Science.gov

Sample records for quality management district

  1. South coast air quality management district

    SciTech Connect

    Not Available

    1989-03-01

    The first of several state-of-the-art sampling instruments to monitor acid fog in the South Coast Air Basin on an on-going basis has been in stalled in Rubidoux by the South Coast Air Quality Management District. The automated equipment, called the Caltech Active Strand Collector (CASC), is part of a long-term acid fog monitoring program developed by AQMD. The collecting process involves drawing a fog-laden air sample into the collector where fog droplets strike a series of teflon strands and run down to a collection trough. The sample is then sent to AQMD's laboratory to determine acidity and chemical composition. The monitoring equipment will be moved to Pomona later this winter, and to Crestline in the spring. Following this initial evaluation period, additional CASC units will be sited in the region.

  2. Butte County Air Quality Management District Stationary Source Permits

    EPA Pesticide Factsheets

    U.S. EPA Public Notice: EPA is finalizing action on three permitting rules submitted as a revision to the Butte County Air Quality Management District (BCAQMD) portion of the California State Implementation Plan (SIP).

  3. Mendocino County Air Quality Management District Stationary Source Permits

    EPA Pesticide Factsheets

    The Environmental Protection Agency (EPA) is proposing action on four permitting rules submitted as a revision to the Mendocino County Air Quality Management District (“MCAQMD” or “the District”) portion of the applicable state implementation plan (SIP).

  4. Mendocino County Air Quality Management District; Stationary Source Permits

    EPA Pesticide Factsheets

    EPA is finalizing action on four permitting rules submitted as a revision to the Mendocino County Air Quality Management District portion of the applicable state implementation plan (SIP) for the State of California.

  5. North Coast Unified Air Quality Management District: PSD Delegation Agreements

    EPA Pesticide Factsheets

    Agreements for Partial Delegation of the Federal Prevention of Significant Deterioration (PSD) Program Set Forth in 40 CPR 52.21 by the United States Environmental Protection Agency, Region 9 to the North Coast Unified Air Quality Management District.

  6. North Coast Unified Air Quality Management District, California; Final Limited Federal Implementation Plan

    EPA Pesticide Factsheets

    EPA is finalizing a limited Federal Implementation Plan (FIP) under the Clean Air Act (CAA or Act) to apply to the North Coast Unified Air Quality Management District (North Coast Unified AQMD or District) in California.

  7. 77 FR 65133 - Revisions to the California State Implementation Plan, Mojave Desert Air Quality Management District

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-25

    ... Identification of plan. * * * * * (c) * * * (379) * * * (i) * * * (E) Mojave Desert Air Quality Management... AGENCY 40 CFR Part 52 Revisions to the California State Implementation Plan, Mojave Desert Air Quality Management District AGENCY: Environmental Protection Agency (EPA). ACTION: Final rule. SUMMARY: EPA...

  8. 76 FR 47094 - Revisions to the California State Implementation Plan; South Coast Air Quality Management District

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-04

    ... proposing to approve a revision to the South Coast Air Quality Management District portion of the California... following local rule: South Coast Air Quality Management District Rule 1175, Control of Emissions from the... AGENCY 40 CFR Part 52 Revisions to the California State Implementation Plan; South Coast Air...

  9. 76 FR 70888 - Revisions to the California State Implementation Plan, South Coast Air Quality Management District

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-16

    ... finalizing approval of revisions to the South Coast Air Quality Management District (SCAQMD) portion of the... Quality Management District--SCAQMD) (1) Rule 1143, ``Consumer Paint Thinners & Multi-purpose Solvents... AGENCY 40 CFR Part 52 Revisions to the California State Implementation Plan, South Coast Air...

  10. 76 FR 78829 - Revisions to the California State Implementation Plan, South Coast Air Quality Management District

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-20

    ... taking direct final action to approve a revision to the South Coast Air Quality Management District... Reference (A) South Coast Air Quality Management District (1) Rule 2005, ``New Source Review for RECLAIM... AGENCY 40 CFR Part 52 Revisions to the California State Implementation Plan, South Coast Air...

  11. 76 FR 50128 - Revisions to the California State Implementation Plan, South Coast Air Quality Management District

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-12

    ... AGENCY 40 CFR Part 52 Revisions to the California State Implementation Plan, South Coast Air Quality Management District AGENCY: Environmental Protection Agency (EPA). ACTION: Final rule. SUMMARY: EPA is finalizing approval of revisions to the South Coast Air Quality Management District (SCAQMD) portion of...

