuity levels. These findings portray the emergence and rapid growth of a nascent industry of institutional long-term care in urban China and a fundamental shift in institutional ownership, financing, and clientele. PMID:21410445

  7. An industry in the making: the emergence of institutional elder care in urban china.

    PubMed

    Feng, Zhanlian; Zhan, Heying Jenny; Feng, Xiaotian; Liu, Chang; Sun, Mingyue; Mor, Vincent

    2011-04-01

    Demographic shifts in China pose unprecedented challenges in the care of a rapidly growing older population. Sporadic reports suggest the recent emergence of institutional elder care in China, but little is currently known about this phenomenon. This study documents the growth, ownership, financing, staffing, and resident characteristics of elder care institutions using survey data collected in 2009 from Nanjing, China, supplemented with government registry data from seven additional major Chinese cities. Between one-half and two-thirds of facilities operating in these cities were founded in the last decade, primarily in the non-government sector. In Nanjing, government ownership dominated homes built before 1990 (96%) but was increasingly rare in the 1990s (60%) and in the 2000s (23%), a pattern observed in the other seven cities as well. In Nanjing, the average home now draws more than 80% of its daily operating revenues from private-pay or other non-government sources, and this share increases sharply with the recency of facility establishment. The majority (85%) of non-government-owned homes are receiving ongoing per-bed subsidies from the government. The lack of clinical staff characterizes the majority of study facilities; most care staff are rural migratory workers. There is considerable variability across facilities in the case-mix of residents in terms of functional dependence and acuity levels. These findings portray the emergence and rapid growth of a nascent industry of institutional long-term care in urban China and a fundamental shift in institutional ownership, financing, and clientele. © 2011, Copyright the Authors. Journal compilation © 2011, The American Geriatrics Society.

  8. Collaboration between Government and Non-Governmental Organizations (NGOs) in Delivering Curative Health Services in North Darfur State, Sudan- a National Report

    PubMed Central

    I A YAGUB, Abdallah

    2014-01-01

    Abstract Background North Darfur State has been affected by conflict since 2003 and the government has not been able to provide adequate curative health services to the people. The government has come to rely on Non-Governmental Organizations (NGOs) to provide curative health services. This study was conducted to examine the existing collaboration between government and NGOs in curative health service delivery in North Darfur State, and to identify the challenges that affect their collaboration. Methods Documentary data were collected from government offices and medical organizations. Primary data were obtained through interviews with government and NGOs representatives. The interviews were conducted with (1) expatriates working for international NGOs (N=15) and (2), health professionals and administrators working in the health sector (N= 45). Results The collaboration between the government and NGOs has been very weak because of security issues and lack of trust. The NGOs collaborate by providing human and financial resources, material and equipment, and communication facilities. The NGOs supply 70% of curative health services, and contribute 52.9% of the health budget in North Darfur State. The NGOs have employed 1 390 health personnel, established 44 health centres and manage and support 83 health facilities across the State. Conclusion The NGOs have played a positive role in collaborating with the government in North Darfur State in delivering curative health services, while government’s role has been negative. The problem that faces the government in future is how health facilities will be run should a peaceful settlement be reached and NGOs leave the region. PMID:26056656

  9. Poor Government Oversight of Anham and Its Subcontracting Procedures Allowed Questionable Costs To Go Undetected

    DTIC Science & Technology

    2011-07-30

    contractor purchasing system review of Anham. Management Comments and Audit Response The Defense Contract Mangement Agency and the U.S. Central... Introduction 1  Background 1  Government Agency Roles and Oversight Responsibilities 4  Objectives 7  Weak Government Oversight Resulted in Significant...Subcontracting Procedures Allowed Questionable Costs To Go Undetected SIGIR 11-022 July 30, 2011 Introduction Since 2003, the United States Government

  10. Facilities for Study and Research in the Offices of the United States Government at Washington. Bulletin, 1909, No. 1. Whole Number 398

    ERIC Educational Resources Information Center

    Hadley, Arthur Twining

    1909-01-01

    This bulletin contains a report prepared by President Hadley of Yale University on the facilities for advanced study and research in the offices of the National Government at Washington. Especial interest attaches to this publication. It sets forth, in compact form, information which has frequently been sought by institutions and individuals…

  11. The Increased Effectiveness of HIV Preventive Intervention among Men Who Have Sex with Men and of Follow-Up Care for People Living with HIV after ‘Task-Shifting’ to Community-Based Organizations: A ‘Cash on Service Delivery’ Model in China

    PubMed Central

    Yan, Hongjing; Zhang, Min; Zhao, Jinkou; Huan, Xiping; Ding, Jianping; Wu, Susu; Wang, Chenchen; Xu, Yuanyuan; Liu, Li; Xu, Fei; Yang, Haitao

    2014-01-01

    Background A large number of men who have sex with men (MSM) and people living with HIV/AIDS (PLHA) are underserved despite increased service availability from government facilities while many community based organizations (CBOs) are not involved. We aimed to assess the feasibility and effectiveness of the task shifting from government facilities to CBOs in China. Methods HIV preventive intervention for MSM and follow-up care for PLHA were shifted from government facilities to CBOs. Based on ‘cash on service delivery’ model, 10 USD per MSM tested for HIV with results notified, 82 USD per newly HIV cases diagnosed, and 50 USD per PLHA received a defined package of follow-up care services, were paid to the CBOs. Cash payments were made biannually based on the verified results in the national web-based HIV/AIDS information system. Findings After task shifting, CBOs gradually assumed preventive intervention for MSM and follow-up care for PLHA from 2008 to 2012. HIV testing coverage among MSM increased from 4.1% in 2008 to 22.7% in 2012. The baseline median CD4 counts of newly diagnosed HIV positive MSM increased from 309 to 397 cells/µL. HIV tests among MSM by CBOs accounted for less than 1% of the total HIV tests in Nanjing but the share of HIV cases detected by CBOs was 12.4% in 2008 and 43.6% in 2012. Unit cost per HIV case detected by CBOs was 47 times lower than that by government facilities. The coverage of CD4 tests and antiretroviral therapy increased from 71.1% and 78.6% in 2008 to 86.0% and 90.1% in 2012, respectively. Conclusion It is feasible to shift essential HIV services from government facilities to CBOs, and to verify independently service results to adopt ‘cash on service delivery’ model. Services provided by CBOs are cost-effective, as compared with that by government facilities. PMID:25050797

  12. Nurse staffing and deficiencies in the largest for-profit nursing home chains and chains owned by private equity companies.

    PubMed

    Harrington, Charlene; Olney, Brian; Carrillo, Helen; Kang, Taewoon

    2012-02-01

    To compare staffing levels and deficiencies of the 10 largest U.S. for-profit nursing home chains with five other ownership groups and chain staffing and deficiencies before and after purchase by four private equity (PE) companies. Facilities for the largest for-profit chains were identified through Internet searches and company reports and matched with federal secondary data for 2003-2008 for each ownership group. Descriptive statistics and generalized estimation equation panel regression models examined staffing and deficiencies by ownership groups in the 2003-2008 period, controlling for facility characteristics, resident acuity, and market factors with state fixed effects. The top 10 for-profit chains had lower registered nurse and total nurse staffing hours than government facilities, controlling for other factors. The top 10 chains received 36 percent higher deficiencies and 41 percent higher serious deficiencies than government facilities. Other for-profit facilities also had lower staffing and higher deficiencies than government facilities. The chains purchased by PE companies showed little change in staffing levels, but the number of deficiencies and serious deficiencies increased in some postpurchase years compared with the prepurchase period. There is a need for greater study of large for-profit chains as well as those chains purchased by PE companies. © Health Research and Educational Trust.

  13. 12 CFR 585.140 - What procedures govern a hearing on my application?

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 12 Banks and Banking 5 2010-01-01 2010-01-01 false What procedures govern a hearing on my application? 585.140 Section 585.140 Banks and Banking OFFICE OF THRIFT SUPERVISION, DEPARTMENT OF THE TREASURY PROHIBITED SERVICE AT SAVINGS AND LOAN HOLDING COMPANIES Exemptions § 585.140 What procedures...

  14. 41 CFR 102-118.535 - Are there principles governing my agency's TSP debt collection procedures?

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 41 Public Contracts and Property Management 3 2011-01-01 2011-01-01 false Are there principles governing my agency's TSP debt collection procedures? 102-118.535 Section 102-118.535 Public Contracts and... REGULATION TRANSPORTATION 118-TRANSPORTATION PAYMENT AND AUDIT Claims and Appeal Procedures General Agency...

  15. 5 CFR 2634.404 - Summary of procedures for creation of a qualified trust.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 5 Administrative Personnel 3 2014-01-01 2014-01-01 false Summary of procedures for creation of a qualified trust. 2634.404 Section 2634.404 Administrative Personnel OFFICE OF GOVERNMENT ETHICS GOVERNMENT... Trusts § 2634.404 Summary of procedures for creation of a qualified trust. (a) Consultation with the...

  16. 5 CFR 2634.404 - Summary of procedures for creation of a qualified trust.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 5 Administrative Personnel 3 2013-01-01 2013-01-01 false Summary of procedures for creation of a qualified trust. 2634.404 Section 2634.404 Administrative Personnel OFFICE OF GOVERNMENT ETHICS GOVERNMENT... Trusts § 2634.404 Summary of procedures for creation of a qualified trust. (a) Consultation with the...

  17. Findings from a hepatitis B birth dose assessment in health facilities in the Philippines: opportunities to engage the private sector.

    PubMed

    Patel, Minal K; Capeding, Rosario Z; Ducusin, Joyce U; de Quiroz Castro, Maricel; Garcia, Luzviminda C; Hennessey, Karen

    2014-09-03

    Hepatitis B vaccination in the Philippines was introduced in 1992 to reduce the high burden of chronic hepatitis B virus (HBV) infection in the population; in 2007, a birth dose (HepB-BD) was introduced to decrease perinatal HBV transmission. Timely HepB-BD coverage, defined as doses given within 24h of birth, was 40% nationally in 2011. A first step in improving timely HepB-BD coverage is to ensure that all newborns born in health facilities are vaccinated. In order to assess ways of improving the Philippines' HepB-BD program, we evaluated knowledge, attitudes, and practices surrounding HepB-BD administration in health facilities. Teams visited selected government clinics, government hospitals, and private hospitals in regions with low reported HepB-BD coverage and interviewed immunization and maternity staff. HepB-BD coverage was calculated in each facility for a 3-month period in 2011. Of the 142 health facilities visited, 12 (8%) did not provide HepB-BD; seven were private hospitals and five were government hospitals. Median timely HepB-BD coverage was 90% (IQR 80%-100%) among government clinics, 87% (IQR 50%-97%) among government hospitals, and 50% (IQR 0%-90%) among private hospitals (p=0.02). The private hospitals were least likely to receive supervision (53% vs. 6%-31%, p=0.0005) and to report vaccination data to the national Expanded Programme on Immunization (36% vs. 96%-100%, p<0.0001). Private sector hospitals in the Philippines, which deliver 18% of newborns, had the lowest timely HepB-BD coverage. Multiple avenues exist to engage the private sector in hepatitis B prevention including through existing laws, newborn health initiatives, hospital accreditation processes, and raising awareness of the government's free vaccine program. Copyright © 2013 World Health Organization (WHO). Published by Elsevier Ltd.. All rights reserved.

  18. Production facilities for second generation biofuels in the USA and the EU – current status and future perspectives

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

    Janssen, Ranier; Turhollow, Jr, Anthony F.; Rutz, Dominik

    2013-10-23

    Second generation biofuel production facilities have been slower to reach large-scale production than was anticipated a few years ago even though in Europe, the Renewable Energy Directive has incentives for, and in the United States there are also financial incentives and, the Energy Independence and Security Act of 2007 has targets for second generation biofuels. There have been a number of facilities that have been cancelled, but starting in 2013 it appears that significant quantities of second generation biofuels will be produced. A variety of conversion processes, thermal and biological, as well as hybrids of the two is being utilized.more » There will be a variety of fuels ethanol, drop-in fuels (e.g. gasoline, diesel), biodiesel, steam, electricity, bio-oil, sugars, and chemicals; and a variety of feedstocks crop residues, wood, wood wastes, energy crops, waste oils and municipal solid waste (MSW). One approach to reducing the risk of moving from first to second generation biofuel production has been to take incremental steps such as converting the cellulosic part of grains into ethanol in addition to the starch portion. Many of the second generation biofuel facilities are co-located with first generation biofuel production facilities to share infrastructure as well as trade by-products (e.g. excess steam). One of the challenges has been financing, but both private and government sources are being utilized. Private sources include internal corporate funds and debt offerings, and venture capital. Furthermore, government sources include the U.S. federal government, the European Union, European national governments, and state and local governments.« less

  19. A procedure for accurate calibration of the orientation of the three sensors in a vector magnetometer. [at the Goddard Space Flight Center

    NASA Technical Reports Server (NTRS)

    Mcpherron, R. L.

    1977-01-01

    Procedures are described for the calibration of a vector magnetometer of high absolute accuracy. It is assumed that the calibration will be performed in the magnetic test facility of Goddard Space Flight Center (GSFC). The first main section of the report describes the test equipment and facility calibrations required. The second presents procedures for calibrating individual sensors. The third discusses the calibration of the sensor assembly. In a final section recommendations are made to GSFC for modification of the test facility required to carry out the calibration procedures.

  20. Quality assurance procedures for environmental control and monitoring in plant growth facilities. Report of the North Central Regional 101 Committee on Growth Chamber Use

    NASA Technical Reports Server (NTRS)

    Tibbitts, T. W. (Principal Investigator)

    1986-01-01

    This report includes procedures for ensuring the quality of the environment provided for plant growth in controlled environment facilities. Biologists and engineers may use these procedures for ensuring quality control during experiments or for ensuring quality control in the design of plant growth facilities. Environmental monitoring prior to and during experiments is included in these procedures. Specific recommendations cover control, acquisition, and calibration for sensor types for the separate parameters of radiation (light), temperature, humidity, carbon dioxide, and air movement.

  1. Fire Rescue Exercise

    NASA Image and Video Library

    2014-03-06

    CAPE CANAVERAL, Fla. - Special Rescue Operations firefighters with NASA Fire Rescue Services in the Protective Services Office at NASA’s Kennedy Space Center in Florida review procedures after participating in a training exercise at the Shuttle Landing Facility. During the training simulation, firefighters used fire trucks and hoses to extinguish flames burning on and around a mock-up of a small plane. Kennedy’s firefighters recently achieved Pro Board Certification in aerial fire truck operations and completed vehicle extrication training using the Jaws of Life. The Protective Services Office is one step closer to achieving certification in vehicle machinery extrication and other rescue skills. Kennedy’s firefighters are with G4S Government Solutions Inc., on the Kennedy Protective Services Contract. Photo credit: NASA/Kim Shiflett

  2. 10 CFR 1706.7 - Procedures.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 10 Energy 4 2013-01-01 2013-01-01 false Procedures. 1706.7 Section 1706.7 Energy DEFENSE NUCLEAR FACILITIES SAFETY BOARD ORGANIZATIONAL AND CONSULTANT CONFLICTS OF INTERESTS § 1706.7 Procedures. (a) Pre... the same defense nuclear facility that is the subject of the proposed new work (including overlap...

  3. 10 CFR 1706.7 - Procedures.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 10 Energy 4 2011-01-01 2011-01-01 false Procedures. 1706.7 Section 1706.7 Energy DEFENSE NUCLEAR FACILITIES SAFETY BOARD ORGANIZATIONAL AND CONSULTANT CONFLICTS OF INTERESTS § 1706.7 Procedures. (a) Pre... the same defense nuclear facility that is the subject of the proposed new work (including overlap...

  4. 10 CFR 1706.7 - Procedures.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 10 Energy 4 2014-01-01 2014-01-01 false Procedures. 1706.7 Section 1706.7 Energy DEFENSE NUCLEAR FACILITIES SAFETY BOARD ORGANIZATIONAL AND CONSULTANT CONFLICTS OF INTERESTS § 1706.7 Procedures. (a) Pre... the same defense nuclear facility that is the subject of the proposed new work (including overlap...

  5. 10 CFR 1706.7 - Procedures.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 10 Energy 4 2012-01-01 2012-01-01 false Procedures. 1706.7 Section 1706.7 Energy DEFENSE NUCLEAR FACILITIES SAFETY BOARD ORGANIZATIONAL AND CONSULTANT CONFLICTS OF INTERESTS § 1706.7 Procedures. (a) Pre... the same defense nuclear facility that is the subject of the proposed new work (including overlap...

  6. 76 FR 80314 - National Emission Standards for Hazardous Air Pollutants: Area Source Standards for Prepared...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-23

    ... operating instructions, if available, or standard operating procedures must be developed by the facility... operating instructions, if available, or standard operating procedures must be developed by the facility... standard operating procedures developed by the prepared feeds manufacturer be required as part of the...

  7. 20 CFR 655.1101 - What are the responsibilities of the government agencies and the facilities that participate in...

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... Workers as Registered Nurses? § 655.1101 What are the responsibilities of the government agencies and the... seeking one or more H-1C nurse(s) must, as the first step, submit an attestation on Form ETA 9081, as... (USCIS) for the admission of, change to, or extension of status of H-1C nurses. The facility must attach...

  8. Aboriginal and Torres Strait Islander community governance of health research: Turning principles into practice.

    PubMed

    Gwynn, Josephine; Lock, Mark; Turner, Nicole; Dennison, Ray; Coleman, Clare; Kelly, Brian; Wiggers, John

    2015-08-01

    Gaps exist in researchers' understanding of the 'practice' of community governance in relation to research with Aboriginal and Torres Strait Islander peoples. We examine Aboriginal community governance of two rural NSW research projects by applying principles-based criteria from two independent sources. One research project possessed a strong Aboriginal community governance structure and evaluated a 2-year healthy lifestyle program for children; the other was a 5-year cohort study examining factors influencing the mental health and well-being of participants. The National Health and Medical Research Council of Australia's 'Values and ethics: guidelines for ethical conduct in Aboriginal and Torres Strait Islander research' and 'Ten principles relevant to health research among Indigenous Australian populations' described by experts in the field. Adopt community-based participatory research constructs. Develop clear governance structures and procedures at the beginning of the study and allow sufficient time for their establishment. Capacity-building must be a key component of the research. Ensure sufficient resources to enable community engagement, conduct of research governance procedures, capacity-building and results dissemination. The implementation of governance structures and procedures ensures research addresses the priorities of the participating Aboriginal and Torres Strait Islander communities, minimises risks and improves outcomes for the communities. Principles-based Aboriginal and Torres Strait Islander community governance of research is very achievable. Next steps include developing a comprehensive evidence base for appropriate governance structures and procedures, and consolidating a suite of practical guides for structuring clear governance in health research. © 2015 National Rural Health Alliance Inc.

  9. 12 CFR 725.1 - Scope.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... ADMINISTRATION CENTRAL LIQUIDITY FACILITY § 725.1 Scope. This part contains the regulations implementing the National Credit Union Central Liquidity Facility Act, subchapter III of the Federal Credit Union Act. The National Credit Union Administration Central Liquidity Facility is a mixed-ownership Government corporation...

  10. The Future of Facilities Management.

    ERIC Educational Resources Information Center

    Daigneau, William A.

    1997-01-01

    Reports on a conference of college facility managers at which facilities professionals identified forces affecting the profession's future in five areas (information technology, resource scarcity, societal changes, government role in education, environmental deterioration) and six important roles for the manager (operational efficiency expert,…

  11. Assessing patient safety in Canadian ambulatory surgery facilities: A national survey

    PubMed Central

    Ahmad, Jamil; Ho, Olivia A; Carman, Wayne W; Thoma, Achilles; Lalonde, Donald H; Lista, Frank

    2014-01-01

    BACKGROUND: There has been increased interest regarding patient safety and standards of care in Canadian ambulatory surgery facilities where surgical procedures are performed. The Canadian Association for Accreditation of Ambulatory Surgical Facilities (CAAASF) is a national organization formed to establish and maintain standards to ensure that surgical procedures conducted outside of public hospitals are performed safely. OBJECTIVE: To determine how many procedures are performed annually at CAAASF member sites, and to examine complication rates and several key patient safety practices. METHODS: All 69 facilities accredited by the CAAASF were surveyed. The survey focused on procedural data, complication rates and patient safety interventions. RESULTS: In 2010, 40,240 estimated procedures were performed. A total of 263 (0.007%) complications were reported. Sixteen (0.0004%) patients required reoperations in hospital and 19 (0.0004%) patients required transfer to hospital on the day of surgery. There were only two mortalities within 30 days of surgery reported in the past five years. With regard to patient safety practices, 93% used antimicrobial prophylaxis, 100% used strategies to maintain normothermia and 82% used measures for venous thromboembolism prevention. CONCLUSION: The present study is the first to report on the Canadian experience in ambulatory surgery facilities and provides insight into current practices at these facilities. Appropriate accreditation of ambulatory surgery facilities, well-established patient safety-related standards of care, careful patient selection and procedures performed by qualified health care professionals with appropriate certification practicing within the scope of their practice form the basis for safe and effective ambulatory surgery. PMID:25152645

  12. 41 CFR 301-70.500 - What governing policies and procedures should we establish relating to emergency travel?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... and procedures should we establish relating to emergency travel? 301-70.500 Section 301-70.500 Public Contracts and Property Management Federal Travel Regulation System TEMPORARY DUTY (TDY) TRAVEL ALLOWANCES... Emergency Travel of Employee Due to Illness or Injury § 301-70.500 What governing policies and procedures...

  13. 76 FR 55256 - Definition of Solid Waste Disposal Facilities for Tax-Exempt Bond Purposes; Correction

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-07

    ... Definition of Solid Waste Disposal Facilities for Tax-Exempt Bond Purposes; Correction AGENCY: Internal..., 2011, on the definition of solid waste disposal facilities for purposes of the rules applicable to tax... governments that issue tax-exempt bonds to finance solid waste disposal facilities and to taxpayers that use...

  14. 76 FR 55255 - Definition of Solid Waste Disposal Facilities for Tax-Exempt Bond Purposes; Correction

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-07

    ... Definition of Solid Waste Disposal Facilities for Tax-Exempt Bond Purposes; Correction AGENCY: Internal..., on the definition of solid waste disposal facilities for purposes of the rules applicable to tax... governments that issue tax-exempt bonds to finance solid waste disposal facilities and to taxpayers that use...

  15. Legal requirements for human-health based appeals of wind energy projects in ontario.

    PubMed

    Engel, Albert M

    2014-01-01

    In 2009, the government of the province of Ontario, Canada passed new legislation to promote the development of renewable energy facilities, including wind energy facilities in the province. Throughout the legislative process, concerns were raised with respect to the effect of wind energy facilities on human health. Ultimately, the government established setbacks and sound level limits for wind energy facilities and provided Ontario residents with the right to appeal the approval of a wind energy facility on the ground that engaging in the facility in accordance with its approval will cause serious harm to human health. The first approval of a wind facility under the new legislation was issued in 2010 and since then, Ontario's Environmental Review Tribunal as well as Ontario's courts has been considering evidence proffered by appellants seeking revocation of approvals on the basis of serious harm to human health. To date, the evidence has been insufficient to support the revocation of a wind facility approval. This article reviews the legal basis for the dismissal of human-health based appeals.

  16. 48 CFR 25.401 - Exceptions.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... services (D316), automated news services, data services or other information services (D317), and other ADP...; and all Government-owned research and development facilities or Government-owned environmental...

  17. Regional Gradients in Institutional Cesarean Delivery Rates: Evidence from Five Countries in Asia.

    PubMed

    Sepehri, Ardeshir; Guliani, Harminder

    2017-03-01

    Although the influence of the type of institutional setting on the risk of cesarean birth is well documented, less is known about the regional variations in institution-specific cesarean rates within countries. Our purpose was to examine regional variations in cesarean rates across public and private facilities in five Asian countries with a sizeable private sector: Bangladesh, India, Indonesia, Pakistan, and the Philippines. Demographic Health Survey data and a hierarchical model were used to assess regional variations in the mode of delivery while controlling for a wide range of socioeconomic, demographic, and maternal risk factors. The risk of cesarean birth was greater in a private facility than in a government hospital by 36-48 percent in India and Indonesia and by 130 percent in Bangladesh. Regional gradients in cesarean birth were found to be steeper for deliveries in private facilities than in government hospitals in India, Indonesia, and the Philippines. The residents of India's high-use states were 55 percent more likely to undergo a cesarean delivery in a government hospital and 83 percent more likely in a private facility than their counterparts in the medium-use states. Similarly, compared to the residents of the Philippines's medium-use provinces, giving birth in a government facility increased the likelihood of a cesarean delivery by 84 percent and by 173 percent in a private facility. Large regional variations in cesarean rates suggest the need for more informed clinical decision making with respect to the selection of cases for cesarean delivery and the establishment of well-developed guidelines and standards at the provincial or state levels. © 2016 Wiley Periodicals, Inc.

  18. The Subsurface Flow and Transport Laboratory: A New Department of Energy User's Facility for Intermediate-Scale Experimentation

    NASA Astrophysics Data System (ADS)

    Wietsma, T. W.; Oostrom, M.; Foster, N. S.

    2003-12-01

    Intermediate-scale experiments (ISEs) for flow and transport are a valuable tool for simulating subsurface features and conditions encountered in the field at government and private sites. ISEs offer the ability to study, under controlled laboratory conditions, complicated processes characteristic of mixed wastes and heterogeneous subsurface environments, in multiple dimensions and at different scales. ISEs may, therefore, result in major cost savings if employed prior to field studies. A distinct advantage of ISEs is that researchers can design physical and/or chemical heterogeneities in the porous media matrix that better approximate natural field conditions and therefore address research questions that contain the additional complexity of processes often encountered in the natural environment. A new Subsurface Flow and Transport Laboratory (SFTL) has been developed for ISE users in the Environmental Spectroscopy & Biogeochemistry Facility in the Environmental Molecular Sciences Laboratory (EMSL) at Pacific Northwest National Laboratory (PNNL). The SFTL offers a variety of columns and flow cells, a new state-of-the-art dual-energy gamma system, a fully automated saturation-pressure apparatus, and analytical equipment for sample processing. The new facility, including qualified staff, is available for scientists interested in collaboration on conducting high-quality flow and transport experiments, including contaminant remediation. Close linkages exist between the SFTL and numerical modelers to aid in experimental design and interpretation. This presentation will discuss the facility and outline the procedures required to submit a proposal to use this unique facility for research purposes. The W. R. Wiley Environmental Molecular Sciences Laboratory, a national scientific user facility, is sponsored by the U.S. Department of Energy's Office of Biological and Environmental Research and located at Pacific Northwest National Laboratory.

  19. 29 CFR 504.1 - Cross-reference.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... FACILITIES USING NONIMMIGRANT ALIENS AS REGISTERED NURSES § 504.1 Cross-reference. Regulations governing labor condition attestations by facilities using nonimmigrant aliens as registered nurses are found at...

  20. 29 CFR 504.1 - Cross-reference.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... FACILITIES USING NONIMMIGRANT ALIENS AS REGISTERED NURSES § 504.1 Cross-reference. Regulations governing labor condition attestations by facilities using nonimmigrant aliens as registered nurses are found at...

  1. 48 CFR 9.506 - Procedures.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... CONTRACTOR QUALIFICATIONS Organizational and Consultant Conflicts of Interest 9.506 Procedures. (a) If... conflicts of interest or to develop recommended actions, contracting officers should first seek the information from within the Government or from other readily available sources. Government sources include the...

  2. Government and the Climate for Science

    ERIC Educational Resources Information Center

    Cloud, Preston

    1969-01-01

    Discusses what the government might do to affect the environment for science favorably, including its influence on the inclination of youth to enter a scientific career. The need to have new planned urban facilities, trained technicians and greater government efforts for science education is emphasized. (LC)

  3. Discipline and Grievance Procedures: Juvenile Detention and Correctional Facilities.

    ERIC Educational Resources Information Center

    Illinois Univ., Champaign. Community Research Center.

    The purpose of sound disciplinary practices and grievance procedures in juvenile detention and correctional facilities is outlined and a philosophy on discipline and grievance procedures is discussed. The use of secure confinement or restriction as a means of treatment, and the effects of restriction are considered. The basics of good discipline…

  4. Coronary revascularization in Japan. Part 2: comparison of facilities between 1997 and 1999.

    PubMed

    Tsuchihashi, M; Tsutsui, H; Shihara, M; Shigematsu, H; Yamamoto, S; Koike, G; Kono, S; Takeshita, A

    2001-12-01

    A nation-wide survey on the procedures and facilities of coronary revascularization, percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG) conducted by the Japanese Coronary Intervention Study (JCIS) group during 1997 revealed that PCI is more often used than CABG and is mainly carried out in low-volume facilities without surgical backup. The present study aimed to investigate the temporal changes in the usage of revascularization therapies and facilities from 1997 to 1999. A questionnaire was mailed in 1998 to the delegates of 1,086 PCI and 582 CABG facilities identified by the previous survey, and 89% of PCIs surveyed and 94% of CABGs surveyed reported back. The number of PCI procedures had increased by 19% from 97,831 to 116,479 and that of CABG procedures also increased by 21% from 16,374 to 19,846. The ratio of PCI to CABG was 5.9 in 1999, showing no significant change from 6.0 in 1997. In parallel, the number of PCI and CABG facilities increased from 888 to 941 and from 442 to 453, respectively. The use of coronary stents and other interventional devices increased during these 2 years. Coronary stents were used regardless of the annual procedural volume of the facilities, whereas other interventional devices, directional and rotational coronary atherectomy, were used mainly in the high-volume laboratories (p<0.01). Beating-heart, off-pump CABG had increased from 2% to 11% of total cases. Continued monitoring of trends in PCI and CABG facilities and procedures will be needed for nation-wide assessment of the use of new technology.

  5. Declining rates of sterilization procedures in Western Australian women from 1990 to 2008: the relationship with age, hospital type, and government policy changes.

    PubMed

    Jama-Alol, Khadra A; Bremner, Alexandra P; Stewart, Louise M; Kemp-Casey, Anna; Malacova, Eva; Moorin, Rachael; Shirangi, Adeleh; Preen, David B

    2016-09-01

    To describe trends in age-specific incidence rates of female sterilization (FS) procedures in Western Australia and to evaluate the effects of the introduction of government-subsidized contraceptive methods and the implementation of the Australian government's baby bonus policy on FS rates. Population-based retrospective descriptive study. Not applicable. All women ages 15-49 undergoing an FS procedure during the period January 1, 1990, to December 31, 2008 (n = 47,360 procedures). Records from statutory statewide data collections of hospitals separations and births were extracted and linked. Trends in FS procedures and the influence on these trends of the introduction of government policies: subsidization of long-acting reversible contraceptives (Implanon and Mirena) and the Australian baby bonus initiative. The annual incidence rate of FS procedures declined from 756.9 per 100,000 women in 1990 to 155.2 per 100,000 women in 2008. Compared with the period 1990-1994, women ages 30-39 years were 47% less likely (rate ratio [RR] = 0.53; 95% confidence interval [CI], 0.39-0.72) to undergo sterilization during the period 2005-2008. Adjusting for overall trend, there were significant decreases in FS rates after government subsidization of Implanon (RR = 0.89; 95% CI, 0.82-0.97) and Mirena (RR = 0.81; 95% CI, 0.73-0.91) and the introduction of the baby bonus (RR = 0.70; 95% CI, 0.61-0.81). Rates of female sterilization procedures in Western Australia have declined substantially across all age groups in the last two decades. Women's decisions to undergo sterilization procedures may be influenced by government interventions that increase access to long-term reversible contraceptives or encourage childbirth. Copyright © 2016 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.

  6. Systematic, appropriate, and cost-effective application of security technologies in U.S. public schools to reduce crime, violence, and drugs

    NASA Astrophysics Data System (ADS)

    Green, Mary W.

