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Sample records for managing fluctuating staffing

  1. Benefits of Qualitative Simulation for Managing Fluctuating Staffing Needs

    SciTech Connect

    Nichols, Todd Travis

    2001-07-01

    Management of the High Level Waste Program Office at the Idaho National Environmental and Engineering Laboratory has projected oscillating future employment levels. A simple computer model was created to help convince management that qualitative modeling of "soft" variables can provide appreciable insight into the consequences and performance of alternative staffing policies. Advocacy of the model underlying the simulation or a particular strategy did not motivate the study, but rather a desire to instill enthusiasm and elicit new and improved conceptual models from management. Six qualitative and three quantitative generic insights to managing staffing levels are gained from the simulations. These insights in their generic form should be familiar to those knowledgeable of system dynamics or computer/instrument process control. Their potential usefulness to developing staffing strategies is stressed. The two primary overarching assertions that flow from the simulation results are: 1) the presence of multiple feedbacks, time delays, and continuous flows introduce instability into a personnel system that complicates the management of staffing levels. Many times "soft" variables, such as morale, productivity, and efficiency are the sources of such influences; and 2) such influences can be successfully modeled. In the case of the simple model used in these simulations, for example, the qualitative impact of a strategy using hiring and laying off as the sole managerial interventions is assessed.

  2. Benefits of Qualitative Simulation for Managing Fluctuating Staffing Needs

    SciTech Connect

    T. T. Nichols

    2001-07-02

    Management of the High Level Waste Program Office at the Idaho National Environmental and Engineering Laboratory has projected oscillating future employment levels. A simple computer model was created to help convince management that qualitative modeling of ''soft'' variables can provide appreciable insight into the consequences and performance of alternative staffing policies. Advocacy of the model underlying the simulation or a particular strategy did not motivate the study, but rather a desire to instill enthusiasm and elicit new and improved conceptual models from management. Six qualitative and three quantitative generic insights to managing staffing levels are gained from the simulations. These insights in their generic form should be familiar to those knowledgeable of system dynamics or computer/instrument process control. Their potential usefulness to developing staffing strategies is stressed. The two primary overarching assertions that flow from the simulation results are: (1) the presence of multiple feedbacks, time delays, and continuous flows introduce instability into a personnel system that complicates the management of staffing levels. Many times ''soft'' variables, such as morale, productivity, and efficiency are the sources of such influences; and (2) such influences can be successfully modeled. In the case of the simple model used in these simulations, for example, the qualitative impact of a strategy using hiring and laying off as the sole managerial interventions is assessed.

  3. Determining hospital risk management staffing through analytics.

    PubMed

    Howard, Chrystina M; Felton, Kenneth W

    2013-01-01

    This article presents the development of an independent research project to gather time data from hospital risk managers in order to establish an objective, justifiable means of determining staffing levels recommended to support risk management activities and department functions.

  4. Reconciling Flexible Staffing Models with Inclusive Governance and Management

    ERIC Educational Resources Information Center

    Whitchurch, Celia; Gordon, George

    2013-01-01

    Higher education managers are under increasing pressure from governments to reduce costs by adopting more flexible staffing practices and tensions can arise as institutions seek to sustain motivation and morale across a diversifying workforce. This paper considers how institutional management and governance practices facilitate innovative…

  5. Is your staffing ratio appropriate for your case management model?

    PubMed

    2015-03-01

    Case managers may be working longer hours and have more responsibilities to help their hospital comply with health care reform initiatives, but before rushing to the C-suite to ask for more staff, case management directors should take a hard look at the roles and responsibilities of the department, experts say. They recommend: Look at your staffing ratio and determine if it is appropriate for your case management model and if it is in line with staffing ratios at similar hospitals with similar models. Make a list of all the tasks that case managers are asked to do and break out those that don't affect outcomes or cost of care and those that don't require licensure. Get these assigned to other employees. Before you approach management to ask for more staff, do your homework and have hard data to back up your request. Consider hiring case management extenders to take over clerical tasks and free up case managers to work at the top of their licenses. PMID:25730955

  6. Is your staffing ratio appropriate for your case management model?

    PubMed

    2015-03-01

    Case managers may be working longer hours and have more responsibilities to help their hospital comply with health care reform initiatives, but before rushing to the C-suite to ask for more staff, case management directors should take a hard look at the roles and responsibilities of the department, experts say. They recommend: Look at your staffing ratio and determine if it is appropriate for your case management model and if it is in line with staffing ratios at similar hospitals with similar models. Make a list of all the tasks that case managers are asked to do and break out those that don't affect outcomes or cost of care and those that don't require licensure. Get these assigned to other employees. Before you approach management to ask for more staff, do your homework and have hard data to back up your request. Consider hiring case management extenders to take over clerical tasks and free up case managers to work at the top of their licenses.

  7. Smart Staffing.

    ERIC Educational Resources Information Center

    Landsberg, Marc

    1995-01-01

    This article presents an interview with Robert Deware, associate professor of organization behavior at Northwestern University in Evanston, Illinois, who offers advice on setting up and managing a university public relations office. It focuses on issues of office size, staffing, structure, and strategy. (MDM)

  8. Staffing Ideas.

    ERIC Educational Resources Information Center

    Child Care Information Exchange, 1987

    1987-01-01

    Presents business organization and child care center managers with ideas on how to deal with various staffing situations. Ideas include suggestions for handling informal staff networks; getting insight into what is important to people; motivating people in difficult situations; developing temporary employee services for child caregivers; and…

  9. Dynamic Staffing and Rescheduling in Software Project Management: A Hybrid Approach.

    PubMed

    Ge, Yujia; Xu, Bin

    2016-01-01

    Resource allocation could be influenced by various dynamic elements, such as the skills of engineers and the growth of skills, which requires managers to find an effective and efficient tool to support their staffing decision-making processes. Rescheduling happens commonly and frequently during the project execution. Control options have to be made when new resources are added or tasks are changed. In this paper we propose a software project staffing model considering dynamic elements of staff productivity with a Genetic Algorithm (GA) and Hill Climbing (HC) based optimizer. Since a newly generated reschedule dramatically different from the initial schedule could cause an obvious shifting cost increase, our rescheduling strategies consider both efficiency and stability. The results of real world case studies and extensive simulation experiments show that our proposed method is effective and could achieve comparable performance to other heuristic algorithms in most cases. PMID:27285420

  10. Developing Staffing Models to Support Population Health Management And Quality Oucomes in Ambulatory Care Settings.

    PubMed

    Haas, Sheila A; Vlasses, Frances; Havey, Julia

    2016-01-01

    There are multiple demands and challenges inherent in establishing staffing models in ambulatory heath care settings today. If health care administrators establish a supportive physical and interpersonal health care environment, and develop high-performing interprofessional teams and staffing models and electronic documentation systems that track performance, patients will have more opportunities to receive safe, high-quality evidence-based care that encourages patient participation in decision making, as well as provision of their care. The health care organization must be aligned and responsive to the community within which it resides, fully invested in population health management, and continuously scanning the environment for competitive, regulatory, and external environmental risks. All of these challenges require highly competent providers willing to change attitudes and culture such as movement toward collaborative practice among the interprofessional team including the patient.

  11. Dynamic Staffing and Rescheduling in Software Project Management: A Hybrid Approach

    PubMed Central

    Ge, Yujia; Xu, Bin

    2016-01-01

    Resource allocation could be influenced by various dynamic elements, such as the skills of engineers and the growth of skills, which requires managers to find an effective and efficient tool to support their staffing decision-making processes. Rescheduling happens commonly and frequently during the project execution. Control options have to be made when new resources are added or tasks are changed. In this paper we propose a software project staffing model considering dynamic elements of staff productivity with a Genetic Algorithm (GA) and Hill Climbing (HC) based optimizer. Since a newly generated reschedule dramatically different from the initial schedule could cause an obvious shifting cost increase, our rescheduling strategies consider both efficiency and stability. The results of real world case studies and extensive simulation experiments show that our proposed method is effective and could achieve comparable performance to other heuristic algorithms in most cases. PMID:27285420

  12. Developing Staffing Models to Support Population Health Management And Quality Oucomes in Ambulatory Care Settings.

    PubMed

    Haas, Sheila A; Vlasses, Frances; Havey, Julia

    2016-01-01

    There are multiple demands and challenges inherent in establishing staffing models in ambulatory heath care settings today. If health care administrators establish a supportive physical and interpersonal health care environment, and develop high-performing interprofessional teams and staffing models and electronic documentation systems that track performance, patients will have more opportunities to receive safe, high-quality evidence-based care that encourages patient participation in decision making, as well as provision of their care. The health care organization must be aligned and responsive to the community within which it resides, fully invested in population health management, and continuously scanning the environment for competitive, regulatory, and external environmental risks. All of these challenges require highly competent providers willing to change attitudes and culture such as movement toward collaborative practice among the interprofessional team including the patient. PMID:27439249

  13. Achieving effective staffing through a shared decision-making approach to open-shift management.

    PubMed

    Valentine, Nancy M; Nash, Jan; Hughes, Douglas; Douglas, Kathy

    2008-01-01

    Managing costs while retaining qualified nurses and finding workforce solutions that ensure the delivery of high-quality patient care is of primary importance to nurse leaders and executive management. Leading healthcare organizations are using open-shift management technology as a strategy to improve staffing effectiveness and the work environment. In many hospitals, open-shift management technology has become an essential workforce management tool, nursing benefit, and recruitment and retention incentive. In this article, the authors discuss how a successful nursing initiative to apply automation to open-shift scheduling and fulfillment across a 3-hospital system had a broad enterprise-wide impact resulting in dramatic improvements in nurse satisfaction, retention, recruitment, and the bottom line.

  14. Achieving effective staffing through a shared decision-making approach to open-shift management.

    PubMed

    Valentine, Nancy M; Nash, Jan; Hughes, Douglas; Douglas, Kathy

    2008-01-01

    Managing costs while retaining qualified nurses and finding workforce solutions that ensure the delivery of high-quality patient care is of primary importance to nurse leaders and executive management. Leading healthcare organizations are using open-shift management technology as a strategy to improve staffing effectiveness and the work environment. In many hospitals, open-shift management technology has become an essential workforce management tool, nursing benefit, and recruitment and retention incentive. In this article, the authors discuss how a successful nursing initiative to apply automation to open-shift scheduling and fulfillment across a 3-hospital system had a broad enterprise-wide impact resulting in dramatic improvements in nurse satisfaction, retention, recruitment, and the bottom line. PMID:18690123

  15. Determining Optimal Nursing Resources in Relation to Functions During the Oulu University Hospital Nurse Staffing Management Project.

    PubMed

    Liljamo, Pia; Lavander, Päivi; Kejonen, Pirjo

    2016-01-01

    The Oulu University Hospital's staffing management project sought information on the number of nursing staff in relation to treatment days and visits, using existing indicators to describe the activities involved. The retrospective data obtained was compared to human resources and the personnel structure. On this basis an optimal number of staff was determined for the units, taking account of a range of explanatory indicator data. The project made use of the computational model for nurse staffing and the World Health Organisation's (WHO) Workload Indicators of Staffing Need (WISN) method. The project provided extensive information on human resources issues within the units. Its results indicated the differences between wards with respect to the number and structure of resources. In addition, the nurse administrators lacked skills in gathering and using data from administrative datasets. This information will provide support for the further development of nursing operations and nursing management decision-making. PMID:27332151

  16. Differentiated Staffing.

    ERIC Educational Resources Information Center

    Geisinger, Robert W.; And Others

    This report describes school operation changes in scheduling, curriculum, decisionmaking powers, and individualization of instruction that are concurrent with the adoption of differentiated staffing. The author defines differentiated staffing, explains where and at what levels it has been utilized, provides descriptions of results achieved, gives…

  17. A Pharmacist-Staffed, Virtual Gout Management Clinic for Achieving Target Serum Uric Acid Levels: A Randomized Clinical Trial

    PubMed Central

    Goldfien, Robert; Pressman, Alice; Jacobson, Alice; Ng, Michele; Avins, Andrew

    2016-01-01

    Context: Relatively few patients with gout receive appropriate treatment. Objective: To determine whether a pharmacist-staffed gout management program is more effective than usual care in achieving target serum uric acid (sUA) levels in gout patients. Design: A parallel-group, randomized controlled trial of a pharmacist-staffed, telephone-based program for managing hyperuricemia vs usual care. Trial duration was 26 weeks. Main Outcome Measures: Primary outcome measure was achieving sUA levels at or below 6 mg/dL at the 26-week visit. Secondary outcome was mean change in sUA levels in the control and intervention groups. Participants were adults with recurrent gout and sUA levels above 6.0 mg/dL. Participants were randomly assigned to management by a clinical pharmacist following protocol or to monitoring of sUA levels but management of their gout by their usual treating physician. Results: Of 102 patients who met eligibility criteria, 77 subjects obtained a baseline sUA measurement and were entered into the trial. Among 37 participants in the intervention group, 13 (35%) had sUA levels at or below 6.0 mg/dL at 26 weeks, compared with 5 (13%) of 40 participants in the control group (risk ratio = 2.8, 95% confidence interval [CI] = 1.1 to 7.1, p = 0.03). The mean change in sUA levels among controls was +0.1 mg/dL compared with −1.5 mg/dL in the intervention group (sUA difference = −1.6, 95% CI = −0.9 to −2.4, p < 0.001). Conclusions: A structured pharmacist-staffed program was more effective than usual care for achieving target sUA levels. These results suggest a structured program could greatly improve gout management. PMID:27352414

  18. Surviving the staffing crisis.

    PubMed

    Ehrhardt, Patty

    2002-01-01

    Numerous seminars and articles discuss the staffing shortage in health care and in the laboratory. Most of these have dealt with the importance of retaining and recruiting good employees. Given the median age of laboratories (49 years old), the decrease in medical technology schools, and a decline in people choosing the laboratory profession, the staffing shortage is here to stay and will affect the way we run our laboratories for years to come. Clinical systems managers need to identify and make the changes necessary in their laboratories to deal with the staffing shortage while maintaining quality testing and good customer service. This article will review the need and the process to assess laboratory operations along with the needs of the facility and/or health-care community. Obvious and not-so-obvious ideas for streamlining laboratory efficiencies along with maintaining high levels of quality and service will be presented. PMID:12506834

  19. Outcomes and cost analysis of the impact of unit-level nurse staffing on post-discharg utilization.

    PubMed

    Bobay, Kathleen L; Yakusheva, Olga; Weiss, Marianne E

    2011-01-01

    Under a proposal from the Centers for Medicare and Medicaid Services, hospitals would no longer be reimbursed for 30-day re-admissions or emergency department (ED) visits. Increasing RN staffing to reduce post-discharge utilization is one possible solution, but one that is not financially attractive to hospitals. This study demonstrates the impact of fluctuating staffing levels on ED visits within 30 days of discharge. RN overtime and RN vacancies also affected subsequent ED visits. It is important for nurse managers, directors, and administrators to recognize the impact of RN staffing on patient outcomes. Reimbursement models will need to be realigned to benefit both hospitals and payers.

  20. Nursing Management Minimum Data Set: Cost-Effective Tool To Demonstrate the Value of Nurse Staffing in the Big Data Science Era.

    PubMed

    Pruinelli, Lisiane; Delaney, Connie W; Garciannie, Amy; Caspers, Barbara; Westra, Bonnie L

    2016-01-01

    There is a growing body of evidence of the relationship of nurse staffing to patient, nurse, and financial outcomes. With the advent of big data science and developing big data analytics in nursing, data science with the reuse of big data is emerging as a timely and cost-effective approach to demonstrate nursing value. The Nursing Management Minimum Date Set (NMMDS) provides standard administrative data elements, definitions, and codes to measure the context where care is delivered and, consequently, the value of nursing. The integration of the NMMDS elements in the current health system provides evidence for nursing leaders to measure and manage decisions, leading to better patient, staffing, and financial outcomes. It also enables the reuse of data for clinical scholarship and research.

  1. Human Resource Management in Hong Kong Preschools: The Impact of Falling Rolls on Staffing

    ERIC Educational Resources Information Center

    Ho, Choi-Wa Dora

    2009-01-01

    Purpose: The purpose of this paper is to discuss the impact of falling rolls on human resource management in local preschools in Hong Kong. It aims to argue that the developing role of leadership in creating a culture and procedures for collective participation in staff appraisal is important for human resource management in preschool settings.…

  2. Analysis of Academic Staffing Policies.

    ERIC Educational Resources Information Center

    Bloomfield, Stefan D.

    1980-01-01

    Large-scale Markov chain models and Monte Carlo simulation, two types of models useful for academic managers to analyze academic staffing policies, are described. Their relative advantages and disadvantages regarding technical requirements and performance, as well as managerial usefulness at different levels of the university, are discussed.…

  3. A Survey of UK University Web Management: Staffing, Systems and Issues

    ERIC Educational Resources Information Center

    Cox, Andrew; Emmott, Stephen

    2007-01-01

    Purpose: The purpose of the paper is to summarize the findings of a survey of UK universities about how their websites are managed and resourced, which technologies are in use, and what are seen as the main issues and priorities. Design/methodology/approach: The paper is based on a web-based questionnaire distributed in summer 2006, which received…

  4. Directive Management Procedures, Staffing Patterns in Education for Emotionally Disturbed Students.

    ERIC Educational Resources Information Center

    DeYoung, Michael

    A systematic procedure is outlined which gives guidance to therapists and teachers in managing seriously emotionally disturbed (SED) students (9 to 18 years old) who reside at a licensed children's institution or are attending a centralized public school facility for SED students. Among findings from a review of the literature was that intensive…

  5. Top Nurse-Management Staffing Collapse and Care Quality in Nursing Homes

    PubMed Central

    Hunt, Selina R.; Corazzini, Kirsten; Anderson, Ruth A.

    2014-01-01

    Director of nursing turnover is linked to staff turnover and poor quality of care in nursing homes; however the mechanisms of these relationships are unknown. Using a complexity science framework, we examined how nurse management turnover impacts system capacity to produce high quality care. This study is a longitudinal case analysis of a nursing home (n = 97 staff) with 400% director of nursing turnover during the study time period. Data included 100 interviews, observations and documents collected over 9 months and were analyzed using immersion and content analysis. Turnover events at all staff levels were nonlinear, socially mediated and contributed to dramatic care deficits. Federal mandated, quality assurance mechanisms failed to ensure resident safety. High multilevel turnover should be elevated to a sentinel event for regulators. Suggestions to magnify positive emergence in extreme conditions and to improve quality are provided. PMID:24652943

  6. An Advanced Pharmacy Practice Experience in a Student-Staffed Medication Therapy Management Call Center

    PubMed Central

    Hall, Anna M.; Roane, Teresa E.; Mistry, Reena

    2012-01-01

    Objective. To describe the implementation of an advanced pharmacy practice experience (APPE) in medication therapy management (MTM) designed to contribute to student pharmacists’ confidence and abilities in providing MTM. Design. Sixty-four student pharmacists provided MTM services during an APPE in a communication and care center. Assessment. Students conducted 1,495 comprehensive medication reviews (CMRs) identifying 6,056 medication-related problems. Ninety-eight percent of the students who completed a survey instrument (52 of 53) following the APPE expressed that they had the necessary knowledge and skills to provide MTM services. Most respondents felt that pharmacist participation in providing Medicare MTM could move the profession of pharmacy forward and that pharmacists will have some role in deciding the specific provisions of the Medicare MTM program (92% and 91%, respectively). Conclusion. Students completing the MTM APPE received patient-centered experiences that supplemented their confidence, knowledge, and skill in providing MTM services in the future. PMID:22919086

  7. Why Nurse Staffing Matters: A Moral Imperative.

    PubMed

    Mensik, Jennifer; Nickitas, Donna M

    2015-01-01

    Safe nurse staffing is undeniably linked to patient safety and satisfaction, workforce satisfaction and safety, and cost savings. A nationwide mandate must be driven toward the use of electronic staffing and scheduling systems that take into consideration the patient's real-time specific needs This system must be matched to the most appropriate nurse with the ability to provide care safely for all the patients in his or her total assignments. These patient care assignments should be designed in partnership with managers and staff RNs. Only then will we reverse the trend of staffing-related patient deaths and injury in U.S. hospitals. PMID:26259345

  8. Census variation staffing.

    PubMed

    Douglas, D A; Mayewski, J

    1996-02-01

    A Census Variation Staffing (CVS) model has been used successfully on all nursing units for 4 years. Historical data and nursing hours per patient day (NHPPD) are used to determine the staffing needs of each unit on a daily, shift-by-shift basis. CVS has been heralded as the single largest factor in the hospital's consistent profitability--averaging annual savings of $485,100. PMID:8632867

  9. Predicting climate fluctuations for water management by applying neural network

    SciTech Connect

    Zhang, E.Y.

    1996-12-31

    The ability to forecast climate fluctuations would be a valuable asset to regional water management authorities such as the South Florida Water Management District. These forecasts may provide advanced warnings of possible extended periods of deficits or surpluses of water availability allowing better regional water management for flood protection, water supply, and environmental enhancement. In order to achieve this goal, it is necessary to have a global perspective of the oceanic and atmospheric phenomena which may affect regional water resources. However, the complexity involved may hinder traditional analytical approaches in forecasting because such approaches are based on many simplified assumptions about the natural phenomena. This paper investigates the applicability of neural networks in climate forecasting for regional water resources management. This paper applies the most widely used Back Propagation model to the climate forecasting. In this study, issues such as selecting a best fit neural network configuration, deploying a proper training algorithm, and preprocessing input data are addressed. The effects of various global oceanic and atmospheric variables to the regional water resources are also discussed. The study is focused on the prediction of water storage for Lake Okeechobee, the liquid heart for south Florida. Several global weather parameters over the past several decades are used as input data for training and testing. Different combinations of the variables are explored. Preliminary results show that the neural networks are promising tools in this type of forecasting.

  10. 10 CFR 719.16 - When must the staffing and resource plan be submitted?

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... Management Plan § 719.16 When must the staffing and resource plan be submitted? (a) For significant matters... matters, the contractor or Department retained counsel must submit the staffing and resource plan within... must submit updates to staffing and resource plans annually or sooner if significant changes occur...

  11. 10 CFR 719.16 - When must the staffing and resource plan be submitted?

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... Management Plan § 719.16 When must the staffing and resource plan be submitted? (a) For significant matters... matters, the contractor or Department retained counsel must submit the staffing and resource plan within... must submit updates to staffing and resource plans annually or sooner if significant changes occur...

  12. 10 CFR 719.16 - When must the staffing and resource plan be submitted?

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... Management Plan § 719.16 When must the staffing and resource plan be submitted? (a) For significant matters... matters, the contractor or Department retained counsel must submit the staffing and resource plan within... must submit updates to staffing and resource plans annually or sooner if significant changes occur...

  13. Differentiated Staffing and Practice

    ERIC Educational Resources Information Center

    Christie, Kathy

    2005-01-01

    The development of the positions of nurse practitioner and physician assistant is a good example of differentiating staffing and practice to meet individual needs in an effective and cost-efficient way. This type of differentiation has been confined to the healthcare industry, principally to health maintenance organizations, but perhaps those in…

  14. Staffing the Global Organization: "Cultural Nomads"

    ERIC Educational Resources Information Center

    McPhail, Ruth; Fisher, Ron; Harvey, Michael; Moeller, Miriam

    2012-01-01

    This article explores the evolution of international staffing in an increasingly globalized and hypercompetitive marketplace. As the issue of staff retention becomes critical in global organizations, it is important to understand the types of managers that may be on or assigned to overseas assignments. The purpose of this article is to present a…

  15. Developing a staffing matrix using CMI as acuity indicator.

    PubMed

    Romito, Diane

    2006-01-01

    Adequate staffing levels on an acute rehabilitation unit may not be maintained because staffing needs fluctuate according to the needs of patient groupings. Acuity regulations from some state agencies and the Joint Commission on Accreditation of Healthcare Organizations require that staffing address patient acuity needs. Proposed ratio laws either require concrete patient-to-nurse ratios or neglect to consider acute rehabilitation. Neither have practical working tools to support their proposals. The questions of what to measure and how to translate this into effective nursing staffing remain unanswered. At the same time, nursing dissatisfaction grows with increased workloads, overtime, and perceptions of ineffectiveness. This article describes one effort to define and use a working tool for staffing acute rehabilitation units. The study used case mix index as an indicator of nursing time, integrated into a shift staffing matrix. Early results have shown it to be effective, quick, flexible, and efficient. Using this tool, quality patient outcomes within national length of stay benchmarks were maintained and staff satisfaction on this unit improved.

  16. Impact of staffing parameters on operational reliability

    SciTech Connect

    Hahn, H.A.; Houghton, F.K.

    1993-01-01

    This paper reports on a project related to human resource management of the Department of Energy's (DOE's) High-Level Waste (HLW) Tank program. Safety and reliability of waste tank operations is impacted by several issues, including not only the design of the tanks themselves, but also how operations and operational personnel are managed. As demonstrated by management assessments performed by the Tiger Teams, DOE believes that the effective use of human resources impacts environment safety, and health concerns. For the of the current paper, human resource management activities are identified as Staffing'' and include the of developing the functional responsibilities and qualifications of technical and administrative personnel. This paper discusses the importance of staff plans and management in the overall view of safety and reliability. The work activities and procedures associated with the project, a review of the results of these activities, including a summary of the literature and a preliminary analysis of the data. We conclude that although identification of staffing issues and the development of staffing plans contributes to the overall reliability and safety of the HLW tanks, the relationship is not well understood and is in need of further development.

  17. Impact of staffing parameters on operational reliability

    SciTech Connect

    Hahn, H.A.; Houghton, F.K.

    1993-02-01

    This paper reports on a project related to human resource management of the Department of Energy`s (DOE`s) High-Level Waste (HLW) Tank program. Safety and reliability of waste tank operations is impacted by several issues, including not only the design of the tanks themselves, but also how operations and operational personnel are managed. As demonstrated by management assessments performed by the Tiger Teams, DOE believes that the effective use of human resources impacts environment safety, and health concerns. For the of the current paper, human resource management activities are identified as ``Staffing`` and include the of developing the functional responsibilities and qualifications of technical and administrative personnel. This paper discusses the importance of staff plans and management in the overall view of safety and reliability. The work activities and procedures associated with the project, a review of the results of these activities, including a summary of the literature and a preliminary analysis of the data. We conclude that although identification of staffing issues and the development of staffing plans contributes to the overall reliability and safety of the HLW tanks, the relationship is not well understood and is in need of further development.

  18. An Analysis of Studies on Effectiveness of Training and Staffing to Help Schools Manage Student Conflict and Alienation. A Report.

    ERIC Educational Resources Information Center

    Hyman, Irwin A.

    A search of the literature was made on the effectiveness of recruitment and selection procedures for identifying and retaining administrators and school staff who are effective in managing student conflict and alienation. A classification scheme devised to fit approaches to school discipline within a theoretical framework includes (1) the…

  19. Effective Staffing Takes a Village: Creating the Staffing Ecosystem.

    PubMed

    Gavigan, Margaret; Fitzpatrick, Therese A; Miserendino, Carole

    2016-01-01

    The traditional approaches to staffing and scheduling are often ineffective in assuring sufficient budgeting and deployment of staff to assure the right nurse at the right time for the right cost. As hospital merger activity increases, this exercise is further complicated by the need to rationalize staffing across multiple enterprises and standardize systems and processes. This Midwest hospital system successfully optimized staffing at the unit and enterprise levels by utilizing operations research methodologies. Savings were reinvested to improve staffing models which provided sufficient nonproductive coverage and patient-driven ratios. Over/under-staffing was eliminated in support of the system's recognition that adequate resource planning and deployment are critical to the culture of safety. PMID:27265946

  20. Effective Staffing Takes a Village: Creating the Staffing Ecosystem.

    PubMed

    Gavigan, Margaret; Fitzpatrick, Therese A; Miserendino, Carole

    2016-01-01

    The traditional approaches to staffing and scheduling are often ineffective in assuring sufficient budgeting and deployment of staff to assure the right nurse at the right time for the right cost. As hospital merger activity increases, this exercise is further complicated by the need to rationalize staffing across multiple enterprises and standardize systems and processes. This Midwest hospital system successfully optimized staffing at the unit and enterprise levels by utilizing operations research methodologies. Savings were reinvested to improve staffing models which provided sufficient nonproductive coverage and patient-driven ratios. Over/under-staffing was eliminated in support of the system's recognition that adequate resource planning and deployment are critical to the culture of safety.

  1. Association between registered nurse staffing and management outcomes of patients with type 2 diabetes within primary care: a cross-sectional linkage study

    PubMed Central

    Lukewich, Julia; Edge, Dana S.; VanDenKerkhof, Elizabeth; Williamson, Tyler; Tranmer, Joan

    2016-01-01

    Background: As the organization of primary care continues to evolve toward more interdisciplinary team structures, demonstrating effectiveness of care delivery is becoming important, particularly for nonphysician providers. Nurses are the most common nonphysician provider within primary care. The purpose of this study was to examine the relation between primary care delivery models that incorporate registered nurses and clinical outcomes of patients with type 2 diabetes. Methods: Patient data from the Canadian Primary Care Sentinel Surveillance Network were matched with survey data from 15 Family Health Team practices in southeastern Ontario. Included patients were adults with type 2 diabetes mellitus who had at least 1 primary care encounter at a Family Health Team practice that completed the organizational survey between Apr. 1, 2013, and Mar. 31, 2014. The clinical outcomes explored included hemoglobin A1c, fasting plasma glucose, blood pressure, low-density lipoprotein cholesterol and urine albumin:creatinine ratio. Results: Of the 15 practices, 13 (86.7%) had at least 1 registered nurse. The presence of 1 or more registered nurses in the practice was associated with increased odds of patients' having their hemoglobin A1c, fasting plasma glucose, blood pressure and low-density lipoprotein cholesterol values meet recommended targets. Practices with the lowest ratios of patients with diabetes to registered nurse had a significantly greater proportion of patients with hemoglobin A1c and fasting plasma glucose values on target than did practices with the highest ratios of patients to registered nurse (p < 0.01 and p = 0.03, respectively). Interpretation: The findings suggest that registered nurse staffing within primary care practice teams contributes to better diabetic care, as measured by diabetes management indicators. This study sets the groundwork for further exploration of nursing and organizational contributions to patient care in the primary care setting

  2. Computerized nursing staffing: a software evaluation.

    PubMed

    Pereira, Irene Mari; Gaidzinski, Raquel Rapone; Fugulin, Fernanda Maria Togeiro; Peres, Heloísa Helena Ciqueto; Lima, Antônio Fernandes Costa; Castilho, Valéria; Mira, Vera Lúcia; Massarollo, Maria Cristina Komatsu Braga

    2011-12-01

    The complexity involved in operationalizing the method for nursing staffing, in view of the uncountable variable related to identifying the workload, the effective working time of the staff, and the Technical Security Index (TSI) revealed the need to develop a software program named: Computerized Nursing Staffing (DIPE, in Portuguese acronyms). This exploratory, descriptive study was performed with the objective to evaluate the technical quality and functional performance of DIPE. Participants were eighteen evaluators, ten of whom where nurse faculty or nurse hospital unit managers, and eight health informatics experts. The software evaluation was performed according to norm NBR ISO/IEC 9126-1, considering the features functionality, reliability, usability, efficiency, and maintainability. The software evaluation reached positive results and agreement among the evaluators for all the evaluated features. The reported suggestions are important for proposing further improving and enhancing the DIPE.

  3. 10 CFR 719.15 - What are the requirements for a staffing and resource plan?

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 10 Energy 4 2010-01-01 2010-01-01 false What are the requirements for a staffing and resource plan? 719.15 Section 719.15 Energy DEPARTMENT OF ENERGY CONTRACTOR LEGAL MANAGEMENT REQUIREMENTS Legal Management Plan § 719.15 What are the requirements for a staffing and resource plan? (a) For...

  4. 10 CFR 719.16 - When must the staffing and resource plan be submitted?

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 10 Energy 4 2010-01-01 2010-01-01 false When must the staffing and resource plan be submitted? 719.16 Section 719.16 Energy DEPARTMENT OF ENERGY CONTRACTOR LEGAL MANAGEMENT REQUIREMENTS Legal Management Plan § 719.16 When must the staffing and resource plan be submitted? (a) For significant...

  5. 10 CFR 719.15 - What are the requirements for a staffing and resource plan?

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 10 Energy 4 2011-01-01 2011-01-01 false What are the requirements for a staffing and resource plan? 719.15 Section 719.15 Energy DEPARTMENT OF ENERGY CONTRACTOR LEGAL MANAGEMENT REQUIREMENTS Legal Management Plan § 719.15 What are the requirements for a staffing and resource plan? (a) For significant matters, the contractor must require...

  6. 5 CFR 9701.363 - Special staffing payments.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 5 Administrative Personnel 3 2010-01-01 2010-01-01 false Special staffing payments. 9701.363 Section 9701.363 Administrative Personnel DEPARTMENT OF HOMELAND SECURITY HUMAN RESOURCES MANAGEMENT... HUMAN RESOURCES MANAGEMENT SYSTEM Pay and Pay Administration Special Payments § 9701.363...

  7. 5 CFR 9701.363 - Special staffing payments.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 5 Administrative Personnel 3 2014-01-01 2014-01-01 false Special staffing payments. 9701.363 Section 9701.363 Administrative Personnel DEPARTMENT OF HOMELAND SECURITY HUMAN RESOURCES MANAGEMENT SYSTEM (DEPARTMENT OF HOMELAND SECURITY-OFFICE OF PERSONNEL MANAGEMENT) DEPARTMENT OF HOMELAND...

  8. 5 CFR 9701.363 - Special staffing payments.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 5 Administrative Personnel 3 2013-01-01 2013-01-01 false Special staffing payments. 9701.363 Section 9701.363 Administrative Personnel DEPARTMENT OF HOMELAND SECURITY HUMAN RESOURCES MANAGEMENT SYSTEM (DEPARTMENT OF HOMELAND SECURITY-OFFICE OF PERSONNEL MANAGEMENT) DEPARTMENT OF HOMELAND...

  9. Staffing in ICUs: physicians and alternative staffing models.

    PubMed

    Garland, Allan; Gershengorn, Hayley B

    2013-01-01

    The evidence regarding physician staffing of ICUs does not yet provide a consistent view of the best model to use. Most studies have significant limitations, and this subject is complicated by the fact that optimal ICU staffing may depend on ICU characteristics. The topic with the most data regarding patient outcomes is the intensity of intensivist involvement in care, particularly the value of closed- vs open-model ICUs; however, the evidence is inconsistent here as well. Even if closed-model ICUs produce better outcomes, we do not know which specific elements of that multifaceted organizational paradigm are responsible for improvement. Also, studies of around-the-clock intensivist presence have not consistently shown that it is associated with superior outcomes. Increasingly, nonphysician providers are playing innovative roles in the ICU, and care provided by teams including nurse practitioners or physician assistants appears to be safe and comparable to that provided by other staffing models. Although we do not know the best way to staff ICUs, the conditions of ICU physician coverage will continue to change under the stresses of shortages of intensivists and increasing duty hour limitations for trainees. Nonphysician providers, innovative physician staffing models, telemedicine, and other technologies will be increasingly used to cope with these realities. This evolution makes it more important than ever to study how staffing affects outcomes. Only quantitative evaluation can tell us whether one staffing model is better than another. Accordingly, we need more research from multiple sites to develop a consistent and integrated understanding of this complex topic.

  10. The staffing shortage: AHRA responds.

    PubMed

    Olivi, Penny M

    2002-01-01

    The AHRA Board of Directors formed a Long-Term Staffing Task Force to study the question, "Should AHRA become involved in the resolution(s) of the current staffing crisis, and if so how?" Because the background information that could be gathered was extensive, the Task Force used the following four questions to guide its activity: SENSITIVITY TO MEMBERS' VIEWS: What do we know about the needs, wants and preferences of our members, prospective members and customers relevant to a decision to become involved in activities to resolve the staffing crisis? FORESIGHT ABOUT FUTURE ENVIRONMENT: What do we know about the current and evolving dynamics of our profession relevant to a decision to become involved in activities to resolve the staffing crisis? INSIGHT INTO THE ORGANIZATION: What do we know about the strategic position and internal capacity of our organization relevant to a decision to become involved in activities to resolve the staffing crisis? CONSIDERATION OF OUR CHOICES: What are the ethical implications of our choices relevant to a decision to become involved in activities to resolve the staffing crisis? After considerable investigation and discussion, the Task Force made the following recommendations to the Board: RAISE AWARENESS OF OUR PROFESSION: Expand the number of radiologic technologists in the workforce by increasing the diversity of our students and by changing the traditional method in which we educate students (i.e., full-time, day clinical education). Create a quality monitor useful to the majority of radiology leaders to begin to systematically document the shortage. Support limited licensure and/or create a defined position of "staff extender" for radiologic technology.

  11. Staffing by Design: A Methodology for Staffing Reference

    ERIC Educational Resources Information Center

    Ward, David; Phetteplace, Eric

    2012-01-01

    The growth in number and kind of online reference services has resulted in both new users consulting library research services as well as new patterns of service use. Staffing in-person and virtual reference services desks adequately requires a systematic analysis of patterns of use across service points in order to successfully meet fluctuating…

  12. 5 CFR 9701.363 - Special staffing payments.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... HUMAN RESOURCES MANAGEMENT SYSTEM Pay and Pay Administration Special Payments § 9701.363 Special... 5 Administrative Personnel 3 2011-01-01 2011-01-01 false Special staffing payments. 9701.363 Section 9701.363 Administrative Personnel DEPARTMENT OF HOMELAND SECURITY HUMAN RESOURCES...

  13. Staffing the Student Affairs Division: Theory, Practices, and Issues.

    ERIC Educational Resources Information Center

    Carpenter, D. Stanley; Torres, Vasti; Winston, Roger B., Jr.

    2001-01-01

    The staffing process in student affairs is one of the most important leadership and management functions that administrators are called upon to perform. How well the interrelated functions of recruitment, selection, orientation, supervision, performance appraisal, professional development, and departure by staff are handled determines the…

  14. The Use of Flexible Staffing Arrangements in Core Production Jobs.

    ERIC Educational Resources Information Center

    Gramm, Cynthia L.; Schnell, John F.

    2001-01-01

    A 1994-96 survey of Alabama human resource managers indicated that unions deterred the use of flexible arrangements; subcontracting was positively related to core employees' wages; and flexible staffing was associated with core employee hiring costs and low-cost production strategies. Core employees gained job security through use of flexible…

  15. Texas Nurse Staffing Trends Before and After Mandated Nurse Staffing Committees.

    PubMed

    Jones, Terry; Heui Bae, Sung; Murry, Nicole; Hamilton, Patti

    2015-08-01

    This article describes the evolution of mandated nurse staffing committees in Texas from 2002 to 2009 and presents a study that analyzed nurse staffing trends in Texas using a secondary analysis of hospital staffing data (N = 313 hospitals) from 2000 to 2012 obtained from the American Hospital Association Annual Survey. Nurse staffing patterns based on three staffing variables for registered nurses (RNs), licensed vocational nurses (LVNs), and total licensed nurses were identified: full-time equivalents per 1,000 adjusted patient days, productive hours per adjusted patient day, and RN skill mix. Similar to national trends between 2000 and 2012, most Texas hospitals experienced an increase in RN and total nurse staffing, decrease in LVN staffing, and an increase in RN skill mix. The magnitude of total nurse staffing changes in Texas (5% increase) was smaller than national trends (13.6% increase). Texas's small, rural, government hospitals and those with the highest preregulation staffing levels experienced the least change in staffing between 2000 and 2012: median change of 0 to .13 full-time equivalents per 1,000 adjusted patient days and median change in productive hours per patient day of 0 to .23. The varying effects of staffing committees in different organizational contexts should be considered in future staffing legislative proposals and other policy initiatives.

  16. Leadership, staffing and quality of care in nursing homes

    PubMed Central

    2011-01-01

    Background Leadership and staffing are recognised as important factors for quality of care. This study examines the effects of ward leaders' task- and relationship-oriented leadership styles, staffing levels, ratio of registered nurses and ratio of unlicensed staff on three independent measures of quality of care. Methods A cross-sectional survey of forty nursing home wards throughout Norway was used to collect the data. Five sources of data were utilised: self-report questionnaires to 444 employees, interviews with and questionnaires to 13 nursing home directors and 40 ward managers, telephone interviews with 378 relatives and 900 hours of field observations. Separate multi-level analyses were conducted for quality of care assessed by relatives, staff and field observations respectively. Results Task-oriented leadership style had a significant positive relationship with two of the three quality of care indexes. In contrast, relationship-oriented leadership style was not significantly related to any of the indexes. The lack of significant effect for relationship-oriented leadership style was due to a strong correlation between the two leadership styles (r = 0.78). Staffing levels and ratio of registered nurses were not significantly related to any of the quality of care indexes. The ratio of unlicensed staff, however, showed a significant negative relationship to quality as assessed by relatives and field observations, but not to quality as assessed by staff. Conclusions Leaders in nursing homes should focus on active leadership and particularly task-oriented behaviour like structure, coordination, clarifying of staff roles and monitoring of operations to increase quality of care. Furthermore, nursing homes should minimize use of unlicensed staff and address factors related to high ratios of unlicensed staff, like low staff stability. The study indicates, however, that the relationship between staffing levels, ratio of registered nurses and quality of care is

  17. Hot Button Issues for Staffing Professionals.

    ERIC Educational Resources Information Center

    Patterson, Valerie

    1996-01-01

    Summarizes round table discussions of various issues in staffing recruitment. The major issues covered here include technology, diversity programs, college relations, and recruitment programs. Other concerns on staffing agendas, such as salary compression, just-in-time hiring, and enhancing corporate image, are also addressed. (RJM)

  18. 42 CFR 1007.13 - Staffing requirements.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 5 2014-10-01 2014-10-01 false Staffing requirements. 1007.13 Section 1007.13 Public Health OFFICE OF INSPECTOR GENERAL-HEALTH CARE, DEPARTMENT OF HEALTH AND HUMAN SERVICES OIG AUTHORITIES STATE MEDICAID FRAUD CONTROL UNITS § 1007.13 Staffing requirements. (a) The unit will employ sufficient professional, administrative,...

  19. 42 CFR 1007.13 - Staffing requirements.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 5 2012-10-01 2012-10-01 false Staffing requirements. 1007.13 Section 1007.13 Public Health OFFICE OF INSPECTOR GENERAL-HEALTH CARE, DEPARTMENT OF HEALTH AND HUMAN SERVICES OIG AUTHORITIES STATE MEDICAID FRAUD CONTROL UNITS § 1007.13 Staffing requirements. (a) The unit will employ sufficient professional, administrative,...

  20. Study of School District Administration and Staffing.

    ERIC Educational Resources Information Center

    Colorado State Dept. of Education, Denver.

    School district administration and staffing patterns are examined in this report prepared in response to CRS 22-2-118, which requires the Colorado Department of Education to conduct a study to determine where savings of state and local funds may be realized. Section 1 offers an analysis of district staffing patterns from existing data. The second…

  1. Practice Leadership at the Front Line in Supporting People with Intellectual Disabilities and Challenging Behaviour: A Qualitative Study of Registered Managers of Community-Based, Staffed Group Homes

    ERIC Educational Resources Information Center

    Deveau, Roy; McGill, Peter

    2016-01-01

    Background: The front-line management role in services for people with intellectual disabilities remains rather under-researched. The aim of this study was to examine the experiences of registered managers in services for adults with intellectual disability who exhibit challenging behaviour. Method: Interviews, primarily focussed upon staff…

  2. A nurse staffing analysis at the largest hospital in the Gulf region

    NASA Astrophysics Data System (ADS)

    Louly, M.; Gharbi, A.; Azaiez, M. N.; Bouras, A.