  12. 76 FR 41744 - Revisions to the California State Implementation Plan, South Coast Air Quality Management District

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-15

    ... AGENCY 40 CFR Part 52 Revisions to the California State Implementation Plan, South Coast Air Quality Management District AGENCY: Environmental Protection Agency (EPA). ACTION: Proposed rule. SUMMARY: EPA is proposing to approve revisions to the South Coast Air Quality Management District (SCAQMD) portion of...

  13. 78 FR 18244 - Revisions to the California State Implementation Plan, South Coast Air Quality Management District

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-26

    ... AGENCY 40 CFR Part 52 Revisions to the California State Implementation Plan, South Coast Air Quality Management District AGENCY: Environmental Protection Agency (EPA). ACTION: Final rule. SUMMARY: EPA is finalizing approval of revisions to the South Coast Air Quality Management District (SCAQMD) portion of...

  14. 77 FR 13495 - Revisions to the California State Implementation Plan, South Coast Air Quality Management District

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-07

    ... AGENCY 40 CFR Part 52 Revisions to the California State Implementation Plan, South Coast Air Quality Management District AGENCY: Environmental Protection Agency (EPA). ACTION: Final rule. SUMMARY: EPA is finalizing approval of revisions to the South Coast Air Quality Management District (SCAQMD) portion of...

  15. 76 FR 47074 - Revision to the California State Implementation Plan; South Coast Air Quality Management District

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-04

    ... taking direct final action to approve a revision to the South Coast Air Quality Management District... Air Quality Management District (SCAQMD) Rule 1175, adopted on November 5, 2010, and submitted by the... AGENCY 40 CFR Part 52 Revision to the California State Implementation Plan; South Coast Air...

  16. 76 FR 54384 - California State Implementation Plan, South Coast Air Quality Management District; Withdrawal of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-01

    ... AGENCY 40 CFR Part 52 California State Implementation Plan, South Coast Air Quality Management District... to the California State Implementation Plan (SIP). This revision concerned South Coast Air Quality Management District (SCAQMD) Rule 1143, Consumer Paint Thinner & Multi-Purpose Solvents and Rule 1144,...

  17. 76 FR 78871 - Revisions to the California State Implementation Plan, South Coast Air Quality Management District

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-20

    ... AGENCY 40 CFR Part 52 Revisions to the California State Implementation Plan, South Coast Air Quality Management District AGENCY: Environmental Protection Agency (EPA). ACTION: Proposed rule. SUMMARY: EPA is proposing to approve a revision to the South Coast Air Quality Management District (SCAQMD) portion of...

  18. 75 FR 32353 - Revisions to the California State Implementation Plan, South Coast Air Quality Management District

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-08

    ... AGENCY 40 CFR Part 52 Revisions to the California State Implementation Plan, South Coast Air Quality Management District AGENCY: Environmental Protection Agency (EPA). ACTION: Proposed rule. SUMMARY: EPA is proposing to approve revisions to the South Coast Air Quality Management District portion of the...

  19. 75 FR 46880 - Revisions to the California State Implementation Plan, South Coast Air Quality Management District

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-04

    ... AGENCY 40 CFR Part 52 Revisions to the California State Implementation Plan, South Coast Air Quality Management District AGENCY: Environmental Protection Agency (EPA). ACTION: Proposed rule. SUMMARY: EPA is proposing to approve revisions to the South Coast Air Quality Management District (SCAQMD) portion of...

  20. 76 FR 72142 - Revisions to the California State Implementation Plan, South Coast Air Quality Management District

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-22

    ... AGENCY 40 CFR Part 52 Revisions to the California State Implementation Plan, South Coast Air Quality Management District AGENCY: Environmental Protection Agency (EPA). ACTION: Proposed rule. SUMMARY: EPA is proposing to approve revisions to the South Coast Air Quality Management District portion of the...

  1. How Do District Management and Implementation Strategies Relate to the Quality of the Professional Development That Districts Provide to Teachers?

    ERIC Educational Resources Information Center

    Desimone, Laura; Porter, Andrew C.; Birman, Beatrice F.; Garet, Michael S.; Yoon, Kwang Suk

    2002-01-01

    Examined policy mechanisms and processes that districts used to provide high quality inservice professional development to teachers. Data from a national probability sample of professional development coordinators in districts that received federal funding for professional development highlighted specific management and implementation strategies…

  2. How Do District Management and Implementation Strategies Relate to the Quality of the Professional Development That Districts Provide to Teachers?

    ERIC Educational Resources Information Center

    Desimone, Laura; Porter, Andrew C.; Birman, Beatrice F.; Garet, Michael S.; Yoon, Kwang Suk

    2002-01-01

    Examined policy mechanisms and processes that districts used to provide high quality inservice professional development to teachers. Data from a national probability sample of professional development coordinators in districts that received federal funding for professional development highlighted specific management and implementation strategies…

  3. 77 FR 31200 - Revision to the South Coast Air Quality Management District Portion of the California State...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-25

    ... AGENCY 40 CFR Part 52 Revision to the South Coast Air Quality Management District Portion of the... a State Implementation Plan (SIP) revision for the South Coast Air Quality Management District... Rulemaking for the California State Implementation Plan South Coast Air Quality Management District...

  4. Sacramento Metropolitan Air Quality Management District; Approval of California Air Plan Revisions

    EPA Pesticide Factsheets

    EPA is proposing to approve a revision to the Sacramento Metropolitan Air Quality Management District portion of the CA SIP concerning emissions of volatile organic compounds (VOC) from organic chemical manufacturing operations.

  5. Antelope Valley Air Quality Management District; Approval of California Air Plan Revisions

    EPA Pesticide Factsheets

    EPA is proposing to approve and conditionally approve revisions to the Antelope Valley Air Quality Management District (AVAQMD or “District”) portion of the California State Implementation Plan (SIP).

  6. Sacramento Metropolitan Air Quality Management District; Approval of California Air Plan Revisions

    EPA Pesticide Factsheets

    EPA is proposing to approve a revision to the Sacramento Metropolitan Air Quality Management District portion of the CA SIP concerning emissions of volatile organic compounds (VOC) from landfill gas flaring at the Kiefer Landfill in Sacramento, CA.

  7. Quality Management and System Change in Three Suburban Public School Districts.

    ERIC Educational Resources Information Center

    Obisesan, Anthonia A.

    This report examines the potential of Quality Management (QM) to enhance system change by analyzing its implementation in three suburban public school districts. The paper assessed the capacity of QM to increase the efficiency and productivity of the school districts, validated the potential to sustain systemic change in a school organization, and…

  8. 76 FR 30896 - Revisions to the California State Implementation Plan, South Coast Air Quality Management District

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-27

    ... proposing to approve revisions to the South Coast Air Quality Management District (SCAQMD) portion of the... overwhelmingly formed as a secondary pollutant. (South Coast 2007 Air Quality Management Plan, page ES-9... AGENCY 40 CFR Part 52 Revisions to the California State Implementation Plan, South Coast Air...

  9. 76 FR 41717 - Revisions to the California State Implementation Plan, South Coast Air Quality Management District

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-15

    ... AGENCY 40 CFR Part 52 Revisions to the California State Implementation Plan, South Coast Air Quality Management District AGENCY: Environmental Protection Agency (EPA). ACTION: Direct final rule. SUMMARY: EPA is taking direct final action to approve revisions to the South Coast Air Quality Management...

  10. 77 FR 12493 - Revisions to the California State Implementation Plan, Feather River Air Quality Management District

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-01

    ... internal combustion engines. Under authority of the Clean Air Act as amended in 1990 (CAA or the Act), this... FRAQMD 3.22 \\1\\ Internal Combustion 06/01/09 01/10/10 Engines. \\1\\ In some sections of the published... River Air Quality Management District. (1) Rule 3.22, ``Internal Combustion Engines,'' adopted on...

  11. 77 FR 11992 - Revisions to the California State Implementation Plan, Mojave Desert Air Quality Management District

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-28

    ... AGENCY 40 CFR Part 52 Revisions to the California State Implementation Plan, Mojave Desert Air Quality Management District AGENCY: Environmental Protection Agency (EPA). ACTION: Proposed rule. SUMMARY: EPA is proposing a limited approval and limited disapproval of revisions to the Mojave Desert Air...

  12. 77 FR 23133 - Revisions to the California State Implementation Plan, Yolo-Solano Air Quality Management District

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-18

    ... taking direct final action to approve revisions to the Yolo-Solano Air Quality Management District (Yolo.... * * * * * (381) * * * (i) * * * (I) Yolo-Solano Air Quality Management District. (1) Rule 2.3, ``Ringelmann Chart... AGENCY 40 CFR Part 52 Revisions to the California State Implementation Plan, Yolo- Solano Air...

  13. 75 FR 19923 - Revisions to the California State Implementation Plan, Yolo-Solano Air Quality Management District

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-16

    ... AGENCY 40 CFR Part 52 Revisions to the California State Implementation Plan, Yolo- Solano Air Quality Management District AGENCY: Environmental Protection Agency (EPA). ACTION: Proposed rule. SUMMARY: EPA is proposing to approve revisions to the Yolo-Solano Air Quality Management District (YSAQMD) portion of...

  14. 77 FR 23193 - Revisions to the California State Implementation Plan, Yolo-Solano Air Quality Management District

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-18

    ... AGENCY 40 CFR Part 52 Revisions to the California State Implementation Plan, Yolo- Solano Air Quality Management District AGENCY: Environmental Protection Agency (EPA). ACTION: Proposed rule. SUMMARY: EPA is proposing to approve revisions to the Yolo-Solano Air Quality Management District portion of the...

  15. El Dorado Air Quality Management District's Approach to Dealing With Naturally Occurring Asbestos (NOA) Hazards

    NASA Astrophysics Data System (ADS)

    Thomas, C.

    2012-12-01

    In 2005, Naturally Occurring Asbestos (NOA) in El Dorado County made headlines with the discovery significant amounts of tremolite/actinolite asbestos in areas where residents had built, or were in the process of building, homes and residences. The El Dorado Air Quality Management District has been involved in all aspects of dealing with NOA from the very beginning of its discovery, from overseeing the rehabilitation of school sites to expanding and rewriting fugitive dust rules at construction sites. A discussion of best management practices which have been developed will be given, as well as how the El Dorado Air Quality Management District has worked to educate members of the public, as well as workers in the field, about NOA to aid in maintaining the health and safety of the public.

  16. 76 FR 55621 - Revisions to the California State Implementation Plan, Yolo-Solano Air Quality Management District

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-08

    ... expandable polystyrene product manufacturing operations. We are proposing to approve a local rule to regulate... local rule: Yolo-Solano Air Quality Management District Rule 2.41, Expandable Polystyrene Manufacturing...

  17. Real-Time Water Quality Management in the Grassland Water District

    SciTech Connect

    Quinn, Nigel W.T.; Hanna, W. Mark; Hanlon, Jeremy S.; Burns, Josphine R.; Taylor, Christophe M.; Marciochi, Don; Lower, Scott; Woodruff, Veronica; Wright, Diane; Poole, Tim

    2004-12-10

    The purpose of the research project was to advance the concept of real-time water quality management in the San Joaquin Basin by developing an application to drainage of seasonal wetlands in the Grassland Water District. Real-time water quality management is defined as the coordination of reservoir releases, return flows and river diversions to improve water quality conditions in the San Joaquin River and ensure compliance with State water quality objectives. Real-time water quality management is achieved through information exchange and cooperation between shakeholders who contribute or withdraw flow and salt load to or from the San Joaquin River. This project complements a larger scale project that was undertaken by members of the Water Quality Subcommittee of the San Joaquin River Management Program (SJRMP) and which produced forecasts of flow, salt load and San Joaquin River assimilative capacity between 1999 and 2003. These forecasts can help those entities exporting salt load to the River to develop salt load targets as a mechanism for improving compliance with salinity objectives. The mass balance model developed by this project is the decision support tool that helps to establish these salt load targets. A second important outcome of this project was the development and application of a methodology for assessing potential impacts of real-time wetland salinity management. Drawdown schedules are typically tied to weather conditions and are optimized in traditional practices to maximize food sources for over-wintering wildfowl as well as providing a biological control (through germination temperature) of undesirable weeds that compete with the more proteinaceous moist soil plants such as swamp timothy, watergrass and smartweed. This methodology combines high resolution remote sensing, ground-truthing vegetation surveys using established survey protocols and soil salinity mapping using rapid, automated electromagnetic sensor technology. This survey methodology

  18. Comparison of Indoor Air Quality Management Strategies between the School and District Levels in New York State

    ERIC Educational Resources Information Center

    Lin, Shao; Kielb, Christine L.; Reddy, Amanda L.; Chapman, Bonnie R.; Hwang, Syni-An

    2012-01-01

    Background: Good school indoor air quality (IAQ) can affect the health and functioning of school occupants. Thus, it is important to assess the degree to which schools and districts employ strategies to ensure good IAQ management. We examined and compared the patterns of IAQ management strategies between public elementary schools and their school…

  19. Comparison of Indoor Air Quality Management Strategies between the School and District Levels in New York State

    ERIC Educational Resources Information Center

    Lin, Shao; Kielb, Christine L.; Reddy, Amanda L.; Chapman, Bonnie R.; Hwang, Syni-An

    2012-01-01

    Background: Good school indoor air quality (IAQ) can affect the health and functioning of school occupants. Thus, it is important to assess the degree to which schools and districts employ strategies to ensure good IAQ management. We examined and compared the patterns of IAQ management strategies between public elementary schools and their school…

  20. Challenges to Successful Total Quality Management Implementation in Public Secondary Schools: A Case Study of Kohat District, Pakistan

    ERIC Educational Resources Information Center

    Suleman, Qaiser; Gul, Rizwana

    2015-01-01

    The current study explores the challenges faced by public secondary schools in successful implementation of total quality management (TQM) in Kohat District. A sample of 25 heads and 75 secondary school teachers selected from 25 public secondary schools through simple random sampling technique was used. Descriptive research designed was used and a…

  1. 75 FR 37308 - Revisions to the California State Implementation Plan, Yolo-Solano Air Quality Management District

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-29

    ... YSAQMD 3.21 Rice Straw Emission 12/10/08 03/17/09 Reduction Credits. We proposed to approve this rule...) * * * (i) * * * (C) Yolo Solano Air Quality Management District (1) Rule 3.21, ``Rice Straw Emission...), particulate matter (PM), and carbon monoxide (CO) emissions from the permanent curtailment of burning rice...

  2. A Partnership between the Dallas County Community College District and Texas Instruments: Using Total Quality Management to Reinvent Workforce Preparation.

    ERIC Educational Resources Information Center

    Wenrich, J. William

    1994-01-01

    Describes elements of a partnership between Dallas County Community College District and Texas Instruments that draws on the concepts and processes of Total Quality Management (TQM). Suggests that such partnerships have the net effect of significantly improving and reinventing cooperative efforts to prepare students for the workforce. (MAB)

  3. How do we know? An assessment of integrated community case management data quality in four districts of Malawi.

    PubMed

    Yourkavitch, Jennifer; Zalisk, Kirsten; Prosnitz, Debra; Luhanga, Misheck; Nsona, Humphreys

    2016-11-01

    The World Health Organization contracted annual data quality assessments of Rapid Access Expansion (RAcE) projects to review integrated community case management (iCCM) data quality and the monitoring and evaluation (M&E) system for iCCM, and to suggest ways to improve data quality. The first RAcE data quality assessment was conducted in Malawi in January 2014 and we present findings pertaining to data from the health management information system at the community, facility and other sub-national levels because RAcE grantees rely on that for most of their monitoring data. We randomly selected 10 health facilities (10% of eligible facilities) from the four RAcE project districts, and collected quantitative data with an adapted and comprehensive tool that included an assessment of Malawi's M&E system for iCCM data and a data verification exercise that traced selected indicators through the reporting system. We rated the iCCM M&E system across five function areas based on interviews and observations, and calculated verification ratios for each data reporting level. We also conducted key informant interviews with Health Surveillance Assistants and facility, district and central Ministry of Health staff. Scores show a high-functioning M&E system for iCCM with some deficiencies in data management processes. The system lacks quality controls, including data entry verification, a protocol for addressing errors, and written procedures for data collection, entry, analysis and management. Data availability was generally high except for supervision data. The data verification process identified gaps in completeness and consistency, particularly in Health Surveillance Assistants' record keeping. Staff at all levels would like more training in data management. This data quality assessment illuminates where an otherwise strong M&E system for iCCM fails to ensure some aspects of data quality. Prioritizing data management with documented protocols, additional training and

  4. Spatiotemporal variability of submicrometer particle number size distributions in an air quality management district.

    PubMed

    Young, Li-Hao; Wang, