Sample records for obtain supplies services

  1. 7 CFR 612.6 - Application for water supply forecast service.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 6 2010-01-01 2010-01-01 false Application for water supply forecast service. 612.6... CONSERVATION SERVICE, DEPARTMENT OF AGRICULTURE CONSERVATION OPERATIONS SNOW SURVEYS AND WATER SUPPLY FORECASTS § 612.6 Application for water supply forecast service. Requests for obtaining water supply forecasts or...

  2. Supply chain dynamics in healthcare services.

    PubMed

    Samuel, Cherian; Gonapa, Kasiviswanadh; Chaudhary, P K; Mishra, Ananya

    2010-01-01

    The purpose of this paper is to analyse health service supply chain systems. A great deal of literature is available on supply chain management in finished goods inventory situations; however, little research exists on managing service capacity when finished goods inventories are absent. System dynamics models for a typical service-oriented supply chain such as healthcare processes are developed, wherein three service stages are presented sequentially. Just like supply chains with finished goods inventory, healthcare service supply chains also show dynamic behaviour. Comparing options, service reduction, and capacity adjustment delays showed that reducing capacity adjustment and service delays gives better results. The study is confined to health service-oriented supply chains. Further work includes extending the study to service-oriented supply chains with parallel processing, i.e. having more than one stage to perform a similar operation and also to study the behaviour in service-oriented supply chains that have re-entrant orders and applications. Specific case studies can also be developed to reveal factors relevant to particular service-oriented supply chains. The paper explains the bullwhip effect in healthcare service-oriented supply chains. Reducing stages and capacity adjustment are strategic options for service-oriented supply chains. The paper throws light on policy options for managing healthcare service-oriented supply chain dynamics.

  3. 40 CFR 35.6305 - Obtaining supplies.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ....6325 through 35.6340, and 35.6350. Supplies obtained with Core Program funds must be for non-site-specific purposes. All purchases of supplies under the Core Program must comply with the requirements in...

  4. 40 CFR 35.6305 - Obtaining supplies.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ....6325 through 35.6340, and 35.6350. Supplies obtained with Core Program funds must be for non-site-specific purposes. All purchases of supplies under the Core Program must comply with the requirements in...

  5. 48 CFR 46.407 - Nonconforming supplies or services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... or services. (a) The contracting officer should reject supplies or services not conforming in all... must reject supplies or services when the nonconformance is critical or major or the supplies or services are otherwise incomplete. However, there may be circumstances (e.g., reasons of economy or urgency...

  6. 48 CFR 46.407 - Nonconforming supplies or services.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... or services. (a) The contracting officer should reject supplies or services not conforming in all... must reject supplies or services when the nonconformance is critical or major or the supplies or services are otherwise incomplete. However, there may be circumstances (e.g., reasons of economy or urgency...

  7. 40 CFR 35.6305 - Obtaining supplies.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 40 Protection of Environment 1 2013-07-01 2013-07-01 false Obtaining supplies. 35.6305 Section 35.6305 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY GRANTS AND OTHER FEDERAL ASSISTANCE STATE AND LOCAL ASSISTANCE Cooperative Agreements and Superfund State Contracts for Superfund Response...

  8. 40 CFR 35.6305 - Obtaining supplies.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 40 Protection of Environment 1 2012-07-01 2012-07-01 false Obtaining supplies. 35.6305 Section 35.6305 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY GRANTS AND OTHER FEDERAL ASSISTANCE STATE AND LOCAL ASSISTANCE Cooperative Agreements and Superfund State Contracts for Superfund Response...

  9. 40 CFR 35.6305 - Obtaining supplies.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 40 Protection of Environment 1 2014-07-01 2014-07-01 false Obtaining supplies. 35.6305 Section 35.6305 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY GRANTS AND OTHER FEDERAL ASSISTANCE STATE AND LOCAL ASSISTANCE Cooperative Agreements and Superfund State Contracts for Superfund Response...

  10. 48 CFR 11.403 - Supplies or services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 1 2010-10-01 2010-10-01 false Supplies or services. 11.403 Section 11.403 Federal Acquisition Regulations System FEDERAL ACQUISITION REGULATION ACQUISITION PLANNING DESCRIBING AGENCY NEEDS Delivery or Performance Schedules 11.403 Supplies or services. (a) The...

  11. 42 CFR 405.2415 - Services and supplies incident to nurse practitioner and physician assistant services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 2 2010-10-01 2010-10-01 false Services and supplies incident to nurse... Services and supplies incident to nurse practitioner and physician assistant services. (a) Services and supplies incident to a nurse practitioner's or physician assistant's services are reimbursable under this...

  12. Water supply services for Africa's urban poor: the role of resale.

    PubMed

    Zuin, Valentina; Ortolano, Leonard; Alvarinho, Manuel; Russel, Kory; Thebo, Anne; Muximpua, Odete; Davis, Jennifer

    2011-12-01

    In sub-Saharan Africa only 35% of the urban population has access to a piped water connection on their premises. The majority of households obtain water from public standpipes or from neighbors who are connected to the municipal network. Water resale is often prohibited, however, because of concerns about affordability and risks to public health. Using data collected from 1,377 households in Maputo, Mozambique, we compare the microbiological quality, as well as the time and money costs of water supply from individual house connections, public standpipes, and water obtained from neighbors. Households with their own water connections have better service across virtually all indicators measured, and express greater satisfaction with their service, as compared with those using other water sources. Households purchasing water from their neighbors pay lower time and money costs per liter of water, on average, as compared with those using standpipes. Resale competes favorably with standpipes along a number of service quality dimensions; however, after controlling for water supply characteristics, households purchasing water from neighbors are significantly less likely to be satisfied with their water service as compared with those using standpipes.

  13. 42 CFR 405.2415 - Services and supplies incident to nurse practitioner and physician assistant services.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... practitioner and physician assistant services. 405.2415 Section 405.2415 Public Health CENTERS FOR MEDICARE... Services and supplies incident to nurse practitioner and physician assistant services. (a) Services and supplies incident to a nurse practitioner's or physician assistant's services are reimbursable under this...

  14. 42 CFR 405.2415 - Services and supplies incident to nurse practitioner and physician assistant services.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... practitioner and physician assistant services. 405.2415 Section 405.2415 Public Health CENTERS FOR MEDICARE... Services and supplies incident to nurse practitioner and physician assistant services. (a) Services and supplies incident to a nurse practitioner's or physician assistant's services are reimbursable under this...

  15. 42 CFR 405.2415 - Services and supplies incident to nurse practitioner and physician assistant services.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... practitioner and physician assistant services. 405.2415 Section 405.2415 Public Health CENTERS FOR MEDICARE... Services and supplies incident to nurse practitioner and physician assistant services. (a) Services and supplies incident to a nurse practitioner's or physician assistant's services are reimbursable under this...

  16. 46 CFR 111.10-9 - Ship's service supply transformers; two required.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 46 Shipping 4 2014-10-01 2014-10-01 false Ship's service supply transformers; two required. 111.10... ENGINEERING ELECTRIC SYSTEMS-GENERAL REQUIREMENTS Power Supply § 111.10-9 Ship's service supply transformers; two required. If transformers are used to supply the ship's service distribution system required by...

  17. 46 CFR 111.10-9 - Ship's service supply transformers; two required.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 4 2012-10-01 2012-10-01 false Ship's service supply transformers; two required. 111.10... ENGINEERING ELECTRIC SYSTEMS-GENERAL REQUIREMENTS Power Supply § 111.10-9 Ship's service supply transformers; two required. If transformers are used to supply the ship's service distribution system required by...

  18. 46 CFR 111.10-9 - Ship's service supply transformers; two required.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 4 2011-10-01 2011-10-01 false Ship's service supply transformers; two required. 111.10... ENGINEERING ELECTRIC SYSTEMS-GENERAL REQUIREMENTS Power Supply § 111.10-9 Ship's service supply transformers; two required. If transformers are used to supply the ship's service distribution system required by...

  19. 46 CFR 111.10-9 - Ship's service supply transformers; two required.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 4 2010-10-01 2010-10-01 false Ship's service supply transformers; two required. 111.10... ENGINEERING ELECTRIC SYSTEMS-GENERAL REQUIREMENTS Power Supply § 111.10-9 Ship's service supply transformers; two required. If transformers are used to supply the ship's service distribution system required by...

  20. 46 CFR 111.10-9 - Ship's service supply transformers; two required.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 4 2013-10-01 2013-10-01 false Ship's service supply transformers; two required. 111.10... ENGINEERING ELECTRIC SYSTEMS-GENERAL REQUIREMENTS Power Supply § 111.10-9 Ship's service supply transformers; two required. If transformers are used to supply the ship's service distribution system required by...

  1. 48 CFR 51.203 - Means of obtaining service.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... MANAGEMENT USE OF GOVERNMENT SOURCES BY CONTRACTORS Contractor Use of Interagency Fleet Management System... interagency fleet management system (IFMS) vehicles and related services in writing to the appropriate GSA regional Federal Supply Service Bureau, Attention: Regional fleet manager, except that requests for more...

  2. 42 CFR 405.2452 - Services and supplies incident to clinical psychologist and clinical social worker services.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... psychologist and clinical social worker services. 405.2452 Section 405.2452 Public Health CENTERS FOR MEDICARE... clinical social worker services. (a) Services and supplies incident to a clinical psychologist's or clinical social worker's services are reimbursable under this subpart if the service or supply is— (1) Of a...

  3. 42 CFR 405.2452 - Services and supplies incident to clinical psychologist and clinical social worker services.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... psychologist and clinical social worker services. 405.2452 Section 405.2452 Public Health CENTERS FOR MEDICARE... clinical social worker services. (a) Services and supplies incident to a clinical psychologist's or clinical social worker's services are reimbursable under this subpart if the service or supply is— (1) Of a...

  4. 42 CFR 405.2452 - Services and supplies incident to clinical psychologist and clinical social worker services.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... psychologist and clinical social worker services. 405.2452 Section 405.2452 Public Health CENTERS FOR MEDICARE... clinical social worker services. (a) Services and supplies incident to a clinical psychologist's or clinical social worker's services are reimbursable under this subpart if the service or supply is— (1) Of a...

  5. Agriculture Supplies & Services. Volume 3 of 3.

    ERIC Educational Resources Information Center

    Kansas State Univ., Manhattan.

    The third of three volumes included in a secondary agricultural supplies and services curriculum guide, this volume contains twenty-five units of instruction in the area of agricultural mechanics. Among the unit topics included are (1) Farm Safety, (2) Ignition Systems; (3) Servicing Wheel Bearings, (4) Oxyacetylene Cutting, (5) Servicing the…

  6. [Ecosystem services supply and consumption and their relationships with human well-being].

    PubMed

    Wang, Da-Shang; Zheng, Hua; Ouyang, Zhi-Yun

    2013-06-01

    Sustainable ecosystem services supply is the basis of regional sustainable development, and human beings can satisfy and improve their well-being through ecosystem services consumption. To understand the relationships between ecosystem services supply and consumption and human well-being is of vital importance for coordinating the relationships between the conservation of ecosystem services and the improvement of human well-being. This paper summarized the diversity, complexity, and regionality of ecosystem services supply, the diversity and indispensability of ecosystem services consumption, and the multi-dimension, regionality, and various evaluation indices of human well-being, analyzed the uncertainty and multi-scale correlations between ecosystem services supply and consumption, and elaborated the feedback and asynchronous relationships between ecosystem services and human well-being. Some further research directions for the relationships between ecosystem services supply and consumption and human well-being were recommended.

  7. Medicare costs and surgeon supply in hospital service areas.

    PubMed

    Ricketts, Thomas C; Belsky, Daniel W

    2012-03-01

    To quantify the correlates of variations of Medicare per beneficiary costs at the hospital service area level and determine whether physician supply and the specialty of physicians has a significant relationship with cost variation. The American Medical Association Masterfile data on physician and surgeon location, characteristics and specialty; Census derived sociodemographic data from 2006 ZIP code level Claritas PopFacts database; and Medicare per beneficiary costs from the Dartmouth Atlas of Health Care project. A correlational analysis using bivariate plots and fixed effects linear regression models controlling for hospital service area sociodemographics and the number and characteristics of the physician supply. Data were aggregated to the Dartmouth hospital service area level from ZIP code level files. We found that costs are strongly related to the sociodemographic character of the hospital service areas and the overall supply of physicians but a mixed correlation to the specialist supply depending on the interaction of the proportion of the physician supply who are international medical graduates. The ratio of general surgeons and surgical subspecialists to population are associated with lower costs in the models, again with difference depending on the influence of international medical graduates. There is a strong association between higher costs and the local proportion of physician supply made up of graduates of non-US or Canadian medical schools and female graduates. These results suggest that strategies to reduce overall costs by changing physician supply must consider more than just overall numbers.

  8. 42 CFR 405.2413 - Services and supplies incident to a physician's services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 2 2010-10-01 2010-10-01 false Services and supplies incident to a physician's services. 405.2413 Section 405.2413 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES MEDICARE PROGRAM FEDERAL HEALTH INSURANCE FOR THE AGED AND DISABLED Rural...

  9. 48 CFR 246.407 - Nonconforming supplies or services.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 246.407 Nonconforming supplies or services. (f) If nonconforming material or services are discovered... writing of the nonconforming material or service; (ii) Shall request that the contractor repair or replace the material, or perform the service, at no cost to the Government; and (iii) May accept consideration...

  10. 48 CFR 246.407 - Nonconforming supplies or services.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 246.407 Nonconforming supplies or services. (f) If nonconforming material or services are discovered... writing of the nonconforming material or service; (ii) Shall request that the contractor repair or replace the material, or perform the service, at no cost to the Government; and (iii) May accept consideration...

  11. 48 CFR 246.407 - Nonconforming supplies or services.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 246.407 Nonconforming supplies or services. (f) If nonconforming material or services are discovered... writing of the nonconforming material or service; (ii) Shall request that the contractor repair or replace the material, or perform the service, at no cost to the Government; and (iii) May accept consideration...

  12. 48 CFR 246.407 - Nonconforming supplies or services.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 246.407 Nonconforming supplies or services. (f) If nonconforming material or services are discovered... writing of the nonconforming material or service; (ii) Shall request that the contractor repair or replace the material, or perform the service, at no cost to the Government; and (iii) May accept consideration...

  13. Quality effort decision in service supply chain with quality preference based on quantum game

    NASA Astrophysics Data System (ADS)

    Zhang, Cuihua; Xing, Peng; Wang, Jianwei

    2015-04-01

    Service quality preference behaviors of both members are considered in service supply chain (SSC) including a service integrator and a service provider with stochastic demand. Through analysis of service quality cost and revenue, the utility functions are established on service quality effort degree and service quality preference level in integrated and decentralized SSC. Nash equilibrium and quantum game are used to optimize the models. By comparing the different solutions, the optimal strategies are obtained in SSC with quality preference. Then some numerical examples are studied and the changing trend of service quality effort is further analyzed by the influence of the entanglement operator and quality preferences.

  14. [Supply services at health facilities: measuring performance].

    PubMed

    Dacosta Claro, I

    2001-01-01

    Performance measurement, in their different meanings--either balance scorecard or outputs measurement--have become an essential tool in today's organizations (World-Class organizations) to improve service quality and reduce costs. This paper presents a performance measurement system for the hospital supply chain. The system is organized in different levels and groups of indicators in order to show a hierarchical, coherent and integrated vision of the processes. Thus, supply services performance is measured according to (1) financial aspects, (2) customers satisfaction aspects and (3) internal aspects of the processes performed. Since the informational needs of the managers vary within the administrative structure, the performance measurement system is defined in three hierarchical levels. Firstly, the whole supply chain, with the different interrelation of activities. Secondly, the three main processes of the chain--physical management of products, purchasing and negotiation processes and the local storage units. And finally, the performance measurement of each activity involved. The system and the indicators have been evaluated with the participation of 17 health services of Quebec (Canada), however, and due to the similarities of the operation, could be equally implemented in Spanish hospitals.

  15. 48 CFR 1348.201 - Clauses for supply or service contracts.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

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

  16. 48 CFR 1348.201 - Clauses for supply or service contracts.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

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

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

    Code of Federal Regulations, 2010 CFR

    2010-10-01

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

  18. 42 CFR 410.26 - Services and supplies incident to a physician's professional services: Conditions.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... supplies means any services or supplies (including drugs or biologicals that are not usually self... independent contractor. (c) Limitations. (1) Drugs and biologicals are also subject to the limitations...

  19. 42 CFR 410.26 - Services and supplies incident to a physician's professional services: Conditions.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... supplies means any services or supplies (including drugs or biologicals that are not usually self... independent contractor. (c) Limitations. (1) Drugs and biologicals are also subject to the limitations...

  20. [State of supply services for industrial hygiene and safety in Colombia].

    PubMed

    Varona, Marcela E; Torres, Carlos Humberto; Díaz, Sonia M; Palma, Ruth Marién; Checa, Diana Milena; Conde, Juan Vicente

    2012-01-01

    Institutions that supply occupational health services must offer services that are reliable and of high quality across the spectrum of industrial hygiene and safety needs. Services for occupational health were identified at several institutions, and the technical quality and reliability of these services were compared in different regions of Colombia. This descriptive study identified the services available for industrial hygiene and safety in 15 cities of Colombia. A survey was conducted in 192 institutions offering such services and a statistical analysis of these results was undertaken. This sample was taken from a nationwide list of institutions purportedly licensed for this activity. Thirty-two percent (61) of the evaluated institutions provided hygiene services, and 48% (93) provided safety services. The range of health services was provided on a subcontract basis both for professional personnel and the equipment. Six institutions in the area of industrial hygiene and 1 in the area of industrial security were supplying services with pending or suspended institutional licenses. Deficiencies in the quality, infrastructure and levels of automation were identified at institutions that supply services of hygiene and industrial security. The resulting recommendatios are that the Ministry of the Social Protection fortifies mechanisms for (1) the evaluation and control of the supplied services, and (2) verify that the institutional activity is in accordance with current and valid licensing.

  1. The relationship between physician supply, cardiovascular health service use and cardiac disease burden in Ontario: Supply-need mismatch

    PubMed Central

    Alter, David A; Stukel, Therese A; Newman, Alice

    2008-01-01

    BACKGROUND: While health service use appears to be positively correlated with resource availability, no study has explored the interactions among health service supply, cardiovascular disease burden and health service use. The objective of the present study was to examine the relationship among cardiovascular evaluation and management intensity, physician supply and cardiovascular disease burden in the Canadian population. METHODS: The present cross-sectional, population-based study consisted of adult residents in Ontario in 2001. Cardiac evaluation and management intensity, the main outcome measure, was measured at the individual level, and consisted of receiving one or more of the following services: noninvasive cardiac testing, coronary angiography and statin use (the latter among individuals 65 years of age and older). Mortality was the secondary outcome measure. Cardiovascular disease burden, and cardiologist and primary care physician supply were measured at the regional (ie, county) level. Analyses were adjusted for age and sex using Poisson regression, accounting for regional clustering. RESULTS: Regional per capita cardiologist supply varied more than twofold across regions, but was inversely related to the regional cardiovascular disease burden (r=−0.34, P=0.01). Primary care physician supply was relatively evenly distributed across regions. Residents in areas with more cardiologists were more likely to receive some form of cardiac intervention (RR=1.074, 95% CI 1.066 to 1.082 per additional cardiologist per 100,000). Those in areas with more primary care physicians were also more likely to receive noninvasive cardiac testing (RR=1.056, 95% CI 1.051 to 1.061 per six additional primary care physicians per 100,000). However, the intensity of provision of cardiac health services was unrelated to regional cardiovascular disease burden and was not associated with improved survival. CONCLUSIONS: The mismatch between physician supply and cardiac disease burden

  2. 32 CFR 855.19 - Supply and service charges.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 32 National Defense 6 2010-07-01 2010-07-01 false Supply and service charges. 855.19 Section 855.19 National Defense Department of Defense (Continued) DEPARTMENT OF THE AIR FORCE AIRCRAFT CIVIL AIRCRAFT USE OF UNITED STATES AIR FORCE AIRFIELDS Civil Aircraft Landing Permits § 855.19 Supply and...

  3. 32 CFR 855.19 - Supply and service charges.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 32 National Defense 6 2011-07-01 2011-07-01 false Supply and service charges. 855.19 Section 855.19 National Defense Department of Defense (Continued) DEPARTMENT OF THE AIR FORCE AIRCRAFT CIVIL AIRCRAFT USE OF UNITED STATES AIR FORCE AIRFIELDS Civil Aircraft Landing Permits § 855.19 Supply and...

  4. 47 CFR 54.615 - Obtaining services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... provided under § 54.621, that the requester cannot obtain toll-free access to an Internet service provider... thing of value; (6) If the service or services are being purchased as part of an aggregated purchase...

  5. Do socially deprived urban areas have lesser supplies of cancer care services?

    PubMed

    Lamont, Elizabeth B; He, Yulei; Subramanian, S V; Zaslavsky, Alan M

    2012-09-10

    Area social deprivation is associated with unfavorable health outcomes of residents across the full clinical course of cancer from the stage at diagnosis through survival. We sought to determine whether area social factors are associated with the area health care supply. We studied the area supply of health services required for the provision of guideline-recommended care for patients with breast cancer and colorectal cancer (CRC) in each of the following three distinct clinical domains: screening, treatment, and post-treatment surveillance. We characterized area social factors in 3,096 urban zip code tabulation areas by using Census Bureau data and the health care supply in the corresponding 465 hospital service areas by using American Hospital Association, American Medical Association, and US Food and Drug Administration data. In two-level hierarchical models, we assessed associations between social factors and the supply of health services across areas. We found no clear associations between area social factors and the supply of health services essential to the provision of guideline recommended breast cancer and CRC care in urban areas. The measures of health service included the supply of physicians who facilitate screening, treatment, and post-treatment care and the supply of facilities required for the same services. Because we found that the supply of types of health care required for the provision of guideline-recommended cancer care for patients with breast cancer and CRC did not vary with markers of area socioeconomic disadvantage, it is possible that previously reported unfavorable breast cancer and CRC outcomes among individuals living in impoverished areas may have occurred despite an apparent adequate area health care supply.

  6. Two-echelon logistics service supply chain decision game considering quality supervision

    NASA Astrophysics Data System (ADS)

    Shi, Jiaying

    2017-10-01

    Due to the increasing importance of supply chain logistics service, we established the Stackelberg game model between single integrator and single subcontractors under decentralized and centralized circumstances, and found that logistics services integrators as a leader prefer centralized decision-making but logistics service subcontractors tend to the decentralized decision-making. Then, we further analyzed why subcontractor chose to deceive and rebuilt a principal-agent game model to monitor the logistics services quality of them. Mixed Strategy Nash equilibrium and related parameters were discussed. The results show that strengthening the supervision and coordination can improve the quality level of logistics service supply chain.

  7. 9 CFR 592.100 - Who may obtain service.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 9 Animals and Animal Products 2 2012-01-01 2012-01-01 false Who may obtain service. 592.100 Section 592.100 Animals and Animal Products FOOD SAFETY AND INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE EGG PRODUCTS INSPECTION VOLUNTARY INSPECTION OF EGG PRODUCTS Application for Service § 592.100 Who may obtain service. (a) An application for service...

  8. 9 CFR 592.100 - Who may obtain service.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 9 Animals and Animal Products 2 2013-01-01 2013-01-01 false Who may obtain service. 592.100 Section 592.100 Animals and Animal Products FOOD SAFETY AND INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE EGG PRODUCTS INSPECTION VOLUNTARY INSPECTION OF EGG PRODUCTS Application for Service § 592.100 Who may obtain service. (a) An application for service...

  9. 9 CFR 592.100 - Who may obtain service.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 9 Animals and Animal Products 2 2014-01-01 2014-01-01 false Who may obtain service. 592.100 Section 592.100 Animals and Animal Products FOOD SAFETY AND INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE EGG PRODUCTS INSPECTION VOLUNTARY INSPECTION OF EGG PRODUCTS Application for Service § 592.100 Who may obtain service. (a) An application for service...

  10. 9 CFR 592.100 - Who may obtain service.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 9 Animals and Animal Products 2 2011-01-01 2011-01-01 false Who may obtain service. 592.100 Section 592.100 Animals and Animal Products FOOD SAFETY AND INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE EGG PRODUCTS INSPECTION VOLUNTARY INSPECTION OF EGG PRODUCTS Application for Service § 592.100 Who may obtain service. (a) An application for service...

  11. An order insertion scheduling model of logistics service supply chain considering capacity and time factors.

    PubMed

    Liu, Weihua; Yang, Yi; Wang, Shuqing; Liu, Yang

    2014-01-01

    Order insertion often occurs in the scheduling process of logistics service supply chain (LSSC), which disturbs normal time scheduling especially in the environment of mass customization logistics service. This study analyses order similarity coefficient and order insertion operation process and then establishes an order insertion scheduling model of LSSC with service capacity and time factors considered. This model aims to minimize the average unit volume operation cost of logistics service integrator and maximize the average satisfaction degree of functional logistics service providers. In order to verify the viability and effectiveness of our model, a specific example is numerically analyzed. Some interesting conclusions are obtained. First, along with the increase of completion time delay coefficient permitted by customers, the possible inserting order volume first increases and then trends to be stable. Second, supply chain performance reaches the best when the volume of inserting order is equal to the surplus volume of the normal operation capacity in mass service process. Third, the larger the normal operation capacity in mass service process is, the bigger the possible inserting order's volume will be. Moreover, compared to increasing the completion time delay coefficient, improving the normal operation capacity of mass service process is more useful.

  12. An Order Insertion Scheduling Model of Logistics Service Supply Chain Considering Capacity and Time Factors

    PubMed Central

    Yang, Yi; Wang, Shuqing; Liu, Yang

    2014-01-01

    Order insertion often occurs in the scheduling process of logistics service supply chain (LSSC), which disturbs normal time scheduling especially in the environment of mass customization logistics service. This study analyses order similarity coefficient and order insertion operation process and then establishes an order insertion scheduling model of LSSC with service capacity and time factors considered. This model aims to minimize the average unit volume operation cost of logistics service integrator and maximize the average satisfaction degree of functional logistics service providers. In order to verify the viability and effectiveness of our model, a specific example is numerically analyzed. Some interesting conclusions are obtained. First, along with the increase of completion time delay coefficient permitted by customers, the possible inserting order volume first increases and then trends to be stable. Second, supply chain performance reaches the best when the volume of inserting order is equal to the surplus volume of the normal operation capacity in mass service process. Third, the larger the normal operation capacity in mass service process is, the bigger the possible inserting order's volume will be. Moreover, compared to increasing the completion time delay coefficient, improving the normal operation capacity of mass service process is more useful. PMID:25276851

  13. 42 CFR 405.2452 - Services and supplies incident to clinical psychologist and clinical social worker services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 2 2010-10-01 2010-10-01 false Services and supplies incident to clinical psychologist and clinical social worker services. 405.2452 Section 405.2452 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES MEDICARE PROGRAM FEDERAL HEALTH INSURANCE FOR...

  14. Projecting supply and demand of hydrologic ecosystem services under future climate conditions

    NASA Astrophysics Data System (ADS)

    Chiang, Li-Chi; Huang, Tao; Lee, Tsung-Yu

    2014-05-01

    Ecosystems provide essential goods and services, such as food, clean water, water purification, soil conservation and cultural services for human being. In a watershed, these water-related ecosystem goods and services can directly or indirectly benefit both local people and downstream beneficiaries through a reservoir. Water quality and quantity in a reservoir are of importance for agricultural, industrial and domestic uses. Under the impacts of climate and land use changes, both ecosystem service supply and demand will be affected by changes in precipitation patterns, temperature, urbanization and agricultural activities. However, the linkage between ecosystem service provisioning (ESP) and ecosystem service beneficiary (ESB), and scales of supply and demand of ecosystem services are not clear yet. Therefore, to investigate water-related ecosystem service supply under climate and land use change, we took the Xindian river watershed (303 km2) as a case study, where the Feitsui Reservoir provides hydro-power and daily domestic water use of 3,450,000 m3 for 3.46 million people in Taipei, Taiwan. We integrated a hydrological model (Soil and Water Assessment Tool, SWAT) and a land use change model (Conversion of Land Use and its Effects, CLUE-s) with future climate change scenarios derived from General Circulation Models (GCMs), to assess the changes in ecosystem service supply and demand at different hydrologic scales. The results will provide useful information for decision-making on future land use management and climate change adaptation strategies in the watersheds. Keywords: climate change, land use change, ecosystem service, watershed, scale

  15. Agriculture Supplies & Services. Volume 2 of 3.

    ERIC Educational Resources Information Center

    Kansas State Univ., Manhattan.

    The second of three volumes included in a secondary agricultural supplies and services curriculum guide, this volume contains units of instruction in three major areas: (1) Animal Science, (2) Supervised Training Programs--Farm Business Management, and (3) Career Selection/Public Relations. Typical of the sixteen units included in the first…

  16. A time scheduling model of logistics service supply chain based on the customer order decoupling point: a perspective from the constant service operation time.

    PubMed

    Liu, Weihua; Yang, Yi; Xu, Haitao; Liu, Xiaoyan; Wang, Yijia; Liang, Zhicheng

    2014-01-01

    In mass customization logistics service, reasonable scheduling of the logistics service supply chain (LSSC), especially time scheduling, is benefit to increase its competitiveness. Therefore, the effect of a customer order decoupling point (CODP) on the time scheduling performance should be considered. To minimize the total order operation cost of the LSSC, minimize the difference between the expected and actual time of completing the service orders, and maximize the satisfaction of functional logistics service providers, this study establishes an LSSC time scheduling model based on the CODP. Matlab 7.8 software is used in the numerical analysis for a specific example. Results show that the order completion time of the LSSC can be delayed or be ahead of schedule but cannot be infinitely advanced or infinitely delayed. Obtaining the optimal comprehensive performance can be effective if the expected order completion time is appropriately delayed. The increase in supply chain comprehensive performance caused by the increase in the relationship coefficient of logistics service integrator (LSI) is limited. The relative concern degree of LSI on cost and service delivery punctuality leads to not only changes in CODP but also to those in the scheduling performance of the LSSC.

  17. A Time Scheduling Model of Logistics Service Supply Chain Based on the Customer Order Decoupling Point: A Perspective from the Constant Service Operation Time

    PubMed Central

    Yang, Yi; Xu, Haitao; Liu, Xiaoyan; Wang, Yijia; Liang, Zhicheng

    2014-01-01

    In mass customization logistics service, reasonable scheduling of the logistics service supply chain (LSSC), especially time scheduling, is benefit to increase its competitiveness. Therefore, the effect of a customer order decoupling point (CODP) on the time scheduling performance should be considered. To minimize the total order operation cost of the LSSC, minimize the difference between the expected and actual time of completing the service orders, and maximize the satisfaction of functional logistics service providers, this study establishes an LSSC time scheduling model based on the CODP. Matlab 7.8 software is used in the numerical analysis for a specific example. Results show that the order completion time of the LSSC can be delayed or be ahead of schedule but cannot be infinitely advanced or infinitely delayed. Obtaining the optimal comprehensive performance can be effective if the expected order completion time is appropriately delayed. The increase in supply chain comprehensive performance caused by the increase in the relationship coefficient of logistics service integrator (LSI) is limited. The relative concern degree of LSI on cost and service delivery punctuality leads to not only changes in CODP but also to those in the scheduling performance of the LSSC. PMID:24715818

  18. Agriculture Supplies & Services. Volume 1 of 3.

    ERIC Educational Resources Information Center

    Kansas State Univ., Manhattan.

    The first of three volumes included in a secondary agricultural supplies and services curriculum guide, this volume contains units of instruction in two major areas: (1) plant and soil science and (2) leadership (Future Farmers of America). Typical of the nineteen units included in the first section are the following: Plant Insect Control, Plant…

  19. Estimating future dental services' demand and supply: a model for Northern Germany.

    PubMed

    Jäger, Ralf; van den Berg, Neeltje; Hoffmann, Wolfgang; Jordan, Rainer A; Schwendicke, Falk

    2016-04-01

    To plan dental services, a spatial estimation of future demands and supply is required. We aimed at estimating demand and supply in 2030 in Northern Germany based on the expected local socio-demography and oral-health-related morbidity, and the predicted number of dentists and their working time. All analyses were performed on zip-code level. Register data were used to determine the number of retiring dentists and to construct regression models for estimating the number of dentists moving into each zip-code area until 2030. Demand was modelled using projected demography and morbidities. Demand-supply ratios were evaluated and spatial analyses applied. Sensitivity analyses were employed to assess robustness of our findings. Compared with 2011, the population decreased (-7% to -11%) and aged (from mean 46 to 51 years) until 2030. Oral-health-related morbidity changed, leading to more periodontal and fewer prosthetic treatments needs, with the overall demand decreasing in all scenarios (-25% to -33%). In contrast, the overall number of dentists did only limitedly change, resulting in moderate decrease in the supplied service quantities (max. -22%). Thus, the demand-supply ratio increased in all but the worst case scenario, but was unequally distributed between spatial units, with several areas being over- and some being under- or none-serviced in 2030. Within the limitations of the underlying data and the required assumptions, this study expects an increasingly polarized ratio of dental services demand and supply in Northern Germany. Our estimation allows to assess the impact of different influence factors on demand or supply and to specifically identify potential challenges for workforce planning and regulation in different spatial units. © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  20. The sustainability and performance measurement on supply chain in services industry: A literature review

    NASA Astrophysics Data System (ADS)

    Leksono, Eko Budi; Suparno, Vanany, Iwan

    2017-11-01

    The services industry growth has been significant relation with economic growth. A new paradigm is needed for services sector development. The supply chain and performance measurement able to sustain of services industry growth. The supply chain implementation in the services industry called service supply chain (SSC). The globalization and stakeholder pressure makes operation of SSC should more attention to sustainability issue which consists of economic, social and environment simultaneously on SSC. Furthermore, services industry can develop by implementation of the sustainable SSC and its performance measurement. The sustainable SSC implementation can minimize of negative operation effect to environment and social, and maximize of profit. Sustainable service supply chain performance measurements (SSSCPM) are still less explored. The purpose of this paper is to review the literature in the field SSC, SSSC, SSC performance measurement (SSCPM) and SSSCPM for identification of the SSSCPM frameworks and indicators. Beside, the result of review able to look opportunities for develop a new framework for SSSCPM at the operational level, tactical and strategic, multiplayer and close loop, the effectiveness of the integration and development of modeling and simulation for evaluation in the future.

  1. Assessment of water supply as an ecosystem service in a rural-urban watershed in southwestern Mexico City.

    PubMed

    Jujnovsky, Julieta; González-Martínez, Teresa Margarita; Cantoral-Uriza, Enrique Arturo; Almeida-Leñero, Lucia

    2012-03-01

    Studies from the ecosystem services perspective can provide a useful framework because they allow us to fully examine the benefits that humans obtain from socio-ecological systems. Mexico City, the second largest city in the world, has faced severe problems related to water shortages, which have worsened due to increasing population. Demand for space has forced changes in land cover, including covering areas that are essential for groundwater recharge. The city has 880 km(2) of forest areas that are crucial for the water supply. The Magdalena River Watershed was chosen as a model because it is a well-preserved zone within Mexico City and it provides water for the population. The general aim of this study was to assess the ecosystem service of the water supply in the Magdalena River Watershed by determining its water balance (SWAT model) and the number of beneficiaries of the ecosystem services. The results showed that the watershed provides 18.4 hm(3) of water per year. Baseflow was dominant, with a contribution of 85%, while surface runoff only accounted for 15%. The zone provides drinking water to 78,476 inhabitants and could supply 153,203 potential beneficiaries. This work provides an example for understanding how ecosystem processes determine the provision of ecosystem services and benefits to the population in a rural-urban watershed in Mexico City.

  2. Mapping tsunami impacts on land cover and related ecosystem service supply in Phang Nga, Thailand

    NASA Astrophysics Data System (ADS)

    Kaiser, G.; Burkhard, B.; Römer, H.; Sangkaew, S.; Graterol, R.; Haitook, T.; Sterr, H.; Sakuna-Schwartz, D.

    2013-12-01

    The 2004 Indian Ocean tsunami caused damages to coastal ecosystems and thus affected the livelihoods of the coastal communities who depend on services provided by these ecosystems. The paper presents a case study on evaluating and mapping the spatial and temporal impacts of the tsunami on land use and land cover (LULC) and related ecosystem service supply in the Phang Nga province, Thailand. The method includes local stakeholder interviews, field investigations, remote-sensing techniques, and GIS. Results provide an ecosystem services matrix with capacity scores for 18 LULC classes and 17 ecosystem functions and services as well as pre-/post-tsunami and recovery maps indicating changes in the ecosystem service supply capacities in the study area. Local stakeholder interviews revealed that mangroves, casuarina forest, mixed beach forest, coral reefs, tidal inlets, as well as wetlands (peat swamp forest) have the highest capacity to supply ecosystem services, while e.g. plantations have a lower capacity. The remote-sensing based damage and recovery analysis showed a loss of the ecosystem service supply capacities in almost all LULC classes for most of the services due to the tsunami. A fast recovery of LULC and related ecosystem service supply capacities within one year could be observed for e.g. beaches, while mangroves or casuarina forest needed several years to recover. Applying multi-temporal mapping the spatial variations of recovery could be visualised. While some patches of coastal forest were fully recovered after 3 yr, other patches were still affected and thus had a reduced capacity to supply ecosystem services. The ecosystem services maps can be used to quantify ecological values and their spatial distribution in the framework of a tsunami risk assessment. Beyond that they are considered to be a useful tool for spatial analysis in coastal risk management in Phang Nga.

  3. 41 CFR 101-25.110-2 - Tires obtained through Federal Supply Schedules or regional term contracts.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Federal Supply Schedules or regional term contracts. 101-25.110-2 Section 101-25.110-2 Public Contracts... REGULATIONS SUPPLY AND PROCUREMENT 25-GENERAL 25.1-General Policies § 101-25.110-2 Tires obtained through Federal Supply Schedules or regional term contracts. When tire manufacturers ship tires direct against...

  4. 41 CFR 101-25.110-2 - Tires obtained through Federal Supply Schedules or regional term contracts.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Federal Supply Schedules or regional term contracts. 101-25.110-2 Section 101-25.110-2 Public Contracts... REGULATIONS SUPPLY AND PROCUREMENT 25-GENERAL 25.1-General Policies § 101-25.110-2 Tires obtained through Federal Supply Schedules or regional term contracts. When tire manufacturers ship tires direct against...

  5. Agricultural Policies Exacerbate Honeybee Pollination Service Supply-Demand Mismatches Across Europe

    PubMed Central

    Breeze, Tom D.; Vaissière, Bernard E.; Bommarco, Riccardo; Petanidou, Theodora; Seraphides, Nicos; Kozák, Lajos; Scheper, Jeroen; Biesmeijer, Jacobus C.; Kleijn, David; Gyldenkærne, Steen; Moretti, Marco; Holzschuh, Andrea; Steffan-Dewenter, Ingolf; Stout, Jane C.; Pärtel, Meelis; Zobel, Martin; Potts, Simon G.

    2014-01-01

    Declines in insect pollinators across Europe have raised concerns about the supply of pollination services to agriculture. Simultaneously, EU agricultural and biofuel policies have encouraged substantial growth in the cultivated area of insect pollinated crops across the continent. Using data from 41 European countries, this study demonstrates that the recommended number of honeybees required to provide crop pollination across Europe has risen 4.9 times as fast as honeybee stocks between 2005 and 2010. Consequently, honeybee stocks were insufficient to supply >90% of demands in 22 countries studied. These findings raise concerns about the capacity of many countries to cope with major losses of wild pollinators and highlight numerous critical gaps in current understanding of pollination service supplies and demands, pointing to a pressing need for further research into this issue. PMID:24421873

  6. Learning to Select Supplier Portfolios for Service Supply Chain

    PubMed Central

    Zhang, Rui; Li, Jingfei; Wu, Shaoyu; Meng, Dabin

    2016-01-01

    The research on service supply chain has attracted more and more focus from both academia and industrial community. In a service supply chain, the selection of supplier portfolio is an important and difficult problem due to the fact that a supplier portfolio may include multiple suppliers from a variety of fields. To address this problem, we propose a novel supplier portfolio selection method based on a well known machine learning approach, i.e., Ranking Neural Network (RankNet). In the proposed method, we regard the problem of supplier portfolio selection as a ranking problem, which integrates a large scale of decision making features into a ranking neural network. Extensive simulation experiments are conducted, which demonstrate the feasibility and effectiveness of the proposed method. The proposed supplier portfolio selection model can be applied in a real corporation easily in the future. PMID:27195756

  7. [Study on medical service supply public-private partnership mode: based on the view of public economics].

    PubMed

    Dai, Yue; Sun, Hong; Zhou, Li

    2015-02-01

    Due to the quasi-public attributes of medical service, the supply mode and system could influence equity and fairness of general people's health. Based on the view of public economics, the purpose of this paper was to explain the economic nature of medical service supply. By analyzing the practice of public-private partnership (PPP) mode in medical care supply and the related public economic issues, we summarized the feasibility and risks of PPP model in Chinese medical care supply market. Finally, we discussed the innovative medical service system provided by government, public hospitals, and social capitals together. Therefore, to guarantee further development of this new medical service supply--PPP mode, we should pay attention to some practical problems, such as the share of cooperation cost and the balance between the benefit and risk among all partners.

  8. 7 CFR 54.6 - How to obtain service.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... AGRICULTURAL MARKETING ACT OF 1946 AND THE EGG PRODUCTS INSPECTION ACT (CONTINUED) MEATS, PREPARED MEATS, AND MEAT PRODUCTS (GRADING, CERTIFICATION, AND STANDARDS) Regulations Service § 54.6 How to obtain service...'s new commitment. If more than one applicant is involved in the reapplication for a canceled meat...

  9. 7 CFR 54.6 - How to obtain service.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... AGRICULTURAL MARKETING ACT OF 1946 AND THE EGG PRODUCTS INSPECTION ACT (CONTINUED) MEATS, PREPARED MEATS, AND MEAT PRODUCTS (GRADING, CERTIFICATION, AND STANDARDS) Regulations Service § 54.6 How to obtain service...'s new commitment. If more than one applicant is involved in the reapplication for a canceled meat...

  10. Water Supply. Fire Service Certification Series. Unit FSCS-FF-9-80.

    ERIC Educational Resources Information Center

    Pribyl, Paul F.

    This training unit on water supply is part of a 17-unit course package written to aid instructors in the development, teaching, and evaluation of fire fighters in the Wisconsin Fire Service Certification Series. The purpose stated for the 4-hour unit is to assist the firefighter in the proper use of water supplies and the understanding of the…

  11. Retailer Stackelberg game in a supply chain with pricing and service decisions and simple price discount contract.

    PubMed

    Sadjadi, Seyed Jafar; Asadi, Hashem; Sadeghian, Ramin; Sahebi, Hadi

    2018-01-01

    This paper studies the Retailer Stackelberg game in a supply chain consisting of two manufacturers and one retailer where they compete simultaneously under three factors including price, service and simple price discount contract. It is assumed that the second manufacturer provides service directly to his customers, and the retailer provides service for the first product's customers, while the retailer buys the first product under price discount from the first manufacturer. The analysis of the optimal equilibrium solutions and the results of the numerical examples show that if a manufacturer chooses the appropriate range of discount rate, he will gain more profit than when there is no discount given to the retailer. This situation can be considered as an effective tool for the coordination of the first manufacturer and the retailer to offer discount by manufacturer and to provide the service by the retailer. We obtain equilibrium solution of Retailer Stackelberg game and analyze the numerical examples under two cases: a) the manufacturers sell their products to the retailer without price discount contract. b) The first manufacturer sells his products to the retailer with the simple price discount contract. The preliminary results show that the service and the price discount contract can improve the performance of supply chain.

  12. Retailer Stackelberg game in a supply chain with pricing and service decisions and simple price discount contract

    PubMed Central

    Sadjadi, Seyed Jafar; Sadeghian, Ramin; Sahebi, Hadi

    2018-01-01

    This paper studies the Retailer Stackelberg game in a supply chain consisting of two manufacturers and one retailer where they compete simultaneously under three factors including price, service and simple price discount contract. It is assumed that the second manufacturer provides service directly to his customers, and the retailer provides service for the first product’s customers, while the retailer buys the first product under price discount from the first manufacturer. The analysis of the optimal equilibrium solutions and the results of the numerical examples show that if a manufacturer chooses the appropriate range of discount rate, he will gain more profit than when there is no discount given to the retailer. This situation can be considered as an effective tool for the coordination of the first manufacturer and the retailer to offer discount by manufacturer and to provide the service by the retailer. We obtain equilibrium solution of Retailer Stackelberg game and analyze the numerical examples under two cases: a) the manufacturers sell their products to the retailer without price discount contract. b) The first manufacturer sells his products to the retailer with the simple price discount contract. The preliminary results show that the service and the price discount contract can improve the performance of supply chain. PMID:29649315

  13. 9 CFR 592.100 - Who may obtain service.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 9 Animals and Animal Products 2 2010-01-01 2010-01-01 false Who may obtain service. 592.100 Section 592.100 Animals and Animal Products FOOD SAFETY AND INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE EGG PRODUCTS INSPECTION VOLUNTARY INSPECTION OF EGG PRODUCTS Application for Service § 592.100 Who may...

  14. 48 CFR 831.7001-7 - Reimbursement for other supplies and services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 5 2010-10-01 2010-10-01 false Reimbursement for other... Principles and Procedures 831.7001-7 Reimbursement for other supplies and services. VA will provide reimbursement for other services and assistance that may be authorized under provisions of applicable Chapter 31...

  15. Supply and demand in physician markets: a panel data analysis of GP services in Australia.

    PubMed

    McRae, Ian; Butler, James R G

    2014-09-01

    To understand the trends in any physician services market it is necessary to understand the nature of both supply and demand, but few studies have jointly examined supply and demand in these markets. This study uses aggregate panel data on general practitioner (GP) services at the Statistical Local Area level in Australia spanning eight years to estimate supply and demand equations for GP services. The structural equations of the model are estimated separately using population-weighted fixed effects panel modelling with the two stage least squares formulation of the generalised method of moments approach (GMM (2SLS)). The estimated price elasticity of demand of [Formula: see text] is comparable with other studies. The direct impact of GP density on demand, while significant, proves almost immaterial in the context of near vertical supply curves. Supply changes are therefore due to shifts in the position of the curves, partly determined by a time trend. The model is validated by comparing post-panel model predictions with actual market outcomes over a period of three years and is found to provide surprisingly accurate projections over a period of significant policy change. The study confirms the need to jointly consider supply and demand in exploring the behaviour of physician services markets.

  16. Quantifying and Mapping the Supply of and Demand for Carbon Storage and Sequestration Service from Urban Trees.

    PubMed

    Zhao, Chang; Sander, Heather A

    2015-01-01

    Studies that assess the distribution of benefits provided by ecosystem services across urban areas are increasingly common. Nevertheless, current knowledge of both the supply and demand sides of ecosystem services remains limited, leaving a gap in our understanding of balance between ecosystem service supply and demand that restricts our ability to assess and manage these services. The present study seeks to fill this gap by developing and applying an integrated approach to quantifying the supply and demand of a key ecosystem service, carbon storage and sequestration, at the local level. This approach follows three basic steps: (1) quantifying and mapping service supply based upon Light Detection and Ranging (LiDAR) processing and allometric models, (2) quantifying and mapping demand for carbon sequestration using an indicator based on local anthropogenic CO2 emissions, and (3) mapping a supply-to-demand ratio. We illustrate this approach using a portion of the Twin Cities Metropolitan Area of Minnesota, USA. Our results indicate that 1735.69 million kg carbon are stored by urban trees in our study area. Annually, 33.43 million kg carbon are sequestered by trees, whereas 3087.60 million kg carbon are emitted by human sources. Thus, carbon sequestration service provided by urban trees in the study location play a minor role in combating climate change, offsetting approximately 1% of local anthropogenic carbon emissions per year, although avoided emissions via storage in trees are substantial. Our supply-to-demand ratio map provides insight into the balance between carbon sequestration supply in urban trees and demand for such sequestration at the local level, pinpointing critical locations where higher levels of supply and demand exist. Such a ratio map could help planners and policy makers to assess and manage the supply of and demand for carbon sequestration.

  17. Quantifying and Mapping the Supply of and Demand for Carbon Storage and Sequestration Service from Urban Trees

    PubMed Central

    Zhao, Chang; Sander, Heather A.

    2015-01-01

    Studies that assess the distribution of benefits provided by ecosystem services across urban areas are increasingly common. Nevertheless, current knowledge of both the supply and demand sides of ecosystem services remains limited, leaving a gap in our understanding of balance between ecosystem service supply and demand that restricts our ability to assess and manage these services. The present study seeks to fill this gap by developing and applying an integrated approach to quantifying the supply and demand of a key ecosystem service, carbon storage and sequestration, at the local level. This approach follows three basic steps: (1) quantifying and mapping service supply based upon Light Detection and Ranging (LiDAR) processing and allometric models, (2) quantifying and mapping demand for carbon sequestration using an indicator based on local anthropogenic CO2 emissions, and (3) mapping a supply-to-demand ratio. We illustrate this approach using a portion of the Twin Cities Metropolitan Area of Minnesota, USA. Our results indicate that 1735.69 million kg carbon are stored by urban trees in our study area. Annually, 33.43 million kg carbon are sequestered by trees, whereas 3087.60 million kg carbon are emitted by human sources. Thus, carbon sequestration service provided by urban trees in the study location play a minor role in combating climate change, offsetting approximately 1% of local anthropogenic carbon emissions per year, although avoided emissions via storage in trees are substantial. Our supply-to-demand ratio map provides insight into the balance between carbon sequestration supply in urban trees and demand for such sequestration at the local level, pinpointing critical locations where higher levels of supply and demand exist. Such a ratio map could help planners and policy makers to assess and manage the supply of and demand for carbon sequestration. PMID:26317530

  18. Future Supply and Demand for Oncologists : Challenges to Assuring Access to Oncology Services

    PubMed Central

    Erikson, Clese; Salsberg, Edward; Forte, Gaetano; Bruinooge, Suanna; Goldstein, Michael

    2007-01-01

    Purpose To conduct a comprehensive analysis of supply of and demand for oncology services through 2020. This study was commissioned by the Board of Directors of ASCO. Methods New data on physician supply gathered from surveys of practicing oncologists, oncology fellows, and fellowship program directors were analyzed, along with 2005 American Medical Association Masterfile data on practicing medical oncologists, hematologists/oncologists, and gynecologic oncologists, to determine the baseline capacity and to forecast visit capacity through 2020. Demand for visits was calculated by applying age-, sex-, and time-from-diagnosis-visit rate data from the National Cancer Institute's analysis of the 1998 to 2002 Surveillance, Epidemiology and End Results (SEER) database to the National Cancer Institute's cancer incidence and prevalence projections. The cancer incidence and prevalence projections were calculated by applying a 3-year average (2000–2002) of age- and sex-specific cancer rates from SEER to the US Census Bureau population projections released on March 2004. The baseline supply and demand forecasts assume no change in cancer care delivery and physician practice patterns. Alternate scenarios were constructed by changing assumptions in the baseline models. Results Demand for oncology services is expected to rise rapidly, driven by the aging and growth of the population and improvements in cancer survival rates, at the same time the oncology workforce is aging and retiring in increasing numbers. Demand is expected to rise 48% between 2005 and 2020. The supply of services provided by oncologists during this time is expected to grow more slowly, approximately 14%, based on the current age distribution and practice patterns of oncologists and the number of oncology fellowship positions. This translates into a shortage of 9.4 to 15.0 million visits, or 2,550 to 4,080 oncologists—roughly one-quarter to one-third of the 2005 supply. The baseline projections do not

  19. Computers and the supply of radiology services: anatomy of a disruptive technology.

    PubMed

    Levy, Frank

    2008-10-01

    Over the next decade, computers will augment the supply of radiology services at a time when reimbursement rules are likely to tighten. Increased supply and slower growing demand will result in a radiology market that is more competitive, with less income growth, than the market of the past 15 years.

  20. Agricultural Supplies and Services. Program Planning Guide: Volume 2.

    ERIC Educational Resources Information Center

    Welton, Richard; Marks, Michael

    The program planning guide for agricultural supplies and services was written to assist Applied Biological and Agricultural Occupations (ABAO) teachers in enriching existing programs and/or to provide the basis for expansion of offerings to include additional materials for the cluster areas of agricultural chemicals, feeds, seeds, fertilizers, and…

  1. FERTILIZERS SALES AND SERVICE. AGRICULTURAL SUPPLY - SALES AND SERVICE OCCUPATIONS, MODULE NUMBER 9.

    ERIC Educational Resources Information Center

    Ohio State Univ., Columbus. Center for Vocational and Technical Education.

    THE PURPOSE OF THIS GUIDE IS TO ASSIST TEACHERS IN PREPARING HIGH SCHOOL AND POST-HIGH SCHOOL STUDENTS FOR AGRICULTURAL SUPPLY OCCUPATIONS. ONE OF A SERIES, THIS MODULE WAS DEVELOPED ON THE BASIS OF STATE STUDIES BY A NATIONAL TASK FORCE. THE SPECIFIC OBJECTIVE IS TO PREPARE STUDENTS FOR ENTRY AND ADVANCEMENT IN FERTILIZER SALES AND SERVICE.…

  2. COURSE OUTLINE FOR AGRICULTURAL SUPPLY - SALES AND SERVICE OCCUPATIONS.

    ERIC Educational Resources Information Center

    BECKER, WILLIAM; LINTNER, J.H.

    TITLES OF MODULES, PURPOSES, TIME AND SUPPORTING EDUCATIONAL REQUIREMENTS, AND OPERATIONAL DETAILS OF A COURSE ARE GIVEN IN THIS PUBLICATION DESIGNED TO ASSIST STATE AND LOCAL VOCATIONAL EDUCATION LEADERS IN DEVELOPING PROGRAMS TO PREPARE HIGH SCHOOL STUDENTS FOR ENTRY AND ADVANCEMENT IN BUSINESSES WHICH SELL AGRICULTURAL SUPPLIES AND SERVICES TO…

  3. Modules in Agricultural Education for Agricultural Supplies and Services.

    ERIC Educational Resources Information Center

    New York State Education Dept., Albany. Bureau of Occupational and Career Curriculum Development.

    Each of the 22 curriculum modules in this packet for instruction in agricultural supplies and services contains a brief description of the module content, a list of the major division or units, the overall objectives, objectives by units, content outline, and suggested teaching methods, student application activities, and evaluation procedures. A…

  4. Estimating spatially specific demand and supply of dental services: a longitudinal comparison in Northern Germany.

    PubMed

    Schwendicke, Falk; Jäger, Ralf; Hoffmann, Wolfgang; Jordan, Rainer A; van den Berg, Neeltje

    2016-09-01

    Assessing the spatial distribution of oral morbidity-related demand and the workforce-related supply is relevant for planning dental services. We aimed to establish and validate a model for estimating the spatially specific demand and supply. This model was then applied to compare demand-supply ratios in 2001 and 2011 in the federal state of Mecklenburg-Vorpommern (Northern Germany). The spatial units were zip code areas. Demand per area was estimated by linking population-specific oral morbidities to working times via insurance claim data. Estimated demand was validated against the provided demand in 2001 and 2011. Supply was calculated for both years using cohort data from the dentist register. The ratio of demand and supply was geographically mapped and its distribution between areas assessed using the Gini coefficient. Between 2001 and 2011, a significant decrease of the general population (-7.0 percent), the annual demand (-13.1 percent), and the annual supply (-12.9 percent) was recorded. The estimated demands were nearly (2001: -4 percent) and completely (2011: ±0 percent) congruent with provided demands. The average demand-supply-ratio did not change significantly between 2001 and 2011 (P > 0.05), but was increasingly unequally distributed. In both years, few areas were over-serviced, while many were under-serviced. The established model can be used to estimate spatially specific demand and supply. © 2016 American Association of Public Health Dentistry.

  5. Hospital Supply Expenses: An Important Ingredient in Health Services Research.

    PubMed

    Abdulsalam, Yousef; Schneller, Eugene

    2017-07-01

    The purpose of this article is to shed light on hospital supply expenses, which form the second largest expense category after payroll and hold more promise for improving cost-efficiency compared to payroll. However, limited research has rigorously scrutinized this cost category, and it is rarely given specific consideration across cost-focused studies in health services publications. After reviewing previously cited estimates, we examine and independently validate supply expense data (collected by the American Hospital Association) for over 3,500 U.S. hospitals. We find supply expenses to make up 15% of total hospital expenses, on average, but as high as 30% or 40% in hospitals with a high case-mix index, such as surgery-intensive hospitals. Future research can use supply expense data to better understand hospital strategies that aim to manage costs, such as systemization, physician-hospital arrangements, and value-based purchasing.

  6. 31 CFR 560.204 - Prohibited exportation, reexportation, sale, or supply of goods, technology, or services to Iran.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ..., sale, or supply of goods, technology, or services to Iran. 560.204 Section 560.204 Money and Finance... exportation, reexportation, sale, or supply of goods, technology, or services to Iran. Except as otherwise... services to Iran or the Government of Iran is prohibited, including the exportation, reexportation, sale...

  7. 31 CFR 560.204 - Prohibited exportation, reexportation, sale, or supply of goods, technology, or services to Iran.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ..., sale, or supply of goods, technology, or services to Iran. 560.204 Section 560.204 Money and Finance... exportation, reexportation, sale, or supply of goods, technology, or services to Iran. Except as otherwise... services to Iran or the Government of Iran is prohibited, including the exportation, reexportation, sale...

  8. 31 CFR 560.204 - Prohibited exportation, reexportation, sale or supply of goods, technology, or services to Iran.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ..., sale or supply of goods, technology, or services to Iran. 560.204 Section 560.204 Money and Finance..., reexportation, sale or supply of goods, technology, or services to Iran. Except as otherwise authorized pursuant..., or services to Iran or the Government of Iran is prohibited, including the exportation, reexportation...

  9. 31 CFR 560.204 - Prohibited exportation, reexportation, sale or supply of goods, technology, or services to Iran.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ..., sale or supply of goods, technology, or services to Iran. 560.204 Section 560.204 Money and Finance..., reexportation, sale or supply of goods, technology, or services to Iran. Except as otherwise authorized pursuant..., or services to Iran or the Government of Iran is prohibited, including the exportation, reexportation...

  10. 31 CFR 560.204 - Prohibited exportation, reexportation, sale or supply of goods, technology, or services to Iran.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ..., sale or supply of goods, technology, or services to Iran. 560.204 Section 560.204 Money and Finance..., reexportation, sale or supply of goods, technology, or services to Iran. Except as otherwise authorized pursuant..., or services to Iran or the Government of Iran is prohibited, including the exportation, reexportation...

  11. 7 CFR 75.9 - Who may obtain service.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 3 2011-01-01 2011-01-01 false Who may obtain service. 75.9 Section 75.9 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing Practices), DEPARTMENT OF AGRICULTURE (CONTINUED) REGULATIONS AND STANDARDS UNDER THE AGRICULTURAL MARKETING ACT OF 1946 AND...

  12. 7 CFR 75.9 - Who may obtain service.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 7 Agriculture 3 2012-01-01 2012-01-01 false Who may obtain service. 75.9 Section 75.9 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing Practices), DEPARTMENT OF AGRICULTURE (CONTINUED) REGULATIONS AND STANDARDS UNDER THE AGRICULTURAL MARKETING ACT OF 1946 AND...

  13. 7 CFR 75.9 - Who may obtain service.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 7 Agriculture 3 2013-01-01 2013-01-01 false Who may obtain service. 75.9 Section 75.9 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing Practices), DEPARTMENT OF AGRICULTURE (CONTINUED) REGULATIONS AND STANDARDS UNDER THE AGRICULTURAL MARKETING ACT OF 1946 AND...

  14. 7 CFR 75.9 - Who may obtain service.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 7 Agriculture 3 2014-01-01 2014-01-01 false Who may obtain service. 75.9 Section 75.9 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing Practices), DEPARTMENT OF AGRICULTURE (CONTINUED) REGULATIONS AND STANDARDS UNDER THE AGRICULTURAL MARKETING ACT OF 1946 AND...

  15. 7 CFR 75.9 - Who may obtain service.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 3 2010-01-01 2010-01-01 false Who may obtain service. 75.9 Section 75.9 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing Practices), DEPARTMENT OF AGRICULTURE (CONTINUED) REGULATIONS AND STANDARDS UNDER THE AGRICULTURAL MARKETING ACT OF 1946 AND...

  16. 31 CFR 560.427 - Exportation, reexportation, sale or supply of financial services to Iran or the Government of Iran.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... supply of financial services to Iran or the Government of Iran. 560.427 Section 560.427 Money and Finance..., reexportation, sale or supply of financial services to Iran or the Government of Iran. (a) The prohibition on the exportation, reexportation, sale or supply of financial services to Iran or the Government of Iran...

  17. 31 CFR 560.427 - Exportation, reexportation, sale or supply of financial services to Iran or the Government of Iran.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... supply of financial services to Iran or the Government of Iran. 560.427 Section 560.427 Money and Finance..., reexportation, sale or supply of financial services to Iran or the Government of Iran. (a) The prohibition on the exportation, reexportation, sale or supply of financial services to Iran or the Government of Iran...

  18. Demand and supply of emergency help: an economic analysis of Red Cross services.

    PubMed

    Hackl, Franz; Pruckner, Gerald Josef

    2006-08-01

    This paper analyzes supply and demand side characteristics of (voluntary) Red Cross services in Austria. The demand side analysis is based on a contingent valuation study on people's willingness to pay for emergency treatment, transportation services and disaster relief activities. The supply side is identified by a high percentage of volunteers in the Red Cross organization which makes the provision of emergency help at low cost possible. We find that aggregate benefits of Red Cross services exceed their cost of production. Policy conclusions are drawn with respect to future recruitment and funding: whereas intrinsic motivation is important for the decision to volunteer, and financial incentives play a minor role in general, the young Red Cross activists work voluntarily for self-realization reasons and to continue their education. Age-specific recruitment strategies accompanied by word-of-mouth advertising are recommended to address potential volunteers. As long as the volunteering character of Red Cross services will be maintained and cost of production will not go up an increase of funds does not seem necessary in the future. Moreover, a radical change in the structure of funding may crowd out both donations and voluntary labor supply.

  19. 31 CFR 545.204 - Prohibited exportation, reexportation, sale, or supply of goods, software, technology, or services.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ..., sale, or supply of goods, software, technology, or services. 545.204 Section 545.204 Money and Finance... exportation, reexportation, sale, or supply of goods, software, technology, or services. Except as otherwise... States, or by a U.S. person, wherever located, of any goods, software, technology (including technical...

  20. Notification: Methods for Procuring Supplies and Services Under Simplified Acquisition Procedures

    EPA Pesticide Factsheets

    Project #OA-FY15-0193, June 18, 2015. The EPA OIG plans to begin the preliminary research phase of auditing the methods used in procuring supplies and services under simplified acquisition procedures.

  1. Health-related rehabilitation services: assessing the global supply of and need for human resources

    PubMed Central

    2011-01-01

    Background Human resources for rehabilitation are often a neglected component of health services strengthening and health workforce development. This may be partly related to weaknesses in the available research and evidence to inform advocacy and programmatic strategies. The objective of this study was to quantitatively describe the global situation in terms of supply of and need for human resources for health-related rehabilitation services, as a basis for strategy development of the workforce in physical and rehabilitation medicine. Methods Data for assessing supply of and need for rehabilitative personnel were extracted and analyzed from statistical databases maintained by the World Health Organization and other national and international health information sources. Standardized classifications were used to enhance cross-national comparability of findings. Results Large differences were found across countries and regions between assessed need for services requiring health workers associated to physical and rehabilitation medicine against estimated supply of health personnel skilled in rehabilitation services. Despite greater need, low- and middle-income countries tended to report less availability of skilled health personnel, although the strength of the supply-need relationship varied across geographical and economic country groupings. Conclusion The evidence base on human resources for health-related rehabilitation services remains fragmented, the result of limited availability and use of quality, comparable data and information within and across countries. This assessment offered the first global baseline, intended to catalyze further research that can be translated into evidence to support human resources for rehabilitation policy and practice. PMID:22004560

  2. Use of a service evaluation and lean thinking transformation to redesign an NHS 111 refer to community Pharmacy for Emergency Repeat Medication Supply Service (PERMSS)

    PubMed Central

    Nazar, Hamde; Nazar, Zachariah; Simpson, Jill; Yeung, Andre; Whittlesea, Cate

    2016-01-01

    Objectives To demonstrate the contribution of community pharmacy from NHS 111 referrals out of hours (OOH) for emergency supply repeat medication requests via presentation of service activity, community pharmacist feedback and lean thinking transformation. Design Descriptive service evaluation using routine service activity data over the pilot period; survey of community pharmacists, and service redesign through lean thinking transformation. Setting North East of England NHS 111 provider and accredited community pharmacies across the North East of England. Participants Patients calling the North East of England NHS 111 provider during OOH with emergency repeat medication supply requests. Interventions NHS 111 referral to community pharmacies for assessment and if appropriate, supply of emergency repeat medication. Main outcome measures Number of emergency repeat medication supply referrals, completion rates, reasons for rejections, time of request, reason for access, medication(s), pharmaceutical advice and services provided. Secondary outcomes were community pharmacist feedback and lean thinking transformation of the patient pathway. Results NHS 111 referred 1468 patients to 114 community pharmacies (15/12/2014–7/4/2015). Most patients presented on Saturdays, with increased activity over national holidays. Community pharmacists completed 951 (64.8%) referrals providing 2297 medications; 412 were high risk. The most common reason for rejecting referrals was no medication in stock. Community pharmacists were positive about the provision of this service. The lean thinking transformation reduced the number of non-added value steps, waits and bottlenecks in the patient pathway. Conclusions NHS 111 can redirect callers OOH from urgent and emergency care services to community pharmacy for management of emergency repeat medication supply. Existing IT and community pharmacy regulations allowed patients to receive a medication supply and pharmaceutical advice. Community

  3. 7 CFR 56.20 - Who may obtain grading service.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... AGRICULTURAL MARKETING ACT OF 1946 AND THE EGG PRODUCTS INSPECTION ACT (CONTINUED) VOLUNTARY GRADING OF SHELL EGGS Grading of Shell Eggs Application for Grading Service § 56.20 Who may obtain grading service. An...

  4. 7 CFR 56.20 - Who may obtain grading service.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... AGRICULTURAL MARKETING ACT OF 1946 AND THE EGG PRODUCTS INSPECTION ACT (CONTINUED) VOLUNTARY GRADING OF SHELL EGGS Grading of Shell Eggs Application for Grading Service § 56.20 Who may obtain grading service. An...

  5. 42 CFR 410.26 - Services and supplies incident to a physician's professional services: Conditions.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ...) Services and supplies must be commonly furnished without charge or included in the bill of a physician (or... the Act. (c) Limitations. (1) Drugs and biologicals are also subject to the limitations specified in...)(iii), 410.60(a)(3)(iii), and 410.62(a)(3)(ii). [51 FR 41339, Nov. 14, 1986, as amended at 66 FR 55328...

  6. 42 CFR 410.26 - Services and supplies incident to a physician's professional services: Conditions.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... charge or included in the bill of a physician (or other practitioner). (4) Services and supplies must be... independent contractor. (c) Limitations. (1) Drugs and biologicals are also subject to the limitations... §§ 410.59(a)(3)(iii), 410.60(a)(3)(iii), and 410.62(a)(3)(ii). [51 FR 41339, Nov. 14, 1986, as amended at...

  7. 48 CFR 48.201 - Clauses for supply or service contracts.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

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

  8. 48 CFR 48.201 - Clauses for supply or service contracts.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

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

  9. 48 CFR 48.201 - Clauses for supply or service contracts.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

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

  10. 48 CFR 48.201 - Clauses for supply or service contracts.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

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

  11. 48 CFR 48.201 - Clauses for supply or service contracts.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

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

  12. 32 CFR 766.13 - Sale of aviation fuel, oil, services and supplies.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 32 National Defense 5 2014-07-01 2014-07-01 false Sale of aviation fuel, oil, services and... MISCELLANEOUS RULES USE OF DEPARTMENT OF THE NAVY AVIATION FACILITIES BY CIVIL AIRCRAFT § 766.13 Sale of aviation fuel, oil, services and supplies. (a) General policy. In accordance with sections 1107 and 1108 of...

  13. 32 CFR 766.13 - Sale of aviation fuel, oil, services and supplies.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 32 National Defense 5 2013-07-01 2013-07-01 false Sale of aviation fuel, oil, services and... MISCELLANEOUS RULES USE OF DEPARTMENT OF THE NAVY AVIATION FACILITIES BY CIVIL AIRCRAFT § 766.13 Sale of aviation fuel, oil, services and supplies. (a) General policy. In accordance with sections 1107 and 1108 of...

  14. 32 CFR 766.13 - Sale of aviation fuel, oil, services and supplies.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 32 National Defense 5 2011-07-01 2011-07-01 false Sale of aviation fuel, oil, services and... MISCELLANEOUS RULES USE OF DEPARTMENT OF THE NAVY AVIATION FACILITIES BY CIVIL AIRCRAFT § 766.13 Sale of aviation fuel, oil, services and supplies. (a) General policy. In accordance with sections 1107 and 1108 of...

  15. 32 CFR 766.13 - Sale of aviation fuel, oil, services and supplies.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 32 National Defense 5 2012-07-01 2012-07-01 false Sale of aviation fuel, oil, services and... MISCELLANEOUS RULES USE OF DEPARTMENT OF THE NAVY AVIATION FACILITIES BY CIVIL AIRCRAFT § 766.13 Sale of aviation fuel, oil, services and supplies. (a) General policy. In accordance with sections 1107 and 1108 of...

  16. Ecosystem service markets 101: supply and demand for nature

    Treesearch

    Rhonda Mazza; Jeff Kline; Trista Patterson

    2012-01-01

    Establishing markets for ecosystem services—the benefits that nature provides, such as clean air, water, and wildlife habitat—has gained traction in some circles as a way to finance the conservation of these public goods. Market influences on supply and demand work in tandem to encourage ecosystem protection. Jeff Kline and Trista Patterson, scientists with the...

  17. Use of a service evaluation and lean thinking transformation to redesign an NHS 111 refer to community Pharmacy for Emergency Repeat Medication Supply Service (PERMSS).

    PubMed

    Nazar, Hamde; Nazar, Zachariah; Simpson, Jill; Yeung, Andre; Whittlesea, Cate

    2016-08-26

    To demonstrate the contribution of community pharmacy from NHS 111 referrals out of hours (OOH) for emergency supply repeat medication requests via presentation of service activity, community pharmacist feedback and lean thinking transformation. Descriptive service evaluation using routine service activity data over the pilot period; survey of community pharmacists, and service redesign through lean thinking transformation. North East of England NHS 111 provider and accredited community pharmacies across the North East of England. Patients calling the North East of England NHS 111 provider during OOH with emergency repeat medication supply requests. NHS 111 referral to community pharmacies for assessment and if appropriate, supply of emergency repeat medication. Number of emergency repeat medication supply referrals, completion rates, reasons for rejections, time of request, reason for access, medication(s), pharmaceutical advice and services provided. Secondary outcomes were community pharmacist feedback and lean thinking transformation of the patient pathway. NHS 111 referred 1468 patients to 114 community pharmacies (15/12/2014-7/4/2015). Most patients presented on Saturdays, with increased activity over national holidays. Community pharmacists completed 951 (64.8%) referrals providing 2297 medications; 412 were high risk. The most common reason for rejecting referrals was no medication in stock. Community pharmacists were positive about the provision of this service. The lean thinking transformation reduced the number of non-added value steps, waits and bottlenecks in the patient pathway. NHS 111 can redirect callers OOH from urgent and emergency care services to community pharmacy for management of emergency repeat medication supply. Existing IT and community pharmacy regulations allowed patients to receive a medication supply and pharmaceutical advice. Community pharmacists supported integration into the NHS OOH services. Adopting lean thinking provided a

  18. 42 CFR 410.26 - Services and supplies incident to a physician's professional services: Conditions.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... charge or included in the bill of a physician (or other practitioner). (4) Services and supplies must be... payable to a pharmacy/supplier as DME under section 1861(s)(6) of the Act. (c) Limitations. (1) Drugs and...)(ii). [51 FR 41339, Nov. 14, 1986, as amended at 66 FR 55328, Nov. 1, 2001; 67 FR 20684, Apr. 26, 2002...

  19. Obtaining P3P Privacy Policies for Composite Services

    PubMed Central

    Sun, Yi; Huang, Zhiqiu; Ke, Changbo

    2014-01-01

    With the development of web services technology, web services have changed from single to composite services. Privacy protection in composite services is becoming an important issue. P3P (platform for privacy preferences) is a privacy policy language which was designed for single web services. It enables service providers to express how they will deal with the privacy information of service consumers. In order to solve the problem that P3P cannot be applied to composite services directly, we propose a method to obtain P3P privacy policies for composite services. In this method, we present the definitions of Purpose, Recipient, and Retention elements as well as Optional and Required attributes for P3P policies of composite services. We also provide an instantiation to illustrate the feasibility of the method. PMID:25126609

  20. Obtaining P3P privacy policies for composite services.

    PubMed

    Sun, Yi; Huang, Zhiqiu; Ke, Changbo

    2014-01-01

    With the development of web services technology, web services have changed from single to composite services. Privacy protection in composite services is becoming an important issue. P3P (platform for privacy preferences) is a privacy policy language which was designed for single web services. It enables service providers to express how they will deal with the privacy information of service consumers. In order to solve the problem that P3P cannot be applied to composite services directly, we propose a method to obtain P3P privacy policies for composite services. In this method, we present the definitions of Purpose, Recipient, and Retention elements as well as Optional and Required attributes for P3P policies of composite services. We also provide an instantiation to illustrate the feasibility of the method.

  1. Customer Service Analysis of Tactical Air Command Base Level Supply Support

    DTIC Science & Technology

    1990-09-01

    function. A large number of respondents described customer service as an activity such as order processing , handling of complaints, or troubleshooting...thru 14 General Service .69 19 thru 28 Demeanor of Supply .86 Representatives 29 thru 36 Order Processing .82 37 thru 40 Order Cycle Time .84 41 thru...Representatives 23 thru 30 Order Processing .83 31 thru 34 Order Cycle Time .75 35 thru 39 Item Availability .80 40 thru 45 Responsiveness .86 Univariate

  2. Focusing Conservation Efforts on Ecosystem Service Supply May Increase Vulnerability of Socio-Ecological Systems

    PubMed Central

    Barral, Paula; Carmona, Alejandra; Nahuelhual, Laura

    2016-01-01

    Growing concern about the loss of ecosystem services (ES) promotes their spatial representation as a key tool for the internalization of the ES framework into land use policies. Paradoxically, mapping approaches meant to inform policy decisions focus on the magnitude and spatial distribution of the biophysical supply of ES, largely ignoring the social mechanisms by which these services influence human wellbeing. If social mechanisms affecting ES demand, enhancing it or reducing it, are taken more into account, then policies are more effective. By developing and applying a new mapping routine to two distinct socio-ecological systems, we show a strong spatial uncoupling between ES supply and socio-ecological vulnerability to the loss of ES, under scenarios of land use and cover change. Public policies based on ES supply might not only fail at detecting priority conservation areas for the wellbeing of human societies, but may also increase their vulnerability by neglecting areas of currently low, but highly valued ES supply. PMID:27167737

  3. Focusing Conservation Efforts on Ecosystem Service Supply May Increase Vulnerability of Socio-Ecological Systems.

    PubMed

    Laterra, Pedro; Barral, Paula; Carmona, Alejandra; Nahuelhual, Laura

    2016-01-01

    Growing concern about the loss of ecosystem services (ES) promotes their spatial representation as a key tool for the internalization of the ES framework into land use policies. Paradoxically, mapping approaches meant to inform policy decisions focus on the magnitude and spatial distribution of the biophysical supply of ES, largely ignoring the social mechanisms by which these services influence human wellbeing. If social mechanisms affecting ES demand, enhancing it or reducing it, are taken more into account, then policies are more effective. By developing and applying a new mapping routine to two distinct socio-ecological systems, we show a strong spatial uncoupling between ES supply and socio-ecological vulnerability to the loss of ES, under scenarios of land use and cover change. Public policies based on ES supply might not only fail at detecting priority conservation areas for the wellbeing of human societies, but may also increase their vulnerability by neglecting areas of currently low, but highly valued ES supply.

  4. Assessing rural small community water supply in Limpopo, South Africa: water service benchmarks and reliability.

    PubMed

    Majuru, Batsirai; Jagals, Paul; Hunter, Paul R

    2012-10-01

    Although a number of studies have reported on water supply improvements, few have simultaneously taken into account the reliability of the water services. The study aimed to assess whether upgrading water supply systems in small rural communities improved access, availability and potability of water by assessing the water services against selected benchmarks from the World Health Organisation and South African Department of Water Affairs, and to determine the impact of unreliability on the services. These benchmarks were applied in three rural communities in Limpopo, South Africa where rudimentary water supply services were being upgraded to basic services. Data were collected through structured interviews, observations and measurement, and multi-level linear regression models were used to assess the impact of water service upgrades on key outcome measures of distance to source, daily per capita water quantity and Escherichia coli count. When the basic system was operational, 72% of households met the minimum benchmarks for distance and water quantity, but only 8% met both enhanced benchmarks. During non-operational periods of the basic service, daily per capita water consumption decreased by 5.19l (p<0.001, 95% CI 4.06-6.31) and distances to water sources were 639 m further (p ≤ 0.001, 95% CI 560-718). Although both rudimentary and basic systems delivered water that met potability criteria at the sources, the quality of stored water sampled in the home was still unacceptable throughout the various service levels. These results show that basic water services can make substantial improvements to water access, availability, potability, but only if such services are reliable. Copyright © 2012 Elsevier B.V. All rights reserved.

  5. [Organization of the drug supply chain in state health services: potential consequences of the public-private mix].

    PubMed

    López-Moreno, Sergio; Martínez-Ojeda, Rosa Haydeé; López-Arellano, Oliva; Jarillo-Soto, Edgar; Castro-Albarrán, Juan Manuel

    2011-01-01

    To assess the consequences of private outsourcing on the overall supply and filling of prescriptions in state health services. The research was conducted using quantitative and qualitative techniques in 13 states. The information was collected through interviews and direct observation. The interviews were carried on staff of state health services related to the drug supply chain and users of health services. The quantitative approach examined the percentage of stocked full recipes in a sample of users. States that have opted for the fully outsourced model, and properly monitored this choice, have increased the supply of drugs to their users and guaranteed the supply in the care units in charge. Other states with the outsourced model have multiple problems: direct purchase of drugs not included in the basic drugs catalogue, failure of suppliers and shortage of supplies in the laboratories that provide the company. The main disadvantages identified in all models were: the subordination of the medical criteria to administrative criteria, insufficient planning based on local care needs, heterogeneous procedures, insufficient knowledge of regulations and lack of normativity. The results indicate that the incorporation of private providers in the drug supply chain may not be the solution to bring down the shortage faced by health services, especially at the hospital level. The shift to outsourcing models has developed without incorporating evaluation mechanisms and the consequences that this transition can have on state health systems must be investigated more deeply.

  6. 48 CFR 237.102-74 - Taxonomy for the acquisition of services, and supplies and equipment.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 48 Federal Acquisition Regulations System 3 2014-10-01 2014-10-01 false Taxonomy for the... CONTRACTING SERVICE CONTRACTING Service Contracts-General 237.102-74 Taxonomy for the acquisition of services, and supplies and equipment. See PGI 237.102-74 for further guidance on the taxonomy for the...

  7. 14 CFR 1261.607 - Obtaining the services of a hearing official.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 14 Aeronautics and Space 5 2010-01-01 2010-01-01 false Obtaining the services of a hearing official. 1261.607 Section 1261.607 Aeronautics and Space NATIONAL AERONAUTICS AND SPACE ADMINISTRATION PROCESSING OF MONETARY CLAIMS (GENERAL) Collection by Offset From Indebted Government Employees § 1261.607 Obtaining the services of a hearing official....

  8. On the Supply Chain Management Supported by E-Commerce Service Platform for Agreement based Circulation of Fruits and Vegetables

    NASA Astrophysics Data System (ADS)

    Bao, Liwei; Huang, Yuchi; Ma, Zengjun; Zhang, Jie; Lv, Qingchu

    According to analysis of the supply chain process of agricultural products, the IT application requirements of the market entities participating in the agreement based circulation of fruits and vegetables have been discussed. The strategy of supply chain management basing on E-commerce service platform for fruits and vegetables has been proposed in this paper. The architecture and function composing of the service platform have been designed and implemented. The platform is constructed on a set of application service modules User can choose some of the application service modules and define them according to the business process. The application service modules chosen and defined by user are integrated as an application service package and applied as management information system of business process. With the E-commerce service platform, the supply chain management for agreement based circulation of agricultural products of vegetables and fruits can be implemented.

  9. 42 CFR 405.2415 - Services and supplies incident to nurse practitioner, physician assistant, certified nurse...

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... practitioner, physician assistant, certified nurse midwife, clinical psychologist, or clinical social worker... nurse practitioner, physician assistant, certified nurse midwife, clinical psychologist, or clinical social worker services. (a) Services and supplies incident to a nurse practitioner, physician assistant...

  10. Service-Learning in Supply Chain Management: Benefits, Challenges and Best Practices

    ERIC Educational Resources Information Center

    Schoenherr, Tobias

    2015-01-01

    Service-learning (SL) is a pedagogical approach in which students are assigned a course-related project in a not-for-profit organization, and are tasked to apply course content to execute the project. While the benefits are multifarious, only recently have supply chain management (SCM) courses adapted this innovative teaching methodology. The…

  11. 48 CFR 801.603-71 - Representatives of contracting officers; receipt of equipment, supplies, and nonpersonal services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... contracting officers; receipt of equipment, supplies, and nonpersonal services. 801.603-71 Section 801.603-71... AFFAIRS ACQUISITION REGULATION SYSTEM Career Development, Contracting Authority, and Responsibilities 801.603-71 Representatives of contracting officers; receipt of equipment, supplies, and nonpersonal...

  12. Estimating the costs of the vaccine supply chain and service delivery for selected districts in Kenya and Tanzania.

    PubMed

    Mvundura, Mercy; Lorenson, Kristina; Chweya, Amos; Kigadye, Rosemary; Bartholomew, Kathryn; Makame, Mohammed; Lennon, T Patrick; Mwangi, Steven; Kirika, Lydia; Kamau, Peter; Otieno, Abner; Murunga, Peninah; Omurwa, Tom; Dafrossa, Lyimo; Kristensen, Debra

    2015-05-28

    Having data on the costs of the immunization system can provide decision-makers with information to benchmark the costs when evaluating the impact of new technologies or programmatic innovations. This paper estimated the supply chain and immunization service delivery costs and cost per dose in selected districts in Kenya and Tanzania. We also present operational data describing the supply chain and service delivery points (SDPs). To estimate the supply chain costs, we collected resource-use data for the cold chain, distribution system, and health worker time and per diems paid. We also estimated the service delivery costs, which included the time cost of health workers to provide immunization services, and per diems and transport costs for outreach sessions. Data on the annual quantities of vaccines distributed to each facility, and the occurrence and duration of stockouts were collected from stock registers. These data were collected from the national store, 2 regional and 4 district stores, and 12 SDPs in each country for 2012. Cost per dose for the supply chain and immunization service delivery were estimated. The average annual costs per dose at the SDPs were $0.34 (standard deviation (s.d.) $0.18) for Kenya when including only the vaccine supply chain costs, and $1.33 (s.d. $0.82) when including immunization service delivery costs. In Tanzania, these costs were $0.67 (s.d. $0.35) and $2.82 (s.d. $1.64), respectively. Both countries experienced vaccine stockouts in 2012, bacillus Calmette-Guérin vaccine being more likely to be stocked out in Kenya, and oral poliovirus vaccine in Tanzania. When stockouts happened, they usually lasted for at least one month. Tanzania made investments in 2011 in preparation for planned vaccine introductions, and their supply chain cost per dose is expected to decline with the new vaccine introductions. Immunization service delivery costs are a significant portion of the total costs at the SDPs. Copyright © 2015 Elsevier Ltd. All

  13. The Effect of Supply Disruptions on Customer Service Levels: a Case for Delivering Fertilizer Products using Maritime Transportation

    NASA Astrophysics Data System (ADS)

    Siswanto, N.; Kurniawati, U.; Wiratno, S. E.; Rusdiansyah, A.

    2018-04-01

    Delivering a product to customers can have a series of activities. It starts with the production of the product and then transporting it to the customers. However, uncontrollable and undesirable chance of disruption can occur during the delivery either at the production facility/supply side or in the process of transporting the product. Many researches has been conducting in the process of delivering the product. However not many considers these disruptions, although the disruptions has negative impacts on company such as reduce the profit, produce unbalanced inventory, and affect its reputation. This research will focus on the effect of supply disruption on customer service levels in the maritime transportation problem in order to maintain inventory level both in the supply and destination warehouses during predetermined planning horizon. The system considered consists of one loading port and two discharge ports for distributing one product. By using discrete event simulation, the result showed that supply disruption affects unbalanced inventory in the destination warehouses so that it will also influence company’s service level. The results show that there is a significant decreasing both in delivery service level, about 14%, and production service level, about 15% when the disruption occurs. A scenario to increase production rate is simulated to improved the service level.

  14. 77 FR 5009 - Power Supply Services LLC; Supplemental Notice That Initial Market-Based Rate Filing Includes...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-01

    ... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Docket No. ER12-862-000] Power Supply Services LLC; Supplemental Notice That Initial Market-Based Rate Filing Includes Request for Blanket Section 204 Authorization This is a supplemental notice in the above-referenced proceeding of Power Supply...

  15. 38 CFR 62.33 - Supportive service: Assistance in obtaining and coordinating other public benefits.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... pharmaceuticals, supplies, equipment, devices, appliances, and assistive technology. (b) Daily living services...) Child care, which includes the: (1) Referral of a participant, as appropriate, to an eligible child care provider that provides child care with sufficient hours of operation and serves appropriate ages, as needed...

  16. 38 CFR 62.33 - Supportive service: Assistance in obtaining and coordinating other public benefits.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... pharmaceuticals, supplies, equipment, devices, appliances, and assistive technology. (b) Daily living services...) Child care, which includes the: (1) Referral of a participant, as appropriate, to an eligible child care provider that provides child care with sufficient hours of operation and serves appropriate ages, as needed...

  17. 38 CFR 62.33 - Supportive service: Assistance in obtaining and coordinating other public benefits.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... pharmaceuticals, supplies, equipment, devices, appliances, and assistive technology. (b) Daily living services...) Child care, which includes the: (1) Referral of a participant, as appropriate, to an eligible child care provider that provides child care with sufficient hours of operation and serves appropriate ages, as needed...

  18. 38 CFR 62.33 - Supportive service: Assistance in obtaining and coordinating other public benefits.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... pharmaceuticals, supplies, equipment, devices, appliances, and assistive technology. (b) Daily living services...) Child care, which includes the: (1) Referral of a participant, as appropriate, to an eligible child care provider that provides child care with sufficient hours of operation and serves appropriate ages, as needed...

  19. 42 CFR 410.27 - Therapeutic outpatient hospital or CAH services and supplies incident to a physician's or...

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 2 2013-10-01 2013-10-01 false Therapeutic outpatient hospital or CAH services and supplies incident to a physician's or nonphysician practitioner's service: Conditions. 410.27 Section 410.27 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES...

  20. 42 CFR 410.27 - Therapeutic outpatient hospital or CAH services and supplies incident to a physician's or...

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 2 2012-10-01 2012-10-01 false Therapeutic outpatient hospital or CAH services and supplies incident to a physician's or nonphysician practitioner's service: Conditions. 410.27 Section 410.27 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES...

  1. 42 CFR 410.27 - Therapeutic outpatient hospital or CAH services and supplies incident to a physician's or...

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 2 2014-10-01 2014-10-01 false Therapeutic outpatient hospital or CAH services and supplies incident to a physician's or nonphysician practitioner's service: Conditions. 410.27 Section 410.27 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES...

  2. Distributor- Retailer Interface in Pharmaceutical Supply Chain: Service Quality Measurement Scale.

    PubMed

    Mehralian, Gholamhossein; Babapour, Jafar; Peiravian, Farzad

    2016-01-01

    In the current competitive market, service quality management is the key to the survival and success of businesses. SERVQUAL is a popular service quality measurement scale (SQMS) that has served as a basis for subsequent research on service quality; it has been used for testing different aspects of service quality in a market. The purpose of our study is, therefore, to develop a service quality measurement scale (SQMS) for the distributor-retailer interface of Pharm supply chains (PSC) in Iran. A survey was performed to collect data from pharmacies located in Tehran. A valid and reliable questionnaire delivered to pharmacies, and 400 pharmacies were intended to participate in our survey. Confirmatory factor analysis (CFA) was used to develop an SQMS in this study. Sufficient sampling was undertaken to do CFA. Consistent with other service quality studies, this Res developed an SQMS with five dimensions and 20 items for PSC, and contributes to mangers to regularly measure service quality. This is an initial study to develop a framework for measuring service quality in Iranian PCS. The framework can be used effectively to achieve competitive advantage at the distributor-retailer interface.

  3. Distributor– Retailer Interface in Pharmaceutical Supply Chain: Service Quality Measurement Scale

    PubMed Central

    Mehralian, Gholamhossein; Babapour, Jafar; peiravian, farzad

    2016-01-01

    In the current competitive market, service quality management is the key to the survival and success of businesses. SERVQUAL is a popular service quality measurement scale (SQMS) that has served as a basis for subsequent research on service quality; it has been used for testing different aspects of service quality in a market. The purpose of our study is, therefore, to develop a service quality measurement scale (SQMS) for the distributor–retailer interface of Pharm supply chains (PSC) in Iran. A survey was performed to collect data from pharmacies located in Tehran. A valid and reliable questionnaire delivered to pharmacies, and 400 pharmacies were intended to participate in our survey. Confirmatory factor analysis (CFA) was used to develop an SQMS in this study. Sufficient sampling was undertaken to do CFA. Consistent with other service quality studies, this Res developed an SQMS with five dimensions and 20 items for PSC, and contributes to mangers to regularly measure service quality. This is an initial study to develop a framework for measuring service quality in Iranian PCS. The framework can be used effectively to achieve competitive advantage at the distributor–retailer interface. PMID:28243297

  4. Evaluating the green practice of food service supply chain management based on fuzzy DEMATEL-ANP model

    NASA Astrophysics Data System (ADS)

    Li, Xiaoying; Zhu, Qinghua

    2017-01-01

    The question on how to evaluate a company's green practice has recently become a key strategic consideration for the food service supply chain management. This paper proposed a novel hybrid model that combines a fuzzy Decision Making Trial And Evaluation Laboratory(DEMATEL) and Analysis Network Process(ANP) methods, which developed the green restaurant criteria and demonstrated the complicated relations among various criteria to help the food service operation to better analyze the real-world situation and determine the different weight value of the criteria .The analysis of the evaluation of green practices will help the food service operation to be clear about the key measures of green practice to improve supply chain management.

  5. Redundancy of Supply in the International Nuclear Fuel Fabrication Market: Are Fabrication Services Assured?

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

    Seward, Amy M.; Toomey, Christopher; Ford, Benjamin E.

    2011-11-14

    For several years, Pacific Northwest National Laboratory (PNNL) has been assessing the reliability of nuclear fuel supply in support of the U.S. Department of Energy/National Nuclear Security Administration. Three international low enriched uranium reserves, which are intended back up the existing and well-functioning nuclear fuel market, are currently moving toward implementation. These backup reserves are intended to provide countries credible assurance that of the uninterrupted supply of nuclear fuel to operate their nuclear power reactors in the event that their primary fuel supply is disrupted, whether for political or other reasons. The efficacy of these backup reserves, however, may bemore » constrained without redundant fabrication services. This report presents the findings of a recent PNNL study that simulated outages of varying durations at specific nuclear fuel fabrication plants. The modeling specifically enabled prediction and visualization of the reactors affected and the degree of fuel delivery delay. The results thus provide insight on the extent of vulnerability to nuclear fuel supply disruption at the level of individual fabrication plants, reactors, and countries. The simulation studies demonstrate that, when a reasonable set of qualification criteria are applied, existing fabrication plants are technically qualified to provide backup fabrication services to the majority of the world's power reactors. The report concludes with an assessment of the redundancy of fuel supply in the nuclear fuel market, and a description of potential extra-market mechanisms to enhance the security of fuel supply in cases where it may be warranted. This report is an assessment of the ability of the existing market to respond to supply disruptions that occur for technical reasons. A forthcoming report will address political disruption scenarios.« less

  6. 25 CFR 170.167 - How does a tribe obtain services from an Indian LTAP center?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 25 Indians 1 2010-04-01 2010-04-01 false How does a tribe obtain services from an Indian LTAP... Local Technical Assistance Program § 170.167 How does a tribe obtain services from an Indian LTAP center? A tribe that wants to obtain services should contact the Indian LTAP center serving its service area...

  7. Optometry services in Ontario: supply - and demand-side factors from 2011 to 2036.

    PubMed

    Leonard, Philip Sj; Sweetman, Arthur; Zhang, Xue Helen

    2014-01-01

    Optometric labour market projections are provided. First, population growth and ageing-based estimates of the rate of increase of eye-care services in Ontario from 2011 to 2$ are presented, holding the age-sex structure of utilization constant. Then, using data on the 2011 supply and working hours of Ontario's optometrists, the number of optometrists needed to keep the level of optometric services per age-sex-adjusted person comparable over time is estimated. The projections suggest that the number of Ontario optometrists should grow by approximately 30-40 full-time equivalents per year; to offset retirements and account for decreasing work hours, this suggests 77-90 new practitioners are required each year. However, in recent years, the number of Ontario optometrists has been growing faster than this, suggesting either that demand has exceeded supply and/or surpluses will accumulate if this trend continues. Copyright © 2014 Longwoods Publishing.

  8. Ecosystem service information to benefit sustainability standards for commodity supply chains.

    PubMed

    Chaplin-Kramer, Rebecca; Jonell, Malin; Guerry, Anne; Lambin, Eric F; Morgan, Alexis J; Pennington, Derric; Smith, Nathan; Franch, Jane Atkins; Polasky, Stephen

    2015-10-01

    The growing base of information about ecosystem services generated by ecologists, economists, and other scientists could improve the implementation, monitoring, and evaluation of commodity-sourcing standards being adopted by corporations to mitigate risk in their supply chains and achieve sustainability goals. This review examines various ways that information about ecosystem services could facilitate compliance with and auditing of commodity-sourcing standards. We also identify gaps in the current state of knowledge on the ecological effectiveness of sustainability standards and demonstrate how ecosystem-service information could complement existing monitoring efforts to build credible evidence. This paper is a call to the ecosystem-service scientists to engage in this decision context and tailor the information they are generating to the needs of the standards community, which we argue would offer greater efficiency of standards implementation for producers and enhanced effectiveness for standard scheme owners and corporations, and should thus lead to more sustainable outcomes for people and nature. © 2015 New York Academy of Sciences.

  9. Linking ecosystem service supply to stakeholder concerns on ...

    EPA Pesticide Factsheets

    Policies to protect coastal resources may lead to greater social, economic, and ecological returns when they consider potential co-benefits and trade-offs on land. In Guánica Bay watershed, Puerto Rico, a watershed management plan is being implemented to restore declining quality of coral reefs due to sediment and nutrient runoff. However, recent stakeholder workshops indicated uncertainty about benefits for the local community. A total of 19 metrics were identified to capture stakeholder concerns, including 15 terrestrial ecosystem services in the watershed and 4 metrics in the coastal zone. Ecosystem service production functions were applied to quantify and map ecosystem service supply in 1) the Guánica Bay watershed and 2) a highly engineered upper multi-watershed area connected to the lower watershed via a series of reservoirs and tunnels. These two watersheds were compared to other watersheds in Puerto Rico. Relative to other watersheds, the Upper Guánica watershed had high air pollutant removal rates, forest habitat area, biodiversity of charismatic and endangered species, but low farmland quality and low sediment retention. The Lower Guánica watershed had high rates of denitrification and high levels of marine-based recreational and fishing opportunities compared to other watersheds, but moderate to low air pollutant removal, soil carbon content, sediment and nutrient retention, and terrestrial biodiversity. Our results suggest that actions in the wat

  10. Obtaining Federal Money for Children's Services: Financing Services for Children through Title XX and Other Programs. Manual 2.

    ERIC Educational Resources Information Center

    Copeland, William C.

    This is the second manual of a 4-part series on how to find, obtain, contract for and manage Federal money for children's services. This manual discusses how to put together a services concept, how to organize to obtain federal money and how to relate to the state's or county's planning, budgeting and appropriations cycle. Emphasis is on Title XX…

  11. The Analysis of Basic Public Service Supply Regional Equalization in China’s Provinces——Based on the Theil Index Evaluation

    NASA Astrophysics Data System (ADS)

    Liao, Zangyi

    2017-12-01

    Accomplishing the regional equalization of basic public service supply among the provinces in China is an important objective that can promote the people’s livelihood construction. In order to measure the problem which is about the non-equalization of basic public service supply, this paper takes these aspects as the first index, such as the infrastructure construction, basic education services, public employment services, public health service and social security service. At the same time, it cooperates with 16 index as the second index to construct the performance evaluation systems, and then use the Theil index to evaluate the performance in provinces that using the panel data from the year 2000 to 2012.

  12. Monitoring Changes of Ecosystem Services Supply and Demand Pattern in Central and Southern Liaoning Urban Agglomerations, China Using Landsat Images

    NASA Astrophysics Data System (ADS)

    Li, B.; Huang, F.; Chang, S.; Qi, H.; Zhai, H.

    2018-04-01

    Indentifying the spatio-temporal patterns of ecosystem services supply and demand and the driving forces is of great significance to the regional ecological security and sustainable socio-economic development. Due to long term and high-intensity development, the ecological environment in central and southern Liaoning urban agglomerations has been greatly destroyed thereafter has restricted sustainable development in this region. Based on Landsat ETM and OLI images, land use of this urban agglomeration in 2005, 2010 and 2015 was extracted. The integrative index of multiple-ecosystem services (IMES) was used to quantify the supply (IMESs), demand (IMESd) and balance (IMESb) of multiple-ecosystem services, The spatial patterns of ecosystem services and its dynamics for the period of 2005-2015 were revealed. The multiple regression and stepwise regression analysis were used to explore relationships between ecosystem services and socioeconomic factors. The results showed that the IMESs of the region increased by 2.93 %, whereas IMESd dropped 38 %. The undersupplied area was reduced to 2. The IMESs and IMESb were mainly negatively correlated with gross domestic product (GDP), population density, foreign investment and industrial output, while GDP per capita and the number of teachers had significant positive impacts on ecosystem services supply. The positive correlation between IMESd and GDP, population density and foreign investment were found. The ecosystem services models were established. Supply and balance of multiple-ecosystem services were positively correlated with population density, but the demand was the opposite. The results can provide some reference value for the coordinately economic and ecological development in the study area.

  13. 48 CFR 52.208-9 - Contractor Use of Mandatory Sources of Supply or Services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... by the Committee for Purchase From People Who Are Blind or Severely Disabled (the Committee) under... mandatory source is unsatisfactory. The Contractor shall not purchase the supplies or services from other... central nonprofit agency has authorized purchase from other sources. (c) Price and delivery information...

  14. Public Attitudes towards Socio-Cultural Aspects of Water Supply and Sanitation Services: Palestine as a Case Study

    ERIC Educational Resources Information Center

    Haddad, Marwan

    2005-01-01

    Identifying and considering public attitudes towards various aspects of water supply and sanitation services by planners and decision makers represent an important developmental element relating to the quality, efficiency, and performance of those services. A sample of 1000 Palestinian adults completed a questionnaire assessing attitudes towards…

  15. Patient and carer experience of obtaining regular prescribed medication for chronic disease in the English National Health Service: a qualitative study

    PubMed Central

    2013-01-01

    Background The increasing burden of chronic disease is recognised globally. Within the English National Health Service, patients with chronic disease comprise of half of all consultations in primary care, and 70% of inpatient bed days. The cost of prescribing long-term medications for those with physical chronic diseases is rising and there is a drive to reduce medicine wastage and costs. While current policies in England are focused on the latter, there has been little previous research on patient experience of ordering and obtaining regular medication for their chronic disease. This paper presents findings from England of a qualitative study and survey of patients and their carers’ experiences of community and primary care based services for physical chronic diseases. Although not the primary focus of the study, the results highlighted particular issues around service delivery of repeat prescriptions. Methods We conducted 21 qualitative in-depth interviews with 30 patients and family carers’ in two Primary Care Trusts in England. Participants were receiving community based care for diabetes, respiratory, neurological or complex co-morbidities, and ranged in age from 39–92 years old. We used a broadly inductive approach to enable themes around patient experience to emerge from the data. Results While the study sought to gain an overview of patient experience, the findings suggested that the processes associated with ordering and obtaining regular medication – the repeat prescription, was most frequently described as a recurring hassle of managing a long-term condition. Issues for patients and carers included multiple journeys to the surgery and pharmacy, lack of synchrony and dissatisfaction with the length of prescriptions. Conclusion Much literature exists around medication waste and cost, which led to encouragement from the NHS in England to reduce dosage units to a 28-day supply. While there has been an acknowledgement that longer supplies may be

  16. [The role of supply-side characteristics of services in AIDS mortality in Mexico].

    PubMed

    Bautista-Arredondo, Sergio; Serván-Mori, Edson; Silverman-Retana, Omar; Contreras-Loya, David; Romero-Martínez, Martín; Magis-Rodríguez, Carlos; Uribe-Zúñiga, Patricia; Lozano, Rafael

    2015-01-01

    To document the association between supply-side determinants and AIDS mortality in Mexico between 2008 and 2013. We analyzed the SALVAR database (system for antiretroviral management, logistics and surveillance) as well as data collected through a nationally representative survey in health facilities. We used multivariate logit regression models to estimate the association between supply-side characteristics, namely management, training and experience of health care providers, and AIDS mortality, distinguishing early and non-early mortality and controlling for clinical indicators of the patients. Clinic status of the patients (initial CD4 and viral load) explain 44.4% of the variability of early mortality across clinics and 13.8% of the variability in non-early mortality. Supply-side characteristics increase explanatory power of the models by 16% in the case of early mortality, and 96% in the case of non-early mortality. Aspects of management and implementation of services contribute significantly to explain AIDS mortality in Mexico. Improving these aspects of the national program, can similarly improve its results.

  17. Comparing Bioenergy Production Sites in the Southeastern US Regarding Ecosystem Service Supply and Demand

    PubMed Central

    Meyer, Markus A.; Chand, Tanzila; Priess, Joerg A.

    2015-01-01

    Biomass for bioenergy is debated for its potential synergies or tradeoffs with other provisioning and regulating ecosystem services (ESS). This biomass may originate from different production systems and may be purposefully grown or obtained from residues. Increased concerns globally about the sustainable production of biomass for bioenergy has resulted in numerous certification schemes focusing on best management practices, mostly operating at the plot/field scale. In this study, we compare the ESS of two watersheds in the southeastern US. We show the ESS tradeoffs and synergies of plantation forestry, i.e., pine poles, and agricultural production, i.e., wheat straw and corn stover, with the counterfactual natural or semi-natural forest in both watersheds. The plantation forestry showed less distinct tradeoffs than did corn and wheat production, i.e., for carbon storage, P and sediment retention, groundwater recharge, and biodiversity. Using indicators of landscape composition and configuration, we showed that landscape planning can affect the overall ESS supply and can partly determine if locally set environmental thresholds are being met. Indicators on landscape composition, configuration and naturalness explained more than 30% of the variation in ESS supply. Landscape elements such as largely connected forest patches or more complex agricultural patches, e.g., mosaics with shrub and grassland patches, may enhance ESS supply in both of the bioenergy production systems. If tradeoffs between biomass production and other ESS are not addressed by landscape planning, it may be reasonable to include rules in certification schemes that require, e.g., the connectivity of natural or semi-natural forest patches in plantation forestry or semi-natural landscape elements in agricultural production systems. Integrating indicators on landscape configuration and composition into certification schemes is particularly relevant considering that certification schemes are governance

  18. Guide to Effective Business Practices in Buying School Supplies, Instructional Materials, Equipment and Services.

    ERIC Educational Resources Information Center

    Association of School Business Officials International, Reston, VA.

    This guide to effective business practices is intended to assist schools in establishing general policies and procedures for buying supplies, instructional materials, equipment, and services. Federal, state, and local laws must be considered in addition to the recommendations made in this report. Practical guidelines are given for selecting…

  19. 41 CFR 301-73.301 - How do we obtain travel payment system services?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... payment system services? 301-73.301 Section 301-73.301 Public Contracts and Property Management Federal... PROGRAMS Travel Payment System § 301-73.301 How do we obtain travel payment system services? You may participate in GSA's or another Federal agency's travel payment system services program or you may contract...

  20. Advancing the application of systems thinking in health: provider payment and service supply behaviour and incentives in the Ghana National Health Insurance Scheme--a systems approach.

    PubMed

    Agyepong, Irene A; Aryeetey, Geneieve C; Nonvignon, Justice; Asenso-Boadi, Francis; Dzikunu, Helen; Antwi, Edward; Ankrah, Daniel; Adjei-Acquah, Charles; Esena, Reuben; Aikins, Moses; Arhinful, Daniel K

    2014-08-05

    Assuring equitable universal access to essential health services without exposure to undue financial hardship requires adequate resource mobilization, efficient use of resources, and attention to quality and responsiveness of services. The way providers are paid is a critical part of this process because it can create incentives and patterns of behaviour related to supply. The objective of this work was to describe provider behaviour related to supply of health services to insured clients in Ghana and the influence of provider payment methods on incentives and behaviour. A mixed methods study involving grey and published literature reviews, as well as health management information system and primary data collection and analysis was used. Primary data collection involved in-depth interviews, observations of time spent obtaining service, prescription analysis, and exit interviews with clients. Qualitative data was analysed manually to draw out themes, commonalities, and contrasts. Quantitative data was analysed in Excel and Stata. Causal loop and cause tree diagrams were used to develop a qualitative explanatory model of provider supply incentives and behaviour related to payment method in context. There are multiple provider payment methods in the Ghanaian health system. National Health Insurance provider payment methods are the most recent additions. At the time of the study, the methods used nationwide were the Ghana Diagnostic Related Groupings payment for services and an itemized and standardized fee schedule for medicines. The influence of provider payment method on supply behaviour was sometimes intuitive and sometimes counter intuitive. It appeared to be related to context and the interaction of the methods with context and each other rather than linearly to any given method. As countries work towards Universal Health Coverage, there is a need to holistically design, implement, and manage provider payment methods reforms from systems rather than linear

  1. Introduction of water footprint assessment approach to enhance water supply management in Malaysia

    NASA Astrophysics Data System (ADS)

    Moni, Syazwan N.; Aziz, Edriyana A.; Malek, M. A.

    2017-10-01

    Presently, Water Footprint (WF) Approach has been used to assess the sustainability of a product's chain globally but is lacking in the services sector. Thus, this paper aims to introduce WF assessment as a technical approach to determine the sustainability of water supply management for the typical water supply treatment process (WSTP) used in Malaysia. Water supply is one of the pertinent services and most of WF accounting begins with data obtained from the water supply treatment plant. Therefore, the amount of WF will be accounted for each process of WSTP in order to determine the water utilization for the whole process according to blue, green and grey WF. Hence, the exact amount of water used in the process can be measured by applying this accounting method to assess the sustainability of water supply management in Malaysia. Therefore, the WF approach in assessing sustainability of WSTP could be implemented.

  2. A revealed preference approach to estimating supply curves for ecosystem services: use of auctions to set payments for soil erosion control in Indonesia.

    PubMed

    Jack, B Kelsey; Leimona, Beria; Ferraro, Paul J

    2009-04-01

    To supply ecosystem services, private landholders incur costs. Knowledge of these costs is critical for the design of conservation-payment programs. Estimating these costs accurately is difficult because the minimum acceptable payment to a potential supplier is private information. We describe how an auction of payment contracts can be designed to elicit this information during the design phase of a conservation-payment program. With an estimate of the ecosystem-service supply curve from a pilot auction, conservation planners can explore the financial, ecological, and socioeconomic consequences of alternative scaled-up programs. We demonstrate the potential of our approach in Indonesia, where soil erosion on coffee farms generates downstream ecological and economic costs. Bid data from a small-scale, uniform-price auction for soil-conservation contracts allowed estimates of the costs of a scaled-up program, the gain from integrating biophysical and economic data to target contracts, and the trade-offs between poverty alleviation and supply of ecosystem services. Our study illustrates an auction-based approach to revealing private information about the costs of supplying ecosystem services. Such information can improve the design of programs devised to protect and enhance ecosystem services.

  3. 48 CFR 6.302-1 - Only one responsible source and no other supplies or services will satisfy agency requirements.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... REQUIREMENTS Other Than Full and Open Competition 6.302-1 Only one responsible source and no other supplies or... sources, and no other type of supplies or services will satisfy agency requirements, full and open... capabilities. (2) The existence of limited rights in data, patent rights, copyrights, or secret processes; the...

  4. The Supply of Physician Services in OECD Countries. OECD Health Working Papers, No. 21

    ERIC Educational Resources Information Center

    Simoens, Steven; Hurst, Jeremy

    2006-01-01

    The delivery of an appropriate quantity and quality of health care in an efficient way requires, among other things, matching the supply with the demand for the services of physicians, over time. Such matching has led to very different levels of physicians per million population across OECD countries--because of variations, among other things,…

  5. An Extended Petri-Net Based Approach for Supply Chain Process Enactment in Resource-Centric Web Service Environment

    NASA Astrophysics Data System (ADS)

    Wang, Xiaodong; Zhang, Xiaoyu; Cai, Hongming; Xu, Boyi

    Enacting a supply-chain process involves variant partners and different IT systems. REST receives increasing attention for distributed systems with loosely coupled resources. Nevertheless, resource model incompatibilities and conflicts prevent effective process modeling and deployment in resource-centric Web service environment. In this paper, a Petri-net based framework for supply-chain process integration is proposed. A resource meta-model is constructed to represent the basic information of resources. Then based on resource meta-model, XML schemas and documents are derived, which represent resources and their states in Petri-net. Thereafter, XML-net, a high level Petri-net, is employed for modeling control and data flow of process. From process model in XML-net, RESTful services and choreography descriptions are deduced. Therefore, unified resource representation and RESTful services description are proposed for cross-system integration in a more effective way. A case study is given to illustrate the approach and the desirable features of the approach are discussed.

  6. 48 CFR 6.302-1 - Only one responsible source and no other supplies or services will satisfy agency requirements.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... REQUIREMENTS Other Than Full and Open Competition 6.302-1 Only one responsible source and no other supplies or... sources, and no other type of supplies or services will satisfy agency requirements, full and open... from the original source in the case of a follow-on contract for the continued development or...

  7. [The use of the new loads of expendable medical supplies by the medical service of the Armed Forces].

    PubMed

    Miroshnichenko, Iu V; Bunin, S A; Grebeniuk, A N; Kononov, V N; Sidorov, D A

    2014-09-01

    The new loads of expendable medical supplies adopted by the Armed Forces of the Russian Federation and included into regulating documents are the most important elements of the authorized equipment system. Nine loads of expendable medical supplies, combined into two classification groups, are provided for the medical service. The use of these loads improves the effectiveness of medical supply for all stages of medical evacuation, medical continuity during medical and evacuation procedures and allows to deliver medical aid to patients on the basis of modern and innovative medical technologies.

  8. Patterns of ecosystem services supply across farm properties: Implications for ecosystem services-based policy incentives.

    PubMed

    Nahuelhual, Laura; Benra, Felipe; Laterra, Pedro; Marin, Sandra; Arriagada, Rodrigo; Jullian, Cristobal

    2018-09-01

    In developing countries, the protection of biodiversity and ecosystem services (ES) rests on the hands of millions of small landowners that coexist with large properties, in a reality of highly unequal land distribution. Guiding the effective allocation of ES-based incentives in such contexts requires researchers and practitioners to tackle a largely overlooked question: for a given targeted area, will single large farms or several small ones provide the most ES supply? The answer to this question has important implications for conservation planning and rural development alike, which transcend efficiency to involve equity issues. We address this question by proposing and testing ES supply-area relations (ESSARs) around three basic hypothesized models, characterized by constant (model 1), increasing (model 2), and decreasing increments (model 3) of ES supply per unit of area or ES "productivity". Data to explore ESSARs came from 3384 private landholdings located in southern Chile ranging from 0.5ha to over 30,000ha and indicators of four ES (forage, timber, recreation opportunities, and water supply). Forage provision best fit model 3, which suggests that targeting several small farms to provide this ES should be a preferred choice, as compared to a single large farm. Timber provision best fit model 2, suggesting that in this case targeting a single large farm would be a more effective choice. Recreation opportunities best fit model 1, which indicates that several small or a single large farm of a comparable size would be equally effective in delivering this ES. Water provision fit model 1 or model 2 depending on the study site. The results corroborate that ES provision is not independent from property area and therefore understanding ESSARs is a necessary condition for setting conservation incentives that are both efficient (deliver the highest conservation outcome at the least cost) and fair for landowners. Copyright © 2018 Elsevier B.V. All rights reserved.

  9. Advancing the application of systems thinking in health: provider payment and service supply behaviour and incentives in the Ghana National Health Insurance Scheme – a systems approach

    PubMed Central

    2014-01-01

    Background Assuring equitable universal access to essential health services without exposure to undue financial hardship requires adequate resource mobilization, efficient use of resources, and attention to quality and responsiveness of services. The way providers are paid is a critical part of this process because it can create incentives and patterns of behaviour related to supply. The objective of this work was to describe provider behaviour related to supply of health services to insured clients in Ghana and the influence of provider payment methods on incentives and behaviour. Methods A mixed methods study involving grey and published literature reviews, as well as health management information system and primary data collection and analysis was used. Primary data collection involved in-depth interviews, observations of time spent obtaining service, prescription analysis, and exit interviews with clients. Qualitative data was analysed manually to draw out themes, commonalities, and contrasts. Quantitative data was analysed in Excel and Stata. Causal loop and cause tree diagrams were used to develop a qualitative explanatory model of provider supply incentives and behaviour related to payment method in context. Results There are multiple provider payment methods in the Ghanaian health system. National Health Insurance provider payment methods are the most recent additions. At the time of the study, the methods used nationwide were the Ghana Diagnostic Related Groupings payment for services and an itemized and standardized fee schedule for medicines. The influence of provider payment method on supply behaviour was sometimes intuitive and sometimes counter intuitive. It appeared to be related to context and the interaction of the methods with context and each other rather than linearly to any given method. Conclusions As countries work towards Universal Health Coverage, there is a need to holistically design, implement, and manage provider payment methods reforms

  10. Health supply chain management.

    PubMed

    Zimmerman, Rolf; Gallagher, Pat

    2010-01-01

    This chapter gives an educational overview of: * The actual application of supply chain practice and disciplines required for service delivery improvement within the current health environment. * A rationale for the application of Supply Chain Management (SCM) approaches to the Health sector. * The tools and methods available for supply chain analysis and benchmarking. * Key supply chain success factors.

  11. 47 CFR 54.615 - Obtaining services.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... mobile rural health care provider requesting services under § 54.609(e), that the requester has certified... requested service or services will not be sold, resold or transferred in consideration of money or any other...

  12. 47 CFR 54.615 - Obtaining services.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... mobile rural health care provider requesting services under § 54.609(e), that the requester has certified... requested service or services will not be sold, resold or transferred in consideration of money or any other...

  13. Designing a reproductive health services package in the universal health insurance scheme in Thailand: match and mismatch of need, demand and supply.

    PubMed

    Teerawattananon, Yot; Tangcharoensathien, Viroj

    2004-10-01

    In October 2001 Thailand introduced universal healthcare coverage (UC) financed by general tax revenue. This paper aims to assess the design and content of the UC benefit package, focusing on the part of the package concerned with sexual and reproductive health (SRH). The economic concept of need, demand and supply in the process of developing the SRH package was applied to the analysis. The analysis indicated that SRH constitutes a major part of the package, including the control of communicable and non-communicable diseases, the promotion and maintenance of reproductive health, and early detection and management of reproductive health problems. In addition, the authors identified seven areas within three overlapping spheres; namely need, demand and supply. The burden of disease on reproductive conditions was used as a proxy indicator of health needs in the population; the findings of a study of private obstetric practice in public hospitals as a proxy of patients' demands; and the SRH services offered in the UC package as a proxy of general healthcare supply. The authors recommend that in order to ensure that healthcare needs match consumer demand, the inclusion of SRH services not currently offered in the package (e.g. treatment of HIV infection, abortion services) should be considered, if additional resources can be made available. Where health needs exist but consumers do not express demand, and the appropriate SRH services would provide external benefits to society (e.g. the programme for prevention of sexual and gender-related violence), policymakers are encouraged to expand and offer these services. Efforts should be made to create consumer awareness and stimulate demand. Research can play an important role in identifying the services in which supply matches demand but does not necessarily reflect the health needs of the population (e.g. unnecessary investigations and prescriptions). Where only demand or supply exists (e.g. breast cosmetic procedures and

  14. Disconnection: the user voice within the wound dressing supply chain.

    PubMed

    Campling, Natasha; Grocott, Patricia; Cowley, Sarah

    2008-03-01

    This study examined the user voice in England's National Health Service (NHS) wound dressing supply chain. The impetus for this work came from involvement in a collaboration between industry and clinicians, entitled Woundcare Research for Appropriate Products. Experiences from that study highlighted the notable absence of research about the impact of the supply chain on the users of dressings. Interview data are presented following an outline of the grounded theory method used. These data were obtained from key stakeholders (n = 41) within the wound dressing supply chain such as nurses, manufacturers, distributors, professional organizations, government organizations and user groups. The consequences of supply disconnection revealed haphazard supply, unmet user needs and lack of information transfer between player groups. These consequences explain the lack of user voice in the supply chain and have far-reaching implications for nursing management, through purchasing decisions and nurses' management of wound care.

  15. 48 CFR 253.213-70 - Completion of DD Form 1155, Order for Supplies or Services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 3 2010-10-01 2010-10-01 false Completion of DD Form 1155... Forms 253.213-70 Completion of DD Form 1155, Order for Supplies or Services. Follow the procedures at PGI 253.213-70 for completion of DD Form 1155. [71 FR 3413, Jan. 23, 2006] ...

  16. 48 CFR 247.573-1 - Ocean transportation incidental to a contract for supplies, services, or construction.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 48 Federal Acquisition Regulations System 3 2012-10-01 2012-10-01 false Ocean transportation... MANAGEMENT TRANSPORTATION Ocean Transportation by U.S.-Flag Vessels 247.573-1 Ocean transportation incidental to a contract for supplies, services, or construction. (a) This subsection applies when ocean...

  17. 48 CFR 247.573-1 - Ocean transportation incidental to a contract for supplies, services, or construction.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 48 Federal Acquisition Regulations System 3 2014-10-01 2014-10-01 false Ocean transportation... MANAGEMENT TRANSPORTATION Ocean Transportation by U.S.-Flag Vessels 247.573-1 Ocean transportation incidental to a contract for supplies, services, or construction. (a) This subsection applies when ocean...

  18. 48 CFR 247.573-1 - Ocean transportation incidental to a contract for supplies, services, or construction.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 48 Federal Acquisition Regulations System 3 2011-10-01 2011-10-01 false Ocean transportation... MANAGEMENT TRANSPORTATION Ocean Transportation by U.S.-Flag Vessels 247.573-1 Ocean transportation incidental to a contract for supplies, services, or construction. (a) This subsection applies when ocean...

  19. 48 CFR 247.573-1 - Ocean transportation incidental to a contract for supplies, services, or construction.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 48 Federal Acquisition Regulations System 3 2013-10-01 2013-10-01 false Ocean transportation... MANAGEMENT TRANSPORTATION Ocean Transportation by U.S.-Flag Vessels 247.573-1 Ocean transportation incidental to a contract for supplies, services, or construction. (a) This subsection applies when ocean...

  20. Using DEMATEL approach to develop relationships of performance indicators on sustainable service only supply chain performance measurement

    NASA Astrophysics Data System (ADS)

    Leksono, EB; Suparno; Vanany, I.

    2018-04-01

    Service only supply chain (SOSC) concept is service supply chain (SSC) implementation on pure services. The globalization and stakeholder pressure makes operation of SSC should give the attention to the environment effect, community, economic and intangibility assets. SOSC performance measurement (SOSCPM) may be developed for measuring of performance for sustainability aspects and intangibility assets to meet customer satisfaction. This article discusses sustainable SOSCPM based on balanced scorecard (BSC), include sustainability aspects, intangibility and relations between perspectives and indicators. From literature review, it is found 34 performance indicators that must be confirm to expert and SC actors by survey. From survey validation using weighted average and level of consensus, it is found 29 valid indicators for processed by DEMATEL. From DEMATEL, it is found 26 indicators can be used on sustainable SOSCPM. Furthermore, innovation and growth perspective most influence to other, and customer perspective most important. Intangibility indicators incorporated on innovation and growth perspective very related with human resources. Finally, relations between perspectives and indicator used to design of BSC strategy maps.

  1. Evaluation of critical indicators in the process of acquiring supplies and services LAC-UFPE

    NASA Astrophysics Data System (ADS)

    Caetano, V. F.; Ferreira, C. V.; dos Santos, M. J.; Honorato, F. A.

    2015-01-01

    In laboratories linked to public universities and accredited by the NBR ISO/IEC 17025, to meet efficiently item 4.6 (procurement of supplies and services) is a challenge that can be accomplished by programming based on historical purchases and services. In this study, we evaluated the critical procurement items to meet the quality management system of the LAC-UFPE: reagents, certified reference material, of equipment parts, maintenance and calibration of equipment and instruments. It was found that the most critical item is the certified reference material, the purchase or repair of which must be expedited within 125 days prior to the receipt to occur within the desired period.

  2. Estimation and Evaluation of Future Demand and Supply of Healthcare Services Based on a Patient Access Area Model

    PubMed Central

    Doi, Shunsuke; Ide, Hiroo; Takeuchi, Koichi; Fujita, Shinsuke; Takabayashi, Katsuhiko

    2017-01-01

    Accessibility to healthcare service providers, the quantity, and the quality of them are important for national health. In this study, we focused on geographic accessibility to estimate and evaluate future demand and supply of healthcare services. We constructed a simulation model called the patient access area model (PAAM), which simulates patients’ access time to healthcare service institutions using a geographic information system (GIS). Using this model, to evaluate the balance of future healthcare services demand and supply in small areas, we estimated the number of inpatients every five years in each area and compared it with the number of hospital beds within a one-hour drive from each area. In an experiment with the Tokyo metropolitan area as a target area, when we assumed hospital bed availability to be 80%, it was predicted that over 78,000 inpatients would not receive inpatient care in 2030. However, this number would decrease if we lowered the rate of inpatient care by 10% and the average length of the hospital stay. Using this model, recommendations can be made regarding what action should be undertaken and by when to prevent a dramatic increase in healthcare demand. This method can help plan the geographical resource allocation in healthcare services for healthcare policy. PMID:29125585

  3. 5 CFR 412.301 - Obtaining approval to conduct a Senior Executive Service candidate development program (SESCDP).

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 5 Administrative Personnel 1 2010-01-01 2010-01-01 false Obtaining approval to conduct a Senior... DEVELOPMENT Senior Executive Service Candidate Development Programs § 412.301 Obtaining approval to conduct a Senior Executive Service candidate development program (SESCDP). (a) An SESCDP is an OPM-approved...

  4. The Value of Advanced Smart Metering in the Management of Urban Water Supply Services

    NASA Astrophysics Data System (ADS)

    Guardiola, J.; Pulido-Velazquez, M.; Giuliani, M.; Castelletti, A.; Cominola, A.; Arregui de la Cruz, F.; Escriva-Bou, A.; Soriano, J.; Pérez, J. J.; Castillo, J.; Barba, J.; González, V.; Rizzoli, A. E.

    2016-12-01

    This work intends to outline the experience of the implementation and further exploitation of an extensive network of smart meters (SM) in the city of Valencia by Aguas de Valencia, the water utility that offers water supply and sanitation services to the city of Valencia and its metropolitan area. Valencia has become the first large city in Europe fully equipped with a point-to-point fixed network of SM (currently with more than 430,000 units, about 90% of the meters of the city). The shift towards a water supply management system based on SM is a complex process that entails changes and impacts on different management areas of the water supply organization. A new data management and processing platform has been developed and is already proving notable benefits in the operation of the system. For example, a tool allows to automatically issue and manage work orders when abnormalities such as internal leaks (constant consumption) or meter alarms are detected. Another tool has been developed to reduce levels of non-revenue water by continuously balancing supply and demand in district metered areas. Improving leak detection and adjusting pressure levels has significantly increased the efficiency of the water distribution network. Finally, a service of post-meter leak detection has been also implemented. But the SM also contribute to improve demand management. The customers now receive detailed information on their water consumption, valuable for improving household water management and assessing the value of water conservation strategies. SM are also key tools for improving the level of understanding of demand patterns. Users have been categorized into different clusters depending in their consumption patterns characteristics. Within the EU SmartH2O project, a high resolution and frequency monitoring of residential uses has been conducted in a selected sample of households for a precise disaggregation of residential end-uses. The disaggregation of end-uses allows for

  5. 76 FR 34634 - Federal Acquisition Regulation; Prioritizing Sources of Supplies and Services for Use by the...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-14

    ... contracts before commercial sources in the open market. The proposed rule amends FAR 8.002 as follows: The... requirements for supplies and services from commercial sources in the open market. The proposed FAR 8.004 would... subpart 8.6). (b) Commercial sources (including educational and non-profit institutions) in the open...

  6. 47 CFR 54.615 - Obtaining services.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... requester is physically located in a rural area, or if the requester is a mobile rural health care provider... money or any other thing of value; (6) If the service or services are being purchased as part of an...

  7. 47 CFR 54.615 - Obtaining services.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... requester is physically located in a rural area, or if the requester is a mobile rural health care provider... money or any other thing of value; (6) If the service or services are being purchased as part of an...

  8. Regional supply of outreach service and length of stay in psychiatric hospital among patients with schizophrenia: National case mix data analysis in Japan.

    PubMed

    Niimura, Junko; Nakanishi, Miharu; Yamasaki, Syudo; Nishida, Atsushi

    2017-12-01

    Several clinical trials have demonstrated that linkage to an outreach service can prevent prolonged length of stay of patients at psychiatric hospitals. However, there has been no investigation of the association between length of stay in psychiatric hospital and regional supply of outreach services using national case mix data. The aim of this study was to clarify the relationship between length of stay in psychiatric hospital and regional supply of outreach services. We used data from the National Patient Survey in Japan, a nationally representative cross-sectional survey of inpatient care conducted every three years from 1996 to 2014. Data from 42,268 patients with schizophrenia who had been admitted to psychiatric hospitals were analyzed. After controlling for patient and regional characteristics, patients in regions with fewer number of visits for psychiatric nursing care at home had significantly longer length of stay in psychiatric hospitals. This finding implies that enhancement of the regional supply of outreach services would prevent prolonged length of stay in psychiatric hospitals. Copyright © 2017 Elsevier B.V. All rights reserved.

  9. Determinants of willingness to pay for improved water supply services in rural Kazakhstan

    NASA Astrophysics Data System (ADS)

    Tussupova, Kamshat

    2017-04-01

    The UN Sustainable development goals declare to provide water, sanitation and hygiene for all. The supply of affordable and safe water is a global priority and there is thus a requirement for a safe drinking water management and management of excreta disposal and wastewater. The current paper assesses the determinants of consumers' willingness to connect and pay (WTP) for the piped water in rural Kazakhstan. The results show that local villagers use water from different sources and at least three quarters of the respondents are willing to connect and use water from the piped water supply. The general defined determinants for WTP should be carefully considered among the different water users. Perceived water quality is a variable that is relevant for all water users. Other variables such as perceived reliability and the time-spent to collect water from the source, in-household treatment of water, and income perception are also significant but differently correlated with the WTP among different water users. Although, piped water is considered to be a safe system if properly managed, still some water users are reluctant to pay for the system and are satisfied with their current water supply and sanitation services. In this case, a proper management for the drinking water and wastewater and safe management of the excreta disposal should be supplied. It is recommended to include local water userś opinion as regard the willingness to connect and pay for the piped water system. The findings are of particular importance for policy-makers, water managers, engineers, and public health specialists.

  10. 38 CFR 21.6210 - Supplies.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... REHABILITATION AND EDUCATION Temporary Program of Vocational Training for Certain New Pension Recipients Supplies...: 38 U.S.C. 1524(b)(2)) (b) Definition. The term supplies includes books, tools and other supplies and... discontinued from an independent living services program. (Authority: 38 U.S.C. 1524(b)(2)) Medical and Related...

  11. 38 CFR 21.6210 - Supplies.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... REHABILITATION AND EDUCATION Temporary Program of Vocational Training for Certain New Pension Recipients Supplies...: 38 U.S.C. 1524(b)(2)) (b) Definition. The term supplies includes books, tools and other supplies and... discontinued from an independent living services program. (Authority: 38 U.S.C. 1524(b)(2)) Medical and Related...

  12. Optics and Light Activities for Teachers of all Grade Levels from Easily Obtainable Supplies

    NASA Astrophysics Data System (ADS)

    Lindgren, Richard; Hendricks, Curtis; Lucatorto, Lynn; McNeilus, Thomas; Thornton, Stephen

    2010-02-01

    Several hands-on activities in light and optics covering selected topics will be discussed in the context of home labs and how such activities can be incorporated into a distance-learning or online web-based course utilizing the latest communication technologies and the Internet. The presentation will focus on activities that can be constructed from easy to obtain supplies as well as a commercially available kit that we are having made available. Activities for teachers at the elementary level will focus on understanding light rays, shadows, and reflection from plane surfaces; at the middle school level will focus on curved mirrors and lenses, dispersion, and drawing ray diagrams; at the high school level will focus on Snell's law, the lens equation, wave interference, polarization, Young's experiment, and diffraction. A distance-learning, web-based course based on these home labs will be described. )

  13. Controlling supply expenses through capitated supply contracting.

    PubMed

    Kowalski, J C

    1997-07-01

    Some providers dealing with the financial challenges of managed care are attempting to control supply expenses through capitated supply contracting and similar risk/reward sharing arrangements. Under such arrangements, a supplier sells products and services to a provider for a fixed, prospective price in exchange for the provider's exclusive business. If expenses exceed the prospectively established amount, the supplier and provider share the loss. Conversely, if expenses are less than the fixed amount, they share the savings. For a capitated supply arrangement to be successful, providers must be able to identify and track supply expense drivers, such as clinical pathways, technology utilization, and product selection and utilization. Sophisticated information systems are needed to capture data, such as total and per-transaction product usage/volume; unit price per item; average and cost per item; average and total cost per transaction; and total cost per outcome. Providers also will need to establish mutually cooperative relationships with the suppliers with whom they contract.

  14. Assistive technologies along supply chains in health care and in the social services sector.

    PubMed

    Mayer, Peter; Hauer, Katharina; Schloffer, Evelyn; Leyrer, Barbara

    2015-01-01

    Health care systems in Austria and Slovenia are currently facing challenges due to scarce resources and demographic change which can be seen especially along the supply chains. The main objective of this paper is to present an option to improve the use of assistive technologies. An extensive literature research for the theoretic part as well as a qualitative survey for the empiric part focusing on short-term care were carried out. Results show that there is a lack of information and training on assistive technologies. As a consequence, their full potential cannot be exploited. Therefore a guideline for nursing consultations was developed. To conclude, both the literature research and the qualitative survey show that assistive technologies have high potentials to improve the supply chains in the health care and social services sector, but there is a lot of information and training on them needed.

  15. The implications of the feminization of the primary care physician workforce on service supply: a systematic review.

    PubMed

    Hedden, Lindsay; Barer, Morris L; Cardiff, Karen; McGrail, Kimberlyn M; Law, Michael R; Bourgeault, Ivy L

    2014-06-04

    There is a widespread perception that the increasing proportion of female physicians in most developed countries is contributing to a primary care service shortage because females work less and provide less patient care compared with their male counterparts. There has, however, been no comprehensive investigation of the effects of primary care physician (PCP) workforce feminization on service supply. We undertook a systematic review to examine the current evidence that quantifies the effect of feminization on time spent working, intensity and scope of work, and practice characteristics. We searched Medline, Embase, and Web of Science from 1991 to 2013 using variations of the terms 'primary care', 'women', 'manpower', and 'supply and distribution'; screened the abstracts of all articles; and entered those meeting our inclusion criteria into a data abstraction tool. Original research comparing male to female PCPs on measures of years of practice, time spent working, intensity of work, scope of work, or practice characteristics was included. We screened 1,271 unique abstracts and selected 74 studies for full-text review. Of these, 34 met the inclusion criteria. Years of practice, hours of work, intensity of work, scope of work, and practice characteristics featured in 12%, 53%, 42%, 50%, and 21% of studies respectively. Female PCPs self-report fewer hours of work than male PCPs, have fewer patient encounters, and deliver fewer services, but spend longer with their patients during a contact and deal with more separate presenting problems in one visit. They write fewer prescriptions but refer to diagnostic services and specialist physicians more often. The studies included in this review suggest that the feminization of the workforce is likely to have a small negative impact on the availability of primary health care services, and that the drivers of observed differences between male and female PCPs are complex and nuanced. The true scale of the impact of these findings

  16. Increasing Capacity Exploitation in Food Supply Chains Using Grid Concepts

    NASA Astrophysics Data System (ADS)

    Volk, Eugen; Müller, Marcus; Jacob, Ansger; Racz, Peter; Waldburger, Martin

    Food supply chains today are characterized by fixed trade relations with long term contracts established between heterogeneous supply chain companies. Production and logistics capacities of these companies are often utilized in an economically inefficient manner only. In addition, increased consumer awareness in food safety issues renders supply chain management even more challenging, since integrated tracking and tracing along the whole food supply chain is needed. Facing these issues of supply chain management complexity and completely documented product quality, this paper proposes a full lifecycle solution for dynamic capacity markets based on concepts used in the field of Grid [1], like management of Virtual Organization (VO) combined with Service Level Agreement (SLA). The solution enables the cost-efficient utilization of real world capacities (e.g., production capacities or logistics facilities) by using a simple, browser-based portal. Users are able to enter into product-specific negotiations with buyers and suppliers of a food supply chain, and to obtain real-time access to product information including SLA evaluation reports. Thus, business opportunities in wider market access, process innovation, and trustworthy food products are offered for participating supply chain companies.

  17. Career Preparation in Agricultural Supplies and Services: A Curriculum Guide for High School Vocational Agriculture. Test Edition.

    ERIC Educational Resources Information Center

    Yoder, Edgar P.

    This curriculum guide in agricultural supplies and services is one of 10 guides developed as part of a vocational project stressing agribusiness, natural resources, and environmental protection. The scope of this guide includes four occupational subgroups: feeds, fertilizers, seeds, and chemicals. It is meant as an aid to all who are involved in…

  18. 41 CFR 101-30.603 - GSA Supply Catalog.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Regulations System FEDERAL PROPERTY MANAGEMENT REGULATIONS SUPPLY AND PROCUREMENT 30-FEDERAL CATALOG SYSTEM 30.6-GSA Section of the Federal Supply Catalog § 101-30.603 GSA Supply Catalog. (a) The GSA Supply... GSA Supply Catalog contains all necessary information for ordering from the GSA Federal Supply Service...

  19. 41 CFR 101-30.603 - GSA Supply Catalog.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Regulations System FEDERAL PROPERTY MANAGEMENT REGULATIONS SUPPLY AND PROCUREMENT 30-FEDERAL CATALOG SYSTEM 30.6-GSA Section of the Federal Supply Catalog § 101-30.603 GSA Supply Catalog. (a) The GSA Supply... GSA Supply Catalog contains all necessary information for ordering from the GSA Federal Supply Service...

  20. 41 CFR 101-30.603 - GSA Supply Catalog.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Regulations System FEDERAL PROPERTY MANAGEMENT REGULATIONS SUPPLY AND PROCUREMENT 30-FEDERAL CATALOG SYSTEM 30.6-GSA Section of the Federal Supply Catalog § 101-30.603 GSA Supply Catalog. (a) The GSA Supply... GSA Supply Catalog contains all necessary information for ordering from the GSA Federal Supply Service...

  1. 41 CFR 101-30.603 - GSA Supply Catalog.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Regulations System FEDERAL PROPERTY MANAGEMENT REGULATIONS SUPPLY AND PROCUREMENT 30-FEDERAL CATALOG SYSTEM 30.6-GSA Section of the Federal Supply Catalog § 101-30.603 GSA Supply Catalog. (a) The GSA Supply... GSA Supply Catalog contains all necessary information for ordering from the GSA Federal Supply Service...

  2. 41 CFR 101-30.603 - GSA Supply Catalog.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Regulations System FEDERAL PROPERTY MANAGEMENT REGULATIONS SUPPLY AND PROCUREMENT 30-FEDERAL CATALOG SYSTEM 30.6-GSA Section of the Federal Supply Catalog § 101-30.603 GSA Supply Catalog. (a) The GSA Supply... GSA Supply Catalog contains all necessary information for ordering from the GSA Federal Supply Service...

  3. Research on the performance evaluation of agricultural products supply chain integrated operation

    NASA Astrophysics Data System (ADS)

    Jiang, Jiake; Wang, Xifu; Liu, Yang

    2017-04-01

    The agricultural product supply chain integrated operation can ensure the quality and efficiency of agricultural products, and achieve the optimal goal of low cost and high service. This paper establishes a performance evaluation index system of agricultural products supply chain integration operation based on the development status of agricultural products and SCOR, BSC and KPI model. And then, we constructing rough set theory and BP neural network comprehensive evaluation model with the aid of Rosetta and MATLAB tools and the case study is about the development of agricultural products integrated supply chain in Jing-Jin-Ji region. And finally, we obtain the corresponding performance results, and give some improvement measures and management recommendations to the managers.

  4. Racial variation in wanting and obtaining mental health services among women veterans in a primary care clinic.

    PubMed Central

    Bosworth, H. B.; Parsey, K. S.; Butterfield, M. I.; McIntyre, L. M.; Oddone, E. Z.; Stechuchak, K. M.; Bastian, L. A.

    2000-01-01

    Epidemiologic studies suggest that African-American women may be less likely to obtain mental health services. Racial differences were explored in wanting and obtaining mental health services among women in an equal access primary care clinic setting after adjusting for demographics, mental disorder symptoms, and a history of sexual trauma. Participating in the study were women veterans at a primary care clinic at the Durham Veterans Affairs Medical Center. Consecutive women patients (n = 526) between the ages of 20 and 49 years were screened for a desire to obtain mental health services. Patients were given the Primary Care Evaluation of Mental Disorders questionnaire (PRIME-MD) and a sexual trauma questionnaire. Mental health service utilization was monitored for 12 months. The median age of the women was 35.8 years; 54.4% of them were African-American. African-American women expressed a greater desire for mental health services than whites, yet mental health resources at the clinic were similarly used by both racial groups. African-American women may want more mental health services; however, given an equal access system, there were no racial differences in mental health use. PMID:10881472

  5. The public water supply protection value of forests: A watershed-scale ecosystem services based upon total organic carbon

    USDA-ARS?s Scientific Manuscript database

    We developed a cost-based methodology to assess the value of forested watersheds to improve water quality in public water supplies. The developed methodology is applicable to other source watersheds to determine ecosystem services for water quality. We assess the value of forest land for source wate...

  6. Community pharmacists' attitudes and opinions towards supplying clozapine.

    PubMed

    Gan, Yuh-Lin; O'Reilly, Claire L

    2018-06-23

    Background Clozapine is very effective for treatment-resistant schizophrenia, but its use has been limited due to the risk of agranulocytosis. From July 2015, clozapine has been accessible from Australian community pharmacies following regulatory changes, but pharmacists' attitudes towards these changes remain unknown. Objective To explore pharmacists' perspectives and experiences in supplying clozapine. Setting Australian community pharmacists. Methods A cross-sectional study with a mixed methods approach involving two phases. An online survey containing Likert-type and open-response questions was distributed to community pharmacists (n = 134) via ClopineCentral™ (clozapine monitoring system). Participants were then invited to participate in semi-structured telephone interviews (n = 12) regarding clozapine supply. Quantitative data were statistically analysed, while qualitative responses were thematically content-analysed. Main outcome measures Pharmacists' responses to surveys and interviews. Results Community pharmacists were supportive towards supplying clozapine as it increased access for consumers. Better patient-pharmacist relationships and holistic care approach were identified to benefit both consumers and pharmacists. Pharmacists reported to be confident (89.6%), have adequate support (73.1%), knowledge (86.6%) and skills (93.3%) in dispensing clozapine. Training and support received facilitated pharmacists' roles, whereas administrative issues, especially in obtaining valid haematology results, posed challenges. Educational and technical improvements were suggested to improve service provision. Conclusion Community pharmacists welcomed the regulatory changes positively and were confident in supporting consumers taking clozapine. Despite challenges present, benefits and facilitators identified supported the feasibility of this service in community pharmacies. Future research should explore other aspects of clozapine supply, such as attitudes of

  7. 20 CFR 654.405 - Water supply.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 20 Employees' Benefits 3 2011-04-01 2011-04-01 false Water supply. 654.405 Section 654.405... THE EMPLOYMENT SERVICE SYSTEM Housing for Agricultural Workers Housing Standards § 654.405 Water supply. (a) An adequate and convenient supply of water that meets the standards of the State health...

  8. 47 CFR 80.1015 - Power supply.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 47 Telecommunication 5 2011-10-01 2011-10-01 false Power supply. 80.1015 Section 80.1015... MARITIME SERVICES Radiotelephone Installations Required by the Bridge-to-Bridge Act § 80.1015 Power supply. (a) There must be readily available for use under normal load conditions, a power supply sufficient...

  9. 47 CFR 80.1015 - Power supply.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 47 Telecommunication 5 2010-10-01 2010-10-01 false Power supply. 80.1015 Section 80.1015... MARITIME SERVICES Radiotelephone Installations Required by the Bridge-to-Bridge Act § 80.1015 Power supply. (a) There must be readily available for use under normal load conditions, a power supply sufficient...

  10. 20 CFR 654.405 - Water supply.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false Water supply. 654.405 Section 654.405... THE EMPLOYMENT SERVICE SYSTEM Housing for Agricultural Workers Housing Standards § 654.405 Water supply. (a) An adequate and convenient supply of water that meets the standards of the State health...

  11. 20 CFR 654.405 - Water supply.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 20 Employees' Benefits 3 2012-04-01 2012-04-01 false Water supply. 654.405 Section 654.405... THE EMPLOYMENT SERVICE SYSTEM Housing for Agricultural Workers Housing Standards § 654.405 Water supply. (a) An adequate and convenient supply of water that meets the standards of the State health...

  12. 20 CFR 654.405 - Water supply.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 20 Employees' Benefits 3 2014-04-01 2014-04-01 false Water supply. 654.405 Section 654.405... THE EMPLOYMENT SERVICE SYSTEM Housing for Agricultural Workers Housing Standards § 654.405 Water supply. (a) An adequate and convenient supply of water that meets the standards of the State health...

  13. 20 CFR 654.405 - Water supply.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 20 Employees' Benefits 3 2013-04-01 2013-04-01 false Water supply. 654.405 Section 654.405... THE EMPLOYMENT SERVICE SYSTEM Housing for Agricultural Workers Housing Standards § 654.405 Water supply. (a) An adequate and convenient supply of water that meets the standards of the State health...

  14. Rural water supply and related services in developing countries — Comparative analysis of several approaches

    NASA Astrophysics Data System (ADS)

    Bajard, Y.; Draper, M.; Viens, P.

    1981-05-01

    The proposed paper deals with a comparative analysis of several approaches possible and actually used for a joint action of local institutions and foreign aid in the field of water supply and related services such as sanitation to villages and small rural agglomerations (market towns, etc.) in developing countries. This comparative analysis is based on examples of actual programmes in this field. The authors have participated in most of the programmes selected as examples, at various levels and in various capacities, from conception to design, implementation and/or evaluation (i.e. rural development programmes in Ivory Coast, Ghana (upper region), Benin and Ethiopia. The authors were not involved in other examples such as water supply and/or sanitation to small urban centres in Benin, Ivory Coast, etc. They have, however, witnessed them directly and have obtained, therefore, first-hand information on their organization, execution and results. Several typical examples of actual projects are briefly defined and characterized. The paper undertakes, then, to compare, in a clinical fashion, the advantages and drawbacks of the approaches taken in the various examples presented. The paper finally proposes a recommendation for a realistic approach to joint action between local/domestic and foreign financing/assistance agencies and executing bodies (consultants, contractors) in the field of rural water supply, sanitation, and more generally, health improvement. The definition of this line of approach is made in terms of logical framework, i.e. goals, purposes, outputs and inputs at the various stages of the project, up to actual evaluation of execution and impact if possible; description of practical indicators of the two types of evaluation. A particular attention is given to the problems of technological choices, in view of the constraints imposed by the natural environment, by the human and social patterns; in view also of the institutions and the economy. Another point

  15. Global disparity in the supply of commercial weather and climate information services

    PubMed Central

    Georgeson, Lucien; Maslin, Mark; Poessinouw, Martyn

    2017-01-01

    Information about weather and climate is vital for many areas of decision-making, particularly under conditions of increasing vulnerability and uncertainty related to climate change. We have quantified the global commercial supply of weather and climate information services. Although government data are sometimes freely available, the interpretation and analysis of those data, alongside additional data collection, are required to formulate responses to specific challenges in areas such as health, agriculture, and the built environment. Using transactional data, we analyzed annual spending by private and public organizations on commercial weather and climate information in more than 180 countries by industrial sector, region, per capita, and percentage of GDP (gross domestic product) and against the country’s climate and extreme weather risk. There are major imbalances regarding access to these essential services between different countries based on region and development status. There is also no relationship between the level of climate and weather risks that a country faces and the level of per capita spending on commercial weather and climate information in that country. At the international level, action is being taken to improve access to information services. With a better understanding of the flows of commercial weather and climate information, as explored in this study, it will be possible to tackle these regional and development-related disparities and thus to increase resilience to climate and weather risks. PMID:28560335

  16. Demand and supply-based operating modes--a framework for analyzing health care service production.

    PubMed

    Lillrank, Paul; Groop, P Johan; Malmström, Tomi J

    2010-12-01

    The structure of organizations that provide services should reflect the possibilities of and constraints on production that arise from the market segments they serve. Organizational segmentation in health care is based on urgency and severity as well as disease type, bodily function, principal method, or population subgroup. The result is conflicting priorities, goals, and performance metrics. A managerial perspective is needed to identify activities with similar requirements for integration, coordination, and control. The arguments in this article apply new reasoning to the previous literature. The method used in this article to classify health care provision distinguishes different types of health problems that share generic constraints of production. The analysis leads to seven different demand-supply combinations, each with its own operational logic. These are labeled demand and supply-based operating modes (DSO modes), and constitute the managerial building blocks of health care organizations. The modes are Prevention, Emergency, One visit, Project, Elective, Cure, and Care. As analytical categories the DSO modes can be used to understand current problems. Several operating modes in one unit create managerial problems of conflicting priorities, goals, and performance metrics. The DSO modes are constructed as managerially homogeneous categories or care platforms responding to general types of demand, and supply constraints. The DSO modes bring methods of industrial management to bear on efforts to improve health care. © 2010 Milbank Memorial Fund. Published by Wiley Periodicals Inc.

  17. 20 CFR 410.591 - Eligibility for services and supplies under part C of title IV of the act.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 20 Employees' Benefits 2 2011-04-01 2011-04-01 false Eligibility for services and supplies under part C of title IV of the act. 410.591 Section 410.591 Employees' Benefits SOCIAL SECURITY ADMINISTRATION FEDERAL COAL MINE HEALTH AND SAFETY ACT OF 1969, TITLE IV-BLACK LUNG BENEFITS (1969- ) Payment of...

  18. Adaptation and validation of indicators concerning the sterilization process of supplies in Primary Health Care services.

    PubMed

    Passos, Isis Pienta Batista Dias; Padoveze, Maria Clara; Roseira, Camila Eugênia; de Figueiredo, Rosely Moralez

    2015-01-01

    to adapt and validate, by expert consensus, a set of indicators used to assess the sterilization process of dental, medical and hospital supplies to be used in PHC services. qualitative methodological study performed in two stages. The first stage included a focal group composed of experts to adapt the indicators to be used in PHC. In the second stage, the indicators were validated using a 4-point Likert scale, which was completed by judges. A Content Validity Index of ≥ 0.75 was considered to show approval of the indicators. the adaptations implemented by the focal group mainly referred to the physical structure, inclusion of dental care professionals, inclusion of chemical disinfection, and replacement of the hot air and moist heat sterilization methods. The validation stage resulted in an index of 0.96, which ranged from 0.90 to 1.00, for the components of the indicators. the judges considered the indicators after adaptation to be validated. Even though there may be differences among items processed around the world, there certainly are common characteristics, especially in countries with economic and cultural environments similar to Brazil. The inclusion of these indicators to assess the safety of healthcare supplies used in PHC services should be considered.

  19. An integrated supply chain model for new products with imprecise production and supply under scenario dependent fuzzy random demand

    NASA Astrophysics Data System (ADS)

    Nagar, Lokesh; Dutta, Pankaj; Jain, Karuna

    2014-05-01

    In the present day business scenario, instant changes in market demand, different source of materials and manufacturing technologies force many companies to change their supply chain planning in order to tackle the real-world uncertainty. The purpose of this paper is to develop a multi-objective two-stage stochastic programming supply chain model that incorporates imprecise production rate and supplier capacity under scenario dependent fuzzy random demand associated with new product supply chains. The objectives are to maximise the supply chain profit, achieve desired service level and minimise financial risk. The proposed model allows simultaneous determination of optimum supply chain design, procurement and production quantities across the different plants, and trade-offs between inventory and transportation modes for both inbound and outbound logistics. Analogous to chance constraints, we have used the possibility measure to quantify the demand uncertainties and the model is solved using fuzzy linear programming approach. An illustration is presented to demonstrate the effectiveness of the proposed model. Sensitivity analysis is performed for maximisation of the supply chain profit with respect to different confidence level of service, risk and possibility measure. It is found that when one considers the service level and risk as robustness measure the variability in profit reduces.

  20. Obtaining Related Services through Local Interagency Collaboration.

    ERIC Educational Resources Information Center

    Olsen, Kenneth R.

    Designed as a resource for local school administrators, the report describes the experiences of 15 local special education agencies in providing related services at reasonable cost through interagency cooperation. An introductory chapter discusses the role of interagency committees (both policy and direct service types), and provides information…

  1. Improving the Accessibility and Efficiency of Point-of-Care Diagnostics Services in Low- and Middle-Income Countries: Lean and Agile Supply Chain Management.

    PubMed

    Kuupiel, Desmond; Bawontuo, Vitalis; Mashamba-Thompson, Tivani P

    2017-11-29

    Access to point-of-care (POC) diagnostics services is essential for ensuring rapid disease diagnosis, management, control, and surveillance. POC testing services can improve access to healthcare especially where healthcare infrastructure is weak and access to quality and timely medical care is a challenge. Improving the accessibility and efficiency of POC diagnostics services, particularly in resource-limited settings, may be a promising route to improving healthcare outcomes. In this review, the accessibility of POC testing is defined as the distance/proximity to the nearest healthcare facility for POC diagnostics service. This review provides an overview of the impact of POC diagnostics on healthcare outcomes in low- and middle-income countries (LMICs) and factors contributing to the accessibility of POC testing services in LMICs, focusing on characteristics of the supply chain management and quality systems management, characteristics of the geographical location, health infrastructure, and an enabling policy framework for POC diagnostics services. Barriers and challenges related to the accessibility of POC diagnostics in LMICs were also discussed. Bearing in mind the reported barriers and challenges as well as the disease epidemiology in LMICs, we propose a lean and agile supply chain management framework for improving the accessibility and efficiency of POC diagnostics services in these settings.

  2. Improving the Accessibility and Efficiency of Point-of-Care Diagnostics Services in Low- and Middle-Income Countries: Lean and Agile Supply Chain Management

    PubMed Central

    Kuupiel, Desmond; Bawontuo, Vitalis

    2017-01-01

    Access to point-of-care (POC) diagnostics services is essential for ensuring rapid disease diagnosis, management, control, and surveillance. POC testing services can improve access to healthcare especially where healthcare infrastructure is weak and access to quality and timely medical care is a challenge. Improving the accessibility and efficiency of POC diagnostics services, particularly in resource-limited settings, may be a promising route to improving healthcare outcomes. In this review, the accessibility of POC testing is defined as the distance/proximity to the nearest healthcare facility for POC diagnostics service. This review provides an overview of the impact of POC diagnostics on healthcare outcomes in low- and middle-income countries (LMICs) and factors contributing to the accessibility of POC testing services in LMICs, focusing on characteristics of the supply chain management and quality systems management, characteristics of the geographical location, health infrastructure, and an enabling policy framework for POC diagnostics services. Barriers and challenges related to the accessibility of POC diagnostics in LMICs were also discussed. Bearing in mind the reported barriers and challenges as well as the disease epidemiology in LMICs, we propose a lean and agile supply chain management framework for improving the accessibility and efficiency of POC diagnostics services in these settings. PMID:29186013

  3. 7 CFR 550.40 - Supplies and other expendable property.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... SERVICE, DEPARTMENT OF AGRICULTURE GENERAL ADMINISTRATIVE POLICY FOR NON-ASSISTANCE COOPERATIVE AGREEMENTS...-sponsored project or program, the Cooperator shall retain the supplies for use on non-Federal sponsored... not use supplies acquired with Federal funds to provide services to non-Federal outside organizations...

  4. 7 CFR 550.40 - Supplies and other expendable property.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... SERVICE, DEPARTMENT OF AGRICULTURE GENERAL ADMINISTRATIVE POLICY FOR NON-ASSISTANCE COOPERATIVE AGREEMENTS...-sponsored project or program, the Cooperator shall retain the supplies for use on non-Federal sponsored... not use supplies acquired with Federal funds to provide services to non-Federal outside organizations...

  5. 7 CFR 550.40 - Supplies and other expendable property.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... SERVICE, DEPARTMENT OF AGRICULTURE GENERAL ADMINISTRATIVE POLICY FOR NON-ASSISTANCE COOPERATIVE AGREEMENTS...-sponsored project or program, the Cooperator shall retain the supplies for use on non-Federal sponsored... not use supplies acquired with Federal funds to provide services to non-Federal outside organizations...

  6. 7 CFR 1131.6 - Supply plant.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 9 2010-01-01 2009-01-01 true Supply plant. 1131.6 Section 1131.6 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements... Handling Definitions § 1131.6 Supply plant. See § 1000.6. ...

  7. 7 CFR 1005.6 - Supply plant.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 7 Agriculture 9 2012-01-01 2012-01-01 false Supply plant. 1005.6 Section 1005.6 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements... Handling Definitions § 1005.6 Supply plant. See § 1000.6. ...

  8. 7 CFR 1033.6 - Supply plant.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 7 Agriculture 9 2012-01-01 2012-01-01 false Supply plant. 1033.6 Section 1033.6 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements... Handling Definitions § 1033.6 Supply plant. See § 1000.6. ...

  9. 7 CFR 1126.6 - Supply plant.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 9 2010-01-01 2009-01-01 true Supply plant. 1126.6 Section 1126.6 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements... Handling Definitions § 1126.6 Supply plant. See § 1000.6. ...

  10. 7 CFR 1007.6 - Supply plant.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 9 2011-01-01 2011-01-01 false Supply plant. 1007.6 Section 1007.6 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements... Handling Definitions § 1007.6 Supply plant. See § 1000.6. ...

  11. 7 CFR 1005.6 - Supply plant.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 9 2010-01-01 2009-01-01 true Supply plant. 1005.6 Section 1005.6 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements... Handling Definitions § 1005.6 Supply plant. See § 1000.6. ...

  12. 7 CFR 1033.6 - Supply plant.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 7 Agriculture 9 2013-01-01 2013-01-01 false Supply plant. 1033.6 Section 1033.6 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (MARKETING AGREEMENTS... Handling Definitions § 1033.6 Supply plant. See § 1000.6. ...

  13. 7 CFR 1032.6 - Supply plant.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 9 2011-01-01 2011-01-01 false Supply plant. 1032.6 Section 1032.6 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements... Handling Definitions § 1032.6 Supply plant. See § 1000.6. ...

  14. 7 CFR 1006.6 - Supply plant.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 9 2011-01-01 2011-01-01 false Supply plant. 1006.6 Section 1006.6 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements... Handling Definitions § 1006.6 Supply plant. See § 1000.6. ...

  15. 7 CFR 1030.6 - Supply plant.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 7 Agriculture 9 2013-01-01 2013-01-01 false Supply plant. 1030.6 Section 1030.6 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (MARKETING AGREEMENTS... Handling Definitions § 1030.6 Supply plant. See § 1000.6. ...

  16. 7 CFR 1006.6 - Supply plant.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 7 Agriculture 9 2013-01-01 2013-01-01 false Supply plant. 1006.6 Section 1006.6 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (MARKETING AGREEMENTS... Handling Definitions § 1006.6 Supply plant. See § 1000.6. ...

  17. 7 CFR 1006.6 - Supply plant.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 7 Agriculture 9 2014-01-01 2013-01-01 true Supply plant. 1006.6 Section 1006.6 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (MARKETING AGREEMENTS... Handling Definitions § 1006.6 Supply plant. See § 1000.6. ...

  18. 7 CFR 1001.6 - Supply plant.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 7 Agriculture 9 2012-01-01 2012-01-01 false Supply plant. 1001.6 Section 1001.6 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements... Handling Definitions § 1001.6 Supply plant. See § 1000.6. ...

  19. 7 CFR 1005.6 - Supply plant.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 7 Agriculture 9 2013-01-01 2013-01-01 false Supply plant. 1005.6 Section 1005.6 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (MARKETING AGREEMENTS... Handling Definitions § 1005.6 Supply plant. See § 1000.6. ...

  20. 7 CFR 1006.6 - Supply plant.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 7 Agriculture 9 2012-01-01 2012-01-01 false Supply plant. 1006.6 Section 1006.6 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements... Handling Definitions § 1006.6 Supply plant. See § 1000.6. ...

  1. 7 CFR 1033.6 - Supply plant.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 9 2010-01-01 2009-01-01 true Supply plant. 1033.6 Section 1033.6 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements... Handling Definitions § 1033.6 Supply plant. See § 1000.6. ...

  2. 7 CFR 1126.6 - Supply plant.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 7 Agriculture 9 2014-01-01 2013-01-01 true Supply plant. 1126.6 Section 1126.6 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (MARKETING AGREEMENTS... Handling Definitions § 1126.6 Supply plant. See § 1000.6. ...

  3. 7 CFR 1006.6 - Supply plant.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 9 2010-01-01 2009-01-01 true Supply plant. 1006.6 Section 1006.6 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements... Handling Definitions § 1006.6 Supply plant. See § 1000.6. ...

  4. 7 CFR 1131.6 - Supply plant.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 7 Agriculture 9 2014-01-01 2013-01-01 true Supply plant. 1131.6 Section 1131.6 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (MARKETING AGREEMENTS... Handling Definitions § 1131.6 Supply plant. See § 1000.6. ...

  5. 7 CFR 1001.6 - Supply plant.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 7 Agriculture 9 2013-01-01 2013-01-01 false Supply plant. 1001.6 Section 1001.6 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (MARKETING AGREEMENTS... Handling Definitions § 1001.6 Supply plant. See § 1000.6. ...

  6. 7 CFR 1030.6 - Supply plant.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 9 2010-01-01 2009-01-01 true Supply plant. 1030.6 Section 1030.6 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements... Handling Definitions § 1030.6 Supply plant. See § 1000.6. ...

  7. 7 CFR 1005.6 - Supply plant.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 9 2011-01-01 2011-01-01 false Supply plant. 1005.6 Section 1005.6 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements... Handling Definitions § 1005.6 Supply plant. See § 1000.6. ...

  8. 7 CFR 1032.6 - Supply plant.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 7 Agriculture 9 2013-01-01 2013-01-01 false Supply plant. 1032.6 Section 1032.6 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (MARKETING AGREEMENTS... Handling Definitions § 1032.6 Supply plant. See § 1000.6. ...

  9. 7 CFR 1032.6 - Supply plant.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 9 2010-01-01 2009-01-01 true Supply plant. 1032.6 Section 1032.6 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements... Handling Definitions § 1032.6 Supply plant. See § 1000.6. ...

  10. 7 CFR 1001.6 - Supply plant.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 7 Agriculture 9 2014-01-01 2013-01-01 true Supply plant. 1001.6 Section 1001.6 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (MARKETING AGREEMENTS... Handling Definitions § 1001.6 Supply plant. See § 1000.6. ...

  11. 7 CFR 1032.6 - Supply plant.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 7 Agriculture 9 2014-01-01 2013-01-01 true Supply plant. 1032.6 Section 1032.6 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (MARKETING AGREEMENTS... Handling Definitions § 1032.6 Supply plant. See § 1000.6. ...

  12. 7 CFR 1005.6 - Supply plant.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 7 Agriculture 9 2014-01-01 2013-01-01 true Supply plant. 1005.6 Section 1005.6 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (MARKETING AGREEMENTS... Handling Definitions § 1005.6 Supply plant. See § 1000.6. ...

  13. 7 CFR 1007.6 - Supply plant.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 7 Agriculture 9 2014-01-01 2013-01-01 true Supply plant. 1007.6 Section 1007.6 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (MARKETING AGREEMENTS... Handling Definitions § 1007.6 Supply plant. See § 1000.6. ...

  14. 7 CFR 1007.6 - Supply plant.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 9 2010-01-01 2009-01-01 true Supply plant. 1007.6 Section 1007.6 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements... Handling Definitions § 1007.6 Supply plant. See § 1000.6. ...

  15. 7 CFR 1030.6 - Supply plant.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 9 2011-01-01 2011-01-01 false Supply plant. 1030.6 Section 1030.6 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements... Handling Definitions § 1030.6 Supply plant. See § 1000.6. ...

  16. 7 CFR 1001.6 - Supply plant.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 9 2011-01-01 2011-01-01 false Supply plant. 1001.6 Section 1001.6 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements... Handling Definitions § 1001.6 Supply plant. See § 1000.6. ...

  17. 7 CFR 1001.6 - Supply plant.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 9 2010-01-01 2009-01-01 true Supply plant. 1001.6 Section 1001.6 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements... Handling Definitions § 1001.6 Supply plant. See § 1000.6. ...

  18. 7 CFR 1126.6 - Supply plant.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 9 2011-01-01 2011-01-01 false Supply plant. 1126.6 Section 1126.6 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements... Handling Definitions § 1126.6 Supply plant. See § 1000.6. ...

  19. 7 CFR 1033.6 - Supply plant.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 9 2011-01-01 2011-01-01 false Supply plant. 1033.6 Section 1033.6 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements... Handling Definitions § 1033.6 Supply plant. See § 1000.6. ...

  20. 7 CFR 1033.6 - Supply plant.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 7 Agriculture 9 2014-01-01 2013-01-01 true Supply plant. 1033.6 Section 1033.6 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (MARKETING AGREEMENTS... Handling Definitions § 1033.6 Supply plant. See § 1000.6. ...

  1. 7 CFR 1007.6 - Supply plant.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 7 Agriculture 9 2012-01-01 2012-01-01 false Supply plant. 1007.6 Section 1007.6 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements... Handling Definitions § 1007.6 Supply plant. See § 1000.6. ...

  2. 7 CFR 1126.6 - Supply plant.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 7 Agriculture 9 2012-01-01 2012-01-01 false Supply plant. 1126.6 Section 1126.6 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements... Handling Definitions § 1126.6 Supply plant. See § 1000.6. ...

  3. 7 CFR 1131.6 - Supply plant.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 7 Agriculture 9 2012-01-01 2012-01-01 false Supply plant. 1131.6 Section 1131.6 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements... Handling Definitions § 1131.6 Supply plant. See § 1000.6. ...

  4. 7 CFR 1030.6 - Supply plant.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 7 Agriculture 9 2012-01-01 2012-01-01 false Supply plant. 1030.6 Section 1030.6 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements... Handling Definitions § 1030.6 Supply plant. See § 1000.6. ...

  5. 7 CFR 1126.6 - Supply plant.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 7 Agriculture 9 2013-01-01 2013-01-01 false Supply plant. 1126.6 Section 1126.6 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (MARKETING AGREEMENTS... Handling Definitions § 1126.6 Supply plant. See § 1000.6. ...

  6. 7 CFR 1007.6 - Supply plant.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 7 Agriculture 9 2013-01-01 2013-01-01 false Supply plant. 1007.6 Section 1007.6 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (MARKETING AGREEMENTS... Handling Definitions § 1007.6 Supply plant. See § 1000.6. ...

  7. 7 CFR 1032.6 - Supply plant.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 7 Agriculture 9 2012-01-01 2012-01-01 false Supply plant. 1032.6 Section 1032.6 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements... Handling Definitions § 1032.6 Supply plant. See § 1000.6. ...

  8. 7 CFR 1030.6 - Supply plant.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 7 Agriculture 9 2014-01-01 2013-01-01 true Supply plant. 1030.6 Section 1030.6 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (MARKETING AGREEMENTS... Handling Definitions § 1030.6 Supply plant. See § 1000.6. ...

  9. 7 CFR 1131.6 - Supply plant.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 9 2011-01-01 2011-01-01 false Supply plant. 1131.6 Section 1131.6 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements... Handling Definitions § 1131.6 Supply plant. See § 1000.6. ...

  10. 7 CFR 1131.6 - Supply plant.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 7 Agriculture 9 2013-01-01 2013-01-01 false Supply plant. 1131.6 Section 1131.6 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (MARKETING AGREEMENTS... Handling Definitions § 1131.6 Supply plant. See § 1000.6. ...

  11. A social-ecological analysis of ecosystem services supply and trade-offs in European wood-pastures.

    PubMed

    Torralba, Mario; Fagerholm, Nora; Hartel, Tibor; Moreno, Gerardo; Plieninger, Tobias

    2018-05-01

    Wood-pastures are complex social-ecological systems (SES), which are the product of long-term interaction between society and its surrounding landscape. Traditionally characterized by multifunctional low-intensity management that enhanced a wide range of ecosystem services (ES), current farm management has shifted toward more intensive farm models. This study assesses the supply of ES in four study areas dominated by managed wood-pastures in Spain, Sweden, and Romania. On the basis of 144 farm surveys and the use of multivariate techniques, we characterize farm management and structure in the study areas and identify the trade-offs in ES supply associated with this management. We link these trade-offs to multiple factors that characterize the landholding: economic, social, environmental, technological, and governance. Finally, we analyze how landholders' values and perspectives have an effect on management decisions. Results show a differentiated pattern of ES supply in the four study areas. We identified four types of trade-offs in ES supply that appear depending on what is being promoted by the farm management and that are associated with different dimensions of wood-pasture management: productivity-related trade-offs, crop production-related trade-offs, multifunctionality-related trade-offs, and farm accessibility-related trade-offs. These trade-offs are influenced by complex interactions between the properties of the SES, which have a direct influence on landholders' perspectives and motivations. The findings of this paper advance the understanding of the dynamics between agroecosystems and society and can inform system-based agricultural and conservation policies.

  12. A social-ecological analysis of ecosystem services supply and trade-offs in European wood-pastures

    PubMed Central

    Hartel, Tibor

    2018-01-01

    Wood-pastures are complex social-ecological systems (SES), which are the product of long-term interaction between society and its surrounding landscape. Traditionally characterized by multifunctional low-intensity management that enhanced a wide range of ecosystem services (ES), current farm management has shifted toward more intensive farm models. This study assesses the supply of ES in four study areas dominated by managed wood-pastures in Spain, Sweden, and Romania. On the basis of 144 farm surveys and the use of multivariate techniques, we characterize farm management and structure in the study areas and identify the trade-offs in ES supply associated with this management. We link these trade-offs to multiple factors that characterize the landholding: economic, social, environmental, technological, and governance. Finally, we analyze how landholders’ values and perspectives have an effect on management decisions. Results show a differentiated pattern of ES supply in the four study areas. We identified four types of trade-offs in ES supply that appear depending on what is being promoted by the farm management and that are associated with different dimensions of wood-pasture management: productivity-related trade-offs, crop production–related trade-offs, multifunctionality-related trade-offs, and farm accessibility–related trade-offs. These trade-offs are influenced by complex interactions between the properties of the SES, which have a direct influence on landholders’ perspectives and motivations. The findings of this paper advance the understanding of the dynamics between agroecosystems and society and can inform system-based agricultural and conservation policies. PMID:29732404

  13. 10 CFR 600.135 - Supplies and other expendable property.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ...-sponsored project or program, the recipient shall retain the supplies for use on non-Federal sponsored... use supplies acquired with Federal funds to provide services to non-Federal outside organizations for a fee that is less than private companies charge for equivalent services, unless specifically...

  14. 10 CFR 600.135 - Supplies and other expendable property.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ...-sponsored project or program, the recipient shall retain the supplies for use on non-Federal sponsored... use supplies acquired with Federal funds to provide services to non-Federal outside organizations for a fee that is less than private companies charge for equivalent services, unless specifically...

  15. 7 CFR 1124.6 - Supply plant.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 7 Agriculture 9 2013-01-01 2013-01-01 false Supply plant. 1124.6 Section 1124.6 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (MARKETING AGREEMENTS... Regulating Handling Definitions § 1124.6 Supply plant. See § 1000.6. ...

  16. 7 CFR 1124.6 - Supply plant.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 9 2010-01-01 2009-01-01 true Supply plant. 1124.6 Section 1124.6 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements... Regulating Handling Definitions § 1124.6 Supply plant. See § 1000.6. ...

  17. 7 CFR 1124.6 - Supply plant.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 7 Agriculture 9 2012-01-01 2012-01-01 false Supply plant. 1124.6 Section 1124.6 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements... Regulating Handling Definitions § 1124.6 Supply plant. See § 1000.6. ...

  18. 7 CFR 1124.6 - Supply plant.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 9 2011-01-01 2011-01-01 false Supply plant. 1124.6 Section 1124.6 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements... Regulating Handling Definitions § 1124.6 Supply plant. See § 1000.6. ...

  19. 7 CFR 1124.6 - Supply plant.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 7 Agriculture 9 2014-01-01 2013-01-01 true Supply plant. 1124.6 Section 1124.6 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (MARKETING AGREEMENTS... Regulating Handling Definitions § 1124.6 Supply plant. See § 1000.6. ...

  20. 48 CFR 1406.302-1 - Only one responsible source and no other supplies or services will satisfy agency requirements.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... COMPETITION REQUIREMENTS Other Than Full and Open Competition 1406.302-1 Only one responsible source and no... 48 Federal Acquisition Regulations System 5 2010-10-01 2010-10-01 false Only one responsible source and no other supplies or services will satisfy agency requirements. 1406.302-1 Section 1406.302-1...

  1. 48 CFR 606.302-1 - Only one responsible source and no other supplies or services will satisfy agency requirements.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... COMPETITION REQUIREMENTS Other Than Full and Open Competition 606.302-1 Only one responsible source and no... 48 Federal Acquisition Regulations System 4 2010-10-01 2010-10-01 false Only one responsible source and no other supplies or services will satisfy agency requirements. 606.302-1 Section 606.302-1...

  2. [Organization of medical equipment and stock supply of military medical facilities and groups of Disaster Medicine Service of the Russian Defense Ministry in emergency situations].

    PubMed

    Korniushko, I G; Iakovlev, S V; Krasavin, K D; Lemeshkin, R N

    2011-10-01

    The article outlined the modern concept of medical equipment and stock supply of medical facilities and groups of Disaster Medicine Service of the Russian Defense Ministry involved into the remedial of the medical actions of emergency situations. The structure of the units of medical supplies in these conditions is presented.

  3. Development of an integrated medical supply information system

    NASA Astrophysics Data System (ADS)

    Xu, Eric; Wermus, Marek; Blythe Bauman, Deborah

    2011-08-01

    The integrated medical supply inventory control system introduced in this study is a hybrid system that is shaped by the nature of medical supply, usage and storage capacity limitations of health care facilities. The system links demand, service provided at the clinic, health care service provider's information, inventory storage data and decision support tools into an integrated information system. ABC analysis method, economic order quantity model, two-bin method and safety stock concept are applied as decision support models to tackle inventory management issues at health care facilities. In the decision support module, each medical item and storage location has been scrutinised to determine the best-fit inventory control policy. The pilot case study demonstrates that the integrated medical supply information system holds several advantages for inventory managers, since it entails benefits of deploying enterprise information systems to manage medical supply and better patient services.

  4. Alignment of Information Systems with Supply Chains: Impacts on Supply Chain Performance and Organizational Performance

    ERIC Educational Resources Information Center

    Qrunfleh, Sufian M.

    2010-01-01

    Over the past decade, an important focus of researchers has been on supply chain management (SCM), as many organizations believe that effective SCM is the key to building and sustaining competitive advantage for their products/services. To manage the supply chain, companies need to adopt an SCM strategy (SCMS) and implement appropriate SCM…

  5. 47 CFR 80.963 - Main power supply.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 47 Telecommunication 5 2010-10-01 2010-10-01 false Main power supply. 80.963 Section 80.963... MARITIME SERVICES Radiotelephone Installation Required for Vessels on the Great Lakes § 80.963 Main power supply. (a) A main power supply must be available at all times while the vessel is subject to the...

  6. 47 CFR 80.963 - Main power supply.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 47 Telecommunication 5 2011-10-01 2011-10-01 false Main power supply. 80.963 Section 80.963... MARITIME SERVICES Radiotelephone Installation Required for Vessels on the Great Lakes § 80.963 Main power supply. (a) A main power supply must be available at all times while the vessel is subject to the...

  7. Veterinary medical manpower: supply-demand projections to 2020.

    PubMed

    McLaughlin, G W; Bard, H E; Talbot, R B

    1976-02-15

    A supply projection model to estimate the number of veterinarians available through the year 2020 was developed. When projected available manpower was compared with the need for veterinary medical services, as estimated in a National Academy of Science study, a net shortage was indicated in each year between 1976 and 2020. The manpower supply available if 3 additional veterinary colleges were developed in the United States was also estimated. It was concluded that, even with the additional output of these colleges, the supply of veterinarians will not keep pace with future needs for veterinary services.

  8. Urban community perception towards intermittent water supply system.

    PubMed

    Joshi, M W; Talkhande, A V; Andey, S P; Kelkar, P S

    2002-04-01

    While evaluating intermittent and continuous water supply systems, consumers opinion survey was undertaken for critical appraisal of both modes of operation. With the help of a pre-designed set of questions relating to various aspects of water supply and the opinion of consumers regarding degree of service, a house to house survey was conducted in the study area of Ghaziabad and Jaipur. The consumer opinion survey clearly indicated a satisfactory degree of service wherever adequate quantity of water was made available irrespective of the mode of water supply. Number of complaints regarding quality of water supplied, timings of supply, low pressures and breakdowns in supply were reported during intermittent water supply. Every family stored water for drinking and other uses. Most of the families discard drinking water once the fresh water supply is resumed next day. Discarded drinking water is usually used in kitchen for washing and gardening. Storage for other purposes depends on economic status and availability of other sources like open dug well in the house. While most of the respondents had no complaints on water tariff, all of them were in favour of continuous water supply.

  9. Planning the bioterrorism response supply chain: learn and live.

    PubMed

    Brandeau, Margaret L; Hutton, David W; Owens, Douglas K; Bravata, Dena M

    2007-01-01

    Responses to bioterrorism require rapid procurement and distribution of medical and pharmaceutical supplies, trained personnel, and information. Thus, they present significant logistical challenges. On the basis of a review of the manufacturing and service supply chain literature, the authors identified five supply chain strategies that can potentially increase the speed of response to a bioterrorism attack, reduce inventories, and save money: effective supply chain network design; effective inventory management; postponement of product customization and modularization of component parts; coordination of supply chain stakeholders and appropriate use of incentives; and effective information management. The authors describe how concepts learned from published evaluations of manufacturing and service supply chains, as well as lessons learned from responses to natural disasters, naturally occurring outbreaks, and the 2001 US anthrax attacks, can be applied to design, evaluate, and improve the bioterrorism response supply chain. Such lessons could also be applied to the response supply chains for disease outbreaks and natural and manmade disasters.

  10. Optimal (R, Q) policy and pricing for two-echelon supply chain with lead time and retailer's service-level incomplete information

    NASA Astrophysics Data System (ADS)

    Esmaeili, M.; Naghavi, M. S.; Ghahghaei, A.

    2018-03-01

    Many studies focus on inventory systems to analyze different real-world situations. This paper considers a two-echelon supply chain that includes one warehouse and one retailer with stochastic demand and an up-to-level policy. The retailer's lead time includes the transportation time from the warehouse to the retailer that is unknown to the retailer. On the other hand, the warehouse is unaware of retailer's service level. The relationship between the retailer and the warehouse is modeled based on the Stackelberg game with incomplete information. Moreover, their relationship is presented when the warehouse and the retailer reveal their private information using the incentive strategies. The optimal inventory and pricing policies are obtained using an algorithm based on bi-level programming. Numerical examples, including sensitivity analysis of some key parameters, will compare the results between the Stackelberg models. The results show that information sharing is more beneficial to the warehouse rather than the retailer.

  11. Abandoned or Reserve Water Supplies, Metropolitan District Commission Service Area

    DTIC Science & Technology

    1980-02-01

    Supply; Charles River Supply Location; In West Roxbury and Dedham. along the Charles River below Cow Island Pond, adjacent to Sawmill Brook...Massachusetts, Resulting trom TuberculatIon , pp. 300-305. Journal of the New England Water Works Association, Vol. 48, No. 3. Boston

  12. Effects of Military Service on Earnings and Education, Revisited: Variation by Service Duration, Occupation, and Civilian Unemployment

    DTIC Science & Technology

    2013-01-01

    Category: Other Technical, Functional or Administrative, Mechanical Repairs, Craftsworkers, and Service or Supply .................. 62   Table A.5...Application Cohort: Other Technical or Allied, Functional or Administrative, Mechanical Repairs, Craftsworkers, and Service or Supply ...Repairs, Craftsworkers, and Service or Supply .................................................................................. 71   Table A.13

  13. 45 CFR 74.35 - Supplies.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... the supplies for use on non-federally sponsored activities or sell them, but shall, in either case... Federal funds to provide services to non-Federal organizations for a fee that is less than private companies charge for equivalent services, unless specifically authorized by Federal statute as long as the...

  14. A comparison of data obtained from service providers and service users to assess the quality of maternity care.

    PubMed

    Hundley, V; Penney, G; Fitzmaurice, A; van Teijlingen, E; Graham, W

    2002-06-01

    to compare data obtained from two sources, service providers and service users, regarding the maternity services in Scotland. an audit of maternity services involving site visits, staff interviews and a cross-sectional survey of service users. lead professionals in every consultant-led maternity unit in Scotland and all 1639 women giving birth in Scotland during a ten-day period. structured group interviews with service providers and a questionnaire survey of recently delivered women. professionals' and women's responses were cross-tabulated and differences in proportions were tested for statistical significance using the chi-square test. a total of 1137 women completed the questionnaire (response rate 69%). Overall, there was good agreement between professionals' and women's perceptions of the aspects of care studied. However, there were disparities in some areas. For example, staff in eight units reported mechanisms to ensure early distribution of a free national pregnancy book; however, in six of these units less than 75% of women actually received this book prior to their first hospital visit. Eighteen units reported that they offer a postnatal 'reunion meeting'; in ten of these units, less than 50% of women were aware of the reunion meeting. Eighteen units reported a policy of each woman having a lead professional or care co-ordinator; in three of these units, less than 50% of women perceived that they had a care co-ordinator and for most women, the profession (midwife, general practitioner or obstetrician) of their perceived co-ordinator differed from that expected on the basis of staff reports. There was some evidence overall that unit policies had a direct influence on women's responses. this study demonstrates the importance of using a range of complementary methods of data collection and of ascertaining both service users' and providers' views when assessing the quality of care. Further research is required to explore differences in service provider's and

  15. Progress 7 Supply Vehicle Departs for Incineration

    NASA Technical Reports Server (NTRS)

    2002-01-01

    The unpiloted Russian Progress 7 supply ship departs from the Zvezda Service Module's docking port on the International Space Station. Carrying its load of trash and urneeded equipment, it will be deorbited and burned up in the atmosphere. The undocking paves the way for the arrival of the new Progress 8, filled with fresh supplies. Soviet designers realized that long-duration missions in space would demand a constant supply of consumable materials from Earth. The cost-effective Progress spacecraft made possible an almost permanent presence in space and stands out as a single biggest contribution to this achievement. Propulsion and service systems were installed in the tail section of the vehicle and the cargo ship was inseparable during its entire flight. Upon conclusion of its supply mission to the Station, it would be directed into the atmosphere to burn up.

  16. 48 CFR 208.405 - Ordering procedures for Federal Supply Schedules.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... Federal Supply Schedules. 208.405 Section 208.405 Federal Acquisition Regulations System DEFENSE ACQUISITION REGULATIONS SYSTEM, DEPARTMENT OF DEFENSE ACQUISITION PLANNING REQUIRED SOURCES OF SUPPLIES AND SERVICES Federal Supply Schedules 208.405 Ordering procedures for Federal Supply Schedules. In all orders...

  17. 42 CFR 409.14 - Supplies, appliances, and equipment.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 2 2010-10-01 2010-10-01 false Supplies, appliances, and equipment. 409.14 Section... Hospital Services § 409.14 Supplies, appliances, and equipment. (a) Except as specified in paragraph (b) of this section, Medicare pays for supplies, appliances, and equipment as inpatient hospital or inpatient...

  18. Availability of drugs and medical supplies for emergency obstetric care: experience of health facility managers in a rural District of Tanzania.

    PubMed

    Mkoka, Dickson Ally; Goicolea, Isabel; Kiwara, Angwara; Mwangu, Mughwira; Hurtig, Anna-Karin

    2014-03-19

    Provision of quality emergency obstetric care relies upon the presence of skilled health attendants working in an environment where drugs and medical supplies are available when needed and in adequate quantity and of assured quality. This study aimed to describe the experience of rural health facility managers in ensuring the timely availability of drugs and medical supplies for emergency obstetric care (EmOC). In-depth interviews were conducted with a total of 17 health facility managers: 14 from dispensaries and three from health centers. Two members of the Council Health Management Team and one member of the Council Health Service Board were also interviewed. A survey of health facilities was conducted to supplement the data. All the materials were analysed using a qualitative thematic analysis approach. Participants reported on the unreliability of obtaining drugs and medical supplies for EmOC; this was supported by the absence of essential items observed during the facility survey. The unreliability of obtaining drugs and medical supplies was reported to result in the provision of untimely and suboptimal EmOC services. An insufficient budget for drugs from central government, lack of accountability within the supply system and a bureaucratic process of accessing the locally mobilized drug fund were reported to contribute to the current situation. The unreliability of obtaining drugs and medical supplies compromises the timely provision of quality EmOC. Multiple approaches should be used to address challenges within the health system that prevent access to essential drugs and supplies for maternal health. There should be a special focus on improving the governance of the drug delivery system so that it promotes the accountability of key players, transparency in the handling of information and drug funds, and the participation of key stakeholders in decision making over the allocation of locally collected drug funds.

  19. Availability of drugs and medical supplies for emergency obstetric care: experience of health facility managers in a rural District of Tanzania

    PubMed Central

    2014-01-01

    Background Provision of quality emergency obstetric care relies upon the presence of skilled health attendants working in an environment where drugs and medical supplies are available when needed and in adequate quantity and of assured quality. This study aimed to describe the experience of rural health facility managers in ensuring the timely availability of drugs and medical supplies for emergency obstetric care (EmOC). Methods In-depth interviews were conducted with a total of 17 health facility managers: 14 from dispensaries and three from health centers. Two members of the Council Health Management Team and one member of the Council Health Service Board were also interviewed. A survey of health facilities was conducted to supplement the data. All the materials were analysed using a qualitative thematic analysis approach. Results Participants reported on the unreliability of obtaining drugs and medical supplies for EmOC; this was supported by the absence of essential items observed during the facility survey. The unreliability of obtaining drugs and medical supplies was reported to result in the provision of untimely and suboptimal EmOC services. An insufficient budget for drugs from central government, lack of accountability within the supply system and a bureaucratic process of accessing the locally mobilized drug fund were reported to contribute to the current situation. Conclusion The unreliability of obtaining drugs and medical supplies compromises the timely provision of quality EmOC. Multiple approaches should be used to address challenges within the health system that prevent access to essential drugs and supplies for maternal health. There should be a special focus on improving the governance of the drug delivery system so that it promotes the accountability of key players, transparency in the handling of information and drug funds, and the participation of key stakeholders in decision making over the allocation of locally collected drug funds. PMID

  20. Nurses graduating in Fiji between 2001 and 2010: sufficient supply for Fiji's health service demands?

    PubMed

    Aiyub, S; Linh, N N; Tayler-Smith, K; Khogali, M; Bissell, K

    2013-03-21

    Fiji's schools of nursing and government health services, 2001-2010. To report on 1) the number and characteristics of nurses who graduated in Fiji, 2) the proportion of vacant nursing positions in the government health services and 3) attrition among nurses. Descriptive study involving a retrospective record review of Ministry of Health annual reports and nursing registers. Over the period 2001-2010, a total of 1500 nurses graduated, with the overall trend being a gradual increase in newly qualified nurses year on year. Available data from 2007 onwards showed relatively low vacancy rates (range 0.4-2%), with a sharp rise to 15% in 2009. Complete data on nurse attrition were available only from 2007 onwards, with rates of attrition ranging from 4% to 10%; the most common reason for attrition was resignation. While it was unable to directly assess whether Fiji's supply of nursing graduates has been meeting the country's health service demands, this study provides a series of baseline data on Fiji's nurse graduate and nursing workforce. In addition, it identifies some of the challenges and gaps that need to be considered to better assess and address nursing staff shortages.

  1. Agency and market area factors affecting home health agency supply changes.

    PubMed

    Porell, Frank W; Liu, Korbin; Brungo, David P

    2006-10-01

    To use the natural experiment created by the Medicare interim payment system (IPS) to study supply change behavior of home health agencies (HHAs) in local market areas. One hundred percent Medicare home health claims for 1996 and 1999, linked with Medicare Provider of Service and Denominator files, and the Area Resource File. Medicare home health care (HHC) claims data were used to distinguish HHAs that changed the local market supply of Medicare HHC by their market exit or by significant expansion or contraction of their geographic service area between 1996 and 1999 from other HHAs. Multinomial logit models were estimated to analyze how characteristics of agencies and the market areas in which they served were associated with these different agency-level supply changes. Changes in local HHA supply stemming from geographic service area expansions and contractions rivaled those owing to agency closures and market entries. Agencies at greater risk of closure and service area contraction tended to be smaller, newer, freestanding agencies, operating with more visit-intensive practice styles in markets with more competitor agencies. Except for having much less visit-intensive practice styles, similar attributes characterized agencies that increased local supply through service area expansion. Supply changes by HHAs largely reflected rational market responses by agencies to significant changes in financial incentives associated with the Medicare IPS. Recently certified agencies were among the most dynamic providers. Supply changes were more likely among agencies operating in more competitive market environments.

  2. Reconnaissance investigation of ground-water supply for Dora Belle Campground, Shaver Lake, California

    USGS Publications Warehouse

    Davis, G.H.

    1957-01-01

    At the request of the United States Forest Service, the Ground Water Branch of the United Stated Geological Survey made a reconnaissance of the geologic features and water resources of the Dora Belle Campground in Sierra National Forest on the shore of Shaver Lake, Fresno County, California. Basically, the water-supply problem at Dora Belle Campground is that the present supply obtained from a spring is not adequate to meet the present summer demand, and is of poor quality. Plans call for a considerable increase in camping facilities.. This, it is imperative that the present supply be augmented or, preferably, be replaced entirely. the Forest Service estimated the future peak demand to be about 25,00 gallons per day. On October 28, 1957, the writer examined the are in the company of C. H. Fankboner, Assistant Forest Engineer, Sierra National Forest, and Ben Dix, Construction and Maintenance Foreman, Pine Ridge District. Field work, done on October 28th and 29th, consisted of a brief geologic reconnaissance to determine the rock types and geologic structure, and a hydrologic reconnaissance consisting of a partial inventory of water walls and springs in the vicinity of the campground. A spring box near the western edge of Bell Diamond Meadow was pumped out with a Forest Service pump truck to determine its rate of recovery and potential production.

  3. Aligning incentives in supply chains.

    PubMed

    Narayanan, V G; Raman, Ananth

    2004-11-01

    Most companies don't worry about the behavior of their supply chain partners. Instead, they expect the supply chain to work efficiently without interference, as if guided by Adam Smith's famed invisible hand. In their study of more than 50 supply networks, V.G. Narayanan and Ananth Raman found that companies often looked out for their own interests and ignored those of their network partners. Consequently, supply chains performed poorly. Those results aren't shocking when you consider that supply chains extend across several functions and many companies, each with its own priorities and goals. Yet all those functions and firms must pull in the same direction for a chain to deliver goods and services to consumers quickly and cost-effectively. According to the authors, a supply chain works well only if the risks, costs, and rewards of doing business are distributed fairly across the network. In fact, misaligned incentives are often the cause of excess inventory, stock-outs, incorrect forecasts, inadequate sales efforts, and even poor customer service. The fates of all supply chain partners are interlinked: If the firms work together to serve consumers, they will all win. However, they can do that only if incentives are aligned. Companies must acknowledge that the problem of incentive misalignment exists and then determine its root cause and align or redesign incentives. They can improve alignment by, for instance, adopting revenue-sharing contracts, using technology to track previously hidden information, or working with intermediaries to build trust among network partners. It's also important to periodically reassess incentives, because even top-performing networks find that changes in technology or business conditions alter the alignment of incentives.

  4. Course of Study in Agricultural Occupations (Agricultural-Supply Businesses--Sales and Service) for Reidland High School, Department of Vocational Agriculture.

    ERIC Educational Resources Information Center

    Binkley, Harold

    This high school agricultural occupations teacher's guide was developed as part of a pilot program and tested at Reidland High School. The course objective is to develop skills and understandings needed in agricultural supply sales and service. Units are (1) Opportunities in Agricultural Occupations, (2) Orientation to the Training Program, (3)…

  5. Performance analysis of Supply Chain Management with Supply Chain Operation reference model

    NASA Astrophysics Data System (ADS)

    Hasibuan, Abdurrozzaq; Arfah, Mahrani; Parinduri, Luthfi; Hernawati, Tri; Suliawati; Harahap, Bonar; Rahmah Sibuea, Siti; Krianto Sulaiman, Oris; purwadi, Adi

    2018-04-01

    This research was conducted at PT. Shamrock Manufacturing Corpora, the company is required to think creatively to implement competition strategy by producing goods/services that are more qualified, cheaper. Therefore, it is necessary to measure the performance of Supply Chain Management in order to improve the competitiveness. Therefore, the company is required to optimize its production output to meet the export quality standard. This research begins with the creation of initial dimensions based on Supply Chain Management process, ie Plan, Source, Make, Delivery, and Return with hierarchy based on Supply Chain Reference Operation that is Reliability, Responsiveness, Agility, Cost, and Asset. Key Performance Indicator identification becomes a benchmark in performance measurement whereas Snorm De Boer normalization serves to equalize Key Performance Indicator value. Analiytical Hierarchy Process is done to assist in determining priority criteria. Measurement of Supply Chain Management performance at PT. Shamrock Manufacturing Corpora produces SC. Responsiveness (0.649) has higher weight (priority) than other alternatives. The result of performance analysis using Supply Chain Reference Operation model of Supply Chain Management performance at PT. Shamrock Manufacturing Corpora looks good because its monitoring system between 50-100 is good.

  6. 48 CFR 4.705-3 - Acquisition and supply records.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 1 2010-10-01 2010-10-01 false Acquisition and supply... GENERAL ADMINISTRATIVE MATTERS Contractor Records Retention 4.705-3 Acquisition and supply records. (a) Store requisitions for materials, supplies, equipment, and services: Retain 2 years. (b) Work orders for...

  7. The Complex Economic System of Supply Chain Financing

    NASA Astrophysics Data System (ADS)

    Zhang, Lili; Yan, Guangle

    Supply Chain Financing (SCF) refers to a series of innovative and complicated financial services based on supply chain. The SCF set-up is a complex system, where the supply chain management and Small and Medium Enterprises (SMEs) financing services interpenetrate systematically. This paper establishes the organization structure of SCF System, and presents two financing models respectively, with or without the participation of the third-party logistic provider (3PL). Using Information Economics and Game Theory, the interrelationship among diverse economic sectors is analyzed, and the economic mechanism of development and existent for SCF system is demonstrated. New thoughts and approaches to solve SMEs financing problem are given.

  8. Can We Defend the Defense Supply Chain Lessons Learned from Industry Leaders in Supply Chain Management

    DTIC Science & Technology

    2018-03-01

    Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and...chain, including products, services, information , finances, demand, relationships, and risks. In a more complete definition, supply chain management ...CHAIN? LESSONS LEARNED FROM INDUSTRY LEADERS IN SUPPLY CHAIN MANAGEMENT by Ronald H. Menz March 2018 Thesis Co-Advisors: Rodrigo Nieto-Gomez

  9. Agency and Market Area Factors Affecting Home Health Agency Supply Changes

    PubMed Central

    Porell, Frank W; Liu, Korbin; Brungo, David P

    2006-01-01

    Objective To use the natural experiment created by the Medicare interim payment system (IPS) to study supply change behavior of home health agencies (HHAs) in local market areas. Data Sources One hundred percent Medicare home health claims for 1996 and 1999, linked with Medicare Provider of Service and Denominator files, and the Area Resource File. Study Design Medicare home health care (HHC) claims data were used to distinguish HHAs that changed the local market supply of Medicare HHC by their market exit or by significant expansion or contraction of their geographic service area between 1996 and 1999 from other HHAs. Multinomial logit models were estimated to analyze how characteristics of agencies and the market areas in which they served were associated with these different agency-level supply changes. Principal Findings Changes in local HHA supply stemming from geographic service area expansions and contractions rivaled those owing to agency closures and market entries. Agencies at greater risk of closure and service area contraction tended to be smaller, newer, freestanding agencies, operating with more visit-intensive practice styles in markets with more competitor agencies. Except for having much less visit-intensive practice styles, similar attributes characterized agencies that increased local supply through service area expansion. Conclusions Supply changes by HHAs largely reflected rational market responses by agencies to significant changes in financial incentives associated with the Medicare IPS. Recently certified agencies were among the most dynamic providers. Supply changes were more likely among agencies operating in more competitive market environments. PMID:16987305

  10. 45 CFR 2543.35 - Supplies and other expendable property.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... OTHER NON-PROFIT ORGANIZATIONS Post-Award Requirements Property Standards § 2543.35 Supplies and other... federally-sponsored project or program, the recipient shall retain the supplies for use on non-Federal... recipient shall not use supplies acquired with Federal funds to provide services to non-Federal outside...

  11. 45 CFR 2543.35 - Supplies and other expendable property.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... OTHER NON-PROFIT ORGANIZATIONS Post-Award Requirements Property Standards § 2543.35 Supplies and other... federally-sponsored project or program, the recipient shall retain the supplies for use on non-Federal... recipient shall not use supplies acquired with Federal funds to provide services to non-Federal outside...

  12. 45 CFR 2543.35 - Supplies and other expendable property.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... OTHER NON-PROFIT ORGANIZATIONS Post-Award Requirements Property Standards § 2543.35 Supplies and other... federally-sponsored project or program, the recipient shall retain the supplies for use on non-Federal... recipient shall not use supplies acquired with Federal funds to provide services to non-Federal outside...

  13. Economic order quantity (EOQ) by game theory approach in probabilistic supply chain system under service level constraint for items with imperfect quality

    NASA Astrophysics Data System (ADS)

    Setiawan, R.

    2018-03-01

    In this paper, Economic Order Quantity (EOQ) of probabilistic two-level supply – chain system for items with imperfect quality has been analyzed under service level constraint. A firm applies an active service level constraint to avoid unpredictable shortage terms in the objective function. Mathematical analysis of optimal result is delivered using two equilibrium scheme concept in game theory approach. Stackelberg’s equilibrium for cooperative strategy and Stackelberg’s Equilibrium for noncooperative strategy. This is a new approach to game theory result in inventory system whether service level constraint is applied by a firm in his moves.

  14. Understanding of how older adults with low vision obtain, process, and understand health information and services.

    PubMed

    Kim, Hyung Nam

    2017-10-16

    Twenty-five years after the Americans with Disabilities Act, there has still been a lack of advancement of accessibility in healthcare for people with visual impairments, particularly older adults with low vision. This study aims to advance understanding of how older adults with low vision obtain, process, and use health information and services, and to seek opportunities of information technology to support them. A convenience sample of 10 older adults with low vision participated in semi-structured phone interviews, which were audio-recorded and transcribed verbatim for analysis. Participants shared various concerns in accessing, understanding, and using health information, care services, and multimedia technologies. Two main themes and nine subthemes emerged from the analysis. Due to the concerns, older adults with low vision tended to fail to obtain the full range of all health information and services to meet their specific needs. Those with low vision still rely on residual vision such that multimedia-based information which can be useful, but it should still be designed to ensure its accessibility, usability, and understandability.

  15. 28 CFR 70.35 - Supplies and other expendable property.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... AND OTHER NON-PROFIT ORGANIZATIONS Post-Award Requirements Property Standards § 70.35 Supplies and... any other Federally-sponsored project or program, the recipient may retain the supplies for use on non... recipient must not use supplies acquired with Federal funds to provide services to non-Federal outside...

  16. 28 CFR 70.35 - Supplies and other expendable property.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... AND OTHER NON-PROFIT ORGANIZATIONS Post-Award Requirements Property Standards § 70.35 Supplies and... any other Federally-sponsored project or program, the recipient may retain the supplies for use on non... recipient must not use supplies acquired with Federal funds to provide services to non-Federal outside...

  17. Issues with medication supply and management in a rural community in Queensland.

    PubMed

    Tan, Amy C W; Emmerton, Lynne M; Hattingh, H Laetitia

    2012-06-01

    To identify the key issues reported by rural health-care providers in their provision of medication supply and related cognitive services, and in order to advise health workforce and role development and thus improve the quality use of medicines in rural communities. Exploratory semistructured interview research. A rural community comprising four towns in a rural health service district in Queensland, Australia.   Forty-nine health-care providers (medical practitioners, pharmacists, nurses and others) with medication-related roles who serviced the study community, identified through databases and local contacts. Medication-related roles undertaken by the health-care providers, focusing on medication supply and cognitive services; challenges in undertaking these roles. Medical and nursing providers reported challenges in ensuring continuity in supply of medications due to their existing medical workload demands. Local pharmacists were largely involved in medication supply, with limited capacity for extended cognitive roles. Participants identified a lack of support for their medication roles and the potential value of clinically focused pharmacists in medication management services. Medication supply may become more efficient with extended roles for certain health-care providers. The need for cognitive medication management services suggests potential for clinical pharmacists' role development in rural areas. © 2012 The Authors. Australian Journal of Rural Health © National Rural Health Alliance Inc.

  18. Incremental cost of increasing access to maternal health care services: perspectives from a demand and supply side intervention in Eastern Uganda.

    PubMed

    Mayora, Chrispus; Ekirapa-Kiracho, Elizabeth; Bishai, David; Peters, David H; Okui, Olico; Baine, Sebastian Olikira

    2014-01-01

    High maternal and infant mortality continue to be major challenges to the attainment of the Millennium Development Goals for many low and middle-income countries. There is now evidence that voucher initiatives can increase access to maternal health services. However, a dearth of knowledge exists on the cost implications of voucher schemes. This paper estimates the incremental costs of a demand and supply side intervention aimed at increasing access to maternal health care services. This costing study was part of a quasi-experimental voucher study conducted in two districts in Eastern Uganda to explore the impact of demand and supply - side incentives on increasing access to maternal health services. The provider's perspective was used and the ingredients approach to costing was employed. Costs were based on market prices as recorded in program records. Total, unit, and incremental costs were calculated. The estimated total financial cost of the intervention for the one year of implementation was US$525,472 (US$1 = 2200UgShs). The major cost drivers included costs for transport vouchers (35.3%), health system strengthening (29.2%) and vouchers for maternal health services (18.2%). The average cost of transport per woman to and from the health facility was US$4.6. The total incremental costs incurred on deliveries (excluding caesarean section) was US$317,157 and US$107,890 for post natal care (PNC). The incremental costs per additional delivery and PNC attendance were US$23.9 and US$7.6 respectively. Subsidizing maternal health care costs through demand and supply - side initiatives may not require significant amounts of resources contrary to what would be expected. With Uganda's Gross Domestic Product (GDP) per capita of US$55` (2012), the incremental cost per additional delivery (US$23.9) represents about 5% of GDP per capita to save a mother and probably her new born. For many low income countries, this may not be affordable, yet reliance on donor funding is often

  19. 21 CFR 58.45 - Animal supply facilities.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 21 Food and Drugs 1 2011-04-01 2011-04-01 false Animal supply facilities. 58.45 Section 58.45 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL GOOD LABORATORY PRACTICE FOR NONCLINICAL LABORATORY STUDIES Facilities § 58.45 Animal supply facilities. There...

  20. 21 CFR 58.45 - Animal supply facilities.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 21 Food and Drugs 1 2012-04-01 2012-04-01 false Animal supply facilities. 58.45 Section 58.45 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL GOOD LABORATORY PRACTICE FOR NONCLINICAL LABORATORY STUDIES Facilities § 58.45 Animal supply facilities. There...

  1. 21 CFR 58.45 - Animal supply facilities.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 21 Food and Drugs 1 2014-04-01 2014-04-01 false Animal supply facilities. 58.45 Section 58.45 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL GOOD LABORATORY PRACTICE FOR NONCLINICAL LABORATORY STUDIES Facilities § 58.45 Animal supply facilities. There...

  2. 21 CFR 58.45 - Animal supply facilities.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 21 Food and Drugs 1 2013-04-01 2013-04-01 false Animal supply facilities. 58.45 Section 58.45 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL GOOD LABORATORY PRACTICE FOR NONCLINICAL LABORATORY STUDIES Facilities § 58.45 Animal supply facilities. There...

  3. Preliminary Hawai'i Public Health Workforce Supply and Demand Assessment.

    PubMed

    Braden, Katherine W; Yontz, Valerie; Withy, Kelley

    2017-03-01

    Ensuring the adequacy of the public health workforce requires an understanding of its size and composition, as well as the population's demand for services. The current article describes research undertaken as a first step toward developing an estimate of the supply of and demand for Hawai'i's public health workforce. Using an organizational-level survey, data was obtained from a subset of 34 organizations considered to be major providers of population-based public health services in Hawai'i. The results indicate that estimates of the existing public health workforce range from 3,429 to 3,846 workers. Calculations of functional demand reveal that an additional 317 to 502 employees will be required to compensate for vacancies and projected retirements over the next five years; though, the discussion points to the fact that this number may be closer to 1,005 to 1,664. While, an additional 594 to 848 employees would be needed to meet the current missions of organizations in this sample and to best meet community need. While these findings are neither exhaustive nor definitive, they raise issues concerning the state's supply of public health workers in terms of their ability to adequately meet demand for services. More research is needed to confirm these findings and track Hawai'i's public health workforce to assure a strong local public health system.

  4. Preliminary Hawai‘i Public Health Workforce Supply and Demand Assessment

    PubMed Central

    Yontz, Valerie; Withy, Kelley

    2017-01-01

    Ensuring the adequacy of the public health workforce requires an understanding of its size and composition, as well as the population's demand for services. The current article describes research undertaken as a first step toward developing an estimate of the supply of and demand for Hawai‘i's public health workforce. Using an organizational-level survey, data was obtained from a subset of 34 organizations considered to be major providers of population-based public health services in Hawai‘i. The results indicate that estimates of the existing public health workforce range from 3,429 to 3,846 workers. Calculations of functional demand reveal that an additional 317 to 502 employees will be required to compensate for vacancies and projected retirements over the next five years; though, the discussion points to the fact that this number may be closer to 1,005 to 1,664. While, an additional 594 to 848 employees would be needed to meet the current missions of organizations in this sample and to best meet community need. While these findings are neither exhaustive nor definitive, they raise issues concerning the state's supply of public health workers in terms of their ability to adequately meet demand for services. More research is needed to confirm these findings and track Hawai‘i's public health workforce to assure a strong local public health system. PMID:28435752

  5. 48 CFR 828.106-71 - Assisting service-disabled veteran-owned and veteran-owned small businesses in obtaining bonding.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 5 2010-10-01 2010-10-01 false Assisting service-disabled veteran-owned and veteran-owned small businesses in obtaining bonding. 828.106-71 Section 828.106-71... BONDS AND INSURANCE Bonds and Other Financial Protections 828.106-71 Assisting service-disabled veteran...

  6. 48 CFR 828.106-71 - Assisting service-disabled veteran-owned and veteran-owned small businesses in obtaining bonding.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 48 Federal Acquisition Regulations System 5 2011-10-01 2011-10-01 false Assisting service-disabled veteran-owned and veteran-owned small businesses in obtaining bonding. 828.106-71 Section 828.106-71... BONDS AND INSURANCE Bonds and Other Financial Protections 828.106-71 Assisting service-disabled veteran...

  7. 48 CFR 828.106-71 - Assisting service-disabled veteran-owned and veteran-owned small businesses in obtaining bonding.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 48 Federal Acquisition Regulations System 5 2014-10-01 2014-10-01 false Assisting service-disabled veteran-owned and veteran-owned small businesses in obtaining bonding. 828.106-71 Section 828.106-71... BONDS AND INSURANCE Bonds and Other Financial Protections 828.106-71 Assisting service-disabled veteran...

  8. 48 CFR 828.106-71 - Assisting service-disabled veteran-owned and veteran-owned small businesses in obtaining bonding.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 48 Federal Acquisition Regulations System 5 2013-10-01 2013-10-01 false Assisting service-disabled veteran-owned and veteran-owned small businesses in obtaining bonding. 828.106-71 Section 828.106-71... BONDS AND INSURANCE Bonds and Other Financial Protections 828.106-71 Assisting service-disabled veteran...

  9. 48 CFR 828.106-71 - Assisting service-disabled veteran-owned and veteran-owned small businesses in obtaining bonding.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 48 Federal Acquisition Regulations System 5 2012-10-01 2012-10-01 false Assisting service-disabled veteran-owned and veteran-owned small businesses in obtaining bonding. 828.106-71 Section 828.106-71... BONDS AND INSURANCE Bonds and Other Financial Protections 828.106-71 Assisting service-disabled veteran...

  10. Effects of inequality of supply hours on consumers' coping strategies and perceptions of intermittent water supply in Kathmandu Valley, Nepal.

    PubMed

    Guragai, B; Takizawa, S; Hashimoto, T; Oguma, K

    2017-12-01

    To investigate the effects of unequal supply hours on consumers' coping strategies and perceptions of the intermittent water supply (IWS) in the Kathmandu Valley (KV), Nepal we conducted a randomized household survey (n=369) and on-site water quality tests. Half of the households received piped water for 6 or fewer hours per week. To augment or cope with the inadequate supply, 28% of the households used highly contaminated and expensive tanker-delivered water. Half of the piped water samples (n=13) were contaminated with Escherichia coli. Free chlorine concentration in all piped water samples was below the national standards (0.1-0.2mg/L), but combined chlorine was detected at an average of 0.24mg/L, indicating ingression of contaminants in the network. Point-of-use devices could increase access to safe water in the KV from 42% to 80%. The use of Lorenz curves and Gini coefficients revealed inequality of piped water supply hours per week both between and within service areas in the KV, due mainly to a small percentage of households who receive longer supply hours. To cope with reduced supply hours, home owners pay more to get water from alternative sources, while tenants compromise their water consumption. Under IWS, expectations for improvements in piped water quality and supply regularity are higher than those for supply volume. Consumers' perceptions of the piped water services worsen with the reduction in supply hours, but perceptions of piped water tariff are independent of supply hours. Copyright © 2017 Elsevier B.V. All rights reserved.

  11. 48 CFR 546.302 - Fixed-price supply contracts.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 4 2010-10-01 2010-10-01 false Fixed-price supply contracts. 546.302 Section 546.302 Federal Acquisition Regulations System GENERAL SERVICES ADMINISTRATION CONTRACT MANAGEMENT QUALITY ASSURANCE Contract Clauses 546.302 Fixed-price supply contracts. ...

  12. PROTOTYPIC CONTINUITY METHODS FOR FASTER RECOVERY OF OIL PRODUCTS SUPPLY AFTER GREAT QUAKE

    NASA Astrophysics Data System (ADS)

    Yasuno, Takato

    In the Great East Japan Earthquake, some oil product farms and tanks had a lot of damages. Then we temporally run short of oil products such as gasoline, lamp oil. The oil product is indispensable to make cargo shipment, or rescue operations, and some trouble must come for everyday shopping and movement of business. The lifeline damages come out electric power, water service, gas and communication. In addition the oil product shortage overlaps then the importance to restore was recognized. After earthquake disaster, there is a possibility to interrupt supply services such as shipping from oil tanks and sale at stations. Even if their discontinuation comes, it needs some business continuity policies in order to recover supply service at early stage. This paper grasps oil product discontinuation of supply and restoration transition and tries to get disaster lessons. This paper proposes prototypic techniques to minimize the sum of penalties to supply no service for neighbor region with capacities of critical stations. It applies to Tohoku regions and their gas stations and comments the usefulness of techniques and implication of supply service continuity policy.

  13. 21 CFR 58.45 - Animal supply facilities.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 1 2010-04-01 2010-04-01 false Animal supply facilities. 58.45 Section 58.45 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL GOOD... infestation or contamination. Perishable supplies shall be preserved by appropriate means. [43 FR 60013, Dec...

  14. 21 CFR 606.65 - Supplies and reagents.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 7 2010-04-01 2010-04-01 false Supplies and reagents. 606.65 Section 606.65 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) BIOLOGICS CURRENT GOOD MANUFACTURING PRACTICE FOR BLOOD AND BLOOD COMPONENTS Equipment § 606.65 Supplies and...

  15. A pharmacy carer support service: obtaining new insight into carers in the community.

    PubMed

    McMillan, Sara S; King, Michelle A; Stapleton, Helen; Sav, Adem; Kelly, Fiona; Wheeler, Amanda J

    2018-05-06

    Unpaid carers have many and varied responsibilities in society, which can include medication management for the person they support. However, the potential for Australian community pharmacies to better assist carers is relatively unexplored. This mixed-methods study investigated the acceptability of a local carer support service by trained community pharmacy staff, including issues regarding the implementation and impact of this service. Staff from 11 community pharmacies in South East Queensland, Australia, were trained to deliver a six-step carer support service between September 2016 and March 2017. Pharmacies were supported by a carer and pharmacist mentor pair and asked to recruit up to six carers each. Evaluations of staff training were descriptively analysed. Semi-structured interviews were undertaken with pharmacy staff, and interview transcripts were analysed thematically. Staff training evaluations were positive; participants acquired new information about carers and rated the service highly in terms of its importance within the pharmacy setting. Feedback was obtained on how to improve the training, such as further opportunities for role-play. Seven staff members were interviewed, and data analysis revealed two main themes: (1) implementation of the carer support service and (2) perceived impact on pharmacy staff. Positive attitudes towards recognising and supporting carers, and training and mentoring were identified with community pharmacies viewed as a suitable place for delivering this new service. New insights into the impact of caring were widely reported, which staff had not appreciated from previous carer interactions. Structural issues, including space and time pressures, and a lack of awareness about the types of support currently available to carers were emphasised. Pharmacy staff are well positioned to support carers. Engaging carers in conversation to better understand their needs is a small step with potential for big gains, including a more

  16. 23 CFR 140.908 - Materials and supplies.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... Reimbursement for Railroad Work § 140.908 Materials and supplies. (a) Procurement. Materials and supplies, if... job, less a consideration for loss in service life at 10 percent for rails, angle bars, tie plates and... measures for restoration of affected areas as required by the physical construction or by reason of safety...

  17. [Urban ecosystem services: A review].

    PubMed

    Mao, Qi-zheng; Huang, Gan-lin; Wu, Jian-guo

    2015-04-01

    Maintaining and improving ecosystem services in urban areas and human well-being are essential for sustainable development and therefore constitute an important topic in urban ecology. Here we reviewed studies on ecosystem services in urban areas. Based on the concept and classification of urban ecosystem services, we summarized characteristics of urban ecosystem services, including the human domination, high demand of ecosystem services in urban areas, spatial heterogeneity and temporal dynamics of ecosystem services supply and demand in urban areas, multi-services of urban green infrastructures, the socio-economic dimension of ecosystem services supply and ecosystem disservices in urban areas. Among different urban ecosystem services, the regulating service and cultural service are particularly indispensable to benefit human health. We pointed out that tradeoffs among different types of ecosystem services mostly occur between supportive service and cultural service, as well as regulating service and cultural service. In particular, we emphasized the relationship between landscape design (i.e. green infrastructure) and ecosystem services supply. Finally, we discussed current gaps to link urban ecosystem services studies to landscape design and management and pointed out several directions for future research in urban ecosystem services.

  18. Water supply facility damage and water resource operation at disaster base hospitals in miyagi prefecture in the wake of the Great East Japan Earthquake.

    PubMed

    Matsumura, Takashi; Osaki, Shizuka; Kudo, Daisuke; Furukawa, Hajime; Nakagawa, Atsuhiro; Abe, Yoshiko; Yamanouchi, Satoshi; Egawa, Shinichi; Tominaga, Teiji; Kushimoto, Shigeki

    2015-04-01

    The aim of this study was to shed light on damage to water supply facilities and the state of water resource operation at disaster base hospitals in Miyagi Prefecture (Japan) in the wake of the Great East Japan Earthquake (2011), in order to identify issues concerning the operational continuity of hospitals in the event of a disaster. In addition to interview and written questionnaire surveys to 14 disaster base hospitals in Miyagi Prefecture, a number of key elements relating to the damage done to water supply facilities and the operation of water resources were identified from the chronological record of events following the Great East Japan Earthquake. Nine of the 14 hospitals experienced cuts to their water supplies, with a median value of three days (range=one to 20 days) for service recovery time. The hospitals that could utilize well water during the time that water supply was interrupted were able to obtain water in quantities similar to their normal volumes. Hospitals that could not use well water during the period of interruption, and hospitals whose water supply facilities were damaged, experienced significant disruption to dialysis, sterilization equipment, meal services, sanitation, and outpatient care services, though the extent of disruption varied considerably among hospitals. None of the hospitals had determined the amount of water used for different purposes during normal service or formulated a plan for allocation of limited water in the event of a disaster. The present survey showed that it is possible to minimize the disruption and reduction of hospital functions in the event of a disaster by proper maintenance of water supply facilities and by ensuring alternative water resources, such as well water. It is also clear that it is desirable to conclude water supply agreements and formulate strategic water allocation plans in preparation for the eventuality of a long-term interruption to water services.

  19. Strategies to identify future shortages due to interruptions in the health care procurement supply chain and their impact on health services: a method from the English National Health Service.

    PubMed

    Grose, Jane; Richardson, Janet

    2014-01-01

    The uninterrupted supply of essential items for patient care is crucial for organizations that deliver health care. Many products central to health care are derived from natural resources such as oil and cotton, supplies of which are vulnerable to climate change and increasing global demand. The purpose of this study was to identify which items would have the greatest effect on service delivery and patient outcomes should they no longer be available. Using a consensus development approach, all items bought by one hospital, over one year, were subjected to a filtering process. Criteria were developed to identify at-risk products and assess them against specific risks and opportunities. Seventy-two items were identified for assessment against a range of potential impacts on service delivery and patient outcomes, from no impact to significant impact. Clinical and non-clinical participants rated the items. In the category of significant impact, consensus was achieved for 20 items out of 72. There were differences of opinion between clinical and non-clinical participants in terms of significant impact in relation to 18 items, suggesting that priority over purchasing decisions may create areas of conflict. Reducing reliance on critically scarce resources and reducing demand were seen as the most important criteria in developing sustainable procurement. The method was successful in identifying items vulnerable to supply chain interruption and should be repeated in other areas to test its ability to adapt to local priorities, and to assess how it functions in a variety of public and private settings.

  20. WATER SUPPLY PIPE REPLACEMENT CONSIDERING SUSTAINABLE TRANSITION TO POPULATION DECREASED SOCIETY

    NASA Astrophysics Data System (ADS)

    Hosoi, Yoshihiko; Iwasaki, Yoji; Aklog, Dagnachew; Masuda, Takanori

    Social infrastructures are aging and population is decreasing in Japan. The aged social infrastructures should be renewed. At the same time, they are required to be moved into new framework suitable for population decreased societies. Furthermore, they have to continue to supply sufficient services even during transition term that renewal projects are carried out. Authors propose sustainable soft landing management of infrastructures and it is tried to apply to water supply pipe replacement in this study. Methodology to replace aged pipes not only aiming for the new water supply network which suits for population decreased condition but also ensuring supply service and feasibility while the project is carried out was developed. It is applied for a model water supply network and discussions were carried out.

  1. Supply- and Demand-Side Factors Influencing Utilization of Infant and Young Child Feeding Counselling Services in Viet Nam.

    PubMed

    Nguyen, Phuong H; Kim, Sunny S; Nguyen, Tuan T; Tran, Lan M; Hajeebhoy, Nemat; Frongillo, Edward A; Ruel, Marie T; Rawat, Rahul; Menon, Purnima

    2016-01-01

    Adequate utilization of services is critical to maximize the impact of counselling on infant and young child feeding (IYCF), but little is known about factors affecting utilization. Our study examined supply- and demand-side factors associated with the utilization of IYCF counselling services in Viet Nam. We used survey data from mothers with children <2y (n = 1,008) and health staff (n = 60) from the evaluation of a program that embedded IYCF counseling into the existing government health system. The frequency of never users, one-time users, repeat users, and achievers of the recommended minimum number of visits at health facilities were 45.1%, 13.0%, 28.4% and 13.5%, respectively. Poisson regression showed that demand-generation strategies, especially invitation cards, were the key factors determining one-time use (Prevalence ratio, PR 3.0, 95% CI: 2.2-4.2), repeated use (PR 3.2, 95% CI: 2.4-4.2), and achievement of minimum visits (PR 5.5, 95% CI: 3.6-8.4). Higher maternal education was associated with higher utilization both for one-time and repeated use. Being a farmer, belonging to an ethnic minority, and having a wasted child were associated with greater likelihood of achieving the minimum recommended number of visits, whereas child stunting or illness were not. Distance to health center was a barrier to repeated visits. Among supply-side factors, good counselling skills (PR: 1.3-1.8) was the most important factor associated with any service use, whereas longer employment duration and greater work pressure of health center staff were associated with lower utilization. Population attributable risk estimations showed that an additional 25% of the population would have achieved the minimum number of visits if exposed to three demand-generation strategies, and further increased to 49% if the health staff had good counseling skills and low work pressure. Our study provides evidence that demand-generation strategies are essential to increase utilization of facility

  2. Supply- and Demand-Side Factors Influencing Utilization of Infant and Young Child Feeding Counselling Services in Viet Nam

    PubMed Central

    Nguyen, Phuong H.; Kim, Sunny S.; Nguyen, Tuan T.; Tran, Lan M.; Hajeebhoy, Nemat; Frongillo, Edward A.; Ruel, Marie T.; Rawat, Rahul; Menon, Purnima

    2016-01-01

    Adequate utilization of services is critical to maximize the impact of counselling on infant and young child feeding (IYCF), but little is known about factors affecting utilization. Our study examined supply- and demand-side factors associated with the utilization of IYCF counselling services in Viet Nam. We used survey data from mothers with children <2y (n = 1,008) and health staff (n = 60) from the evaluation of a program that embedded IYCF counseling into the existing government health system. The frequency of never users, one-time users, repeat users, and achievers of the recommended minimum number of visits at health facilities were 45.1%, 13.0%, 28.4% and 13.5%, respectively. Poisson regression showed that demand-generation strategies, especially invitation cards, were the key factors determining one-time use (Prevalence ratio, PR 3.0, 95% CI: 2.2–4.2), repeated use (PR 3.2, 95% CI: 2.4–4.2), and achievement of minimum visits (PR 5.5, 95% CI: 3.6–8.4). Higher maternal education was associated with higher utilization both for one-time and repeated use. Being a farmer, belonging to an ethnic minority, and having a wasted child were associated with greater likelihood of achieving the minimum recommended number of visits, whereas child stunting or illness were not. Distance to health center was a barrier to repeated visits. Among supply-side factors, good counselling skills (PR: 1.3–1.8) was the most important factor associated with any service use, whereas longer employment duration and greater work pressure of health center staff were associated with lower utilization. Population attributable risk estimations showed that an additional 25% of the population would have achieved the minimum number of visits if exposed to three demand-generation strategies, and further increased to 49% if the health staff had good counseling skills and low work pressure. Our study provides evidence that demand-generation strategies are essential to increase utilization of

  3. 76 FR 5833 - Polaris Industries, Including On-Site Leased Workers From Westaff, Supply Technologies, Aerotek...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-02

    ..., Including On-Site Leased Workers From Westaff, Supply Technologies, Aerotek, and Securitas Security Services..., including on-site leased workers from Westaff, Supply Technologies, Aerotek and Securitas Security Services... was amended on December 6, 2010 to include on- site leased workers from Supply Technologies. The...

  4. Women's awareness of liberalization of abortion law and knowledge of place for obtaining services in Nepal.

    PubMed

    Thapa, Shyam; Sharma, Sharad K

    2015-03-01

    In Nepal, following the liberalization of the abortion law, expansion and scaling up of services proceeded in parallel with efforts to create awareness of the legalization status of abortion and provide women with information about where services are available. This article assesses the effectiveness of these programmatic interventions in the early years of the country's abortion program. Data from a 2006 national survey are analyzed with 2 outcome measures-awareness of the legal status of abortion and knowledge of places to obtain abortion services among women ages 15 to 44 years. The variations in the outcomes are analyzed by ecological-development subregion, residence, education, household wealth quintile, age, and number of living children. Bivariate and multivariate logistic regression techniques are used. Overall 32.3% (95% confidence interval = 31.4% to 33.2%) of the respondents were aware of the legal status of abortion and 56.5% (95% confidence interval = 55.5% to 57.4%) knew of a place where they could obtain an abortion. Both outcome measures showed considerable variations by the covariates. Women with secondary or higher level of education had the highest odds ratio of being aware of the law and having knowledge of a source for abortion services. Ecological-development subregions showed the second highest levels of odds ratios. Significant disparities among the population subgroups existed in the diffusion of awareness of the legal status of abortion and having knowledge of a place for abortion services in Nepal. The results point to which population subgroups to focus on and also serve as a baseline for assessing future progress in the diffusion process. © 2012 APJPH.

  5. Potential effects of landscape change on water supplies in the presence of reservoir storage

    NASA Astrophysics Data System (ADS)

    Guswa, Andrew J.; Hamel, Perrine; Dennedy-Frank, P. James

    2017-04-01

    This work presents a set of methods to evaluate the potential effects of landscape changes on water supplies. Potential impacts are a function of the seasonality of precipitation, losses of water to evapotranspiration and deep recharge, the flow-regulating ability of watersheds, and the availability of reservoir storage. For a given reservoir capacity, simple reservoir simulations with daily precipitation and streamflow enable the determination of the maximum steady supply of water for both the existing watershed and a hypothetical counter-factual that has neither flow-regulating benefits nor any losses. These two supply values, representing land use end-members, create an envelope that defines the water-supply service and bounds the effect of landscape change on water supply. These bounds can be used to discriminate between water supplies that may be vulnerable to landscape change and those that are unlikely to be affected. Two indices of the water-supply service exhibit substantial variability across 593 watersheds in the continental United States. Rcross, the reservoir capacity at which landscape change is unlikely to have any detrimental effect on water supply has an interquartile range of 0.14-4% of mean-annual-streamflow. Steep, forested watersheds with seasonal climates tend to have greater service values, and the indices of water-supply service are positively correlated with runoff ratios during the months with lowest flows.

  6. Sustainability issues in rural water supply in Asia.

    PubMed

    1998-03-01

    This article identifies some sustainability issues in management of water supplies in rural Asia. The International Drinking Water Supply and Sanitation Decade was 1981-90. At present, less than 50% of the rural population in several Asian countries have access to safe water, and even less have access to adequate sanitation. Access does not ensure quality of services or supplies. Data on coverage is inadequate and does not take into account water quality, hours of service, reliability of supplies, distance to the source, and community use patterns. It is difficult to improve access to the poor. There is no single uniform strategy that works for all parts of a country. Countries need to promote community management that has strategic vision and appropriate priorities. Local management is constrained by centralized authority, the orientation of sector agencies, and staff with weak managerial, financial, technical, and communications skills. Many countries lack resources to maintain water delivery infrastructures and to prevent deterioration of services. There is a need to develop low cost appropriate technologies, management requirements, health education, community participation, mobilization of women, and synergistic, nonsequential development. Demand for water and sanitation is driven by survival and privacy issues. Rural water supply programs should view water as an economic and social good. Water management is effective when decisions are made locally. Local governments need to be strengthened in order to be able to perform demand management, select institutional options, and to take care of the unserviced.

  7. 26 CFR 301.6802-1 - Supply and distribution.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 26 Internal Revenue 18 2010-04-01 2010-04-01 false Supply and distribution. 301.6802-1 Section 301.6802-1 Internal Revenue INTERNAL REVENUE SERVICE, DEPARTMENT OF THE TREASURY (CONTINUED) PROCEDURE AND ADMINISTRATION PROCEDURE AND ADMINISTRATION General Provisions Relating to Stamps § 301.6802-1 Supply and...

  8. Ecosystem services capacity across heterogeneous forest types: understanding the interactions and suggesting pathways for sustaining multiple ecosystem services.

    PubMed

    Alamgir, Mohammed; Turton, Stephen M; Macgregor, Colin J; Pert, Petina L

    2016-10-01

    As ecosystem services supply from tropical forests is declining due to deforestation and forest degradation, much effort is essential to sustain ecosystem services supply from tropical forested landscapes, because tropical forests provide the largest flow of multiple ecosystem services among the terrestrial ecosystems. In order to sustain multiple ecosystem services, understanding ecosystem services capacity across heterogeneous forest types and identifying certain ecosystem services that could be managed to leverage positive effects across the wider bundle of ecosystem services are required. We sampled three forest types, tropical rainforests, sclerophyll forests, and rehabilitated plantation forests, over an area of 32,000m(2) from Wet Tropics bioregion, Australia, aiming to compare supply and evaluate interactions and patterns of eight ecosystem services (global climate regulation, air quality regulation, erosion regulation, nutrient regulation, cyclone protection, habitat provision, energy provision, and timber provision). On average, multiple ecosystem services were highest in the rainforests, lowest in sclerophyll forests, and intermediate in rehabilitated plantation forests. However, a wide variation was apparent among the plots across the three forest types. Global climate regulation service had a synergistic impact on the supply of multiple ecosystem services, while nutrient regulation service was found to have a trade-off impact. Considering multiple ecosystem services, most of the rehabilitated plantation forest plots shared the same ordination space with rainforest plots in the ordination analysis, indicating that rehabilitated plantation forests may supply certain ecosystem services nearly equivalent to rainforests. Two synergy groups and one trade-off group were identified. Apart from conserving rainforests and sclerophyll forests, our findings suggest two additional integrated pathways to sustain the supply of multiple ecosystem services from a

  9. Nurses graduating in Fiji between 2001 and 2010: sufficient supply for Fiji’s health service demands?

    PubMed Central

    Linh, N. N.; Tayler-Smith, K.; Khogali, M.; Bissell, K.

    2013-01-01

    Setting: Fiji’s schools of nursing and government health services, 2001–2010. Objectives: To report on 1) the number and characteristics of nurses who graduated in Fiji, 2) the proportion of vacant nursing positions in the government health services and 3) attrition among nurses. Design: Descriptive study involving a retrospective record review of Ministry of Health annual reports and nursing registers. Results: Over the period 2001–2010, a total of 1500 nurses graduated, with the overall trend being a gradual increase in newly qualified nurses year on year. Available data from 2007 onwards showed relatively low vacancy rates (range 0.4–2%), with a sharp rise to 15% in 2009. Complete data on nurse attrition were available only from 2007 onwards, with rates of attrition ranging from 4% to 10%; the most common reason for attrition was resignation. Conclusion: While it was unable to directly assess whether Fiji’s supply of nursing graduates has been meeting the country’s health service demands, this study provides a series of baseline data on Fiji’s nurse graduate and nursing workforce. In addition, it identifies some of the challenges and gaps that need to be considered to better assess and address nursing staff shortages. PMID:26392998

  10. 41 CFR 101-25.114 - Supply management surveys and assistance.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... conducted by the Federal Supply Service in connection with regular surveys and studies of agency supply.... Written reports of findings and recommendations will be provided to agency heads. [45 FR 41947, June 23...

  11. Flexibility evaluation of multiechelon supply chains.

    PubMed

    Almeida, João Flávio de Freitas; Conceição, Samuel Vieira; Pinto, Luiz Ricardo; de Camargo, Ricardo Saraiva; Júnior, Gilberto de Miranda

    2018-01-01

    Multiechelon supply chains are complex logistics systems that require flexibility and coordination at a tactical level to cope with environmental uncertainties in an efficient and effective manner. To cope with these challenges, mathematical programming models are developed to evaluate supply chain flexibility. However, under uncertainty, supply chain models become complex and the scope of flexibility analysis is generally reduced. This paper presents a unified approach that can evaluate the flexibility of a four-echelon supply chain via a robust stochastic programming model. The model simultaneously considers the plans of multiple business divisions such as marketing, logistics, manufacturing, and procurement, whose goals are often conflicting. A numerical example with deterministic parameters is presented to introduce the analysis, and then, the model stochastic parameters are considered to evaluate flexibility. The results of the analysis on supply, manufacturing, and distribution flexibility are presented. Tradeoff analysis of demand variability and service levels is also carried out. The proposed approach facilitates the adoption of different management styles, thus improving supply chain resilience. The model can be extended to contexts pertaining to supply chain disruptions; for example, the model can be used to explore operation strategies when subtle events disrupt supply, manufacturing, or distribution.

  12. Supply-chain management: exceeding the customer's expectations.

    PubMed

    Ramsay, B

    2000-10-01

    Driven by increasing competition, manufacturers are desperate to cut costs and are looking for increased efficiency and customer service from their supply chains. E-commerce offers a new model of supply and demand, but many companies do not have the processes in place to support this new model. By implementing the techniques discussed here they can achieve substantial improvements in performance.

  13. From theoretical to actual ecosystem services: mapping beneficiaries and spatial flows in ecosystem service assessments

    USGS Publications Warehouse

    Bagstad, Kenneth J.; Villa, Ferdinando; Batker, David; Harrison-Cox, Jennifer; Voigt, Brian; Johnson, Gary W.

    2014-01-01

    Ecosystem services mapping and modeling has focused more on supply than demand, until recently. Whereas the potential provision of economic benefits from ecosystems to people is often quantified through ecological production functions, the use of and demand for ecosystem services has received less attention, as have the spatial flows of services from ecosystems to people. However, new modeling approaches that map and quantify service-specific sources (ecosystem capacity to provide a service), sinks (biophysical or anthropogenic features that deplete or alter service flows), users (user locations and level of demand), and spatial flows can provide a more complete understanding of ecosystem services. Through a case study in Puget Sound, Washington State, USA, we quantify and differentiate between the theoretical or in situ provision of services, i.e., ecosystems’ capacity to supply services, and their actual provision when accounting for the location of beneficiaries and the spatial connections that mediate service flows between people and ecosystems. Our analysis includes five ecosystem services: carbon sequestration and storage, riverine flood regulation, sediment regulation for reservoirs, open space proximity, and scenic viewsheds. Each ecosystem service is characterized by different beneficiary groups and means of service flow. Using the ARtificial Intelligence for Ecosystem Services (ARIES) methodology we map service supply, demand, and flow, extending on simpler approaches used by past studies to map service provision and use. With the exception of the carbon sequestration service, regions that actually provided services to people, i.e., connected to beneficiaries via flow paths, amounted to 16-66% of those theoretically capable of supplying services, i.e., all ecosystems across the landscape. These results offer a more complete understanding of the spatial dynamics of ecosystem services and their effects, and may provide a sounder basis for economic

  14. 48 CFR 8.003 - Use of other Government supply sources.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... ACQUISITION PLANNING REQUIRED SOURCES OF SUPPLIES AND SERVICES 8.003 Use of other Government supply sources... subpart 8.8); (c) Leased motor vehicles (see subpart 8.11); (d) Strategic and critical materials (e.g...

  15. 48 CFR 8.003 - Use of other Government supply sources.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... ACQUISITION PLANNING REQUIRED SOURCES OF SUPPLIES AND SERVICES 8.003 Use of other Government supply sources... subpart 8.8); (c) Leased motor vehicles (see subpart 8.11); (d) Strategic and critical materials (e.g...

  16. 75 FR 22189 - Obtaining Information From the Postal Service

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-27

    ... rules governing (1) the issuance of subpoenas requiring officers, employees, agents, or contractors of... transmitted to third-party agents or contractors. Rule 14 is modified to revise the Postal Service's... officers and employees), to persons or entities currently acting as agents for the Postal Service, or to...

  17. 22 CFR 518.35 - Supplies and other expendable property.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... GRANTS AND AGREEMENTS WITH INSTITUTIONS OF HIGHER EDUCATION, HOSPITALS, AND OTHER NON-PROFIT...-sponsored project or program, the recipient shall retain the supplies for use on non-Federal sponsored... use supplies acquired with Federal funds to provide services to non-Federal outside organizations for...

  18. 49 CFR 19.35 - Supplies and other expendable property.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... FOR GRANTS AND AGREEMENTS WITH INSTITUTIONS OF HIGHER EDUCATION, HOSPITALS, AND OTHER NON-PROFIT...-sponsored project or program, the recipient shall retain the supplies for use on non-Federal sponsored... use supplies acquired with Federal funds to provide services to non-Federal outside organizations for...

  19. 49 CFR 19.35 - Supplies and other expendable property.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... FOR GRANTS AND AGREEMENTS WITH INSTITUTIONS OF HIGHER EDUCATION, HOSPITALS, AND OTHER NON-PROFIT...-sponsored project or program, the recipient shall retain the supplies for use on non-Federal sponsored... use supplies acquired with Federal funds to provide services to non-Federal outside organizations for...

  20. 22 CFR 518.35 - Supplies and other expendable property.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... GRANTS AND AGREEMENTS WITH INSTITUTIONS OF HIGHER EDUCATION, HOSPITALS, AND OTHER NON-PROFIT...-sponsored project or program, the recipient shall retain the supplies for use on non-Federal sponsored... use supplies acquired with Federal funds to provide services to non-Federal outside organizations for...

  1. 22 CFR 518.35 - Supplies and other expendable property.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... GRANTS AND AGREEMENTS WITH INSTITUTIONS OF HIGHER EDUCATION, HOSPITALS, AND OTHER NON-PROFIT...-sponsored project or program, the recipient shall retain the supplies for use on non-Federal sponsored... use supplies acquired with Federal funds to provide services to non-Federal outside organizations for...

  2. 22 CFR 518.35 - Supplies and other expendable property.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... GRANTS AND AGREEMENTS WITH INSTITUTIONS OF HIGHER EDUCATION, HOSPITALS, AND OTHER NON-PROFIT...-sponsored project or program, the recipient shall retain the supplies for use on non-Federal sponsored... use supplies acquired with Federal funds to provide services to non-Federal outside organizations for...

  3. 22 CFR 518.35 - Supplies and other expendable property.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... GRANTS AND AGREEMENTS WITH INSTITUTIONS OF HIGHER EDUCATION, HOSPITALS, AND OTHER NON-PROFIT...-sponsored project or program, the recipient shall retain the supplies for use on non-Federal sponsored... use supplies acquired with Federal funds to provide services to non-Federal outside organizations for...

  4. An exploration of strategies used by older people to obtain information about health- and social care services in the community.

    PubMed

    Mc Grath, Margaret; Clancy, Kathleen; Kenny, Anne

    2016-10-01

    To explore the strategies used by older people living in Ireland to obtain information about community health and social services. A qualitative exploratory design was used. Focus groups (n = 3) were conducted with community dwelling older people (n = 17). A series of vignettes were used to guide discussion regarding hypothetical situations that approximated real-life scenarios for older people. Data were transcribed verbatim and analysed using content analysis. Obtaining information about community health and social services is an ongoing process that requires continuous commitment by older adults. Key strategies which emerged from the data included (i) taking a proactive stance towards accessing health information, (ii) making use of personal networks in your community and (iii) developing 'insider' knowledge. Older people in this study had a proactive approach to obtaining health information and identified the importance of taking responsibility for managing their own needs. Despite this, obtaining basic information about community health and social services was a challenging and time-consuming process. Future research should focus on developing health literacy interventions that build upon and expand the strategies currently used by older people. © 2015 The Authors. Health Expectations published by John Wiley & Sons Ltd.

  5. 20 CFR 435.35 - Supplies and other expendable property.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... REQUIREMENTS FOR GRANTS AND AGREEMENTS WITH INSTITUTIONS OF HIGHER EDUCATION, HOSPITALS, OTHER NON-PROFIT... any other federally-sponsored project or program, the recipient may retain the supplies for use on non... recipient may not use supplies acquired with Federal funds to provide services to non-Federal outside...

  6. 22 CFR 226.35 - Supplies and other expendable equipment.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... TO U.S. NON-GOVERNMENTAL ORGANIZATIONS Post-award Requirements Property Standards § 226.35 Supplies... non-Federal sponsored activities or sell them, but shall, in either case, compensate the Federal.... (b) The recipient shall not use supplies acquired with Federal funds to provide services to non...

  7. 36 CFR 1210.35 - Supplies and other expendable property.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... HIGHER EDUCATION, HOSPITALS, AND OTHER NON-PROFIT ORGANIZATIONS Post-Award Requirements Property... the supplies for use on non-Federal sponsored activities or sell them, but shall, in either case... equipment. (b) The recipient shall not use supplies acquired with NHPRC funds to provide services to non...

  8. 36 CFR 1210.35 - Supplies and other expendable property.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... HIGHER EDUCATION, HOSPITALS, AND OTHER NON-PROFIT ORGANIZATIONS Post-Award Requirements Property... the supplies for use on non-Federal sponsored activities or sell them, but shall, in either case... equipment. (b) The recipient shall not use supplies acquired with NHPRC funds to provide services to non...

  9. 15 CFR 14.35 - Supplies and other expendable property.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... ADMINISTRATIVE REQUIREMENTS FOR GRANTS AND AGREEMENTS WITH INSTITUTIONS OF HIGHER EDUCATION, HOSPITALS, OTHER NON... other federally-sponsored project or program, the recipient shall retain the supplies for use on non...) The recipient shall not use supplies acquired with Federal funds to provide services to non-Federal...

  10. 36 CFR 1210.35 - Supplies and other expendable property.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... HIGHER EDUCATION, HOSPITALS, AND OTHER NON-PROFIT ORGANIZATIONS Post-Award Requirements Property... the supplies for use on non-Federal sponsored activities or sell them, but shall, in either case... equipment. (b) The recipient shall not use supplies acquired with NHPRC funds to provide services to non...

  11. 22 CFR 226.35 - Supplies and other expendable equipment.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... TO U.S. NON-GOVERNMENTAL ORGANIZATIONS Post-award Requirements Property Standards § 226.35 Supplies... non-Federal sponsored activities or sell them, but shall, in either case, compensate the Federal.... (b) The recipient shall not use supplies acquired with Federal funds to provide services to non...

  12. 22 CFR 226.35 - Supplies and other expendable equipment.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... TO U.S. NON-GOVERNMENTAL ORGANIZATIONS Post-award Requirements Property Standards § 226.35 Supplies... non-Federal sponsored activities or sell them, but shall, in either case, compensate the Federal.... (b) The recipient shall not use supplies acquired with Federal funds to provide services to non...

  13. 15 CFR 14.35 - Supplies and other expendable property.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... ADMINISTRATIVE REQUIREMENTS FOR GRANTS AND AGREEMENTS WITH INSTITUTIONS OF HIGHER EDUCATION, HOSPITALS, OTHER NON... other federally-sponsored project or program, the recipient shall retain the supplies for use on non...) The recipient shall not use supplies acquired with Federal funds to provide services to non-Federal...

  14. 22 CFR 226.35 - Supplies and other expendable equipment.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... TO U.S. NON-GOVERNMENTAL ORGANIZATIONS Post-award Requirements Property Standards § 226.35 Supplies... non-Federal sponsored activities or sell them, but shall, in either case, compensate the Federal.... (b) The recipient shall not use supplies acquired with Federal funds to provide services to non...

  15. 20 CFR 435.35 - Supplies and other expendable property.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... REQUIREMENTS FOR GRANTS AND AGREEMENTS WITH INSTITUTIONS OF HIGHER EDUCATION, HOSPITALS, OTHER NON-PROFIT... any other federally-sponsored project or program, the recipient may retain the supplies for use on non... recipient may not use supplies acquired with Federal funds to provide services to non-Federal outside...

  16. 2 CFR 215.35 - Supplies and other expendable property.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... REQUIREMENTS FOR GRANTS AND AGREEMENTS WITH INSTITUTIONS OF HIGHER EDUCATION, HOSPITALS, AND OTHER NON-PROFIT...-sponsored project or program, the recipient shall retain the supplies for use on non-Federal sponsored... use supplies acquired with Federal funds to provide services to non-Federal outside organizations for...

  17. 36 CFR 1210.35 - Supplies and other expendable property.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... HIGHER EDUCATION, HOSPITALS, AND OTHER NON-PROFIT ORGANIZATIONS Post-Award Requirements Property... the supplies for use on non-Federal sponsored activities or sell them, but shall, in either case... equipment. (b) The recipient shall not use supplies acquired with NHPRC funds to provide services to non...

  18. A gap analysis for future supply of and demand for psychiatrists in Austria.

    PubMed

    Riedel, Monika; Röehrling, Gerald; Czypionka, Thomas; Kasper, Siegfried

    2014-03-01

    In the recent past, a rising caseload demonstrates increasing demand for psychiatrists, and ageing of the current mental health workforce will soon result in growing numbers of retirees. Under these conditions there is some concern whether we soon will face widening gaps in supply. This study calculates projections of future use and supply of psychiatrists' services in Austria until 2030. Resulting gaps are calculated for different scenarios. We mostly use administrative data from several public authorities. To estimate the demand for services, we start from utilization data rather than medical need for services, as we do not have sufficient epidemiological information for Austria. We define several scenarios for the future development of use, all calculated separately for hospital and non-hospital services. Future supply of psychiatric services is projected by applying activity levels to projected numbers of physicians, which are calculated using a stock and flow model. Outflows are modeled using assumptions derived from past activity patterns and current legislation on retirement. To model inflows, we need to gauge the impact of recent developments: Entrance barriers into medical education were introduced, Austria experienced a surge of medical students coming from Germany, and medical schools implemented quotas for different nationalities. Scenarios take several factors into account, like the shifting sex composition of the medical workforce, re-migration of foreign students, and the impact of entrance barriers on enrolment and drop-out rates. Depending on scenario assumptions, demand for psychiatrists will increase by 8% to 52%. But in all supply scenarios, supply will decline from 2016 onwards, thus widening gaps between supply and demand. Even in the most optimistic scenario, supply will have fallen below current levels by 2030. Compared to current rates of service use, a gap between supply and demand will start to widen soon. In the most optimistic

  19. A two-phase method for timber supply analysis

    Treesearch

    Stephen Smith

    1978-01-01

    There is an increasing need to clarify the long-term wood supply implications of current harvesting rates. To assess the wood supply and to set timber production objectives, different linear programming techniques are applied to the short and long term. The transportation method is applied to the short term and the B. C. Forest Service computer-assisted resource...

  20. Flexibility evaluation of multiechelon supply chains

    PubMed Central

    Conceição, Samuel Vieira; Pinto, Luiz Ricardo; de Camargo, Ricardo Saraiva; Júnior, Gilberto de Miranda

    2018-01-01

    Multiechelon supply chains are complex logistics systems that require flexibility and coordination at a tactical level to cope with environmental uncertainties in an efficient and effective manner. To cope with these challenges, mathematical programming models are developed to evaluate supply chain flexibility. However, under uncertainty, supply chain models become complex and the scope of flexibility analysis is generally reduced. This paper presents a unified approach that can evaluate the flexibility of a four-echelon supply chain via a robust stochastic programming model. The model simultaneously considers the plans of multiple business divisions such as marketing, logistics, manufacturing, and procurement, whose goals are often conflicting. A numerical example with deterministic parameters is presented to introduce the analysis, and then, the model stochastic parameters are considered to evaluate flexibility. The results of the analysis on supply, manufacturing, and distribution flexibility are presented. Tradeoff analysis of demand variability and service levels is also carried out. The proposed approach facilitates the adoption of different management styles, thus improving supply chain resilience. The model can be extended to contexts pertaining to supply chain disruptions; for example, the model can be used to explore operation strategies when subtle events disrupt supply, manufacturing, or distribution. PMID:29584755

  1. Supply chain planning classification

    NASA Astrophysics Data System (ADS)

    Hvolby, Hans-Henrik; Trienekens, Jacques; Bonde, Hans

    2001-10-01

    Industry experience a need to shift in focus from internal production planning towards planning in the supply network. In this respect customer oriented thinking becomes almost a common good amongst companies in the supply network. An increase in the use of information technology is needed to enable companies to better tune their production planning with customers and suppliers. Information technology opportunities and supply chain planning systems facilitate companies to monitor and control their supplier network. In spite if these developments, most links in today's supply chains make individual plans, because the real demand information is not available throughout the chain. The current systems and processes of the supply chains are not designed to meet the requirements now placed upon them. For long term relationships with suppliers and customers, an integrated decision-making process is needed in order to obtain a satisfactory result for all parties. Especially when customized production and short lead-time is in focus. An effective value chain makes inventory available and visible among the value chain members, minimizes response time and optimizes total inventory value held throughout the chain. In this paper a supply chain planning classification grid is presented based current manufacturing classifications and supply chain planning initiatives.

  2. 42 CFR 84.147 - Type B supplied-air respirator; minimum requirements.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 1 2010-10-01 2010-10-01 false Type B supplied-air respirator; minimum requirements. 84.147 Section 84.147 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN... supplied-air respirator shall be approved for use with a blower or with connection to an air supply device...

  3. 42 CFR 84.147 - Type B supplied-air respirator; minimum requirements.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 1 2011-10-01 2011-10-01 false Type B supplied-air respirator; minimum requirements. 84.147 Section 84.147 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN... supplied-air respirator shall be approved for use with a blower or with connection to an air supply device...

  4. 33 CFR 1.26-15 - Sales of nonexcess personal property and services.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... materials as will be required shall be obtained in advance of the rendition of the services and issuance of..., equipment, and supplies, to an aircraft when necessary to allow the aircraft to continue to the nearest... watercraft, and non-Federal aircraft will vary between various geographical regions depending on local...

  5. 33 CFR 1.26-15 - Sales of nonexcess personal property and services.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... materials as will be required shall be obtained in advance of the rendition of the services and issuance of..., equipment, and supplies, to an aircraft when necessary to allow the aircraft to continue to the nearest... watercraft, and non-Federal aircraft will vary between various geographical regions depending on local...

  6. 33 CFR 1.26-15 - Sales of nonexcess personal property and services.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... materials as will be required shall be obtained in advance of the rendition of the services and issuance of..., equipment, and supplies, to an aircraft when necessary to allow the aircraft to continue to the nearest... watercraft, and non-Federal aircraft will vary between various geographical regions depending on local...

  7. Supply, distribution, and capacity of optometrists in Indiana.

    PubMed

    Marshall, E C

    2000-05-01

    The Indiana Optometric Association and the Indiana Health Care Professional Development Commission identified a need to collect and analyze data on the health professions workforce for formulating goals and strategies to accommodate demands for health care services in Indiana. This study looks at the supply, distribution, and services of optometrists practicing in Indiana. Data compiled by the Indiana State Department of Health, Indiana Health Care Development Commission, and the Project HOPE Center for Health Affairs were analyzed with the results of a survey of practitioner members of the Indiana Optometric Association. Supply, distribution, services, provider-to-population ratios, per capita demand, and optometric productivity were used to evaluate the current and future capacity of Indiana optometrists to the year 2010. An estimated 893 optometrists practiced in 86 of 92 counties and comprised 77% of the state's licensed eye and vision care workforce in 1995. Optometric workforce capacity appeared to be related to county population, but unrelated to the urban/rural classification or the per-capita income of Indiana counties. Contact lenses, disease, geriatrics, and pediatrics were the most prevalent areas of practice specialty. Optometrist capacity in Indiana is sufficient at both the state and county levels, and optometric services are appropriately distributed such that patient access to optometric care is geographically unburdened. Estimates regarding supply are elastic, depending on the assumptions applied.

  8. Metropolitan Washington Area Water Supply Study. Appendix I. Outlying Service Areas.

    DTIC Science & Technology

    1983-09-01

    wells listed in Table 1-21. All are deep well turbine pump systems which draw their water supply from the Magothy Aquifer (200-300 feet). The water...When the sixth well is placed on line, the Department will have the ability to produce a maximum of 4.0 mpply from the Magothy Aquifer (200-300 feet...1-42 MAL. FICUR! 1-12 ORC91IZATIONAL STRUCTURE OF MAJOR PUBLIC WATER SUPPLY SYSTEMS CHARLES COUMITY Surface GroundwaterWae ataWater Magothy Ratanso

  9. Knowledge management system for risk mitigation in supply chain uncertainty: case from automotive battery supply chain

    NASA Astrophysics Data System (ADS)

    Marie, I. A.; Sugiarto, D.; Surjasa, D.; Witonohadi, A.

    2018-01-01

    Automotive battery supply chain include battery manufacturer, sulphuric acid suppliers, polypropylene suppliers, lead suppliers, transportation service providers, warehouses, retailers and even customers. Due to the increasingly dynamic condition of the environment, supply chain actors were required to improve their ability to overcome various uncertainty issues in the environment. This paper aims to describe the process of designing a knowledge management system for risk mitigation in supply chain uncertainty. The design methodology began with the identification of the knowledge needed to solve the problems associated with uncertainty and analysis of system requirements. The design of the knowledge management system was described in the form of a data flow diagram. The results of the study indicated that key knowledge area that needs to be managed were the knowledge to maintain the stability of process in sulphuric acid process and knowledge to overcome the wastes in battery manufacturing process. The system was expected to be a media acquisition, dissemination and storage of knowledge associated with the uncertainty in the battery supply chain and increase the supply chain performance.

  10. Rural water supply and sanitation (RWSS) coverage in Swaziland: Toward achieving millennium development goals

    NASA Astrophysics Data System (ADS)

    Mwendera, E. J.

    An assessment of rural water supply and sanitation (RWSS) coverage in Swaziland was conducted in 2004/2005 as part of the Rural Water Supply and Sanitation Initiative (RWSSI). The initiative was developed by the African Development Bank with the aim of implementing it in the Regional Member Countries (RMCs), including Swaziland. Information on the RWSS sector programmes, costs, financial requirements and other related activities was obtained from a wide range of national documents, including sector papers and project files and progress reports. Interviews were held with staff from the central offices and field stations of Government of Swaziland (GOS) ministries and departments, non-governmental organizations (NGOs), bilateral and multilateral external support agencies, and private sector individuals and firms with some connection to the sector and/or its programmes. The assessment also involved field visits to various regions in order to obtain first hand information about the various technologies and institutional structures used in the provision of water supplies and sanitation services in the rural areas of the country. The results showed that the RWSS sector has made significant progress towards meeting the national targets of providing water and sanitation to the entire rural population by the year 2022. The assessment indicated that rural water supply coverage was 56% in 2004 while sanitation coverage was 63% in the same year. The results showed that there is some decline in the incidence of water-related diseases, such as diarrhoeal diseases, probably due to improved water supply and sanitation coverage. The study also showed that, with adequate financial resources, Swaziland is likely to achieve 100% coverage of both water supply and sanitation by the year 2022. It was concluded that in achieving its own national goals Swaziland will exceed the Millennium Development Goals (MDGs). However, such achievement is subject to adequate financial resources being

  11. 32 CFR 32.35 - Supplies.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... REQUIREMENTS FOR GRANTS AND AGREEMENTS WITH INSTITUTIONS OF HIGHER EDUCATION, HOSPITALS, AND OTHER NON-PROFIT... supplies for use on non-Federal sponsored activities or sell them, but shall, in either case, compensate... services to non-Federal outside organizations for a fee that is less than private companies charge for...

  12. 32 CFR 32.35 - Supplies.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... REQUIREMENTS FOR GRANTS AND AGREEMENTS WITH INSTITUTIONS OF HIGHER EDUCATION, HOSPITALS, AND OTHER NON-PROFIT... supplies for use on non-Federal sponsored activities or sell them, but shall, in either case, compensate... services to non-Federal outside organizations for a fee that is less than private companies charge for...

  13. 32 CFR 32.35 - Supplies.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... REQUIREMENTS FOR GRANTS AND AGREEMENTS WITH INSTITUTIONS OF HIGHER EDUCATION, HOSPITALS, AND OTHER NON-PROFIT... supplies for use on non-Federal sponsored activities or sell them, but shall, in either case, compensate... services to non-Federal outside organizations for a fee that is less than private companies charge for...

  14. 32 CFR 32.35 - Supplies.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... REQUIREMENTS FOR GRANTS AND AGREEMENTS WITH INSTITUTIONS OF HIGHER EDUCATION, HOSPITALS, AND OTHER NON-PROFIT... supplies for use on non-Federal sponsored activities or sell them, but shall, in either case, compensate... services to non-Federal outside organizations for a fee that is less than private companies charge for...

  15. The Economics of Timber Supply: An Analytical Synthesis of Modeling Approaches

    Treesearch

    David N. Wear; Peter J. Parks

    1994-01-01

    The joint supply of timber and other services from forest environments plays a central role in most forest land debates. This paper defines a general conceptual model of timber supply that provides the context for discussing both individual harvest choice and aggregate supply models. While the structure and breadth of these models has developed considerably over the...

  16. An analysis of disruptions in aerospace/defense organizations that affect the supply chain

    NASA Astrophysics Data System (ADS)

    Dickerson, Toscha L.

    The purpose of this quantitative study was to determine whether or not functions of procurement organizations structures' and aerospace suppliers were perceived as disruptions and to identify their effects on lead time and costs within a supply chain. An analysis of employees' perception of centralized and decentralized procurement functions, aerospace and defense suppliers, lead times of goods and services, price increases, and schedule delays was conducted. Prior studies are limited in regards to understanding how specific procurement functions affects an organization procurement structure. This non-experimental quantitative study allowed for a survey to be administered to aerospace and defense companies throughout the United States to obtain information from sourcing and procurement professionals with 5 or more years of experience. The current study utilized a 10 question survey based on the 5- point Likert -type scale to determine the findings. Through descriptive and inferential statistics, using regression analysis, standard deviation, and P-value; findings indicated that the majority of the participants surveyed perceived both centralized and decentralized procurement functions affected lead time and cost of goods and services resulted in a positive effect and were considered as supply chain disruptions.

  17. The value of supply chain coordination under moral hazard: A case study of the consumer product supply chain.

    PubMed

    Lee, Yumi; Song, Sang Hwa; Cheong, Taesu

    2018-01-01

    In this paper, we examine a real-world case related to the consumer product supply chain to analyze the value of supply chain coordination under the condition of moral hazard. Because of the characteristics of a buyback contract scheme employed in the supply chain, the supplier company's sales department encourages retailers to order more inventory to meet their sales target, whereas retailers pay less attention to their inventory level and leftovers at the end of the season. This condition induces moral hazard problems in the operation of the supply chain, as suppliers suffer from huge returns of leftover inventory. This, in turn, is related to the obsolescence of returned inventory, even with penalty terms in the contract for the return of any leftovers. In this study, we show under the current buyback-based supply chain operation, the inventory levels of both the supplier and retailers exceed customer demand and develop vendor-managed inventory (VMI) system with base stock policy to remove any mismatch of supply and demand. A comparison of both systems shows that through the proper coordination of supply chain operations, both suppliers and retailers can gain additional benefits while providing proper services to end customers.

  18. Staff experiences of providing maternity services in rural southern Tanzania - a focus on equipment, drug and supply issues.

    PubMed

    Penfold, Suzanne; Shamba, Donat; Hanson, Claudia; Jaribu, Jennie; Manzi, Fatuma; Marchant, Tanya; Tanner, Marcel; Ramsey, Kate; Schellenberg, David; Schellenberg, Joanna Armstrong

    2013-02-14

    The poor maintenance of equipment and inadequate supplies of drugs and other items contribute to the low quality of maternity services often found in rural settings in low- and middle-income countries, and raise the risk of adverse patient outcomes through delaying care provision. We aim to describe staff experiences of providing maternal and neonatal care in rural health facilities in Southern Tanzania, focusing on issues related to equipment, drugs and supplies. Focus group discussions and in-depth interviews were conducted with different staff cadres from all facility levels in order to explore experiences and views of providing maternity care in the context of poorly maintained equipment, and insufficient drugs and other supplies. A facility survey quantified the availability of relevant items. The facility survey, which found many missing or broken items and frequent stock outs, corroborated staff reports of providing care in the context of missing or broken care items. Staff reported increased workloads, reduced morale, difficulties in providing optimal maternity care, and carrying out procedures with potential health risks to themselves as a result. Inadequately stocked and equipped facilities compromise the health system's ability to reduce maternal and neonatal mortality and morbidity by affecting staff personally and professionally, which hinders the provision of timely and appropriate interventions. Improving stock control and maintaining equipment could benefit mothers and babies, not only through removing restrictions to the availability of care, but also through improving staff working conditions.

  19. 42 CFR 410.45 - Rural health clinic services: Scope and conditions.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ...) Services and supplies furnished as an incident to physicians' professional services. (3) Nurse practitioner and physician assistant services. (4) Services and supplies furnished as an incident to nurse practitioners' or physician assistants' services. (5) Visiting nurse services. (b) Medicare pays for rural...

  20. 42 CFR 410.45 - Rural health clinic services: Scope and conditions.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ...) Services and supplies furnished as an incident to physicians' professional services. (3) Nurse practitioner and physician assistant services. (4) Services and supplies furnished as an incident to nurse practitioners' or physician assistants' services. (5) Visiting nurse services. (b) Medicare pays for rural...

  1. 42 CFR 410.45 - Rural health clinic services: Scope and conditions.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ...) Services and supplies furnished as an incident to physicians' professional services. (3) Nurse practitioner and physician assistant services. (4) Services and supplies furnished as an incident to nurse practitioners' or physician assistants' services. (5) Visiting nurse services. (b) Medicare pays for rural...

  2. 42 CFR 410.45 - Rural health clinic services: Scope and conditions.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ...) Services and supplies furnished as an incident to physicians' professional services. (3) Nurse practitioner and physician assistant services. (4) Services and supplies furnished as an incident to nurse practitioners' or physician assistants' services. (5) Visiting nurse services. (b) Medicare pays for rural...

  3. 42 CFR 410.45 - Rural health clinic services: Scope and conditions.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ...) Services and supplies furnished as an incident to physicians' professional services. (3) Nurse practitioner and physician assistant services. (4) Services and supplies furnished as an incident to nurse practitioners' or physician assistants' services. (5) Visiting nurse services. (b) Medicare pays for rural...

  4. National Water Quality Laboratory, 1995 services catalog

    USGS Publications Warehouse

    Timme, P.J.

    1995-01-01

    This Services Catalog contains information about field supplies and analytical services available from the National Water Quality Laboratory in Denver, Colo., and field supplies available from the Quality Water Service Unit in Ocala, Fla., to members of the U.S. Geological Survey. To assist personnel in the selection of analytical services, this catalog lists sample volume, required containers, applicable concentration range, detection level, precision of analysis, and preservation requirements for samples.

  5. Differences in drug treatment services based on profit status.

    PubMed

    Montoya, Isaac D

    2006-09-01

    The goal of this article is to examine whether profit status affects the provision of seven "core" drug treatment services and nine "auxiliary" treatment services. Data on the type of services provided by 8,606 treatment providers obtained from the National Survey of Substance Abuse Treatment Services (N-SSATS) collected by the Substance Abuse and Mental Health Services Administration (SAMHSA) in 2000 were used for this study. The types of services offered by the providers were modeled to be a function of the drug treatment providers' (DTP) profit status, DTP organizational and financial characteristics, staff's characteristics, clients' characteristics, and regional variables. A total of 16 logistic regressions were estimated. For-profit DTPs were found to be more likely to offer only two core services and were less likely to offer eight auxiliary services. However, after correcting for sample selection bias many differences in the supply of services between for-profit and nonprofit providers disappeared.

  6. Explaining regional variation in home care use by demand and supply variables.

    PubMed

    van Noort, Olivier; Schotanus, Fredo; van de Klundert, Joris; Telgen, Jan

    2018-02-01

    In the Netherlands, home care services like district nursing and personal assistance are provided by private service provider organizations and covered by private health insurance companies which bear legal responsibility for purchasing these services. To improve value for money, their procurement increasingly replaces fee-for-service payments with population based budgets. Setting appropriate population budgets requires adaptation to the legitimate needs of the population, whereas historical costs are likely to be influenced by supply factors as well, not all of which are necessarily legitimate. Our purpose is to explain home care costs in terms of demand and supply factors. This allows for adjusting historical cost patterns when setting population based budgets. Using expenses claims of 60 Dutch municipalities, we analyze eight demand variables and five supply variables with a multiple regression model to explain variance in the number of clients per inhabitant, costs per client and costs per inhabitant. Our models explain 69% of variation in the number of clients per inhabitant, 28% of costs per client and 56% of costs per inhabitant using demand factors. Moreover, we find that supply factors explain an additional 17-23% of variation. Predictors of higher utilization are home care organizations that are integrated with intramural nursing homes, higher competition levels among home care organizations and the availability of complementary services. Copyright © 2017. Published by Elsevier B.V.

  7. Pharmacist supply of sildenafil: pharmacists' experiences and perceptions on training and tools for supply.

    PubMed

    Braund, Rhiannon; Ratnayake, Kaushalya; Tong, Katie; Song, Jackie; Chai, Stephen; Gauld, Natalie

    2018-06-01

    Background In 2014, New Zealand reclassified sildenafil (for erectile dysfunction) to allow supply by specially trained pharmacists under strict criteria. Objective The study aimed to determine pharmacists' experiences and perspectives on the training for, and supply of sildenafil under this model. Setting New Zealand community pharmacy. Method This qualitative study captured data with a semi-structured interview used with purposively-sampled participants. A maximum variation sample was used to select a wide range of pharmacists working in various pharmacies, including pharmacists who were trained to provide sildenafil and those not trained to supply sildenafil. Consenting pharmacists were interviewed, with interviews audio-recorded and transcribed. Analysis used a framework approach. Main outcome measures Topics explored included: satisfaction and experience of the training; suitability and usability of the screening tools; experiences of the supply process and why some pharmacists chose not to become trained. Results Thirty-five pharmacists were interviewed. Training was seen as uncomplicated and the screening tools provided confidence that key consultation areas were covered. Most consultations reportedly took 15-20 min, some up to 60 min. Pharmacists reported being comfortable with the consultations. Many men requesting supply fell outside of the parameters, resulting in medical referral. This new model of supply was seen as a positive for pharmacists and their patients. Unaccredited pharmacists reported a perceived lack of interest from men, or ability to provide the service as reasons for not seeking accreditation. Conclusion New Zealand's model of pharmacist supply of sildenafil appears workable with some areas for improvement identified.

  8. Land management influences trade-offs and the total supply of ecosystem services in alpine grassland in Tibet, China.

    PubMed

    Wu, Junxi; Zhao, Yan; Yu, Chengqun; Luo, Liming; Pan, Ying

    2017-05-15

    Developing sustainable use patterns for alpine grassland in Tibet is the primary challenge related to conserving these vulnerable ecosystems of the 'world's third pole' and guaranteeing the well-being of local inhabitants. This challenge requires researchers to think beyond the methods of most current studies that are limited to a single aspect of conservation or productivity, and focus on balancing various needs. An analysis of trade-offs involving ecosystem services provides a framework that can be used to quantify the type of balancing needed. In this study, we measured variations in four types of ecosystem services under five types of grassland management including grazing exclusion, sowing, combined plowing and grazing exclusion, combined plowing and sowing, and natural grassland, from 2013 to 2015. In addition, we accessed the existence and changing patterns of ecosystem service trade-offs using Spearman coefficients and a trade-off index. The results revealed the existence of trade-offs among provisioning and regulating services. Plowing and sowing could convert the trade-off relationships into synergies immediately. Grazing exclusion reduced the level of trade-offs gradually over time. Thus, the combined plowing and sowing treatment promoted the total supply of multiple ecosystem services when compared with natural grassland. We argue that the variations in dry matter allocation to above- and belowground serve as one cause of the variation in trade-off relationships. Another cause for variation in trade-offs is the varied species competition between selection effects and niche complementarity. Our study provides empirical evidence that the effects of trade-offs among ecosystem services could be reduced and even converted into synergies by optimizing management techniques. Copyright © 2017 Elsevier Ltd. All rights reserved.

  9. 7 CFR 53.8 - How to obtain service.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing Practices), DEPARTMENT OF AGRICULTURE (CONTINUED) REGULATIONS AND STANDARDS UNDER THE AGRICULTURAL MARKETING ACT OF 1946 AND THE EGG PRODUCTS INSPECTION ACT (CONTINUED) LIVESTOCK (GRADING...

  10. 76 FR 22729 - Polaris Industries, Including On-Site Leased Workers From Westaff, Supply Technologies, Aerotek...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-22

    ..., Including On-Site Leased Workers From Westaff, Supply Technologies, Aerotek, Securitas Security Services..., 2011 to include on-site leased workers from Supply Technologies, Aerotek and Securitas Security Services. The notice was published in the Federal Register on December 13, 2010 (75 FR 77666) and February...

  11. 42 CFR 410.10 - Medical and other health services: Included services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    .... (p) Hepatitis B vaccine. (q) Blood clotting factors for hemophilia patients competent to use these... following services: (a) Physicians' services. (b) Services and supplies furnished incident to a physician's... diagnostic mammography that meets the conditions for coverage specified in § 410.34(b) of this subpart) and...

  12. Impact of universal medical insurance system on the accessibility of medical service supply and affordability of patients in China.

    PubMed

    Xiong, Xiaolei; Zhang, Zhiguo; Ren, Jing; Zhang, Jie; Pan, Xiaoyun; Zhang, Liang; Gong, Shiwei; Jin, Si

    2018-01-01

    China's universal medical insurance system (UMIS) is designed to promote social fairness through improving access to medical services and reducing out-of-pocket (OOP) costs for all Chinese. However, it is still not known whether UMIS has a significant impact on the accessibility of medical service supply and the affordability, as well as the seeking-care choice, of patients in China. Segmented time-series regression analysis, as a powerful statistical method of interrupted time series design, was used to estimate the changes in the quantity and quality of medical service supply before and after the implementation of UMIS. The rates of catastrophic payments and seeking-care choices for UMIS beneficiaries were selected to measure the affordability and medical service flow of patients after the implementation of UMIS. China's UMIS was established in 2008. After that, the trending increase of the expenditure of the UMIS was higher than that of increase in revenue compared to previous years. Up to 2014, the UMIS had covered 97.5% of the entire population in China. After introduction of the UMIS, there were significant increases in licensed physicians, nurses, and hospital beds per 1000 individuals. In addition, hospital outpatient visits and inpatient visits per year increased compared to the pre-UMIS period. The average fatality rate of inpatients in the overall hospital and general hospital and the average fatality rate due to acute myocardial infarction (AMI) in general hospitals was significantly decreased. In contrast, no significant and prospective changes were observed in rural physicians per 1000 individuals, inpatient visits and inpatient fatality rate in the community centers and township hospitals compared to the pre-UMIS period. After 2008, the rates of catastrophic payments for UMIS inpatients at different income levels were declining at three levels of hospitals. Whichever income level, the rate of catastrophic payments for inpatients of Urban Employee

  13. 7 CFR 54.1008 - How to obtain service.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing Practices), DEPARTMENT OF AGRICULTURE (CONTINUED) REGULATIONS AND STANDARDS UNDER THE AGRICULTURAL MARKETING ACT OF 1946 AND THE EGG PRODUCTS INSPECTION ACT (CONTINUED) MEATS, PREPARED MEATS, AND...

  14. Progress 23 supply vehicle approach

    NASA Image and Video Library

    2006-10-26

    ISS014-E-06544 (26 Oct. 2006) --- Backdropped by a blue and white Earth, an unpiloted Progress supply vehicle approaches the International Space Station. Progress docked to the aft port of the Zvezda Service Module at 9:29 a.m. (CDT) on Oct. 26. The spacecraft used the automated Kurs system to dock at the aft port of the Zvezda service module. Expedition 14 flight engineer Mikhail Tyurin stood by at the manual Toru docking system controls, but the automated system functioned as designed and manual intervention was not needed.

  15. Availability of supplies and motivations for accessing voluntary HIV counseling and testing services in Blantyre, Malawi

    PubMed Central

    Jereni, Bwanali H; Muula, Adamson S

    2008-01-01

    Background HIV counseling and testing is an important intervention in the prevention, control and management of the human immunodeficiency virus (HIV). Counseling and testing can be an entry point for prevention, care and support. Knowledge of the quality of services and motivations for testing by individuals is important for effective understanding of the testing environment. Methods A cross sectional explorative study of clients accessing HIV voluntary counseling and testing (VCT) and counselors was conducted in 6 government health centers in Blantyre City, Malawi. We aimed to assess the availability of critical clinic supplies and identify the motivations of clients seeking counseling and testing services. We also aimed to identify the health professional cadres that were providing VCT in Blantyre city. Results 102 VCT clients and 26 VCT counselors were interviewed. Among the VCT clients, 74% were <=29 years, 58.8% were females and only 7% reported no formal education. 42.2% were single, 45.1% married, 8.8% widowed and 3.9% divorced or separated. The primary reasons for seeking HIV counseling and testing were: recent knowledge about HIV (31.4%), current illness (22.5%), self-assessment of own behavior as risky (15.5%), suspecting sexual partner's infidelity (13.7%) and seeking HIV confirmatory test (9.8%) and other reasons (6.9%). Of the 26 VCT counselors, 14 were lay volunteers, 7 health surveillance assistants and 5 nurses. All except one had been trained specifically for HIV counseling and testing. All 6 facilities were conducting rapid HIV testing with same day test results provided to clients. Most of the supplies were considered adequate for testing. Conclusion HIV counseling and testing facilities were available in Blantyre city in all the six public health facilities assessed. The majority of counseling and testing clients were motivated by perceptions of being at risk of HIV infection. In a country with 12% of individuals 15 to 49 years infected, there

  16. Are services better for climate change?

    PubMed

    Suh, Sangwon

    2006-11-01

    Embodied greenhouse gas (GHG) emissions and their structure of inducement by the supply-chain networks of 480 goods and services in the United States are analyzed for 44 GHGs. Producing a dollar of a product or service generates an average of 0.36 kg of CO2 equivalent GHGs onsite, increasing to 0.83 kg when supply-chain-induced emissions are taken into account. Services produce less than 5% of total U.S. GHG emissions directly, and their direct GHG emission intensities per dollar output are much less (0.04 kg C02 equiv/dollars) than those of physical products, even when supply-chain-induced emissions are included (0.47 kg C02 equiv/dollars). When both supply-chain effects and the volume of household expenditures are taken into account, however, household consumption of services excluding electric utilities and transportation services proves to be responsible for 37.6% of total industrial GHG emissions in the United States, almost twice the amount due to household consumption of electric utility and transportation services. Given the current structure of GHG emissions, a shift to a service-oriented economy is shown to entail a decrease in GHG emission intensity per unit GDP but an increase, by necessity, in overall GHG emissions in absolute terms. The results are discussed in the context of U.S. climate change policy.

  17. Ethical framework for resource allocation during a drug supply shortage.

    PubMed

    Gibson, Jennifer L; Bean, Sally; Chidwick, Paula; Godkin, Dianne; Sibbald, Robert W; Wagner, Frank

    2012-01-01

    Drug supply shortages are common in health systems due to manufacturing and other delays. Frequently, shortages are successfully addressed through conservation and redistribution efforts, with limited impact on patient care. However, when Sandoz Canada Inc. announced in February 2012 that it was reducing production of a number of generic injectable drugs at its Quebec facility, the scope and magnitude of the drug supply shortage were unprecedented in Canada. The potential for an extreme scarcity of some drugs raised ethical concerns about patient care, including the need to limit access to some health services. In this article, the authors describe the development and implementation of an ethical framework to promote equitable access to drugs and healthcare services in the context of a drug supply shortage within and across health systems.

  18. 48 CFR 53.251 - Contractor use of Government supply sources (OF 347).

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... Government supply sources (OF 347). OF 347, Order for Supplies or Services. OF 347, prescribed in 53.213(f), may be used by contractors when requisitioning from the VA, as specified in 51.102(e)(3)(ii). [48 FR... Government supply sources (OF 347). 53.251 Section 53.251 Federal Acquisition Regulations System FEDERAL...

  19. 48 CFR 53.251 - Contractor use of Government supply sources (OF 347).

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Government supply sources (OF 347). OF 347, Order for Supplies or Services. OF 347, prescribed in 53.213(f), may be used by contractors when requisitioning from the VA, as specified in 51.102(e)(3)(ii). [48 FR... Government supply sources (OF 347). 53.251 Section 53.251 Federal Acquisition Regulations System FEDERAL...

  20. 41 CFR 101-25.114 - Supply management surveys and assistance.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 41 Public Contracts and Property Management 2 2010-07-01 2010-07-01 true Supply management surveys...-GENERAL 25.1-General Policies § 101-25.114 Supply management surveys and assistance. Under the provisions of 40 U.S.C. 487, the General Services Administration will perform surveys and/or reviews of...

  1. Supply Operations (DLA-O) Total Quality Management (TQM) Master Plan

    DTIC Science & Technology

    1989-07-01

    This document briefly outlines the DLA Directorate of Supply Operations plan to implement total quality management . It seeks to provide better...service to customers at a lower cost through continuous process improvement and commitment from everyone in the organization. Keywords: TQM (total Quality Management ), Supply operations; Continuous process improvement. (KR)

  2. Forecasting Ontario's blood supply and demand.

    PubMed

    Drackley, Adam; Newbold, K Bruce; Paez, Antonio; Heddle, Nancy

    2012-02-01

    Given an aging population that requires increased medical care, an increasing number of deferrals from the donor pool, and a growing immigrant population that typically has lower donation rates, the purpose of this article is to forecast Ontario's blood supply and demand. We calculate age- and sex-specific donation and demand rates for blood supply based on 2008 data and project demand between 2008 and 2036 based on these rates and using population data from the Ontario Ministry of Finance. Results indicate that blood demand will outpace supply as early as 2012. For instance, while the total number of donations made by older cohorts is expected to increase in the coming years, the number of red blood cell (RBC) transfusions in the 70+ age group is forecasted grow from approximately 53% of all RBC transfusions in 2008 (209,515) in 2008 to 68% (546,996) by 2036. A series of alternate scenarios, including projections based on a 2% increase in supply per year and increased use of apheresis technology, delays supply shortfalls, but does not eliminate them without active management and/or multiple methods to increase supply and decrease demand. Predictions show that demand for blood products will outpace supply in the near future given current age- and sex-specific supply and demand rates. However, we note that the careful management of the blood supply by Canadian Blood Services, along with new medical techniques and the recruitment of new donors to the system, will remove future concerns. © 2012 American Association of Blood Banks.

  3. The value of supply chain coordination under moral hazard: A case study of the consumer product supply chain

    PubMed Central

    Lee, Yumi; Song, Sang Hwa

    2018-01-01

    In this paper, we examine a real-world case related to the consumer product supply chain to analyze the value of supply chain coordination under the condition of moral hazard. Because of the characteristics of a buyback contract scheme employed in the supply chain, the supplier company’s sales department encourages retailers to order more inventory to meet their sales target, whereas retailers pay less attention to their inventory level and leftovers at the end of the season. This condition induces moral hazard problems in the operation of the supply chain, as suppliers suffer from huge returns of leftover inventory. This, in turn, is related to the obsolescence of returned inventory, even with penalty terms in the contract for the return of any leftovers. In this study, we show under the current buyback-based supply chain operation, the inventory levels of both the supplier and retailers exceed customer demand and develop vendor-managed inventory (VMI) system with base stock policy to remove any mismatch of supply and demand. A comparison of both systems shows that through the proper coordination of supply chain operations, both suppliers and retailers can gain additional benefits while providing proper services to end customers. PMID:29547625

  4. Internet-enabled collaborative agent-based supply chains

    NASA Astrophysics Data System (ADS)

    Shen, Weiming; Kremer, Rob; Norrie, Douglas H.

    2000-12-01

    This paper presents some results of our recent research work related to the development of a new Collaborative Agent System Architecture (CASA) and an Infrastructure for Collaborative Agent Systems (ICAS). Initially being proposed as a general architecture for Internet based collaborative agent systems (particularly complex industrial collaborative agent systems), the proposed architecture is very suitable for managing the Internet enabled complex supply chain for a large manufacturing enterprise. The general collaborative agent system architecture with the basic communication and cooperation services, domain independent components, prototypes and mechanisms are described. Benefits of implementing Internet enabled supply chains with the proposed infrastructure are discussed. A case study on Internet enabled supply chain management is presented.

  5. Wood fiber supply and demand in the United States.

    Treesearch

    Kenneth E. Skog; Peter J. Ince; Richard W. Haynes

    1998-01-01

    The USDA Forest Service is preparing a national assessment of supply and demand for wood fiber resources in the United States. Based in part on preliminary results of this assessment and partly on our 1993 Assessment, this paper outlines trends and gives an outlook for demand and trade for timber and fiber products, changes in technology, and wood fiber resource supply...

  6. Dollar Summary of Federal Supply Classification and Service Category by Company, FY 85. Part 2 (E199-R211).

    DTIC Science & Technology

    1985-01-01

    a >- aa 00 0060000 000 0 0 0 0 Cliou u u w W= 110 11.0 Lu L > 1.- 0u C .) I.- Lu Iu Lu L L) CL Lu 0 ao ~ -aaa 00 0 0 0 00 0 0 0 0 Qd 0 Xa a a 69 0ia I...AD-AI65 357 DOLLAR SUMMARY OF FEDERAL SUPPLY CLASSIFICATION AIND 5 SERVICE CATEGORY BY C ..(U) WASHINGTON HEADQUARTERS SERICES (DOD) DC DIRECTORATE...RESTRICTIVE MARKINGS 2 .-. ’y~ CLASSFiCAriON AUTHORiTY 3. DISTRIBUTION/ AVAILAILITY OF REPORT A, r(:ATON C )ONGRAINGSCHEULEApproved for Public release

  7. Public-supply water use and self-supplied industrial water use in Tennessee, 2010

    USGS Publications Warehouse

    Robinson, John A.

    2018-04-26

    The U.S. Geological Survey (USGS), in cooperation with the Tennessee Department of Environment and Conservation, Division of Water Resources, prepared this report and displayed and analyzed water use by self-supplied industrial and public-supply water systems in Tennessee for 2010. Public-supply water systems in Tennessee provide water for domestic, industrial, and commercial uses and for municipal services. In 2010, 474 public-supply water systems distributed 917 million gallons per day (Mgal/d) of surface water (67 percent, 617 Mgal/d) and groundwater (33 percent, 300 Mgal/d) to a population of 5.7 million in Tennessee. Gross per capita water use in Tennessee during 2010 was 162 gallons per day.Since 1950, water withdrawals by public-supply water systems in Tennessee have increased from 160 Mgal/d to 917 Mgal/d in 2010. Each of the 95 counties in Tennessee was served by at least 1 public-supply water system in 2010. Tennessee public-supply water systems withdraw less groundwater than surface water, and surface-water use has increased at a faster rate than groundwater use. Since 2005, surface-water withdrawals have increased by 26 Mgal/d, and groundwater withdrawals have decreased by 29 Mgal/d, which is the first decrease in groundwater withdrawals since 1950; however, 29 systems reported increased groundwater withdrawals during 2010, and 12 of these 29 systems reported increases of 1 Mgal/d or more. Davidson County had the largest surface-water withdrawal rate (136 Mgal/d) in 2010. The largest groundwater withdrawal rate (151 Mgal/d) by a single public-supply water system was reported by Memphis Light, Gas and Water, which served more than 669,000 people in Shelby County in 2010.Self-supplied industrial water use includes water for such purposes as fabrication, processing, washing, diluting, cooling, or transporting a product; incorporating water into a product; or for sanitation needs in facilities that manufacture various products. Water withdrawals for self-supplied

  8. Staff experiences of providing maternity services in rural southern Tanzania – a focus on equipment, drug and supply issues

    PubMed Central

    2013-01-01

    Background The poor maintenance of equipment and inadequate supplies of drugs and other items contribute to the low quality of maternity services often found in rural settings in low- and middle-income countries, and raise the risk of adverse patient outcomes through delaying care provision. We aim to describe staff experiences of providing maternal and neonatal care in rural health facilities in Southern Tanzania, focusing on issues related to equipment, drugs and supplies. Methods Focus group discussions and in-depth interviews were conducted with different staff cadres from all facility levels in order to explore experiences and views of providing maternity care in the context of poorly maintained equipment, and insufficient drugs and other supplies. A facility survey quantified the availability of relevant items. Results The facility survey, which found many missing or broken items and frequent stock outs, corroborated staff reports of providing care in the context of missing or broken care items. Staff reported increased workloads, reduced morale, difficulties in providing optimal maternity care, and carrying out procedures with potential health risks to themselves as a result. Conclusions Inadequately stocked and equipped facilities compromise the health system’s ability to reduce maternal and neonatal mortality and morbidity by affecting staff personally and professionally, which hinders the provision of timely and appropriate interventions. Improving stock control and maintaining equipment could benefit mothers and babies, not only through removing restrictions to the availability of care, but also through improving staff working conditions. PMID:23410228

  9. 7 CFR 868.21 - Requirements for obtaining service.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... accessible portion and the results certified as stated in § 868.34. (2) Origin records. When an applicant requests origin inspection, the records indicating the origin of the commodity to be inspected shall be... time agreed upon by the plant management and the cooperator or Service. If the plant is not approved as...

  10. Economic Expansion Is a Major Determinant of Physician Supply and Utilization

    PubMed Central

    Cooper, Richard A; Getzen, Thomas E; Laud, Prakash

    2003-01-01

    Objective To assess the relationship between levels of economic development and the supply and utilization of physicians. Data Sources Data were obtained from the American Medical Association, American Osteopathic Association, Organization for Economic Cooperation and Development (OECD), Bureau of Health Professions, Bureau of Labor Statistics, Bureau of Economic Analysis, Census Bureau, Health Care Financing Administration, and historical sources. Study Design Economic development, expressed as real per capita gross domestic product (GDP) or personal income, was correlated with per capita health care labor and physician supply within countries and states over periods of time spanning 25–70 years and across countries, states, and metropolitan statistical areas (MSAs) at multiple points in time over periods of up to 30 years. Longitudinal data were analyzed in four complementary ways: (1) simple univariate regressions; (2) regressions in which temporal trends were partialled out; (3) time series comparing percentage differences across segments of time; and (4) a bivariate Granger causality test. Cross-sectional data were assessed at multiple time points by means of univariate regression analyses. Principal Findings Under each analytic scenario, physician supply correlated with differences in GDP or personal income. Longitudinal correlations were associated with temporal lags of approximately 5 years for health employment and 10 years for changes in physician supply. The magnitude of changes in per capita physician supply in the United States was equivalent to differences of approximately 0.75 percent for each 1.0 percent difference in GDP. The greatest effects of economic expansion were on the medical specialties, whereas the surgical and hospital-based specialties were affected to a lesser degree, and levels of economic expansion had little influence on family/general practice. Conclusions Economic expansion has a strong, lagged relationship with changes in

  11. Development and Use of the Hydrologic Ensemble Forecast System by the National Weather Service to Support the New York City Water Supply

    NASA Astrophysics Data System (ADS)

    Shedd, R.; Reed, S. M.; Porter, J. H.

    2015-12-01

    The National Weather Service (NWS) has been working for several years on the development of the Hydrologic Ensemble Forecast System (HEFS). The objective of HEFS is to provide ensemble river forecasts incorporating the best precipitation and temperature forcings at any specific time horizon. For the current implementation, this includes the Global Ensemble Forecast System (GEFS) and the Climate Forecast System (CFSv2). One of the core partners that has been working with the NWS since the beginning of the development phase of HEFS is the New York City Department of Environmental Protection (NYCDEP) which is responsible for the complex water supply system for New York City. The water supply system involves a network of reservoirs in both the Delaware and Hudson River basins. At the same time that the NWS was developing HEFS, NYCDEP was working on enhancing the operations of their water supply reservoirs through the development of a new Operations Support Tool (OST). OST is designed to guide reservoir system operations to ensure an adequate supply of high-quality drinking water for the city, as well as to meet secondary objectives for reaches downstream of the reservoirs assuming the primary water supply goals can be met. These secondary objectives include fisheries and ecosystem support, enhanced peak flow attenuation beyond that provided natively by the reservoirs, salt front management, and water supply for other cities. Since January 2014, the NWS Northeast and Middle Atlantic River Forecast Centers have provided daily one year forecasts from HEFS to NYCDEP. OST ingests these forecasts, couples them with near-real-time environmental and reservoir system data, and drives models of the water supply system. The input of ensemble forecasts results in an ensemble of model output, from which information on the range and likelihood of possible future system states can be extracted. This type of probabilistic information provides system managers with additional

  12. Trends in the supply of California’s emergency departments and inpatient services, 2005–2014: a retrospective analysis

    PubMed Central

    Chow, Jessica L; Niedzwiecki, Matthew J; Hsia, Renee Y

    2017-01-01

    Objectives Given increasing demand for emergency care, there is growing concern over the availability of emergency department (ED) and inpatient resources. Existing studies of ED bed supply are dated and often overlook hospital capacity beyond ED settings. We described recent statewide trends in the capacity of ED and inpatient hospital services from 2005 to 2014. Design Retrospective analysis. Setting Using California hospital data, we examined the absolute and per admission changes in ED beds and inpatient beds in all hospitals from 2005 to 2014. Participants Our sample consisted of all patients inpatient and outpatient) from 501 hospital facilities over 10-year period. Outcome measures We analysed linear trends in the total annual ED visits, ED beds, licensed and staffed inpatient hospital beds and bed types, ED beds per ED visit, and inpatient beds per admission (ED and non-ED). Results Between 2005 and 2014, ED visits increased from 9.8 million to 13.2 million (an increase of 35.0%, p<0.001). ED beds also increased (by 29.8%, p<0.001), with an average annual increase of 195.4 beds. Despite this growth, ED beds per visit decreased by 3.9%, from 6.0 ED beds per 10 000 ED visits in 2005 to 5.8 beds in 2014 (p=0.01). While overall admission numbers declined by 4.9% (p=0.06), inpatient medical/surgical beds per visit grew by 11.3%, from 11.6 medical/surgical beds per 1000 admissions in 2005 to 12.9 beds in 2014 (p<0.001). However, there were reductions in psychiatric and chemical dependency beds per admission, by −15.3% (p<0.001) and −22.4% (p=0.05), respectively. Conclusions These trends suggest that, in its current state, inadequate supply of ED and specific inpatient beds cannot keep pace with growing patient demand for acute care. Analysis of ED and inpatient supply should capture dynamic variations in patient demand. Our novel ‘beds pervisit’ metric offers improvements over traditional supply measures. PMID:28495813

  13. Impact of universal medical insurance system on the accessibility of medical service supply and affordability of patients in China

    PubMed Central

    Zhang, Zhiguo; Ren, Jing; Zhang, Jie; Pan, Xiaoyun; Zhang, Liang; Jin, Si

    2018-01-01

    Background China’s universal medical insurance system (UMIS) is designed to promote social fairness through improving access to medical services and reducing out-of-pocket (OOP) costs for all Chinese. However, it is still not known whether UMIS has a significant impact on the accessibility of medical service supply and the affordability, as well as the seeking-care choice, of patients in China. Methods Segmented time-series regression analysis, as a powerful statistical method of interrupted time series design, was used to estimate the changes in the quantity and quality of medical service supply before and after the implementation of UMIS. The rates of catastrophic payments and seeking-care choices for UMIS beneficiaries were selected to measure the affordability and medical service flow of patients after the implementation of UMIS. Results China’s UMIS was established in 2008. After that, the trending increase of the expenditure of the UMIS was higher than that of increase in revenue compared to previous years. Up to 2014, the UMIS had covered 97.5% of the entire population in China. After introduction of the UMIS, there were significant increases in licensed physicians, nurses, and hospital beds per 1000 individuals. In addition, hospital outpatient visits and inpatient visits per year increased compared to the pre-UMIS period. The average fatality rate of inpatients in the overall hospital and general hospital and the average fatality rate due to acute myocardial infarction (AMI) in general hospitals was significantly decreased. In contrast, no significant and prospective changes were observed in rural physicians per 1000 individuals, inpatient visits and inpatient fatality rate in the community centers and township hospitals compared to the pre-UMIS period. After 2008, the rates of catastrophic payments for UMIS inpatients at different income levels were declining at three levels of hospitals. Whichever income level, the rate of catastrophic payments for

  14. Reframing landscape fragmentation's effects on ecosystem services.

    PubMed

    Mitchell, Matthew G E; Suarez-Castro, Andrés F; Martinez-Harms, Maria; Maron, Martine; McAlpine, Clive; Gaston, Kevin J; Johansen, Kasper; Rhodes, Jonathan R

    2015-04-01

    Landscape structure and fragmentation have important effects on ecosystem services, with a common assumption being that fragmentation reduces service provision. This is based on fragmentation's expected effects on ecosystem service supply, but ignores how fragmentation influences the flow of services to people. Here we develop a new conceptual framework that explicitly considers the links between landscape fragmentation, the supply of services, and the flow of services to people. We argue that fragmentation's effects on ecosystem service flow can be positive or negative, and use our framework to construct testable hypotheses about the effects of fragmentation on final ecosystem service provision. Empirical efforts to apply and test this framework are critical to improving landscape management for multiple ecosystem services. Copyright © 2015 Elsevier Ltd. All rights reserved.

  15. 21 CFR 200.7 - Supplying pharmacists with indications and dosage information.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 21 Food and Drugs 4 2013-04-01 2013-04-01 false Supplying pharmacists with indications and dosage... SERVICES (CONTINUED) DRUGS: GENERAL GENERAL General Provisions § 200.7 Supplying pharmacists with... Cosmetic Act that prevent a manufacturer of prescription drugs from sending the pharmacist data he needs on...

  16. 21 CFR 200.7 - Supplying pharmacists with indications and dosage information.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 21 Food and Drugs 4 2011-04-01 2011-04-01 false Supplying pharmacists with indications and dosage... SERVICES (CONTINUED) DRUGS: GENERAL GENERAL General Provisions § 200.7 Supplying pharmacists with... Cosmetic Act that prevent a manufacturer of prescription drugs from sending the pharmacist data he needs on...

  17. 21 CFR 200.7 - Supplying pharmacists with indications and dosage information.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 21 Food and Drugs 4 2012-04-01 2012-04-01 false Supplying pharmacists with indications and dosage... SERVICES (CONTINUED) DRUGS: GENERAL GENERAL General Provisions § 200.7 Supplying pharmacists with... Cosmetic Act that prevent a manufacturer of prescription drugs from sending the pharmacist data he needs on...

  18. 21 CFR 200.7 - Supplying pharmacists with indications and dosage information.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 21 Food and Drugs 4 2014-04-01 2014-04-01 false Supplying pharmacists with indications and dosage... SERVICES (CONTINUED) DRUGS: GENERAL GENERAL General Provisions § 200.7 Supplying pharmacists with... Cosmetic Act that prevent a manufacturer of prescription drugs from sending the pharmacist data he needs on...

  19. 21 CFR 200.7 - Supplying pharmacists with indications and dosage information.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 4 2010-04-01 2010-04-01 false Supplying pharmacists with indications and dosage... SERVICES (CONTINUED) DRUGS: GENERAL GENERAL General Provisions § 200.7 Supplying pharmacists with... Cosmetic Act that prevent a manufacturer of prescription drugs from sending the pharmacist data he needs on...

  20. 21 CFR 864.2240 - Cell and tissue culture supplies and equipment.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 21 Food and Drugs 8 2013-04-01 2013-04-01 false Cell and tissue culture supplies and equipment... SERVICES (CONTINUED) MEDICAL DEVICES HEMATOLOGY AND PATHOLOGY DEVICES Cell And Tissue Culture Products § 864.2240 Cell and tissue culture supplies and equipment. (a) Identification. Cell and tissue culture...

  1. 21 CFR 864.2240 - Cell and tissue culture supplies and equipment.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 21 Food and Drugs 8 2012-04-01 2012-04-01 false Cell and tissue culture supplies and equipment... SERVICES (CONTINUED) MEDICAL DEVICES HEMATOLOGY AND PATHOLOGY DEVICES Cell And Tissue Culture Products § 864.2240 Cell and tissue culture supplies and equipment. (a) Identification. Cell and tissue culture...

  2. 21 CFR 864.2240 - Cell and tissue culture supplies and equipment.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 21 Food and Drugs 8 2014-04-01 2014-04-01 false Cell and tissue culture supplies and equipment... SERVICES (CONTINUED) MEDICAL DEVICES HEMATOLOGY AND PATHOLOGY DEVICES Cell And Tissue Culture Products § 864.2240 Cell and tissue culture supplies and equipment. (a) Identification. Cell and tissue culture...

  3. 21 CFR 864.2240 - Cell and tissue culture supplies and equipment.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 21 Food and Drugs 8 2011-04-01 2011-04-01 false Cell and tissue culture supplies and equipment... SERVICES (CONTINUED) MEDICAL DEVICES HEMATOLOGY AND PATHOLOGY DEVICES Cell And Tissue Culture Products § 864.2240 Cell and tissue culture supplies and equipment. (a) Identification. Cell and tissue culture...

  4. 21 CFR 864.2240 - Cell and tissue culture supplies and equipment.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Cell and tissue culture supplies and equipment... SERVICES (CONTINUED) MEDICAL DEVICES HEMATOLOGY AND PATHOLOGY DEVICES Cell And Tissue Culture Products § 864.2240 Cell and tissue culture supplies and equipment. (a) Identification. Cell and tissue culture...

  5. 77 FR 65581 - Verizon Business Networks Services, Inc., Senior Analyst, Service Program Delivery (SA-SPD...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-29

    ... DEPARTMENT OF LABOR Employment and Training Administration [TA-W-81,827] Verizon Business Networks... Verizon Business Network Services, Inc., Senior Analyst-Service Program Delivery, Hilliard, Ohio (subject.... Specifically, the worker group supplies service program delivery services. At the request of the State of Ohio...

  6. 76 FR 10394 - Hewlett Packard Company, Enterprise Business Division, Technical Services America, Global Parts...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-24

    ... Packard Company, Enterprise Business Division, Technical Services America, Global Parts Supply Chain Group... Business Division, Technical Services America, Global Parts Supply Chain Group, Including Leased Workers... Packard Company, Enterprise Business Division, Technical Services America, Global Parts Supply Chain Group...

  7. Exploration Supply Chain Simulation

    NASA Technical Reports Server (NTRS)

    2008-01-01

    The Exploration Supply Chain Simulation project was chartered by the NASA Exploration Systems Mission Directorate to develop a software tool, with proper data, to quantitatively analyze supply chains for future program planning. This tool is a discrete-event simulation that uses the basic supply chain concepts of planning, sourcing, making, delivering, and returning. This supply chain perspective is combined with other discrete or continuous simulation factors. Discrete resource events (such as launch or delivery reviews) are represented as organizational functional units. Continuous resources (such as civil service or contractor program functions) are defined as enabling functional units. Concepts of fixed and variable costs are included in the model to allow the discrete events to interact with cost calculations. The definition file is intrinsic to the model, but a blank start can be initiated at any time. The current definition file is an Orion Ares I crew launch vehicle. Parameters stretch from Kennedy Space Center across and into other program entities (Michaud Assembly Facility, Aliant Techsystems, Stennis Space Center, Johnson Space Center, etc.) though these will only gain detail as the file continues to evolve. The Orion Ares I file definition in the tool continues to evolve, and analysis from this tool is expected in 2008. This is the first application of such business-driven modeling to a NASA/government-- aerospace contractor endeavor.

  8. Trends in the supply of inpatient rehabilitation facilities services: 1996 to 2004.

    PubMed

    Mallinson, Trudy R; Manheim, Larry M; Almagor, Orit; Demark, Holly M; Heinemann, Allen W

    2008-11-01

    Describe the supply of inpatient rehabilitation facilities (IRFs) services in 1996 and examine changes between 1996 and 2004, including the impact of the IRF prospective payment system (PPS) in 2002 on organizational trends. Retrospective pre-post design. Freestanding and subprovider (distinct-part units) IRFs. IRFs (N=1424), including 257 freestanding IRFs and 1167 IRF units reported in the Healthcare Cost Report Information System database, from years 1996 to 2004. Not applicable. Number of IRF openings, IRF closures, beds, and inpatient days. The number of IRFs grew from 1037 to 1183 between 1996 and 2001 and grew to 1235 between 2001 and 2004. The likelihood of IRF closures trended lower after PPS, and there was a significant increase in the likelihood of openings when PPS was introduced. For-profit, rural, and small IRFs were more likely to open over the entire period. There was a 12.9% increase in the number of total inpatient days, somewhat less than the 15.7% growth in IRF beds over the period. There was no impact of PPS on beds available but a significant decline in total inpatient days after PPS. Inpatient days rose under the Tax Equity and Fiscal Responsibility Act and declined after 2002. Yet the likelihood of openings and closures did not appear to respond to these changes, perhaps because they were modest compared with changes in local IRF markets. The IRF PPS did little to affect service distribution in less well-served areas, although we did find growth in rural areas. Occupancy rates in 2004 were close to rates at the start of the period (70%). This observation implies that IRFs were implementing strategies to recruit a sufficient number of patients, even though bed numbers were increasing and length of stay was declining. Consequently, policy that limits the potential of IRFs to increase patient admissions, such as the limits on admissions to IRFs of patients with conditions other than those included in the 75% rule, is likely to produce

  9. The structure of the market for physicians' services.

    PubMed Central

    McLean, R A

    1980-01-01

    In this paper, structural equations for the supply of and the demand for general practitioners' services are derived. Two variants of the model, based on alternative specifications of the role of health insurance, are tested, using data drawn from the American Medical Association's Eighth Periodic Survey of Physicians (PSP8). While results of the estimation require the rejection of the hypothesis that the market for general practitioners' service is perfectly competitive, the elasticities of demand implied are quite high. Estimates of the supply relationships support the presence of "backward bending" supplies of physicians' services, but this finding should be interpreted cautiously. PMID:7204064

  10. Lean production in improving supply chain performance through hybrid model SCOR 11.0 - system dynamics

    NASA Astrophysics Data System (ADS)

    Saleh, Chairul; Fatcha Mubiena, Ghaida; Immawan, Taufiq; Hassan, Azmi

    2016-02-01

    Supply Chain Operation Reference (SCOR) is a method to measure supply chain serving the business process framework, performance indicators and unique technologies to support communication and collaboration among supply chain partners. The objective of this paper is to measure Supply Chain Management performance by using SCOR version 11.0 for production typology of MTS-MTO in Indonesian Batik Industry. This research combines SCOR's model and System Dynamics in order to predict the complex activities on batik industry. The hybrid SCOR-SD could identify the interaction among five attributes with the associated variables simultaneously. The results are obtained after the performance of lean production application is increased and the targets are achieved, even exceeding the target. For reliability attributes that associated with perfect order fulfilment started from 2015 to 2019 respectively are calculated as 80.06%, 103.53%, 105.58%, 93.76%, and 72.17%. Responsiveness attributes associated with the order fulfilment cycle time, respectively 122.45%, 149.10%, 159.26%, 131.53%, and 119.36%. Attributes associated with the total cost of service charge respectively 93.46%, 93.53%, 93.45%, 93.49, and 93.49%. Attributes associated with cash management assets to cash cycle time in a row were 160%, 153%, 146.3%, 150%, and 126.7%. The latter attribute is agility attributes associated with supply chain flexibility upside respectively 100%, 87.2%, 100%, 82%, and 82%.

  11. 7 CFR 52.5 - Who may obtain inspection service.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... MARKETING ACT OF 1946 PROCESSED FRUITS AND VEGETABLES, PROCESSED PRODUCTS THEREOF, AND CERTAIN OTHER PROCESSED FOOD PRODUCTS 1 Regulations Governing Inspection and Certification Inspection Service § 52.5 Who...

  12. [Improving a hospital's supply chain through lean management].

    PubMed

    Aguilar-Escobar, V G; Garrido-Vega, P; Godino-Gallego, N

    2013-01-01

    Supply management is an area where hospitals have significant opportunities for improvement. The main objective of this paper has been to analyze how the application of Lean principles can improve logistics costs and user satisfaction. In connection with satisfaction, it also aimed to examine which aspects of the service define it and check for differences between different groups of users. The results of an experience to reorganize the hospital logistic system based on some Lean principles have been studied. This is therefore a case study, which combine different methods of data collection. The logistics cost calculation was carried out using the full costing method. To measure satisfaction of healthcare personnel, the internal logistics service users, an anonymous survey was conducted. Processing of the data obtained from the survey have included exploratory analysis, factor analysis and ANOVAs. The data have showed an improvement in logistics management after the implementation of Lean principles. Logistics costs were reduced and the satisfaction level of the internal users with the new logistics system was increased. Some differences in the degree of satisfaction by different groups of users were also detected, although they did not seem to distinguish between different aspects of logistic service. The analyzed experience shows the applicability and suitability of Lean principles to improve logistics operational costs and increase user satisfaction. Copyright © 2012 SECA. Published by Elsevier Espana. All rights reserved.

  13. Reinforcement learning in supply chains.

    PubMed

    Valluri, Annapurna; North, Michael J; Macal, Charles M

    2009-10-01

    Effective management of supply chains creates value and can strategically position companies. In practice, human beings have been found to be both surprisingly successful and disappointingly inept at managing supply chains. The related fields of cognitive psychology and artificial intelligence have postulated a variety of potential mechanisms to explain this behavior. One of the leading candidates is reinforcement learning. This paper applies agent-based modeling to investigate the comparative behavioral consequences of three simple reinforcement learning algorithms in a multi-stage supply chain. For the first time, our findings show that the specific algorithm that is employed can have dramatic effects on the results obtained. Reinforcement learning is found to be valuable in multi-stage supply chains with several learning agents, as independent agents can learn to coordinate their behavior. However, learning in multi-stage supply chains using these postulated approaches from cognitive psychology and artificial intelligence take extremely long time periods to achieve stability which raises questions about their ability to explain behavior in real supply chains. The fact that it takes thousands of periods for agents to learn in this simple multi-agent setting provides new evidence that real world decision makers are unlikely to be using strict reinforcement learning in practice.

  14. Geographic Variation in the Supply of Selected Behavioral Health Providers.

    PubMed

    Andrilla, C Holly A; Patterson, Davis G; Garberson, Lisa A; Coulthard, Cynthia; Larson, Eric H

    2018-06-01

    In 2015, an estimated 43.4 million Americans aged 18 and older suffered from a behavioral health issue. Accurate estimates of the number of psychiatrists, psychologists, and psychiatric nurse practitioners are needed as demand for behavioral health care grows. The National Plan and Provider Enumeration System National Provider Identifier data (October 2015) was used to examine the supply of psychiatrists, psychologists, and psychiatric nurse practitioners. Providers were classified into three geographic categories based on their practicing county (metropolitan, micropolitan, and non-core). Claritas 2014 U.S. population data were used to calculate provider-to-population ratios for each provider type. Analysis was completed in 2016. Substantial variation exists across Census Divisions in the per capita supply of psychiatrists, psychologists, and psychiatric nurse practitioners. The New England Census Division had the highest per capita supply and the West South Central Census Division had among the lowest supply of all three provider types. Nationally, the per capita supply of these providers was substantially lower in non-metropolitan counties than in metropolitan counties, but Census Division disparities persisted across geographic categories. There was a more than tenfold difference in the percentage of counties lacking a psychiatrist between the New England Census Division (6%) and the West North Central Census Division (69%). Higher percentages of non-metropolitan counties lacked a psychiatrist. Psychiatrists, psychologists, and psychiatric nurse practitioners are unequally distributed throughout the U.S. Disparities exist across Census Divisions and geographic categories. Understanding this unequal distribution is necessary for developing approaches to improving access to behavioral health services for underserved populations. This article is part of a supplement entitled The Behavioral Health Workforce: Planning, Practice, and Preparation, which is sponsored

  15. Optimizing energy for a 'green' vaccine supply chain.

    PubMed

    Lloyd, John; McCarney, Steve; Ouhichi, Ramzi; Lydon, Patrick; Zaffran, Michel

    2015-02-11

    This paper describes an approach piloted in the Kasserine region of Tunisia to increase the energy efficiency of the distribution of vaccines and temperature sensitive drugs. The objectives of an approach, known as the 'net zero energy' (NZE) supply chain were demonstrated within the first year of operation. The existing distribution system was modified to store vaccines and medicines in the same buildings and to transport them according to pre-scheduled and optimized delivery circuits. Electric utility vehicles, dedicated to the integrated delivery of vaccines and medicines, improved the regularity and reliability of the supply chains. Solar energy, linked to the electricity grid at regional and district stores, supplied over 100% of consumption meeting all energy needs for storage, cooling and transportation. Significant benefits to the quality and costs of distribution were demonstrated. Supply trips were scheduled, integrated and reliable, energy consumption was reduced, the recurrent cost of electricity was eliminated and the release of carbon to the atmosphere was reduced. Although the initial capital cost of scaling up implementation of NZE remain high today, commercial forecasts predict cost reduction for solar energy and electric vehicles that may permit a step-wise implementation over the next 7-10 years. Efficiency in the use of energy and in the deployment of transport is already a critical component of distribution logistics in both private and public sectors of industrialized countries. The NZE approach has an intensified rationale in countries where energy costs threaten the maintenance of public health services in areas of low population density. In these countries where the mobility of health personnel and timely arrival of supplies is at risk, NZE has the potential to reduce energy costs and release recurrent budget to other needs of service delivery while also improving the supply chain. Copyright © 2014 The Authors. Published by Elsevier Ltd

  16. 7 CFR 800.46 - Requirements for obtaining official services.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ...) Surrender of superseded certificates. When a request for official service results in a certificate being... finding of need will be based primarily on a consideration of manpower and efficiency. (c) Special...

  17. 7 CFR 800.46 - Requirements for obtaining official services.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ...) Surrender of superseded certificates. When a request for official service results in a certificate being... finding of need will be based primarily on a consideration of manpower and efficiency. (c) Special...

  18. 7 CFR 800.46 - Requirements for obtaining official services.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ...) Surrender of superseded certificates. When a request for official service results in a certificate being... finding of need will be based primarily on a consideration of manpower and efficiency. (c) Special...

  19. 7 CFR 800.46 - Requirements for obtaining official services.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ...) Surrender of superseded certificates. When a request for official service results in a certificate being... finding of need will be based primarily on a consideration of manpower and efficiency. (c) Special...

  20. 7 CFR 800.46 - Requirements for obtaining official services.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ...) Surrender of superseded certificates. When a request for official service results in a certificate being... finding of need will be based primarily on a consideration of manpower and efficiency. (c) Special...

  1. Food Service and Nutritional Needs

    NASA Technical Reports Server (NTRS)

    Kerwin, J.

    1985-01-01

    The difficulty is that as we go into the Space Station world, the cost, effort, hardware, food trash, and food waste that the food service system will generate (which is quite tolerable on a 7 day mission), probably will be intolerable on a 90 day Space Station mission. The challenge in the food service supply is not so much packaging but systems engineering. The big constraints are in the supply pipeline. Those constraints and the possible tradeoffs are discussed.

  2. Food Acquisition: Food Ingredients, Raw Materials and Supply

    NASA Technical Reports Server (NTRS)

    Wheat, D. W.

    1984-01-01

    The kind of food supply system that will serve the space station in coming years is considered. The direction and rate of evolution of space food service systems is also considered and what is needed to supply appropriate food to space station crews. Innovations in food sourcing, recipe development, pre-preparation, packaging, preservation, presentation, consumption and waste disposal are discussed. The development and validation of preparation systems and ingredients which minimize demands on crew time and provide maximum eating enjoyment is outlined.

  3. 42 CFR 84.143 - Terminal fittings or chambers; Type B supplied-air respirators; minimum requirements.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... HEALTH AND HUMAN SERVICES OCCUPATIONAL SAFETY AND HEALTH RESEARCH AND RELATED ACTIVITIES APPROVAL OF... supplied-air respirators; minimum requirements. (a) Blowers or connections to air supplies providing...

  4. [Supply medicinal products improvement in outpatient care in a hospital pharmacy service].

    PubMed

    Santiago Pérez, A; Peña Pedrosa, J A; Alguacil Pau, A I; Pérez Morales, A; Molina Muñoz, P; Benítez Giménez, M T

    Pharmaceutical care to outpatients is currently one of the main occupations of hospital pharmacy services (PEX). There are several questionnaires to measure the satisfaction of the PEX of a pharmacy service, and the results of these questionnaires can generate improvement actions that result in satisfaction. To verify if a satisfaction questionnaire for outpatients is valid for the generation of improvements in the care provided, and if after its implementation, the same questionnaire is able to detect changes in satisfaction. Prospective study of a single center carried out in a tertiary hospital in 2015 and 2016. A questionnaire previously validated with 16 Likert-type items was used. Demographic and classification data were collected. A descriptive analysis was performed and the internal consistency was calculated using the Cronbach's α value. A total of 258 questionnaires were collected in 2015 and 493 in 2016. There were no differences in the baseline characteristics of the patients and users of the service. The items with the lowest satisfaction scores in 2015 (comfort of the waiting room, dispensing privacy, drug pick-up time and medication pick-up time) guided the improvement actions to be implemented. In 2016 there was an improvement in the waiting time until collection in 12.3% (p = 0.002); in the comfort of the waiting room 4.9% (p = 0.304); business hours for medication collection, 10.7% (p = 0.013); and in the confidentiality of the dispensation 4% (p = 0.292). The remaining scores fluctuated minimally, with no statistical significance at all. A 5.1% improvement in overall satisfaction was found (p < 0.001). Satisfaction values obtained as a whole were high. The satisfaction questionnaire is a valid instrument for generating actions to improve the care received in an outpatient unit of a pharmacy service. This same questionnaire is a tool to monitor the changes implemented to improve the care received. Copyright © 2018 SECA. Publicado por

  5. The evolving role of supply chain management technology in healthcare.

    PubMed

    Langabeer, Jim

    2005-01-01

    The healthcare supply chain is a vast, disintegrated network of products and players, loosely held together by manual and people-intensive processes. Managing the flow of information, supplies, equipment, and services from manufacturers to distributors to providers of care is especially difficult in clinical supply chains, compared with more technology-intense industries like consumer goods or industrial manufacturing. As supplies move downstream towards hospitals and clinics, the quality and robustness of accompanying management and information systems used to manage these products deteriorates significantly. Technology that provides advanced planning, synchronization, and collaboration upstream at the large supply manufacturers and distributors rarely is used at even the world's larger and more sophisticated hospitals. This article outlines the current state of healthcare supply chain management technologies, addresses potential reasons for the lack of adoption of technologies and provides a roadmap for the evolution of technology for the future. This piece is based on both quantitative and qualitative research assessments of the healthcare supply chain conducted during the last two years.

  6. Bundling ecosystem services in the Panama Canal watershed

    PubMed Central

    Simonit, Silvio; Perrings, Charles

    2013-01-01

    Land cover change in watersheds affects the supply of a number of ecosystem services, including water supply, the production of timber and nontimber forest products, the provision of habitat for forest species, and climate regulation through carbon sequestration. The Panama Canal watershed is currently being reforested to protect the dry-season flows needed for Canal operations. Whether reforestation of the watershed is desirable depends on its impacts on all services. We develop a spatially explicit model to evaluate the implications of reforestation both for water flows and for other services. We find that reforestation does not necessarily increase water supply, but does increase carbon sequestration and timber production. PMID:23690598

  7. Academic food-supply veterinarians: future demand and likely shortages.

    PubMed

    Bruce Prince, J; Andrus, David M; Gwinner, Kevin

    2006-01-01

    The future demand for and potential shortages of food-supply veterinarians have been the subject of much concern. Using the Delphi forecasting method in a three-phase Web-based survey process, a panel of experts identified the trends and issues shaping the demand for and supply of academic food-animal veterinarians, then forecasted the likely future demand and shortages of food-supply veterinarians employed in academic institutions in the United States and Canada through 2016. The results indicate that there will be increasing future demand and persistent shortages of academic food-supply veterinarians unless current trends are countered with targeted, strategic action. The Delphi panel also evaluated the effectiveness of several strategies for reversing current trends and increasing the number of food-supply veterinarians entering into academic careers. Academic food-supply veterinarians are a key link in the system that produces food-supply veterinarians for all sectors (private practice, government service, etc.); shortages in the academic sector will amplify shortages wherever food-supply veterinarians are needed. Even fairly small shortages have significant public-health, food-safety, animal-welfare, and bio-security implications. Recent events demonstrate that in an increasingly interconnected global economic food supply system, national economies and public health are at risk unless an adequate supply of appropriately trained food-supply veterinarians is available to counter a wide variety of threats ranging from animal and zoonotic diseases to bioterrorism.

  8. The Role of Education in the Supply and Demand of Educated Manpower. Research Memorandum.

    ERIC Educational Resources Information Center

    Young, Kan Hua

    This description of a methodology for examining the supply of educated manpower and the demand for their services consists of two major sections, which are devoted to the supply and demand of educated manpower respectively. In the first section, the supply of educated manpower and the demand for educational inputs are considered, the main…

  9. The Growing Demand for Hospice and Palliative Medicine Physicians: Will the Supply Keep Up?

    PubMed

    Lupu, Dale; Quigley, Leo; Mehfoud, Nicholas; Salsberg, Edward S

    2018-04-01

    The need for hospice and palliative care is growing rapidly as the population increases and ages and as both hospice and palliative care become more accepted. Hospice and palliative medicine (HPM) is a relatively new physician specialty, currently training 325 new fellows annually. Given the time needed to increase the supply of specialty-trained physicians, it is important to assess future needs to guide planning for future training capacity. We modeled the need for and supply of specialist HPM physicians through the year 2040 to determine whether training capacity should continue growing. To create a benchmark for need, we used a population-based approach to look at the current geographic distribution of the HPM physician supply. To model future supply, we calculated the annual change in current supply by adding newly trained physicians and subtracting physicians leaving the labor force. The current U.S. supply of HPM specialists is 13.35 per 100,000 adults 65 and older. This ratio varies greatly across the country. Using alternate assumptions for future supply and demand, we project that need in 2040 will range from 10,640 to almost 24,000 HPM specialist physicians. Supply will range from 8100 to 19,000. Current training capacity is insufficient to keep up with population growth and demand for services. HPM fellowships would need to grow from the current 325 graduates annually to between 500 and 600 per year by 2030 to assure sufficient physician workforce for hospice and palliative care services given current service provision patterns. Copyright © 2018 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.

  10. Spatial interactions among ecosystem services in an urbanizing agricultural watershed

    PubMed Central

    Qiu, Jiangxiao; Turner, Monica G.

    2013-01-01

    Understanding spatial distributions, synergies, and tradeoffs of multiple ecosystem services (benefits people derive from ecosystems) remains challenging. We analyzed the supply of 10 ecosystem services for 2006 across a large urbanizing agricultural watershed in the Upper Midwest of the United States, and asked the following: (i) Where are areas of high and low supply of individual ecosystem services, and are these areas spatially concordant across services? (ii) Where on the landscape are the strongest tradeoffs and synergies among ecosystem services located? (iii) For ecosystem service pairs that experience tradeoffs, what distinguishes locations that are “win–win” exceptions from other locations? Spatial patterns of high supply for multiple ecosystem services often were not coincident; locations where six or more services were produced at high levels (upper 20th percentile) occupied only 3.3% of the landscape. Most relationships among ecosystem services were synergies, but tradeoffs occurred between crop production and water quality. Ecosystem services related to water quality and quantity separated into three different groups, indicating that management to sustain freshwater services along with other ecosystem services will not be simple. Despite overall tradeoffs between crop production and water quality, some locations were positive for both, suggesting that tradeoffs are not inevitable everywhere and might be ameliorated in some locations. Overall, we found that different areas of the landscape supplied different suites of ecosystem services, and their lack of spatial concordance suggests the importance of managing over large areas to sustain multiple ecosystem services. PMID:23818612

  11. Spatial interactions among ecosystem services in an urbanizing agricultural watershed.

    PubMed

    Qiu, Jiangxiao; Turner, Monica G

    2013-07-16

    Understanding spatial distributions, synergies, and tradeoffs of multiple ecosystem services (benefits people derive from ecosystems) remains challenging. We analyzed the supply of 10 ecosystem services for 2006 across a large urbanizing agricultural watershed in the Upper Midwest of the United States, and asked the following: (i) Where are areas of high and low supply of individual ecosystem services, and are these areas spatially concordant across services? (ii) Where on the landscape are the strongest tradeoffs and synergies among ecosystem services located? (iii) For ecosystem service pairs that experience tradeoffs, what distinguishes locations that are "win-win" exceptions from other locations? Spatial patterns of high supply for multiple ecosystem services often were not coincident; locations where six or more services were produced at high levels (upper 20th percentile) occupied only 3.3% of the landscape. Most relationships among ecosystem services were synergies, but tradeoffs occurred between crop production and water quality. Ecosystem services related to water quality and quantity separated into three different groups, indicating that management to sustain freshwater services along with other ecosystem services will not be simple. Despite overall tradeoffs between crop production and water quality, some locations were positive for both, suggesting that tradeoffs are not inevitable everywhere and might be ameliorated in some locations. Overall, we found that different areas of the landscape supplied different suites of ecosystem services, and their lack of spatial concordance suggests the importance of managing over large areas to sustain multiple ecosystem services.

  12. Supply and demand for radiographers in Lithuania: a prognosis for 2012-2030.

    PubMed

    Vanckaviciene, Aurika; Starkiene, Liudvika; Macijauskiene, Jūrate

    2014-07-01

    This is the first ever study on the planning of the supply and demand for radiographers in Lithuania. The aim of this study was to analyze the supply and demand for radiographers in the labor market with respect to their number, structure, and services, and to provide a prognosis for the period of 2012-2030. Supply was calculated using two scenarios with differing duration of studies, annual student drop-out rates, rates of failure to start working, the annual number of new entrants into the labor market, and emigration rates. Annual mortality rates, the number of first-year students, and retirement rates were evaluated equally in both scenarios. Two projections of the demand for radiographers, based on the population's differing (by age and gender), need for outpatient radiology services, computed tomography, and magnetic resonance scans. Subsequently, the supply and demand scenarios were compared. Evaluation of the perspective supply and demand scenarios - which are the most probable - revealed a gap forming during the analyzed period, the predicted specialist shortage will reach 0.13 full-time equivalents per 10,000 population, and in 2030-0.37 full-time equivalents per 10,000 population. Considering the changes in education of radiographers, the socio-demographic characteristics of the staff, and the increasing need for radiographers' services, the supply of radiographers during the next two decades will be insufficient. To meet the forecasted demand for radiographers in the perspective scenario, the number of students choosing this specialty from 2013 on should increase by up to 30%. Copyright © 2014 The Authors. Published by Elsevier Ireland Ltd.. All rights reserved.

  13. Public water supplies in western Texas

    USGS Publications Warehouse

    Broadhurst, W.L.; Sundstrom, R.W.; Weaver, D.E.

    1951-01-01

    This report gives a summarized description of the public water supplies in a region comprising 81 counties of western Texas and lying generally west of the hundredth meridian. It is the fourth and last of this series of reports concerning the public water supplies of the State. It gives the available data for each of 142 communities, as follows: The population of the community; the name of the official from whom the information was obtained; the ownership of the waterworks, whether private or municipal; the source of supply, whether ground water or surface water; the amount of water consumed; the facilities for storage; the number of customers served; the character of the chemical and sanitary treatment of the water, if any; and the chemical analyses of the water. Where ground water is used the following also are given. Records of wells, including drillers' logs; character of the pumping equipment; and yield of the wells and water-level records where they are available. Of the 142 public supplies, 133 are obtained from ground water, 5 from surface water, and 4 from a combination of both. The total amount of water . used for public supply in the region averages about 78,000,000 gallons a day. Of this about 61,000,000 gallons a day is ground water and about 17,000,000 gallons a day is surface water. The ground-water resources of the region from which public water supplies are drawn are in rocks that range in age from Permian to Quaternary. The Ogallala formation of Tertiary age (Pliocene), which covers about 35,000 square miles of the High Plains in Texas, is the most important ground-water reservoir in the region. The formation furnishes water for 78 public supplies and for irrigating about 1,000,000 acres of land. The amount of water used for irrigating amounted to about 1,000,000 acre-feet in 1948. The Trinity and Fredericksburg groups of Lower Cretaceous age supply ground water in the western part of the Edwards Plateau, which constitutes an area of more than 22

  14. Preliminary assessment of appropriateness of emergency care service use: actions taken and consultations obtained before emergency care presentation.

    PubMed

    Tzeng, Huey-Ming

    2011-01-01

    Inappropriate use of emergency care services can increase hospital readmissions and related costs. This pilot, cross-sectional survey project determined whether home health care patients who receive emergency care services during a Medicare-approved home care episode sought consultation from health care professionals before they made the emergency care visit. The two research questions were: (a) What actions were taken by the patient before making an emergency care visit?; (b) If prior consultation was obtained, what were the suggestions? Preliminary data were obtained from a Michigan-based, Medicare-certified, not-for-profit home health agency affiliated with a university health system. A two-page questionnaire recorded up to three emergency care visits. Volunteer participants were Medicare patients who had no cognitive deficits and were able to communicate with home health care providers (HHCPs) by themselves. Thirty-five emergency care visits were reported; 31 (88.6%) Medicare patients participated and 4 (11.4%) of them had two emergency care visits. Before the patients made an emergency care visit, they most often called their primary care physicians (PCPs; N = 20, 57.1%), followed by the HHCPs (N = 10, 28.6%). All 20 patients who contacted their PCPs and 7 patients who contacted their HHCPs were advised to seek emergency care services. In 20 emergency care visits the patient was admitted for an acute hospital stay; the other 15 patients went home. Most patients contacted their PCPs or HHCPs before they went to an emergency department or urgent care facility. These results implied that PCPs and HHCPs seemed to perceive that the need for emergency care should be determined at an emergency room or urgent care facility. This study was unable to differentiate the need for emergency care services or the appropriateness of the advice given by PCPs or HHCPs when the home care patients were under the care of a medical team.

  15. [Design and implementation of supply security monitoring and analysis system for Chinese patent medicines supply in national essential medicines].

    PubMed

    Wang, Hui; Zhang, Xiao-Bo; Huang, Lu-Qi; Guo, Lan-Ping; Wang, Ling; Zhao, Yu-Ping; Yang, Guang

    2017-11-01

    The supply of Chinese patent medicine is influenced by the price of raw materials (Chinese herbal medicines) and the stock of resources. On the one hand, raw material prices show cyclical volatility or even irreversible soaring, making the price of Chinese patent medicine is not stable or even the highest cost of hanging upside down. On the other hand, due to lack of resources or disable some of the proprietary Chinese medicine was forced to stop production. Based on the micro-service architecture and Redis cluster deployment Based on the micro-service architecture and Redis cluster deployment, the supply security monitoring and analysis system for Chinese patent medicines in national essential medicines has realized the dynamic monitoring and intelligence warning of herbs and Chinese patent medicine by connecting and integrating the database of Chinese medicine resources, the dynamic monitoring system of traditional Chinese medicine resources and the basic medicine database of Chinese patent medicine. Copyright© by the Chinese Pharmaceutical Association.

  16. 32 CFR 644.364 - Supply of forms.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 32 National Defense 4 2014-07-01 2013-07-01 true Supply of forms. 644.364 Section 644.364 National Defense Department of Defense (Continued) DEPARTMENT OF THE ARMY (CONTINUED) REAL PROPERTY REAL ESTATE HANDBOOK Disposal Reports of Excess Real Property and Related Personal Property to General Services...

  17. 32 CFR 644.364 - Supply of forms.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 32 National Defense 4 2012-07-01 2011-07-01 true Supply of forms. 644.364 Section 644.364 National Defense Department of Defense (Continued) DEPARTMENT OF THE ARMY (CONTINUED) REAL PROPERTY REAL ESTATE HANDBOOK Disposal Reports of Excess Real Property and Related Personal Property to General Services...

  18. 32 CFR 644.364 - Supply of forms.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 32 National Defense 4 2010-07-01 2010-07-01 true Supply of forms. 644.364 Section 644.364 National Defense Department of Defense (Continued) DEPARTMENT OF THE ARMY (CONTINUED) REAL PROPERTY REAL ESTATE HANDBOOK Disposal Reports of Excess Real Property and Related Personal Property to General Services...

  19. 21 CFR 1271.210 - Supplies and reagents.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 21 Food and Drugs 8 2011-04-01 2011-04-01 false Supplies and reagents. 1271.210 Section 1271.210 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) REGULATIONS UNDER CERTAIN OTHER ACTS ADMINISTERED BY THE FOOD AND DRUG ADMINISTRATION HUMAN CELLS, TISSUES...

  20. 21 CFR 864.9050 - Blood bank supplies.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... Biologics Evaluation and Research of the Food and Drug Administration. (b) Classification. Class I (general... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Blood bank supplies. 864.9050 Section 864.9050 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED...

  1. 21 CFR 864.9050 - Blood bank supplies.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... Biologics Evaluation and Research of the Food and Drug Administration. (b) Classification. Class I (general... 21 Food and Drugs 8 2011-04-01 2011-04-01 false Blood bank supplies. 864.9050 Section 864.9050 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED...

  2. A profile of physiotherapy supply in Ireland.

    PubMed

    Eighan, James; Walsh, Brendan; Smith, Samantha; Wren, Maev-Ann; Barron, Steve; Morgenroth, Edgar

    2018-04-13

    The lack of information on public and private physiotherapy supply in Ireland makes current and future resource allocation decisions difficult. This paper estimates the supply of physiotherapists in Ireland and profiles physiotherapists across acute and non-acute sectors, and across public and private practice. It examines geographic variation in physiotherapist supply, examining the implications of controlling for healthcare need. Physiotherapist headcounts are estimated using Health Service Personnel Census (HSPC) and Irish Society of Chartered Physiotherapists (ISCP) Register data. Headcounts are converted to whole-time equivalents (WTEs) using the HSPC and a survey of ISCP members to account for full- and part-time working practices. Non-acute supply per 10,000 population in each county is estimated to examine geographic inequalities and the raw population is adjusted in turn for a range of need indicators. An estimated 3172 physiotherapists were practising in Ireland in 2015; 6.8 physiotherapists per 10,000, providing an estimated 2620 WTEs. Females accounted for 74% of supply. Supply was greater in the non-acute sector; 1774 WTEs versus 846 WTEs in the acute sector. Physiotherapists in the acute sector were located mainly in publicly financed institutions (89%) with an even public/private split observed in the non-acute sector. Non-acute physiotherapist supply is unequally distributed across Ireland (Gini coefficient = 0.12; 95% CI 0.08-0.15), and inequalities remain after controlling for variations in healthcare needs across counties. The supply of physiotherapists in Ireland is 30% lower than the EU-28 average. Substantial inequality in the distribution of physiotherapists across counties is observed.

  3. Effects of changes in micro- and macro-environmental factors on the supply of hospitals services.

    PubMed

    Kassaye, W W; Tseng, K C

    1990-01-01

    The failures, marketing difficulties and financial hardships hospitals have experienced raises a question as to whether they have been responsive to the changes in the micro and macro-environmental factors. To determine how responsive hospitals have been to these changes, we investigate the impact of a number of selected factors on the supply of hospital services during 1972 through 1978. The findings indicate that despite the fact that the economy went through recessionary periods, and the demographic distribution exhibited both a shift and a change in the aging and birth rates of the nation, the changes in hospitals' responsiveness have been less than satisfactory. It appears that hospitals readily respond to the changes in the micro-environment than to the changes in macro-environment. Their response to the changes in the macro-environment. Their response to the changes in the macro-environment may be characterized as an effort to create a higher level of production whose goal is to create a still higher level of needs and wants.

  4. HYDRA: A Middleware-Oriented Integrated Architecture for e-Procurement in Supply Chains

    NASA Astrophysics Data System (ADS)

    Alor-Hernandez, Giner; Aguilar-Lasserre, Alberto; Juarez-Martinez, Ulises; Posada-Gomez, Ruben; Cortes-Robles, Guillermo; Garcia-Martinez, Mario Alberto; Gomez-Berbis, Juan Miguel; Rodriguez-Gonzalez, Alejandro

    The Service-Oriented Architecture (SOA) development paradigm has emerged to improve the critical issues of creating, modifying and extending solutions for business processes integration, incorporating process automation and automated exchange of information between organizations. Web services technology follows the SOA's principles for developing and deploying applications. Besides, Web services are considered as the platform for SOA, for both intra- and inter-enterprise communication. However, an SOA does not incorporate information about occurring events into business processes, which are the main features of supply chain management. These events and information delivery are addressed in an Event-Driven Architecture (EDA). Taking this into account, we propose a middleware-oriented integrated architecture that offers a brokering service for the procurement of products in a Supply Chain Management (SCM) scenario. As salient contributions, our system provides a hybrid architecture combining features of both SOA and EDA and a set of mechanisms for business processes pattern management, monitoring based on UML sequence diagrams, Web services-based management, event publish/subscription and reliable messaging service.

  5. Life Support with Failures and Variable Supply

    NASA Technical Reports Server (NTRS)

    Jones, Harry

    2010-01-01

    The life support system for long duration missions will recycle oxygen and water to reduce the material resupply mass from Earth. The impact of life support failures was investigated by dynamic simulation of a lunar outpost habitat life support model. The model was modified to simulate resupply delays, power failures, recycling system failures, and storage failures. Many failures impact the lunar outpost water supply directly or indirectly, depending on the water balance and water storage. Failure effects on the water supply are reduced if Extra Vehicular Activity (EVA) water use is low and the water supply is ample. Additional oxygen can be supplied by scavenging unused propellant or by production from regolith, but the amounts obtained can vary significantly. The requirements for oxygen and water can also vary significantly, especially for EVA. Providing storage buffers can improve efficiency and reliability, and minimize the chance of supply failing to meet demand. Life support failures and supply variations can be survivable if effective solutions are provided by the system design

  6. [Influence factors on supply and demand changes in the field of acupuncture and moxibustion].

    PubMed

    Liu, Bin; Li, Ping

    2011-11-01

    Based on principles of health economy and the present situation, the possibility and regularity on changes in the supply and demand field of acupuncture and moxibustion through various viewpoints were analyzed, which included demand and supply elasticity of acup-mox services to market price and the relevant factors, categories and nature of acup-mox services, business idea of supplier on the strength of marginal cost and marginal benefit, expenditure level and inclination of demander, complementary and substitutive treatment of acup-mox therapy, and the relevant time and geographic factors to change in quantity demand and supply. Therefore, it could be applied as reference to redaction and reform of the relevant health economics policy by health administrative management.

  7. Optimizing energy for a ‘green’ vaccine supply chain

    PubMed Central

    Lloyd, John; McCarney, Steve; Ouhichi, Ramzi; Lydon, Patrick; Zaffran, Michel

    2015-01-01

    This paper describes an approach piloted in the Kasserine region of Tunisia to increase the energy efficiency of the distribution of vaccines and temperature sensitive drugs. The objectives of an approach, known as the ‘net zero energy’ (NZE) supply chain were demonstrated within the first year of operation. The existing distribution system was modified to store vaccines and medicines in the same buildings and to transport them according to pre-scheduled and optimized delivery circuits. Electric utility vehicles, dedicated to the integrated delivery of vaccines and medicines, improved the regularity and reliability of the supply chains. Solar energy, linked to the electricity grid at regional and district stores, supplied over 100% of consumption meeting all energy needs for storage, cooling and transportation. Significant benefits to the quality and costs of distribution were demonstrated. Supply trips were scheduled, integrated and reliable, energy consumption was reduced, the recurrent cost of electricity was eliminated and the release of carbon to the atmosphere was reduced. Although the initial capital cost of scaling up implementation of NZE remain high today, commercial forecasts predict cost reduction for solar energy and electric vehicles that may permit a step-wise implementation over the next 7–10 years. Efficiency in the use of energy and in the deployment of transport is already a critical component of distribution logistics in both private and public sectors of industrialized countries. The NZE approach has an intensified rationale in countries where energy costs threaten the maintenance of public health services in areas of low population density. In these countries where the mobility of health personnel and timely arrival of supplies is at risk, NZE has the potential to reduce energy costs and release recurrent budget to other needs of service delivery while also improving the supply chain. PMID:25444811

  8. The Effects of Distance to Dentists and Dentist Supply on Children's Use of Dental Care.

    PubMed

    Wehby, George L; Shane, Dan M; Joshi, Adweta; Momany, Elizabeth; Chi, Donald L; Kuthy, Raymond A; Damiano, Peter C

    2017-10-01

    To examine the effects of distance to dentists and dentist supply on dental services use among children with Medicaid coverage in Iowa. Iowa Medicaid claims for enrolled children between 2000 and 2009. The study sample included 41,554 children (providing 158,942 child-year observations) who were born in Iowa between 2000 and 2006 and enrolled from birth in the Iowa Medicaid program. Children were followed through 2009. We used logistic regression to simultaneously examine the effects of distance (miles to nearest dentist) and county-level dentist supply on a broad range of dental services controlling for key confounders. Additional models only used within-child variation over time to remove unobservable time-invariant confounders. Distance was related to lower utilization of comprehensive dental exams (2 percent lower odds per 1 mile increase in distance), an effect that also held in models using within-child variation only. Dentist supply was positively related to comprehensive exams and other preventive services and negatively related to major dental treatments; however, these associations became smaller and insignificant when examining within-child changes except for other preventive services. Longer distance to dentists is a barrier for use of comprehensive dental exams, conditional on dentist supply. © Health Research and Educational Trust.

  9. 42 CFR 37.52 - Method of obtaining definitive interpretations.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 1 2010-10-01 2010-10-01 false Method of obtaining definitive interpretations. 37.52 Section 37.52 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES MEDICAL... obtained until a consensus involving two or more readings in the same major category is obtained. [43 FR...

  10. Barriers affecting successful technology enablement of supply chain: An Indian perspective

    NASA Astrophysics Data System (ADS)

    Arora, R.; Haleem, A.; Farooquie, J. A.

    2018-03-01

    In order to compete, organizations need to focus on improving supply chain and technology acts as a major enabler. Technology enablement of supply chain has not always been successful and has been examined by many researchers. The purpose of this paper is to do a systematic literature review of technology enabled supply chain from a strategic viewpoint. The literature is examined from two perspectives. Firstly, it studies the growing interest in technology-enabled supply chain in India. Secondly, it studies barriers affecting technology enablement of supply chain. The literature review identifies that technology enabled supply chain helps in improving performance via effective decision making, monitoring entire supply chain, faster reaction to customer service problems, etc. The research has emphasized the importance of 12 barriers affecting technology enablement. This research will help as a guide for practitioners in order to successfully implement technology and fills the gap in existing literature by highlighting and consolidating the significant research work done in past.

  11. The effect of increasing the supply of skilled health providers on pregnancy and birth outcomes: evidence from the midwives service scheme in Nigeria.

    PubMed

    Okeke, Edward; Glick, Peter; Chari, Amalavoyal; Abubakar, Isa Sadeeq; Pitchforth, Emma; Exley, Josephine; Bashir, Usman; Gu, Kun; Onwujekwe, Obinna

    2016-08-23

    Limited availability of skilled health providers in developing countries is thought to be an important barrier to achieving maternal and child health-related MDG goals. Little is known, however, about the extent to which scaling-up supply of health providers will lead to improved pregnancy and birth outcomes. We study the effects of the Midwives Service Scheme (MSS), a public sector program in Nigeria that increased the supply of skilled midwives in rural communities on pregnancy and birth outcomes. We surveyed 7,104 women with a birth within the preceding five years across 12 states in Nigeria and compared changes in birth outcomes in MSS communities to changes in non-MSS communities over the same period. The main measured effect of the scheme was a 7.3-percentage point increase in antenatal care use in program clinics and a 5-percentage point increase in overall use of antenatal care, both within the first year of the program. We found no statistically significant effect of the scheme on skilled birth attendance or on maternal delivery complications. This study highlights the complexity of improving maternal and child health outcomes in developing countries, and shows that scaling up supply of midwives may not be sufficient on its own.

  12. Measuring the Performance of Document Supply Systems.

    ERIC Educational Resources Information Center

    Line, Maurice B.

    Produced by Unesco as part of its program designed to help member states develop national information systems, including libraries, information services, and archives, this manual is a guide to document supply measurement techniques that are applicable to a wide range of countries. The first of seven chapters considers the objectives, nature, and…

  13. 2002 Industry Studies: Strategic Supply

    DTIC Science & Technology

    2002-01-01

    quantity at the right price . Much of the current focus of supply chain practitioners is on the strategic response to demand. An integrated and aligned...value-added services to enhance process integration in order to deliver the right product at the right price and time, through the right distribution...Kiley, “Optimization Software Designed to Make Sure That the Price is Right ”, 4 February 2002, KPMG Insiders, <www.kpmginsiders.com> (25 February 2002

  14. [The study of medical supplies automation replenishment algorithm in hospital on medical supplies supplying chain].

    PubMed

    Sheng, Xi

    2012-07-01

    The thesis aims to study the automation replenishment algorithm in hospital on medical supplies supplying chain. The mathematical model and algorithm of medical supplies automation replenishment are designed through referring to practical data form hospital on the basis of applying inventory theory, greedy algorithm and partition algorithm. The automation replenishment algorithm is proved to realize automatic calculation of the medical supplies distribution amount and optimize medical supplies distribution scheme. A conclusion could be arrived that the model and algorithm of inventory theory, if applied in medical supplies circulation field, could provide theoretical and technological support for realizing medical supplies automation replenishment of hospital on medical supplies supplying chain.

  15. 76 FR 13662 - Hewlett Packard Company, Enterprise Business Division, Technical Services America, Global Parts...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-14

    ... Packard Company, Enterprise Business Division, Technical Services America, Global Parts Supply Chain Group... Business Division, Technical Services America, Global Parts Supply Chain Group, Including Leased Workers... Supply Chain Group, including leased workers from QFlex, North America Logistics, and UPS, Palo Alto...

  16. The Value of Forest and Pasture to Water Supply in Kona, HI

    NASA Astrophysics Data System (ADS)

    Brauman, K. A.; Daily, G. C.; Freyberg, D. L.

    2007-12-01

    By quantifying the supply and value of ecosystem services flowing from private land, we can provide a mechanism for sustaining ecosystem services by compensating landowners for their supply. In order for compensation to occur, however, both suppliers and users of ecosystem services require information about the way different land management scenarios will affect ecosystem service flows. This case study in Kona, HI, takes advantage of the direct link between upland water source areas and municipal drinking water users in Kailua-Kona to explore the value of one type of hydrologic service. By quantifying the difference in aquifer recharge under paired forest and pasture sites, we assess the impact of each land-cover type on the volume of water potentially available to municipal water users. We use a water balance approach - measuring rainfall interception and water use by plants, then calculating the balance to be aquifer recharge because of the absence of surface runoff. We aim to integrate these biophysical measurements with information, including costs of pumping, well construction, and land-cover maintenance, provided by the water utility and landowners to ascertain the value of forest and pasture to water supply. By determining the value to water users in Kailua-Kona of the increase or decrease in water quantity that would result from upland land-cover change, we aim both to protect drinking water quantity and to help landowners offset financial pressure to convert their land.

  17. Food loss rate in food supply chain using material flow analysis.

    PubMed

    Ju, Munsol; Osako, Masahiro; Harashina, Sachihiko

    2017-03-01

    The food loss rate is a factor that represents food consumption efficiency. To improve food consumption efficiency, we need to fundamentally quantify food loss at national and global levels. This study examines food and food waste flow and calculates the food loss rate in the food supply chain by targeting Japan. We analyzed inedible food waste and avoidable food losses in wholesale, manufacturing, retail, food services, and households and considered different supply chain pathways, different food categories representing whole Japanese meals, and weight changes after cooking. The results are as follows: (1) Japan has an overall rate of avoidable food losses of approximately 15% for meals (excluding agricultural losses), (2) the supply sector with the highest food loss rate is food services, and (3) the food category with the highest food loss rate is vegetables. Finally, we proposed a model for calculating food loss rates that could be used for future analysis in Japan or other countries. Copyright © 2017 Elsevier Ltd. All rights reserved.

  18. Sustainability in Supply Chain Management: Aggregate Planning from Sustainability Perspective.

    PubMed

    Türkay, Metin; Saraçoğlu, Öztürk; Arslan, Mehmet Can

    2016-01-01

    Supply chain management that considers the flow of raw materials, products and information has become a focal issue in modern manufacturing and service systems. Supply chain management requires effective use of assets and information that has far reaching implications beyond satisfaction of customer demand, flow of goods, services or capital. Aggregate planning, a fundamental decision model in supply chain management, refers to the determination of production, inventory, capacity and labor usage levels in the medium term. Traditionally standard mathematical programming formulation is used to devise the aggregate plan so as to minimize the total cost of operations. However, this formulation is purely an economic model that does not include sustainability considerations. In this study, we revise the standard aggregate planning formulation to account for additional environmental and social criteria to incorporate triple bottom line consideration of sustainability. We show how these additional criteria can be appended to traditional cost accounting in order to address sustainability in aggregate planning. We analyze the revised models and interpret the results on a case study from real life that would be insightful for decision makers.

  19. Sustainability in Supply Chain Management: Aggregate Planning from Sustainability Perspective

    PubMed Central

    Türkay, Metin; Saraçoğlu, Öztürk; Arslan, Mehmet Can

    2016-01-01

    Supply chain management that considers the flow of raw materials, products and information has become a focal issue in modern manufacturing and service systems. Supply chain management requires effective use of assets and information that has far reaching implications beyond satisfaction of customer demand, flow of goods, services or capital. Aggregate planning, a fundamental decision model in supply chain management, refers to the determination of production, inventory, capacity and labor usage levels in the medium term. Traditionally standard mathematical programming formulation is used to devise the aggregate plan so as to minimize the total cost of operations. However, this formulation is purely an economic model that does not include sustainability considerations. In this study, we revise the standard aggregate planning formulation to account for additional environmental and social criteria to incorporate triple bottom line consideration of sustainability. We show how these additional criteria can be appended to traditional cost accounting in order to address sustainability in aggregate planning. We analyze the revised models and interpret the results on a case study from real life that would be insightful for decision makers. PMID:26807848

  20. Modeling level of urban taxi services using neural network

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

    Xu, J.; Wong, S.C.; Tong, C.O.

    1999-05-01

    This paper is concerned with the modeling of the complex demand-supply relationship in urban taxi services. A neural network model is developed, based on a taxi service situation observed in the urban area of Hong Kong. The input consists of several exogenous variables including number of licensed taxis, incremental charge of taxi fare, average occupied taxi journey time, average disposable income, and population and customer price index; the output consists of a set of endogenous variables including daily taxi passenger demand, passenger waiting time, vacant taxi headway, average percentage of occupied taxis, taxi utilization, and average taxi waiting time. Comparisonsmore » of the estimation accuracy are made between the neural network model and the simultaneous equations model. The results show that the neural network-based macro taxi model can obtain much more accurate information of the taxi services than the simultaneous equations model does. Although the data set used for training the neural network is small, the results obtained thus far are very encouraging. The neural network model can be used as a policy tool by regulator to assist with the decisions concerning the restriction over the number of taxi licenses and the fixing of the taxi fare structure as well as a range of service quality control.« less

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