    2014-12-01

    The paper considers a staffing problem at a local hospital. The managers consider they are understaffed and try to overwhelm the staffing deficit problem through overtime, rather than hiring additional nurses. However, the huge amount of allocated budget for overtime becomes a concern and needs some assessment, analysis and justification. The current hospital estimates suggests that the shortage at the hospital level corresponds to 300 full time equivalent (FTE) nurses, but the deficit is not basedon deep scientific approach. This paper deals with staffing model that provides the required scientific evidence on the deficit level. It also gives the accurate information on the overtime components. As a results, the suggested staffing model shows that some nursing units are unnecessarily overstaffed. Moreover, the current study reveals that the real deficit is of only 215 FTE resulting in a potential saving of 28%.

  3. Human Resources Staffing Plan for the Tank Farm Contractor

    SciTech Connect

    BOSLEY, J.W.

    2000-04-22

    The Human Resources Staffing Plan quantified the equivalent staffing needs required for the Tank Farm Contractor (TFC) and its subcontractors to execute the readiness to proceed baseline between FY 2000-2008. The TFC staffing needs were assessed along with the staffings needs of Fluor Hanford and the privatization contractor. The plan then addressed the staffing needs and recruitment strategies required to execute the baseline.

  4. Three approaches to safe staffing levels.

    PubMed

    Buchan, James

    2016-08-10

    We have a natural experiment emerging, with different UK countries looking at different approaches to NHS nurse staffing. For example, in June, Scotland first minister Nicola Sturgeon announced that Scotland will enshrine the use of existing local nurse workforce planning tools in law. This was misrepresented in some media coverage as being about legislated staffing levels, but it actually legislates what was already common local practice: flexibility framed by tested workforce tools, underpinned by professional judgement. PMID:27507375

  5. A Functional Model of Quality Assurance for Psychiatric Hospitals and Corresponding Staffing Requirements.

    ERIC Educational Resources Information Center

    Kamis-Gould, Edna; And Others

    1991-01-01

    A model for quality assurance (QA) in psychiatric hospitals is described. Its functions (general QA, utilization review, clinical records, evaluation, management information systems, risk management, and infection control), subfunctions, and corresponding staffing requirements are reviewed. This model was designed to foster standardization in QA…

  6. Inconsistent year-to-year fluctuations limit the conclusiveness of global higher education rankings for university management.

    PubMed

    Sorz, Johannes; Wallner, Bernard; Seidler, Horst; Fieder, Martin

    2015-01-01

    Backround. University rankings are getting very high international media attention, this holds particularly true for the Times Higher Education Ranking (THE) and the Shanghai Jiao Tong University's Academic Ranking of World Universities Ranking (ARWU). We therefore aimed to investigate how reliable the rankings are, especially for universities with lower ranking positions, that often show inconclusive year-to-year fluctuations in their rank, and if these rankings are thus a suitable basis for management purposes. Methods. We used the public available data from the web pages of the THE and the ARWU ranking to analyze the dynamics of change in score and ranking position from year to year, and we investigated possible causes for inconsistent fluctuations in the rankings by the means of regression analyses. Results. Regression analyses of results from the THE and ARWU from 2010-2014 show inconsistent fluctuations in the rank and score for universities with lower rank positions (below position 50) which lead to inconsistent "up and downs" in the total results, especially in the THE and to a lesser extent also in the ARWU. In both rankings, the mean year-to-year fluctuation of universities in groups of 50 universities aggregated by descending rank increases from less than 10% in the group of the 50 highest ranked universities to up to 60% in the group of the lowest ranked universities. Furthermore, year-to-year results do not correspond in THES- and ARWU-Rankings for universities below rank 50. Discussion. We conclude that the observed fluctuations in the THE do not correspond to actual university performance and ranking results are thus of limited conclusiveness for the university management of universities below a rank of 50. While the ARWU rankings seems more robust against inconsistent fluctuations, its year to year changes in the scores are very small, so essential changes from year to year could not be expected. Furthermore, year-to-year results do not correspond

  7. Inconsistent year-to-year fluctuations limit the conclusiveness of global higher education rankings for university management

    PubMed Central

    Sorz, Johannes; Wallner, Bernard; Seidler, Horst

    2015-01-01

    Backround. University rankings are getting very high international media attention, this holds particularly true for the Times Higher Education Ranking (THE) and the Shanghai Jiao Tong University’s Academic Ranking of World Universities Ranking (ARWU). We therefore aimed to investigate how reliable the rankings are, especially for universities with lower ranking positions, that often show inconclusive year-to-year fluctuations in their rank, and if these rankings are thus a suitable basis for management purposes. Methods. We used the public available data from the web pages of the THE and the ARWU ranking to analyze the dynamics of change in score and ranking position from year to year, and we investigated possible causes for inconsistent fluctuations in the rankings by the means of regression analyses. Results. Regression analyses of results from the THE and ARWU from 2010–2014 show inconsistent fluctuations in the rank and score for universities with lower rank positions (below position 50) which lead to inconsistent “up and downs” in the total results, especially in the THE and to a lesser extent also in the ARWU. In both rankings, the mean year-to-year fluctuation of universities in groups of 50 universities aggregated by descending rank increases from less than 10% in the group of the 50 highest ranked universities to up to 60% in the group of the lowest ranked universities. Furthermore, year-to-year results do not correspond in THES- and ARWU-Rankings for universities below rank 50. Discussion. We conclude that the observed fluctuations in the THE do not correspond to actual university performance and ranking results are thus of limited conclusiveness for the university management of universities below a rank of 50. While the ARWU rankings seems more robust against inconsistent fluctuations, its year to year changes in the scores are very small, so essential changes from year to year could not be expected. Furthermore, year-to-year results do not

  8. Inconsistent year-to-year fluctuations limit the conclusiveness of global higher education rankings for university management.

    PubMed

    Sorz, Johannes; Wallner, Bernard; Seidler, Horst; Fieder, Martin

    2015-01-01

    Backround. University rankings are getting very high international media attention, this holds particularly true for the Times Higher Education Ranking (THE) and the Shanghai Jiao Tong University's Academic Ranking of World Universities Ranking (ARWU). We therefore aimed to investigate how reliable the rankings are, especially for universities with lower ranking positions, that often show inconclusive year-to-year fluctuations in their rank, and if these rankings are thus a suitable basis for management purposes. Methods. We used the public available data from the web pages of the THE and the ARWU ranking to analyze the dynamics of change in score and ranking position from year to year, and we investigated possible causes for inconsistent fluctuations in the rankings by the means of regression analyses. Results. Regression analyses of results from the THE and ARWU from 2010-2014 show inconsistent fluctuations in the rank and score for universities with lower rank positions (below position 50) which lead to inconsistent "up and downs" in the total results, especially in the THE and to a lesser extent also in the ARWU. In both rankings, the mean year-to-year fluctuation of universities in groups of 50 universities aggregated by descending rank increases from less than 10% in the group of the 50 highest ranked universities to up to 60% in the group of the lowest ranked universities. Furthermore, year-to-year results do not correspond in THES- and ARWU-Rankings for universities below rank 50. Discussion. We conclude that the observed fluctuations in the THE do not correspond to actual university performance and ranking results are thus of limited conclusiveness for the university management of universities below a rank of 50. While the ARWU rankings seems more robust against inconsistent fluctuations, its year to year changes in the scores are very small, so essential changes from year to year could not be expected. Furthermore, year-to-year results do not correspond

  9. The occupational health service. Staffing, facilities, and equipment.

    PubMed

    Rieth, L K

    2000-08-01

    An occupational health service can be an integral part of any company. It is incumbent on the industry to conduct a thorough assessment of the need for such a service and then support the service from a financial and resource perspective. Consequently, staffing and equipping an occupational health service adequately are dependent on the services to be delivered and the type of professional staff hired. All occupational health programs can be conducted in a cost effective manner when the goals and mission are in alignment with company goals, management supports appropriate funding, and space supports the delivery of quality health care.

  10. Technical Staffing Crises and Managing Systems Projects

    ERIC Educational Resources Information Center

    Davis, Charles K.

    2007-01-01

    Case method teaching is not limited to larger, complex cases. It is often useful to supplement classroom discussions with short cases, ones that have been targeted for one or two discussion points that challenge student thinking beyond the usual lecture or textbook. These shorter cases are called "minicases." The objective of a minicase is to…

  11. Effects of State Minimum Staffing Standards on Nursing Home Staffing and Quality of Care

    PubMed Central

    Park, Jeongyoung; Stearns, Sally C

    2009-01-01

    Objective To investigate the impact of state minimum staffing standards on the level of staffing and quality of nursing home care. Data Sources Online Survey and Certification Reporting System (OSCAR) merged with the Area Resource File from 1998 through 2001. Study Design Between 1998 and 2001, 16 states implemented or expanded staffing standards in excess of federal requirements, creating a natural experiment in comparison with facilities in states without new standards. Difference-in-differences models using facility fixed effects were estimated to determine the effect of state standards. Data Collection/Extraction Methods OSCAR data were linked to the data on market conditions and state policies. A total of 55,248 facility-year observations from 15,217 freestanding facilities were analyzed. Principal Findings Increased standards resulted in small staffing increases for facilities with staffing initially below or close to new standards. Yet the standards were associated with reductions in restraint use and the number of total deficiencies at all types of facilities. Conclusions Mandated staffing standards affect only low-staff facilities facing potential for penalties, and effects are small. Selected facility-level outcomes may show improvement at all facilities due to a general response to increased standards or to other quality initiatives implemented at the same time as staffing standards. PMID:18823448

  12. Long-term fluctuations of water resources availability and its implications for a sustainable management of arid agricultural coastal regions

    NASA Astrophysics Data System (ADS)

    Grundmann, Jens; Schütze, Niels

    2015-04-01

    Freshwater scarcity and ongoing population growth associated with increasing water demands are major challenges for water management in coastal arid regions. Excessive use of groundwater for irrigation in agriculture puts those regions at risk of saltwater intrusion which limits agricultural opportunities. Additionally, some arid regions are characterised by a cyclic climate in which longer periods of dry years are followed by longer periods of wet years. This results also in long-term fluctuations of groundwater replenishment rates and water resources availability which may reach the same order of magnitude like long-term average values. Therefore, these long-term fluctuations should be considered for water resources management planning and operation. In order to evaluate their impact a simulation-based integrated water management system for coastal arid regions is used. The management system couples a groundwater module, assessing the water resources availability, and an agricultural module, controlling irrigation and cultivation within an optimisation module which allow for multi-objective optimisation of the water management regarding profitable and sustainable water resources and agricultural management on farm and regional scale. To achieve a fast and robust operation of the water management system, surrogate models are used which emulate the behaviour of physically based process models and a hierarchical optimisation scheme is applied. The water management system is driven by different scenarios of the water resources availability which were generated by using time series analyses and modelling of local groundwater replenishment rates. An application is performed for the south Batinah coastal region in the Sultanate of Oman which is affected by saltwater intrusion into a coastal aquifer system due to excessive groundwater withdrawal for irrigated agriculture. Several scenarios of water resources availability are used to compare long-term and adaptive

  13. The effects of staffing and training on firm productivity and profit growth before, during, and after the Great Recession.

    PubMed

    Kim, Youngsang; Ployhart, Robert E

    2014-05-01

    This study integrates research from strategy, economics, and applied psychology to examine how organizations may leverage their human resources to enhance firm performance and competitive advantage. Staffing and training are key human resource management practices used to achieve firm performance through acquiring and developing human capital resources. However, little research has examined whether and why staffing and training influence firm-level financial performance (profit) growth under different environmental (economic) conditions. Using 359 firms with over 12 years of longitudinal firm-level profit data, we suggest that selective staffing and internal training directly and interactively influence firm profit growth through their effects on firm labor productivity, implying that staffing and training contribute to the generation of slack resources that help buffer and then recover from the effects of the Great Recession. Further, internal training that creates specific human capital resources is more beneficial for prerecession profitability, but staffing is more beneficial for postrecession recovery, apparently because staffing creates generic human capital resources that enable firm flexibility and adaptation. Thus, the theory and findings presented in this article have implications for the way staffing and training may be used strategically to weather economic uncertainty (recession effects). They also have important practical implications by demonstrating that firms that more effectively staff and train will outperform competitors throughout all pre- and postrecessionary periods, even after controlling for prior profitability. PMID:24377393

  14. Preparing for Staffings: 10 Tips for Parents and Educators

    ERIC Educational Resources Information Center

    Romaneck, Greg

    2005-01-01

    Staffings are designed to be problem-solving meetings. In theory, all participants come to a staffing with information, knowledge or general input aimed at designing an effective educational program for a child. However, in some cases, staffings become discordant sessions laced with conflict. In order to avoid this negative outcome, it may be…

  15. 29 CFR 1952.163 - Compliance staffing benchmarks.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 9 2010-07-01 2010-07-01 false Compliance staffing benchmarks. 1952.163 Section 1952.163... Compliance staffing benchmarks. Under the terms of the 1978 Court Order in AFL-CIO v. Marshall, compliance staffing levels (benchmarks) necessary for a “fully effective” enforcement program were required to...

  16. 29 CFR 1952.263 - Compliance staffing benchmarks.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 9 2010-07-01 2010-07-01 false Compliance staffing benchmarks. 1952.263 Section 1952.263... Compliance staffing benchmarks. Under the terms of the 1978 Court Order in AFL-CIO v. Marshall, compliance staffing levels (“benchmarks”) necessary for a “fully effective” enforcement program were required for...

  17. 29 CFR 1952.113 - Compliance staffing benchmarks.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 9 2010-07-01 2010-07-01 false Compliance staffing benchmarks. 1952.113 Section 1952.113... Compliance staffing benchmarks. Under the terms of the 1978 Court Order in AFL-CIO v. Marshall, compliance staffing levels (benchmarks) necessary for a “fully effective” enforcement program were required to...

  18. 29 CFR 1952.213 - Compliance staffing benchmarks.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 9 2010-07-01 2010-07-01 false Compliance staffing benchmarks. 1952.213 Section 1952.213... Compliance staffing benchmarks. Under the terms of the 1978 Court Order in AFL-CIO v. Marshall compliance staffing levels (benchmarks) necessary for a “fully effective” enforcement program were required to...

  19. 29 CFR 1952.153 - Compliance staffing benchmarks.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 9 2010-07-01 2010-07-01 false Compliance staffing benchmarks. 1952.153 Section 1952.153....153 Compliance staffing benchmarks. Under the terms of the 1978 Court Order in AFL-CIO v. Marshall, compliance staffing levels (“benchmarks”) necessary for a “fully effective” enforcement program were...

  20. 29 CFR 1952.103 - Compliance staffing benchmarks.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 9 2010-07-01 2010-07-01 false Compliance staffing benchmarks. 1952.103 Section 1952.103... Compliance staffing benchmarks. Under the terms of the 1978 Court Order in AFL-CIO v. Marshall, compliance staffing levels (“benchmarks”) necessary for a “fully effective” enforcement program were required for...

  1. 29 CFR 1952.343 - Compliance staffing benchmarks.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 9 2010-07-01 2010-07-01 false Compliance staffing benchmarks. 1952.343 Section 1952.343... Compliance staffing benchmarks. Under the terms of the 1978 Court Order in AFL-CIO v. Marshall, Compliance staffing levels (benchmarks) necessary for a “fully effective” enforcement program were required to...

  2. 29 CFR 1952.373 - Compliance staffing benchmarks.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 9 2010-07-01 2010-07-01 false Compliance staffing benchmarks. 1952.373 Section 1952.373... Compliance staffing benchmarks. Under the terms of the 1978 Court Order in AFL-CIO v. Marshall compliance staffing levels (benchmarks) necessary for a “fully effective” enforcement program were required to...

  3. 29 CFR 1952.363 - Compliance staffing benchmarks.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 9 2010-07-01 2010-07-01 false Compliance staffing benchmarks. 1952.363 Section 1952.363... Compliance staffing benchmarks. Under the terms of the 1978 Court Order in AFL-CIO v. Marshall, compliance staffing levels (“benchmarks”) necessary for a “fully effective” enforcement program were required for...

  4. 29 CFR 1952.93 - Compliance staffing benchmarks.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 9 2010-07-01 2010-07-01 false Compliance staffing benchmarks. 1952.93 Section 1952.93....93 Compliance staffing benchmarks. Under the terms of the 1978 Court Order in AFL-CIO v. Marshall compliance staffing levels (benchmarks) necessary for a “fully effective” enforcement program were...

  5. 29 CFR 1952.353 - Compliance staffing benchmarks.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 9 2010-07-01 2010-07-01 false Compliance staffing benchmarks. 1952.353 Section 1952.353... Compliance staffing benchmarks. Under the terms of the 1978 Court Order in AFL-CIO v. Marshall, compliance staffing levels (benchmarks) necessary for a “fully effective” enforcement program were required to...

  6. 29 CFR 1952.233 - Compliance staffing benchmarks.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 9 2010-07-01 2010-07-01 false Compliance staffing benchmarks. 1952.233 Section 1952.233... Compliance staffing benchmarks. Under the terms of the 1978 Court Order in AFL-CIO v. Marshall compliance staffing levels (benchmarks) necessary for a “fully effective” enforcement program were required to...

  7. 29 CFR 1952.223 - Compliance staffing benchmarks.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 9 2010-07-01 2010-07-01 false Compliance staffing benchmarks. 1952.223 Section 1952.223... Compliance staffing benchmarks. Under the terms of the 1978 Court Order in AFL-CIO v. Marshall compliance staffing levels (benchmarks) necessary for a “fully effective” enforcement program were required to...

  8. 29 CFR 1952.293 - Compliance staffing benchmarks.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 9 2010-07-01 2010-07-01 false Compliance staffing benchmarks. 1952.293 Section 1952.293... Compliance staffing benchmarks. Under the terms of the 1978 Court Order in AFL-CIO v. Marshall compliance staffing levels (benchmarks) necessary for a “fully effective” enforcement program were required to...

  9. 29 CFR 1952.323 - Compliance staffing benchmarks.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 9 2010-07-01 2010-07-01 false Compliance staffing benchmarks. 1952.323 Section 1952.323... Compliance staffing benchmarks. Under the terms of the 1978 Court Order in AFL-CIO v. Marshall compliance staffing levels (benchmarks) necessary for a “fully effective” enforcement program were required to...

  10. Custodial Staffing Guidelines for Educational Facilities, Second Edition.

    ERIC Educational Resources Information Center

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

    The 20 chapters of this guide to custodial staffing in educational facilities are grouped into five parts addressing: (1) staffing, (2) evaluation, (3) special considerations, (4) staff development tools, and (5) case studies. The five chapters on staffing are all by Jack C. Dudley and are titled: "General Methods"; "The Mathematics of Change";…

  11. Maintenance Staffing Standards for Zero-Based Budgeting.

    ERIC Educational Resources Information Center

    Adams, Matthew C.; And Others

    1998-01-01

    Discusses school preventive maintenance and the variables associated with maintenance staffing standards that address a zero-based budgeting environment. Explores preventive-maintenance measurement for staffing requirements, defines staffing levels and job descriptions, and outlines the factors to consider when creating a maintenance program and…

  12. Staffing Practices in the Private Sector in Sri Lanka

    ERIC Educational Resources Information Center

    Wickramasinghe, Vathsala

    2007-01-01

    Purpose: This paper seeks to present and discuss the findings of a study of staffing practices in the Sri Lankan private sector with particular reference to junior level managerial jobs. The scope of staffing practices consisted of six major areas, namely the usage of information from job analysis in staffing, the sources of labour, selection…

  13. 29 CFR 1952.163 - Compliance staffing benchmarks.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 29 Labor 9 2011-07-01 2011-07-01 false Compliance staffing benchmarks. 1952.163 Section 1952.163... Compliance staffing benchmarks. Under the terms of the 1978 Court Order in AFL-CIO v. Marshall, compliance staffing levels (benchmarks) necessary for a “fully effective” enforcement program were required to...

  14. 29 CFR 1952.93 - Compliance staffing benchmarks.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 29 Labor 9 2013-07-01 2013-07-01 false Compliance staffing benchmarks. 1952.93 Section 1952.93....93 Compliance staffing benchmarks. Under the terms of the 1978 Court Order in AFL-CIO v. Marshall compliance staffing levels (benchmarks) necessary for a “fully effective” enforcement program were...

  15. 29 CFR 1952.323 - Compliance staffing benchmarks.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 29 Labor 9 2012-07-01 2012-07-01 false Compliance staffing benchmarks. 1952.323 Section 1952.323... Compliance staffing benchmarks. Under the terms of the 1978 Court Order in AFL-CIO v. Marshall compliance staffing levels (benchmarks) necessary for a “fully effective” enforcement program were required to...

  16. 29 CFR 1952.353 - Compliance staffing benchmarks.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 29 Labor 9 2012-07-01 2012-07-01 false Compliance staffing benchmarks. 1952.353 Section 1952.353... Compliance staffing benchmarks. Under the terms of the 1978 Court Order in AFL-CIO v. Marshall, compliance staffing levels (benchmarks) necessary for a “fully effective” enforcement program were required to...

  17. 29 CFR 1952.353 - Compliance staffing benchmarks.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 29 Labor 9 2013-07-01 2013-07-01 false Compliance staffing benchmarks. 1952.353 Section 1952.353... Compliance staffing benchmarks. Under the terms of the 1978 Court Order in AFL-CIO v. Marshall, compliance staffing levels (benchmarks) necessary for a “fully effective” enforcement program were required to...

  18. 29 CFR 1952.363 - Compliance staffing benchmarks.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 29 Labor 9 2012-07-01 2012-07-01 false Compliance staffing benchmarks. 1952.363 Section 1952.363... Compliance staffing benchmarks. Under the terms of the 1978 Court Order in AFL-CIO v. Marshall, compliance staffing levels (“benchmarks”) necessary for a “fully effective” enforcement program were required for...

  19. 29 CFR 1952.113 - Compliance staffing benchmarks.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 29 Labor 9 2013-07-01 2013-07-01 false Compliance staffing benchmarks. 1952.113 Section 1952.113... Compliance staffing benchmarks. Under the terms of the 1978 Court Order in AFL-CIO v. Marshall, compliance staffing levels (benchmarks) necessary for a “fully effective” enforcement program were required to...

  20. 29 CFR 1952.223 - Compliance staffing benchmarks.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 29 Labor 9 2013-07-01 2013-07-01 false Compliance staffing benchmarks. 1952.223 Section 1952.223... Compliance staffing benchmarks. Under the terms of the 1978 Court Order in AFL-CIO v. Marshall compliance staffing levels (benchmarks) necessary for a “fully effective” enforcement program were required to...

  1. 29 CFR 1952.353 - Compliance staffing benchmarks.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 29 Labor 9 2014-07-01 2014-07-01 false Compliance staffing benchmarks. 1952.353 Section 1952.353... Compliance staffing benchmarks. Under the terms of the 1978 Court Order in AFL-CIO v. Marshall, compliance staffing levels (benchmarks) necessary for a “fully effective” enforcement program were required to...

  2. 29 CFR 1952.323 - Compliance staffing benchmarks.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 29 Labor 9 2013-07-01 2013-07-01 false Compliance staffing benchmarks. 1952.323 Section 1952.323... Compliance staffing benchmarks. Under the terms of the 1978 Court Order in AFL-CIO v. Marshall compliance staffing levels (benchmarks) necessary for a “fully effective” enforcement program were required to...

  3. 29 CFR 1952.213 - Compliance staffing benchmarks.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 29 Labor 9 2012-07-01 2012-07-01 false Compliance staffing benchmarks. 1952.213 Section 1952.213... Compliance staffing benchmarks. Under the terms of the 1978 Court Order in AFL-CIO v. Marshall compliance staffing levels (benchmarks) necessary for a “fully effective” enforcement program were required to...

  4. 29 CFR 1952.293 - Compliance staffing benchmarks.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 29 Labor 9 2014-07-01 2014-07-01 false Compliance staffing benchmarks. 1952.293 Section 1952.293... Compliance staffing benchmarks. Under the terms of the 1978 Court Order in AFL-CIO v. Marshall compliance staffing levels (benchmarks) necessary for a “fully effective” enforcement program were required to...

  5. 29 CFR 1952.263 - Compliance staffing benchmarks.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 29 Labor 9 2014-07-01 2014-07-01 false Compliance staffing benchmarks. 1952.263 Section 1952.263... Compliance staffing benchmarks. Under the terms of the 1978 Court Order in AFL-CIO v. Marshall, compliance staffing levels (“benchmarks”) necessary for a “fully effective” enforcement program were required for...

  6. 29 CFR 1952.343 - Compliance staffing benchmarks.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 29 Labor 9 2011-07-01 2011-07-01 false Compliance staffing benchmarks. 1952.343 Section 1952.343... Compliance staffing benchmarks. Under the terms of the 1978 Court Order in AFL-CIO v. Marshall, Compliance staffing levels (benchmarks) necessary for a “fully effective” enforcement program were required to...

  7. 29 CFR 1952.263 - Compliance staffing benchmarks.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 29 Labor 9 2011-07-01 2011-07-01 false Compliance staffing benchmarks. 1952.263 Section 1952.263... Compliance staffing benchmarks. Under the terms of the 1978 Court Order in AFL-CIO v. Marshall, compliance staffing levels (“benchmarks”) necessary for a “fully effective” enforcement program were required for...

  8. 29 CFR 1952.373 - Compliance staffing benchmarks.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 29 Labor 9 2011-07-01 2011-07-01 false Compliance staffing benchmarks. 1952.373 Section 1952.373... Compliance staffing benchmarks. Under the terms of the 1978 Court Order in AFL-CIO v. Marshall compliance staffing levels (benchmarks) necessary for a “fully effective” enforcement program were required to...

  9. 29 CFR 1952.293 - Compliance staffing benchmarks.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 29 Labor 9 2012-07-01 2012-07-01 false Compliance staffing benchmarks. 1952.293 Section 1952.293... Compliance staffing benchmarks. Under the terms of the 1978 Court Order in AFL-CIO v. Marshall compliance staffing levels (benchmarks) necessary for a “fully effective” enforcement program were required to...

  10. 29 CFR 1952.113 - Compliance staffing benchmarks.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 29 Labor 9 2014-07-01 2014-07-01 false Compliance staffing benchmarks. 1952.113 Section 1952.113... Compliance staffing benchmarks. Under the terms of the 1978 Court Order in AFL-CIO v. Marshall, compliance staffing levels (benchmarks) necessary for a “fully effective” enforcement program were required to...

  11. 29 CFR 1952.153 - Compliance staffing benchmarks.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 29 Labor 9 2011-07-01 2011-07-01 false Compliance staffing benchmarks. 1952.153 Section 1952.153....153 Compliance staffing benchmarks. Under the terms of the 1978 Court Order in AFL-CIO v. Marshall, compliance staffing levels (“benchmarks”) necessary for a “fully effective” enforcement program were...

  12. 29 CFR 1952.153 - Compliance staffing benchmarks.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 29 Labor 9 2014-07-01 2014-07-01 false Compliance staffing benchmarks. 1952.153 Section 1952.153....153 Compliance staffing benchmarks. Under the terms of the 1978 Court Order in AFL-CIO v. Marshall, compliance staffing levels (“benchmarks”) necessary for a “fully effective” enforcement program were...

  13. 29 CFR 1952.233 - Compliance staffing benchmarks.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 29 Labor 9 2014-07-01 2014-07-01 false Compliance staffing benchmarks. 1952.233 Section 1952.233... Compliance staffing benchmarks. Under the terms of the 1978 Court Order in AFL-CIO v. Marshall compliance staffing levels (benchmarks) necessary for a “fully effective” enforcement program were required to...

  14. 29 CFR 1952.343 - Compliance staffing benchmarks.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 29 Labor 9 2013-07-01 2013-07-01 false Compliance staffing benchmarks. 1952.343 Section 1952.343... Compliance staffing benchmarks. Under the terms of the 1978 Court Order in AFL-CIO v. Marshall, Compliance staffing levels (benchmarks) necessary for a “fully effective” enforcement program were required to...

  15. 29 CFR 1952.293 - Compliance staffing benchmarks.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 29 Labor 9 2013-07-01 2013-07-01 false Compliance staffing benchmarks. 1952.293 Section 1952.293... Compliance staffing benchmarks. Under the terms of the 1978 Court Order in AFL-CIO v. Marshall compliance staffing levels (benchmarks) necessary for a “fully effective” enforcement program were required to...

  16. 29 CFR 1952.93 - Compliance staffing benchmarks.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 29 Labor 9 2011-07-01 2011-07-01 false Compliance staffing benchmarks. 1952.93 Section 1952.93....93 Compliance staffing benchmarks. Under the terms of the 1978 Court Order in AFL-CIO v. Marshall compliance staffing levels (benchmarks) necessary for a “fully effective” enforcement program were...

  17. 29 CFR 1952.323 - Compliance staffing benchmarks.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 29 Labor 9 2011-07-01 2011-07-01 false Compliance staffing benchmarks. 1952.323 Section 1952.323... Compliance staffing benchmarks. Under the terms of the 1978 Court Order in AFL-CIO v. Marshall compliance staffing levels (benchmarks) necessary for a “fully effective” enforcement program were required to...

  18. 29 CFR 1952.363 - Compliance staffing benchmarks.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 29 Labor 9 2011-07-01 2011-07-01 false Compliance staffing benchmarks. 1952.363 Section 1952.363... Compliance staffing benchmarks. Under the terms of the 1978 Court Order in AFL-CIO v. Marshall, compliance staffing levels (“benchmarks”) necessary for a “fully effective” enforcement program were required for...

  19. 29 CFR 1952.363 - Compliance staffing benchmarks.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 29 Labor 9 2013-07-01 2013-07-01 false Compliance staffing benchmarks. 1952.363 Section 1952.363... Compliance staffing benchmarks. Under the terms of the 1978 Court Order in AFL-CIO v. Marshall, compliance staffing levels (“benchmarks”) necessary for a “fully effective” enforcement program were required for...

  20. 29 CFR 1952.93 - Compliance staffing benchmarks.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 29 Labor 9 2012-07-01 2012-07-01 false Compliance staffing benchmarks. 1952.93 Section 1952.93....93 Compliance staffing benchmarks. Under the terms of the 1978 Court Order in AFL-CIO v. Marshall compliance staffing levels (benchmarks) necessary for a “fully effective” enforcement program were...

  1. 29 CFR 1952.153 - Compliance staffing benchmarks.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 29 Labor 9 2012-07-01 2012-07-01 false Compliance staffing benchmarks. 1952.153 Section 1952.153....153 Compliance staffing benchmarks. Under the terms of the 1978 Court Order in AFL-CIO v. Marshall, compliance staffing levels (“benchmarks”) necessary for a “fully effective” enforcement program were...

  2. 29 CFR 1952.343 - Compliance staffing benchmarks.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 29 Labor 9 2014-07-01 2014-07-01 false Compliance staffing benchmarks. 1952.343 Section 1952.343... Compliance staffing benchmarks. Under the terms of the 1978 Court Order in AFL-CIO v. Marshall, Compliance staffing levels (benchmarks) necessary for a “fully effective” enforcement program were required to...

  3. 29 CFR 1952.113 - Compliance staffing benchmarks.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 29 Labor 9 2011-07-01 2011-07-01 false Compliance staffing benchmarks. 1952.113 Section 1952.113... Compliance staffing benchmarks. Under the terms of the 1978 Court Order in AFL-CIO v. Marshall, compliance staffing levels (benchmarks) necessary for a “fully effective” enforcement program were required to...

  4. 29 CFR 1952.213 - Compliance staffing benchmarks.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 29 Labor 9 2014-07-01 2014-07-01 false Compliance staffing benchmarks. 1952.213 Section 1952.213... Compliance staffing benchmarks. Under the terms of the 1978 Court Order in AFL-CIO v. Marshall compliance staffing levels (benchmarks) necessary for a “fully effective” enforcement program were required to...

  5. 29 CFR 1952.373 - Compliance staffing benchmarks.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 29 Labor 9 2013-07-01 2013-07-01 false Compliance staffing benchmarks. 1952.373 Section 1952.373... Compliance staffing benchmarks. Under the terms of the 1978 Court Order in AFL-CIO v. Marshall compliance staffing levels (benchmarks) necessary for a “fully effective” enforcement program were required to...

  6. 29 CFR 1952.93 - Compliance staffing benchmarks.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 29 Labor 9 2014-07-01 2014-07-01 false Compliance staffing benchmarks. 1952.93 Section 1952.93....93 Compliance staffing benchmarks. Under the terms of the 1978 Court Order in AFL-CIO v. Marshall compliance staffing levels (benchmarks) necessary for a “fully effective” enforcement program were...

  7. 29 CFR 1952.103 - Compliance staffing benchmarks.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 29 Labor 9 2012-07-01 2012-07-01 false Compliance staffing benchmarks. 1952.103 Section 1952.103... Compliance staffing benchmarks. Under the terms of the 1978 Court Order in AFL-CIO v. Marshall, compliance staffing levels (“benchmarks”) necessary for a “fully effective” enforcement program were required for...

  8. 29 CFR 1952.363 - Compliance staffing benchmarks.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 29 Labor 9 2014-07-01 2014-07-01 false Compliance staffing benchmarks. 1952.363 Section 1952.363... Compliance staffing benchmarks. Under the terms of the 1978 Court Order in AFL-CIO v. Marshall, compliance staffing levels (“benchmarks”) necessary for a “fully effective” enforcement program were required for...

  9. 29 CFR 1952.233 - Compliance staffing benchmarks.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 29 Labor 9 2011-07-01 2011-07-01 false Compliance staffing benchmarks. 1952.233 Section 1952.233... Compliance staffing benchmarks. Under the terms of the 1978 Court Order in AFL-CIO v. Marshall compliance staffing levels (benchmarks) necessary for a “fully effective” enforcement program were required to...

  10. 29 CFR 1952.233 - Compliance staffing benchmarks.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 29 Labor 9 2012-07-01 2012-07-01 false Compliance staffing benchmarks. 1952.233 Section 1952.233... Compliance staffing benchmarks. Under the terms of the 1978 Court Order in AFL-CIO v. Marshall compliance staffing levels (benchmarks) necessary for a “fully effective” enforcement program were required to...

  11. 29 CFR 1952.293 - Compliance staffing benchmarks.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 29 Labor 9 2011-07-01 2011-07-01 false Compliance staffing benchmarks. 1952.293 Section 1952.293... Compliance staffing benchmarks. Under the terms of the 1978 Court Order in AFL-CIO v. Marshall compliance staffing levels (benchmarks) necessary for a “fully effective” enforcement program were required to...

  12. 29 CFR 1952.113 - Compliance staffing benchmarks.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 29 Labor 9 2012-07-01 2012-07-01 false Compliance staffing benchmarks. 1952.113 Section 1952.113... Compliance staffing benchmarks. Under the terms of the 1978 Court Order in AFL-CIO v. Marshall, compliance staffing levels (benchmarks) necessary for a “fully effective” enforcement program were required to...

  13. 29 CFR 1952.343 - Compliance staffing benchmarks.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 29 Labor 9 2012-07-01 2012-07-01 false Compliance staffing benchmarks. 1952.343 Section 1952.343... Compliance staffing benchmarks. Under the terms of the 1978 Court Order in AFL-CIO v. Marshall, Compliance staffing levels (benchmarks) necessary for a “fully effective” enforcement program were required to...

  14. 29 CFR 1952.163 - Compliance staffing benchmarks.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 29 Labor 9 2014-07-01 2014-07-01 false Compliance staffing benchmarks. 1952.163 Section 1952.163... Compliance staffing benchmarks. Under the terms of the 1978 Court Order in AFL-CIO v. Marshall, compliance staffing levels (benchmarks) necessary for a “fully effective” enforcement program were required to...

  15. 29 CFR 1952.373 - Compliance staffing benchmarks.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 29 Labor 9 2012-07-01 2012-07-01 false Compliance staffing benchmarks. 1952.373 Section 1952.373... Compliance staffing benchmarks. Under the terms of the 1978 Court Order in AFL-CIO v. Marshall compliance staffing levels (benchmarks) necessary for a “fully effective” enforcement program were required to...

  16. 29 CFR 1952.213 - Compliance staffing benchmarks.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 29 Labor 9 2011-07-01 2011-07-01 false Compliance staffing benchmarks. 1952.213 Section 1952.213... Compliance staffing benchmarks. Under the terms of the 1978 Court Order in AFL-CIO v. Marshall compliance staffing levels (benchmarks) necessary for a “fully effective” enforcement program were required to...

  17. 29 CFR 1952.263 - Compliance staffing benchmarks.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 29 Labor 9 2012-07-01 2012-07-01 false Compliance staffing benchmarks. 1952.263 Section 1952.263... Compliance staffing benchmarks. Under the terms of the 1978 Court Order in AFL-CIO v. Marshall, compliance staffing levels (“benchmarks”) necessary for a “fully effective” enforcement program were required for...

  18. 29 CFR 1952.223 - Compliance staffing benchmarks.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 29 Labor 9 2012-07-01 2012-07-01 false Compliance staffing benchmarks. 1952.223 Section 1952.223... Compliance staffing benchmarks. Under the terms of the 1978 Court Order in AFL-CIO v. Marshall compliance staffing levels (benchmarks) necessary for a “fully effective” enforcement program were required to...

  19. 29 CFR 1952.103 - Compliance staffing benchmarks.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 29 Labor 9 2014-07-01 2014-07-01 false Compliance staffing benchmarks. 1952.103 Section 1952.103... Compliance staffing benchmarks. Under the terms of the 1978 Court Order in AFL-CIO v. Marshall, compliance staffing levels (“benchmarks”) necessary for a “fully effective” enforcement program were required for...

  20. 29 CFR 1952.213 - Compliance staffing benchmarks.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 29 Labor 9 2013-07-01 2013-07-01 false Compliance staffing benchmarks. 1952.213 Section 1952.213... Compliance staffing benchmarks. Under the terms of the 1978 Court Order in AFL-CIO v. Marshall compliance staffing levels (benchmarks) necessary for a “fully effective” enforcement program were required to...

  1. 29 CFR 1952.223 - Compliance staffing benchmarks.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 29 Labor 9 2014-07-01 2014-07-01 false Compliance staffing benchmarks. 1952.223 Section 1952.223... Compliance staffing benchmarks. Under the terms of the 1978 Court Order in AFL-CIO v. Marshall compliance staffing levels (benchmarks) necessary for a “fully effective” enforcement program were required to...

  2. 29 CFR 1952.353 - Compliance staffing benchmarks.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 29 Labor 9 2011-07-01 2011-07-01 false Compliance staffing benchmarks. 1952.353 Section 1952.353... Compliance staffing benchmarks. Under the terms of the 1978 Court Order in AFL-CIO v. Marshall, compliance staffing levels (benchmarks) necessary for a “fully effective” enforcement program were required to...

  3. 29 CFR 1952.373 - Compliance staffing benchmarks.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 29 Labor 9 2014-07-01 2014-07-01 false Compliance staffing benchmarks. 1952.373 Section 1952.373... Compliance staffing benchmarks. Under the terms of the 1978 Court Order in AFL-CIO v. Marshall compliance staffing levels (benchmarks) necessary for a “fully effective” enforcement program were required to...

  4. 29 CFR 1952.323 - Compliance staffing benchmarks.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 29 Labor 9 2014-07-01 2014-07-01 false Compliance staffing benchmarks. 1952.323 Section 1952.323... Compliance staffing benchmarks. Under the terms of the 1978 Court Order in AFL-CIO v. Marshall compliance staffing levels (benchmarks) necessary for a “fully effective” enforcement program were required to...

  5. 29 CFR 1952.153 - Compliance staffing benchmarks.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 29 Labor 9 2013-07-01 2013-07-01 false Compliance staffing benchmarks. 1952.153 Section 1952.153....153 Compliance staffing benchmarks. Under the terms of the 1978 Court Order in AFL-CIO v. Marshall, compliance staffing levels (“benchmarks”) necessary for a “fully effective” enforcement program were...

  6. 29 CFR 1952.103 - Compliance staffing benchmarks.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 29 Labor 9 2013-07-01 2013-07-01 false Compliance staffing benchmarks. 1952.103 Section 1952.103... Compliance staffing benchmarks. Under the terms of the 1978 Court Order in AFL-CIO v. Marshall, compliance staffing levels (“benchmarks”) necessary for a “fully effective” enforcement program were required for...

  7. 29 CFR 1952.263 - Compliance staffing benchmarks.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 29 Labor 9 2013-07-01 2013-07-01 false Compliance staffing benchmarks. 1952.263 Section 1952.263... Compliance staffing benchmarks. Under the terms of the 1978 Court Order in AFL-CIO v. Marshall, compliance staffing levels (“benchmarks”) necessary for a “fully effective” enforcement program were required for...

  8. 29 CFR 1952.163 - Compliance staffing benchmarks.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 29 Labor 9 2012-07-01 2012-07-01 false Compliance staffing benchmarks. 1952.163 Section 1952.163... Compliance staffing benchmarks. Under the terms of the 1978 Court Order in AFL-CIO v. Marshall, compliance staffing levels (benchmarks) necessary for a “fully effective” enforcement program were required to...

  9. 29 CFR 1952.103 - Compliance staffing benchmarks.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 29 Labor 9 2011-07-01 2011-07-01 false Compliance staffing benchmarks. 1952.103 Section 1952.103... Compliance staffing benchmarks. Under the terms of the 1978 Court Order in AFL-CIO v. Marshall, compliance staffing levels (“benchmarks”) necessary for a “fully effective” enforcement program were required for...

  10. 29 CFR 1952.223 - Compliance staffing benchmarks.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 29 Labor 9 2011-07-01 2011-07-01 false Compliance staffing benchmarks. 1952.223 Section 1952.223... Compliance staffing benchmarks. Under the terms of the 1978 Court Order in AFL-CIO v. Marshall compliance staffing levels (benchmarks) necessary for a “fully effective” enforcement program were required to...

  11. Maintenance Staffing Guidelines For Educational Facilities.

    ERIC Educational Resources Information Center

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

    The purpose of this publication is to provide a resource or guide for educational facilities in establishing or developing a maintenance trades organization that is sufficient to accomplish basic facilities maintenance functions. The guidelines are intended to suggest staffing levels for those routine facilities maintenance activities that are…

  12. 42 CFR 1007.13 - Staffing requirements.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... AUTHORITIES STATE MEDICAID FRAUD CONTROL UNITS § 1007.13 Staffing requirements. (a) The unit will employ... investigation or prosecution of civil fraud or criminal cases, who are capable of giving informed advice on... or more experienced auditors capable of supervising the review of financial records and advising...

  13. 42 CFR 1007.13 - Staffing requirements.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... AUTHORITIES STATE MEDICAID FRAUD CONTROL UNITS § 1007.13 Staffing requirements. (a) The unit will employ... investigation or prosecution of civil fraud or criminal cases, who are capable of giving informed advice on... or more experienced auditors capable of supervising the review of financial records and advising...

  14. 42 CFR 1007.13 - Staffing requirements.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... AUTHORITIES STATE MEDICAID FRAUD CONTROL UNITS § 1007.13 Staffing requirements. (a) The unit will employ... investigation or prosecution of civil fraud or criminal cases, who are capable of giving informed advice on... or more experienced auditors capable of supervising the review of financial records and advising...

  15. Flexibility in Academic Staffing. ERIC Digest.

    ERIC Educational Resources Information Center

    Mortimer, Kenneth; And Others

    Faced with scarce resources and environmental uncertainty in the past decade, colleges and universities have experimented with different modes of academic staffing, most of which are attempts to preserve or create more flexible policies and practices. In spite of tenure systems in operation at 94% of all four year colleges, institutions have at…

  16. Many Variables Determine Campus Safety Staffing Levels

    ERIC Educational Resources Information Center

    Blake, Christopher G.

    2011-01-01

    College and university administrators must take into account a number of variables in determining the appropriate staffing levels for their campus public safety function, according to a white paper released by International Association of Campus Law Enforcement Administrators (IACLEA). The report is entitled, "Establishing Appropriate Staffing…

  17. Determining Effective Staffing Levels in Special Libraries.

    ERIC Educational Resources Information Center

    Collins, Susan M.

    1984-01-01

    Reports on Commonwealth Scientific and Industrial Research Organization (Australia) efforts to establish library staffing standards by use of statistics on current library operations and comparison of figures for number of libraries. Research methodology, use of mathematical models, factor analysis and regression analysis, and measures of…

  18. Control of Christmas holiday census and staffing.

    PubMed

    Latham, J; Fagan, J

    1979-10-01

    Most hospitals experience decreased census during certain holiday periods. The costs related to keeping units open during these periods are major problems for nursing administrators. This article describes a holiday staffing plan that addresses the personal needs of staff and the need to control operations. The same principles may apply at other low census periods such as during summer months, vacation periods, or strikes.

  19. Elementary Staffing Study. Final Technical Report. Appendixes.

    ERIC Educational Resources Information Center

    Austin Independent School District, TX. Office of Research and Evaluation.

    The Elementary Staffing Study was conducted to develop a formula for determining the allocation of personnel positions and services for individual elementary school campuses in the Austin Independent School District. The 1981-82 study was meant to identify factors to be considered in personnel assignment, to "weight" each factor, and to use the…

  20. Staffing Ratios and Quality: An Analysis of Minimum Direct Care Staffing Requirements for Nursing Homes

    PubMed Central

    Bowblis, John R

    2011-01-01

    Objective To study the impact of minimum direct care staffing (MDCS) requirements on nurse staffing levels, nurse skill mix, and quality. Data Sources U.S. nursing home facility data from the Online Survey Certification and Reporting (OSCAR) System merged with MDCS requirements. Study Design Facility-level outcomes of nurse staffing levels, nurse skill mix, and quality measures are regressed on the level of nurse staffing required by MDCS requirements in the prior year and other controls using fixed effect panel regression. Quality measures are care practices, resident outcomes, and regulatory deficiencies. Data Extraction Method Analysis used all OSCAR surveys from 1999 to 2004, resulting in 17,552 unique facilities with a total of 94,371 survey observations. Principle Findings The effect of MDCS requirements varied with reliance of the nursing home on Medicaid. Higher MDCS requirements increase nurse staffing levels, while their effect on nurse skill mix depends on the reliance of the nursing home on Medicaid. MDCS have mixed effects on care practices but are generally associated with improved resident outcomes and meeting regulatory standards. Conclusions MDCS requirements change staffing levels and skill mix, improve certain aspects of quality, but can also lead to use of care practices associated with lower quality. PMID:21609329

  1. Staffing of the Systems Development Life Cycle: An Empirical Study of Charitable Nonprofit Organizations.

    ERIC Educational Resources Information Center

    Pick, James B.

    1992-01-01

    Explains the Systems Development Life Cycle (SDLC) construct, which is used for development of management information systems, and analyzes the staffing composition of SDLC steps for nonprofit arts organizations including art museums and symphony orchestras. The use of outside help, in-house personnel, and volunteers is examined; and the influence…

  2. Comparative Costs and Staffing Report for Educational Facilities, 1997-1998.

    ERIC Educational Resources Information Center

    Glazner, Steve, Ed.

    This report presents comparative data on facility management costs and staffing based on responses from 193 U.S. postsecondary educational facilities and K-12 institutions during 1997-98. It also lists data from both private and public institutions. Section 1 contains general data on the survey response tally and institutional profiles listed by…

  3. Comparative Costs and Staffing Report for College and University Facilities, 1993-94.

    ERIC Educational Resources Information Center

    Silberman, Gil, Ed.; Glazner, Steve, Ed.

    This report presents comparative data on facility management costs and staffing based on responses from 516 U.S. postsecondary educational facilities during 1993-94. It lists statistics from both private and public institutions, beginning with statistical reductions presenting the survey response tally, institutional profiles, and mean costs per…

  4. High Reliability and Excellence in Staffing.

    PubMed

    Mensik, Jennifer

    2015-01-01

    Nurse staffing is a complex issue, with many facets and no one right answer. High-reliability organizations (HROs) strive and succeed in achieving a high degree of safety or reliability despite operating in hazardous conditions. HROs have systems in place that make them extremely consistent in accomplishing their goals and avoiding potential errors. However, the inability to resolve quality issues may very well be related to the lack of adoption of high-reliability principles throughout our organizations.

  5. Spent Nuclear Fuel Project operational staffing plan

    SciTech Connect

    Debban, B.L.

    1996-03-01

    Using the Spent Nuclear Fuel (SNF) Project`s current process flow concepts and knowledge from cognizant engineering and operational personnel, an initial assessment of the SNF Project radiological exposure and resource requirements was completed. A small project team completed a step by step analysis of fuel movement in the K Basins to the new interim storage location, the Canister Storage Building (CSB). This analysis looked at fuel retrieval, conditioning of the fuel, and transportation of the fuel. This plan describes the staffing structure for fuel processing, fuel movement, and the maintenance and operation (M&O) staffing requirements of the facilities. This initial draft does not identify the support function resources required for M&O, i.e., administrative and engineering (technical support). These will be included in future revisions to the plan. This plan looks at the resource requirements for the SNF subprojects, specifically, the operations of the facilities, balances resources where applicable, rotates crews where applicable, and attempts to use individuals in multi-task assignments. This plan does not apply to the construction phase of planned projects that affect staffing levels of K Basins.

  6. Staffing of accident and emergency departments.

    PubMed Central

    Stewart, I P

    1996-01-01

    OBJECTIVE: To determine present staffing levels, to find out problems, and to request solutions. METHODS: A questionnaire was sent on two separate occasions to all major accident and emergency (A&E) departments in the United Kingdom. RESULTS AND CONCLUSIONS: There are marked variations in recruiting ability across the country. Presently teaching hospitals are having no major difficulty, but others are only able to obtain junior doctors from outside the United Kingdom. Public expectations and charter standards are difficult to maintain. There is evidence of increasing stress among career and senior A&E medical staff. There is an inexorable but slow increase in year on year workload. PMID:8947802

  7. 22 CFR 62.72 - Staffing and support services.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Staffing and support services. 62.72 Section 62.72 Foreign Relations DEPARTMENT OF STATE PUBLIC DIPLOMACY AND EXCHANGES EXCHANGE VISITOR PROGRAM Student and Exchange Visitor Information System (SEVIS) § 62.72 Staffing and support services....

  8. 22 CFR 62.72 - Staffing and support services.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 22 Foreign Relations 1 2011-04-01 2011-04-01 false Staffing and support services. 62.72 Section 62.72 Foreign Relations DEPARTMENT OF STATE PUBLIC DIPLOMACY AND EXCHANGES EXCHANGE VISITOR PROGRAM Student and Exchange Visitor Information System (SEVIS) § 62.72 Staffing and support services....

  9. 22 CFR 62.72 - Staffing and support services.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 22 Foreign Relations 1 2014-04-01 2014-04-01 false Staffing and support services. 62.72 Section 62.72 Foreign Relations DEPARTMENT OF STATE PUBLIC DIPLOMACY AND EXCHANGES EXCHANGE VISITOR PROGRAM Student and Exchange Visitor Information System (SEVIS) § 62.72 Staffing and support services....

  10. 22 CFR 62.72 - Staffing and support services.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 22 Foreign Relations 1 2013-04-01 2013-04-01 false Staffing and support services. 62.72 Section 62.72 Foreign Relations DEPARTMENT OF STATE PUBLIC DIPLOMACY AND EXCHANGES EXCHANGE VISITOR PROGRAM Student and Exchange Visitor Information System (SEVIS) § 62.72 Staffing and support services....

  11. 22 CFR 62.72 - Staffing and support services.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 22 Foreign Relations 1 2012-04-01 2012-04-01 false Staffing and support services. 62.72 Section 62.72 Foreign Relations DEPARTMENT OF STATE PUBLIC DIPLOMACY AND EXCHANGES EXCHANGE VISITOR PROGRAM Student and Exchange Visitor Information System (SEVIS) § 62.72 Staffing and support services....

  12. Staffing Patterns and State Mental Health Manpower Development.

    ERIC Educational Resources Information Center

    McCullough, Paul M., Comp.; McPheeters, Harold L., Comp.

    This publication presents adaptations of four papers given at a workshop on Staffing and Manpower Development, sponsored by the Mental Health Manpower Development project of the Southern Regional Education Board. The introduction delineates four dimensions to be considered in describing staffing patterns (organization, utilization, type, and…

  13. Bringing Up an Automated Circulation System: Staffing Needs.

    ERIC Educational Resources Information Center

    Buck, Dayna

    1986-01-01

    This staffing survey of 34 Geac minicomputer-based circulation system installations (public, academic, state, and special libraries, library consortia) was designed to identify the variables which affect staffing needs. Discussion covers differences in responses, types of staff positions, core and ancillary job duties, application training,…

  14. Staffing Patterns in Pennsylvania's Private College Libraries: Survey Results.

    ERIC Educational Resources Information Center

    Mech, Terrence

    The major purpose of this brief descriptive study was to determine the levels of professional and support staffing within the administrative, technical, public, and media services areas of Pennsylvania's private college libraries. The study also includes comparative data on student assistant staffing. Questionnaires were mailed to library…

  15. 32 CFR 651.6 - NEPA analysis staffing.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 32 National Defense 4 2011-07-01 2011-07-01 false NEPA analysis staffing. 651.6 Section 651.6 National Defense Department of Defense (Continued) DEPARTMENT OF THE ARMY (CONTINUED) ENVIRONMENTAL QUALITY ENVIRONMENTAL ANALYSIS OF ARMY ACTIONS (AR 200-2) Introduction § 651.6 NEPA analysis staffing. (a) NEPA...

  16. 32 CFR 651.6 - NEPA analysis staffing.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 32 National Defense 4 2013-07-01 2013-07-01 false NEPA analysis staffing. 651.6 Section 651.6 National Defense Department of Defense (Continued) DEPARTMENT OF THE ARMY (CONTINUED) ENVIRONMENTAL QUALITY ENVIRONMENTAL ANALYSIS OF ARMY ACTIONS (AR 200-2) Introduction § 651.6 NEPA analysis staffing. (a) NEPA...

  17. 32 CFR 651.6 - NEPA analysis staffing.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 32 National Defense 4 2012-07-01 2011-07-01 true NEPA analysis staffing. 651.6 Section 651.6 National Defense Department of Defense (Continued) DEPARTMENT OF THE ARMY (CONTINUED) ENVIRONMENTAL QUALITY ENVIRONMENTAL ANALYSIS OF ARMY ACTIONS (AR 200-2) Introduction § 651.6 NEPA analysis staffing. (a) NEPA...

  18. 32 CFR 651.6 - NEPA analysis staffing.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 32 National Defense 4 2010-07-01 2010-07-01 true NEPA analysis staffing. 651.6 Section 651.6 National Defense Department of Defense (Continued) DEPARTMENT OF THE ARMY (CONTINUED) ENVIRONMENTAL QUALITY ENVIRONMENTAL ANALYSIS OF ARMY ACTIONS (AR 200-2) Introduction § 651.6 NEPA analysis staffing. (a) NEPA...

  19. 32 CFR 651.6 - NEPA analysis staffing.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 32 National Defense 4 2014-07-01 2013-07-01 true NEPA analysis staffing. 651.6 Section 651.6 National Defense Department of Defense (Continued) DEPARTMENT OF THE ARMY (CONTINUED) ENVIRONMENTAL QUALITY ENVIRONMENTAL ANALYSIS OF ARMY ACTIONS (AR 200-2) Introduction § 651.6 NEPA analysis staffing. (a) NEPA...

  20. Beyond a Band-Aid Approach: An Internal Agency Solution to Nurse Staffing.

    PubMed

    Adams, Jewel; Kaplow, Roberta; Dominy, Janet; Stroud, Bridgett

    2015-01-01

    The Institute of Medicine (IOM) affirmed that the employment of temporary or per diem nurses augments risk to patient safety. The IOM recommends health care facilities avoid hiring nurses working from a temporary external agency. The IOM recognizes the need for health care facilities to have a plan in place for situations when confronted with short staffing, higher acuity, and increased patient census. Based on recommendations from the IOM, an internal agency was developed in a university-based health care system. Cost savings were realized because of the collaborative efforts of human resources to fill vacancies, unit management managing their respective budgets by flexing staff based on patient census, and the development and implementation of the Enterprise Staffing Pool. PMID:26214939

  1. 77 FR 14832 - Plumchoice, Inc., Including On-Site Leased Workers From Balance Staffing, Insight Global Staffing...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-13

    ... services. The notice was published in the Federal Register on February 21, 2012 (76 FR 9971). At the... Employment and Training Administration Plumchoice, Inc., Including On-Site Leased Workers From Balance..., Inc., including on-site leased workers from Balance Staffing, Insight Global Staffing,...

  2. 78 FR 8587 - Heraeus Kulzer, LLC., Including On-Site Leased Workers from People Link Staffing, Forge Staffing...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-06

    ... products. The notice was published in the Federal Register on January 8, 2013 (78 FR 1255). At the request... Link Staffing, Forge Staffing, Career Transitions and Talent Source; South Bend, Indiana; Amended... information from the company shows that workers leased from Career Transitions and Talent Source were...

  3. Cost Effective Staffing for an EHR Implementation.

    PubMed

    Bullard, Katherine L

    2016-01-01

    This case study explores costs of electronic health record (EHR) implementation with the nursing super-user role in a metropolitan, not-for-profit health care system. Tapping the local pool of unemployed newly graduated nurses as half the required super-user workforce leveraged the technology skills of novice registered nurses (RNs) as trainers of experienced nurses in five hospitals. The novel workforce migrated from hospital to hospital, thereby reducing the number of experienced nurses reassigned to super-user duties in each hospital. This strategy reduced the amount of contract labor required to backfill nurse super-users' clinical shifts. Employment of the recently graduated nurses as RN residents upon completion of the EHR implementation enabled the organization to augment its clinical workforce with expert users of its EHR. The proposed innovative model increases super-users, minimizes disruption of core staffing, and dramatically reduces expense. PMID:27265948

  4. Technical basis for staffing levels at nuclear power plants

    SciTech Connect

    Shurberg, D.A.; Haber, S.B.; Morisseau, D.

    1995-04-01

    The objective of this project is to provide a technical basis for the establishment of criteria for minimum staffing levels of licensed and non-licensed NPP shift personnel. Minimum staffing levels for the purpose of this study, are defined as those necessary for successful accomplishment of all safety and additional functions that must be performed in order for the licensee to meet applicable regulatory requirements. This project involves a multi-faceted approach to the investigation of the issue. Relevant NRC documentation was identified and reviewed. Using the information obtained from this documentation review, a test plan was developed to aid in the collection of further information regarding the adequacy of current shift staffing levels. The test plan addresses three different activities to be conducted to provide information to the NRC for use in the assessment of current minimum staffing levels. The first activity is collection of data related to industry shift staffing practices through site visits to seven nuclear power plants. The second activity is a simulator study, which will use licensed operator crews responding to a simulated event, under two different staffing levels. Finally, workload models will be constructed for both licensed and non-licensed personnel, using a priori knowledge of the simulator scenarios with data resulting from one of the staffing levels studied in the simulator, and the data collected from the site visits. The model will then be validated against the data obtained from the second staffing level studied in the simulator. The validated model can then be used to study the impact of changing staffing-related variables on the plant shift crew`s ability to effectively mitigate an event.

  5. Using staffing ratios for workforce planning: evidence on nine allied health professions

    PubMed Central

    2012-01-01

    Background Modern healthcare managers are faced with pressure to deliver effective, efficient services within the context of fixed budget constraints. Managers are required to make decisions regarding the skill mix of the workforce particularly when staffing new services. One measure used to identify numbers and mix of staff in healthcare settings is workforce ratio. The aim of this study was to identify workforce ratios in nine allied health professions and to identify whether these measures are useful for planning allied health workforce requirements. Methods A systematic literature search using relevant MeSH headings of business, medical and allied health databases and relevant grey literature for the period 2000-2008 was undertaken. Results Twelve articles were identified which described the use of workforce ratios in allied health services. Only one of these was a staffing ratio linked to clinical outcomes. The most comprehensive measures were identified in rehabilitation medicine. Conclusion The evidence for use of staffing ratios for allied health practitioners is scarce and lags behind the fields of nursing and medicine. PMID:22293082

  6. Staffing ratios in New York: a decade of debate.

    PubMed

    Gerardi, Tina

    2006-02-01

    The effectiveness and desirability of mandated nurse staffing ratios have been discussed for more than 10 years. The author summarizes this debate as it unfolded in New York State. Although staffing ratios were always supported within the context of labor contracts negotiated by the New York State Nurses Association, there was a more gradual acceptance of legislation mandating staffing radios statewide. Current legislative proposals have focused on the need to base ratios in current research and include provisions that would allow adjustment of ratios with input from nurses in direct care. PMID:16682367

  7. Analyzing staffing trade-offs on acute care hospital units.

    PubMed

    Berkow, Steven; Vonderhaar, Kate; Stewart, Jennifer; Virkstis, Katherine; Terry, Anne

    2014-10-01

    Given today's resource-limited environment, nurse leaders must make judicious staffing decisions to deliver safe, cost-effective care. Investing in 1 element of staffing often requires scaling back in another. A national cross section of acute care hospital unit leaders was surveyed regarding staffing resources, including nurse workload, education, specialty certification, experience, and level of support staff. The authors report findings from the survey and discuss the trade-offs observed among units regarding nurse-to-patient ratios and the proportion of baccalaureate-prepared nurses. PMID:25208268

  8. The Need for Higher Minimum Staffing Standards in U.S. Nursing Homes

    PubMed Central

    Harrington, Charlene; Schnelle, John F.; McGregor, Margaret; Simmons, Sandra F.

    2016-01-01

    Many U.S. nursing homes have serious quality problems, in part, because of inadequate levels of nurse staffing. This commentary focuses on two issues. First, there is a need for higher minimum nurse staffing standards for U.S. nursing homes based on multiple research studies showing a positive relationship between nursing home quality and staffing and the benefits of implementing higher minimum staffing standards. Studies have identified the minimum staffing levels necessary to provide care consistent with the federal regulations, but many U.S. facilities have dangerously low staffing. Second, the barriers to staffing reform are discussed. These include economic concerns about costs and a focus on financial incentives. The enforcement of existing staffing standards has been weak, and strong nursing home industry political opposition has limited efforts to establish higher standards. Researchers should study the ways to improve staffing standards and new payment, regulatory, and political strategies to improve nursing home staffing and quality. PMID:27103819

  9. Wage, work environment, and staffing: effects on nurse outcomes.

    PubMed

    McHugh, Matthew D; Ma, Chenjuan

    2014-01-01

    Research has shown that hospitals with better nurse staffing and work environments have better nurse outcomes-less burnout, job dissatisfaction, and intention to leave the job. Many studies, however, have not accounted for wage effects, which may confound findings. By using a secondary analysis with cross-sectional administrative data and a four-state survey of nurses, we investigated how wage, work environment, and staffing were associated with nurse outcomes. Logistic regression models, with and without wage, were used to estimate the effects of work environment and staffing on burnout, job dissatisfaction, and intent to leave. We discovered that wage was associated with job dissatisfaction and intent to leave but had little influence on burnout, while work environment and average patient-to-nurse ratio still have considerable effects on nurse outcomes. Wage is important for good nurse outcomes, but it does not diminish the significant influence of work environment and staffing on nurse outcomes. PMID:25121923

  10. Wage, Work Environment, and Staffing: Effects on Nurse Outcomes

    PubMed Central

    McHugh, Matthew D.; Ma, Chenjuan

    2015-01-01

    Research has shown that hospitals with better nurse staffing and work environments have better nurse outcomes—less burnout, job dissatisfaction, and intention to leave the job. Many studies, however, have not accounted for wage effects, which may confound findings. By using a secondary analysis with cross-sectional administrative data and a four-state survey of nurses, we investigated how wage, work environment, and staffing were associated with nurse outcomes. Logistic regression models, with and without wage, were used to estimate the effects of work environment and staffing on burnout, job dissatisfaction, and intent to leave. We discovered that wage was associated with job dissatisfaction and intent to leave but had little influence on burnout, while work environment and average patient-to-nurse ratio still have considerable effects on nurse outcomes. Wage is important for good nurse outcomes, but it does not diminish the significant influence of work environment and staffing on nurse outcomes. PMID:25121923

  11. How the Fair Labor Standards Act affects your staffing.

    PubMed

    Bernreuter, M E

    1994-03-01

    The Fair Labor Standards Act allows exemption of professionals from overtime pay. However, this is often disregarded, and professional staff are compensated as nonexempt employees. The workweek definition then assumes increased importance as it may be a determining factor in the cost and availability of staff. This article discusses how altering the workweek may improve staffing. Various schedules are exhibited, and staffing and overtime pay implications of each are discussed.

  12. Avoiding crisis: right-sizing staffing for the future.

    PubMed

    Best, Michele L

    2002-01-01

    Workforce issues, especially recruitment and retention of qualified laboratory staff, are major strategic issues that will continue to face laboratory managers over the next 10 years. Major factors affecting the laboratory labor market in the next decade include increased health-care and laboratory testing needs of an aging population, the graying of the laboratory workforce as baby boomers retire, and new technology development. At least two of these factors will increase the demand for qualified laboratory professionals. Vacancy rates for laboratory professionals are increasing at a significant rate and will continue over the next 10 years. Planning will require creativity in staff recruitment and retention strategies and in human resources. Laboratorians no longer will have the luxury of using medical technologists for nonspecialized testing assignments and will need to develop more creative recruiting approaches using fewer highly qualified testing personnel. This article proposes a staffing deployment model that will use medical technologist education and skills more appropriately, will improve retention of medical technologists, and will alleviate the shortage of medical technologists by reducing dependence on them as routine laboratory testing personnel.

  13. Using clinical data to capture nurse workload: implications for staffing and safety.

    PubMed

    Baernholdt, Marianne; Cox, Kathleen; Scully, Ken

    2010-01-01

    The purpose of this project was to demonstrate how a hospital clinical database can be utilized to calculate individual nursing unit activities that affect nurses' workload. While research has established that staffing is associated with patient safety, few studies have examined ways to measure nurse workload and its impact on patient safety. The widely used midnight census does not account for the number of patients who occupy a bed in a 24-hour period. In this study, a hospital clinical data repository was used to calculate workload measures such as total treated patients, midnight census, and admission, discharges, and transfers, as well as a unit activity index. Unit activity indexes for intensive care and medical-surgical units were compared over time, by shift, day of week, and month. Admission, discharges, and transfers varied according to unit type. During 1994 to 2006, unit activity index increased. Fluctuations in unit activity index were noted according to shift, day of week, and month. Hospital clinical data repositories can be used to calculate workload measures, and these measures should be incorporated with other traditional measures in making staffing decisions. PMID:20571375

  14. Excellence and evidence in staffing: a data-driven model for excellence in staffing (2nd edition).

    PubMed

    Baggett, Margarita; Batcheller, Joyce; Blouin, Ann Scott; Behrens, Elizabeth; Bradley, Carol; Brown, Mary J; Brown, Diane Storer; Bolton, Linda Burnes; Borromeo, Annabelle R; Burtson, Paige; Caramanica, Laura; Caspers, Barbara A; Chow, Marilyn; Christopher, Mary Ann; Clarke, Sean P; Delucas, Christine; Dent, Robert L; Disser, Tony; Eliopoulos, Charlotte; Everett, Linda Q; Garcia, Amy; Glassman, Kimberly; Goodwin, Susan; Haagenson, Deb; Harper, Ellen; Harris, Kathy; Hoying, Cheryl L; Hughes-Rease, Marsha; Kelly, Lesly; Kiger, Anna J; Kobs-Abbott, Ann; Krueger, Janelle; Larson, Jackie; March, Connie; Martin, Deborah Maust; Mazyck, Donna; Meenan, Penny; McGaffigan, Patricia; Myers, Karen K; Nell, Kate; Newcomer, Britta; Cathy, Rick; O'Rourke, Maria; Rosa, Billy; Rose, Robert; Rudisill, Pamela; Sanford, Kathy; Simpson, Roy L; Snowden, Tami; Strickland, Bob; Strohecker, Sharon; Weems, Roger B; Welton, John; Weston, Marla; Valentine, Nancy M; Vento, Laura; Yendro, Susan

    2014-01-01

    The Patient Protection and Affordable Care Act (PPACA, 2010) and the Institute of Medicine's (IOM, 2011) Future of Nursing report have prompted changes in the U.S. health care system. This has also stimulated a new direction of thinking for the profession of nursing. New payment and priority structures, where value is placed ahead of volume in care, will start to define our health system in new and unknown ways for years. One thing we all know for sure: we cannot afford the same inefficient models and systems of care of yesterday any longer. The Data-Driven Model for Excellence in Staffing was created as the organizing framework to lead the development of best practices for nurse staffing across the continuum through research and innovation. Regardless of the setting, nurses must integrate multiple concepts with the value of professional nursing to create new care and staffing models. Traditional models demonstrate that nurses are a commodity. If the profession is to make any significant changes in nurse staffing, it is through the articulation of the value of our professional practice within the overall health care environment. This position paper is organized around the concepts from the Data-Driven Model for Excellence in Staffing. The main concepts are: Core Concept 1: Users and Patients of Health Care, Core Concept 2: Providers of Health Care, Core Concept 3: Environment of Care, Core Concept 4: Delivery of Care, Core Concept 5: Quality, Safety, and Outcomes of Care. This position paper provides a comprehensive view of those concepts and components, why those concepts and components are important in this new era of nurse staffing, and a 3-year challenge that will push the nursing profession forward in all settings across the care continuum. There are decades of research supporting various changes to nurse staffing. Yet little has been done to move that research into practice and operations. While the primary goal of this position paper is to generate research

  15. Cost of nursing staffing adequacy in a neonatal unit.

    PubMed

    Fugulin, Fernanda Maria Togeiro; Lima, Antonio Fernandes Costa; Castilho, Valéria; Bochembuzio, Luciana; Costa, Janaína Anchieta; Castro, Liliana; Silva, Natália Célia Lima; Gaidzinski, Raquel Rapone

    2011-12-01

    The objectives of this descriptive, quantitative study were: to identify the mean nursing care time provided and required by newborns (NB) hospitalized at the Neonatal Unit of the University of São Paulo University Hospital; to calculate the cost of the mean nursing care time provided and required, by NB; to assess the cost of the nursing staffing adequacy required to assist the NB. The mean nursing care times, provided by the nursing staff and required by NBs, were calculated using equations available in the literature and by applying the Nursing Activities Score. The costs of the mean nursing care times and to make nursing staffing adequate were calculated based on the hourly cost of nurses and nursing technicians. The financial impact of nursing staffing adequacy accounted for a 30% increase over the cost of the current situation.

  16. Nurse satisfaction and the implementation of minimum nurse staffing regulations.

    PubMed

    Spetz, Joanne

    2008-02-01

    In 1999, California passed the first legislation in the United States to establish minimum staffing levels for licensed nurses in hospitals. Implementation of the regulation began in 2004. This article examines whether nurses who work in hospitals in California have perceived improvements in their working conditions. A statewide sample survey of registered nurses is used, and the survey data are linked with regional data to learn whether changes in satisfaction are associated with the degree to which regional employers were expected to increase nurse staffing when the ratios were implemented. Nurse satisfaction improved between 2004 and 2006, particularly with the adequacy of RN staff, time for patient education, benefits, and clerical support. There was a significant increase in overall job satisfaction between 2004 and 2006. However, improvements in satisfaction with the adequacy of RN staff were not associated with the degree to which regional hospitals were expected to increase staffing. PMID:18390479

  17. Staffing Subsidies and the Quality of Care in Nursing Homes

    PubMed Central

    Foster, Andrew D.; Lee, Yong Suk

    2015-01-01

    Concerns about the quality of state-financed nursing home care has led to the wide-scale adoption by states of pass-through subsidies, in which Medicaid reimbursement rates are directly tied to staffing expenditure. We examine the effects of Medicaid pass-through on nursing home staffing and quality of care by adapting a two-step FGLS method that addresses clustering and state-level temporal autocorrelation. We find that pass-through subsidies increases staffing by about 1% on average and 2.7% in nursing homes with a low share of Medicaid patients. Furthermore, pass-through subsidies reduce the incidences of pressure ulcer worsening by about 0.9%. PMID:25814437

  18. The importance of budgeting with nontraditional staffing patterns.

    PubMed

    Kiel, J M

    1993-03-01

    Are nontraditional staffing patterns cost effective? The advantages qualitatively seem to outweigh the disadvantages, but the numbers, when examined quickly, present an opposing view. Each institution is individual and thus the hospital administrators must assess the real reasons for their staffing and budgetary problems. Nontraditional staffing patterns have been shown to decrease the use and cost of agency personnel; therefore, the schedules are cost effective if a hospital frequently utilizes these services. A blanket statement cannot be made for all institutions. Another fact attributed to these innovative staffing patterns, the decrease in the turnover rate, needs to be further assessed. For although hospital employees in general considered inflexible scheduling a common reason for dissatisfaction, each institution must examine itself before changing schedules. For some hospitals, turnover can be decreased by using other benefits. An example taken from a New York City hospital that had a moderately high turnover rate found turnover rate due to inaccessibility to public transportation. A change with the scheduling would not have greatly decreased the turnover rate, but a shuttle service from the major subway and bus stations did. Thus the point is that nontraditional staffing patterns may not appear cost effective upon first looking at the numbers, but after an individual assessment of each institution the real need for change in scheduling patterns can be determined. Also benefit percentages and use of overtime must be calculated carefully. Last, with the present and projected hospital personnel shortages, cost effectiveness may sometimes be overlooked in order to meet staffing requirements. This fact exemplifies the need for hospital administrators to acquire budgeting knowledge in order to assess cost effectiveness and prevent hospital losses. PMID:10124144

  19. Minister didn't say government won't support safe staffing bill.

    PubMed

    Clark, June

    2015-03-25

    I am afraid your report on the progress of the safe nurse staffing levels bill, 'Minimum staffing ratios failed to gain Welsh Government support' (News March 11) may give an unnecessarily pessimistic picture of the situation.

  20. Can mercury in fish be reduced by water level management? Evaluating the effects of water level fluctuation on mercury accumulation in yellow perch (Perca flavescens)

    USGS Publications Warehouse

    Larson, James H.; Maki, Ryan P.; Knights, Brent C.; Gray, Brian R.

    2014-01-01

    Mercury (Hg) contamination of fisheries is a major concern for resource managers of many temperate lakes. Anthropogenic Hg contamination is largely derived from atmospheric deposition within a lake’s watershed, but its incorporation into the food web is facilitated by bacterial activity in sediments. Temporal variation in Hg content of fish (young-of-year yellow perch) in the regulated lakes of the Rainy–Namakan complex (on the border of the United States and Canada) has been linked to water level (WL) fluctuations, presumably through variation in sediment inundation. As a result, Hg contamination of fish has been linked to international regulations of WL fluctuation. Here we assess the relationship between WL fluctuations and fish Hg content using a 10-year dataset covering six lakes. Within-year WL rise did not appear in strongly supported models of fish Hg, but year-to-year variation in maximum water levels (∆maxWL) was positively associated with fish Hg content. This WL effect varied in magnitude among lakes: In Crane Lake, a 1 m increase in ∆maxWL from the previous year was associated with a 108 ng increase in fish Hg content (per gram wet weight), while the same WL change in Kabetogama was associated with only a 5 ng increase in fish Hg content. In half the lakes sampled here, effect sizes could not be distinguished from zero. Given the persistent and wide-ranging extent of Hg contamination and the large number of regulated waterways, future research is needed to identify the conditions in which WL fluctuations influence fish Hg content.

  1. Staff Assist: A Resource to Improve Nursing Home Quality and Staffing

    ERIC Educational Resources Information Center

    Castle, Nicholas G.

    2011-01-01

    Purpose: This study describes the creation and use of a web-based resource, designed to help nursing homes implement quality improvements through changes in staffing characteristics. Design and Methods: Information on staffing characteristics (i.e., staffing levels, turnover, stability, and use of agency staff), facility characteristics (e.g.,…

  2. Healthcare security staffing for smaller facilities: where science meets art.

    PubMed

    Warren, Bryan

    2013-01-01

    Obtaining effective security resourcing and staffing for smaller healthcare facilities presents many difficulties, according to the author In this article, he provides guidance to security practitioners on taking existing data and translating it into a language that administration will understand and appreciate.

  3. Queues and Reference Service: Some Implications for Staffing

    ERIC Educational Resources Information Center

    Regazzi, John J.; Hersberger, Rodney M.

    1978-01-01

    This study at an academic library used a simulation technique (1) to analyze the extent to which queues develop at a reference desk during peak periods, (2) to propose alternative staffing models to reduce queues, and (3) to examine the cost effectiveness of the alternatives. (Author/JAB)

  4. The Challenges of Staffing Urban Schools with Effective Teachers

    ERIC Educational Resources Information Center

    Jacob, Brian A.

    2007-01-01

    Brian Jacob examines challenges faced by urban districts in staffing their schools with effective teachers. He emphasizes that the problem is far from uniform. Teacher shortages are more severe in certain subjects and grades than others, and differ dramatically from one school to another. The Chicago public schools, for example, regularly receive…

  5. Staffing UK University Campuses Overseas: Lessons from MNE Practice

    ERIC Educational Resources Information Center

    Salt, John; Wood, Peter

    2014-01-01

    This article suggests that as their internal labor markets become more multinational in scope, UK universities may acquire similar staffing characteristics to commercial multinational enterprises (MNEs). Comparing evidence from four UK universities with several surveys of MNEs it concludes that, although there are broad similarities in the…

  6. Nursing Home Quality, Cost, Staffing, and Staff Mix

    ERIC Educational Resources Information Center

    Rantz, Marilyn J.; Hicks, Lanis; Grando, Victoria; Petroski, Gregory F.; Madsen, Richard W.; Mehr, David R.; Conn, Vicki; Zwygart-Staffacher, Mary; Scott, Jill; Flesner, Marcia; Bostick, Jane; Porter, Rose; Maas, Meridean

    2004-01-01

    Purpose: The purpose of this study was to describe the processes of care, organizational attributes, cost of care, staffing level, and staff mix in a sample of Missouri homes with good, average, and poor resident outcomes. Design and Methods: A three-group exploratory study design was used, with 92 nursing homes randomly selected from all nursing…

  7. The labor market effects of California's minimum nurse staffing law.

    PubMed

    Munnich, Elizabeth L

    2014-08-01

    In 2004, California became the first state to implement statewide minimum nurse-to-patient ratios in general hospitals. In spite of years of work to establish statewide staffing regulations, there is little evidence that the law was effective in attracting more nurses to the hospital workforce or improving patient outcomes. This paper examines the effects of this legislation on employment and wages of registered nurses. By using annual financial data from California hospitals, I show that nurse-to-patient ratios in medical/surgical units increased substantially following the staffing mandate. However, survey data from two nationally representative datasets indicate that the law had no effect on the aggregate number of registered nurses or the hours they worked in California hospitals, and at most a modest effect on wages. My findings suggest that offsetting changes in labor demand due to hospital closures, combined with reclassification of workers within hospitals, and mitigated the employment effects of California's staffing regulation. This paper cautions that California's experience with minimum nurse staffing legislation may not be generalizable to states considering similar policies in very different hospital markets.

  8. Duke's Story: How One University Simplified Its Flexible Staffing Model

    ERIC Educational Resources Information Center

    Davidson, H. Clint, Jr.; Hendricks, Linda B.; Carroll, Teresa

    2005-01-01

    Higher education institutions often partner with outside staffing vendors to secure large pools of temporary workers for a variety of industrial and clerical positions. However, many institutions are doing so haphazardly and in a disconnected fashion, with different operating units each utilizing a different vendor. Duke University and Health…

  9. 42 CFR 432.50 - FFP: Staffing and training costs.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... education and training in the field of medical care or appropriate medical practice. “Professional education... program is not considered the equivalent of professional training in a field of medical care. (iii) The... 42 Public Health 4 2012-10-01 2012-10-01 false FFP: Staffing and training costs. 432.50...

  10. 42 CFR 432.50 - FFP: Staffing and training costs.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... education and training in the field of medical care or appropriate medical practice. “Professional education... program is not considered the equivalent of professional training in a field of medical care. (iii) The... 42 Public Health 4 2014-10-01 2014-10-01 false FFP: Staffing and training costs. 432.50...

  11. Executive Staffing Competencies Relating to Human Resource Practices.

    ERIC Educational Resources Information Center

    Ho, Wen-Rong Jerry; Harris, Ben M.

    1996-01-01

    Self-perceived competence of school superintendents in staffing for instruction (SIC) and the extent to which human resources practices and outcomes were operational in their school systems were studied through a survey of 107 superintendents. Administrators with higher SIC scores tended to have better human resource operations and outcomes. (SLD)

  12. A Preliminary Analysis of a Strategic Staffing Initiative

    ERIC Educational Resources Information Center

    Pulliam, Cheryl L.; LaCaria, Lynne; Schoeneberger, Jason; Algozzine, Bob

    2014-01-01

    The authors evaluated a reform program known as "Strategic Staffing" in which principals were given increased autonomy to modify the delivery of instruction without compromising academic content. The program's central feature was reassignment of school leaders and key staff members from settings in which they were successful to…

  13. Separation: An Integral Aspect of the Staffing Process.

    ERIC Educational Resources Information Center

    Conley, Valerie Martin

    2001-01-01

    The model of staffing in higher education proposed by Winston and Creamer (1997) includes essential components of recruitment and selection, orientation, supervision, staff development, and performance appraisal. Proposes that the model has a significant oversight-when staff leave their position. Separation is proposed as a necessary component of…

  14. Nurse Staffing Methodology, A Review and Critique of Selected Literature.

    ERIC Educational Resources Information Center

    Aydelotte, Myrtle K.

    In recent years much has been written on the subject of nurse staffing but few attempts have been made to integrate the literature and show relationships between the methodologies. This document is an effort to synthesize and critically examine the major methodological research studies in the field of nursing. Included are: (1) a bibliography of…

  15. Staffing Levels in the Dallas Independent School District

    ERIC Educational Resources Information Center

    Council of the Great City Schools, 2009

    2009-01-01

    The Board of Trustees of the Dallas Independent School District (DISD) asked the Council of the Great City Schools, the nation's primary coalition of large urban school systems, to examine the staffing levels of the school system and determine whether the numbers of staff members employed were appropriate for a district serving as many students as…

  16. 20 CFR 653.111 - State agency staffing requirements.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false State agency staffing requirements. 653.111 Section 653.111 Employees' Benefits EMPLOYMENT AND TRAINING ADMINISTRATION, DEPARTMENT OF LABOR SERVICES OF THE EMPLOYMENT SERVICE SYSTEM Services for Migrant and Seasonal Farmworkers (MSFWs) §...

  17. The labor market effects of California's minimum nurse staffing law.

    PubMed

    Munnich, Elizabeth L

    2014-08-01

    In 2004, California became the first state to implement statewide minimum nurse-to-patient ratios in general hospitals. In spite of years of work to establish statewide staffing regulations, there is little evidence that the law was effective in attracting more nurses to the hospital workforce or improving patient outcomes. This paper examines the effects of this legislation on employment and wages of registered nurses. By using annual financial data from California hospitals, I show that nurse-to-patient ratios in medical/surgical units increased substantially following the staffing mandate. However, survey data from two nationally representative datasets indicate that the law had no effect on the aggregate number of registered nurses or the hours they worked in California hospitals, and at most a modest effect on wages. My findings suggest that offsetting changes in labor demand due to hospital closures, combined with reclassification of workers within hospitals, and mitigated the employment effects of California's staffing regulation. This paper cautions that California's experience with minimum nurse staffing legislation may not be generalizable to states considering similar policies in very different hospital markets. PMID:23893946

  18. 29 CFR 1952.163 - Compliance staffing benchmarks.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ..., DEPARTMENT OF LABOR (CONTINUED) APPROVED STATE PLANS FOR ENFORCEMENT OF STATE STANDARDS Iowa § 1952.163... established for each State operating an approved State plan. In September 1984, Iowa, in conjunction with OSHA... staffing benchmarks of 16 safety and 13 health compliance officers. After opportunity for public...

  19. Overseas Staffing for the New Europe.

    ERIC Educational Resources Information Center

    Krupp, Neil B.

    1990-01-01

    To manage a company's overseas operations effectively, a human resources manager needs a basic understanding of the three types of employees that will work in the facilities: (1) local nationals; (2) third-country nationals; and (3) U.S. foreign service employees. (JOW)

  20. Enhancing Nursing Staffing Forecasting With Safety Stock Over Lead Time Modeling.

    PubMed

    McNair, Douglas S

    2015-01-01

    In balancing competing priorities, it is essential that nursing staffing provide enough nurses to safely and effectively care for the patients. Mathematical models to predict optimal "safety stocks" have been routine in supply chain management for many years but have up to now not been applied in nursing workforce management. There are various aspects that exhibit similarities between the 2 disciplines, such as an evolving demand forecast according to acuity and the fact that provisioning "stock" to meet demand in a future period has nonzero variable lead time. Under assumptions about the forecasts (eg, the demand process is well fit as an autoregressive process) and about the labor supply process (≥1 shifts' lead time), we show that safety stock over lead time for such systems is effectively equivalent to the corresponding well-studied problem for systems with stationary demand bounds and base stock policies. Hence, we can apply existing models from supply chain analytics to find the optimal safety levels of nurse staffing. We use a case study with real data to demonstrate that there are significant benefits from the inclusion of the forecast process when determining the optimal safety stocks. PMID:26340239

  1. Enhancing Nursing Staffing Forecasting With Safety Stock Over Lead Time Modeling.

    PubMed

    McNair, Douglas S

    2015-01-01

    In balancing competing priorities, it is essential that nursing staffing provide enough nurses to safely and effectively care for the patients. Mathematical models to predict optimal "safety stocks" have been routine in supply chain management for many years but have up to now not been applied in nursing workforce management. There are various aspects that exhibit similarities between the 2 disciplines, such as an evolving demand forecast according to acuity and the fact that provisioning "stock" to meet demand in a future period has nonzero variable lead time. Under assumptions about the forecasts (eg, the demand process is well fit as an autoregressive process) and about the labor supply process (≥1 shifts' lead time), we show that safety stock over lead time for such systems is effectively equivalent to the corresponding well-studied problem for systems with stationary demand bounds and base stock policies. Hence, we can apply existing models from supply chain analytics to find the optimal safety levels of nurse staffing. We use a case study with real data to demonstrate that there are significant benefits from the inclusion of the forecast process when determining the optimal safety stocks.

  2. Long term fluctuations of groundwater mine pollution in a sulfide mining district with dry Mediterranean climate: Implications for water resources management and remediation.

    PubMed

    Caraballo, Manuel A; Macías, Francisco; Nieto, José Miguel; Ayora, Carlos

    2016-01-01

    Water resources management and restoration strategies, and subsequently ecological and human life quality, are highly influenced by the presence of short and long term cycles affecting the intensity of a targeted pollution. On this respect, a typical acid mine drainage (AMD) groundwater from a sulfide mining district with dry Mediterranean climate (Iberian Pyrite Belt, SW Spain) was studied to unravel the effect of long term weather changes in water flow rate and metal pollutants concentration. Three well differentiated polluting stages were observed and the specific geochemical, mineralogical and hydrological processes involved (pyrite and enclosing rocks dissolution, evaporitic salts precipitation-redisolution and pluviometric long term fluctuations) were discussed. Evidencing the importance of including longer background monitoring stage in AMD management and restoration strategies, the present study strongly advise a minimum 5-years period of AMD continuous monitoring previous to the design of any AMD remediation system in regions with dry Mediterranean climate.

  3. Long term fluctuations of groundwater mine pollution in a sulfide mining district with dry Mediterranean climate: Implications for water resources management and remediation.

    PubMed

    Caraballo, Manuel A; Macías, Francisco; Nieto, José Miguel; Ayora, Carlos

    2016-01-01

    Water resources management and restoration strategies, and subsequently ecological and human life quality, are highly influenced by the presence of short and long term cycles affecting the intensity of a targeted pollution. On this respect, a typical acid mine drainage (AMD) groundwater from a sulfide mining district with dry Mediterranean climate (Iberian Pyrite Belt, SW Spain) was studied to unravel the effect of long term weather changes in water flow rate and metal pollutants concentration. Three well differentiated polluting stages were observed and the specific geochemical, mineralogical and hydrological processes involved (pyrite and enclosing rocks dissolution, evaporitic salts precipitation-redisolution and pluviometric long term fluctuations) were discussed. Evidencing the importance of including longer background monitoring stage in AMD management and restoration strategies, the present study strongly advise a minimum 5-years period of AMD continuous monitoring previous to the design of any AMD remediation system in regions with dry Mediterranean climate. PMID:26379258

  4. Are nursing homes adequately staffed? The silent epidemic of malnutrition and dehydration in nursing home residents. Until mandatory staffing standards are created and enforced, residents are at risk.

    PubMed

    Shipman, Debra; Hooten, Jack

    2007-07-01

    Providing care to produce positive resident outcomes is an ethical duty of nursing home staff. Research has shown that inadequate staffing levels present an increased health risk to nursing home residents. Nursing home residents may experience dehydration and malnutrition caused by inadequate staffing. Continued research in the area of nutrition and dehydration in nursing home residents may positively influence changes in staffing levels at nursing homes. Currently, residents living in understaffed nursing homes and not receiving proper care are the victims. It is time for nurses to forcefully lobby for national mandatory nurse staffing standards.

  5. Hospital staffing and health care-associated infections: a systematic review of the literature.

    PubMed

    Stone, Patricia W; Pogorzelska, Monika; Kunches, Laureen; Hirschhorn, Lisa R

    2008-10-01

    In the past 10 years, many researchers have examined relationships between hospital staffing and patients' risk of health care-associated infection (HAI). To gain understanding of this evidence base, a systematic review was conducted, and 42 articles were audited. The most common infection studied was bloodstream infection (n=18; 43%). The majority of researchers examined nurse staffing (n=38; 90%); of these, only 7 (18%) did not find a statistically significant association between nurse staffing variable(s) and HAI rates. Use of nonpermanent staff was associated with increased rates of HAI in 4 studies (P<.05). Three studies addressed infection control professional staffing with mixed results. Physician staffing was not found to be associated with patients' HAI risk (n=2). The methods employed and operational definitions used for both staffing and HAI varied; despite this variability, trends were apparent. Research characterizing effective staffing for infection control departments is needed.

  6. Health Care Evolution Is Driving Staffing Industry Transformation.

    PubMed

    Faller, Marcia; Gogek, Jim

    2016-01-01

    The powerful transformation in the health care industry is reshaping not only patient care delivery and the business of health care but also demanding new strategies from vendors who support the health care system. These new strategies may be most evident in workforce solutions and health care staffing services. Consolidation of the health care industry has created increased demand for these types of services. Accommodating a changing workforce and related pressures resulting from health care industry transformation has produced major change within the workforce solutions and staffing services sector. The effect of the growth strategy of mergers, acquisitions, and organic development has revealed organizational opportunities such as expanding capacity for placing physicians, nurses, and allied professionals, among other workforce solutions. This article shares insights into workforce challenges and solutions throughout the health care industry. PMID:27584892

  7. Health Care Evolution Is Driving Staffing Industry Transformation.

    PubMed

    Faller, Marcia; Gogek, Jim

    2016-01-01

    The powerful transformation in the health care industry is reshaping not only patient care delivery and the business of health care but also demanding new strategies from vendors who support the health care system. These new strategies may be most evident in workforce solutions and health care staffing services. Consolidation of the health care industry has created increased demand for these types of services. Accommodating a changing workforce and related pressures resulting from health care industry transformation has produced major change within the workforce solutions and staffing services sector. The effect of the growth strategy of mergers, acquisitions, and organic development has revealed organizational opportunities such as expanding capacity for placing physicians, nurses, and allied professionals, among other workforce solutions. This article shares insights into workforce challenges and solutions throughout the health care industry.

  8. Nurse staffing in a decentralized organization: part II.

    PubMed

    Althaus, J N; Hardyck, N M; Pierce, P B; Rodgers, M S

    1982-04-01

    It must be emphasized that none of the steps described in this planning process emerged overnight. Rather, they were achieved through a process of evolution, sometimes through trial and error, and always with consultation and participation by many members of the hospital nursing staff. Participation by many in the process of planning for a workable staffing system has been essential to its success. Indeed, creative scheduling by the head nurse is possible because of the way in which the system has been organized. The fact that head nurses are responsible for staffing their own units makes it infinitely easier for them to see what they need to make their units operate effectively and efficiently. Creative scheduling includes the possibility of arranging nurses' hours outside the rigid three-shift schedule used by so many hospitals. Many El Camino nurses now report for work at different hours. In addition, the use of flexible work weeks has proven valuable. Some head nurses now allow for a ten-hour, four-day work week; in emergency staffing situations there have, on occasion, been twelve-hour days. Even as this system evolves, it faces change. Just as the requirements for staff cannot be rigid, so must problem solving be flexible and constantly under review. The fact that El Camino believes in constant monitoring of its system is essential to its success. A key philosophical foundation of decentralization is that it must be subject to change. This is no less true in staffing than in other parts of the decentralization structure. By agreeing that change is constant and necessary and that participation is required at all levels of the staffing planning process, we have constructed the outlines of a system that will work in the future as well as it does in the present. Our system centers around the head nurses. It involves their planning; thus it also involves the support of those members of the nursing staff who can provide essential information. But the decisions

  9. Multi-Source Remote Sensing to Observe Impacts of Fluctuating Management and Climate on Riparian Vegetation of the Rio Grande: 1935 to 2014

    NASA Astrophysics Data System (ADS)

    Petrakis, R.; Tashjian, P.; Russo, R. D.; Thomson, B.; Van Leeuwen, W. J. D.

    2015-12-01

    Large rivers of the Southwestern United States are central to both ecological and human communities. Complex relationships exist between water policy, management, and natural ecosystems. The San Acacia Reach of the Rio Grande in central New Mexico, a 50 mile stretch from San Acacia to San Marcial, has experienced multiple management and climate fluctuations over the past 80 years, resulting in threats to riparian and aquatic ecosystems. These changes have included channelization of the river, reduced seasonal flooding due to upstream dams and conveyance channels, and varying river flows as a result of drought cycles. Understanding how the location and composition of vegetation has responded to these changes is essential in understanding the larger influence on the riparian vegetation which surrounds the river. This research used remote sensing data, land cover change analysis, GIS, and a review of the on-the-ground management decisions to accomplish the following goals: 1) determine how the channel has changed spatially over time, 2) determine the location and composition of vegetation change, and 3) determine potential linkages between management and the terrestrial and aquatic ecosystems. This research focused on four research periods which provide unique opportunities to observe a direct relationship between river management and land cover change. The periods are: 1) 1935 to 1962, 2) 1962 to 1987, 3) 1987 to 1999, and 4) 1999 to 2014. Initial results show increased invasive vegetation growth in response to early large scale, basin-wide changes in river management. Between 1962 and 1987, invasive forest/woodland land cover increased by more than 250%. However, as a result of restoration efforts over the past 25 years, combined with periods of increased precipitation and an aging ecosystem limiting new growth, native vegetation has responded and invasive vegetation growth has slowed. This has occurred despite a more constricted and incised river channel. Overall

  10. Applying the workload indicators of staffing need (WISN) method in Namibia: challenges and implications for human resources for health policy

    PubMed Central

    2013-01-01

    Introduction As part of ongoing efforts to restructure the health sector and improve health care quality, the Ministry of Health and Social Services (MoHSS) in Namibia sought to update staffing norms for health facilities. To establish an evidence base for the new norms, the MoHSS supported the first-ever national application of the Workload Indicators of Staffing Need (WISN) method, a human resource management tool developed by the World Health Organization. Application The WISN method calculates the number of health workers per cadre, based on health facility workload. It provides two indicators to assess staffing: (1) the gap/excess between current and required number of staff, and (2) the WISN ratio, a measure of workload pressure. Namibian WISN calculations focused on four cadres (doctors, nurses, pharmacists, pharmacy assistants) and all four levels of public facilities (clinics, health centers, district hospitals, intermediate hospitals). WISN steps included establishing a task force; conducting a regional pilot; holding a national validation workshop; field verifying data; collecting, uploading, processing, and analyzing data; and providing feedback to policy-makers. Challenges The task force faced two challenges requiring time and effort to solve: WISN software-related challenges and unavailability of some data at the national level. Findings WISN findings highlighted health worker shortages and inequities in their distribution. Overall, staff shortages are most profound for doctors and pharmacists. Although the country has an appropriate number of nurses, the nurse workforce is skewed towards hospitals, which are adequately or slightly overstaffed relative to nurses’ workloads. Health centers and, in particular, clinics both have gaps between current and required number of nurses. Inequities in nursing staff also exist between and within regions. Finally, the requirement for nurses varies greatly between less and more busy clinics (range = 1 to 7

  11. When caring stops, staffing doesn't matter: part II.

    PubMed

    Douglas, Kathy

    2011-01-01

    Response to a column on caring and staffing struck a cord with Nursing Economic$ readers worldwide. Measuring caring is complicated and a healthy debate exists over how exactly to do it. The extraordinary work of Dr. Jean Watson is an excellent resource for understanding how to measure and monitor caring. Beneath the instruments for measuring caring sits foundational work that can help us clarify and understand the topic of caring and just where it sits in our philosophies, intentions, patient care models, and care delivery systems.

  12. California's minimum-nurse-staffing legislation and nurses' wages.

    PubMed

    Mark, Barbara; Harless, David W; Spetz, Joanne

    2009-01-01

    In 2004, California became the first state to implement minimum-nurse-staffing ratios in acute care hospitals. We examined the wages of registered nurses (RNs) before and after the legislation was enacted. Using four data sets-the National Sample Survey of Registered Nurses, the Current Population Survey, the National Compensation Survey, and the Occupational Employment Statistics Survey-we found that from 2000 through 2006, RNs in California metropolitan areas experienced real wage growth as much as twelve percentage points higher than the growth in the wages of nurses employed in metropolitan areas outside of California.

  13. Deviations in Monthly Staffing and Injurious Assaults Against Staff and Patients on Psychiatric Units.

    PubMed

    Staggs, Vincent S

    2016-10-01

    It is widely thought that low staffing levels are associated with higher risk of psychiatric inpatient violence. The purpose of this study was to determine whether odds of an injurious assault are higher in months in which unit staffing levels are higher or lower relative to unit average, using a design allowing each unit to serve as its own control. Using 2011-2013 National Database of Nursing Quality Indicators data from 480 adult and 90 geriatric units in 361 US hospitals, monthly assault odds were modeled as functions of unit staffing. Monthly RN and non-RN staffing (hours per patient day) were categorized as very low, low, average, high, or very high, based on deviation from the unit's average staffing across study months. Endpoints were binary indicators for one or more injurious assaults against staff during the month and for one or more injurious assaults against patients during the month. Despite large sample sizes, neither RN nor non-RN staffing was a statistically significant predictor of odds of assault, nor was there a consistent trend of odds of assault being higher at below- or above-average staffing levels. There was little evidence that monthly deviation in unit staffing is associated with the odds of an injurious assault on a unit. This suggests that staffing-assault rate associations in previous studies of monthly data are largely attributable to between-unit rather than within-unit staffing differences. Hospitals may need to look beyond below- or above-average nurse staffing as a cause of assaults. © 2016 Wiley Periodicals, Inc. PMID:27304990

  14. Deviations in Monthly Staffing and Injurious Assaults Against Staff and Patients on Psychiatric Units.

    PubMed

    Staggs, Vincent S

    2016-10-01

    It is widely thought that low staffing levels are associated with higher risk of psychiatric inpatient violence. The purpose of this study was to determine whether odds of an injurious assault are higher in months in which unit staffing levels are higher or lower relative to unit average, using a design allowing each unit to serve as its own control. Using 2011-2013 National Database of Nursing Quality Indicators data from 480 adult and 90 geriatric units in 361 US hospitals, monthly assault odds were modeled as functions of unit staffing. Monthly RN and non-RN staffing (hours per patient day) were categorized as very low, low, average, high, or very high, based on deviation from the unit's average staffing across study months. Endpoints were binary indicators for one or more injurious assaults against staff during the month and for one or more injurious assaults against patients during the month. Despite large sample sizes, neither RN nor non-RN staffing was a statistically significant predictor of odds of assault, nor was there a consistent trend of odds of assault being higher at below- or above-average staffing levels. There was little evidence that monthly deviation in unit staffing is associated with the odds of an injurious assault on a unit. This suggests that staffing-assault rate associations in previous studies of monthly data are largely attributable to between-unit rather than within-unit staffing differences. Hospitals may need to look beyond below- or above-average nurse staffing as a cause of assaults. © 2016 Wiley Periodicals, Inc.

  15. Hospital pharmacy financial management: challenges of the 1980s.

    PubMed

    Nold, E G

    1984-08-01

    This paper concludes a series on financial management of hospital pharmacies. A decade of expansion of health-care services is ending. Changes in health care are predicted by examining changes that followed deregulation of the banking industry. Pharmacists' need for training in financial management is reiterated, and the need for computerized financial reports is emphasized. Pharmacy departments should prepare for constant changes in reimbursement methods and fluctuations in workload that require flexible staffing. Marketing of pharmaceutical services and increases in productivity will be necessary. Health-care cost reductions can be achieved using the available technology, although hospital closure, restructuring, and staff reductions may occur. Pharmacist-managers need financial skills to remain competitive. PMID:6475975

  16. Population Structure of mtDNA Variation due to Pleistocene Fluctuations in the South American Maned Wolf (Chrysocyon brachyurus, Illiger, 1815): Management Units for Conservation.

    PubMed

    González, Susana; Cosse, Mariana; Franco, María del Rosario; Emmons, Louise; Vynne, Carly; Duarte, José Maurício Barbanti; Beccacesi, Marcelo D; Maldonado, Jesús E

    2015-01-01

    The maned wolf (Chrysocyon brachyurus) is one of the largest South American canids, and conservation across this charismatic carnivore's large range is presently hampered by a lack of knowledge about possible natural subdivisions which could influence the population's viability. To elucidate the phylogeographic patterns and demographic history of the species, we used 2 mtDNA markers (D-loop and cytochrome b) from 87 individuals collected throughout their range, in Argentina, Bolivia, Brazil, and Uruguay. We found moderate levels of haplotype and nucleotide diversity, and the 14 D-loop haplotypes were closely related. Genetic structure results revealed 4 groups, and when coupled with model inferences from a coalescent analysis, suggested that maned wolves have undergone demographic fluctuations due to changes in climate and habitat during the Pleistocene glaciation period approximately 24000 years before present (YBP). This genetic signature points to an event that occurred within the timing estimated for the start of the contraction of the Cerrado around 50000 YBP. Our results reveal a genetic signature of population size expansion followed by contraction during Pleistocene interglaciations, which had similar impacts on other South American mammals. The 4 groups should for now be considered management units, within which future monitoring efforts should be conducted independently.

  17. Population Structure of mtDNA Variation due to Pleistocene Fluctuations in the South American Maned Wolf (Chrysocyon brachyurus, Illiger, 1815): Management Units for Conservation.

    PubMed

    González, Susana; Cosse, Mariana; Franco, María del Rosario; Emmons, Louise; Vynne, Carly; Duarte, José Maurício Barbanti; Beccacesi, Marcelo D; Maldonado, Jesús E

    2015-01-01

    The maned wolf (Chrysocyon brachyurus) is one of the largest South American canids, and conservation across this charismatic carnivore's large range is presently hampered by a lack of knowledge about possible natural subdivisions which could influence the population's viability. To elucidate the phylogeographic patterns and demographic history of the species, we used 2 mtDNA markers (D-loop and cytochrome b) from 87 individuals collected throughout their range, in Argentina, Bolivia, Brazil, and Uruguay. We found moderate levels of haplotype and nucleotide diversity, and the 14 D-loop haplotypes were closely related. Genetic structure results revealed 4 groups, and when coupled with model inferences from a coalescent analysis, suggested that maned wolves have undergone demographic fluctuations due to changes in climate and habitat during the Pleistocene glaciation period approximately 24000 years before present (YBP). This genetic signature points to an event that occurred within the timing estimated for the start of the contraction of the Cerrado around 50000 YBP. Our results reveal a genetic signature of population size expansion followed by contraction during Pleistocene interglaciations, which had similar impacts on other South American mammals. The 4 groups should for now be considered management units, within which future monitoring efforts should be conducted independently. PMID:26245781

  18. Managing Custodial and Maintenance Staffs.

    ERIC Educational Resources Information Center

    Fickes, Michael

    2001-01-01

    Presents some basic maintenance management techniques that can help schools meet their budgets, preserve staffing levels, meet productivity needs, and sustain quality services. Tips for staff recruitment, training, and retention are explored. (GR)

  19. Radiotherapy facilities, equipment, and staffing in Poland: 2005–2011

    PubMed Central

    Reinfuss, Marian; Byrski, Edward; Malicki, Julian

    2013-01-01

    Background and purpose To evaluate the current status of radiotherapy facilities, staffing, and equipment, treatment and patients in Poland for the years 2005–2011 following implementation of the National Cancer Programme. Methods A survey was sent to the radiotherapy centres in Poland to collect data on available equipment, staffing, and treatments in the years 2005–2011. Results In 2011, 76,000 patients were treated with radiotherapy at 32 centres vs. 63,000 patients at 23 centres in 2005. Number of patients increased by 21%. In 2011, there were 453 radiation oncologists – specialists (1 in 168 patients), 325 medical physicists (1 in 215 patients), and 883 radiotherapy technicians (1 in 86 patients) vs. 320, 188, and 652, respectively, in 2005. The number of linear accelerators increased by 60%, from 70 units in 2005 to 112 in 2011. The current linac/patient ratio in Poland is 1 linac per 678 patients. Waiting times from diagnosis to the start of treatment has decreased. Conclusion Compared to 2005, there are more treatment facilities, more and better equipment (linacs), and more cancer care specialists. There are still large differences between the 16 Polish provinces in terms of equipment availability and ease of access to treatment. However, radiotherapy services in Poland have improved dramatically since the year 2005. PMID:24416548

  20. Studies on Nurse staffing and Healthcare Associated Infection: Methodological Challenges and Potential Solutions

    PubMed Central

    Shang, Jingjing; Stone, Patricia; Larson, Elaine

    2015-01-01

    Background Researchers have been studying hospital nurse staffing in relation to healthcare associated infections (HAIs) for over two decades, and the results have been mixed. We summarized published research examining these issues, critically analyzed the commonly used approaches, identified methodologic challenges, proposed potential solutions, and suggested the possible benefits of applying an electronic health record (EHR) system. Method A scoping review was conducted using Medline and Cumulative Index to Nursing and Allied Health Literature since 1990. Original research studies examining relationships between nurse staffing and HAIs in the hospital setting and published in peer-reviewed English-language journals were selected. Results A total of 125 articles/abstracts were identified and 45 met inclusion criteria. Findings from these studies were mixed. The methodologic challenges identified included database selection, variable measurement, methods to link the nurse staffing and HAI data and addressing temporality. Administrative staffing data were often not precise or specific. The most common method to link staffing and HAI data did not assess the temporal relationship. We proposed using daily staffing information 2–4 days prior to HAI onset linked to individual patient HAI data. Discussion To assess the relationships between nurse staffing and HAIs, methodological decisions are necessary based on what data are available and feasible to obtain. National efforts to promote EHR may offer solutions for future studies by providing more comprehensive data on HAIs and nurse staffing. PMID:26042847

  1. Regular Faculty Staffing for an Expanded First-Year Research and Writing Course: A Post Mortem.

    ERIC Educational Resources Information Center

    Rombauer, Marjorie Dick

    1980-01-01

    Complexities involved in staffing a legal research and writing program with regular faculty members, as contrasted with instructors or teaching assistants, are addressed. Development, implementation, and maintenance of regular staffing are discussed. Available from Union University, 80 Scotland Ave., Albany, NY 12208; $2.50, entire issue. (MSE)…

  2. 78 FR 8588 - Franklin Electric Company, Inc., Including On-Site Leased Workers From Peoplelink Staffing...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-06

    ... received information that workers from Remedy Intelligent Staffing, Labor Ready, and DriveForce... certification to include workers leased from Remedy Intelligent Staffing, Labor Ready, and DriveForce... Employment and Training Administration Franklin Electric Company, Inc., Including On-Site Leased Workers...

  3. Using Data to Assess Staffing and Services: University of Iowa Main Library

    ERIC Educational Resources Information Center

    Paulus, Amy R.

    2014-01-01

    The Main Library Service Desk is a one-stop academic help center located between a newly renovated student-focused space called the Learning Commons and the library collections. Services began with the first day of classes, August 26, 2013, and assessment has been ongoing, in part due to the availability of data. Staffing levels, staffing hours,…

  4. Development of Staffing Patterns in Six New Medical Schools Established 1952-1960.

    ERIC Educational Resources Information Center

    National Institutes of Health (DHEW), Bethesda, MD. Resources Analysis Branch.

    This summary report of staffing patterns in 6 medical schools established between 1952 and 1960 is the first phase of a proposed study of biomedical staffing requirements in institutions of higher education, 1965-1975. The 6 schools are: the University of Miami, Albert Einstein College of medicine at Yeshiva University, the University of Florida,…

  5. The Education Professions 1971-72. Part II - Differentiated Staffing: A State of the Art Report.

    ERIC Educational Resources Information Center

    Department of Health, Education, and Welfare, Washington, DC.

    The concern of this report is differentiated staffing. Background, historical precedents, and early models of this concept are explored, and a theory base is found in the concepts of a functional division of labor (specialized teaching talent) and the classical definition of promotion based on merit. Projects in differentiated staffing at Florida…

  6. Correlates of Client Satisfaction at Trainee and Professionally Staffed Counseling Centers.

    ERIC Educational Resources Information Center

    DeVito, Anthony J.; And Others

    Researchers have found differences in client perceptions of and judgments about experienced and inexperienced counselors. To investigate the correlates of client satisfaction in two counseling centers, one staffed primarily by trainees (CC-T) and one staffed primarily by professionals (CC-P), 464 questionnaires (107 or 26 percent at CC-T; 357 or…

  7. Research on Nurse Staffing in Hospitals; Report of the Conference, May 1972.

    ERIC Educational Resources Information Center

    Levine, Eugene, Ed.

    The conference brought together 45 persons who have had extensive experience in nurse staffing research. After the leadoff paper by Myrtle K. Aydelotte, which presented an overview of nurse staffing research, 10 papers were presented on variables considered to be significant in influencing the quantitative and qualitative demand for nurse…

  8. High School Administrative Staffing in Washington State: Principal Perspectives on Resource Needs and Utilization

    ERIC Educational Resources Information Center

    Steach, John C.

    2011-01-01

    This mixed methods study explored how high school principals prioritize their work and utilize available human resources to adjust to inadequate administrative staffing. Analysis of staffing levels across the state of Washington and specifically inside two eastern Washington districts framed interview questions for central office administration…

  9. The Influence of Nurse Staffing Levels on Quality of Care in Nursing Homes

    ERIC Educational Resources Information Center

    Hyer, Kathryn; Thomas, Kali S.; Branch, Laurence G.; Harman, Jeffrey S.; Johnson, Christopher E.; Weech-Maldonado, Robert

    2011-01-01

    Objective: This study examines the relationship between increasing certified nursing assistants (CNAs) and licensed nurse staffing ratios and deficiencies in Florida nursing homes over a 4-year period. Methods: Data from Florida staffing reports and the Online Survey Certification and Reporting database examine the relationship among staffing…

  10. The School Staffing Surge: Decades of Employment Growth in America's Public Schools

    ERIC Educational Resources Information Center

    Scafidi, Benjamin

    2012-01-01

    This report analyzes changes in public school staffing over time by examining data from the annual editions of the Digest of Education Statistics, which is compiled by the U.S. Department of Education's National Center for Education Statistics. The report's main part analyzes changes in public school staffing over the past generation, the fiscal…

  11. Do Medicaid incentive payments boost quality? Florida's direct care staffing adjustment program.

    PubMed

    Hyer, Kathryn; Thomas, Kali S; Johnson, Christopher E; Harman, Jeffrey S; Weech-Maldonado, Robert

    2013-01-01

    Beginning in April 2000 and continuing for 21 months, Florida's legislature allocated $31.6 million (annualized) to nursing homes through a Medicaid direct care staffing adjustment. Florida's legislature paid the highest incentives to nursing homes with the lowest staffing levels and the greatest percentage of Medicaid residents--the bottom tier of quality. Using Donabedian's structure-process-outcomes framework, this study tracks changes in staffing, wages, process of care, and outcomes. The incentive payments increased staffing and wages in nursing home processes (decreased restraint use and feeding tubes) for the facilities receiving the largest amount of money but had no change on pressure sores or decline in activities of daily living. The group receiving the lowest incentives payment (those highest staffed at baseline) saw significant improvement in two quality measures: pressure sores and decline in activities of daily living. All providers receiving more resources improved on deficiency scores, suggesting more Medicaid spending improves quality of care regardless of total incentive payments.

  12. Are staffing shortages changing the culture of midwifery?

    PubMed

    Edwards, Nadine; Gilbert, Arianna; Mander, Rosemary; McHugh, Nessa; Murphy-Lawless, Jo; Patterson, Jenny

    2016-03-01

    The effects of budgetary changes on midwives' practice environment have raised concerns in many settings. A survey of midwives and student midwives in the UK and Republic of Ireland in 2014 produced 280 responses. Staffing shortages were regarded as underpinning many changes, one of which was that of previously optional 'extra' activities, such as unpaid overtime, becoming mandatory. Shortages were aggravated in less acute areas by the transfer of midwives to more acute settings. One of the fears expressed by midwives was that a permanent change in the culture of midwifery would result. These phenomena are the everyday experiences of practising midwives, but they have failed to be addressed in the documents published by regulatory and review bodies.

  13. Are staffing shortages changing the culture of midwifery?

    PubMed

    Edwards, Nadine; Gilbert, Arianna; Mander, Rosemary; McHugh, Nessa; Murphy-Lawless, Jo; Patterson, Jenny

    2016-03-01

    The effects of budgetary changes on midwives' practice environment have raised concerns in many settings. A survey of midwives and student midwives in the UK and Republic of Ireland in 2014 produced 280 responses. Staffing shortages were regarded as underpinning many changes, one of which was that of previously optional 'extra' activities, such as unpaid overtime, becoming mandatory. Shortages were aggravated in less acute areas by the transfer of midwives to more acute settings. One of the fears expressed by midwives was that a permanent change in the culture of midwifery would result. These phenomena are the everyday experiences of practising midwives, but they have failed to be addressed in the documents published by regulatory and review bodies. PMID:27044189

  14. Quality and Cost Analysis of Nurse Staffing, Discharge Preparation, and Postdischarge Utilization

    PubMed Central

    Weiss, Marianne E; Yakusheva, Olga; Bobay, Kathleen L

    2011-01-01

    Objectives To determine the impact of unit-level nurse staffing on quality of discharge teaching, patient perception of discharge readiness, and postdischarge readmission and emergency department (ED) visits, and cost-benefit of adjustments to unit nurse staffing. Data Sources Patient questionnaires, electronic medical records, and administrative data for 1,892 medical–surgical patients from 16 nursing units within four acute care hospitals between January and July 2008. Design Nested panel data with hospital and unit-level fixed effects and patient and unit-level control variables. Data Collection/Extraction Registered nurse (RN) staffing was recorded monthly in hours-per-patient-day. Patient questionnaires were completed before discharge. Thirty-day readmission and ED use with reimbursement data were obtained by cross-hospital electronic searches. Principal Findings Higher RN nonovertime staffing decreased odds of readmission (OR = 0.56); higher RN overtime staffing increased odds of ED visit (OR = 1.70). RN nonovertime staffing reduced ED visits indirectly, via a sequential path through discharge teaching quality and discharge readiness. Cost analysis projected total savings from 1 SD increase in RN nonovertime staffing and decrease in RN overtime of U.S.$11.64 million and U.S.$544,000 annually for the 16 study units. Conclusions Postdischarge utilization costs could potentially be reduced by investment in nursing care hours to better prepare patients before hospital discharge. PMID:21517836

  15. Medical physics staffing for radiation oncology: a decade of experience in Ontario, Canada.

    PubMed

    Battista, Jerry J; Clark, Brenda G; Patterson, Michael S; Beaulieu, Luc; Sharpe, Michael B; Schreiner, L John; MacPherson, Miller S; Van Dyk, Jacob

    2012-01-05

    The January 2010 articles in The New York Times generated intense focus on patient safety in radiation treatment, with physics staffing identified frequently as a critical factor for consistent quality assurance. The purpose of this work is to review our experience with medical physics staffing, and to propose a transparent and flexible staffing algorithm for general use. Guided by documented times required per routine procedure, we have developed a robust algorithm to estimate physics staffing needs according to center-specific workload for medical physicists and associated support staff, in a manner we believe is adaptable to an evolving radiotherapy practice. We calculate requirements for each staffing type based on caseload, equipment inventory, quality assurance, educational programs, and administration. Average per-case staffing ratios were also determined for larger-scale human resource planning and used to model staffing needs for Ontario, Canada over the next 10 years. The workload specific algorithm was tested through a survey of Canadian cancer centers. For center-specific human resource planning, we propose a grid of coefficients addressing specific workload factors for each staff group. For larger scale forecasting of human resource requirements, values of 260, 700, 300, 600, 1200, and 2000 treated cases per full-time equivalent (FTE) were determined for medical physicists, physics assistants, dosimetrists, electronics technologists, mechanical technologists, and information technology specialists, respectively.

  16. Evidence-based staffing and "communityship" as the key to success.

    PubMed

    Kerfoot, Karlene; Douglas, Kathy

    2010-03-01

    Embracing an inclusive leadership style is the foundation of building an approach to staffing that maximizes outcomes for patients, the workforce, and the organizations in which care is delivered. By engaging everyone involved and inviting participation, a structure of shared understanding is created, providing an environment that is positioned to achieve optimal results. Communityship offers a model for approaching leadership that is aligned with leveraging talent across an organization and developing a culture prepared to face the complex challenges of staffing and achieving new levels of performance that an evidence-based approach to staffing excellence can offer. A zero-defect health care system can be achieved by developing communityship.

  17. Personnel Management. Universities.

    ERIC Educational Resources Information Center

    Ohio Board of Regents, Columbus. Management Improvement Program.

    This manual is one of 10 completed in the Ohio Management Improvement Program (MIP) during the 1971-73 biennium. In this project, Ohio's 34 public universities and colleges, in an effort directed and staffed by the Ohio Board of Regents, have developed manuals of management practices, in this case, concerning personnel management. Emphasis in this…

  18. Electronic medical records, nurse staffing, and nurse-sensitive patient outcomes: evidence from the national database of nursing quality indicators.

    PubMed

    Furukawa, Michael F; Raghu, T S; Shao, Benjamin B M

    2011-06-01

    Electronic medical records (EMR) have the potential to improve nursing care in the hospital setting. This study estimated the association of EMR implementation with nurse staffing levels, skill mix, contract/agency percent, and nurse-sensitive patient outcomes in U.S. hospitals. Data on nurse staffing and patient outcomes came from the 2004-2008 National Database of Nursing Quality Indicators. Data on EMR implementation came from the 2004-2008 HIMSS Analytics Database. The authors conducted a longitudinal analysis of an unbalanced panel of 3,048 medical/surgical units in 509 short-term, general acute care hospitals. EMR implementation was associated with lower total nurse hours per patient day, higher Registered Nurse percent and contract/agency percent, and higher adverse patient events in the short term. EMR may create a skill bias toward higher-skilled nurses. As more advanced EMR systems diffuse into practice, managers and policy makers should consider potential negative associations of EMR implementation with patient safety.

  19. The reasonable legal nursing manpower-staffing by using the system dynamics approach.

    PubMed

    Kwon, Kyoung Ja; Kim, Moon Sil; Kim, Jung A

    2006-01-01

    The Purpose of the study is to lay foundation for reasonable legal nursing manpower staffing by building the nursing manpower-staffing model. The System dynamics approach was adapted to build a simulation model. The model was built up on Vensim 5.0b DSS. In terms of economic efficiency on tertiary hospitals, the ratio of bed to nurse for the best reasonable legal nursing manpower-staffing is 3.0: 1(2.6:1 if calculating in terms of the ratio of patient to nurse) In terms of economic efficiency on secondary hospitals, the ratio of bed to nurse for the best reasonable legal nursing manpower-staffing is 3.5: 1(3.0:1 if calculating in terms of the ratio of patient to nurse).

  20. Cost savings associated with increased RN staffing in acute care hospitals: simulation exercise.

    PubMed

    Shamliyan, Tatyana A; Kane, Robert L; Mueller, Christine; Duval, Sue; Wilt, Timothy J

    2009-01-01

    Increasing nurse-to-patient staffing has been recommended as a means to improve patient safety. In this study, researchers analyzed the savings-cost ratio of increased RN-to-patient ratios for patients in ICUs and patients in surgical and medical units based on a meta-analysis of published observational studies. Increased RN staffing was associated with lower hospital-related mortality and adverse patient events and generates societal net savings from avoided patient adverse events. This finding appears to hold in ICUs and, to some extent, in surgical units, but not in medical units. Hospitals do not experience sufficient monetary benefit from reduced length of stay corresponding to an increased RN staffing. Policy decisions about RN staffing should include cost-utility analyses. PMID:19927445

  1. Impact of Nurse Staffing Mandates on Safety-Net Hospitals: Lessons from California

    PubMed Central

    McHugh, Matthew D; Brooks Carthon, Margo; Sloane, Douglas M; Wu, Evan; Kelly, Lesly; Aiken, Linda H

    2012-01-01

    Context California is the first and only state to implement a patient-to-nurse ratio mandate for hospitals. Increasing nurse staffing is an important organizational intervention for improving patient outcomes. Evidence suggests that staffing improved in California hospitals after the mandate was enacted, but the outcome for hospitals bearing a disproportionate share of uncompensated care—safety-net hospitals—remains unclear. One concern was that California's mandate would burden safety-net hospitals without improving staffing or that hospitals would reduce their skill mix, that is, the proportion of registered nurses of all nursing staff. We examined the differential effect of California's staffing mandate on safety-net and non-safety-net hospitals. Methods We used a time-series design with Annual Hospital Disclosure data files from the California Office of Statewide Health Planning and Development (OSHPD) for the years 1998 to 2007 to assess differences in the effect of California's mandate on staffing outcomes in safety-net and non-safety-net hospitals. Findings The mandate resulted in significant staffing improvements, on average nearly a full patient per nurse fewer (−0.98) for all California hospitals. The greatest effect was in those hospitals with the lowest staffing levels at the outset, both safety-net and non-safety-net hospitals, as the legislation intended. The mandate led to significantly improved staffing levels for safety-net hospitals, although there was a small but significant difference in the effect on staffing levels of safety-net and non-safety-net hospitals. Regarding skill mix, a marginally higher proportion of registered nurses was seen in non-safety-net hospitals following the mandate, while the skill mix remained essentially unchanged for safety-net hospitals. The difference between the two groups of hospitals was not significant. Conclusions California's mandate improved staffing for all hospitals, including safety-net hospitals

  2. Understanding unassisted falls: effects of nurse staffing level and nursing staff characteristics.

    PubMed

    Staggs, Vincent S; Knight, Jeff E; Dunton, Nancy

    2012-01-01

    Hierarchical Poisson modeling was used to explore hospital and nursing unit characteristics as predictors of the unassisted fall rate. Longitudinal data were collected from 1502 units in 248 US hospitals. The relation between the fall rate and total nurse staffing was positive at lower staffing levels and negative for levels around and above the median. The fall rate was negatively associated with registered nurse skill mix and average registered nurse tenure on the unit.

  3. The role of health care technology in support of perinatal nurse staffing.

    PubMed

    Ivory, Catherine H

    2015-01-01

    Health care technology can generate massive amounts of data. However, when data are generated from disparate, uncoordinated systems, using them to make decisions related to staffing can be a challenge. In this article, I describe the importance of data standardization, system interoperability, standard terminologies that support nursing practice, and nursing informatics expertise as tools for improving the usefulness of electronic systems for informing staffing decisions.

  4. Proteins, fluctuations and complexity

    SciTech Connect

    Frauenfelder, Hans; Chen, Guo; Fenimore, Paul W

    2008-01-01

    Glasses, supercooled liquids, and proteins share common properties, in particular the existence of two different types of fluctuations, {alpha} and {beta}. While the effect of the {alpha} fluctuations on proteins has been known for a few years, the effect of {beta} fluctuations has not been understood. By comparing neutron scattering data on the protein myoglobin with the {beta} fluctuations in the hydration shell measured by dielectric spectroscopy we show that the internal protein motions are slaved to these fluctuations. We also show that there is no 'dynamic transition' in proteins near 200 K. The rapid increase in the mean square displacement with temperature in many neutron scattering experiments is quantitatively predicted by the {beta} fluctuations in the hydration shell.

  5. The Effect of Minimum Nurse Staffing Legislation on Uncompensated Care Provided by California Hospitals

    PubMed Central

    Harless, David W.; Pink, George H.; Spetz, Joanne; Mark, Barbara

    2010-01-01

    This study assesses whether California’s minimum nurse staffing legislation affected the amount of uncompensated care provided by California hospitals. Using data from California’s Office of Statewide Health Planning and Development, the American Hospital Association Annual Survey and InterStudy, we divide hospitals into quartiles based on pre-regulation staffing levels. Controlling for other factors, we estimate changes in the growth rate of uncompensated care in the three lowest staffing quartiles relative to the quartile of hospitals with the highest staffing level. Our sample includes short-term general hospitals over the period 1999 to 2006. We find that growth rates in uncompensated care are lower in the first three staffing quartiles as compared to the highest quartile; however, results are statistically significant only for county and for-profit hospitals in quartiles one and three. We conclude that minimum nurse staffing ratios may lead some hospitals to limit uncompensated care, likely due to increased financial pressure. PMID:21156707

  6. The Effects of Nurse Staffing on Hospital Financial Performance: Competitive Versus Less Competitive Markets

    PubMed Central

    Everhart, Damian; Neff, Donna; Al-Amin, Mona; Nogle, June; Weech-Maldonado, Robert

    2013-01-01

    Background Hospitals facing financial uncertainty have sought to reduce nurse staffing as a way to increase profitability. However, nurse staffing has been found to be important in terms of quality of patient care and nursing related outcomes. Nurse staffing can provide a competitive advantage to hospitals and as a result better financial performance, particularly in more competitive markets Purpose In this study we build on the Resource-Based View of the Firm to determine the effect of nurse staffing on total profit margin in more competitive and less competitive hospital markets in Florida. Methodology/Approach By combining a Florida statewide nursing survey with the American Hospital Association Annual Survey and the Area Resource File, three separate multivariate linear regression models were conducted to determine the effect of nurse staffing on financial performance while accounting for market competitiveness. The analysis was limited to acute care hospitals. Findings Nurse staffing levels had a positive association with financial performance (β=3.3; p=0.02) in competitive hospital markets, but no significant association was found in less competitive hospital markets. Practice Implications Hospitals in more competitive hospital markets should reconsider reducing nursing staff, as these cost cutting measures may be inefficient and negatively affect financial performance. PMID:22543824

  7. Fluctuation relations for spintronics.

    PubMed

    López, Rosa; Lim, Jong Soo; Sánchez, David

    2012-06-15

    Fluctuation relations are derived in systems where the spin degree of freedom and magnetic interactions play a crucial role. The form of the nonequilibrium fluctuation theorems relies on the assumption of a local balance condition. We demonstrate that in some cases the presence of magnetic interactions violates this condition. Nevertheless, fluctuation relations can be obtained from the microreversibility principle sustained only at equilibrium as a symmetry of the cumulant generating function for spin currents. We illustrate the spintronic fluctuation relations for a quantum dot coupled to partially polarized helical edge states.

  8. Strange fluctuations at RHIC

    NASA Astrophysics Data System (ADS)

    Abdel Aziz, Mohamed; Gavin, Sean

    2004-01-01

    Net charge fluctuations measured by the STAR experiment at RHIC agree with hadronic event generators, suggesting that more sensitive fluctuation observables are needed to extract information on collision dynamics. Important information on isospin fluctuations can be extracted from K0SK± measurements. Gavin and Kapusta proposed that disoriented chiral condensate can produce extraordinary isospin fluctuations in both strange and non-strange mesons. However, even in the absence of such a contribution, we argue that this observable is very sensitive to the collision dynamics.

  9. Few Hospital Palliative Care Programs Meet National Staffing Recommendations.

    PubMed

    Spetz, Joanne; Dudley, Nancy; Trupin, Laura; Rogers, Maggie; Meier, Diane E; Dumanovsky, Tamara

    2016-09-01

    The predominant model for palliative care delivery, outside of hospice care, is the hospital-based consultative team. Although a majority of US hospitals offer palliative care services, there has been little research on the staffing of their program teams and whether those teams meet national guidelines, such as the Joint Commission's standard of including at least one physician, an advanced practice or other registered nurse, a social worker, and a chaplain. Data from the 2012-13 annual surveys of the National Palliative Care Registry indicate that only 25 percent of participating programs met that standard based on funded positions, and even when unfunded positions were included, only 39 percent of programs met the standard. Larger palliative care programs were more likely than smaller ones to include a funded physician position, while smaller programs were more reliant upon advanced practice and registered nurses. To meet current and future palliative care needs, expanded and enhanced education, as well as supportive financing mechanisms for consultations, are needed. PMID:27605652

  10. Few Hospital Palliative Care Programs Meet National Staffing Recommendations.

    PubMed

    Spetz, Joanne; Dudley, Nancy; Trupin, Laura; Rogers, Maggie; Meier, Diane E; Dumanovsky, Tamara

    2016-09-01

    The predominant model for palliative care delivery, outside of hospice care, is the hospital-based consultative team. Although a majority of US hospitals offer palliative care services, there has been little research on the staffing of their program teams and whether those teams meet national guidelines, such as the Joint Commission's standard of including at least one physician, an advanced practice or other registered nurse, a social worker, and a chaplain. Data from the 2012-13 annual surveys of the National Palliative Care Registry indicate that only 25 percent of participating programs met that standard based on funded positions, and even when unfunded positions were included, only 39 percent of programs met the standard. Larger palliative care programs were more likely than smaller ones to include a funded physician position, while smaller programs were more reliant upon advanced practice and registered nurses. To meet current and future palliative care needs, expanded and enhanced education, as well as supportive financing mechanisms for consultations, are needed.

  11. The association between nurse staffing and hospital outcomes in injured patients

    PubMed Central

    2012-01-01

    Background The enormous fiscal pressures facing trauma centers may lead trauma centers to reduce nurse staffing and to make increased use of less expensive and less skilled personnel. The impact of nurse staffing and skill mix on trauma outcomes has not been previously reported. The goal of this study was to examine whether nurse staffing levels and nursing skill mix are associated with trauma patient outcomes. Methods We used data from the Healthcare Cost and Utilization Project Nationwide Inpatient Sample to perform a cross-sectional study of 70,142 patients admitted to 77 Level I and Level II centers. Logistic regression models were used to examine the association between nurse staffing measures and (1) mortality, (2) healthcare associated infections (HAI), and (3) failure-to-rescue. We controlled for patient risk factors (age, gender, injury severity, mechanism of injury, comorbidities) and hospital structural characteristics (trauma center status - Level I versus Level II, hospital size, ownership, teaching status, technology level, and geographic region). Results A 1% increase in the ratio of licensed practical nurse (LPN) to total nursing time was associated with a 4% increase in the odds of mortality (adj OR 1.04; 95% CI: 1.02-1.06; p = 0.001) and a 6% increase in the odds of sepsis (adj OR 1.06: 1.03-1.10; p < 0.001). Hospitals in the highest quartile of LPN staffing had 3 excess deaths (95% CI: 1.2, 5.1) and 5 more episodes of sepsis (95% CI: 2.3, 7.6) per 1000 patients compared to hospitals in the lower quartile of LPN staffing. Conclusions Higher hospital LPN staffing levels are independently associated with slightly higher rates of mortality and sepsis in trauma patients admitted to Level I or Level II trauma centers. PMID:22876839

  12. The challenges of staffing urban schools with effective teachers.

    PubMed

    Jacob, Brian A

    2007-01-01

    Brian Jacob examines challenges faced by urban districts in staffing their schools with effective teachers. He emphasizes that the problem is far from uniform. Teacher shortages are more severe in certain subjects and grades than others, and differ dramatically from one school to another. The Chicago public schools, for example, regularly receive roughly ten applicants for each teaching position. But many applicants are interested in specific schools, and district officials struggle to find candidates for highly impoverished schools. Urban districts' difficulty in attracting and hiring teachers, says Jacob, means that urban teachers are less highly qualified than their suburban counterparts with respect to characteristics such as experience, educational background, and teaching certification. But they may not thus be less effective teachers. Jacob cites recent studies that have found that many teacher characteristics bear surprisingly little relationship to student outcomes. Policies to enhance teacher quality must thus be evaluated in terms of their effect on student achievement, not in terms of conventional teacher characteristics. Jacob then discusses how supply and demand contribute to urban teacher shortages. Supply factors involve wages, working conditions, and geographic proximity between teacher candidates and schools. Urban districts have tried various strategies to increase the supply of teacher candidates (including salary increases and targeted bonuses) and to improve retention rates (including mentoring programs). But there is little rigorous research evidence on the effectiveness of these strategies. Demand also has a role in urban teacher shortages. Administrators in urban schools may not recognize or value high-quality teachers. Human resource departments restrict district officials from making job offers until late in the hiring season, after many candidates have accepted positions elsewhere. Jacob argues that urban districts must improve hiring

  13. The challenges of staffing urban schools with effective teachers.

    PubMed

    Jacob, Brian A

    2007-01-01

    Brian Jacob examines challenges faced by urban districts in staffing their schools with effective teachers. He emphasizes that the problem is far from uniform. Teacher shortages are more severe in certain subjects and grades than others, and differ dramatically from one school to another. The Chicago public schools, for example, regularly receive roughly ten applicants for each teaching position. But many applicants are interested in specific schools, and district officials struggle to find candidates for highly impoverished schools. Urban districts' difficulty in attracting and hiring teachers, says Jacob, means that urban teachers are less highly qualified than their suburban counterparts with respect to characteristics such as experience, educational background, and teaching certification. But they may not thus be less effective teachers. Jacob cites recent studies that have found that many teacher characteristics bear surprisingly little relationship to student outcomes. Policies to enhance teacher quality must thus be evaluated in terms of their effect on student achievement, not in terms of conventional teacher characteristics. Jacob then discusses how supply and demand contribute to urban teacher shortages. Supply factors involve wages, working conditions, and geographic proximity between teacher candidates and schools. Urban districts have tried various strategies to increase the supply of teacher candidates (including salary increases and targeted bonuses) and to improve retention rates (including mentoring programs). But there is little rigorous research evidence on the effectiveness of these strategies. Demand also has a role in urban teacher shortages. Administrators in urban schools may not recognize or value high-quality teachers. Human resource departments restrict district officials from making job offers until late in the hiring season, after many candidates have accepted positions elsewhere. Jacob argues that urban districts must improve hiring

  14. 75 FR 38125 - Fanuc Robotics America, Inc. Including On-Site Leased Workers From Right Angle Staffing, Inc...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-01

    ... on February 16, 2010 (75 FR 7034). The initial investigation resulted in a negative determination... Right Angle Staffing, Inc., Quanta, Inc., Reliance One, Inc., Populus Group, LLC, Citistaff,...

  15. Spatial fluctuation theorem

    NASA Astrophysics Data System (ADS)

    Pérez-Espigares, Carlos; Redig, Frank; Giardinà, Cristian

    2015-08-01

    For non-equilibrium systems of interacting particles and for interacting diffusions in d-dimensions, a novel fluctuation relation is derived. The theorem establishes a quantitative relation between the probabilities of observing two current values in different spatial directions. The result is a consequence of spatial symmetries of the microscopic dynamics, generalizing in this way the Gallavotti-Cohen fluctuation theorem related to the time-reversal symmetry. This new perspective opens up the possibility of direct experimental measurements of fluctuation relations of vectorial observables.

  16. Do Medicaid incentive payments boost quality? Florida's direct care staffing adjustment program.

    PubMed

    Hyer, Kathryn; Thomas, Kali S; Johnson, Christopher E; Harman, Jeffrey S; Weech-Maldonado, Robert

    2013-01-01

    Beginning in April 2000 and continuing for 21 months, Florida's legislature allocated $31.6 million (annualized) to nursing homes through a Medicaid direct care staffing adjustment. Florida's legislature paid the highest incentives to nursing homes with the lowest staffing levels and the greatest percentage of Medicaid residents--the bottom tier of quality. Using Donabedian's structure-process-outcomes framework, this study tracks changes in staffing, wages, process of care, and outcomes. The incentive payments increased staffing and wages in nursing home processes (decreased restraint use and feeding tubes) for the facilities receiving the largest amount of money but had no change on pressure sores or decline in activities of daily living. The group receiving the lowest incentives payment (those highest staffed at baseline) saw significant improvement in two quality measures: pressure sores and decline in activities of daily living. All providers receiving more resources improved on deficiency scores, suggesting more Medicaid spending improves quality of care regardless of total incentive payments. PMID:23256559

  17. Managers Handbook for Software Development

    NASA Technical Reports Server (NTRS)

    Agresti, W.; Mcgarry, F.; Card, D.; Page, J.; Church, V.; Werking, R.

    1984-01-01

    Methods and aids for the management of software development projects are presented. The recommendations are based on analyses and experiences with flight dynamics software development. The management aspects of organizing the project, producing a development plan, estimation costs, scheduling, staffing, preparing deliverable documents, using management tools, monitoring the project, conducting reviews, auditing, testing, and certifying are described.

  18. Fluctuations In Electrohydrodynamic Instability

    NASA Astrophysics Data System (ADS)

    Bianco, Francesco; Lucchesi, Mauro; Capaccioli, Simone; Fronzoni, Leone; Allegrini, Paolo

    2005-11-01

    Electrohydrodynamic Convection in Liquid Crystals (EHC) is a good system for the experimental study of spatio-temporal chaos. Particularly interesting is the behavior of the Nematic in presence of weak turbulence where ordered and disordered states are mixed. In this case, the fluctuations of velocity and electric current, for instance, are typical fluctuations of a system far from equilibrium. Recently some authors have analyzed the amplitude of the fluctuations as function of the applied electric field and they present interesting interpretations provided by some theories. Although important results have been obtained by these authors, many aspects of the dynamical behavior have to be further analyzed as the role of some localized coherences inside the turbulence regions. The direct optical observation allows us to make a correspondence between fluctuations and patterns, providing important information for a theoretical interpretation.

  19. Nurse Staffing Calculation in the Emergency Department - Performance-Oriented Calculation Based on the Manchester Triage System at the University Hospital Bonn

    PubMed Central

    Gräff, Ingo; Goldschmidt, Bernd; Glien, Procula; Klockner, Sophia; Erdfelder, Felix; Schiefer, Jennifer Lynn; Grigutsch, Daniel

    2016-01-01

    Background To date, there are no valid statistics regarding the number of full time staff necessary for nursing care in emergency departments in Europe. Material and Methods Staff requirement calculations were performed using state-of-the art procedures which take both fluctuating patient volume and individual staff shortfall rates into consideration. In a longitudinal observational study, the average nursing staff engagement time per patient was assessed for 503 patients. For this purpose, a full-time staffing calculation was estimated based on the five priority levels of the Manchester Triage System (MTS), taking into account specific workload fluctuations (50th-95th percentiles). Results Patients classified to the MTS category red (n = 35) required the most engagement time with an average of 97.93 min per patient. On weighted average, for orange MTS category patients (n = 118), nursing staff were required for 85.07 min, for patients in the yellow MTS category (n = 181), 40.95 min, while the two MTS categories with the least acute patients, green (n = 129) and blue (n = 40) required 23.18 min and 14.99 min engagement time per patient, respectively. Individual staff shortfall due to sick days and vacation time was 20.87% of the total working hours. When extrapolating this to 21,899 (2010) emergency patients, 67–123 emergency patients (50–95% percentile) per month can be seen by one nurse. The calculated full time staffing requirement depending on the percentiles was 14.8 to 27.1. Conclusion Performance-oriented staff planning offers an objective instrument for calculation of the full-time nursing staff required in emergency departments. PMID:27138492

  20. Interim results of the study of control room crew staffing for advanced passive reactor plants

    SciTech Connect

    Hallbert, B.P.; Sebok, A.; Haugset, K.

    1996-03-01

    Differences in the ways in which vendors expect the operations staff to interact with advanced passive plants by vendors have led to a need for reconsideration of the minimum shift staffing requirements of licensed Reactor Operators and Senior Reactor Operators contained in current federal regulations (i.e., 10 CFR 50.54(m)). A research project is being carried out to evaluate the impact(s) of advanced passive plant design and staffing of control room crews on operator and team performance. The purpose of the project is to contribute to the understanding of potential safety issues and provide data to support the development of design review guidance. Two factors are being evaluated across a range of plant operating conditions: control room crew staffing; and characteristics of the operating facility itself, whether it employs conventional or advanced, passive features. This paper presents the results of the first phase of the study conducted at the Loviisa nuclear power station earlier this year. Loviisa served as the conventional plant in this study. Data collection from four crews were collected from a series of design basis scenarios, each crew serving in either a normal or minimum staffing configuration. Results of data analyses show that crews participating in the minimum shift staffing configuration experienced significantly higher workload, had lower situation awareness, demonstrated significantly less effective team performance, and performed more poorly as a crew than the crews participating in the normal shift staffing configuration. The baseline data on crew configurations from the conventional plant setting will be compared with similar data to be collected from the advanced plant setting, and a report prepared providing the results of the entire study.

  1. Effects of Medicare Payment Changes on Nursing Home Staffing and Deficiencies

    PubMed Central

    Konetzka, R Tamara; Yi, Deokhee; Norton, Edward C; Kilpatrick, Kerry E

    2004-01-01

    Objective To investigate the effects of Medicare's Prospective Payment System (PPS) for skilled nursing facilities (SNFs) and associated rate changes on quality of care as represented by staffing ratios and regulatory deficiencies. Data Sources Online Survey, Certification and Reporting (OSCAR) data from 1996–2000 were linked with Area Resource File (ARF) and Medicare Cost Report data to form a panel dataset. Study Design A difference-in-differences model was used to assess effects of the PPS and the BBRA (Balanced Budget Refinement Act) on staffing and deficiencies, a design that allows the separation of the effects of the policies from general trends. Ordinary least squares and negative binomial models were used. Data Collection Methods The OSCAR and Medicare Cost Report data are self-reported by nursing facilities; ARF data are publicly available. Data were linked by provider ID and county. Principal Findings We find that professional staffing decreased and regulatory deficiencies increased with PPS, and that both effects were mitigated with the BBRA rate increases. The effects appear to increase with the percent of Medicare residents in the facility except, in some cases, at the highest percentage of Medicare. The findings on staffing are statistically significant. The effects on deficiencies, though exhibiting consistent signs and magnitudes with the staffing results, are largely insignificant. Conclusions Medicare's PPS system and associated rate cuts for SNFs have had a negative effect on staffing and regulatory compliance. Further research is necessary to determine whether these changes are associated with worse outcomes. Findings from this investigation could help guide policy modifications that support the provision of quality nursing home care. PMID:15149474

  2. Fiscal Management in the Academic Library: Challenge and Opportunity.

    ERIC Educational Resources Information Center

    Simmons, Beatrice

    1979-01-01

    Suggests that academic library management, working cooperatively with operational staff, re-think service pedagogies and staffing configurations, involve librarians in the instructional process, develop relationships with faculty and students, and improve collection development in periods of fiscal retrenchment. (FM)

  3. 75 FR 10318 - Venta-Airwasher, LLC, Including On-Site Leased Workers From Metro Staffing, Snelling and Office...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-05

    .... The notice was published in the Federal Register on December 11, 2009 (74 FR 65795). At the request of... Staffing, Snelling and Office Team Itasca, IL; Amended Certification Regarding Eligibility To Apply for... firm. The company reports that on-site leased workers from Metro Staffing, Snelling and Office...

  4. A Model for Estimating Student Unit Cost and Staffing Requirements for University Academic Programmes with Reference to Kenyan Public Universities.

    ERIC Educational Resources Information Center

    Aduol, F. W. O.

    2001-01-01

    Presents model for estimation of student unit costs and staffing requirements. Begins with specification of a "staff distribution matrix" setting out proportions of staff levels in a given staff category that are needed for a degree level. Student unit cost and staffing requirements are computed through manipulations on the matrix. The model is…

  5. Effect of Staff Turnover on Staffing: A Closer Look at Registered Nurses, Licensed Vocational Nurses, and Certified Nursing Assistants

    ERIC Educational Resources Information Center

    Kash, Bita A.; Castle, Nicholas G.; Naufal, George S.; Hawes, Catherine

    2006-01-01

    Purpose: We examined the effects of facility and market-level characteristics on staffing levels and turnover rates for direct care staff, and we examined the effect of staff turnover on staffing levels. Design and Methods: We analyzed cross-sectional data from 1,014 Texas nursing homes. Data were from the 2002 Texas Nursing Facility Medicaid Cost…

  6. Staffing Patterns in Public School Systems: Current Status and Trends, Update 2003. A Reference Tool for School Administrators. Research Snapshot.

    ERIC Educational Resources Information Center

    Williams, Alicia R.; Protheroe, Nancy; Parks, Michael C.

    This research brief examines staffing patterns within U.S. public school systems. Specifically, it answers the following sets of questions: (1) Why is information about staffing ratios important? (2) How many people currently work in public schools? What proportion of these are teachers, administrators, and support staff? (3) What are the current…

  7. Half Empty or Half Full? Staffing Trends in Academic Libraries at U.S. Research Universities, 2000-2008

    ERIC Educational Resources Information Center

    Stewart, Christopher

    2010-01-01

    This study is a quantitative analysis of FTE staffing levels at academic libraries at 176 U.S. research universities between 2000 and 2008. Results showed that overall staffing levels at these libraries declined but that the average number of professional librarian FTE positions modestly increased. Other professional staff positions increased at a…

  8. Mission, Enrollment and Staffing Patterns, Funding Procedures, and Administration and Governance. The North Carolina Community College Study. Executive Summary.

    ERIC Educational Resources Information Center

    Davis, Junius A.; And Others

    In November 1985, the Research Triangle Institute conducted a study of enrollment, staffing, governance and administration, and budget allocations in the North Carolina community colleges. The study involved an analysis of public records related to enrollment, staffing, and finances; an extensive study, including on-site interviews, of 12…

  9. 77 FR 40638 - Syniverse Technologies, Inc., Including On-Site Leased Workers From Insight Global Stone Staffing...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-10

    ... 19, 2012 (Vol. 77, No. 76 FR 23510). At the request of State Workforce Office, the Department... Insight Global Stone Staffing, and Randstad Formerly Known as Sapphire Technologies, Watertown, MA... workers from Insight Global, Stone Staffing, Randstad formerly known as Sapphire Technologies,...

  10. 75 FR 22628 - Cadence Innovation, LLC, Groesbeck Plant, Including On-Site Leased Workers from Michigan Staffing...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-29

    ..., Inc., and Human Capital Staffing Clinton Township, MI, et al.; Amended Certification Regarding..., LLC. New information shows that workers leased from Human Capital Staffing were employed on-site at..., Modern Professional Services, LLC, TAC Transportation, Time Services, Inc., and Human Capital...

  11. Staffing of Teaching and Learning Centers in the United States: Indicators of Institutional Support for Faculty Development

    ERIC Educational Resources Information Center

    Herman, Jennifer H.

    2013-01-01

    This quantitative study reports data from nearly 200 teaching and learning development units (TLDUs), regarding their current staffing levels compared to the number of FTE faculty and FTE student enrollment. The study found that these staffing ratios at primary TLDUs vary by both institutional control and by Carnegie classification: in general,…

  12. Determinants and Effects of Nurse Staffing Intensity and Skill Mix in Residential Care/Assisted Living Settings

    ERIC Educational Resources Information Center

    Stearns, Sally C.; Park, Jeongyoung; Zimmerman, Sheryl; Gruber-Baldini, Ann L.; Konrad, Thomas R.; Sloane, Philip D.

    2007-01-01

    Purpose: Residential care/assisted living facilities have become an alternative to nursing homes for many individuals, yet little information exists about staffing in these settings and the effect of staffing. This study analyzed the intensity and skill mix of nursing staff using data from a four-state study, and their relationship to outcomes.…

  13. Fluctuating shells under pressure

    PubMed Central

    Paulose, Jayson; Vliegenthart, Gerard A.; Gompper, Gerhard; Nelson, David R.

    2012-01-01

    Thermal fluctuations strongly modify the large length-scale elastic behavior of cross-linked membranes, giving rise to scale-dependent elastic moduli. Whereas thermal effects in flat membranes are well understood, many natural and artificial microstructures are modeled as thin elastic shells. Shells are distinguished from flat membranes by their nonzero curvature, which provides a size-dependent coupling between the in-plane stretching modes and the out-of-plane undulations. In addition, a shell can support a pressure difference between its interior and its exterior. Little is known about the effect of thermal fluctuations on the elastic properties of shells. Here, we study the statistical mechanics of shape fluctuations in a pressurized spherical shell, using perturbation theory and Monte Carlo computer simulations, explicitly including the effects of curvature and an inward pressure. We predict novel properties of fluctuating thin shells under point indentations and pressure-induced deformations. The contribution due to thermal fluctuations increases with increasing ratio of shell radius to thickness and dominates the response when the product of this ratio and the thermal energy becomes large compared with the bending rigidity of the shell. Thermal effects are enhanced when a large uniform inward pressure acts on the shell and diverge as this pressure approaches the classical buckling transition of the shell. Our results are relevant for the elasticity and osmotic collapse of microcapsules. PMID:23150558

  14. The Selenocysteine tRNA STAF-Binding Region is Essential for Adequate Selenocysteine tRNA Status, Selenoprotein Expression and Early Age Survival of Mice

    Technology Transfer Automated Retrieval System (TEKTRAN)

    STAF is a transcription activating factor for a number of RNA Pol III-and RNA Pol II-dependent genes including the selenocysteine (Sec) tRNA gene. Here, the role of STAF in regulating expression of Sec tRNA and selenoproteins was examined in an invivo model. Heterozygous inactivation of the Staf gen...

  15. Comparing Staffing Levels in the Online Survey Certification and Reporting (OSCAR) System with the Medicaid Cost Report Data: Are Differences Systematic?

    ERIC Educational Resources Information Center

    Kash, Bita A.; Hawes, Catherine; Phillips, Charles D.

    2007-01-01

    Purpose: This study had two goals: (a) to assess the validity of the Online Survey Certification and Reporting (OSCAR) staffing data by comparing them to staffing measures from audited Medicaid Cost Reports and (b) to identify systematic differences between facilities that over-report or underreport staffing in the OSCAR. Design and Methods: We…

  16. Nursing Home Staffing and Quality under the Nursing Home Reform Act

    ERIC Educational Resources Information Center

    Zhang, Xinzhi; Grabowski, David C.

    2004-01-01

    Purpose: We examine whether the Nursing Home Reform Act (NHRA) improved nursing home staffing and quality. Design and Methods: Data from 5,092 nursing homes were linked across the 1987 Medicare/Medicaid Automated Certification System and the 1993 Online Survey, Certification and Reporting system. A dummy-year model was used to examine the effects…

  17. Social Problem Solving in Staffed Community Homes among Individuals with Intellectual Disabilities and Their Staff

    ERIC Educational Resources Information Center

    Ailey, Sarah H.; Miller, Arlene Michaels; Fogg, Louis

    2014-01-01

    Individuals with intellectual disabilities (ID) increasingly live with other individuals with ID in small community homes staffed by paraprofessionals where aggressive/challenging (problem) behaviors occur more frequently then among individuals with ID living with their families. Evidence suggests that individuals with ID are more susceptible to…

  18. Washington State Board for Community and Technical Colleges Enrollment and Staffing Report, Fall 2013

    ERIC Educational Resources Information Center

    Washington State Board for Community and Technical Colleges, 2013

    2013-01-01

    The "Fall Enrollment and Staffing Report 2013" provides a snapshot of enrollments in community and technical colleges during fall quarter 2013. The report addresses the questions most commonly raised regarding the community and technical colleges in Washington. The primary source of information for this document is the State Board for…

  19. 7 CFR 800.148 - Maintenance and retention of records on organization, staffing, and budget.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... records shall be maintained for 5 years. (b) Staffing. Agencies, contractors, and approved scale testing... approved scale testing organizations shall maintain complete records of their organization. These records... scale testing organizations shall maintain complete records of their budget. These records consist...

  20. Registered Nurse Staffing Mix and Quality of Care in Nursing Homes: A Longitudinal Analysis

    ERIC Educational Resources Information Center

    Kim, Hongsoo; Harrington, Charlene; Greene, William H.

    2009-01-01

    Purpose: To examine the relationship between registered nurse (RN) staffing mix and quality of nursing home care measured by regulatory violations. Design and Methods: A retrospective panel data study (1999-2003) of 2 groups of California freestanding nursing homes. One group was 201 nursing homes that consistently met the state's minimum standard…

  1. Planning Faculty Staffing for the 1980's: A Case Study. AIR Forum 1981 Paper.

    ERIC Educational Resources Information Center

    Geiger, Joseph; Manning, Charles W.

    The development and use of the faculty staffing forumla for Colorado, prepared by the Association of Public College and University Presidents (APCUP), is examined, and a recent major attempt to update or modify the formula is described, along with the outcome. Based on the work of representatives from many campuses, a large scale computer…

  2. 78 FR 28632 - Hutchinson Technology Inc. Including On-Site Leased Workers From Doherty Staffing Hutchinson...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-15

    ... (76 FR 59169). At the request of the Minnesota Department of Employment and Economic Development, the... Doherty Staffing Hutchinson, Minnesota; Amended Certification Regarding Eligibility To Apply for Worker... of suspension assemblies for disk drives. The company reports that workers leased from...

  3. Staffing Trends of Disability Care Institutions in Taiwan during the Period 2002-2007

    ERIC Educational Resources Information Center

    Fang, Wen-Hui; Yen, Chia-Feng; Wu, Jia-Ling; Lin, Lan-Ping; Kuo, Fang-Yu; Chou, Yu-Ching; Lin, Jin-Ding

    2009-01-01

    The objectives of this study were to examine trends related to the staffing of disability welfare institutions caring for people with disabilities in Taiwan. Nationwide data from the 2002 to 2007 "Service Manpower in Disability Welfare Institutions" report, which are derived mainly from the Department of Statistics, Ministry of the Interior,…

  4. Rural Emergency Department Staffing and Participation in Emergency Certification and Training Programs

    ERIC Educational Resources Information Center

    Casey, Michelle M.; Wholey, Douglas; Moscovice, Ira S.

    2008-01-01

    Context: The practice of emergency medicine presents many challenges in rural areas. Purpose: We describe how rural hospitals nationally are staffing their Emergency Departments (EDs) and explore the participation of rural ED physicians and other health care professionals in selected certification and training programs that teach skills needed to…

  5. Implementation Differences of Two Staffing Models in the German Home Visiting Program "Pro Kind"

    ERIC Educational Resources Information Center

    Brand, Tilman; Jungmann, Tanja

    2012-01-01

    As different competencies or professional backgrounds may affect the quality of program implementation, staffing is a critical issue in home visiting. In this study, N = 430 women received home visits delivered either by a tandem of a midwife and a social worker or by only one home visitor (primarily midwives, continuous model). The groups were…

  6. Daddy's Gone to Colorado: Male-Staffed Child Care for Father-Absent Boys.

    ERIC Educational Resources Information Center

    Brody, Steve

    1978-01-01

    The article presents the goals, methods, and case examples of The Nutury, a predominantly male-staffed child care center serving single-parent children. The primary goal is to provide consistent relationships with men for children without a male model in their home. Clinical observations reveal positive life-styles and attitudes. (LPG)

  7. Collection of Resource and Expenditure Data on the Schools and Staffing Survey. Working Paper Series.

    ERIC Educational Resources Information Center

    Isaacs, Julia B.; Garet, Michael S.; Sherman, Joel D.; Cullen, Andrew; Phelps, Richard

    This report discusses the possibility of expanding the resource and finance data to be collected as part of the 1999-2000 Schools and Staffing Survey (SASS) of the National Center for Education Statistics (NCES). The proposal under consideration, which is being field tested in the fall of 1998 and winter of 1999, has two major components. The…

  8. Successful Implementation of Six Sigma to Schedule Student Staffing for Circulation Service Desks

    ERIC Educational Resources Information Center

    Jankowski, Janiece

    2013-01-01

    In fall of 2011 the University at Buffalo Libraries circulation department undertook Six Sigma training for the purpose of overhauling its student scheduling process. The department was able to mitigate significant staffing budgetary reductions and resource reallocations and to overcome the unique challenges of scheduling student labor for a…

  9. Pharmacist Staffing, Technology Use, and Implementation of Medication Safety Practices in Rural Hospitals

    ERIC Educational Resources Information Center

    Casey, Michelle M.; Moscovice, Ira S.; Davidson, Gestur

    2006-01-01

    Context: Medication safety is clearly an important quality issue for rural hospitals. However, rural hospitals face special challenges implementing medication safety practices in terms of their staffing and financial and technical resources. Purpose: This study assessed the capacity of small rural hospitals to implement medication safety…

  10. Washington State Board for Community and Technical Colleges Enrollment and Staffing Report, Fall 2014

    ERIC Educational Resources Information Center

    Washington State Board for Community and Technical Colleges, 2014

    2014-01-01

    The "Fall Enrollment and Staffing Report 2014" provides a snapshot of enrollments in community and technical colleges during fall quarter 2014. The report addresses the questions most commonly raised regarding the community and technical colleges in Washington. The primary source of information for this document is the State Board for…

  11. Snapshots of Public Schools in the United States: Results from the Schools and Staffing Survey.

    ERIC Educational Resources Information Center

    Kwon, Jin; Alt, Martha Naomi; Henke, Robin R.

    This booklet analyzes information obtained from the Schools and Staffing Survey (SASS). The SASS is a set of integrated questionnaires that collect information about schools and the staff who work in them. The survey asks for information from a random sample of schools, their principals, a subset of the teachers in each school, and public-school…

  12. The Benefit Implications of Recent Trends in Flexible Staffing Arrangements. Staff Working Paper.

    ERIC Educational Resources Information Center

    Houseman, Susan N.

    Workers in flexible staffing arrangementsincluding temporary agency, direct-hire temporary, on-call, and contract workersare much less likely than regular, direct-hire employees to be covered by laws mandating or regulating workplace benefits. They are also much less likely to receive pension, health insurance, and other benefits on the job.…

  13. Reversing Course: The Troubled State of Academic Staffing and a Path Forward

    ERIC Educational Resources Information Center

    American Federation of Teachers (NJ), 2008

    2008-01-01

    Over the last generation, the instructional staffing system in American higher education has experienced a significant reduction in the proportion of jobs for full-time tenured and tenure-track faculty members and a dramatic growth in fixed-term full- and part-time instructional jobs without tenure. About 70 percent of the people teaching in…

  14. Outcomes and Costs of Community Living: Semi-Independent Living and Fully Staffed Group Homes

    ERIC Educational Resources Information Center

    Felce, David; Perry, Jonathan; Romeo, Renee; Robertson, Janet; Meek, Andrea; Emerson, Eric; Knapp, Martin

    2008-01-01

    In a matched-groups design, costs and quality of life outcomes for adults with intellectual disabilities with relatively low support needs were compared between those in fully staffed group homes (n = 35) and in semi-independent living (n = 35). Data were collected on participant characteristics, setting organization, various lifestyle outcomes,…

  15. State of Washington. State Board for Community and Technical Colleges. Enrollment and Staffing Report: Fall 2005

    ERIC Educational Resources Information Center

    Washington State Board for Community and Technical Colleges, 2005

    2005-01-01

    The Fall Enrollment and Staffing Report 2005 provides a snapshot of enrollments in community and technical colleges during fall quarter 2005. In addition to analysis of the system as a whole, this report includes an extensive set of tables by college starting on page 57. The report addresses the questions most commonly raised regarding the…

  16. Documentation for the 2007-08 Schools and Staffing Survey. NCES 2010-332

    ERIC Educational Resources Information Center

    Tourkin, Steven; Thomas, Teresa; Swaim, Nancy; Cox, Shawna; Parmer, Randall; Jackson, Betty; Cole, Cornette; Zhang, Bei

    2010-01-01

    The Schools and Staffing Survey (SASS) is conducted by the National Center for Education Statistics (NCES) on behalf of the United States Department of Education in order to collect extensive data on American public and private elementary and secondary schools. SASS provides data on the characteristics and qualifications of teachers and…

  17. New Dimensions in Teacher Education. The Role of Differentiated Staffing in Teacher Education.

    ERIC Educational Resources Information Center

    Taylor, Bob L., Ed.

    This monograph reports on the Cherry Creek-University of Colorado Teacher Education Program, which utilized a number of innovations in teacher education and stressed the potential of differentiated staffing in the preparation of teachers. Following the introduction, emphasis is placed on theories of teacher education, the Cherry Creek program,…

  18. Diagnostic Grouping among Adults with Intellectual Disabilities and Autistic Spectrum Disorders in Staffed Housing

    ERIC Educational Resources Information Center

    Felce, D.; Perry, J.

    2012-01-01

    Background: There is little evidence to guide the commissioning of residential provision for adults with autistic spectrum disorder (ASD) in the UK. We aim to explore the degree and impact of diagnostic congregation among adults with intellectual disabilities (ID) and ASD living in staffed housing. Methods: One hundred and fifty-seven adults with…

  19. 75 FR 16512 - Willstaff Staffing Agency, Willstaff Crystal, Inc., and MDS Industrial Resources, Inc., Working...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-01

    ... on December 11, 2009 (74 FR 65798). At the request of the State Agency, the Department reviewed the... Employment and Training Administration Willstaff Staffing Agency, Willstaff Crystal, Inc., and MDS Industrial... under a separate unemployment insurance (UI) tax account under the name Willstaff Crystal,...

  20. Physical Attacks: An Analysis of Teacher Characteristics Using the Schools and Staffing Survey

    ERIC Educational Resources Information Center

    Williams, Thomas O., Jr.; Ernst, Jeremy V.

    2016-01-01

    This study investigated physical attacks as reported by public school teachers on the most recent Schools and Staffing Survey (SASS) from the National Center for Education Statistics administered by the Institute of Educational Sciences. For this study, characteristics of teachers who responded affirmatively to having been physically attacked in…

  1. 10 CFR 719.15 - What are the requirements for a staffing and resource plan?

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... describing: (1) Major phases likely to be involved in the handling of the matter; (2) Timing and sequence of such phases; (3) Projected cost for each phase of the representation; and (4) Numbers and mix of... staffing and resource plan must include a budget, broken down by phases, including at a minimum: (1)...

  2. 10 CFR 719.15 - What are the requirements for a staffing and resource plan?

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... describing: (1) Major phases likely to be involved in the handling of the matter; (2) Timing and sequence of such phases; (3) Projected cost for each phase of the representation; and (4) Numbers and mix of... staffing and resource plan must include a budget, broken down by phases, including at a minimum: (1)...

  3. 1980-1981 Comparative Costs and Staffing Report for Physical Plants of Colleges and Universities.

    ERIC Educational Resources Information Center

    Association of Physical Plant Administrators of Universities and Colleges, Washington, DC.

    Comparative costs of plant maintenance and operations functions, including staffing costs, for higher education institutions are presented for 1980-1981. The objective of the survey data is to promote comparisons of unit costs per gross square foot of the functions classified as maintenance and operations of plant, the number of full-time…

  4. Further Examination of the Influence of Caregiver Staffing Levels on Nursing Home Quality

    ERIC Educational Resources Information Center

    Castle, Nicholas G.; Engberg, John

    2008-01-01

    Purpose: Weak empirical evidence exists showing that nursing home staffing levels influence quality of care. We propose that weak findings have resulted in many prior analyses because research models have underspecified the labor composition needed to influence care processes that, in turn, influence quality of care. In this analysis, we specified…

  5. Nurse Staffing Hours At Nursing Homes With High Concentrations Of Minority Residents, 2001-11.

    PubMed

    Li, Yue; Harrington, Charlene; Mukamel, Dana B; Cen, Xi; Cai, Xueya; Temkin-Greener, Helena

    2015-12-01

    Recent increases in state Medicaid payments to nursing homes have the potential to reduce disparities in nurse staffing between facilities with high and low concentrations of racial/ethnic minority residents. Analyses of nursing home and state policy survey data for the period 2001-11 suggest that registered nurse and licensed practical nurse staffing levels increased slightly during this period, regardless of racial/ethnic minority resident concentration. Adjusted disparities in registered nurse hours per resident day between nursing homes with high and low concentrations of minority residents persisted, although they were reduced. Certified nursing assistant hours per patient day increased in nursing homes with low concentrations of minorities but decreased in homes with high concentrations, creating a new disparity. Overall, increases in state Medicaid payment rates to nursing homes were associated with improvements in staffing and reduced staffing disparities across facilities, but the adoption of case-mix payments had the opposite effect. Further reforms in health care delivery and payment are needed to address persistent disparities in care between nursing homes serving higher proportions of minority residents and those serving lower proportions, and to prevent unintended exacerbations of such disparities.

  6. Meeting Education Needs of Flexible Staffing: Begin With the End in Mind.

    PubMed

    Schindler, Jaclyn S

    2016-09-01

    In our multicenter organization, we prepare personnel to practice at consistent levels of excellence. Centralized orientation programs facilitate sharing best practice and collective vision. When acute needs for care delivery occur, traditional orientation is not feasible. Regardless of staffing model or training methodology, performance at the bedside must be equal. J Contin Educ Nurs. 2016;47(9):390-392. PMID:27580503

  7. Broken down by Sex and Age: Australian University Staffing Patterns 1994-2003

    ERIC Educational Resources Information Center

    Dobson, Ian R.

    2006-01-01

    This article examines trends in Australian university staffing through an analysis of ten years' staff statistics, 1994-2003. An introduction which considers definitions, methodological issues, and overall changes in patterns of casualisation, sex and the distribution of academic and general ("non-academic") staff categories is followed by an…

  8. Optimal Choice of Periodicities for the Schools and Staffing Survey: Modeling and Analysis.

    ERIC Educational Resources Information Center

    Smith, Wray; Ghosh, Dhiren; Chang, Michael

    This technical report provides an updated assessment of the problem of optimizing the periodicity of the Schools and Staffing Survey (SASS). Making use of data from three rounds of SASS data collection (for school years 1987-88, 1990-91, and 1993-94), the report extends and updates the preliminary findings and interim assessments that were…

  9. What Is Effective School Management.

    ERIC Educational Resources Information Center

    De Cicco, James M.

    Effective school management requires managers who succeed in carrying out the organizational goals of their schools, utilizing the following leadership skills: planning (deciding how to accomplish the organization's goals); organizing (doing the necessary preparation); staffing (filling positions with the right people); directing (motivating staff…

  10. Nursing and the Management Function.

    ERIC Educational Resources Information Center

    Sherman, V. Clayton

    The report describes a study designed to analyze nurses' management duties and to identify their tasks in planning, organizing, staffing. leading, communication, decision making, and controlling. A total of 117 supervisory nurses and unit managers from four Western Michigan short-term general hospitals in the 410-540 bed range participated in the…

  11. Fluctuating Asymmetry and Intelligence

    ERIC Educational Resources Information Center

    Bates, Timothy C.

    2007-01-01

    The general factor of mental ability ("g") may reflect general biological fitness. If so, "g"-loaded measures such as Raven's progressive matrices should be related to morphological measures of fitness such as fluctuating asymmetry (FA: left-right asymmetry of a set of typically left-right symmetrical body traits such as finger lengths). This…

  12. GRADFLEX: Fluctuations in Microgravity

    NASA Technical Reports Server (NTRS)

    Vailati, A.; Cerbino, R.; Mazzoni, S.; Giglio, M.; Nikolaenko, G.; Cannell, D. S.; Meyer, W. V.; Smart, A. E.

    2004-01-01

    We present the results of experimental investigations of gradient driven fluctuations induced in a liquid mixture with a concentration gradient and in a single-component fluid with a temperature gradient. We also describe the experimental apparatus being developed to carry out similar measurement under microgravity conditions.

  13. Terrestrial Gravity Fluctuations

    NASA Astrophysics Data System (ADS)

    Harms, Jan

    2015-12-01

    Different forms of fluctuations of the terrestrial gravity field are observed by gravity experiments. For example, atmospheric pressure fluctuations generate a gravity-noise foreground in measurements with super-conducting gravimeters. Gravity changes caused by high-magnitude earthquakes have been detected with the satellite gravity experiment GRACE, and we expect high-frequency terrestrial gravity fluctuations produced by ambient seismic fields to limit the sensitivity of ground-based gravitational-wave (GW) detectors. Accordingly, terrestrial gravity fluctuations are considered noise and signal depending on the experiment. Here, we will focus on ground-based gravimetry. This field is rapidly progressing through the development of GW detectors. The technology is pushed to its current limits in the advanced generation of the LIGO and Virgo detectors, targeting gravity strain sensitivities better than 10‑23 Hz‑1/2 above a few tens of a Hz. Alternative designs for GW detectors evolving from traditional gravity gradiometers such as torsion bars, atom interferometers, and superconducting gradiometers are currently being developed to extend the detection band to frequencies below 1 Hz. The goal of this article is to provide the analytical framework to describe terrestrial gravity perturbations in these experiments. Models of terrestrial gravity perturbations related to seismic fields, atmospheric disturbances, and vibrating, rotating or moving objects, are derived and analyzed. The models are then used to evaluate passive and active gravity noise mitigation strategies in GW detectors, or alternatively, to describe their potential use in geophysics. The article reviews the current state of the field, and also presents new analyses especially with respect to the impact of seismic scattering on gravity perturbations, active gravity noise cancellation, and time-domain models of gravity perturbations from atmospheric and seismic point sources. Our understanding of

  14. The Leapfrog initiative for intensive care unit physician staffing and its impact on intensive care unit performance: a narrative review.

    PubMed

    Gasperino, James

    2011-10-01

    The field of critical care has changed markedly in recent years to accommodate a growing population of chronically critically ill patients. New administrative structures have evolved to include divisions, departments, and sections devoted exclusively to the practice of critical care medicine. On an individual level, the ability to manage complex multisystem critical illnesses and to introduce invasive monitoring devices defines the intensivist. On a systems level, critical care services managed by an intensivist-led multidisciplinary team are now recognized by their ability to efficiently utilize hospital resources and improve patient outcomes. Due to the numerous cost and quality issues related to the delivery of critical care medicine, intensive care unit physician staffing (IPS) has become a charged subject in recent years. Although the federal government has played a large role in regulating best practices by physicians, other third parties have entered the arena. Perhaps the most influential of these has been The Leapfrog Group, a consortium representing 130 employers and 65 Fortune 500 companies that purchase health care for their employees. This group has proposed specific regulatory guidelines for IPS that are purported to result in substantial cost containment and improved quality of care. This narrative review examines the impact of The Leapfrog Group's recommendations on critical care delivery in the United States.

  15. Physics of fashion fluctuations

    NASA Astrophysics Data System (ADS)

    Donangelo, R.; Hansen, A.; Sneppen, K.; Souza, S. R.

    2000-12-01

    We consider a market where many agents trade different types of products with each other. We model development of collective modes in this market, and quantify these by fluctuations that scale with time with a Hurst exponent of about 0.7. We demonstrate that individual products in the model occasionally become globally accepted means of exchange, and simultaneously become very actively traded. Thus collective features similar to money spontaneously emerge, without any a priori reason.

  16. Extracting primordial density fluctuations

    PubMed

    Gawiser; Silk

    1998-05-29

    The combination of detections of anisotropy in cosmic microwave background radiation and observations of the large-scale distribution of galaxies probes the primordial density fluctuations of the universe on spatial scales varying by three orders of magnitude. These data are found to be inconsistent with the predictions of several popular cosmological models. Agreement between the data and the cold + hot dark matter model, however, suggests that a significant fraction of the matter in the universe may consist of massive neutrinos.

  17. The hidden sister of motor fluctuations in Parkinson's disease: A review on nonmotor fluctuations.

    PubMed

    Martínez-Fernández, Raul; Schmitt, Emmanuelle; Martinez-Martin, Pablo; Krack, Paul

    2016-08-01

    Only a few years after the introduction of levodopa, the first descriptions of motor fluctuations and dyskinesia related to dopaminergic therapy appeared. In PD, attention turned to their management, that had dampened the euphoria of the "levodopa miracle." It soon became clear that neuropsychiatric, autonomic, and sensory features also tend to develop fluctuations after chronic exposure to l-dopa. The diversity of fluctuating nonmotor symptoms, their largely subjective nature, coupled with a frequent lack of insight led to difficulties in identification and quantification. This may explain why, despite the high impact of nonmotor symptoms on patient autonomy and quality of life, evaluation of nonmotor fluctuations is not part of clinical routine. In view of the lack of specific validated assessment tools, detailed anamnesis should ideally be coupled with an evaluation in both ON and OFF drug conditions. The mechanisms of nonmotor fluctuations are not well understood. It is thought that they share dopaminergic presynaptic pharmacokinetic and postsynaptic pharmacodynamic mechanisms with the classical motor complications, but involve different neural pathways. Although symptoms fluctuate with dopaminergic treatment, serotonine and norepinephrine denervation, as well as interactions between neurotransmitter systems, probably contribute to their diversity. The lack of validated tools for assessment of these phenomena explains the almost complete absence of treatment studies. Management, largely resulting from expert opinion, includes psychiatric follow-up, nondopaminergic drugs, and advanced dopaminergic treatment, including drug delivery pumps and DBS. This review aims to provide a starting point for the understanding, diagnosis, and management of nonmotor fluctuations. © 2016 International Parkinson and Movement Disorder Society. PMID:27431515

  18. Fluctuations in Schottky barrier heights

    NASA Astrophysics Data System (ADS)

    Mahan, G. D.

    1984-02-01

    A double Schottky barrier is often formed at the grain boundary in polycrystalline semiconductors. The barrier height is shown to fluctuate in value due to the random nature of the impurity positions. The magnitude of the fluctuations is 0.1 eV, and the fluctuations cause the barrier height measured by capacitance to differ from the one measured by electrical conductivity.

  19. Measurement of Nursing's Complex Health Care Work: Evolution of the Science For Determining the Required Staffing For Safe and Effective Patient Care.

    PubMed

    Malloch, Kathy

    2015-01-01

    The availability of technology to monitor and manage data increases our ability to better understand the processes and outcomes needed for patient care. It is important to remember this work requires not only the science of data management, but also the art of integrating the multiple variables involved in the dynamic of safe staffing. Fasoli and Haddock (2010) provided an excellent summary of the literature. Nurse leaders must be open to new additions to this work and the possibility that the essential ingredient of the gold standard for patient classification systems (PCS) might still be missing. The goal of a new approach to determine time for nurse work was to advance the science of PCS from the perspective of the characteristics identified by Fasoli and Haddock.

  20. 75 FR 43562 - FANUC Robotics America, Inc., Including On-Site Leased Workers From Right Angle Staffing, Inc...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-26

    ... Notice of determination was published in the Federal Register on July 1, 2010 (75 FR 38125). The initial... Right Angle Staffing, Inc., Quanta, Inc., Reliance One, Inc., Populus Group, LLC, Citistaff,...

  1. Medical physics personnel for medical imaging: requirements, conditions of involvement and staffing levels-French recommendations.

    PubMed

    Isambert, Aurélie; Le Du, Dominique; Valéro, Marc; Guilhem, Marie-Thérèse; Rousse, Carole; Dieudonné, Arnaud; Blanchard, Vincent; Pierrat, Noëlle; Salvat, Cécile

    2015-04-01

    The French regulations concerning the involvement of medical physicists in medical imaging procedures are relatively vague. In May 2013, the ASN and the SFPM issued recommendations regarding Medical Physics Personnel for Medical Imaging: Requirements, Conditions of Involvement and Staffing Levels. In these recommendations, the various areas of activity of medical physicists in radiology and nuclear medicine have been identified and described, and the time required to perform each task has been evaluated. Criteria for defining medical physics staffing levels are thus proposed. These criteria are defined according to the technical platform, the procedures and techniques practised on it, the number of patients treated and the number of persons in the medical and paramedical teams requiring periodic training. The result of this work is an aid available to each medical establishment to determine their own needs in terms of medical physics.

  2. Staffing the ISS Control Centers: Lessons Learned from Long-Duration Human Space Flight

    NASA Technical Reports Server (NTRS)

    Olsen, Carrie D.; Horvath, Timothy J.; Davis, Sally P.

    2006-01-01

    The International Space Station (ISS) has been in operation with a permanent human presence in space for over five years, and plans for continued operations stretch ten years into the future. Ground control and support operations are, likewise, a 15-year enterprise. This long-term, 24-hour per day, 7 day per week support has presented numerous challenges in the areas of ground crew training, initial and continued certification, and console staffing. The Mission Control Center in Houston, Texas and the Payload Operations Center in Huntsville, Alabama have both tackled these challenges, with similar, yet distinct, approaches. This paper describes the evolution of the staffing and training policies of both control centers in a chronological progression. The relative merits and shortcomings of the various policies employed are discussed and a summary of "lessons learned" is presented. Finally, recommendations are made as best practices for future long-term space missions.

  3. Fluctuations in granular media

    NASA Astrophysics Data System (ADS)

    Howell, Daniel W.; Behringer, R. P.; Veje, C. T.

    1999-09-01

    Dense slowly evolving or static granular materials exhibit strong force fluctuations even though the spatial disorder of the grains is relatively weak. Typically, forces are carried preferentially along a network of "force chains." These consist of linearly aligned grains with larger-than-average force. A growing body of work has explored the nature of these fluctuations. We first briefly review recent work concerning stress fluctuations. We then focus on a series of experiments in both two- and three-dimension [(2D) and (3D)] to characterize force fluctuations in slowly sheared systems. Both sets of experiments show strong temporal fluctuations in the local stress/force; the length scales of these fluctuations extend up to 102 grains. In 2D, we use photoelastic disks that permit visualization of the internal force structure. From this we can make comparisons to recent models and calculations that predict the distributions of forces. Typically, these models indicate that the distributions should fall off exponentially at large force. We find in the experiments that the force distributions change systematically as we change the mean packing fraction, γ. For γ's typical of dense packings of nondeformable grains, we see distributions that are consistent with an exponential decrease at large forces. For both lower and higher γ, the observed force distributions appear to differ from this prediction, with a more Gaussian distribution at larger γ and perhaps a power law at lower γ. For high γ, the distributions differ from this prediction because the grains begin to deform, allowing more grains to carry the applied force, and causing the distributions to have a local maximum at nonzero force. It is less clear why the distributions differ from the models at lower γ. An exploration in γ has led to the discovery of an interesting continuous or "critical" transition (the strengthening/softening transition) in which the mean stress is the order parameter, and the mean

  4. Reduced Mortality by Physician-Staffed HEMS Dispatch for Adult Blunt Trauma Patients in Korea.

    PubMed

    Jung, Kyoungwon; Huh, Yo; Lee, John Cj; Kim, Younghwan; Moon, Jonghwan; Youn, Seok Hwa; Kim, Jiyoung; Kim, Tea Youn; Kim, Juryang; Kim, Hyoju

    2016-10-01

    The aim of this study was to investigate the efficiency of domestic physician-staffed helicopter emergency medical service (HEMS) for the transport of patients with severe trauma to a hospital. The study included patients with blunt trauma who were transported to our hospital by physician-staffed HEMS (Group P; n = 100) or nonphysician-staffed HEMS (Group NP; n = 80). Basic patient characteristics, transport time, treatment procedures, and medical treatment outcomes assessed using the Trauma and Injury Severity Score (TRISS) were compared between groups. We also assessed patients who were transported to the hospital within 3 h of injury in Groups P (Group P3; n = 50) and NP (Group NP3; n = 74). The severity of injury was higher, transport time was longer, and time from hospital arrival to operation room transfer was shorter for Group P than for Group NP (P < 0.001). Although Group P patients exhibited better medical treatment outcomes compared with Group NP, the difference was not statistically significant (P = 0.134 vs. 0.730). However, the difference in outcomes was statistically significant between Groups P3 and NP3 (P = 0.035 vs. 0.546). Under the current domestic trauma patient transport system in South Korea, physician-staffed HEMS are expected to increase the survival of patients with severe trauma. In particular, better treatment outcomes are expected if dedicated trauma resuscitation teams actively intervene in the medical treatment process from the transport stage and if patients are transported to a hospital to receive definitive care within 3 hours of injury. PMID:27550497

  5. 25 CFR 36.77 - What are the homeliving staffing requirements?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    .... Night 1:40. High School (Gr. 7-12) Morning 1:20. During school As school needs. Evening 1:30. Night 1:50... 1-6) Morning/day 1:20. Evening 1:20. Night 1:40. High School (Gr. 7-12) Morning/day 1:40. Evening 1... meet the staffing requirements of this section. (a) Effective with the 2009-2010 school year,...

  6. 25 CFR 36.77 - What are the homeliving staffing requirements?

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    .... Night 1:40. High School (Gr. 7-12) Morning 1:20. During school As school needs. Evening 1:30. Night 1:50... 1-6) Morning/day 1:20. Evening 1:20. Night 1:40. High School (Gr. 7-12) Morning/day 1:40. Evening 1... meet the staffing requirements of this section. (a) Effective with the 2009-2010 school year,...

  7. 25 CFR 36.77 - What are the homeliving staffing requirements?

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    .... Night 1:40. High School (Gr. 7-12) Morning 1:20. During school As school needs. Evening 1:30. Night 1:50... 1-6) Morning/day 1:20. Evening 1:20. Night 1:40. High School (Gr. 7-12) Morning/day 1:40. Evening 1... meet the staffing requirements of this section. (a) Effective with the 2009-2010 school year,...

  8. 25 CFR 36.77 - What are the homeliving staffing requirements?

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    .... Night 1:40. High School (Gr. 7-12) Morning 1:20. During school As school needs. Evening 1:30. Night 1:50... 1-6) Morning/day 1:20. Evening 1:20. Night 1:40. High School (Gr. 7-12) Morning/day 1:40. Evening 1... meet the staffing requirements of this section. (a) Effective with the 2009-2010 school year,...

  9. 25 CFR 36.77 - What are the homeliving staffing requirements?

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    .... Night 1:40. High School (Gr. 7-12) Morning 1:20. During school As school needs. Evening 1:30. Night 1:50... 1-6) Morning/day 1:20. Evening 1:20. Night 1:40. High School (Gr. 7-12) Morning/day 1:40. Evening 1... meet the staffing requirements of this section. (a) Effective with the 2009-2010 school year,...

  10. Reduced Mortality by Physician-Staffed HEMS Dispatch for Adult Blunt Trauma Patients in Korea

    PubMed Central

    2016-01-01

    The aim of this study was to investigate the efficiency of domestic physician-staffed helicopter emergency medical service (HEMS) for the transport of patients with severe trauma to a hospital. The study included patients with blunt trauma who were transported to our hospital by physician-staffed HEMS (Group P; n = 100) or nonphysician-staffed HEMS (Group NP; n = 80). Basic patient characteristics, transport time, treatment procedures, and medical treatment outcomes assessed using the Trauma and Injury Severity Score (TRISS) were compared between groups. We also assessed patients who were transported to the hospital within 3 h of injury in Groups P (Group P3; n = 50) and NP (Group NP3; n = 74). The severity of injury was higher, transport time was longer, and time from hospital arrival to operation room transfer was shorter for Group P than for Group NP (P < 0.001). Although Group P patients exhibited better medical treatment outcomes compared with Group NP, the difference was not statistically significant (P = 0.134 vs. 0.730). However, the difference in outcomes was statistically significant between Groups P3 and NP3 (P = 0.035 vs. 0.546). Under the current domestic trauma patient transport system in South Korea, physician-staffed HEMS are expected to increase the survival of patients with severe trauma. In particular, better treatment outcomes are expected if dedicated trauma resuscitation teams actively intervene in the medical treatment process from the transport stage and if patients are transported to a hospital to receive definitive care within 3 hours of injury. PMID:27550497

  11. An Automated Patient Classification System for Staffing, Billing and Productivity Measurement

    PubMed Central

    Budd, Marjorie; Blaufuss, Judy; Propotnik, Toni; Maynard, Jan; Klingle, Connie; Pryor, Allan

    1988-01-01

    Nursing administrators across the country are developing methods to identify nursing department costs and revenue. A patient classification system driven by computerized nurses notes was developed at LDS Hospital as part of the hospital information system. This system is used to determine appropriates staffing on all nursing units and to bill patients directly for nursing care. The data is also used to measure nursing department productivity.

  12. Nurse Staffing in Neonatal Intensive Care Units in the United States.

    PubMed

    Rogowski, Jeannette A; Staiger, Douglas O; Patrick, Thelma E; Horbar, Jeffrey D; Kenny, Michael J; Lake, Eileen T

    2015-10-01

    The neonatal intensive care unit (NICU) is a setting with high nurse-to-patient ratios. Little is known about the factors that determine nurse workload and assignment. The goals of this study were to (1) develop a measure of NICU infant acuity; (2) describe the acuity distribution of NICU infants; (3) describe the nurse/infant ratio at each acuity level, and examine the factors other than acuity, including nurse qualifications and the availability of physicians and other providers, that determined staffing ratios; and (4) explore whether nurse qualifications were related to the acuity of assigned infants. In a two-stage cohort study, data were collected in 104 NICUs in 2008 by nurse survey (6,038 nurses and 15,191 infants assigned to them) and administrators reported on unit-level staffing of non-nurse providers; in a subset of 70 NICUs in 2009-2010, census data were collected on four selected shifts (3,871 nurses and 9,276 infants assigned to them). Most NICU infants (62%) were low-acuity (Levels 1 and 2); 12% of infants were high-acuity (Levels 4 and 5). The nurse-to-infant ratio ranged from 0.33 for the lowest-acuity infants to 0.95 for the highest-acuity infants. The staffing ratio was significantly related to the acuity of assigned infants but not to nurse education, experience, certification, or availability of other providers. There was a significant but small difference in the percentage of high-acuity (Levels 4 and 5) infants assigned to nurses with specialty certification (15% vs. 12% for nurses without certification). These staffing patterns may not optimize patient outcomes in this highly intensive pediatric care setting.

  13. Application of the Workload Indicators of Staffing Need method to predict nursing human resources at a Family Health Service

    PubMed Central

    Bonfim, Daiana; Laus, Ana Maria; Leal, Ana Emilia; Fugulin, Fernanda Maria Togeiro; Gaidzinski, Raquel Rapone

    2016-01-01

    Objective verify the application of the Workload Indicators of Staffing Need method in the prediction of nursing human resources at a Family Health service. Method descriptive and quantitative study, undertaken at a Family Health service in the city of São Paulo. The set of sequential operations recommended in the Workload Indicators of Staffing Need method was used: definition of the professional category, type of health service and calculation of Available Work Time; definition of workload components; identification of mean time for workload components; dimensioning of staff needs based on the method, application and interpretation of the data. Result the workload proposed in the Workload Indicators of Staffing Need method to nursing technicians/auxiliary nurses was balanced with the number of professionals available at the Family Health service. The Workload Indicators of Staffing Need index amounted to 0.6 for nurses and 1.0 for nursing technicians/auxiliary nurses. Conclusion the application of the Workload Indicators of Staffing Need method was relevant to identify the components of the nursing professionals' workload. Therefore, it is recommendable as a nursing staffing tool at Family Health services, contributing to the access and universal health coverage. PMID:27143538

  14. Staffing based on evidence: can health information technology make it possible?

    PubMed

    Harper, Ellen M

    2012-01-01

    Health care leaders must balance nurse staffing between financial viability and quality of care. The potential to use health information technology as a tool to assess effective nurse staffing decisions is a rather new phenomena explored by some of the thought leaders in nursing informatics. This preliminary pilot study is one of a few attempts at engineering health IT to identify factors that lead to a meaningful model for predicting nurse intensity. The Pilot Study provided richness to the design of a new model Clinical Demand Index to calculate nurse intensity by: (a) identifying the factors of how nurses spend their time; (b) using health IT data mining techniques to determine data types for abstraction; and (c) identifying variables that are most closely related to nursing intensity of how nurses spend their time. The CDI Model and health IT can make staffing based on evidence a reality and thus play an important role in demonstrating that clinical data from the electronic health record can be abstracted real time and used to objectively calculate nurse intensity and continue to engineer a learning health system.

  15. Fluctuating nematic elastomer membranes.

    PubMed

    Xing, Xiangjun; Mukhopadhyay, Ranjan; Lubensky, T C; Radzihovsky, Leo

    2003-08-01

    We study the flat phase of nematic elastomer membranes with rotational symmetry spontaneously broken by an in-plane nematic order. Such a state is characterized by a vanishing elastic modulus for simple shear and soft transverse phonons. At harmonic level, the in-plane orientational (nematic) order is stable to thermal fluctuations that lead to short-range in-plane translational (phonon) correlations. To treat thermal fluctuations and relevant elastic nonlinearities, we introduce two generalizations of two-dimensional membranes in a three-dimensional space to arbitrary D-dimensional membranes embedded in a d-dimensional space and analyze their anomalous elasticities in an expansion about D=4. We find a stable fixed point that controls long-scale properties of nematic elastomer membranes. It is characterized by singular in-plane elastic moduli that vanish as a power law eta(lambda)=4-D of a relevant inverse length scale (e.g., wave vector) and a finite bending rigidity. Our predictions are asymptotically exact near four dimensions. PMID:14524954

  16. Fluctuating nematic elastomer membranes

    NASA Astrophysics Data System (ADS)

    Xing, Xiangjun; Mukhopadhyay, Ranjan; Lubensky, T. C.; Radzihovsky, Leo

    2003-08-01

    We study the flat phase of nematic elastomer membranes with rotational symmetry spontaneously broken by an in-plane nematic order. Such a state is characterized by a vanishing elastic modulus for simple shear and soft transverse phonons. At harmonic level, the in-plane orientational (nematic) order is stable to thermal fluctuations that lead to short-range in-plane translational (phonon) correlations. To treat thermal fluctuations and relevant elastic nonlinearities, we introduce two generalizations of two-dimensional membranes in a three-dimensional space to arbitrary D-dimensional membranes embedded in a d-dimensional space and analyze their anomalous elasticities in an expansion about D=4. We find a stable fixed point that controls long-scale properties of nematic elastomer membranes. It is characterized by singular in-plane elastic moduli that vanish as a power law ηλ=4-D of a relevant inverse length scale (e.g., wave vector) and a finite bending rigidity. Our predictions are asymptotically exact near four dimensions.

  17. Fitness in fluctuating environments

    NASA Astrophysics Data System (ADS)

    Tanase Nicola, Sorin; Nemenman, Ilya

    2011-03-01

    Often environments change faster than the time needed to evolve optimal phenotypes through cycles of mutation and selection. We focus on this case, but assume that environmental oscillations are slower than an individual's lifetime. This is relevant, for example, for bacterial populations confronted with daily environmental changes. We analyze a resource-limited competition between a mutant phenotype and the ancestor. Environmental dynamics is represented by periodically varying, off-phase parameters of the corresponding Lotka-Volterra model. For the very slow dynamics (but still faster than the fixation time scale) the strength and the sign of selection are functions of the birth/death rates averaged over all of the environmental states and independent of the period of the fluctuations. For faster fluctuations, selection depends on the particular sequence of the successive environmental states. In particular, a time reversal of the environmental dynamics can change the sign of the selection. We conclude that the fittest phenotype in a changing environment can be very different from both the optimal phenotype in the average environment, and the phenotype with the largest average fitness.

  18. Fluctuation effects in grain growth

    NASA Astrophysics Data System (ADS)

    Kim, Seong Gyoon; Park, Yong Bum

    2016-08-01

    In this study, we attempted to clarify the roles of fluctuation effects in grain growth. To capture the persistent nature in both space and time of fluctuations due to variations in the local surroundings of individual grains, we developed a local mean-field model. The fluctuation strength in this model is arbitrarily controlled by employing an artificial number, n , of nearest neighbor grains. Large-scale numerical computations of the model for various n values and initial GSDs were carried out to follow transient behaviors and determine the steady states. This study reveals that, in the classical mean-field model with no fluctuation effects, the steady state is not unique but is strongly dependent upon the initial GSD. However, a small fluctuation drives the mean-field model to reach the Hillert solution, independent of the fluctuation strength and initial GSD, as long as the fluctuation strength is sufficiently small. On the other hand, when the fluctuation is sufficiently strong, the fluctuation pushes the steady state of the mean-field model out of the Hillert solution, and its strength determines a unique steady state independent of the initial GSD. The strong fluctuation makes the GSD more symmetric than the Hillert distribution. Computations designed to mimic actual 2 and 3D grain growth were carried out by taking the number of nearest neighbors of each grain as a function of the scaled grain size. The resultant GSDs in two and three dimensions were compared with the direct simulations of ideal grain growth.

  19. Review of carbon dioxide research staffing and academic support

    NASA Astrophysics Data System (ADS)

    Clark, S. B.; Howard, L.; Stevenson, W.; Trice, J.

    1985-04-01

    More than 60 percent of the staff on Carbon Dioxide Research Division (CDRD) projects were university affiliated, and over one third of project scientists and engineers also had university teaching responsibilities. Almost 20 percent of project staff were students. CO2 research is unlikely to affect the general labor market for scientists and engineers because it uses such a small portion of the total pool. On the other hand, anticipated tight labor markets in some disciplines important to CO2 research may make it advantageous for CDRD to expand its support of university faculty, students, and staff to ensure that competent, knowledgeable researchers and managers are available for eventual policy decisions on CO2 issues. Options for academic support that lend themselves readily to the diffuse nature of CO2 research, while providing flexibility in the identification and accomplishment of specific programmatic objectives, include modifying procurement procedures for research contracts to enhance academic involvement, sponsoring summer institutes tailored to specific participants and focused on issues of interest to CDRD, and supporting traveling lecture programs designed to bring information of concern to CDRD to technical and nontechnical audiences.

  20. Fluctuating multicomponent lattice Boltzmann model

    NASA Astrophysics Data System (ADS)

    Belardinelli, D.; Sbragaglia, M.; Biferale, L.; Gross, M.; Varnik, F.

    2015-02-01

    Current implementations of fluctuating lattice Boltzmann equations (FLBEs) describe single component fluids. In this paper, a model based on the continuum kinetic Boltzmann equation for describing multicomponent fluids is extended to incorporate the effects of thermal fluctuations. The thus obtained fluctuating Boltzmann equation is first linearized to apply the theory of linear fluctuations, and expressions for the noise covariances are determined by invoking the fluctuation-dissipation theorem directly at the kinetic level. Crucial for our analysis is the projection of the Boltzmann equation onto the orthonormal Hermite basis. By integrating in space and time the fluctuating Boltzmann equation with a discrete number of velocities, the FLBE is obtained for both ideal and nonideal multicomponent fluids. Numerical simulations are specialized to the case where mean-field interactions are introduced on the lattice, indicating a proper thermalization of the system.

  1. Fluctuating Thermodynamics for Biological Processes

    NASA Astrophysics Data System (ADS)

    Ham, Sihyun

    Because biomolecular processes are largely under thermodynamic control, dynamic extension of thermodynamics is necessary to uncover the mechanisms and driving factors of fluctuating processes. The fluctuating thermodynamics technology presented in this talk offers a practical means for the thermodynamic characterization of conformational dynamics in biomolecules. The use of fluctuating thermodynamics has the potential to provide a comprehensive picture of fluctuating phenomena in diverse biological processes. Through the application of fluctuating thermodynamics, we provide a thermodynamic perspective on the misfolding and aggregation of the various proteins associated with human diseases. In this talk, I will present the detailed concepts and applications of the fluctuating thermodynamics technology for elucidating biological processes. This work was supported by Samsung Science and Technology Foundation under Project Number SSTF-BA1401-13.

  2. Japanese Management Theory and Library Administration.

    ERIC Educational Resources Information Center

    Clayton, Peter

    1992-01-01

    Provides an overview of Japanese management theory and suggests applications to library administration. Highlights include participative management; shared decision making; long-term objectives; organizational philosophy; staff training and human resource development; strategic planning; staffing issues; cooperation; quality control; and total…

  3. Managing a Reading/Learning Environment.

    ERIC Educational Resources Information Center

    Humphrey, Jack W.

    The management of a reading program should be based on objectives rather than on tasks. There are eight functions that apply to successful management: planning, organization, staffing, direction, control, innovation, representation, and communication. The R3C concept (reading coordinator, reading committee, reading center) is helpful to delegate…

  4. 10 CFR 719.13 - Who at the Department receives and reviews the Legal Management Plan?

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... Management Plan? 719.13 Section 719.13 Energy DEPARTMENT OF ENERGY CONTRACTOR LEGAL MANAGEMENT REQUIREMENTS Legal Management Plan, Staffing and Resource Plan and Annual Legal Budget § 719.13 Who at the Department receives and reviews the Legal Management Plan? Contractors must submit a Legal Management Plan...

  5. Force Fluctuations and Correlations

    NASA Astrophysics Data System (ADS)

    Behringer, Robert

    1998-03-01

    Granular materials exhibit a rich array of dynamic and static phenomena which are only partly understood. Here, I focus on fluctuations in kinetic properties and in forces for slowly sheared granular materials. We have carried out a series of experiments in both 2D and in 3D. For 2D, we use a novel apparatus which allows us to quantify the forces, positions and orientations associated with individual grains. For slow to moderate shear rates, we find rate independence except for small random deviations which are associated with very long time changes in the system. The system evolves to a nearly steady average flow profile in which the velocity falls off approximately exponentially with distance from the shearing surface. The particle rotation shows systematic oscillations near the shearing surface. Velocity profiles show a complicated non-gaussian structure. Force measurements in both the 2D and 3D system are approximately exponentially distributed, but there are also some systematic deviations. Companion calculations by S. Schoellmann, S. Luding and H. Herrmann capture a number of these features. The experimental work has been carried out partially at Duke and partially at the E.S.P.C.I. Paris in collaboration with D. Howell, B. Miller, S. Tennakoon, and C. Veje.

  6. Fluctuations as stochastic deformation

    NASA Astrophysics Data System (ADS)

    Kazinski, P. O.

    2008-04-01

    A notion of stochastic deformation is introduced and the corresponding algebraic deformation procedure is developed. This procedure is analogous to the deformation of an algebra of observables like deformation quantization, but for an imaginary deformation parameter (the Planck constant). This method is demonstrated on diverse relativistic and nonrelativistic models with finite and infinite degrees of freedom. It is shown that under stochastic deformation the model of a nonrelativistic particle interacting with the electromagnetic field on a curved background passes into the stochastic model described by the Fokker-Planck equation with the diffusion tensor being the inverse metric tensor. The first stochastic correction to the Newton equations for this system is found. The Klein-Kramers equation is also derived as the stochastic deformation of a certain classical model. Relativistic generalizations of the Fokker-Planck and Klein-Kramers equations are obtained by applying the procedure of stochastic deformation to appropriate relativistic classical models. The analog of the Fokker-Planck equation associated with the stochastic Lorentz-Dirac equation is derived too. The stochastic deformation of the models of a free scalar field and an electromagnetic field is investigated. It turns out that in the latter case the obtained stochastic model describes a fluctuating electromagnetic field in a transparent medium.

  7. Fluctuations as stochastic deformation.

    PubMed

    Kazinski, P O

    2008-04-01

    A notion of stochastic deformation is introduced and the corresponding algebraic deformation procedure is developed. This procedure is analogous to the deformation of an algebra of observables like deformation quantization, but for an imaginary deformation parameter (the Planck constant). This method is demonstrated on diverse relativistic and nonrelativistic models with finite and infinite degrees of freedom. It is shown that under stochastic deformation the model of a nonrelativistic particle interacting with the electromagnetic field on a curved background passes into the stochastic model described by the Fokker-Planck equation with the diffusion tensor being the inverse metric tensor. The first stochastic correction to the Newton equations for this system is found. The Klein-Kramers equation is also derived as the stochastic deformation of a certain classical model. Relativistic generalizations of the Fokker-Planck and Klein-Kramers equations are obtained by applying the procedure of stochastic deformation to appropriate relativistic classical models. The analog of the Fokker-Planck equation associated with the stochastic Lorentz-Dirac equation is derived too. The stochastic deformation of the models of a free scalar field and an electromagnetic field is investigated. It turns out that in the latter case the obtained stochastic model describes a fluctuating electromagnetic field in a transparent medium.

  8. Chemical Applications of Fluctuation Spectroscopy.

    ERIC Educational Resources Information Center

    Green, Michael E.

    1984-01-01

    Examines some of the possibilities for applying the noise spectroscopic technique as well as the origin of noise (or fluctuations) which accompanies transport in physical systems. Indicates that fluctuation techniques are useful in studying liposome and micelle suspensions, liquid-liquid surfaces, semiconductors, and semiconductor devices. (JN)

  9. The Encouragement and Development of Women into Education Management.

    ERIC Educational Resources Information Center

    Gold, Anne

    In Great Britain, it is not unusual to find primary schools staffed almost entirely by women, but managed by men. This paper argues that more women should manage education in western Europe and explains why. It examines the stereotypes of "gendered" management styles. For example, both Margaret Thatcher and Bill Clinton have encountered public…

  10. Teaching Principles of Management through Experiential and Service Learning

    ERIC Educational Resources Information Center

    Furutan, Omid

    2014-01-01

    Management faculties often use cases, simulations, and research projects to achieve learning objectives in the Principles of Management class. This class typically aims to introduce students to the topics of "planning, organizing, coordinating, staffing, directing, budgeting, controlling, and evaluating functions of management; leadership…

  11. Affordable Care Act Impact on Community Health Center Staffing and Enrollment: A Cross-Sectional Study.

    PubMed

    Miller, Sophie C; Frogner, Bianca K; Saganic, Laura M; Cole, Allison M; Rosenblatt, Roger

    2016-01-01

    Over 500 000 Washingtonians gained health insurance under the Affordable Care Act (ACA). As more patients gain insurance, community health centers (CHCs) expect to see an increase in demand for their services. This article studies the CHCs in Washington State to examine how the increase in patients has been impacting their workload and staffing. We found a reported mean increase of 11.7% and 5.4% in new Medicaid and Exchange patients, respectively. Half of the CHCs experienced large or dramatic workload impact from the ACA. Our findings suggest that CHCs need further workforce support to meet the expanding patient demand.

  12. Waiting for rare entropic fluctuations

    NASA Astrophysics Data System (ADS)

    Saito, Keiji; Dhar, Abhishek

    2016-06-01

    Nonequilibrium fluctuations of various stochastic variables, such as work and entropy production, have been widely discussed recently in the context of large deviations, cumulants and fluctuation relations. Typically one looks at the probability distributions for entropic fluctuations of various sizes to occur in a fixed time interval. An important and natural question is to ask for the time one has to wait to see fluctuations of a desired size. We address this question by studying the first-passage time distribution (FPTD). We derive the general basic equation to get the FPTD for entropic variables. Based on this, the FPTD on entropy production in a driven colloidal particle in the ring geometry is illustrated. A general asymptotic form of the FPTD and integral fluctuation relation symmetry in terms of the first passages are found.

  13. Frequency fluctuations in silicon nanoresonators

    PubMed Central

    Sansa, Marc; Sage, Eric; Bullard, Elizabeth C.; Gély, Marc; Alava, Thomas; Colinet, Eric; Naik, Akshay K.; Villanueva, Luis Guillermo; Duraffourg, Laurent; Roukes, Michael L.; Jourdan, Guillaume; Hentz, Sébastien

    2016-01-01

    Frequency stability is key to performance of nanoresonators. This stability is thought to reach a limit with the resonator’s ability to resolve thermally-induced vibrations. Although measurements and predictions of resonator stability usually disregard fluctuations in the mechanical frequency response, these fluctuations have recently attracted considerable theoretical interest. However, their existence is very difficult to demonstrate experimentally. Here, through a literature review, we show that all studies of frequency stability report values several orders of magnitude larger than the limit imposed by thermomechanical noise. We studied a monocrystalline silicon nanoresonator at room temperature, and found a similar discrepancy. We propose a new method to show this was due to the presence of frequency fluctuations, of unexpected level. The fluctuations were not due to the instrumentation system, or to any other of the known sources investigated. These results challenge our current understanding of frequency fluctuations and call for a change in practices. PMID:26925826

  14. Frequency fluctuations in silicon nanoresonators

    NASA Astrophysics Data System (ADS)

    Sansa, Marc; Sage, Eric; Bullard, Elizabeth C.; Gély, Marc; Alava, Thomas; Colinet, Eric; Naik, Akshay K.; Villanueva, Luis Guillermo; Duraffourg, Laurent; Roukes, Michael L.; Jourdan, Guillaume; Hentz, Sébastien

    2016-06-01

    Frequency stability is key to the performance of nanoresonators. This stability is thought to reach a limit with the resonator's ability to resolve thermally induced vibrations. Although measurements and predictions of resonator stability usually disregard fluctuations in the mechanical frequency response, these fluctuations have recently attracted considerable theoretical interest. However, their existence is very difficult to demonstrate experimentally. Here, through a literature review, we show that all studies of frequency stability report values several orders of magnitude larger than the limit imposed by thermomechanical noise. We studied a monocrystalline silicon nanoresonator at room temperature and found a similar discrepancy. We propose a new method to show that this was due to the presence of frequency fluctuations, of unexpected level. The fluctuations were not due to the instrumentation system, or to any other of the known sources investigated. These results challenge our current understanding of frequency fluctuations and call for a change in practices.

  15. Fluctuation phenomena in layered superconductors

    SciTech Connect

    Klemm, R.A.

    1996-10-01

    Gaussian fluctuations in layered superconductors have been the subject of study for many years. Although the FD was studied in detail long ago, the FC (fluctuation conductivity) was studied only recently, since the MT and DOS diagrams were previously neglected. Recent comparisons with experiment on YBCO have shown that the DOS diagrams are important and can lead to qualitatively different behaviors for the FC parallel and perpendicular to the layers. In both cases, Gaussian fluctuations fit the data above {Tc} very well, even for YBCO. To date, nearly all calculations of fluctuation quantities were for B{parallel}{cflx c}. Nevertheless, it should be possible to treat an arbitrary B, but the evaluation of the required matrix elements for the fluctuation quantities will be more complicated.

  16. Core fluctuations test. Revision 1

    SciTech Connect

    Betts, W.S.

    1987-06-01

    Fluctuations were first encountered in the Fort St. Vrain reactor early in cycle 1 operation, during the initial rise from 40% to 70% power. Subsequent in-core tests and operation throughout cycles 1 and 2 demonstrated that fluctuations were repeatable, occurring at core pressure drops of between 2.5 psi and 4.0 psi, and that in each instance their characteristics were very similar. Subsequently, tests and analysis were done to understand the core fluctuation phenomenon. These efforts also lead to a design fix which stopped these fluctuations in the FSV reactor core. This fix required that keys be used in addition to the keys in the core support floor which already existed. This report outlines a test plan to validate that core fluctuations will not occur in the MHTGR core. 2 refs., 12 figs., 3 tabs.

  17. Staffing for Success: Linking Teacher Evaluation and School Personnel Management in Practice

    ERIC Educational Resources Information Center

    Master, Benjamin

    2014-01-01

    Teacher evaluation is at the center of current education policy reform. Most evaluation systems rely at least in part on principals' assessments of teachers, and their discretionary judgments carry substantial weight. However, we know relatively little about what they value when determining evaluations and high stakes personnel decisions.…

  18. Strategic Staffing

    ERIC Educational Resources Information Center

    Clark, Ann B.

    2012-01-01

    Business and industry leaders do not flinch at the idea of placing top talent in struggling departments and divisions. This is not always the case in public education. The Charlotte-Mecklenburg Schools made a bold statement to its community in its strategic plan by identifying two key reform levers--(1) an effective principal leading each school;…

  19. Registered nurses' perceptions of nurse staffing ratios and new hospital payment regulations.

    PubMed

    Buerhaus, Peter I; Donelan, Karen; DesRoches, Catherine; Hess, Robert

    2009-01-01

    Two regulatory initiatives weigh heavily on the nursing workforce: establishing minimum patient-to-nurse staffing ratios in hospitals and payment policy that eliminates payment to hospitals for negative consequences of care. Although the majority of RNs favor ratios, results also indicate that a good number of RNs either do not support ratios or are unsure, which suggests that while strong support for ratios exists, the support is not universal. With regard to the Centers for Medicare and Medicaid Services hospital payment regulations, while many RNs expect that this policy change will increase the emphasis on prevention and additional education and training, RNs also believe they will be blamed if adverse patient conditions occur. A clear majority think that their work will increase, and only a small percentage of RNs think the regulations will lead to added respect, more staffing, higher pay, or raise their status. Beyond affecting the clinical environment, both regulations will impact RNs' economic value in the eyes of the hospitals that employ them.

  20. Twenty-four-hour intensivist staffing in teaching hospitals: tensions between safety today and safety tomorrow.

    PubMed

    Kerlin, Meeta Prasad; Halpern, Scott D

    2012-05-01

    There is an inherent tension between the training needs of inexperienced clinicians and the safety of the patients for whom they are responsible. Our society has accepted this tension as a necessary trade-off to maintain a competent workforce of physicians year after year. However, recent trends in medical education have diminished resident autonomy in favor of the safety of current patients. One dramatic example is the rapid increase in the number of academic ICUs that provide coverage by attending physicians at all hours. The potential benefits of this staffing model have strong face validity: improved quality and efficiency from the constant involvement of experienced intensivists, increased family and staff satisfaction from the immediate availability of attending physicians, and reduced burn-out among intensivists from reduced on-call responsibilities. Thus, many hospitals have moved toward 24-h coverage by attending intensivist physicians without evidence that these benefits actually accrue and perhaps without full consideration of possible unintended consequences. In this article, we discuss the potential benefits and risks of nocturnal intensivist staffing, considering the needs of current and future patients. Furthermore, we suggest that there remains sufficient uncertainty about these benefits and risks that it is both necessary and ethical to study the effects in earnest.

  1. It takes more than a smile to smooth rough edges. Manage risk by focusing on customer service.

    PubMed

    Fabrizio, Nick A; Hertz, Kenneth

    2005-07-01

    Good customer service is much more than smiling and being friendly with your patients. Clinical operating risk can fluctuate with the demand for care and variations in staffing, resources and technology. By making patient safety part of your customer service training and business practices, you can mitigate risk and create happier patients. PMID:16108470

  2. Non-Gaussian eccentricity fluctuations

    NASA Astrophysics Data System (ADS)

    Grönqvist, Hanna; Blaizot, Jean-Paul; Ollitrault, Jean-Yves

    2016-09-01

    We study the fluctuations of the anisotropy of the energy density profile created in a high-energy collision at the LHC. We show that the anisotropy in harmonic n has generic non-Gaussian fluctuations. We argue that these non-Gaussianities have a universal character for small systems such as p+Pb collisions, but not for large systems such as Pb+Pb collisions where they depend on the underlying non-Gaussian statistics of the initial density profile. We generalize expressions for the eccentricity cumulants ɛ2{4 } and ɛ3{4 } previously obtained within the independent-source model to a general fluctuating initial density profile.

  3. Management Education in Public Health: Further Considerations

    PubMed Central

    Darr, Kurt J.

    2015-01-01

    Knowing and applying the basic management functions of planning, organizing, staffing, directing, and controlling, as well as their permutations and combinations, are vital to effective delivery of public health services. Presently, graduate programs that prepare public health professionals neither emphasize teaching management theory, nor its application. This deficit puts those who become managers in public health and those they serve at a distinct disadvantage. This deficit can be remedied by enhanced teaching of management subjects PMID:26673475

  4. Thermal fluctuations in superconductor/ferromagnet nanostripes

    NASA Astrophysics Data System (ADS)

    Nasti, U.; Parlato, L.; Ejrnaes, M.; Cristiano, R.; Taino, T.; Myoren, H.; Sobolewski, Roman; Pepe, G.

    2015-07-01

    Thermal fluctuations in hybrid superconductor/ferromagnetic NbN /NiCu bilayers, as well as in pure superconducting NbN, two-dimensional (2D), nanostripes, have been investigated in order to understand the origin of dark counts in superconducting nanostripes when operated as single-photon detectors in the temperature range from 4.2 to 8 K . In 2D superconductors, the dynamics of vortex motion play a significant role in the formation of a transient normal state, leading to dark-count events in current-biased nanostripes. By introducing a weak ferromagnetic overlayer on top of pure NbN, we managed to control the vortex dynamics, which subsequently enabled us to differentiate between several proposed theoretical models. In particular, a 6 -nm-thick NiCu film grown on top of 8 -nm-thick NbN nanostripes led to an enhanced critical current density in the resulting nanostructure, as well as significantly lowered fluctuation rates, as compared to pure NbN structures, leading to reduced dark counts. The enhancement of pinning in NbN /NiCu bilayers provided evidence that thermal excitations of single vortices (vortex hopping) near the edge of a 2D nanostripe were the dominant mechanism of the observed dark-count transients. On the other hand, in pure NbN the leading source of thermal fluctuations was the current-assisted thermal unbinding of vortex-antivortex pairs.

  5. Transverse Momentum Fluctuations at RHIC

    NASA Astrophysics Data System (ADS)

    Gavin, Sean; Abdel-Aziz, Mohamed

    2004-10-01

    PHENIX and STAR data in Au+Au collisions at RHIC show that transverse momentum fluctuations increase as centrality increases. The approach to local thermal equilibrium can explain the similar centrality dependence of the average transverse momentum and its fluctuations [1]. Alternatively, this dependence can be attributed to jet effects, although the mechanism has not been spelled out in the literature [2]. Certainly both mechanisms play a role at some level. We review the nonequilibrium description of parton thermalization in [1]. We then extend the formulation to account for contributions to fluctuations from the energy loss of the high transverse momentum particles. Calculations are then compared to the measured average transverse momentum and its fluctuations. We then discuss how correlation function measurements may distinguish these effects. [1] Sean Gavin, Phys.Rev.Lett. 92 (2004) 162301. [2] S. S. Adler et al. [PHENIX Collaboration], arXiv:nucl-ex/0310005.

  6. Fluctuation Probes of Quark Deconfinement

    SciTech Connect

    Asakawa, Masayuki; Heinz, Ulrich; Mueller, Berndt

    2000-09-04

    The size of the average fluctuations of net baryon number and electric charge in a finite volume of hadronic matter differs widely between the confined and deconfined phases. These differences may be exploited as indicators of the formation of a quark-gluon plasma in relativistic heavy-ion collisions, because fluctuations created in the initial state survive until freeze-out due to the rapid expansion of the hot fireball. (c) 2000 The American Physical Society.

  7. Principle of minimal work fluctuations

    NASA Astrophysics Data System (ADS)

    Xiao, Gaoyang; Gong, Jiangbin

    2015-08-01

    Understanding and manipulating work fluctuations in microscale and nanoscale systems are of both fundamental and practical interest. For example, in considering the Jarzynski equality =e-β Δ F , a change in the fluctuations of e-β W may impact how rapidly the statistical average of e-β W converges towards the theoretical value e-β Δ F, where W is the work, β is the inverse temperature, and Δ F is the free energy difference between two equilibrium states. Motivated by our previous study aiming at the suppression of work fluctuations, here we obtain a principle of minimal work fluctuations. In brief, adiabatic processes as treated in quantum and classical adiabatic theorems yield the minimal fluctuations in e-β W. In the quantum domain, if a system initially prepared at thermal equilibrium is subjected to a work protocol but isolated from a bath during the time evolution, then a quantum adiabatic process without energy level crossing (or an assisted adiabatic process reaching the same final states as in a conventional adiabatic process) yields the minimal fluctuations in e-β W, where W is the quantum work defined by two energy measurements at the beginning and at the end of the process. In the classical domain where the classical work protocol is realizable by an adiabatic process, then the classical adiabatic process also yields the minimal fluctuations in e-β W. Numerical experiments based on a Landau-Zener process confirm our theory in the quantum domain, and our theory in the classical domain explains our previous numerical findings regarding the suppression of classical work fluctuations [G. Y. Xiao and J. B. Gong, Phys. Rev. E 90, 052132 (2014), 10.1103/PhysRevE.90.052132].

  8. Principle of minimal work fluctuations.

    PubMed

    Xiao, Gaoyang; Gong, Jiangbin

    2015-08-01

    Understanding and manipulating work fluctuations in microscale and nanoscale systems are of both fundamental and practical interest. For example, in considering the Jarzynski equality 〈e-βW〉=e-βΔF, a change in the fluctuations of e-βW may impact how rapidly the statistical average of e-βW converges towards the theoretical value e-βΔF, where W is the work, β is the inverse temperature, and ΔF is the free energy difference between two equilibrium states. Motivated by our previous study aiming at the suppression of work fluctuations, here we obtain a principle of minimal work fluctuations. In brief, adiabatic processes as treated in quantum and classical adiabatic theorems yield the minimal fluctuations in e-βW. In the quantum domain, if a system initially prepared at thermal equilibrium is subjected to a work protocol but isolated from a bath during the time evolution, then a quantum adiabatic process without energy level crossing (or an assisted adiabatic process reaching the same final states as in a conventional adiabatic process) yields the minimal fluctuations in e-βW, where W is the quantum work defined by two energy measurements at the beginning and at the end of the process. In the classical domain where the classical work protocol is realizable by an adiabatic process, then the classical adiabatic process also yields the minimal fluctuations in e-βW. Numerical experiments based on a Landau-Zener process confirm our theory in the quantum domain, and our theory in the classical domain explains our previous numerical findings regarding the suppression of classical work fluctuations [G. Y. Xiao and J. B. Gong, Phys. Rev. E 90, 052132 (2014)].

  9. Fluctuations in classical sum rules.

    PubMed

    Elton, John R; Lakshminarayan, Arul; Tomsovic, Steven

    2010-10-01

    Classical sum rules arise in a wide variety of physical contexts. Asymptotic expressions have been derived for many of these sum rules in the limit of long orbital period (or large action). Although sum-rule convergence may well be exponentially rapid for chaotic systems in a global phase-space sense with time, individual contributions to the sums may fluctuate with a width which diverges in time. Our interest is in the global convergence of sum rules as well as their local fluctuations. It turns out that a simple version of a lazy baker map gives an ideal system in which classical sum rules, their corrections, and their fluctuations can be worked out analytically. This is worked out in detail for the Hannay-Ozorio sum rule. In this particular case the rate of convergence of the sum rule is found to be governed by the Pollicott-Ruelle resonances, and both local and global boundaries for which the sum rule may converge are given. In addition, the width of the fluctuations is considered and worked out analytically, and it is shown to have an interesting dependence on the location of the region over which the sum rule is applied. It is also found that as the region of application is decreased in size the fluctuations grow. This suggests a way of controlling the length scale of the fluctuations by considering a time dependent phase-space volume, which for the lazy baker map decreases exponentially rapidly with time.

  10. Generalised tensor fluctuations and inflation

    SciTech Connect

    Cannone, Dario; Tasinato, Gianmassimo; Wands, David E-mail: g.tasinato@swansea.ac.uk

    2015-01-01

    Using an effective field theory approach to inflation, we examine novel properties of the spectrum of inflationary tensor fluctuations, that arise when breaking some of the symmetries or requirements usually imposed on the dynamics of perturbations. During single-clock inflation, time-reparameterization invariance is broken by a time-dependent cosmological background. In order to explore more general scenarios, we consider the possibility that spatial diffeomorphism invariance is also broken by effective mass terms or by derivative operators for the metric fluctuations in the Lagrangian. We investigate the cosmological consequences of the breaking of spatial diffeomorphisms, focussing on operators that affect the power spectrum of fluctuations. We identify the operators for tensor fluctuations that can provide a blue spectrum without violating the null energy condition, and operators for scalar fluctuations that lead to non-conservation of the comoving curvature perturbation on superhorizon scales even in single-clock inflation. In the last part of our work, we also examine the consequences of operators containing more than two spatial derivatives, discussing how they affect the sound speed of tensor fluctuations, and showing that they can mimic some of the interesting effects of symmetry breaking operators, even in scenarios that preserve spatial diffeomorphism invariance.

  11. Quantum fluctuations of radiation pressure

    SciTech Connect

    Wu, Chun-Hsien; Ford, L. H.

    2001-08-15

    Quantum fluctuations of electromagnetic radiation pressure are discussed. We use an approach based on the quantum stress tensor to calculate the fluctuations in velocity and position of a mirror subjected to electromagnetic radiation. Our approach reveals that radiation pressure fluctuations in the case of a coherent state are due to a cross term between vacuum and state dependent terms in a stress tensor operator product. Thus observation of these fluctuations would entail experimental confirmation of this cross term. We first analyze the pressure fluctuations on a single, perfectly reflecting mirror, and then study the case of an interferometer. This involves a study of the effects of multiple bounces in one arm, as well as the correlations of the pressure fluctuations between arms of the interferometer. In all cases, our results are consistent with those previously obtained by Caves using different methods. We argue that the agreement between the different methods supports the reality of the cross term and justifies the methods used in its evaluation.

  12. National Health Service Corps Staffing and the Growth of the Local Rural Non-NHSC Primary Care Physician Workforce

    ERIC Educational Resources Information Center

    Pathman, Donald E.; Fryer, George E., Jr.; Phillips, Robert L.; Smucny, John; Miyoshi, Thomas; Green, Larry A.

    2006-01-01

    Context: Beyond providing temporary staffing, National Health Service Corps (NHSC) clinicians are believed by some observers to contribute to the long-term growth of the non-NHSC physician workforce of the communities where they serve; others worry that NHSC clinicians compete with and impede the supply of other local physicians. Purpose: To…

  13. 75 FR 5146 - Tempel Steel Company Including On-Site Leased Workers From Aerotek Staffing Chicago, IL; Tempel...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-01

    ... Staffing, Chicago, Illinois. The notice was published in the Federal Register on December 11, 2009 (74 FR... motors and transformers. New findings show that worker separations occurred at the Libertyville, Illinois... for electric motors and transformers to Mexico. The amended notice applicable to TA-W-71,226 and...

  14. Economic Incentives as a Strategy for Responding to Teacher Staffing Problems: A Typology of Policies and Practices

    ERIC Educational Resources Information Center

    Kolbe, Tammy; Strunk, Katharine O.

    2012-01-01

    Background: Many district and school leaders experience difficulties staffing their classrooms with qualified teachers. Economic incentives may motivate teachers to enter and remain in the workforce and entice teachers to work in less desirable districts and schools. However, very little is known about incentives in use, how they are used to…

  15. Factors Affecting Nurse Staffing in Acute Care Hospitals: A Review and Critique of the Literature. Nurse Planning Information Series 17.

    ERIC Educational Resources Information Center

    Young, John P.; And Others

    A critical review of literature on factors affecting nurse staffing in acute care hospitals, with particular regard for the consequences of a movement from team nursing to primary nursing care, was conducted. The literature search revealed a need for more research on the philosophy of nursing and nursing goals and policy as they relate to nurse…

  16. An Analysis and Evaluation of Islands of Differentiated Staffing in Grand Forks Public Schools, Grand Forks, North Dakota.

    ERIC Educational Resources Information Center

    Thompson, John A.; Williams, John D.

    Critics argue against differentiated staffing on the bases that (1) limited compensation ranges lower teacher morale, (2) the loss of the services of trained teachers and the impersonality of the large group organization lower student incentive to achieve, and (3) salary savings are at the expense of the quality of the instructional program. Since…

  17. 76 FR 70760 - Nexergy, Inc., Including On-Site Leased Workers From Act-I Staffing, Kelly Services and Snider...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-15

    ..., 2011 (76 FR 40401). At the request of the State agency, the Department reviewed the certification for..., Kelly Services and Snider-Blake Personnel, Including Workers Whose Unemployment Insurance (UI) Wages Are... Nexergy, Inc., including on-site leased workers from ACT-I Staffing, Snider-Black Personnel and...

  18. 78 FR 28642 - SGL Carbon, LLC, Including Leased On-Site Worker of Reflex Staffing Services and Manpower, St...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-15

    ... Services and Manpower, St. Marys, Pennsylvania; Notice of Negative Determination on Reconsideration The... from Reflex Staffing Services and Manpower. The negative determination was based on the findings that... during the relevant time period. The Department's notice of negative determination was issued on...

  19. 75 FR 45166 - Jeld-Wen, Inc., Hawkins Window Division, Including On-Site Leased Workers of Nicolet Staffing...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-02

    ... Workers of Nicolet Staffing, Hawkins, WI; Notice of Negative Determination on Reconsideration On December... was published in the Federal Register on December 11, 2009 (74 FR 65790). The initial investigation... affirm the original notice of negative determination of eligibility to apply for worker...

  20. U. S. Catholic Elementary and Secondary Schools 2013-2014: The Annual Statistical Report on Schools, Enrollment and Staffing

    ERIC Educational Resources Information Center

    McDonald, Dale; Schultz, Margaret M.

    2014-01-01

    This annual statistical report presents information about schools, school enrollment and staffing patterns for grades PreK-12 for Catholic elementary and secondary schools. An executive summary provides insight into the data along with highlights of statistics in a historical perspective for comparison of past years and decades. Updated annually.

  1. 45 CFR 1336.65 - Staffing and organization of the Revolving Loan Fund: Responsibilities of the Loan Administrator.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 45 Public Welfare 4 2010-10-01 2010-10-01 false Staffing and organization of the Revolving Loan Fund: Responsibilities of the Loan Administrator. 1336.65 Section 1336.65 Public Welfare Regulations Relating to Public Welfare (Continued) OFFICE OF HUMAN DEVELOPMENT SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES THE ADMINISTRATION FOR...

  2. Principals' Time, Tasks, and Professional Development: An Analysis of Schools and Staffing Survey Data. REL 2017-201

    ERIC Educational Resources Information Center

    Lavigne, Heather J.; Shakman, Karen; Zweig, Jacqueline; Greller, Sara L.

    2016-01-01

    This study describes how principals reported spending their time and what professional development they reported participating in, based on data collected through the Schools and Staffing Survey by the National Center for Education Statistics during the 2011/12 school year. The study analyzes schools by grade level, poverty level, and within…

  3. Characteristics of American Indian and Alaska Native Education: Results from the 1990-91 Schools and Staffing Survey.

    ERIC Educational Resources Information Center

    Pavel, D. Michael; And Others

    This report summarizes findings of the 1990-91 Schools and Staffing Survey (SASS) with regard to schools that serve American Indian and Alaska Native students. The Bureau of Indian Affairs (BIA) and federally recognized tribal organizations under BIA grants and contracts operate 149 elementary and secondary schools. In addition, 1,260 public…

  4. Schools and Staffing Survey (SASS). Papers Presented at Meetings of the American Statistical Association. Working Paper Series.

    ERIC Educational Resources Information Center

    National Center for Education Statistics (ED), Washington, DC.

    The Schools and Staffing Survey (SASS) is an integrated system of surveys of public and private schools, school districts, school administrators, and teachers conducted by the National Center for Education Statistics (NCES). This collection contains papers related to the SASS presented at meetings of the American Statistical Association in August…

  5. Design Effects and Generalized Variance Functions for the 1990-91 Schools and Staffing Survey (SASS). Volume II. Technical Report.

    ERIC Educational Resources Information Center

    Salvucci, Sameena; And Others

    This technical report provides the results of a study on the calculation and use of generalized variance functions (GVFs) and design effects for the 1990-91 Schools and Staffing Survey (SASS). The SASS is a periodic integrated system of sample surveys conducted by the National Center for Education Statistics (NCES) that produces sampling variances…

  6. School Librarian Staffing Levels and Student Achievement as Represented in 2006-2009 Kansas Annual Yearly Progress Data

    ERIC Educational Resources Information Center

    Dow, Mirah J.; McMahon-Lakin, Jacqueline

    2012-01-01

    To address the presence or absence of school librarians in Kansas public schools, a study using analysis of covariance (ANCOVA) was designed to investigate staffing levels for library media specialists (LMSs), the label used for school librarians in licensed-personnel data in Kansas, and student achievement at the school level. Five subject areas…

  7. Home Health Care Agency Staffing Patterns before and after the Balanced Budget Act of 1997, by Rural and Urban Location

    ERIC Educational Resources Information Center

    McAuley, William J.; Spector, William; Van Nostrand, Joan

    2008-01-01

    Context: The Balanced Budget Act (BBA) of 1997 and other recent policies have led to reduced Medicare funding for home health agencies (HHAs) and visits per beneficiary. Purpose: We examine the staffing characteristics of stable Medicare-certified HHAs across rural and urban counties from 1996 to 2002, a period encompassing the changes associated…

  8. Music Teachers at Risk for Attrition and Migration: An Analysis of the 1999-2000 Schools and Staffing Survey

    ERIC Educational Resources Information Center

    Hancock, Carl B.

    2008-01-01

    This study examined the effects of teacher characteristics, school conditions, teacher efficacy, external support, and remuneration on music educators' risk for attrition and migration. Data from the 1999-2000 Schools and Staffing Survey--a comprehensive, nationally representative survey of teachers, principals, and schools conducted by the…

  9. Characteristics and Working Conditions of Moonlighting Teachers: Evidence from the 2011-2012 Schools and Staffing Survey

    ERIC Educational Resources Information Center

    Fitchett, Paul G.; Heafner, Tina L.; Harden, Susan B.

    2016-01-01

    Moonlighting, an employment practice where individuals work outside of their primary job, is popular within the public education sector. Using data from the National Center for Education Statistics Schools and Staffing Survey, this study examined both the characteristics and motivations of public school teachers across moonlighting categories.…

  10. The Financial Status, Organizational Structure, and Staffing of Career Information Delivery Systems in the United States: Technical Report No. 16.

    ERIC Educational Resources Information Center

    Sampson, James P., Jr.; Norris, Debra S.

    The purpose of this study was to collect, analyze, and disseminate baseline data to aid computer-based career information delivery system (CIDS) operators and state and federal policy makers in making more informed decisions about the financing, organizational structure, and staffing of CIDS. CIDS are computer-based resources that provide…

  11. Constrained? An Analysis of U.S. Academic Library Shifts in Spending, Staffing, and Utilization, 1998-2008

    ERIC Educational Resources Information Center

    Regazzi, John J.

    2012-01-01

    The study provides an analysis of U.S. academic library spending, staffing and utilization trends from data collected during the period between 1998 and 2008. Data used in this study are part of the NCES biennial survey of approximately 3,700 degree-granting postsecondary institutions. Confirming previous studies, there has been an order of…

  12. Staffing in Twenty Midwest College Libraries: Some Notes on Comparative Data, with Selected Library Statistics for 1982-1983.

    ERIC Educational Resources Information Center

    Mech, Terrence F.

    This report compares levels of staffing in the libraries of 20 midwest liberal arts colleges. (Noting that libraries all have different organizational structures and different types and levels of service, the study notes the danger of inappropriate comparisons.) Data for this paper were taken from "1982-83 Library Data: Associated Colleges of the…

  13. 76 FR 13665 - Cambridge Tool & Die, Including On-Site Leased Workers From Action Total Staffing, Cambridge, OH...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-14

    ... Total Staffing, Cambridge, OH; Amended Certification Regarding Eligibility To Apply for Worker... Register on January 26, 2011 (76 FR 4731). At the request of the State agency, the Department reviewed the..., Office of Trade Adjustment Assistance. BILLING CODE 4510-FN-P...

  14. Inequitable Access to Gifted Education: Variance in Funding and Staffing Based on Locale and Contextual School Variables

    ERIC Educational Resources Information Center

    Kettler, Todd; Russell, Joseph; Puryear, Jeb S.

    2015-01-01

    This study examined discrepancies in educational opportunity for gifted students at the program services level. School districts in the study (N = 1,029) varied in expenditures for gifted education and the allocation of faculty for gifted education. The relationships of variables representing funding and staffing gifted education and school…

  15. Professional Staffing Levels and Fourth-Grade Student Research in Rural Schools with High-Poverty Levels

    ERIC Educational Resources Information Center

    Krueger, Karla Steege; Donham, Jean

    2013-01-01

    Rural schools in high-poverty areas are often understaffed. This descriptive phenomenological study examined fourth-grade state research projects in high-poverty rural Iowa schools to reveal the influence of school librarians' staffing levels on student learning of research skills. To determine evidence of students' critical literacy, ethical use…

  16. An Analysis of Total Nonresponse in the 1993-94 Schools and Staffing Survey (SASS). Technical Report.

    ERIC Educational Resources Information Center

    Monaco, David; Salvucci, Sameena; Zhang, Fan; Hu, Mingxiu; Gruber, Kerry

    This technical report presents results of an analysis of unit response rates for the components of the 1993-94 Schools and Staffing Surveys (SASS). The study was motivated by the general need to evaluate and improve the quality of SASS data and to identify potential sources of nonsampling error associated with nonresponse in SASS. As background,…

  17. Schools and Staffing Survey: 1994. Papers Presented at the 1994 Meeting of the American Statistical Association. Working Paper Series.

    ERIC Educational Resources Information Center

    National Center for Education Statistics (ED), Washington, DC.

    The 14 papers presented in this proceedings include: (1) "Intersurvey Consistency in School Surveys" (Wray Smith, Al Holt, Steven Kaufman, and Fritz Scheuren); (2) "Estimation Issues Related to the Student Component of the SASS" (Karen Ellen King and Steven Kaufman); (3) "Properties of the Schools and Staffing Survey's Bootstrap Variance…

  18. 76 FR 61742 - Unimin Corporation Including On-Site Leased Workers From Staffmark and Elwood Staffing Aurora, IN...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-05

    ... (76 FR 45623). At the request of the State agency, the Department reviewed the certification for... Elwood Staffing Aurora, IN; Amended Certification Regarding Eligibility To Apply for Worker Adjustment..., including on-site leased workers from Staffmark, Aurora, Indiana. The workers are engaged in...

  19. Charter Schools in an Arena of Competitive Educational Reforms: An Analysis of the 1999-2000 Schools and Staffing Survey

    ERIC Educational Resources Information Center

    Lin, Zeng; Gardner, Dianne C.; Vogt, W. Paul

    2005-01-01

    Accountability countability, choice, equity, and social cohesion are core parts of the public debates over the charter school movement. To examine these important issues, we utilize the "1999-2000 Schools and Staffing Survey" to estimate the possible charter effect on public and private schools. Analyses of charter, public,and private schools…

  20. 75 FR 77665 - Whirlpool Corporation, Including On-Site Leased Workers From Career Solutions TEC Staffing and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-13

    ... Corporation, including on-site leased workers from Career Solutions TEC Staffing, Fort Smith, Arkansas. The notice was published in the Federal Register on October 25, 2010 (75 FR 65520). At the request of the... Employment and Training Administration Whirlpool Corporation, Including On-Site Leased Workers From...

  1. Introduction to Personnel Management: Participants' Manual.

    ERIC Educational Resources Information Center

    Civil Service Commission, Denver, CO. Regional Training Center.

    This manual for the introductory Federal personnel management course covers: major personnel laws and sources of information; position classification (standards and task analysis); staffing and placement (competitive appointments, temporary appointments/promotions, recruitment, and noncompetitive actions); merit promotion; qualification standards;…

  2. Managing Academic Libraries with Fewer Resources.

    ERIC Educational Resources Information Center

    Riggs, Donald E.

    1992-01-01

    A discussion of academic library management during retrenchment looks at a variety of issues, including staffing needs in the labor-intensive library environment, acquisitions budgeting, interlibrary cooperation (ownership vs. access to resources), entrepreneurship and strategic planning for problem solving, and use of total quality management…

  3. A Contractual Management Arrangement: FAU and IBM.

    ERIC Educational Resources Information Center

    Miller, William; Pellen, Rita

    1993-01-01

    Describes the problems IBM Corporation in Boca Raton, Florida, has had staffing and managing a corporate library and its cooperative agreement with Florida Atlantic University (FAU) to provide professional librarian services. Issues to consider in developing an academic/special libraries agreement are discussed. (EA)

  4. Quantum fluctuations and dynamic clustering of fluctuating Cooper pairs.

    SciTech Connect

    Glatz, A.; Varlamov, A. A.; Vinokur, V. M.

    2011-05-01

    We derive the complete expression for the fluctuation conductivity in two-dimensional superconductors as a function of the temperature and the magnetic field in the whole fluctuation region above the upper critical field H{sub c2}(T). Focusing on the vicinity of the quantum phase transition near zero temperature, we propose that as the magnetic field approaches the line near H{sub c2}(0) from above, a peculiar dynamic state consisting of clusters of coherently rotating fluctuation Cooper pairs forms and estimate the characteristic size and lifetime of such clusters. We find the zero-temperature magnetic-field dependence of the transverse magnetoconductivity above H{sub c2}(0) in layered superconductors.

  5. A Top Level Analysis of Training Management Functions.

    ERIC Educational Resources Information Center

    Ackerson, Jack

    1995-01-01

    Presents an approach to conducting a top-level analysis of training management functions when there are problems within a training system. Highlights include data gathering and analyses of a training system; training management functions and activities, including planning, staffing, development, and evaluation and feedback; and development of root…

  6. Engineering a learning healthcare system: using health information technology to develop an objective nurse staffing tool.

    PubMed

    Harper, Ellen M

    2012-01-01

    Nurses represent the largest proportion of direct healthcare providers. Overstaffed or understaffed units will have implications for the quality, cost, patient, and nurse satisfaction. It is vital that nurses are armed with appropriate instruments and data to help them plan and implement efficient and effective nursing teams. A compelling case is made for the association between nursing care and clinical, quality, and financial outcomes. Even though there is a great body of work on the correlation, there is little agreement on the best approach to determine the correct balance between the patient-to-nurse ratios. The sheer number of variables depicted in the literature suggests why precise evidenced based formulas are difficult to achieve. This paper will describe a practice based knowledge generation mixed methods study using detailed observation and electronic health record abstraction to generate a structural equation for use in predicting staffing needs.

  7. Reducing health care costs by rationalizing staffing in primary care settings.

    PubMed

    Mawajdeh, S; Khoury, S A; Yoder, R; Qtaishat, M

    2004-05-01

    Jordan spends around 9% of its GDP on health care services, a high figure compared with similar developing countries. This study assessed staffing patterns in relation to Ministry of Health expenditures in a nationally representative sample of 97 primary care facilities. The economic costs of primary care facilities amounted to Jordanian dinar (JD) 42.3 million. Personnel costs consumed 53.8% of recurrent costs and in monetary terms the amount of down time (time not being used effectively) amounted to JD 9.7 million (about US$ 13.7 million). The Ministry should consider changing the functioning of its primary care facilities to obtain a more cost-effective use of staff time. PMID:16212216

  8. Topics in fluctuating nonlinear hydrodynamics

    SciTech Connect

    Milner, S.T.

    1986-01-01

    Models of fluctuating nonlinear hydrodynamics have enjoyed much success in explaining the effect of long-wavelength fluctuations in diverse hydrodynamic systems. This thesis explores two such problems; in both, the body of hydrodynamic assumptions powerfully constrains the predictions of a well-posed theory. The effects of layer fluctuations in smectic-A liquid crystals are first examined. The static theory (introduced by Grinstein and Pelcovits) is reviewed. Ward identities, resulting from the arbitrariness of the layering direction, are derived and exploited. The static results motivate an examination of dynamic fluctuation effects. A new sound-damping experiment is proposed that would probe singular dependence of viscosities on applied stress. A theory of Procaccia and Gitterman that reaction rates of chemically reacting binary mixtures are drastically reduced near their thermodynamic critical points is analyzed. Hydrodynamic arguments and Van Hove theory are applied, concluding that the PG idea is drastically slowed, and spatially varying composition fluctuations are at best slowed down over a narrow range of wavenumbers.

  9. Thermodynamic constraints on fluctuation phenomena

    NASA Astrophysics Data System (ADS)

    Maroney, O. J. E.

    2009-12-01

    The relationships among reversible Carnot cycles, the absence of perpetual motion machines, and the existence of a nondecreasing globally unique entropy function form the starting point of many textbook presentations of the foundations of thermodynamics. However, the thermal fluctuation phenomena associated with statistical mechanics has been argued to restrict the domain of validity of this basis of the second law of thermodynamics. Here we demonstrate that fluctuation phenomena can be incorporated into the traditional presentation, extending rather than restricting the domain of validity of the phenomenologically motivated second law. Consistency conditions lead to constraints upon the possible spectrum of thermal fluctuations. In a special case this uniquely selects the Gibbs canonical distribution and more generally incorporates the Tsallis distributions. No particular model of microscopic dynamics need be assumed.

  10. Fluctuational electrodynamics of hyperbolic metamaterials

    SciTech Connect

    Guo, Yu; Jacob, Zubin

    2014-06-21

    We give a detailed account of equilibrium and non-equilibrium fluctuational electrodynamics of hyperbolic metamaterials. We show the unifying aspects of two different approaches; one utilizes the second kind of fluctuation dissipation theorem and the other makes use of the scattering method. We analyze the near-field of hyperbolic media at finite temperatures and show that the lack of spatial coherence can be attributed to the multi-modal nature of super-Planckian thermal emission. We also adopt the analysis to phonon-polaritonic super-lattice metamaterials and describe the regimes suitable for experimental verification of our predicted effects. The results reveal that far-field thermal emission spectra are dominated by epsilon-near-zero and epsilon-near-pole responses as expected from Kirchoff's laws. Our work should aid both theorists and experimentalists to study complex media and engineer equilibrium and non-equilibrium fluctuations for applications in thermal photonics.

  11. Fluctuations in relativistic causal hydrodynamics

    NASA Astrophysics Data System (ADS)

    Kumar, Avdhesh; Bhatt, Jitesh R.; Mishra, Ananta P.

    2014-05-01

    Formalism to calculate the hydrodynamic fluctuations by applying the Onsager theory to the relativistic Navier-Stokes equation is already known. In this work, we calculate hydrodynamic fluctuations within the framework of the second order hydrodynamics of Müller, Israel and Stewart and its generalization to the third order. We have also calculated the fluctuations for several other causal hydrodynamical equations. We show that the form for the Onsager-coefficients and form of the correlation functions remain the same as those obtained by the relativistic Navier-Stokes equation and do not depend on any specific model of hydrodynamics. Further we numerically investigate evolution of the correlation function using the one dimensional boost-invariant (Bjorken) flow. We compare the correlation functions obtained using the causal hydrodynamics with the correlation function for the relativistic Navier-Stokes equation. We find that the qualitative behavior of the correlation functions remains the same for all the models of the causal hydrodynamics.

  12. Thermodynamic constraints on fluctuation phenomena.

    PubMed

    Maroney, O J E

    2009-12-01

    The relationships among reversible Carnot cycles, the absence of perpetual motion machines, and the existence of a nondecreasing globally unique entropy function form the starting point of many textbook presentations of the foundations of thermodynamics. However, the thermal fluctuation phenomena associated with statistical mechanics has been argued to restrict the domain of validity of this basis of the second law of thermodynamics. Here we demonstrate that fluctuation phenomena can be incorporated into the traditional presentation, extending rather than restricting the domain of validity of the phenomenologically motivated second law. Consistency conditions lead to constraints upon the possible spectrum of thermal fluctuations. In a special case this uniquely selects the Gibbs canonical distribution and more generally incorporates the Tsallis distributions. No particular model of microscopic dynamics need be assumed.

  13. Manager's handbook for software development, revision 1

    NASA Technical Reports Server (NTRS)

    1990-01-01

    Methods and aids for the management of software development projects are presented. The recommendations are based on analyses and experiences of the Software Engineering Laboratory (SEL) with flight dynamics software development. The management aspects of the following subjects are described: organizing the project, producing a development plan, estimating costs, scheduling, staffing, preparing deliverable documents, using management tools, monitoring the project, conducting reviews, auditing, testing, and certifying.

  14. Thermal fluctuations and rubber elasticity.

    PubMed

    Xing, Xiangjun; Goldbart, Paul M; Radzihovsky, Leo

    2007-02-16

    The effects of thermal elastic fluctuations in rubbery materials are examined. It is shown that, due to their interplay with the incompressibility constraint, these fluctuations qualitatively modify the large-deformation stress-strain relation, compared to that of classical rubber elasticity. To leading order, this mechanism provides a simple and generic explanation for the peak structure of Mooney-Rivlin stress-strain relation and shows good agreement with experiments. It also leads to the prediction of a phonon correlation function that depends on the external deformation. PMID:17359034

  15. Thermal Fluctuations and Rubber Elasticity

    NASA Astrophysics Data System (ADS)

    Xing, Xiangjun; Goldbart, Paul M.; Radzihovsky, Leo

    2007-02-01

    The effects of thermal elastic fluctuations in rubbery materials are examined. It is shown that, due to their interplay with the incompressibility constraint, these fluctuations qualitatively modify the large-deformation stress-strain relation, compared to that of classical rubber elasticity. To leading order, this mechanism provides a simple and generic explanation for the peak structure of Mooney-Rivlin stress-strain relation and shows good agreement with experiments. It also leads to the prediction of a phonon correlation function that depends on the external deformation.

  16. Fluctuation driven electroweak phase transition

    NASA Technical Reports Server (NTRS)

    Gleiser, Marcelo; Kolb, Edward W.

    1991-01-01

    We examine the dynamics of the electroweak phase transition in the early Universe. For Higgs masses in the range 46 less than or = M sub H less than or = 150 GeV and top quark masses less than 200 GeV, regions of symmetric and asymmetric vacuum coexist to below the critical temperature, with thermal equilibrium between the two phases maintained by fluctuations of both phases. We propose that the transition to the asymmetric vacuum is completed by percolation of these subcritical fluctuations. Our results are relevant to scenarios of baryogenesis that invoke a weakly first-order phase transition at the electroweak scale.

  17. Particle number fluctuations in a canonical ensemble

    SciTech Connect

    Begun, V.V.; Gazdzicki, M.; Gorenstein, M.I.; Zozulya, O.S.

    2004-09-01

    Fluctuations of charged particle number are studied in the canonical ensemble. In the infinite volume limit the fluctuations in the canonical ensemble are different from the fluctuations in the grand canonical one. Thus, the well-known equivalence of both ensembles for the average quantities does not extend for the fluctuations. In view of the possible relevance of the results for the analysis of fluctuations in nuclear collisions at high energies, a role of the limited kinematical acceptance is studied.

  18. 10 CFR 719.12 - What information must be included in the Legal Management Plan?

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 10 Energy 4 2014-01-01 2014-01-01 false What information must be included in the Legal Management Plan? 719.12 Section 719.12 Energy DEPARTMENT OF ENERGY CONTRACTOR LEGAL MANAGEMENT REQUIREMENTS Legal Management Plan, Staffing and Resource Plan and Annual Legal Budget § 719.12 What information must...

  19. Stage fluctuations of Wisconsin lakes

    USGS Publications Warehouse

    House, Leo B.

    1985-01-01

    This report describes lake-stage fluctuations of 83 gaged lakes in Wisconsin and presents techniques for estimating stage fluctuation at ungaged lakes. Included are stage information at 83 lakes and stage-frequency data for 32 of these lakes that had sufficient record for analysis. Lakes are classified by a hydrologic-topographic lake classification scheme as ground-water flowthrough (GWF) lakes, surface-water drainage (SWD) lakes, and surface-water flow-through (SWF) lakes. Lakes within the same class were found to have similar water-level fluctuations. The lake-stage records indicate that most annual maximums occur during the months of May and June for all three classes. Annual minimum lake levels generally occur in September for surface-water drainage lakes, in March for surface-water flowthrough lakes, and in November for ground-water flow-through lakes. Data for each lake include location, period of water-level record, hydrologic classification, drainage area, surface area, lake volume, maximum depth, long-term mean stage and its standard deviation, maximum and minimum observed lake stage, and the average annual lake-stage fluctuation.

  20. Fluctuating Hydrodynamics Confronts the Rapidity Dependence of Transverse Momentum Fluctuations

    NASA Astrophysics Data System (ADS)

    Pokharel, Rajendra; Gavin, Sean; Moschelli, George

    2012-10-01

    Interest in the development of the theory of fluctuating hydrodynamics is growing [1]. Early efforts suggested that viscous diffusion broadens the rapidity dependence of transverse momentum correlations [2]. That work stimulated an experimental analysis by STAR [3]. We attack this new data along two fronts. First, we compute STAR's fluctuation observable using the NeXSPheRIO code, which combines fluctuating initial conditions from a string fragmentation model with deterministic viscosity-free hydrodynamic evolution. We find that NeXSPheRIO produces a longitudinal narrowing, in contrast to the data. Second, we study the hydrodynamic evolution using second order causal viscous hydrodynamics including Langevin noise. We obtain a deterministic evolution equation for the transverse momentum density correlation function. We use the latest theoretical equations of state and transport coefficients to compute STAR's observable. The results are in excellent accord with the measured broadening. In addition, we predict features of the distribution that can distinguish 2nd and 1st order diffusion. [4pt] [1] J. Kapusta, B. Mueller, M. Stephanov, arXiv:1112.6405 [nucl-th].[0pt] [2] S. Gavin and M. Abdel-Aziz, Phys. Rev. Lett. 97, 162302 (2006)[0pt] [3] H. Agakishiev et al., STAR, STAR, Phys. Lett. B704

  1. Nurse staffing and education and hospital mortality in nine European countries: a retrospective observational study

    PubMed Central

    Aiken, Linda H; Sloane, Douglas M; Bruyneel, Luk; Van den Heede, Koen; Griffiths, Peter; Busse, Reinhard; Diomidous, Marianna; Kinnunen, Juha; Kózka, Maria; Lesaffre, Emmanuel; McHugh, Matthew D; Moreno-Casbas, M T; Rafferty, Anne Marie; Schwendimann, Rene; Scott, P Anne; Tishelman, Carol; van Achterberg, Theo; Sermeus, Walter

    2014-01-01

    Summary Background Austerity measures and health-system redesign to minimise hospital expenditures risk adversely affecting patient outcomes. The RN4CAST study was designed to inform decision making about nursing, one of the largest components of hospital operating expenses. We aimed to assess whether differences in patient to nurse ratios and nurses’ educational qualifications in nine of the 12 RN4CAST countries with similar patient discharge data were associated with variation in hospital mortality after common surgical procedures. Methods For this observational study, we obtained discharge data for 422 730 patients aged 50 years or older who underwent common surgeries in 300 hospitals in nine European countries. Administrative data were coded with a standard protocol (variants of the ninth or tenth versions of the International Classification of Diseases) to estimate 30 day in-hospital mortality by use of risk adjustment measures including age, sex, admission type, 43 dummy variables suggesting surgery type, and 17 dummy variables suggesting comorbidities present at admission. Surveys of 26 516 nurses practising in study hospitals were used to measure nurse staffing and nurse education. We used generalised estimating equations to assess the effects of nursing factors on the likelihood of surgical patients dying within 30 days of admission, before and after adjusting for other hospital and patient characteristics. Findings An increase in a nurses’ workload by one patient increased the likelihood of an inpatient dying within 30 days of admission by 7% (odds ratio 1·068, 95% CI 1·031–1·106), and every 10% increase in bachelor’s degree nurses was associated with a decrease in this likelihood by 7% (0·929, 0·886–0·973). These associations imply that patients in hospitals in which 60% of nurses had bachelor’s degrees and nurses cared for an average of six patients would have almost 30% lower mortality than patients in hospitals in which only 30% of

  2. Chromodynamic fluctuations in quark-gluon plasma

    SciTech Connect

    Mrowczynski, Stanislaw

    2008-05-15

    Fluctuations of chromodynamic fields in the collisionless quark-gluon plasma are found as a solution of the initial value linearized problem. The plasma initial state is on average colorless, stationary, and homogeneous. When the state is stable, the initial fluctuations decay exponentially and in the long-time limit a stationary spectrum of fluctuations is established. For the equilibrium plasma it reproduces the spectrum which is provided by the fluctuation-dissipation relation. Fluctuations in the unstable plasma, where the memory of initial fluctuations is not lost, are also discussed.

  3. [Staffing needs of an intensive care unit in consideration of applicable hygiene guidelines--an exploratory analysis].

    PubMed

    Kochanek, M; Böll, B; Shimabukuro-Vornhagen, A; Michels, G; Barbara, W; Hansen, D; Hallek, M; Fätkenheuer, G; von Bergwelt-Baildon, M

    2015-07-01

    The patient burden in intensive care units (ICU) has continually increased worldwide over the past decades. Age, co-morbidities and an increasing complexity of conditions and treatments increase the number of patients who are either colonized or infected with antibiotic-resistant pathogens. To prevent nosocomial infections, hygiene guidelines play an important role. In this paper, we investigate the time needed for nursing of five hypothetical critically ill patients in the intensive care unit. The results show that current staffing is not sufficient under the given hygiene guidelines and that a nurse to patient ratio of one will be necessary to meet the requirements. In a national survey of university hospitals, however, we found that the current nurse to patient ratio is 1: 2.47 in German intensive care units. The apparent staffing shortage is compensated by an extraordinary personal commitment of nurses caring for patients in the ICU.

  4. A Need-based model for determining staffing needs for the public sector outpatient mental health service system.

    PubMed

    Elisha, David; Levinson, Daphna; Grinshpoon, Alexander

    2004-01-01

    This article proposes a need-based model for determining staffing needs for regional or national public sector outpatient mental health services. It constitutes a spreadsheet method involving a sequence of calculations relating demographic variables, workers' productivity, anticipated demand, and standards pertaining to annual visits per client distributed among the core mental health professions. The authors demonstrate the application of the model to national planning of adult outpatient mental health services using standards based on both expert consensus and existing staffing patterns while they note the need for more rigorously derived and empirically based standards. It is suggested that by using clearly stated assumptions and quantifiable variables, the model can facilitate constructive negotiations among various agencies and community organizations involved in policymaking and in budget allocations.

  5. Nursing personnel planning for rural hospitals in Burdwan District, West Bengal, India, using workload indicators of staffing needs.

    PubMed

    Shivam, Swapnil; Roy, Rabindra Nath; Dasgupta, Samir; Das Bhattacharyya, Krishna; Misra, Raghu Nath; Roy, Sima; Indranil, Saha

    2014-12-01

    Lack of appropriate human resources planning is an important factor in the inefficient use of the public health facilities. Workforce projections can be improved by using objective methods of staffing needs based on the workload and actual work undertaken by workers, a guideline developed by Peter J. Shipp in collaboration with WHO-Workload Indicators of Staffing Need (WISN). A cross-sectional study was carried out to estimate the nursing stuff requirement for the rural hospitals and provide a quantitative description of imbalances, if there is any, in the allocation at the district level during 2011. The average WISN turns out to be 0.35 for entire district, which means only 35% of the required nurses is available or 65% understaffed. So, there is an urgent need for more allocations and deployment of staff so that workload can be tackled and evenly distributed among all nursing personnel. PMID:25895199

  6. Relationships between registered nurse staffing, processes of nursing care, and nurse-reported patient outcomes in chronic hemodialysis units.

    PubMed

    Thomas-Hawkins, Charlotte; Flynn, Linda; Clarke, Sean P

    2008-01-01

    Little attention has been given to the effects of registered nurse (RN) staffing and processes of nursing care on patient outcomes in hemodialysis units. This research examined the effects of patient-to-RN ratios and necessary tasks left undone by RNs on the likelihood of nurse-reported frequent occurrences of adverse patient events in chronic hemodialysis units. Study findings revealed that high patient-to-RN ratios and increased numbers of tasks left undone by RNs were associated with an increased likelihood of frequent occurrences of dialysis hypotension, skipped dialysis treatments, shortened dialysis treatments, and patient complaints in hemodialysis units. These findings indicate that federal, state, and dialysis organization policies must foster staffing structures and processes of care in dialysis units that effectively utilize the invaluable skills and services of professional, registered nurses.

  7. Does Better Nurse Staffing Improve Detection of Depression and Anxiety As Secondary Conditions in Hospitalized Patients with Pneumonia?

    PubMed

    Hodgson, Ashley; Morgan, Dorothy; Peterson, Ryan

    2016-01-01

    Identifying anxiety and depression in hospital patients has important implications for the quality of care, including reducing hospital admissions, promoting patient-centered care, and improving long-term patient outcomes. Hospital admissions are important opportunities for uncovering mental illness; whether hospitals actually take advantage of these important opportunities may depend on staffing. Nurse staffing is central to achieving the goals outlined by patient-centered care initiatives. The results of this study suggest an effect of nursing ratios on the detection of secondary mental health conditions via a quasi-experiment surrounding California's minimum nursing ratio law. This analysis indicates hospitals with larger decreases in the number of patients under each nurse's care had greater improvements in the detection of secondary depression and anxiety in patients with pneumonia. PMID:27439250

  8. Nurse staffing and system integration and change indicators in acute care hospitals: evidence from a balanced scorecard.

    PubMed

    McGillis Hall, Linda; Peterson, Jessica; Baker, G Ross; Brown, Adalsteinn D; Pink, George H; McKillop, Ian; Daniel, Imtiaz; Pedersen, Cheryl

    2008-01-01

    This study examined relationships between financial indicators for nurse staffing and organizational system integration and change indicators. These indicators, along with hospital location and type, were examined in relation to the nursing financial indicators. Results showed that different indicators predicted each of the outcome variables. Nursing care hours were predicted by the hospital type, geographic location, and the system. Both nursing and patient care hours were significantly related to dissemination and benchmarking of clinical data.

  9. Nurse staffing and system integration and change indicators in acute care hospitals: evidence from a balanced scorecard.

    PubMed

    McGillis Hall, Linda; Peterson, Jessica; Baker, G Ross; Brown, Adalsteinn D; Pink, George H; McKillop, Ian; Daniel, Imtiaz; Pedersen, Cheryl

    2008-01-01

    This study examined relationships between financial indicators for nurse staffing and organizational system integration and change indicators. These indicators, along with hospital location and type, were examined in relation to the nursing financial indicators. Results showed that different indicators predicted each of the outcome variables. Nursing care hours were predicted by the hospital type, geographic location, and the system. Both nursing and patient care hours were significantly related to dissemination and benchmarking of clinical data. PMID:18562867

  10. Density Fluctuations in Liquid Water

    NASA Astrophysics Data System (ADS)

    English, Niall J.; Tse, John S.

    2011-01-01

    The density distributions and fluctuations in grids of varying size in liquid water at ambient pressure, both above the freezing point and in the supercooled state, are analyzed from the trajectories obtained from large-scale molecular dynamics simulations. It is found that the occurrence of low- and high-density regions (LDL and HDL) is transient and their respective residence times are dependent on the size of the simulated system. The spatial extent of density-density correlation is found to be within 7 Å or less. The temporal existence of LDL and HDL arises as a result of natural density fluctuations of an equilibrium system. The density of bulk water at ambient conditions is homogenous.

  11. Algorithm refinement for fluctuating hydrodynamics

    SciTech Connect

    Williams, Sarah A.; Bell, John B.; Garcia, Alejandro L.

    2007-07-03

    This paper introduces an adaptive mesh and algorithmrefinement method for fluctuating hydrodynamics. This particle-continuumhybrid simulates the dynamics of a compressible fluid with thermalfluctuations. The particle algorithm is direct simulation Monte Carlo(DSMC), a molecular-level scheme based on the Boltzmann equation. Thecontinuum algorithm is based on the Landau-Lifshitz Navier-Stokes (LLNS)equations, which incorporate thermal fluctuations into macroscopichydrodynamics by using stochastic fluxes. It uses a recently-developedsolver for LLNS, based on third-order Runge-Kutta. We present numericaltests of systems in and out of equilibrium, including time-dependentsystems, and demonstrate dynamic adaptive refinement by the computationof a moving shock wave. Mean system behavior and second moment statisticsof our simulations match theoretical values and benchmarks well. We findthat particular attention should be paid to the spectrum of the flux atthe interface between the particle and continuum methods, specificallyfor the non-hydrodynamic (kinetic) time scales.

  12. Random numbers from vacuum fluctuations

    NASA Astrophysics Data System (ADS)

    Shi, Yicheng; Chng, Brenda; Kurtsiefer, Christian

    2016-07-01

    We implement a quantum random number generator based on a balanced homodyne measurement of vacuum fluctuations of the electromagnetic field. The digitized signal is directly processed with a fast randomness extraction scheme based on a linear feedback shift register. The random bit stream is continuously read in a computer at a rate of about 480 Mbit/s and passes an extended test suite for random numbers.

  13. Facing rim cavities fluctuation modes

    NASA Astrophysics Data System (ADS)

    Casalino, Damiano; Ribeiro, André F. P.; Fares, Ehab

    2014-06-01

    Cavity modes taking place in the rims of two opposite wheels are investigated through Lattice-Boltzmann CFD simulations. Based on previous observations carried out by the authors during the BANC-II/LAGOON landing gear aeroacoustic study, a resonance mode can take place in the volume between the wheels of a two-wheel landing gear, involving a coupling between shear-layer vortical fluctuations and acoustic modes resulting from the combination of round cavity modes and wheel-to-wheel transversal acoustic modes. As a result, side force fluctuations and tonal noise side radiation take place. A parametric study of the cavity mode properties is carried out in the present work by varying the distance between the wheels. Moreover, the effects due to the presence of the axle are investigated by removing the axle from the two-wheel assembly. The azimuthal properties of the modes are scrutinized by filtering the unsteady flow in narrow bands around the tonal frequencies and investigating the azimuthal structure of the filtered fluctuation modes. Estimation of the tone frequencies with an ad hoc proposed analytical formula confirms the observed modal properties of the filtered unsteady flow solutions. The present study constitutes a primary step in the description of facing rim cavity modes as a possible source of landing gear tonal noise.

  14. Costs, Staffing, and Services of Assisted Living in the United States: A Literature Review.

    PubMed

    Kisling-Rundgren, Amy; Paul, David P; Coustasse, Alberto

    2016-01-01

    Assisted-living facilities (ALFs), which provide a community for residents who require assistance throughout their day, are an important part of the long-term-care system in the United States. The costs of ALFs are paid either out of pocket, by Medicaid, or by long-term-care insurance. Monthly costs of ALFs have increased over the past 5 years on an average of 4.1%. The purpose of this research was to examine the future trends in ALFs in the United States to determine the impact of health care on costs. The methodology for this study was a literature review, and a total of 32 sources were referenced. Trends in monthly costs of ALFs have increased from 2004 to 2014. Within the past 5 years, there has been an increase on average of 4.1% in assisted-living costs. Medicaid is one payer for residents of ALFs, whereas another alternative is the use of long-term-care insurance. Unfortunately, Medicare does not pay for ALFs. Staffing concerns in ALFs are limited because of each state having different rules and regulations. Turnover and retention rates of nurses in ALFs are suggested to be high, whereas vacancy rate for nurses is suggested to be lower. The baby-boomer generation can be one contribution to the increase in costs. Over the years, there has been an increase in Alzheimer disease, which has had also an effect on cost in ALFs. PMID:27111688

  15. Analysis of patients with bodyboarding injuries transported by physician-staffed emergency helicopter

    PubMed Central

    Omori, Kazuhiko; Kondo, Akihiko; Oode, Yasumasa; Itoi, Akira; Sakuraba, Keishoku; Yanagawa, Youichi

    2015-01-01

    Context: There have been no reports that have studied the characteristics specific to bodyboard injuries. Aims: To clarify characteristics to bodyboard injuries. Settings and Design: A retrospective medical chart review. Materials and Methods: A medical chart review was retrospectively performed for all patients with spinal cord injuries transported via physician-staffed emergency helicopters between January 2009 and October 2013. The subjects were divided into two groups based on whether they had a spinal cord injury induced by bodyboarding (Bodyboard group, n = 14) or not (Control group, n = 14). Statistical Analysis Used: Using a χ2-test, Mann-Whitney U-test and non-paired Student's t-test. Results: All but one of the subjects had spinal canal stenosis. The age of the patients in the Bodyboard group was younger than that of the Control group. The ratio of males and Glasgow Coma Scale of the Bodyboard group were higher than those on the Control group. The spinal cord injury induced by bodyboarding typically occurred after impacts of the head or face with the sea bottom while the subject was being buffeted by the waves. The severity of the spinal cord injury in the Bodyboard group was lower than that in the Control group. Conclusion: Bodyboarding tended to induce spinal cord injuries after the head or face collided with the sea bottom, and was more common in middle-aged males during the summer season, and was associated with a favorable outcome. PMID:25709252

  16. The Nuclear Education and Staffing Challenge: Rebuilding Critical Skills in Nuclear Science and Technology.

    SciTech Connect

    Wogman, Ned A.; Bond, Leonard J.; Waltar, Alan E.; Leber, R. E.

    2005-01-01

    The United States, the Department of Energy (DOE) and its National Laboratories, including the Pacific Northwest National Laboratory (PNNL), are facing a serious attrition of nuclear scientists and engineers and their capabilities through the effects of aging staff. Within the DOE laboratories, 75% of nuclear personnel will be eligible to retire by 2010. It is expected that there will be a significant loss of senior nuclear science and technology staff at PNNL within five years. PNNL's nuclear legacy is firmly rooted in the DOE Hanford site, the World War II Manhattan Project, and subsequent programs. Historically, PNNL was a laboratory where 70% of its activities were nuclear/radiological, and now just under 50% of its current business science and technology are nuclear and radiologically oriented. Programs in the areas of Nuclear Legacies, Global Security, Nonproliferation, Homeland Security and National Defense, Radiobiology and Nuclear Energy still involve more than 1,000 of the 3,800 current laboratory staff, and these include more than 420 staff who are certified as nuclear/radiological scientists and engineers. This paper presents the current challenges faced by PNNL that require an emerging strategy to solve the nuclear staffing issues through the maintenance and replenishment of the human nuclear capital needed to support PNNL nuclear science and technology programs.

  17. The Nuclear Education and Staffing Challenge: Rebuilding Critical Skills in Nuclear Science and Technology

    SciTech Connect

    Wogman, Ned A.; Bond, Leonard J.; Waltar, Alan E.; Leber, R E.

    2005-01-01

    The United States, the Department of Energy (DOE) and its National Laboratories, including the Pacific Northwest National Laboratory (PNNL), are facing a serious attrition of nuclear scientists and engineers and their capabilities through the effects of aging staff. Within the DOE laboratories, 75% of nuclear personnel will be eligible to retire by 2010. It is expected that there will be a significant loss of senior nuclear science and technology staff at PNNL within five years. PNNL's nuclear legacy is firmly rooted in the DOE Hanford site, the World War II Manhattan Project, and subsequent programs. Historically, PNNL was a laboratory were 70% of its activities were nuclear/radiological, and now just under 50% of its current business science and technology are nuclear and radiologically oriented. Programs in the areas of Nuclear Legacies, Global Security, Nonproliferation, Homeland Security and National Defense, Radiobiology and Nuclear Energy still involve more than 1,000 of the 3,800 current laboratory staff, and these include more than 420 staff who are certified as nuclear/radiological scientists and engineers. This paper presents the current challenges faced by PNNL that require an emerging strategy to solve the nuclear staffing issues through the maintenance and replenishment of the human nuclear capital needed to support PNNL nuclear science and technology programs.

  18. They Are Called Nursing Homes for a Reason: RN Staffing in Long-Term Care Facilities.

    PubMed

    Harden, J Taylor; Burger, Sarah Greene

    2015-12-01

    According to the Centers for Medicare and Medicaid Services (CMS), the Consolidated Medicare and Medicaid regulations have not been systematically reviewed and updated since 1991. Existing regulations require that, with certain exceptions, an RN provide services in a facility for 8 consecutive hours per day, 7 days per week; licensed practical nurses (LPNs) 24 hours per day; and sufficient staff to meet residents' needs. The requirements to determine "sufficient" staff remain undefined by CMS. Several national organizations support RN staffing 24 hours per day each day of the week (24/7). These organizations provided evidence refuting CMS' position that it does not have sufficient information at this time to require a specific number of staff or hours of nursing care per resident. Consideration should be given to the Institute of Medicine recommendation affrming the need for and requiring the presence of at least one RN within every nursing home facility at all times. Currently, there is a bill in the House of Representatives that supports 24/7 RN coverage in nursing homes, which must become both bipartisan and bicameral to be passed. PMID:26594951

  19. The outcomes of psychiatric inpatients by proportion of experienced psychiatrists and nurse staffing in hospital: New findings on improving the quality of mental health care in South Korea.

    PubMed

    Han, Kyu-Tae; Kim, Sun Jung; Jang, Sung-In; Hahm, Myung-Il; Kim, Seung Ju; Lee, Seo Yoon; Park, Eun-Cheol

    2015-10-30

    Readmission rates for mental health care are higher in South Korea than other Organization for Economic Development (OECD) countries. Therefore, it is worthwhile to continue investigating how to reduce readmissions. Taking a novel approach, we determined the relationship between psychiatrist experience and mental health care readmission rates. We used National Health Insurance claim data (N=21,315) from 81 hospitals to analyze readmissions within 30 days of discharge for "mood disorders" or "schizophrenia, schizotypal and delusional disorders" during 2010-2013. In this study, multilevel models that included both patient and hospital-level variables were analyzed to examine associations with readmission. Readmissions within 30 days of discharge accounted for 1079 (5.1%) claims. Multilevel analysis demonstrated that the proportion of experienced psychiatrists at a hospital was inversely associated with risk of readmission (OR: 0.79, 95% CI: 0.74-0.84 per 10% increase in experienced psychiatrists). Readmission rates for psychiatric disorders within 30 days of discharge were lower in hospitals with a higher number of nurses (OR: 0.95, 95% CI: 0.94-0.96 per 10 nurses). In conclusion, health policymakers and hospital managers should make an effort to reduce readmissions for psychiatric disorders and other diseases by considering the role that physician experience plays and nurse staffing. PMID:26260566

  20. Current fluctuations in stochastic lattice gases.

    PubMed

    Bertini, L; De Sole, A; Gabrielli, D; Jona-Lasinio, G; Landim, C

    2005-01-28

    We study current fluctuations in lattice gases in the macroscopic limit extending the dynamic approach for density fluctuations developed in previous articles. More precisely, we establish a large deviation theory for the space-time fluctuations of the empirical current which include the previous results. We then estimate the probability of a fluctuation of the average current over a large time interval. It turns out that recent results by Bodineau and Derrida [Phys. Rev. Lett. 92, 180601 (2004)

  1. Modeling of groundwater level fluctuations using dendrochronology in alluvial aquifers

    NASA Astrophysics Data System (ADS)

    Gholami, V.; Chau, K. W.; Fadaee, F.; Torkaman, J.; Ghaffari, A.

    2015-10-01

    Groundwater is the most important water resource in semi-arid and arid regions such as Iran. It is necessary to study groundwater level fluctuations to manage disasters (such as droughts) and water resources. Dendrochronology, which uses tree-rings to reconstruct past events such as hydrologic and climatologic events, can be used to evaluate groundwater level fluctuations. In this study, groundwater level fluctuations are simulated using dendrochronology (tree-rings) and an artificial neural network (ANN) for the period from 1912 to 2013. The present study was undertaken using the Quercus Castaneifolia species, which is present in an alluvial aquifer of the Caspian southern coasts, Iran. A multilayer percepetron (MLP) network was adopted for the ANN. Tree-ring diameter and precipitation were the input parameters for the study, and groundwater levels were the outputs. After the training process, the model was validated. The validated network and tree-rings were used to simulate groundwater level fluctuations during the past century. The results showed that an integration of dendrochronology and an ANN renders a high degree of accuracy and efficiency in the simulation of groundwater levels. The simulated groundwater levels by dendrochronology can be used for drought evaluation, drought period prediction and water resources management.

  2. Choosing a Digital Asset Management System That's Right for You

    ERIC Educational Resources Information Center

    Kaplan, Deborah

    2009-01-01

    Planning is necessary in selecting the appropriate digital asset management system for your institution. Key issues one should consider in planning: the objects to be stored, where they come from, and how they will be accessed; the end users; and the needed staffing levels for system maintenance. During the development of the system requirements,…

  3. Cell Volume Fluctuations in MDCK Monolayers

    PubMed Central

    Zehnder, Steven M.; Suaris, Melanie; Bellaire, Madisonclaire M.; Angelini, Thomas E.

    2015-01-01

    Cells moving collectively in tissues constitute a form of active matter, in which collective motion depends strongly on driven fluctuations at the single-cell scale. Fluctuations in cell area and number density are often seen in monolayers, yet their role in collective migration is not known. Here we study density fluctuations at the single- and multicell level, finding that single-cell volumes oscillate with a timescale of 4 h and an amplitude of 20%; the timescale and amplitude are found to depend on cytoskeletal activity. At the multicellular scale, density fluctuations violate the central limit theorem, highlighting the role of nonequilibrium driving forces in multicellular density fluctuations. PMID:25606673

  4. Fluctuation theorem for partially masked nonequilibrium dynamics.

    PubMed

    Shiraishi, Naoto; Sagawa, Takahiro

    2015-01-01

    We establish a generalization of the fluctuation theorem for partially masked nonequilibrium dynamics. We introduce a partial entropy production with a subset of all possible transitions, and show that the partial entropy production satisfies the integral fluctuation theorem. Our result reveals the fundamental properties of a broad class of autonomous as well as nonautonomous nanomachines. In particular, our result gives a unified fluctuation theorem for both autonomous and nonautonomous Maxwell's demons, where mutual information plays a crucial role. Furthermore, we derive a fluctuation-dissipation theorem that relates nonequilibrium stationary current to two kinds of equilibrium fluctuations. PMID:25679593

  5. Fluctuation theorem for partially masked nonequilibrium dynamics

    NASA Astrophysics Data System (ADS)

    Shiraishi, Naoto; Sagawa, Takahiro

    2015-01-01

    We establish a generalization of the fluctuation theorem for partially masked nonequilibrium dynamics. We introduce a partial entropy production with a subset of all possible transitions, and show that the partial entropy production satisfies the integral fluctuation theorem. Our result reveals the fundamental properties of a broad class of autonomous as well as nonautonomous nanomachines. In particular, our result gives a unified fluctuation theorem for both autonomous and nonautonomous Maxwell's demons, where mutual information plays a crucial role. Furthermore, we derive a fluctuation-dissipation theorem that relates nonequilibrium stationary current to two kinds of equilibrium fluctuations.

  6. Velocity fluctuations of fission fragments

    NASA Astrophysics Data System (ADS)

    Llanes-Estrada, Felipe J.; Carmona, Belén Martínez; Martínez, Jose L. Muñoz

    2016-02-01

    We propose event by event velocity fluctuations of nuclear fission fragments as an additional interesting observable that gives access to the nuclear temperature in an independent way from spectral measurements and relates the diffusion and friction coefficients for the relative fragment coordinate in Kramers-like models (in which some aspects of fission can be understood as the diffusion of a collective variable through a potential barrier). We point out that neutron emission by the heavy fragments can be treated in effective theory if corrections to the velocity distribution are needed.

  7. Simulation of nanoscale density fluctuations

    NASA Astrophysics Data System (ADS)

    Reiss, Howard; Bowles, Richard K.

    2000-11-01

    Problems associated with the simulation of density fluctuations of limited breadth in a small cell are exposed and studied. The fluctuations are viewed as "physical clusters" of the type that might appear in nucleation processes and related phenomena. One of the most important features of the study stems from the fact that the simulation of a small heterogeneity in a macroscopic system presents problems that do not occur in the simulation of a bulk homogeneous property of the system. For example, once having simulated the probability of appearance of the fluctuation in a small cell, how is that result to be "mapped" onto the macrosystem in order to specify the equilibrium number of such fluctuations in that system? This problem is closely associated with the proper separation of the translational and internal degrees of freedom of the system, and has arisen in a number of fields, including the theory of nucleation. There are other problems associated with exponential dependence of cluster probability on the work of formation of the cluster, and also with rareness of some important clusters. In the latter case, simulative "umbrella sampling" does not always solve the entire problem. The present study is confined to clusters that appear in rarefied gases. Such systems are important in a number of scenarios, including nucleation processes. Several cluster models are considered including those consisting of molecules confined to a "container" of fixed volume and those constructed on the center of mass of the cluster. Connections between them are derived and rigorous solutions to the mapping problem are derived. Quantitative measures for the accuracy of approximate solutions, applied to cases in which the cluster is compact, are provided and exact solutions are provided even for the noncompact case. Some surprising results emerge from the study, among which is the fact that a cluster whose location is determined by one of its molecules, does not always have a

  8. Qualitative and Quantitative Management Tools Used by Financial Officers in Public Research Universities

    ERIC Educational Resources Information Center

    Trexler, Grant Lewis

    2012-01-01

    This dissertation set out to identify effective qualitative and quantitative management tools used by financial officers (CFOs) in carrying out their management functions of planning, decision making, organizing, staffing, communicating, motivating, leading and controlling at a public research university. In addition, impediments to the use of…

  9. Regional economic effects of current and proposed management alternatives for Sand Lake National Wildlife Refuge

    USGS Publications Warehouse

    Koontz, Lynne; Lambert, Heather

    2005-01-01

    This report first provides a description of the local community and economy near the Refuge. An analysis of current and proposed management strategies that could affect the local economy is then presented. The Refuge management activities of economic concern in this analysis are Refuge personnel staffing and Refuge spending within the local community, and spending in the local community by Refuge visitors.

  10. Regional economic effects of current and proposed management alternatives for Arrowwood National Wildlife Refuge

    USGS Publications Warehouse

    Koontz, Lynne; Lambert, Heather

    2005-01-01

    This report first provides a description of the local community and economy near the Refuge. An analysis of current and proposed management strategies that could affect the local economy is then presented. The Refuge management activities of economic concern in this analysis are Refuge personnel staffing and Refuge spending within the local community, and spending in the local community by Refuge visitors.

  11. Fluctuations and the Hofmeister effect.

    PubMed Central

    Neagu, A; Neagu, M; Dér, A

    2001-01-01

    The Hofmeister effect consists in changes of protein solubility triggered by neutral electrolyte cosolutes. Based on the assumption that salts cause stochastic fluctuations of the free energy barrier profiles, a kinetic theory of this phenomenon is proposed. An exponentially correlated noise, of amplitude proportional to the salt concentration, is added to each energy level, and the time-dependence of the mean protein concentration is calculated. It is found that the theory yields the well-known Setschenow equation if the noise correlation time is low in comparison to the aggregation time constant. Experimental data on salting-in agents are well fitted, whereas, in the case of salting-out cosolutes, two independent dichotomic fluctuations are needed to fit the data. This may result from the fact that, in both cases, the low-concentration regime is dominated by salting-in electrostatic contributions, whereas, at high salt concentrations, electron donor/acceptor interactions become important; these have opposite effects. The theory offers a novel way to metricate Hofmeister effects and also leads to thermodynamic quantities, which account for the influence of salts. The formalism may also be applied to describe kinetic phenomena in the presence of cosolutes. PMID:11509345

  12. Universal bounds on current fluctuations

    NASA Astrophysics Data System (ADS)

    Pietzonka, Patrick; Barato, Andre C.; Seifert, Udo

    2016-05-01

    For current fluctuations in nonequilibrium steady states of Markovian processes, we derive four different universal bounds valid beyond the Gaussian regime. Different variants of these bounds apply to either the entropy change or any individual current, e.g., the rate of substrate consumption in a chemical reaction or the electron current in an electronic device. The bounds vary with respect to their degree of universality and tightness. A universal parabolic bound on the generating function of an arbitrary current depends solely on the average entropy production. A second, stronger bound requires knowledge both of the thermodynamic forces that drive the system and of the topology of the network of states. These two bounds are conjectures based on extensive numerics. An exponential bound that depends only on the average entropy production and the average number of transitions per time is rigorously proved. This bound has no obvious relation to the parabolic bound but it is typically tighter further away from equilibrium. An asymptotic bound that depends on the specific transition rates and becomes tight for large fluctuations is also derived. This bound allows for the prediction of the asymptotic growth of the generating function. Even though our results are restricted to networks with a finite number of states, we show that the parabolic bound is also valid for three paradigmatic examples of driven diffusive systems for which the generating function can be calculated using the additivity principle. Our bounds provide a general class of constraints for nonequilibrium systems.

  13. Rapid fluctuations in solar flares

    NASA Technical Reports Server (NTRS)

    Sturrock, Peter A.

    1986-01-01

    Study of rapid fluctuations in the emission of radiation from solar flares provides a promising approach for probing the magneto-plasma structure and plasma processes that are responsible for a flare. It is proposed that elementary flare bursts in X-ray and microwave emission may be attributed to fine structure of the coronal magnetic field, related to the aggregation of photospheric magnetic field into magnetic knots. Fluctuations that occur on a subsecond time-scale may be due to magnetic islands that develop in current sheets during magnetic reconnection. The impulsive phase may sometimes represent the superposition of a large number of the elementary energy-release processes responsible for elementary flare bursts. If so, the challenge of trying to explain the properties of the impulsive phase in terms of the properties of the elementary processes must be faced. Magnetic field configurations that might produce solar flares are divided into a number of categories, depending on: whether or not there is a filament; whether there is no current sheet, a closed current sheet, or an open current sheet; and whether the filament erupts into the corona, or is ejected completely from the Sun's atmosphere. Analysis of the properties of these possible configurations is compared with different types of flares, and to Bai's subdivision of gamma-ray/proton events.

  14. Protrusion Fluctuations Direct Cell Motion

    PubMed Central

    Caballero, David; Voituriez, Raphaël; Riveline, Daniel

    2014-01-01

    Many physiological phenomena involve directional cell migration. It is usually attributed to chemical gradients in vivo. Recently, other cues have been shown to guide cells in vitro, including stiffness/adhesion gradients or micropatterned adhesive motifs. However, the cellular mechanism leading to these biased migrations remains unknown, and, often, even the direction of motion is unpredictable. In this study, we show the key role of fluctuating protrusions on ratchet-like structures in driving NIH3T3 cell migration. We identified the concept of efficient protrusion and an associated direction index. Our analysis of the protrusion statistics facilitated the quantitative prediction of cell trajectories in all investigated conditions. We varied the external cues by changing the adhesive patterns. We also modified the internal cues using drug treatments, which modified the protrusion activity. Stochasticity affects the short- and long-term steps. We developed a theoretical model showing that an asymmetry in the protrusion fluctuations is sufficient for predicting all measures associated with the long-term motion, which can be described as a biased persistent random walk. PMID:24988339

  15. Detecting IOP Fluctuations in Glaucoma Patients

    PubMed Central

    Nuyen, Brenda; Mansouri, Kaweh

    2016-01-01

    Lowering intraocular pressure (IOP) remains the guiding principle of glaucoma management. Although IOP is the only treatable risk factor, its 24-hour behavior is poorly understood. Current glaucoma management usually relies on single IOP measurements during clinic hours, even though IOP is a dynamic parameter with rhythms dependent on individual patients. It has further been shown that most glaucoma patients have their highest IOP measurements outside clinic hours. The fact that these IOP peaks go largely undetected may explain why certain patients progress in their disease despite treatment. Nevertheless, single IOP measurements have determined all major clinical guidelines regarding glaucoma treatment. Other potentially informative parameters, such as fluctuations in IOP and peak IOP, have been neglected, and effects of IOP-lowering interventions on such measures are largely unknown. Continuous 24-hour IOP monitoring has been an interest for more than 50 years, but only recent technological advances have provided clinicians with a device for such an endeavor. This review discusses current uses and shortcomings of current measurement techniques, and provides an overview on current and future methods for 24-hour IOP assessment. It may be possible to incorporate continuous IOP monitoring into clinical practice, potentially to reduce glaucoma-related vision loss. PMID:27014387

  16. Fluctuating asymmetry and testing isolation of Montana grizzly bear populations

    USGS Publications Warehouse

    Picton, Harold D.; Palmisciano, D.A.; Nelson, Gerald

    1990-01-01

    Fluctuating asymmetry of adult skulls was used to test he genetic isolation of the Yellowstone grizzly bear population from its nearest neighbor. An overall summary statistic was used in addition to 16 other parameters. Tests found the males of the Yellowstone populaion to be more vaiable than those of the North Conitinental Divide Exosystem. Evidence for precipitaiton effects is also included. This test tends to support the existing management haypothesis that the Yellowstone population is isolatied.

  17. Symmetries in fluctuations far from equilibrium.

    PubMed

    Hurtado, Pablo I; Pérez-Espigares, Carlos; del Pozo, Jesús J; Garrido, Pedro L

    2011-05-10

    Fluctuations arise universally in nature as a reflection of the discrete microscopic world at the macroscopic level. Despite their apparent noisy origin, fluctuations encode fundamental aspects of the physics of the system at hand, crucial to understand irreversibility and nonequilibrium behavior. To sustain a given fluctuation, a system traverses a precise optimal path in phase space. Here we show that by demanding invariance of optimal paths under symmetry transformations, new and general fluctuation relations valid arbitrarily far from equilibrium are unveiled. This opens an unexplored route toward a deeper understanding of nonequilibrium physics by bringing symmetry principles to the realm of fluctuations. We illustrate this concept studying symmetries of the current distribution out of equilibrium. In particular we derive an isometric fluctuation relation that links in a strikingly simple manner the probabilities of any pair of isometric current fluctuations. This relation, which results from the time-reversibility of the dynamics, includes as a particular instance the Gallavotti-Cohen fluctuation theorem in this context but adds a completely new perspective on the high level of symmetry imposed by time-reversibility on the statistics of nonequilibrium fluctuations. The new symmetry implies remarkable hierarchies of equations for the current cumulants and the nonlinear response coefficients, going far beyond Onsager's reciprocity relations and Green-Kubo formulas. We confirm the validity of the new symmetry relation in extensive numerical simulations, and suggest that the idea of symmetry in fluctuations as invariance of optimal paths has far-reaching consequences in diverse fields.

  18. Symmetries in fluctuations far from equilibrium

    PubMed Central

    Hurtado, Pablo I.; Pérez-Espigares, Carlos; del Pozo, Jesús J.; Garrido, Pedro L.

    2011-01-01

    Fluctuations arise universally in nature as a reflection of the discrete microscopic world at the macroscopic level. Despite their apparent noisy origin, fluctuations encode fundamental aspects of the physics of the system at hand, crucial to understand irreversibility and nonequilibrium behavior. To sustain a given fluctuation, a system traverses a precise optimal path in phase space. Here we show that by demanding invariance of optimal paths under symmetry transformations, new and general fluctuation relations valid arbitrarily far from equilibrium are unveiled. This opens an unexplored route toward a deeper understanding of nonequilibrium physics by bringing symmetry principles to the realm of fluctuations. We illustrate this concept studying symmetries of the current distribution out of equilibrium. In particular we derive an isometric fluctuation relation that links in a strikingly simple manner the probabilities of any pair of isometric current fluctuations. This relation, which results from the time-reversibility of the dynamics, includes as a particular instance the Gallavotti–Cohen fluctuation theorem in this context but adds a completely new perspective on the high level of symmetry imposed by time-reversibility on the statistics of nonequilibrium fluctuations. The new symmetry implies remarkable hierarchies of equations for the current cumulants and the nonlinear response coefficients, going far beyond Onsager’s reciprocity relations and Green–Kubo formulas. We confirm the validity of the new symmetry relation in extensive numerical simulations, and suggest that the idea of symmetry in fluctuations as invariance of optimal paths has far-reaching consequences in diverse fields. PMID:21493865

  19. A consensus-based template for documenting and reporting in physician-staffed pre-hospital services

    PubMed Central

    2011-01-01

    Background Physician-staffed pre-hospital units are employed in many Western emergency medical services (EMS) systems. Although these services usually integrate well within their EMS, little is known about the quality of care delivered, the precision of dispatch, and whether the services deliver a higher quality of care to pre-hospital patients. There is no common data set collected to document the activity of physician pre-hospital activity which makes shared research efforts difficult. The aim of this study was to develop a core data set for routine documentation and reporting in physician-staffed pre-hospital services in Europe. Methods Using predefined criteria, we recruited sixteen European experts in the field of pre-hospital care. These experts were guided through a four-step modified nominal group technique. The process was carried out using both e-mail-based communication and a plenary meeting in Stavanger, Norway. Results The core data set was divided into 5 sections: "fixed system variables", "event operational descriptors", " patient descriptors", "process mapping", and "outcome measures and quality indicators". After the initial round, a total of 361 variables were proposed by the experts. Subsequent rounds reduced the number of core variables to 45. These constituted the final core data set. Emphasis was placed on the standardisation of reporting time variables, chief complaints and diagnostic and therapeutic procedures. Conclusions Using a modified nominal group technique, we have established a core data set for documenting and reporting in physician-staffed pre-hospital services. We believe that this template could facilitate future studies within the field and facilitate standardised reporting and future shared research efforts in advanced pre-hospital care. PMID:22107787

  20. Staffing remote rural areas in middle- and low-income countries: A literature review of attraction and retention

    PubMed Central

    Lehmann, Uta; Dieleman, Marjolein; Martineau, Tim

    2008-01-01

    Background Many countries in middle- and low-income countries today suffer from severe staff shortages and/or maldistribution of health personnel which has been aggravated more recently by the disintegration of health systems in low-income countries and by the global policy environment. One of the most damaging effects of severely weakened and under-resourced health systems is the difficulty they face in producing, recruiting, and retaining health professionals, particularly in remote areas. Low wages, poor working conditions, lack of supervision, lack of equipment and infrastructure as well as HIV and AIDS, all contribute to the flight of health care personnel from remote areas. In this global context of accelerating inequities health service policy makers and managers are searching for ways to improve the attraction and retention of staff in remote areas. But the development of appropriate strategies first requires an understanding of the factors which influence decisions to accept and/or stay in a remote post, particularly in the context of mid and low income countries (MLICS), and which strategies to improve attraction and retention are therefore likely to be successful. It is the aim of this review article to explore the links between attraction and retention factors and strategies, with a particular focus on the organisational diversity and location of decision-making. Methods This is a narrative literature review which took an iterative approach to finding relevant literature. It focused on English-language material published between 1997 and 2007. The authors conducted Pubmed searches using a range of different search terms relating to attraction and retention of staff in remote areas. Furthermore, a number of relevant journals as well as unpublished literature were systematically searched. While the initial search included articles from high- middle- and low-income countries, the review focuses on middle- and low-income countries. About 600 papers were

  1. Fluctuations in strongly coupled cosmologies

    SciTech Connect

    Bonometto, Silvio A.; Mainini, Roberto E-mail: mainini@mib.infn.it

    2014-03-01

    In the early Universe, a dual component made of coupled CDM and a scalar field Φ, if their coupling β > (3){sup 1/2}/2, owns an attractor solution, making them a stationary fraction of cosmic energy during the radiation dominated era. Along the attractor, both such components expand ∝a{sup −4} and have early density parameters Ω{sub d} = 1/(4β{sup 2}) and Ω{sub c} = 2 Ω{sub d} (field and CDM, respectively). In a previous paper it was shown that, if a further component, expanding ∝a{sup −3}, breaks such stationary expansion at z ∼ 3–5 × 10{sup 3}, cosmic components gradually acquire densities consistent with observations. This paper, first of all, considers the case that this component is warm. However, its main topic is the analysis of fluctuation evolution: out of horizon modes are then determined; their entry into horizon is numerically evaluated as well as the dependence of Meszaros effect on the coupling β; finally, we compute: (i) transfer function and linear spectral function; (ii) CMB C{sub l} spectra. Both are close to standard ΛCDM models; in particular, the former one can be so down to a scale smaller than Milky Way, in spite of its main DM component being made of particles of mass < 1 keV. The previously coupled CDM component, whose present density parameter is O(10{sup −3}), exhibits wider fluctuations δρ/ρ, but approximately β-independent δρ values. We discuss how lower scale features of these cosmologies might ease quite a few problems that ΛCDM does not easily solve.

  2. Resonant tunneling of fluctuation Cooper pairs

    DOE PAGES

    Galda, Alexey; Mel'nikov, A. S.; Vinokur, V. M.

    2015-02-09

    Superconducting fluctuations have proved to be an irreplaceable source of information about microscopic and macroscopic material parameters that could be inferred from the experiment. According to common wisdom, the effect of thermodynamic fluctuations in the vicinity of the superconducting transition temperature, Tc, is to round off all of the sharp corners and discontinuities, which otherwise would have been expected to occur at Tc. Here we report the current spikes due to radiation-induced resonant tunneling of fluctuation Cooper pairs between two superconductors which grow even sharper and more pronounced upon approach to Tc. This striking effect offers an unprecedented tool formore » direct measurements of fluctuation Cooper pair lifetime, which is key to our understanding of the fluctuation regime, most notably to nature of the pseudogap state in high-temperature superconductors. Our finding marks a radical departure from the conventional view of superconducting fluctuations as a blurring and rounding phenomenon.« less

  3. Resonant tunneling of fluctuation Cooper pairs

    SciTech Connect

    Galda, Alexey; Mel'nikov, A. S.; Vinokur, V. M.

    2015-02-09

    Superconducting fluctuations have proved to be an irreplaceable source of information about microscopic and macroscopic material parameters that could be inferred from the experiment. According to common wisdom, the effect of thermodynamic fluctuations in the vicinity of the superconducting transition temperature, Tc, is to round off all of the sharp corners and discontinuities, which otherwise would have been expected to occur at Tc. Here we report the current spikes due to radiation-induced resonant tunneling of fluctuation Cooper pairs between two superconductors which grow even sharper and more pronounced upon approach to Tc. This striking effect offers an unprecedented tool for direct measurements of fluctuation Cooper pair lifetime, which is key to our understanding of the fluctuation regime, most notably to nature of the pseudogap state in high-temperature superconductors. Our finding marks a radical departure from the conventional view of superconducting fluctuations as a blurring and rounding phenomenon.

  4. Optical probe with light fluctuation protection

    DOEpatents

    Da Silva, Luiz B.; Chase, Charles L.

    2003-11-11

    An optical probe for tissue identification includes an elongated body. Optical fibers are located within the elongated body for transmitting light to and from the tissue. Light fluctuation protection is associated with the optical fibers. In one embodiment the light fluctuation protection includes a reflective coating on the optical fibers to reduce stray light. In another embodiment the light fluctuation protection includes a filler with very high absorption located within the elongated body between the optical fibers.

  5. Management Education in Public Health: Further Considerations Comment on "Management Matters: A Leverage Point for Health Systems Strengthening in Global Health".

    PubMed

    Darr, Kurt J

    2015-01-01

    Knowing and applying the basic management functions of planning, organizing, staffing, directing, and controlling, as well as their permutations and combinations, are vital to effective delivery of public health services. Presently, graduate programs that prepare public health professionals neither emphasize teaching management theory, nor its application. This deficit puts those who become managers in public health and those they serve at a distinct disadvantage. This deficit can be remedied by enhanced teaching of management subjects. PMID:26673475

  6. Management Education in Public Health: Further Considerations Comment on "Management Matters: A Leverage Point for Health Systems Strengthening in Global Health".

    PubMed

    Darr, Kurt J

    2015-08-25

    Knowing and applying the basic management functions of planning, organizing, staffing, directing, and controlling, as well as their permutations and combinations, are vital to effective delivery of public health services. Presently, graduate programs that prepare public health professionals neither emphasize teaching management theory, nor its application. This deficit puts those who become managers in public health and those they serve at a distinct disadvantage. This deficit can be remedied by enhanced teaching of management subjects.

  7. Case management.

    PubMed

    Rosenstein, A H; Propotnik, T

    1997-03-01

    Providing cost-effective high quality healthcare services ranks as the number one concern for anyone involved with the healthcare delivery system. While quality of care should always be the number one priority, controlling healthcare costs receives most of the attention. With limited healthcare dollars and providers assuming more of the financial risk for services rendered, a whole assortment of cost-containment strategies are being introduced in an effort to maintain some semblance of financial viability. Healthcare providers can approach cost control from two different angles. On the fixed-cost operational overhead side, traditional cost-containment techniques have focused on downsizing, maximizing productivity, staffing redesign, improved purchasing contracts, standardization, inventory control, and other more individualized restructured service models. On the variable-cost clinical side, cost control has been approached by introducing a variety of cost-containment strategies designed to improve efficiency and effectiveness of provider performance. While many of these strategies, previously discussed in the Journal of Healthcare Resource Management have stressed the importance of education, guidelines, pathways, and other clinical "tools for improvement," the success of many of these tools resides in the ability to provide real-time intervention. Real-time intervention rather than the more passive retrospective variance analysis has the greatest potential for producing cost savings by actually making a recommendation that prevents the unwanted event from occurring. In many institutions, the case manager bears the responsibility for monitoring and managing these programs. This article describes various case management models currently used by different institutions.

  8. 77 FR 42497 - Information Collection(s) Being Submitted for Review and Approval to the Office of Management and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-19

    ... officer (a post staffed 24 hours a day) in the FCC's Communications and Crisis Management Center in... From the Federal Register Online via the Government Publishing Office FEDERAL COMMUNICATIONS COMMISSION Information Collection(s) Being Submitted for Review and Approval to the Office of Management...

  9. Standards in Action. Using National Standards for Human Resource Management and Development in Further Education. 1. Laying the Foundations.

    ERIC Educational Resources Information Center

    Further Education Unit, London (England).

    This booklet is designed to assist British further education college managers responsible for quality assurance, human resources management (HRM), human resources development (HRD), corporate development, strategic planning, staffing/personnel, and curriculum in using national standards for HRM and HRD in further education. A synopsis, users'…

  10. A strategy for adaptive staffing of hospitals under varying environmental conditions.

    PubMed

    Bracken, J; Calkin, J; Sanders, J; Thesen, A

    1985-01-01

    With many hospitals facing periods of retrenchment or considerable uncertainty in workload and reimbursement policy, an adaptive management response seems to be required. A model is presented for the development and implementation of a system of flexible resource management that is useful for health service managers.

  11. Fluctuations in Urban Traffic Networks

    NASA Astrophysics Data System (ADS)

    Chen, Yu-Dong; Li, Li; Zhang, Yi; Hu, Jian-Ming; Jin, Xue-Xiang

    Urban traffic network is a typical complex system, in which movements of tremendous microscopic traffic participants (pedestrians, bicyclists and vehicles) form complicated spatial and temporal dynamics. We collected flow volumes data on the time-dependent activity of a typical urban traffic network, finding that the coupling between the average flux and the fluctuation on individual links obeys a certain scaling law, with a wide variety of scaling exponents between 1/2 and 1. These scaling phenomena can explain the interaction between the nodes' internal dynamics (i.e. queuing at intersections, car-following in driving) and changes in the external (network-wide) traffic demand (i.e. the every day increase of traffic amount during peak hours and shocking caused by traffic accidents), allowing us to further understand the mechanisms governing the transportation system's collective behavior. Multiscaling and hotspot features are observed in the traffic flow data as well. But the reason why the separated internal dynamics are comparable to the external dynamics in magnitude is still unclear and needs further investigations.

  12. Measuring shape fluctuations in biological membranes

    NASA Astrophysics Data System (ADS)

    Monzel, C.; Sengupta, K.

    2016-06-01

    Shape fluctuations of lipid membranes have intrigued cell biologists and physicists alike. In the cellular context, their origin—thermal or active—and their physiological significance are open questions. These small incessant displacements, also called membrane undulations, have mostly been studied in model membranes and membranes of simple cells like erythrocytes. Thermal fluctuations of such membranes have been very well described both theoretically and experimentally; active fluctuations are a topic of current interest. Experimentally, membrane fluctuations are not easy to measure, the main challenge being to develop techniques which are capable of measuring very small displacements at very high speed, and preferably over a large area and long time. Scattering techniques have given access to fluctuations in membrane stacks and a variety of optical microscopy based techniques have been devised to study membrane fluctuations of unilamellar vesicles, erythrocytes and other cells. Among them are flicker spectroscopy, dynamic light scattering, diffraction phase microscopy and reflection interference contrast microscopy. Each of these techniques has its advantages and limitations. Here we review the basic principles of the major experimental techniques used to measure bending or shape fluctuations of biomembranes. We report seminal results obtained with each technique and highlight how these studies furthered our understanding of physical properties of membranes and their interactions. We also discuss suggested role of membrane fluctuations in different biological processes.

  13. Fluctuation theorem and mesoscopic chemical clocks.

    PubMed

    Andrieux, David; Gaspard, Pierre

    2008-04-21

    The fluctuation theorems for dissipation and the currents are applied to the stochastic version of the reversible Brusselator model of nonequilibrium oscillating reactions. It is verified that the symmetry of these theorems holds far from equilibrium in the regimes of noisy oscillations. Moreover, the fluctuation theorem for the currents is also verified for a truncated Brusselator model. PMID:18433234

  14. Fluctuation theorem and mesoscopic chemical clocks

    NASA Astrophysics Data System (ADS)

    Andrieux, David; Gaspard, Pierre

    2008-04-01

    The fluctuation theorems for dissipation and the currents are applied to the stochastic version of the reversible Brusselator model of nonequilibrium oscillating reactions. It is verified that the symmetry of these theorems holds far from equilibrium in the regimes of noisy oscillations. Moreover, the fluctuation theorem for the currents is also verified for a truncated Brusselator model.

  15. Evolution of fluctuations near QCD critical point

    SciTech Connect

    Stephanov, M. A.

    2010-03-01

    We propose to describe the time evolution of quasistationary fluctuations near QCD critical point by a system of stochastic Boltzmann-Langevin-Vlasov-type equations. We derive the equations and study the system analytically in the linearized regime. Known results for equilibrium stationary fluctuations as well as the critical scaling of diffusion coefficient are reproduced. We apply the approach to the long-standing question of the fate of the critical point fluctuations during the hadronic rescattering stage of the heavy-ion collision after chemical freeze-out. We find that if conserved particle number fluctuations survive the rescattering, so do, under a certain additional condition, the fluctuations of nonconserved quantities, such as mean transverse momentum. We derive a simple analytical formula for the magnitude of this memory effect.

  16. Correlated fluctuations near the QCD critical point

    NASA Astrophysics Data System (ADS)

    Jiang, Lijia; Li, Pengfei; Song, Huichao

    2016-08-01

    In this article, we introduce a freeze-out scheme for the dynamical models near the QCD critical point through coupling the decoupled classical particles with the order parameter field. With a modified distribution function that satisfies specific static fluctuations, we calculate the correlated fluctuations of net protons on the hydrodynamic freeze-out surface. A comparison with recent STAR data shows that our model calculations could roughly reproduce energy-dependent cumulant C4 and κ σ2 of net protons through tuning the related parameters. However, the calculated C2 and C3 with both Poisson and binomial baselines are always above the experimental data due to the positive contributions from the static critical fluctuations. To qualitatively and quantitatively describe all the related experimental data, the dynamical critical fluctuations and more realistic noncritical fluctuation baselines should be investigated in the near future.

  17. Magnetic Fluctuations in the Martian Ionosphere

    NASA Technical Reports Server (NTRS)

    Espley, Jared

    2010-01-01

    The Martian ionosphere is influenced by both the solar wind and the regional magnetic fields present in the Martian crust. Both influences ought to cause time variable changes in the magnetic fields present in the ionosphere. I report observations of these magnetic field fluctuations in the Martian ionosphere. I use data from the Mars Global Surveyor magnetometer instrument. By using data from the aerobraking low altitude passes (approx. 200 km) I find that there are numerous fluctuations both near and far from the strong crustal sources. Using data from the 400 km altitude mapping phase (which is near the topside of the primary ionosphere), I look at the comparative strength of the fluctuations relative to the solar wind and temporal variations. I discuss which wave modes and instabilities could be contributing to these fluctuations. I also discuss the implications of these fluctuations for understanding energy transfer in the Martian system and the effects on atmospheric escape.

  18. Solar wind thermally induced magnetic fluctuations.

    PubMed

    Navarro, R E; Moya, P S; Muñoz, V; Araneda, J A; F-Viñas, A; Valdivia, J A

    2014-06-20

    A kinetic description of Alfvén-cyclotron magnetic fluctuations for anisotropic electron-proton quasistable plasmas is studied. An analytical treatment, based on the fluctuation-dissipation theorem, consistently shows that spontaneous fluctuations in plasmas with stable distributions significantly contribute to the observed magnetic fluctuations in the solar wind, as seen, for example, in [S. D. Bale et al., Phys. Rev. Lett. 103, 211101 (2009)], even far below from the instability thresholds. Furthermore, these results, which do not require any adjustable parameters or wave excitations, are consistent with the results provided by hybrid simulations. It is expected that this analysis contributes to our understanding of the nature of magnetic fluctuations in the solar wind.

  19. Homeostatic Fluctuations of a Tissue Surface

    NASA Astrophysics Data System (ADS)

    Risler, Thomas; Peilloux, Aurélien; Prost, Jacques

    2015-12-01

    We study the surface fluctuations of a tissue with a dynamics dictated by cell-rearrangement, cell-division, and cell-death processes. Surface fluctuations are calculated in the homeostatic state, where cell division and cell death equilibrate on average. The obtained fluctuation spectrum can be mapped onto several other spectra such as those characterizing incompressible fluids, compressible Maxwell elastomers, or permeable membranes in appropriate asymptotic regimes. Since cell division and cell death are out-of-equilibrium processes, detailed balance is broken, but a generalized fluctuation-response relation is satisfied in terms of appropriate observables. Our work is a first step toward the description of the out-of-equilibrium fluctuations of the surface of a thick epithelium and its dynamical response to external perturbations.

  20. Thickness fluctuations in black lipid membranes.

    PubMed Central

    Hladky, S B; Gruen, D W

    1982-01-01

    Because a black lipid membrane is compressible, there will be spontaneous fluctuations in its thickness. Qualitative arguments are given that the preferred configuration of the membranes is flat and that thickness fluctuations are smaller in amplitude than the differences in mean thickness observed using different hydrocarbon solvents. Fluctuations with short characteristic lengths will not be large as a result of the large amounts of oil-water contact these would entail. Quantitative analysis based on an extension of the treatment for soap films, predicts that the root mean square (rms) amplitude for fluctuations of wavelength longer than approximately 10 nm is negligible for glyceryl monooleate membranes with squalene (less than 3%) but may be approximately 20% with n-decane. rms fluctuations of 20% would lead to a discrepancy between the rms thickness of the core and the mean reciprocal thickness of only 6%. PMID:7104437