    1997-01-01

    As problems of violence and crime become more prevalent in our schools, more and more school districts will elect to use security technologies to control these problems. While the desired change in student and community attitudes will require significant systemic change through intense US social programs, security technologies can greatly augment school staff today by providing services similar to having extra adults present. Technologies such as cameras, sensors, drug detection, biometric and personnel identification, lighting, barriers, weapon and explosives detection, anti- graffiti methods, and duress alarms can all be effective, given they are used in appropriate applications, with realistic expectations and an understanding of limitations. Similar to a high-risk government facility, schools must consider a systems approach to security, which includes the use of personnel and procedures as well as security technologies, such that the synergy created by all these elements together contributes more tot he general 'order maintenance' of the facility than could be achieved by separate measures not integrated or related.

  7. Energy Engineering Analysis (EEA) program for Lone Star Army Ammunition Plant, Texas. Executive summary. Final report

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

    NONE

    The objective of this Energy Engineering Analysis (EEA) for LSAAP is threefold: Develop a systematic plan of projects which will result in reducing energy consumption. Consider renewable energy sources with the objective of establishing an orderly procedure for reducing use of non-renewable energy sources. Determine the feasibility of Total Energy (TE), Selective Energy (SE), and Central Heating Plant (CHP) concepts using alternative fuels. In essence, an assessment of the entire energy picture at LSAAP was undertaken. This report is a summary of that effort. LSAAP was originally built during 1941 and 1942 as a shell loading plant for the Army.more » After World War II, the facility was deactivated until 1951 when it was reactivated as a Government Owned, Contractor Operated (GOCO) facility. Day and Zimmerman was selected as the operator in 1951 and has been the operating contractor ever since. Located just west of Texarkana, Texas, LSAAP encompasses an area of approximately 15,546 acres. The primary mission of LSAAP is to load, assemble and pack ammunition and ammunition components for the Army.« less

  8. Sandia SWiFT Wind Turbine Manual.

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

    White, Jonathan; LeBlanc, Bruce Philip; Berg, Jonathan Charles

    The Scaled Wind Farm Technology (SWiFT) facility, operated by Sandia National Laboratories for the U.S. Department of Energy's Wind and Water Power Program, is a wind energy research site with multiple wind turbines scaled for the experimental study of wake dynamics, advanced rotor development, turbine control, and advanced sensing for production-scale wind farms. The SWiFT site currently includes three variable-speed, pitch-regulated, three-bladed wind turbines. The six volumes of this manual provide a detailed description of the SWiFT wind turbines, including their operation and user interfaces, electrical and mechanical systems, assembly and commissioning procedures, and safety systems. Further dissemination only asmore » authorized to U.S. Government agencies and their contractors; other requests shall be approved by the originating facility or higher DOE programmatic authority. 111 UNCLASSIFIED UNLIMITED RELEASE Sandia SWiFT Wind Turbine Manual (SAND2016-0746 ) approved by: Department Manager SWiFT Site Lead Dave Minster (6121) Date Jonathan White (6121) Date SWiFT Site Supervisor Dave Mitchell (6121) Date Note: Document revision logs are found after the title page of each volume of this manual. iv« less

  9. 75 FR 7975 - Procedures to Govern the Use of Satellite Earth Stations on Board Vessels in the 5925-6425 MHz...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-23

    ... Govern the Use of Satellite Earth Stations on Board Vessels in the 5925-6425 MHz/3700-4200 MHz Bands and... on Reconsideration, In the Matter of Procedures to Govern the Use of Satellite Earth Stations on...: December 31, 2012. Title: Earth Stations on Board Vessels (ESV). Form No.: Not applicable. Type of Review...

  10. 42 CFR 137.373 - Do Federal real property laws, regulations and procedures that apply to the Secretary also apply...

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ..., regulations and procedures that apply to the Secretary also apply to Self-Governance Tribes that purchase real... 42 Public Health 1 2010-10-01 2010-10-01 false Do Federal real property laws, regulations and procedures that apply to the Secretary also apply to Self-Governance Tribes that purchase real property with...

  11. 41 CFR 301-75.3 - What governing policies and procedures must we establish related to pre-employment interview travel?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... and procedures must we establish related to pre-employment interview travel? 301-75.3 Section 301-75.3... ALLOWANCES AGENCY RESPONSIBILITIES 75-PRE-EMPLOYMENT INTERVIEW TRAVEL General Rules § 301-75.3 What governing policies and procedures must we establish related to pre-employment interview travel? You must establish...

  12. 32 CFR Appendix A to Part 223 - Procedures for Identifying and Controlling DoD UCNI

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... security measures, including security plans, procedures, and equipment, for the physical protection of DoD... sabotage of DoD SNM, equipment, or facilities (e.g., relative importance of a facility or the location... equipment, for the physical protection of DoD SNM, equipment, or facilities. c. Meet the adverse effects...

  13. 78 FR 3900 - Generic Drug User Fee-Active Pharmaceutical Ingredient and Finished Dosage Form Facility Fee...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-17

    ... facility fee, we divide the $132,945,000 by the total number of facilities (758) which gives us a domestic... domestic API facility fee, we divide the $23,415,000 by the total number of facilities (885) which gives us..., Attention: Government Lockbox 979108, 1005 Convention Plaza, St. Louis, MO 63101. (Note: This U.S. Bank...

  14. Nurse Staffing and Deficiencies in the Largest For-Profit Nursing Home Chains and Chains Owned by Private Equity Companies

    PubMed Central

    Harrington, Charlene; Olney, Brian; Carrillo, Helen; Kang, Taewoon

    2012-01-01

    Objective To compare staffing levels and deficiencies of the 10 largest U.S. for-profit nursing home chains with five other ownership groups and chain staffing and deficiencies before and after purchase by four private equity (PE) companies. Data Sources Facilities for the largest for-profit chains were identified through Internet searches and company reports and matched with federal secondary data for 2003–2008 for each ownership group. Study Design Descriptive statistics and generalized estimation equation panel regression models examined staffing and deficiencies by ownership groups in the 2003–2008 period, controlling for facility characteristics, resident acuity, and market factors with state fixed effects. Principal Findings The top 10 for-profit chains had lower registered nurse and total nurse staffing hours than government facilities, controlling for other factors. The top 10 chains received 36 percent higher deficiencies and 41 percent higher serious deficiencies than government facilities. Other for-profit facilities also had lower staffing and higher deficiencies than government facilities. The chains purchased by PE companies showed little change in staffing levels, but the number of deficiencies and serious deficiencies increased in some postpurchase years compared with the prepurchase period. Conclusions There is a need for greater study of large for-profit chains as well as those chains purchased by PE companies. PMID:22091627

  15. Unique governance for a national ministry. Catholic Health Initiatives' board structure empowers laity, supports mission.

    PubMed

    Poe, J E

    1998-01-01

    The three original founding healthcare systems and 10 sponsoring religious institutes of Catholic Health Initiatives (CHI) have developed an unprecedented governance model to support their vision of a national Catholic health ministry in the twenty-first century. The new organization spans 22 states; annual revenues exceed $4.7 billion. Religious institutes choose either active or honorary status before consolidating with CHI, depending on their desired involvement in the organization. Currently, nine are active and two are honorary. CHI's civil corporation comprises one representative from each active congregation. These representatives approve major changes in mission or philosophical direction. They control board membership by appointing three to five congregation representatives as sponsorship trustees, who are responsible for approving the remaining members of the Board of Stewardship Trustees. This half-religious, half-lay governing board is responsible for leading CHI. CHI has only two levels of governance, a national board and boards of market-based organizations, for instance a network of facilities with one management structure, or a community board of an individual facility. This avoids multiple administrative layers and approval processes. The organization has a civil identity as CHI and a canonical identity as a public juridic person of pontifical right, called Catholic Health Care Federation (CHCF). The governing board members of CHI, as members of CHCF, serve as the religious sponsors for all CHI health facilities. Some facilities have already been "alienated" (turned over) to CHI by their religious institutes; others will be alienated in the future. CHI's recent consolidation with Sisters of Charity of Nazareth Health System added an 11th sponsor, a sixth geographic region, and two members--one religious and one lay--to the governing board. The governance model assists such growth through the appeal of an equal religious-lay partnership and a flexible sponsorship model.

  16. Assessing the Contributions of Private Health Facilities in a Pioneer Private-Public Partnership in Childhood Immunization in Nigeria

    PubMed Central

    Oluoha, Chukwuemeka; Ahaneku, Hycienth

    2014-01-01

    The vision of Nigeria’s immunization program is to reach and sustain routine immunization coverage of greater than 90% for all vaccines by 2020. In order to achieve this, Abia state embarked on a unique private-public partnership (PPP) between private health facilities and the Abia state ministry of health. The aim of this partnership was to collaborate with private health facilities to provide free childhood immunization services in the state - the first of its kind in Nigeria. This is a retrospective study of the 2011 Abia state, Nigeria monthly immunization data. In the 4 local governments operating the PPP, 45% (79/175) of the health facilities that offered immunization services in 2011 were private health facilities and 55% (96/175) were public health facilities. However, 21% of the immunization services took place in private health facilities while 79% took place in public health facilities. Private health facilities were shown to have a modest contribution to immunization in the 4 local governments involved in the PPP. Efforts should be made to expand PPP in immunization nationally to improve immunization services in Nigeria. PMID:28299112

  17. SD46 Facilities and Capabilities

    NASA Technical Reports Server (NTRS)

    Ramachandran, N.; Curreri, Peter A. (Technical Monitor)

    2002-01-01

    The displays for the Materials Conference presents some of the facilities and capabilities in SD46 that can be useful to a prospective researcher from University, Academia or other government labs. Several of these already have associated personnel as principal and co-investigators on NASA peer reviewed science investigations. 1. SCN purification facility 2. ESL facility 3. Static and Dynamic magnetic field facility 4. Microanalysis facility 5. MSG Investigation - PFMI 6. Thermo physical Properties Measurement Capabilities.

  18. 48 CFR 915.305 - Proposal evaluation.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ...) Personnel from DOE, other Government agencies, consultants, and contractors, including those who manage or... contractors who operate or manage Government-owned facilities, are to be used as evaluators or advisors...

  19. 48 CFR 915.305 - Proposal evaluation.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ...) Personnel from DOE, other Government agencies, consultants, and contractors, including those who manage or... contractors who operate or manage Government-owned facilities, are to be used as evaluators or advisors...

  20. 48 CFR 915.305 - Proposal evaluation.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ...) Personnel from DOE, other Government agencies, consultants, and contractors, including those who manage or... contractors who operate or manage Government-owned facilities, are to be used as evaluators or advisors...

  1. 48 CFR 915.305 - Proposal evaluation.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ...) Personnel from DOE, other Government agencies, consultants, and contractors, including those who manage or... contractors who operate or manage Government-owned facilities, are to be used as evaluators or advisors...

  2. 32 CFR 148.6 - Agency review.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... POLICY AND IMPLEMENTATION OF RECIPROCITY OF FACILITIES National Policy on Reciprocity of Use and... value added to the process of co-use of facilities by development of electronic data retrieval across government. As this review continues, agencies creating or modifying facilities databases will do so in a...

  3. 42 CFR 485.56 - Condition of participation: Governing body and administration.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... behalf of the administrator; and (4) Retains professional and administrative responsibility for all personnel providing facility services. (c) Standard: Group of professional personnel. The facility must have a group of professional personnel associated with the facility that— (1) Develops and periodically...

  4. 42 CFR 485.56 - Condition of participation: Governing body and administration.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... behalf of the administrator; and (4) Retains professional and administrative responsibility for all personnel providing facility services. (c) Standard: Group of professional personnel. The facility must have a group of professional personnel associated with the facility that— (1) Develops and periodically...

  5. 42 CFR 485.56 - Condition of participation: Governing body and administration.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... behalf of the administrator; and (4) Retains professional and administrative responsibility for all personnel providing facility services. (c) Standard: Group of professional personnel. The facility must have a group of professional personnel associated with the facility that— (1) Develops and periodically...

  6. 42 CFR 485.56 - Condition of participation: Governing body and administration.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... behalf of the administrator; and (4) Retains professional and administrative responsibility for all personnel providing facility services. (c) Standard: Group of professional personnel. The facility must have a group of professional personnel associated with the facility that— (1) Develops and periodically...

  7. 14 CFR 1204.1401 - Definitions.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... NASA Airfield Facilities by Aircraft Not Operated for the Benefit of the Federal Government § 1204.1401 Definitions. For the purpose of this subpart, the following definitions apply: (a) NASA Airfield Facility. Those aeronautical facilities owned and operated by NASA that consist of the following: (1) Shuttle...

  8. 14 CFR 1204.1401 - Definitions.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... NASA Airfield Facilities by Aircraft Not Operated for the Benefit of the Federal Government § 1204.1401 Definitions. For the purpose of this subpart, the following definitions apply: (a) NASA Airfield Facility. Those aeronautical facilities owned and operated by NASA that consist of the following: (1) Shuttle...

  9. 14 CFR 1204.1401 - Definitions.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... NASA Airfield Facilities by Aircraft Not Operated for the Benefit of the Federal Government § 1204.1401 Definitions. For the purpose of this subpart, the following definitions apply: (a) NASA Airfield Facility. Those aeronautical facilities owned and operated by NASA that consist of the following: (1) Shuttle...

  10. Summary of findings from the evaluation of a pilot medically supervised safer injecting facility

    PubMed Central

    Wood, Evan; Tyndall, Mark W.; Montaner, Julio S.; Kerr, Thomas

    2006-01-01

    In many cities, infectious disease and overdose epidemics are occurring among illicit injection drug users (IDUs). To reduce these concerns, Vancouver opened a supervised safer injecting facility in September 2003. Within the facility, people inject pre-obtained illicit drugs under the supervision of medical staff. The program was granted a legal exemption by the Canadian government on the condition that a 3-year scientific evaluation of its impacts be conducted. In this review, we summarize the findings from evaluations in those 3 years, including characteristics of IDUs at the facility, public injection drug use and publicly discarded syringes, HIV risk behaviour, use of addiction treatment services and other community resources, and drug-related crime rates. Vancouver's safer injecting facility has been associated with an array of community and public health benefits without evidence of adverse impacts. These findings should be useful to other cities considering supervised injecting facilities and to governments considering regulating their use. PMID:17116909

  11. 14 CFR 1204.1404 - Requests for use of NASA airfield facilities.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 14 Aeronautics and Space 5 2011-01-01 2010-01-01 true Requests for use of NASA airfield facilities... ADMINISTRATIVE AUTHORITY AND POLICY Use of NASA Airfield Facilities by Aircraft Not Operated for the Benefit of the Federal Government § 1204.1404 Requests for use of NASA airfield facilities. (a) Request for use...

  12. Out-of-pocket costs for facility-based maternity care in three African countries.

    PubMed

    Perkins, Margaret; Brazier, Ellen; Themmen, Ellen; Bassane, Brahima; Diallo, Djeneba; Mutunga, Angeline; Mwakajonga, Tuntufye; Ngobola, Olipa

    2009-07-01

    OBJECTIVE To estimate out-of-pocket medical expenses to women and families for maternity care at all levels of the health system in Burkina Faso, Kenya and Tanzania. METHODS In a population-based survey in 2003, 6345 women who had given birth in the previous 24 months were interviewed about the costs incurred during childbirth. Three years later, in 2006, an additional 8302 women with recent deliveries were interviewed in the same districts to explore their maternity care-seeking experiences and associated costs. The majority of women interviewed reported paying out-of-pocket costs for facility-based deliveries. Out-of-pocket costs were highest in Kenya (a mean of US$18.4 for normal and complicated deliveries), where 98% of women who delivered in a health facility had to pay some fees. In Burkina Faso, 92% of women reported paying some fees (mean of US$7.9). Costs were lowest in Tanzania, where 91% of women reported paying some fees (mean of US$5.1). In all three countries, women in the poorest wealth quintile did not pay significantly less for maternity costs than the wealthiest women. Costs for complicated delivery were double those for normal delivery in Burkina Faso and Kenya, and represented more than 16% of mean monthly household income in Burkina Faso, and 35% in Kenya. In Tanzania and Burkina Faso most institutional births were at mid-level government health facilities (health centres or dispensaries). In contrast, in Kenya, 42% of births were at government hospitals, and 28% were at private or mission facilities, contributing to the overall higher costs in this country compared with Burkina Faso and Tanzania. However, among women delivering in government health facilities in Kenya, reported out-of-pocket costs were significantly lower in 2006 than in 2003, indicating that a 2004 national policy eliminating user fees at mid- and lower-level government health facilities was having some impact.

  13. 32 CFR 644.86 - Exceptions and reservations.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... environment. This is covered in more detail in subpart A. It is essential, however, in many acquisitions that... Government's acquisition policy and to further soften the impact of the Government's acquisition. The... this section. (m) Schools, cemeteries, and facilities of State and local governments. ER 1180-1-1...

  14. 32 CFR 644.86 - Exceptions and reservations.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... environment. This is covered in more detail in subpart A. It is essential, however, in many acquisitions that... Government's acquisition policy and to further soften the impact of the Government's acquisition. The... this section. (m) Schools, cemeteries, and facilities of State and local governments. ER 1180-1-1...

  15. 32 CFR 644.86 - Exceptions and reservations.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... environment. This is covered in more detail in subpart A. It is essential, however, in many acquisitions that... Government's acquisition policy and to further soften the impact of the Government's acquisition. The... this section. (m) Schools, cemeteries, and facilities of State and local governments. ER 1180-1-1...

  16. Guidelines for Management Information Systems in Canadian Health Care Facilities

    PubMed Central

    Thompson, Larry E.

    1987-01-01

    The MIS Guidelines are a comprehensive set of standards for health care facilities for the recording of staffing, financial, workload, patient care and other management information. The Guidelines enable health care facilities to develop management information systems which identify resources, costs and products to more effectively forecast and control costs and utilize resources to their maximum potential as well as provide improved comparability of operations. The MIS Guidelines were produced by the Management Information Systems (MIS) Project, a cooperative effort of the federal and provincial governments, provincial hospital/health associations, under the authority of the Canadian Federal/Provincial Advisory Committee on Institutional and Medical Services. The Guidelines are currently being implemented on a “test” basis in ten health care facilities across Canada and portions integrated in government reporting as finalized.

  17. Radioisotope-powered cardiac pacemaker program. Clinical studies of the nuclear pacemaker model NU-5. Final report

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

    Not Available

    1980-06-01

    Beginning in February, 1970, the Nuclear Materials and Equipment Corporation (NUMEC) undertook a program to design, develop and manufacture a radioisotope powered cardiac pacemaker system. The scope of technical work was specified to be: establish system, component, and process cost reduction goals using the prototype Radioisotope Powered Cardiac Pacemaker (RCP) design and develop production techniques to achieve these cost reduction objectives; fabricate radioisotope powered fueled prototype cardiac pacemakers (RCP's) on a pilot production basis; conduct liaison with a Government-designated fueling facility for purposes of defining fueling requirements, fabrication and encapsulation procedures, safety design criteria and quality control and inspection requirements;more » develop and implement Quality Assurance and Reliability Programs; conduct performance, acceptance, lifetime and reliability tests of fueled RCP's in the laboratory; conduct liaison with the National Institutes of Health and with Government specified medical research institutions selected for the purpose of undertaking clinical evaluation of the RCP in humans; monitor and evaluate, on a continuing basis, all test data; and perform necessary safety analyses and tests. Pacemaker designs were developed and quality assurance and manufacturing procedures established. Prototype pacemakers were fabricated. A total of 126 radioisotope powered units were implanted and have been followed clinically for approximately seven years. Four (4) of these units have failed. Eighty-three (83) units remain implanted and satisfactorily operational. An overall failure rate of less than the target 0.15% per month has been achieved.« less

  18. Exploring how different modes of governance act across health system levels to influence primary healthcare facility managers' use of information in decision-making: experience from Cape Town, South Africa.

    PubMed

    Scott, Vera; Gilson, Lucy

    2017-09-15

    Governance, which includes decision-making at all levels of the health system, and information have been identified as key, interacting levers of health system strengthening. However there is an extensive literature detailing the challenges of supporting health managers to use formal information from health information systems (HISs) in their decision-making. While health information needs differ across levels of the health system there has been surprisingly little empirical work considering what information is actually used by primary healthcare facility managers in managing, and making decisions about, service delivery. This paper, therefore, specifically examines experience from Cape Town, South Africa, asking the question: How is primary healthcare facility managers' use of information for decision-making influenced by governance across levels of the health system? The research is novel in that it both explores what information these facility managers actually use in decision-making, and considers how wider governance processes influence this information use. An academic researcher and four facility managers worked as co-researchers in a multi-case study in which three areas of management were served as the cases. There were iterative cycles of data collection and collaborative analysis with individual and peer reflective learning over a period of three years. Central governance shaped what information and knowledge was valued - and, therefore, generated and used at lower system levels. The central level valued formal health information generated in the district-based HIS which therefore attracted management attention across the levels of the health system in terms of design, funding and implementation. This information was useful in the top-down practices of planning and management of the public health system. However, in facilities at the frontline of service delivery, there was a strong requirement for local, disaggregated information and experiential knowledge to make locally-appropriate and responsive decisions, and to perform the people management tasks required. Despite central level influences, modes of governance operating at the subdistrict level had influence over what information was valued, generated and used locally. Strengthening local level managers' ability to create enabling environments is an important leverage point in supporting informed local decision-making, and, in turn, translating national policies and priorities, including equity goals, into appropriate service delivery practices.

  19. The Wallops Flight Facility Model for an Integrated Federal/Commercial Launch Range

    NASA Technical Reports Server (NTRS)

    Underwood, Bruce E.

    1999-01-01

    Historically, the federal government has been the predominant purchaser of space launches in the United States. The government met its needs through purchase of hardware and services. It also provided the infrastructure necessary to conduct launch operations through federal launch ranges, both military and NASA. Under this model, the government had the complete ownership, responsibility, liability, and expense for launch activities. As the commercial space sector grew, there emerged a corresponding growth in demand for launch range services. However, the expense and complexity of activities has thus far deterred a rapid rise in the establishment of purely commercial launch sites. In this context, purely commercial is defined as "without benefit of capabilities provided by the federal government." Consistent with the Commercial Space Launch Act, in recent years NASA and the Air Force have supported commercial launches from government launch ranges on a cost-reimbursable, non-interference basis. In this mode the commercial launch service providers contract with the government to provide services including use of facilities, tracking and data services, and range safety. As the commercial market projections began to show significant opportunities for economic development, several states established spaceports to provide the services necessary to meet these projected commercial needs. In 1997, NASA agreed to the establishment of the Virginia Space Flight Center (VSFC) at the Wallops Flight Facility. Under this arrangement, NASA agreed to allow Virginia Commercial Space Flight Authority (VCSFA) to construct facilities on NASA property and agreed to provide services in accordance with the Space Act of 1958 and the Commercial Space Launch Act of 1984 (as amended) to support VSFC launch customers. The relationship between NASA and VCSFA, however, has evolved beyond a customer supplier relationship. A partnership relationship has emerged which pairs the strengths of the established NASA test range and the state-sponsored, commercial launch facility provider, in an attempt to satisfy the needs for flexible, low-cost access to space. Furthermore, the future of the NASA/Wallops Test Range is closely linked with the success of VCSFA in promoting commercial launches from Wallops. This paper will describe the changing paradigm of the federal launch range and the unique aspects of the NASA/Wallops Facility relationship with VCSFA. Discussion will include institutional cost-sharing, business development and marketing, joint educational programs, and strategic planning.

  20. Survey of Emergency and Essential Surgical, Obstetric and Anaesthetic Services Available in Bangladeshi Government Health Facilities.

    PubMed

    Loveday, Jonathan; Sachdev, Sonal P; Cherian, Meena N; Katayama, Francisco; Akhtaruzzaman, A K M; Thomas, Joe; Huda, N; Faragher, E Brian; Johnson, Walter D

    2017-07-01

    Evaluate the capacity of government-run hospitals in Bangladesh to provide emergency and essential surgical, obstetric and anaesthetic services. Cross-sectional survey of 240 Bangladeshi Government healthcare facilities using the World Health Organisation Situational Analysis Tool to Assess Emergency and Essential Surgical Care (SAT). This tool evaluates the ability of a healthcare facility to provide basic surgical, obstetric and anaesthetic care based on 108 queries that detail the infrastructure and population demographics, human resources, surgical interventions and reason for referral, and available surgical equipment and supplies. For this survey, the Bangladeshi Ministry of Health sent the SAT to sub-district, district/general and teaching hospitals throughout the country in April 2013. Responses were received from 240 healthcare facilities (49.5% response rate): 218 sub-district and 22 district/general hospitals. At the sub-district level, caesarean section was offered by 55% of facilities, laparotomy by 7% and open fracture repair by 8%. At the district/general hospital level, 95% offered caesarean section, 86% offered laparotomy and 77% offered open fracture treatment. Availability of anaesthesia services, general equipment and supplies reflected this trend, where district/general hospitals were better equipped than sub-district hospitals, though equipment and infrastructure shortages persist. There has been overall impressive progress by the Bangladeshi Government in providing essential surgical services. Areas for improvement remain across all key areas, including infrastructure, human resources, surgical interventions offered and available equipment. Investment in surgical services offers a cost-effective opportunity to continue to improve the health of the Bangladeshi population and move the country towards universal healthcare coverage.

  1. Adopting and implementing nutrition guidelines in recreational facilities: tensions between public health and corporate profitability.

    PubMed

    Olstad, Dana Lee; Raine, Kim D; McCargar, Linda J

    2013-05-01

    Little is known about how public entities can partner with industry to achieve public health goals. We investigated industry's perspective of factors that influenced their adoption and implementation of voluntary, government-issued nutrition guidelines (Alberta Nutrition Guidelines for Children and Youth, ANGCY) in recreational facilities. In-depth semi-structured interviews were conducted. Data were analysed using directed content analysis. Food services in recreational facilities. Seven managers from industry participated; five from companies that had adopted and implemented the ANGCY (adopters) in recreational facilities and two from companies that had not (non-adopters). Industry views nutrition guidelines through the lens of profitability. Non-adopters were unwilling to implement the ANGCY for fear of sacrificing short-term profitability, whereas adopters adhered to them in an attempt to position themselves for long-term profitability. Adopters faced barriers including few resources, no training, complex guidelines, low availability of and demand for ANGCY-compliant products, competitive pressures and substantial declines in revenue. Managers believed widespread voluntary adoption of the ANGCY was unlikely without government incentives and/or a mandate, as the environmental context for voluntary action was poor. All managers supported government-mandated implementation of the ANGCY to level the playing field upon which companies compete. Public-private partnerships in recreational facilities can embrace public health goals in the short term, provided industry perceives potential for long-term financial gain. Widespread uptake of voluntary nutrition guidelines in this setting is unlikely, however, as market mechanisms do not encourage industry to sell and promote healthier options. Government legislation may therefore be warranted.

  2. 14 CFR § 1204.1401 - Definitions.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... POLICY Use of NASA Airfield Facilities by Aircraft Not Operated for the Benefit of the Federal Government § 1204.1401 Definitions. For the purpose of this subpart, the following definitions apply: (a) NASA Airfield Facility. Those aeronautical facilities owned and operated by NASA that consist of the following...

  3. 27 CFR 24.41 - Office facilities.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 27 Alcohol, Tobacco Products and Firearms 1 2010-04-01 2010-04-01 false Office facilities. 24.41... § 24.41 Office facilities. The appropriate TTB officer may require the proprietor to furnish... performing Government duties whether or not such office space is located at the specific premises where...

  4. 42 CFR 37.43 - Approval of radiographic facilities that use film.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... roentgenography of the chest. Amer J Roentgenol 117(4):771-776. (b) Each radiographic facility submitting chest... facility addressing radiation exposures, equipment maintenance, and image quality, and must conform to the... individual data, interpretations, and images) consistent with applicable statutes and regulations governing...

  5. 42 CFR 37.43 - Approval of radiographic facilities that use film.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... roentgenography of the chest. Amer J Roentgenol 117(4):771-776. (b) Each radiographic facility submitting chest... facility addressing radiation exposures, equipment maintenance, and image quality, and must conform to the... individual data, interpretations, and images) consistent with applicable statutes and regulations governing...

  6. 48 CFR 42.402 - Visits to contractors' facilities.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 1 2010-10-01 2010-10-01 false Visits to contractors... contractors' facilities. (a) Government personnel planning to visit a contractor's facility in connection with... positions, and security clearances. (2) Date and duration of visit. (3) Name and address of contractor and...

  7. 7 CFR 353.8 - Accreditation of non-government facilities.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... relationship to a larger corporate entity; and (iv) A description of the specific laboratory testing or... the facility is seeking accreditation must be identified and must possess the training, education, or... inspection services for which the facility seeks accreditation, and that training, education, or experience...

  8. 45 CFR 1304.51 - Management systems and procedures.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... control program quality, maintain program accountability, and advise governing bodies, policy groups, and... DELEGATE AGENCIES Program Design and Management § 1304.51 Management systems and procedures. (a) Program... program planning that includes consultation with the program's governing body, policy groups, and program...

  9. 48 CFR 3.1103 - Procedures.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... Contractor Employees Performing Acquisition Functions 3.1103 Procedures. (a) By use of the contract clause at... employees perform acquisition functions closely associated with inherently Government functions to— (1) Have... information accessed through performance of a Government contract for personal gain; and (iii) Obtain a signed...

  10. 48 CFR 3.1103 - Procedures.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... Contractor Employees Performing Acquisition Functions 3.1103 Procedures. (a) By use of the contract clause at... employees perform acquisition functions closely associated with inherently Government functions to— (1) Have... information accessed through performance of a Government contract for personal gain; and (iii) Obtain a signed...

  11. 48 CFR 3.1103 - Procedures.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... Contractor Employees Performing Acquisition Functions 3.1103 Procedures. (a) By use of the contract clause at... employees perform acquisition functions closely associated with inherently Government functions to— (1) Have... information accessed through performance of a Government contract for personal gain; and (iii) Obtain a signed...

  12. 10 CFR 770.7 - What procedures are to be used to transfer real property at defense nuclear facilities for...

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 10 Energy 4 2011-01-01 2011-01-01 false What procedures are to be used to transfer real property at defense nuclear facilities for economic development? 770.7 Section 770.7 Energy DEPARTMENT OF ENERGY TRANSFER OF REAL PROPERTY AT DEFENSE NUCLEAR FACILITIES FOR ECONOMIC DEVELOPMENT § 770.7 What...

  13. 48 CFR 47.304-4 - Shipments originating outside CONUS.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ..., whichever is more advantageous to the Government. (b) The contracting officer shall request the advice of... acquisition documents, giving full consideration to the possible use of Government transportation facilities...

  14. 48 CFR 47.304-4 - Shipments originating outside CONUS.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ..., whichever is more advantageous to the Government. (b) The contracting officer shall request the advice of... acquisition documents, giving full consideration to the possible use of Government transportation facilities...

  15. Anti-Tuberculosis Policy of the Government General of Korea during Japanese-Colonial Period (1910-1945): From Simple Restriction to Active Enlightenment.

    PubMed

    Choi, Eun Kyung

    2013-12-01

    In this paper, I tried to examine the characteristic of anti-tuberculosis policy in colonial Korea and find out internal constraint of hygienic administration by Japanese government during Japanese-Colonial Period. Despite of high prevalence of tuberculosis among Japanese in Korea, the Japanese Government General of Korea had done almost nothing until 1936. Japan's hygienic administration was highly dependent upon hygienic police, and mainly with compulsory isolation and disinfection. It was inefficient in tuberculosis problem. In 1918, Japanese Government General enacted 'Ordinance of Prevention of Tuberculosis', solely based upon naive tuberculosis etiology in sputum; consisted of simple crackdown and isolation and had no effect due to the limit of anti-tuberculosis and health budget. Also the ordinance actually set limitation upon the tuberculosis facilities, only a few health care facilities could be affordable for tuberculosis patients. Since 1936, the Japanese Government General of Korea began tuberculosis prevention measures in earnest. Due to the Second Sino- Japanese War and World War II, there was urgent need to make Korean society and population as "safe, and healthy rear area". The Government organized 'Chosen Anti-tuberculosis Association' and highly pursued enlightment campaign. It was almost temporary measures of enlightenment and publicity. Also various types of health screening and tuberculosis prevalence research were introduced to Korean people. But it was not so effective to identify tuberculosis problem in Korea. Mass tuberculin test and X-ray test was introduced, but it was not well organized and scientifically designed. Besides, tuberculosis treatment facility was extremely rare because of strict isolation and high standard policy. Japanese Governemtn set numerous tuberculosis-counseling centers and mobilized public doctor for consulting tuberculosis, but the accessibility of centers was very low. Moreover, there was no source to establish facilities like sanatorium. The Japanese Government General of Korea was constantly suffered from limit of budget and a lot of Japanese in Korea had no inherent motive for installing sanatorium and anti-tuberculosis measures. As the result, the effort made by Japanese Government General of Korea to diminish tuberculosis in Korea failed during the wartime.

  16. Financing Strategies For A Nuclear Fuel Cycle Facility

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

    David Shropshire; Sharon Chandler

    2006-07-01

    To help meet the nation’s energy needs, recycling of partially used nuclear fuel is required to close the nuclear fuel cycle, but implementing this step will require considerable investment. This report evaluates financing scenarios for integrating recycling facilities into the nuclear fuel cycle. A range of options from fully government owned to fully private owned were evaluated using DPL (Decision Programming Language 6.0), which can systematically optimize outcomes based on user-defined criteria (e.g., lowest lifecycle cost, lowest unit cost). This evaluation concludes that the lowest unit costs and lifetime costs are found for a fully government-owned financing strategy, due tomore » government forgiveness of debt as sunk costs. However, this does not mean that the facilities should necessarily be constructed and operated by the government. The costs for hybrid combinations of public and private (commercial) financed options can compete under some circumstances with the costs of the government option. This analysis shows that commercial operations have potential to be economical, but there is presently no incentive for private industry involvement. The Nuclear Waste Policy Act (NWPA) currently establishes government ownership of partially used commercial nuclear fuel. In addition, the recently announced Global Nuclear Energy Partnership (GNEP) suggests fuels from several countries will be recycled in the United States as part of an international governmental agreement; this also assumes government ownership. Overwhelmingly, uncertainty in annual facility capacity led to the greatest variations in unit costs necessary for recovery of operating and capital expenditures; the ability to determine annual capacity will be a driving factor in setting unit costs. For private ventures, the costs of capital, especially equity interest rates, dominate the balance sheet; and the annual operating costs, forgiveness of debt, and overnight costs dominate the costs computed for the government case. The uncertainty in operations, leading to lower than optimal processing rates (or annual plant throughput), is the most detrimental issue to achieving low unit costs. Conversely, lowering debt interest rates and the required return on investments can reduce costs for private industry.« less

  17. 48 CFR 5145.302-3 - Other contracts.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 7 2010-10-01 2010-10-01 false Other contracts. 5145.302... REGULATIONS GOVERNMENT PROPERTY 5145.302-3 Other contracts. (S-90)(1) When it is determined that contractor... installation support services contracts, is in the best interest of the Government, the Government facilities...

  18. 42 CFR 485.918 - Condition of participation: Organization, governance, administration of services, and partial...

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ...: Community Mental Health Centers (CMHCs) § 485.918 Condition of participation: Organization, governance... individuals, individuals with serious mental illness, and residents of its mental health service area who have been discharged from an inpatient mental health facility. (a) Standard: Governing body and...

  19. 1973 U. S. Government Printing Office Publications Useful for Rural Development.

    ERIC Educational Resources Information Center

    Kuennen, Daniel S.

    The bibliography gives 222 citations selected from Government Printing Office's "Selected U. S. Government Publications" issued by the Superintendent of Documents covering 1973 publications. It is divided into 4 categories: (1) People Building; (2) Community Facilities; (3) Environmental Improvement; and (4) Economic Development. Topics are: job…

  20. 48 CFR 22.608 - Procedures.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... APPLICATION OF LABOR LAWS TO GOVERNMENT ACQUISITIONS Walsh-Healey Public Contracts Act 22.608 Procedures. (a) Award. When a contract subject to the Act is awarded, the contracting officer, in accordance with... to the contractor DOL publication WH-1313, Notice to Employees Working on Government Contracts. (b...

  1. 4 CFR 28.41 - Explanation, scope and methods.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 4 Accounts 1 2010-01-01 2010-01-01 false Explanation, scope and methods. 28.41 Section 28.41 Accounts GOVERNMENT ACCOUNTABILITY OFFICE GENERAL PROCEDURES GOVERNMENT ACCOUNTABILITY OFFICE PERSONNEL... ACCOUNTABILITY OFFICE Procedures Discovery § 28.41 Explanation, scope and methods. (a) Explanation. Discovery is...

  2. 49 CFR 1017.10 - Procedures for administrative offset.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... TRANSPORTATION BOARD, DEPARTMENT OF TRANSPORTATION GENERAL RULES AND REGULATIONS DEBT COLLECTION-COLLECTION BY OFFSET FROM INDEBTED GOVERNMENT AND FORMER GOVERNMENT EMPLOYEES § 1017.10 Procedures for administrative offset. (a) Debts will be collected in one lump sum where possible. If the employee is financially unable...

  3. 20 CFR 361.1 - Purpose.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ...' Benefits RAILROAD RETIREMENT BOARD INTERNAL ADMINISTRATION, POLICY AND PROCEDURES RECOVERY OF DEBTS OWED TO THE UNITED STATES GOVERNMENT BY GOVERNMENT EMPLOYEES § 361.1 Purpose. These regulations, which implement 5 U.S.C. 5514, provide the standards and procedures which the Board will utilize to collect debts...

  4. 49 CFR 1017.5 - Hearing procedures.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... OF TRANSPORTATION GENERAL RULES AND REGULATIONS DEBT COLLECTION-COLLECTION BY OFFSET FROM INDEBTED GOVERNMENT AND FORMER GOVERNMENT EMPLOYEES § 1017.5 Hearing procedures. (a) Upon the Administrative Law Judge... debt. (f) The employee requesting the hearing shall bear the ultimate burden of proof. (g) The evidence...

  5. 7 CFR 353.8 - Accreditation of non-government facilities.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... facilities may be obtained by writing to Phytosanitary Issues Management, PPQ, APHIS, 4700 River Road, Unit... Administrator determines that such action is necessary to protect the public health, interest, or safety. Such... the facility is seeking accreditation must be identified and must possess the training, education, or...

  6. Where to Start when Previous Facilities Data are Questionable

    ERIC Educational Resources Information Center

    Watt, Catherine E.; Higerd, Thomas B.; Valcik, Nicolas A.

    2007-01-01

    Academic leaders and governing boards are increasingly aware of the importance and difficulty in managing physical plants as finite resources. In addition, the finances needed to renovate or build facilities have become severely constrained. The National Science Foundation (2000), in its survey of research facilities, suggests that research space…

  7. 78 FR 73144 - Acceleration of Broadband Deployment by Improving Wireless Facilities Siting Policies

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-05

    ..., ground-based enclosures, battery back-up power systems, grounding equipment, power transfer switch, and... No. 11-59; FCC 13-122] Acceleration of Broadband Deployment by Improving Wireless Facilities Siting... of new wireless facilities and on rules to implement statutory provisions governing State and local...

  8. 43 CFR 3270.10 - What types of geothermal operations are governed by these utilization regulations?

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... of geothermal resources. This includes: (1) Electrical generation facilities; (2) Direct use facilities; (3) Related utilization facility operations; (4) Actual and allocated well field production and injection; and (5) Related well field operations. (b) The utilization regulations in subparts 3270 through...

  9. 77 FR 69769 - Solid Waste Rail Transfer Facilities

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-21

    .... SUMMARY: These final rules govern land-use-exemption permits for solid waste rail transfer facilities. The... ``land-use-exemption permits'' in certain circumstances. Under the CRA, a solid waste rail transfer... grants a land-use-exemption permit for a solid waste rail transfer facility, such permit would only...

  10. 45 CFR 1309.52 - Procurement procedures.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ..., DEPARTMENT OF HEALTH AND HUMAN SERVICES THE ADMINISTRATION FOR CHILDREN, YOUTH AND FAMILIES, HEAD START PROGRAM HEAD START FACILITIES PURCHASE, MAJOR RENOVATION AND CONSTRUCTION Construction and Major Renovation § 1309.52 Procurement procedures. (a) All facility construction and major renovation transactions...

  11. 45 CFR 1309.52 - Procurement procedures.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ..., DEPARTMENT OF HEALTH AND HUMAN SERVICES THE ADMINISTRATION FOR CHILDREN, YOUTH AND FAMILIES, HEAD START PROGRAM HEAD START FACILITIES PURCHASE, MAJOR RENOVATION AND CONSTRUCTION Construction and Major Renovation § 1309.52 Procurement procedures. (a) All facility construction and major renovation transactions...

  12. Facility-level, state, and financial factors associated with changes in the provision of smoking cessation services in US substance abuse treatment facilities: Results from the National Survey of Substance Abuse Treatment Services 2006 to 2012.

    PubMed

    Cohn, Amy; Elmasry, Hoda; Niaura, Ray

    2017-06-01

    Cigarette smoking is common among patients in substance abuse treatment. Tobacco control programs have advocated for integrated tobacco dependence treatment into behavioral healthcare, including within substance abuse treatment facilities (SATFs) to reduce the public health burden of tobacco use. This study used data from seven waves (2006 to 2012) of the National Survey of Substance Abuse Treatment Services (n=94,145) to examine state and annual changes in the provision of smoking cessation services within US SATFs and whether changes over time could be explained by facility-level (private vs public ownership, receipt of earmarks, facility admissions, acceptance of government insurance) and state-level factors (cigarette tax per pack, smoke free policies, and percent of CDC recommended tobacco prevention spending). Results showed that the prevalence of SATFs offering smoking cessation services increased over time, from 13% to 65%. The amount of tax per cigarette pack, accepting government insurance, government (vs private) ownership, facility admissions, and CDC recommended tobacco prevention spending (per state) were the strongest correlates of the provision of smoking cessation programs in SATFs. Facilities that received earmarks were less likely to provide cessation services. Adult smoking prevalence and state-level smoke free policies were not significant correlates of the provision of smoking cessation services over time. Policies aimed at increasing the distribution of tax revenues to cessation services in SATFs may offset tobacco-related burden among those with substance abuse problems. Copyright © 2017. Published by Elsevier Inc.

  13. [Anesthesia practice in Catalan hospitals and other health care facilities].

    PubMed

    Villalonga, Antonio; Sabaté, Sergi; Campos, Juan Manuel; Fornaguera, Joan; Hernández, Carmen; Sistac, José María

    2006-05-24

    The aim of this arm of the ANESCAT study was to characterize anesthesia practice in the various types of health care facilities of Catalonia, Spain, in 2003. We analyzed data from the survey according to a) source of a facility's funding: public hospitals financed by the Catalan Public Health Authority (ICS), the network of subsidized hospitals for public use (XHUP), or private hospitals; b) size: facilities without hospital beds, hospitals with fewer than 250 beds, those with 251 to 500, and those with over 500; and c) training accreditation status: whether or not a facility gave medical resident training. A total of 131 facilities participated (11 under the ICS, 47 from the XHUP, and 73 private hospitals). Twenty-six clinics had no hospital beds, 78 facilities had fewer than 250, 21 had 251 to 500, and 6 had more than 500. Seventeen hospitals trained medical residents. XHUP hospitals performed 44.3% of all anesthetic procedures, private hospitals 36.7%, and ICS facilities 18.5%. Five percent of procedures were performed in clinics without beds, 42.9% in facilities with fewer than 250 beds, 35% in hospitals with 251 to 500, and 17.1% in hospitals with over 500. Anesthetists in teaching hospitals performed 35.5% of all procedures. The mean age of patients was lower in private hospitals, facilities with fewer than 250 beds, and hospitals that did not train medical residents. The physical status of patients was worse in ICS hospitals, in facilities with over 500 beds, and in teaching hospitals. It was noteworthy that 25% of anesthetic procedures were performed on an emergency basis in XHUP and ICS hospitals, in facilities with more than 250 beds, and in teaching hospitals. Anesthesia for outpatient procedures accounted for 40% of the total in private hospitals and 31% of the practice in ICS and XHUP hospitals. The duration of anesthesia and postanesthetic recovery was longer in ICS hospitals, in facilities with over 500 beds, and in those with medical resident training programs. The numbers of postoperative admissions to critical care units and of specialized analgesic techniques performed were higher in ICS hospitals, in facilities with over 500 beds, and in teaching hospitals. The complexity of both anesthesia and surgical practice and the severity of patient condition increased with hospital size and public funding status.

  14. 36 CFR 1260.42 - What are the procedures for agency personnel to review records at a NARA facility?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... SECURITY INFORMATION Systematic Review § 1260.42 What are the procedures for agency personnel to review... 36 Parks, Forests, and Public Property 3 2010-07-01 2010-07-01 false What are the procedures for agency personnel to review records at a NARA facility? 1260.42 Section 1260.42 Parks, Forests, and Public...

  15. Institutional public private partnerships for core health services: evidence from Italy

    PubMed Central

    2011-01-01

    Background Public-private partnerships (PPPs) are potential instruments to enable private collaboration in the health sector. Despite theoretical debate, empirical analyses have thus far tended to focus on the contractual or project dimension, overlooking institutional PPPs, i.e., formal legal entities run by proper corporate-governance mechanisms and jointly owned by public and private parties for the provision of public-health goods. This work aims to fill this gap by carrying out a comparative analysis of the reasons for the adoption of institutional PPPs and the governance and managerial features necessary to establish them as appropriate arrangements for public-health services provisions. Methods A qualitative analysis is carried out on experiences of institutional PPPs within the Italian National Health Service (Sistema Sanitario Nazionale, SSN). The research question is addressed through a contextual and comparative embedded case study design, assuming the entire population of PPPs (4) currently in force in one Italian region as the unit of analysis: (i) a rehabilitation hospital, (ii), an orthopaedic-centre, (iii) a primary care and ambulatory services facility, and (iv) a health- and social-care facility. Internal validity is guaranteed by the triangulation of sources in the data collection phase, which included archival and interview data. Results Four governance and managerial issues were found to be critical in determining the positive performance of the case examined: (i) a strategic market orientation to a specialised service area with sufficient potential demand, (ii) the allocation of public capital assets and the consistent financial involvement of the private partner, (iii) the adoption of private administrative procedures in a regulated setting while guaranteeing the respect of public administration principles, and (iv) clear regulation of the workforce to align the contracts with the organisational culture. Conclusions Findings suggests that institutional PPPs enable national health services to reap great benefits when introduced as a complement to the traditional public-service provisions for a defined set of services and goals. PMID:21504580

  16. Institutional public private partnerships for core health services: evidence from Italy.

    PubMed

    Cappellaro, Giulia; Longo, Francesco

    2011-04-19

    Public-private partnerships (PPPs) are potential instruments to enable private collaboration in the health sector. Despite theoretical debate, empirical analyses have thus far tended to focus on the contractual or project dimension, overlooking institutional PPPs, i.e., formal legal entities run by proper corporate-governance mechanisms and jointly owned by public and private parties for the provision of public-health goods. This work aims to fill this gap by carrying out a comparative analysis of the reasons for the adoption of institutional PPPs and the governance and managerial features necessary to establish them as appropriate arrangements for public-health services provisions. A qualitative analysis is carried out on experiences of institutional PPPs within the Italian National Health Service (Sistema Sanitario Nazionale, SSN). The research question is addressed through a contextual and comparative embedded case study design, assuming the entire population of PPPs (4) currently in force in one Italian region as the unit of analysis: (i) a rehabilitation hospital, (ii), an orthopaedic-centre, (iii) a primary care and ambulatory services facility, and (iv) a health- and social-care facility. Internal validity is guaranteed by the triangulation of sources in the data collection phase, which included archival and interview data. Four governance and managerial issues were found to be critical in determining the positive performance of the case examined: (i) a strategic market orientation to a specialised service area with sufficient potential demand, (ii) the allocation of public capital assets and the consistent financial involvement of the private partner, (iii) the adoption of private administrative procedures in a regulated setting while guaranteeing the respect of public administration principles, and (iv) clear regulation of the workforce to align the contracts with the organisational culture. Findings suggests that institutional PPPs enable national health services to reap great benefits when introduced as a complement to the traditional public-service provisions for a defined set of services and goals.

  17. Basics of compounding: considerations for implementing United States pharmacopeia chapter 797 pharmaceutical compounding-sterile preparations, part 16: suggested standard operating procedures.

    PubMed

    Okeke, Claudia C; Allen, Loyd V

    2009-01-01

    The standard operating procedures suggested in this article are presented to compounding pharmacies to ensure the quality of the environment in which a CSP is prepared. Since United States Pharmacopeia Chapter 797 provides minimum standards, each facility should aim for best practice gold standard. The standard operating procedures should be tailored to meet the expectations and design of each facility. Compounding personnel are expected to know and understand each standard operating procedure to allow for complete execution of the procedures.

  18. 10 CFR Appendix U to Subpart B of... - Uniform Test Method for Measuring the Energy Consumption of Ceiling Fans

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... Test Procedure,” and Chapter 6, “Definitions and Acronyms,” of the EPA's “ENERGY STAR Testing Facility Guidance Manual: Building a Testing Facility and Performing the Solid State Test Method for ENERGY STAR... specified in Chapter 4, “Equipment Setup and Test Procedure,” of the EPA's “ENERGY STAR Testing Facility...

  19. 10 CFR Appendix U to Subpart B of... - Uniform Test Method for Measuring the Energy Consumption of Ceiling Fans

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... Test Procedure,” and Chapter 6, “Definitions and Acronyms,” of the EPA's “ENERGY STAR Testing Facility Guidance Manual: Building a Testing Facility and Performing the Solid State Test Method for ENERGY STAR... specified in Chapter 4, “Equipment Setup and Test Procedure,” of the EPA's “ENERGY STAR Testing Facility...

  20. 10 CFR Appendix U to Subpart B of... - Uniform Test Method for Measuring the Energy Consumption of Ceiling Fans

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... Test Procedure,” and Chapter 6, “Definitions and Acronyms,” of the EPA's “ENERGY STAR Testing Facility Guidance Manual: Building a Testing Facility and Performing the Solid State Test Method for ENERGY STAR... specified in Chapter 4, “Equipment Setup and Test Procedure,” of the EPA's “ENERGY STAR Testing Facility...

  1. 10 CFR Appendix U to Subpart B of... - Uniform Test Method for Measuring the Energy Consumption of Ceiling Fans

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... Test Procedure,” and Chapter 6, “Definitions and Acronyms,” of the EPA's “ENERGY STAR Testing Facility Guidance Manual: Building a Testing Facility and Performing the Solid State Test Method for ENERGY STAR... specified in Chapter 4, “Equipment Setup and Test Procedure,” of the EPA's “ENERGY STAR Testing Facility...

  2. 36 CFR 1260.42 - What are the procedures for agency personnel to review records at a NARA facility?

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 36 Parks, Forests, and Public Property 3 2011-07-01 2011-07-01 false What are the procedures for agency personnel to review records at a NARA facility? 1260.42 Section 1260.42 Parks, Forests, and Public... reviewers; (2) Provide space for agency reviewers in the facility in which the records are located to the...

  3. 14 CFR 171.23 - Requests for IFR procedure.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ...) NAVIGATIONAL FACILITIES NON-FEDERAL NAVIGATION FACILITIES Nondirectional Radio Beacon Facilities § 171.23... beacon facility that he owns must submit the following information with that request: (1) A description...

  4. 4 CFR 28.44 - Taking of depositions.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 4 Accounts 1 2010-01-01 2010-01-01 false Taking of depositions. 28.44 Section 28.44 Accounts GOVERNMENT ACCOUNTABILITY OFFICE GENERAL PROCEDURES GOVERNMENT ACCOUNTABILITY OFFICE PERSONNEL APPEALS BOARD... Procedures Discovery § 28.44 Taking of depositions. Depositions may be taken before any person not interested...

  5. 4 CFR 28.44 - Taking of depositions.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 4 Accounts 1 2011-01-01 2011-01-01 false Taking of depositions. 28.44 Section 28.44 Accounts GOVERNMENT ACCOUNTABILITY OFFICE GENERAL PROCEDURES GOVERNMENT ACCOUNTABILITY OFFICE PERSONNEL APPEALS BOARD... Procedures Discovery § 28.44 Taking of depositions. Depositions may be taken before any person not interested...

  6. 10 CFR 16.1 - Purpose and scope.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... Federal Government. This part applies to all Federal employees who owe debts to the Nuclear Regulatory... REGULATORY COMMISSION SALARY OFFSET PROCEDURES FOR COLLECTING DEBTS OWED BY FEDERAL EMPLOYEES TO THE FEDERAL GOVERNMENT § 16.1 Purpose and scope. (a) This part provides procedures for the collection by administrative...

  7. 48 CFR 10.002 - Procedures.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... MARKET RESEARCH 10.002 Procedures. (a) Acquisitions begin with a description of the Government's needs stated in terms sufficient to allow conduct of market research. (b) Market research is then conducted to... could be modified to meet the Government's needs. (1) The extent of market research will vary, depending...

  8. 12 CFR 552.5 - Bylaws.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... submitted to the OTS for approval if it would: (A) Render more difficult or discourage a merger, tender...) Corporate governance procedures. A Federal stock association may elect to follow the corporate governance... Corporation law; or The Model Business Corporation Act, provided that such procedures may be elected to the...

  9. 12 CFR 552.5 - Bylaws.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... submitted to the OTS for approval if it would: (A) Render more difficult or discourage a merger, tender...) Corporate governance procedures. A Federal stock association may elect to follow the corporate governance... Corporation law; or The Model Business Corporation Act, provided that such procedures may be elected to the...

  10. The home hemodialysis hub: physical infrastructure and integrated governance structure.

    PubMed

    Marshall, Mark R; Young, Bessie A; Fox, Sally J; Cleland, Calli J; Walker, Robert J; Masakane, Ikuto; Herold, Aaron M

    2015-04-01

    An effective home hemodialysis program critically depends on adequate hub facilities and support functions and on transparent and accountable organizational processes. The likelihood of optimal service delivery and patient care will be enhanced by fit-for-purpose facilities and implementation of a well-considered governance structure. In this article, we describe the required accommodation and infrastructure for a home hemodialysis program and a generic organizational structure that will support both patient-facing clinical activities and business processes. © 2015 International Society for Hemodialysis.

  11. Board evaluation and effectiveness: models, components and perspectives.

    PubMed

    Scharf, M; Marty, D; Barnsley, J

    1994-01-01

    Health facility boards are being challenged to increase their effectiveness in the face of the changing health care environment. To this end, accreditation standards require boards to develop methods of evaluating their governing function and performance. During a survey of governance issues, the authors interviewed a group of health service executives with respect to board evaluation at their facilities. The responses yielded insights relating to models and components of evaluation, board missions and policies, mentoring programs and trustee education and orientation.

  12. Current significant challenges in the decommissioning and environmental remediation of radioactive facilities: A perspective from outside the nuclear industry.

    PubMed

    Gil-Cerezo, V; Domínguez-Vilches, E; González-Barrios, A J

    2017-05-01

    This paper presents the results of implementing an extrajudicial environmental mediation procedure in the socioenvironmental conflict associated with routine operation of the El Cabril Disposal Facility for low- and medium- activity radioactive waste (Spain). We analyse the socio-ethical perspective of this facility's operation with regard to its nearby residents, detailing the structure and development of the environmental mediation procedure through the participation of society and interested parties who are or may become involved in such a conflict. The research, action, and participation method was used to apply the environmental mediation procedure. This experience provides lessons that could help improve decision-making processes in nuclear or radioactive facility decommissioning projects or in environmental remediation projects dealing with ageing facilities or with those in which nuclear or radioactive accidents/incidents may have occurred. Copyright © 2017 Elsevier Ltd. All rights reserved.

  13. Conditions for exercising residents' voting rights in long-term care residences: a prospective multicenter study.

    PubMed

    Bosquet, Antoine; El Massioui, Farid; Mahé, Isabelle

    2015-01-01

    To assess voting conditions in long-term care settings, we conducted a multicenter survey after the 2009 European elections in France. A questionnaire about voting procedures and European elections was proposed in 146 out of 884 randomized facilities. Sixty-four percent of facilities answered the questionnaire. Four percent of residents voted (national turnout: 40%), by proxy (58%) or at polling places (42%). Abstention related to procedural issues was reported in 32% of facilities. Sixty-seven percent of establishments had voting procedures, and 53% declared that they assessed residents' capacity to vote. Assistance was proposed to residents for voter registration, for proxy voting, and for voting at polling places, respectively, in 33%, 87%, and 80% of facilities. This survey suggests that residents may be disenfranchised and that more progress should be made to protect the voting rights of residents in long-term care facilities.

  14. 32 CFR 148.14 - Procedures.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... POLICY AND IMPLEMENTATION OF RECIPROCITY OF FACILITIES Guidelines for the Implementation and Oversight of the Policy on Reciprocity of use and Inspections of Facilities § 148.14 Procedures. (a) Agencies that... maximize interagency reciprocity shall be based primarily upon existing organizational reporting channels...

  15. 32 CFR 148.14 - Procedures.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... POLICY AND IMPLEMENTATION OF RECIPROCITY OF FACILITIES Guidelines for the Implementation and Oversight of the Policy on Reciprocity of use and Inspections of Facilities § 148.14 Procedures. (a) Agencies that... maximize interagency reciprocity shall be based primarily upon existing organizational reporting channels...

  16. 32 CFR 148.14 - Procedures.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... POLICY AND IMPLEMENTATION OF RECIPROCITY OF FACILITIES Guidelines for the Implementation and Oversight of the Policy on Reciprocity of use and Inspections of Facilities § 148.14 Procedures. (a) Agencies that... maximize interagency reciprocity shall be based primarily upon existing organizational reporting channels...

  17. 32 CFR 148.14 - Procedures.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... POLICY AND IMPLEMENTATION OF RECIPROCITY OF FACILITIES Guidelines for the Implementation and Oversight of the Policy on Reciprocity of use and Inspections of Facilities § 148.14 Procedures. (a) Agencies that... maximize interagency reciprocity shall be based primarily upon existing organizational reporting channels...

  18. 32 CFR 148.14 - Procedures.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... POLICY AND IMPLEMENTATION OF RECIPROCITY OF FACILITIES Guidelines for the Implementation and Oversight of the Policy on Reciprocity of use and Inspections of Facilities § 148.14 Procedures. (a) Agencies that... maximize interagency reciprocity shall be based primarily upon existing organizational reporting channels...

  19. 28 CFR 91.62 - Preparing an Environmental Assessment.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... FACILITIES Environmental Impact Review Procedures for VOI/TIS Grant Program Environmental Review Procedures... issue a Finding of No Significant Environmental Impact (FONSI) or prepare an Environmental Impact... requires considering all potential impacts associated with the construction of the correctional facility...

  20. An overview of the draft for the amendment of 'nuclear materials and radioactive waste management act'

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

    Huan Lin; Tai-Wei Lan; Min-Tsang Chang

    2013-07-01

    The 'Nuclear Materials and Radioactive Waste Management Act' (NMRWMA) in Taiwan has been in use since 2002. To promote further administrative efficiency and improve regulatory capacity, an amendment of the act has been initiated by the Atomic Energy Council (AEC). It is now being reviewed by outside experts and related communities so as to include the best understanding of risk management factors. For the future decommissioning challenges of nuclear facilities, the act is also being amended to comply with the regulatory requirements of the decommissioning mandates. Currently the Taiwan government is conducting government reorganization, and AEC will be reformed butmore » will remain as an independent regulatory body. AEC will then be capable of improving the regulatory capacity for facilitating licensing and inspection, ensuring operational safety, environmental protection and public involvement, and giving a more flexible administrative discretion, such as expending the margin of penalty. The amendment is also required to provide a formal legal basis for the Nuclear Backend Fund, and to mandate the waste producers to take responsibility for any final debt repayment. In addition, this amendment promotes measures to prevent accidents or emergencies concerning radioactive materials and facilities and procedures to reduce the impact and effect of any unexpected events. Furthermore, this amendment intends to implement the concept of information transparency and public participation so as to meet the public needs. Finally, radioactive waste final disposal tasks have to be completed by waste producers under the supervision of the AEC. (authors)« less

  1. Emergency, anaesthetic and essential surgical capacity in the Gambia

    PubMed Central

    Shivute, Nestor; Bickler, Stephen; Cole-Ceesay, Ramou; Jargo, Bakary; Abdullah, Fizan; Cherian, Meena

    2011-01-01

    Abstract Objective To assess the resources for essential and emergency surgical care in the Gambia. Methods The World Health Organization’s Tool for Situation Analysis to Assess Emergency and Essential Surgical Care was distributed to health-care managers in facilities throughout the country. The survey was completed by 65 health facilities – one tertiary referral hospital, 7 district/general hospitals, 46 health centres and 11 private health facilities – and included 110 questions divided into four sections: (i) infrastructure, type of facility, population served and material resources; (ii) human resources; (iii) management of emergency and other surgical interventions; (iv) emergency equipment and supplies for resuscitation. Questionnaire data were complemented by interviews with health facility staff, Ministry of Health officials and representatives of nongovernmental organizations. Findings Important deficits were identified in infrastructure, human resources, availability of essential supplies and ability to perform trauma, obstetric and general surgical procedures. Of the 18 facilities expected to perform surgical procedures, 50.0% had interruptions in water supply and 55.6% in electricity. Only 38.9% of facilities had a surgeon and only 16.7% had a physician anaesthetist. All facilities had limited ability to perform basic trauma and general surgical procedures. Of public facilities, 54.5% could not perform laparotomy and 58.3% could not repair a hernia. Only 25.0% of them could manage an open fracture and 41.7% could perform an emergency procedure for an obstructed airway. Conclusion The present survey of health-care facilities in the Gambia suggests that major gaps exist in the physical and human resources needed to carry out basic life-saving surgical interventions. PMID:21836755

  2. Recent U. S. Government Printing Office Publications and Periodicals Useful for Rural Development.

    ERIC Educational Resources Information Center

    Delaware Univ., Georgetown. Cooperative Extension Service.

    The bibliography cites 127 publications and periodicals useful for rural development which were in the most current Government Printing Office's price lists. It is divided into 5 categories: (1) People Building; (2) Community Facilities; (3) Environmental Improvement; (4) Economic Development; and (5) Government Periodicals. Topics covered are:…

  3. THE FEDERAL INVESTMENT IN HIGHER EDUCATION, THE NEED FOR A SUSTAINED COMMITMENT.

    ERIC Educational Resources Information Center

    American Council on Education, Washington, DC.

    BECAUSE OF THE INTERDEPENDENCE OF HIGHER EDUCATION AND THE FEDERAL GOVERNMENT, THE POSITION OF THE AMERICAN COUNCIL ON EDUCATION IS THAT THE GOVERNMENT SHOULD HAVE AN ACTIVE ROLE IN STRENGTHENING HIGHER EDUCATION. THE GOVERNMENT'S SHARE IN FACILITIES CONSTRUCTION PROJECTS SHOULD BE INCREASED, AND EMPHASIS ON EXPANSION OF ENROLLMENT CAPACITY SHOULD…

  4. 48 CFR 45.301 - Use and rental.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... GOVERNMENT PROPERTY Authorizing the Use and Rental of Government Property 45.301 Use and rental. This subpart prescribes policies and procedures for contractor use and rental of Government property. (a) Government... accountable or otherwise authorized. (b) Rental charges, to the extent authorized do not apply to Government...

  5. 48 CFR 45.301 - Use and rental.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... GOVERNMENT PROPERTY Authorizing the Use and Rental of Government Property 45.301 Use and rental. This subpart prescribes policies and procedures for contractor use and rental of Government property. (a) Government... accountable or otherwise authorized. (b) Rental charges, to the extent authorized do not apply to Government...

  6. 48 CFR 908.7101-7 - Government license tags.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 48 Federal Acquisition Regulations System 5 2014-10-01 2014-10-01 false Government license tags... Government license tags. (a) Government license tags shall be procured and assignments recorded by DOE... local laws, regulations, and procedures. (d) In the District of Columbia, official Government tags shall...

  7. 14 CFR 171.21 - Scope.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... FACILITIES NON-FEDERAL NAVIGATION FACILITIES Nondirectional Radio Beacon Facilities § 171.21 Scope. (a) This... radio beacon facilities that are to be involved in the approval of instrument flight rules and air traffic control procedures related to those facilities. (b) A nondirectional radio beacon (“H” facilities...

  8. Mobile/Modular BSL-4 Facilities for Meeting Restricted Earth Return Containment Requirements

    NASA Technical Reports Server (NTRS)

    Calaway, M. J.; McCubbin, F. M.; Allton, J. H.; Zeigler, R. A.; Pace, L. F.

    2017-01-01

    NASA robotic sample return missions designated Category V Restricted Earth Return by the NASA Planetary Protection Office require sample containment and biohazard testing in a receiving laboratory as directed by NASA Procedural Requirement (NPR) 8020.12D - ensuring the preservation and protection of Earth and the sample. Currently, NPR 8020.12D classifies Restricted Earth Return for robotic sample return missions from Mars, Europa, and Enceladus with the caveat that future proposed mission locations could be added or restrictions lifted on a case by case basis as scientific knowledge and understanding of biohazards progresses. Since the 1960s, sample containment from an unknown extraterrestrial biohazard have been related to the highest containment standards and protocols known to modern science. Today, Biosafety Level (BSL) 4 standards and protocols are used to study the most dangerous high-risk diseases and unknown biological agents on Earth. Over 30 BSL-4 facilities have been constructed worldwide with 12 residing in the United States; of theses, 8 are operational. In the last two decades, these brick and mortar facilities have cost in the hundreds of millions of dollars dependent on the facility requirements and size. Previous mission concept studies for constructing a NASA sample receiving facility with an integrated BSL-4 quarantine and biohazard testing facility have also been estimated in the hundreds of millions of dollars. As an alternative option, we have recently conducted an initial trade study for constructing a mobile and/or modular sample containment laboratory that would meet all BSL-4 and planetary protection standards and protocols at a faction of the cost. Mobile and modular BSL-2 and 3 facilities have been successfully constructed and deployed world-wide for government testing of pathogens and pharmaceutical production. Our study showed that a modular BSL-4 construction could result in approximately 90% cost reduction when compared to traditional construction methods without compromising the preservation of the sample or Earth.

  9. Student Government.

    ERIC Educational Resources Information Center

    Morrow, Joyce

    Materials for running a student government program at the junior high school level are provided in three general sections. Section 1 is a description of student government operations. Topics covered include student government responsibilities and activities, student council meeting procedures, parliamentary rules, responsibilities of the…

  10. 32 CFR 1702.3 - Procedures governing acceptance of service of process.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... THE DIRECTOR OF NATIONAL INTELLIGENCE PROCEDURES GOVERNING THE ACCEPTANCE OF SERVICE OF PROCESS § 1702... Intelligence, Office of General Counsel, Washington, DC 20511, and the envelope must be conspicuously marked... capacity. Except for the DNI, the Principal Deputy Director of National Intelligence, and the Director of...

  11. 32 CFR 1702.3 - Procedures governing acceptance of service of process.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... THE DIRECTOR OF NATIONAL INTELLIGENCE PROCEDURES GOVERNING THE ACCEPTANCE OF SERVICE OF PROCESS § 1702... Intelligence, Office of General Counsel, Washington, DC 20511, and the envelope must be conspicuously marked... capacity. Except for the DNI, the Principal Deputy Director of National Intelligence, and the Director of...

  12. 32 CFR 1702.3 - Procedures governing acceptance of service of process.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... THE DIRECTOR OF NATIONAL INTELLIGENCE PROCEDURES GOVERNING THE ACCEPTANCE OF SERVICE OF PROCESS § 1702... Intelligence, Office of General Counsel, Washington, DC 20511, and the envelope must be conspicuously marked... capacity. Except for the DNI, the Principal Deputy Director of National Intelligence, and the Director of...

  13. 32 CFR 1702.3 - Procedures governing acceptance of service of process.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... THE DIRECTOR OF NATIONAL INTELLIGENCE PROCEDURES GOVERNING THE ACCEPTANCE OF SERVICE OF PROCESS § 1702... Intelligence, Office of General Counsel, Washington, DC 20511, and the envelope must be conspicuously marked... capacity. Except for the DNI, the Principal Deputy Director of National Intelligence, and the Director of...

  14. 32 CFR 1702.3 - Procedures governing acceptance of service of process.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... THE DIRECTOR OF NATIONAL INTELLIGENCE PROCEDURES GOVERNING THE ACCEPTANCE OF SERVICE OF PROCESS § 1702... Intelligence, Office of General Counsel, Washington, DC 20511, and the envelope must be conspicuously marked... capacity. Except for the DNI, the Principal Deputy Director of National Intelligence, and the Director of...

  15. 78 FR 62362 - Revisions to Procedural Regulations Governing Transportation by Intrastate Pipelines; Electronic...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-21

    ...] Revisions to Procedural Regulations Governing Transportation by Intrastate Pipelines; Electronic Tariff... under the Commission's jurisdiction pursuant to the Natural Gas Policy Act of 1978 or the Natural Gas Act.\\1\\ Take notice that, effective November 12, 2013, the list of available eTariff Type of Filing...

  16. 76 FR 13295 - Modifications of the Rules and Procedures Governing the Provisions of International...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-11

    ... FEDERAL COMMUNICATIONS COMMISSION 47 CFR Parts 1 and 63 [IB Docket No. 04-47; FCC 07-118] Modifications of the Rules and Procedures Governing the Provisions of International Telecommunications Service... telecommunications service regulations. The information collection requirements were approved on February 18, 2011 by...

  17. 76 FR 13296 - Modifications of the Rules and Procedures Governing the Provisions of International...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-11

    ... FEDERAL COMMUNICATIONS COMMISSION 47 CFR Parts 1 and 63 [IB Docket No. 04-47; FCC 10-187] Modifications of the Rules and Procedures Governing the Provisions of International Telecommunications Service... telecommunications service regulations. The information collection requirements were approved on February 18, 2011 by...

  18. 12 CFR 550.570 - What procedures govern the revocation?

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 12 Banks and Banking 5 2011-01-01 2011-01-01 false What procedures govern the revocation? 550.570 Section 550.570 Banks and Banking OFFICE OF THRIFT SUPERVISION, DEPARTMENT OF THE TREASURY FIDUCIARY POWERS OF SAVINGS ASSOCIATIONS Terminating Fiduciary Activities Revocation of Fiduciary Powers § 550.570...

  19. 12 CFR 550.570 - What procedures govern the revocation?

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 12 Banks and Banking 5 2010-01-01 2010-01-01 false What procedures govern the revocation? 550.570 Section 550.570 Banks and Banking OFFICE OF THRIFT SUPERVISION, DEPARTMENT OF THE TREASURY FIDUCIARY POWERS OF SAVINGS ASSOCIATIONS Terminating Fiduciary Activities Revocation of Fiduciary Powers § 550.570...

  20. Notions of "Generation" in Rhetorical Studies.

    ERIC Educational Resources Information Center

    Young, Richard

    A study of the meanings of "generation," a popular term in current rhetorical jargon, reveals important developments in the art and theory of rhetoric. As now used, it refers without clear distinction to rule-governed, heuristic, and trial-and-error procedures. The rule-governed procedures of transformation grammar are being employed to…

  1. 76 FR 70830 - Proposed Information Collection (Procedures, and Security for Government Financing) Activity...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-15

    ... (Procedures, and Security for Government Financing) Activity; Comment Request AGENCY: Office of Management... contract payments and to determine if the contractor has adequate security to warrant payment in advance... correspondence. During the comment period, comments may be viewed online through FDMS. FOR FURTHER INFORMATION...

  2. Marketing Sports Facilities: Perspectives from Botswana

    ERIC Educational Resources Information Center

    Bohutsana, Basuti; Akpata, Dele

    2013-01-01

    The provision of sports facilities contributes immensely to the growth of sports and leisure activities in the countries where they are provided. In some countries, as was the case in Botswana, the government had to spend millions of dollars to provide new Integrated Sports Facilities (ISF's) as a panacea for the continued poor performance of its…

  3. Charter Schools: Limited Access to Facility Financing. Report to Congressional Requesters.

    ERIC Educational Resources Information Center

    Shaul, Marnie S.

    This report determines the degree to which charter schools have access to traditional public school facility financing, and whether alternative sources of facility financing are available to charter schools. Further discussed are potential options generally available to the federal government if it were to assume a larger role in charter school…

  4. 14 CFR 1204.1404 - Requests for use of NASA airfield facilities.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 14 Aeronautics and Space 5 2012-01-01 2012-01-01 false Requests for use of NASA airfield... ADMINISTRATIVE AUTHORITY AND POLICY Use of NASA Airfield Facilities by Aircraft Not Operated for the Benefit of the Federal Government § 1204.1404 Requests for use of NASA airfield facilities. (a) Request for use...

  5. 14 CFR 1204.1404 - Requests for use of NASA airfield facilities.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 14 Aeronautics and Space 5 2013-01-01 2013-01-01 false Requests for use of NASA airfield... ADMINISTRATIVE AUTHORITY AND POLICY Use of NASA Airfield Facilities by Aircraft Not Operated for the Benefit of the Federal Government § 1204.1404 Requests for use of NASA airfield facilities. (a) Request for use...

  6. 14 CFR § 1204.1404 - Requests for use of NASA airfield facilities.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 14 Aeronautics and Space 5 2014-01-01 2014-01-01 false Requests for use of NASA airfield... ADMINISTRATION ADMINISTRATIVE AUTHORITY AND POLICY Use of NASA Airfield Facilities by Aircraft Not Operated for the Benefit of the Federal Government § 1204.1404 Requests for use of NASA airfield facilities. (a...

  7. 14 CFR 1204.1404 - Requests for use of NASA airfield facilities.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 14 Aeronautics and Space 5 2010-01-01 2010-01-01 false Requests for use of NASA airfield... ADMINISTRATIVE AUTHORITY AND POLICY Use of NASA Airfield Facilities by Aircraft Not Operated for the Benefit of the Federal Government § 1204.1404 Requests for use of NASA airfield facilities. (a) Request for use...

  8. 20 CFR 638.307 - Facility surveys.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 20 Employees' Benefits 3 2012-04-01 2012-04-01 false Facility surveys. 638.307 Section 638.307....307 Facility surveys. The Job Corps Director shall issue procedures to conduct periodic facility surveys of centers. ...

  9. 20 CFR 638.307 - Facility surveys.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 20 Employees' Benefits 3 2011-04-01 2011-04-01 false Facility surveys. 638.307 Section 638.307....307 Facility surveys. The Job Corps Director shall issue procedures to conduct periodic facility surveys of centers. ...

  10. 20 CFR 638.307 - Facility surveys.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false Facility surveys. 638.307 Section 638.307....307 Facility surveys. The Job Corps Director shall issue procedures to conduct periodic facility surveys of centers. ...

  11. Factors promoting resident deaths at aged care facilities in Japan: a review.

    PubMed

    Sugimoto, Kentaro; Ogata, Yasuko; Kashiwagi, Masayo

    2018-03-01

    Due to an increasingly ageing population, the Japanese government has promoted elderly deaths in aged care facilities. However, existing facilities were not designed to provide resident end-of-life care and the proportion of aged care facility deaths is currently less than 10%. Consequently, the present review evaluated the factors that promote aged care facility resident deaths in Japan from individual- and facility-level perspectives to exploring factors associated with increased resident deaths. To achieve this, MEDLINE, CINAHL, Web of Science and Ichushi databases were searched on 23 January 2016. Influential factors were reviewed for two healthcare services (insourcing and outsourcing facilities) as well as external healthcare agencies operating outside facilities. Of the original 2324 studies retrieved, 42 were included in analysis. Of these studies, five focused on insourcing, two on outsourcing, seven on external agencies and observed facility/agency-level factors. The other 28 studies identified individual-level factors related to death in aged care facilities. The present review found that at both facility and individual levels, in-facility resident deaths were associated with healthcare service provision, confirmation of resident/family end-of-life care preference and staff education. Additionally, while outsourcing facilities did not require employment of physicians/nursing staff to accommodate resident death, these facilities required visits by physicians and nursing staff from external healthcare agencies as well as residents' healthcare input. This review also found few studies examining outsourcing facilities. The number of healthcare outsourcing facilities is rapidly increasing as a result of the Japanese government's new tax incentives. Consequently, there may be an increase in elderly deaths in outsourcing healthcare facilities. Accordingly, it is necessary to identify the factors associated with residents' deaths at outsourcing facilities. © 2016 The Authors. Health and Social Care in the Community Published by John Wiley & Sons Ltd.

  12. Genitourinary Surgical Workload at Deployed U.S. Facilities in Iraq and Afghanistan, 2002-2016.

    PubMed

    Turner, Caryn A; Orman, Jean A; Stockinger, Zsolt T; Hudak, Steven J

    2018-06-13

    Genitourinary surgery constitutes approximately 1.15% of procedures performed for combat injuries. During forward deployment, surgeons usually deploy without urology support. To better understand the training and skills maintenance needs for genitourinary procedures by describing in detail the genitourinary surgical workload during 15 years of combat operations and compare our findings with those from previously published articles. A retrospective analysis of the Department of Defense Trauma Registry (DoDTR) was performed for all Roles 2 and 3 medical treatment facilities in Iraq and Afghanistan, from January 2002 to May 2016. The 177 ICD-9-CM procedure codes identified as genitourinary procedures were grouped into 15 anatomic categories by subject matter experts. Select groups were further subdivided by procedure types. Descriptive analyses were performed and stratified workload percentiles were calculated for the 10th, 50th, and 90th percentiles. Data analysis was performed using Stata Version 14 (College Station, TX, USA). This quality improvement project was deemed exempt from institutional review board review by the U.S. Army Institute of Surgical Research. A total of 3,963 genitourinary surgical procedures were identified, the majority occurring at Role 3 medical treatment facilities (3,512, 88.6%). The most common procedure groups were testis (20.6%), bladder (18.8%), scrotum (17.7%), and kidney (13.5%). The single most common individual procedures performed were unilateral orchiectomy (394, 9.9%), suture of laceration of scrotum and tunica vaginalis (373, 9.4%), nephroureterectomy (360, 9.1%), and other suprapubic cystostomy (268, 6.8%). Of the 77 gynecological procedures, 15 were C-sections. Genitourinary caseload per facility was low, never exceeding nine procedures per month. All deploying surgeons may be required to evaluate, stage, and surgically manage genitourinary, gynecologic, and obstetrical conditions. Surgery on the male genitalia, bladder, and kidney were the most commonly required genitourinary operative procedures in deployed facilities; therefore, non-urological surgeons should receive pre-deployment training in these techniques. The workload data from our study can be used to help guide the development of pre-deployment training to ensure military surgeons have the skills to perform the specialty procedures required while deployed.

  13. 20 CFR 361.17 - Coordination with other government agencies.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... AND PROCEDURES RECOVERY OF DEBTS OWED TO THE UNITED STATES GOVERNMENT BY GOVERNMENT EMPLOYEES § 361.17 Coordination with other government agencies. (a) Board is paying agency. (1) If the Board receives a claim... 20 Employees' Benefits 1 2010-04-01 2010-04-01 false Coordination with other government agencies...

  14. 12 CFR 1710.10 - Law applicable to corporate governance.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 12 Banks and Banking 7 2010-01-01 2010-01-01 false Law applicable to corporate governance. 1710.10... § 1710.10 Law applicable to corporate governance. (a) General. The corporate governance practices and... Enterprise shall follow the corporate governance practices and procedures of the law of the jurisdiction in...

  15. 48 CFR 9.307 - Government administration procedures.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 1 2010-10-01 2010-10-01 false Government administration... ACQUISITION PLANNING CONTRACTOR QUALIFICATIONS First Article Testing and Approval 9.307 Government..., to the Government laboratory or other activity responsible for approval at the address specified in...

  16. 48 CFR 9.307 - Government administration procedures.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 48 Federal Acquisition Regulations System 1 2014-10-01 2014-10-01 false Government administration... ACQUISITION PLANNING CONTRACTOR QUALIFICATIONS First Article Testing and Approval 9.307 Government..., to the Government laboratory or other activity responsible for approval at the address specified in...

  17. An inventory of aeronautical ground research facilities. Volume 4: Engineering flight simulation facilities

    NASA Technical Reports Server (NTRS)

    Pirrello, C. J.; Hardin, R. D.; Capelluro, L. P.; Harrison, W. D.

    1971-01-01

    The general purpose capabilities of government and industry in the area of real time engineering flight simulation are discussed. The information covers computer equipment, visual systems, crew stations, and motion systems, along with brief statements of facility capabilities. Facility construction and typical operational costs are included where available. The facilities provide for economical and safe solutions to vehicle design, performance, control, and flying qualities problems of manned and unmanned flight systems.

  18. Development of Army Facility Functionality Assessment Criteria and Procedures

    DTIC Science & Technology

    2010-09-01

    critical facility types: the Tactical Equipment Main- tenance Facility (TEMF), the Company Operations Facility (COF), the Bat- talion Headquarters...Criteria for Company Operations Facilities (COF) ................ 56 Appendix G: Army Standard Design Criteria for Tactical Equipment Maintenance...1 mission-critical facility types: the Tactical Equipment Mainten- ance Facility (TEMF), the Company Operations Facility (COF), the Batta- lion

  19. 48 CFR 22.605 - Rulings and interpretations of the Act.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Government for supplies that are to be used in the construction and equipment of Government facilities. (4... that the aggregate amount of all orders estimated to be placed thereunder for 1 year after the...

  20. Ohio Space Grant Funds for Scholarship/Fellowship Students

    NASA Technical Reports Server (NTRS)

    1996-01-01

    The Ohio Aerospace Institute (OAT), a consortium of university, industry, and government, was formed to promote collaborative aerospace-related research, graduate education, and technology transfer among the nine Ohio universities with doctoral level engineering programs, NASA Lewis Research Center, Air Force Wright Laboratory, and industry. OAT provides enhanced opportunities for affiliates to utilize federal government research laboratories and facilities at Lewis Research Center (LeRC) and Wright Laboratory. As a component of the graduate education and research programs, students and faculty from the member universities, LeRC engineers and scientists, and visiting investigators from industry, government and non-member universities conduct collaborative research projects using the unique facilities at LeRC, and will participate in collaborative education programs. Faculty from the member universities who hold collateral appointments at OAT, and government and industry experts serving as adjunct faculty, can participate in the supervision of student research.

  1. Lightning and surge protection, grounding, bonding and shielding requirements for facilities and electronic equipment

    DOT National Transportation Integrated Search

    2002-08-09

    This document mandates standard lightning protection, transient protection, electrostatic discharge (ESD), grounding, bonding and shielding configurations and procedures for new facilities, facility modifications, facility up grades, new equipment in...

  2. Does Janani Shishu Suraksha Karyakram ensure cost-free institutional delivery? A cross-sectional study in rural Bankura of West Bengal, India.

    PubMed

    Mondal, Janmenjoy; Mukhopadhyay, Dipta Kanti; Mukhopadhyay, Sujishnu; Sinhababu, Apurba

    2015-01-01

    Janani Shishu Suraksha Karyakram (JSSK) was launched in India to ensure cost-free institutional delivery. 1) To assess the awareness of recently delivered women regarding JSSK 2) To estimate the cost of institutional delivery and its differentials. A community-based, cross-sectional study was conducted in a rural community in Bankura, West Bengal, India in 2013, among 210 women who delivered babies in the last 12 months. Information regarding sociodemographic and health service-related variables as well as item-wise costs incurred for institutional delivery were collected. Costs were expressed in Indian National Rupee (INR). A nonparametric, bivariate analysis was performed to examine the difference in median cost. All components of JSSK were known to 12.9% women; the highest (77.1%) for admission and lowest (29.0%) for blood transfusion. The median (±IQR) costs of delivery in the Block level Primary Health Center (PHC), medical college, and private facilities were INR 205.0 (±825.0), 900.0 (±1013.0), and 6600.0 (±16195.0), respectively. Median cost of normal delivery in a private facility (INR 2750.0) was 3.6 times of that in a government facility (INR 765.0). Median direct cost of caesarian section (CS) in a government facility (INR 1100.0) was nearly one-fifteenth of that in a private facility (INR 16,350.0). Cash incentives under Janani Suraksha Yojana for poor and socially marginalized women could not cover the cost of CS delivery in a government facility. Gaps existed in the awareness of beneficiaries regarding entitlement under JSSK. Drugs and transport were two major causes of out-of-pocket (OOP) expenditure in public health facilities.

  3. 48 CFR 2922.101-4 - Removal of items from contractor facilities affected by work stoppages.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Regulations System DEPARTMENT OF LABOR SOCIOECONOMIC PROGRAMS APPLICATION OF LABOR LAWS TO GOVERNMENT ACQUISITIONS Basic Labor Policies 2922.101-4 Removal of items from contractor facilities affected by work...

  4. Biosafety and biosecurity measures: management of biosafety level 3 facilities.

    PubMed

    Zaki, Adel N

    2010-11-01

    With the increasing biological threat from emerging infectious diseases and bioterrorism, it has become essential for governments around the globe to increase awareness and preparedness for identifying and containing those agents. This article introduces the basic concepts of laboratory management, laboratory biosafety and laboratory biosecurity. Assessment criteria for laboratories' biorisk should include both biosafety and biosecurity measures. The assessment requires setting specific goals and selecting management approaches. In order to implement technologies at the laboratory working level, a management team should be created whose role is to implement biorisk policies, rules and regulations appropriate for that facility. Rules and regulations required by government authorities are presented, with special emphasis on methods for air control, and liquid and solid waste management. Management and biorisk measures and appropriate physical facilities must keep pace, ensuring efficient facilities that protect workers, the environment, the product (research, diagnostic and/or vaccine) and the biological pathogen. Published by Elsevier B.V.

  5. 48 CFR 245.103-71 - Transferring Government property accountability.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 48 Federal Acquisition Regulations System 3 2014-10-01 2014-10-01 false Transferring Government... ACQUISITION REGULATIONS SYSTEM, DEPARTMENT OF DEFENSE CONTRACT MANAGEMENT GOVERNMENT PROPERTY General 245.103-71 Transferring Government property accountability. Follow the procedures at PGI 245.103-71 for...

  6. Safety, Quality, and Acceptability of Contraceptive Subdermal Implant Provision by Community Health Extension Workers Versus Nurses and Midwives in Nigeria: Protocol for a Quasi-Experimental, Noninferiority Study

    PubMed Central

    Penfold, Suzanne; Alabi, Olalere; Ali, Moazzam; Hopkins, Kristen; Ngo, Thoai Dinh; Odogwu, Kingsley; Douthwaite, Megan; Ezire, Onoriode; Udoh, Uko; Effiom, Effiom; Munroe, Erik S

    2018-01-01

    Background As part of its Family Planning 2020 commitment, the Nigerian government is aiming for a contraceptive prevalence rate of 36% by 2018, and in 2014, approved a policy to allow community health extension workers (CHEWs), in addition to doctors, nurses, and midwives, to provide contraceptive subdermal implants. There is a lack of rigorous evidence on the safety of long-acting reversible contraceptive provision, such as implants, among lower cadres of health providers. Objective This study aimed to compare implant provision by CHEWs versus nurses and midwives up to 14 days post insertion. Methods The quasi-experimental, noninferiority study will take place in public sector facilities in Kaduna and Ondo States. In each state, we will select 60 facilities, and from these, we will select a total of 30 nurses and midwives and 30 CHEWs to participate. Selected providers will be trained to provide implant services. Once trained, providers will recruit a minimum of 8125 women aged between 18 and 49 years who request and are eligible for an implant, following comprehensive family planning counseling. During implant insertion, providers will record data about the process and any adverse events, and 14 days post insertion, providers will ask 4410 clients about adverse events arising from the implant. Supervisors will observe 792 implant insertions to assess service provision quality and ask clients about their satisfaction with the procedure. We will conclude noninferiority if the CI for the difference in the proportion of adverse events between CHEWs and nurses and midwives on the day of insertion or 14 days post insertion lies to the right of −2%. Results In September and October 2015, we trained 60 CHEWs and a total of 60 nurses and midwives from 12 local government areas (LGAs) in Kaduna and 23 LGAs in Ondo. Recruitment took place between November 2015 and December 2016. Data analysis is being finalized, and results are expected in March 2018. Conclusions The strength of this study is having a standard care (nurse and midwife provision) group with which CHEW provision can be compared. The intervention builds on existing training and supervision procedures, which increases the sustainability and scalability of CHEW implant provision. Important limitations include the lack of randomization due to nurses and midwives in Nigeria working in separate types of health care facilities compared with CHEWs, and that providers self-assess their own practices. It is unfeasible to observe all procedures independently, and observation may change practice. Although providers will be trained to conduct implant removals, the study time will be too short to reach the sample size required to make noninferiority comparisons for removals. Trial Registration ClinicalTrials.gov NCT03088722; https://clinicaltrials.gov/ct2/show/NCT03088722 (Archived by WebCite at http://www.webcitation.org/6xIHImWvu) PMID:29500162

  7. Social democratic government and spatial distribution of health care facilities. The case of hospital beds in Germany.

    PubMed

    Bennema-Broos, M; Groenewegen, P P; Westert, G P

    2001-06-01

    In this paper, the hypothesis that the spatial distribution of hospital beds is more even in countries with socialist or social democratic governments than in countries with conservative or Christian democratic governments was tested. To avoid the confounding influences of historical and institutional differences between countries, we used the Federal Republic of Germany as a case study. The German federal states have their own governments who play an important role in creating structures for the planning of hospital facilities. The test of the hypothesis was largely quantitative. At the level of federal states the rank correlation was computed between the weighted number of years of left-wing government participation and the coefficient of variation in the number of hospital beds per 1000 inhabitants. In addition to this, the hospital plans of two federal states were studied. The hypothesis was supported by the data, showing a positive association between the number of years of left-wing government participation and regional variation in the number of hospital beds. A comparison of the hospital plans of two contrasting federal states showed less government interference in hospital planning in the state with a tradition of right-wing government. There seems to be a relation between left-wing government participation in West German states and a more equal distribution of the number of hospital beds per 1,000 inhabitants.

  8. 77 FR 5876 - Agency Information Collection Activities: Proposed Information Collection; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-06

    ... for remuneration of the agent. 12 CFR 7.2000(b) (Corporate governance procedures--Other sources of... governance procedures. 12 CFR 7.2004 (Honorary directors or advisory boards): Any listing of a national bank's honorary or advisory directors must distinguish between them and the bank's board of directors or...

  9. 4 CFR 22.7 - Copies and Service Thereof [Rule 7].

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... to § 22.4 of this part [Rule 4], e-mail service is preferred. However, where the parties agree to... 4 Accounts 1 2010-01-01 2010-01-01 false Copies and Service Thereof [Rule 7]. 22.7 Section 22.7 Accounts GOVERNMENT ACCOUNTABILITY OFFICE GENERAL PROCEDURES RULES OF PROCEDURE OF THE GOVERNMENT...

  10. 4 CFR 22.7 - Copies and Service Thereof [Rule 7].

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... to § 22.4 of this part [Rule 4], e-mail service is preferred. However, where the parties agree to... 4 Accounts 1 2011-01-01 2011-01-01 false Copies and Service Thereof [Rule 7]. 22.7 Section 22.7 Accounts GOVERNMENT ACCOUNTABILITY OFFICE GENERAL PROCEDURES RULES OF PROCEDURE OF THE GOVERNMENT...

  11. 4 CFR 22.14 - Production of Documents, Electronically Stored Information, Other Tangible Things, or Entry Onto...

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... Information, Other Tangible Things, or Entry Onto Land [Rule 14]. 22.14 Section 22.14 Accounts GOVERNMENT ACCOUNTABILITY OFFICE GENERAL PROCEDURES RULES OF PROCEDURE OF THE GOVERNMENT ACCOUNTABILITY OFFICE CONTRACT..., or Entry Onto Land [Rule 14]. (a) When documents, electronically stored information, other tangible...

  12. 75 FR 81488 - Modification of the Rules and Procedures Governing the Provision of International...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-28

    ... FEDERAL COMMUNICATIONS COMMISSION 47 CFR Parts 1 and 63 [IB Docket No. 04-47; FCC 10-187] Modification of the Rules and Procedures Governing the Provision of International Telecommunications Service... forth above is adopted. List of Subjects in 47 CFR Parts 1 and 63 Cable, Telecommunications. Federal...

  13. 4 CFR 83.1 - Purpose and scope of part.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 4 Accounts 1 2010-01-01 2010-01-01 false Purpose and scope of part. 83.1 Section 83.1 Accounts GOVERNMENT ACCOUNTABILITY OFFICE RECORDS PRIVACY PROCEDURES FOR PERSONNEL RECORDS § 83.1 Purpose and scope of part. This part describes the policy and prescribes the procedures of the U.S. Government...

  14. Factors Affecting Utilization of Information Output of Computer-Based Modeling Procedures in Local Government Organizations.

    ERIC Educational Resources Information Center

    Komsky, Susan

    Fiscal Impact Budgeting Systems (FIBS) are sophisticated computer based modeling procedures used in local government organizations, whose results, however, are often overlooked or ignored by decision makers. A study attempted to discover the reasons for this situation by focusing on four factors: potential usefulness, faith in computers,…

  15. ByLaws for the Governance of the Sandia National Laboratories Sandia Postdoctoral Development (SPD) Association.

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

    McBride, Amber Alane Fisher; Rodgers, Theron; Dong, Wen

    The purpose of this document is to define the rules of governance for the Sandia Postdoctoral Development (SPD) Association. This includes election procedures for filling vacancies on the SPD board, an all-purpose voting procedure, and definitions for the roles and responsibilities of each SPD board member. The voting procedures can also be used to amend the by-laws, as well as to create, dissolve, or consolidate vacant SPD board positions.

  16. 40 CFR 60.244 - Test methods and procedures.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Fertilizer Industry: Granular Triple Superphosphate Storage Facilities § 60.244 Test methods and procedures... quantities of product are being cured or stored in the facility. (1) Total granular triple superphosphate is at least 10 percent of the building capacity, and (2) Fresh granular triple superphosphate is at...

  17. 40 CFR 60.244 - Test methods and procedures.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Fertilizer Industry: Granular Triple Superphosphate Storage Facilities § 60.244 Test methods and procedures... quantities of product are being cured or stored in the facility. (1) Total granular triple superphosphate is at least 10 percent of the building capacity, and (2) Fresh granular triple superphosphate is at...

  18. 46 CFR 160.062-8 - Procedures for acceptance of testing facility.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 6 2011-10-01 2011-10-01 false Procedures for acceptance of testing facility. 160.062-8 Section 160.062-8 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) EQUIPMENT, CONSTRUCTION, AND MATERIALS: SPECIFICATIONS AND APPROVAL LIFESAVING EQUIPMENT Releases. Lifesaving Equipment...

  19. 46 CFR 160.062-7 - Procedures for acceptance of repair facility.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 6 2011-10-01 2011-10-01 false Procedures for acceptance of repair facility. 160.062-7 Section 160.062-7 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) EQUIPMENT, CONSTRUCTION, AND MATERIALS: SPECIFICATIONS AND APPROVAL LIFESAVING EQUIPMENT Releases. Lifesaving Equipment...

  20. 37 CFR 401.1 - Scope.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... by the government on research performers while using private facilities which would preclude them from accepting research funding from other sources to expand, to aid in completing or to conduct separate investigations closely related to research activities sponsored by the government. Notwithstanding...

Some links on this page may take you to non-federal websites. Their policies may differ from this site.
Top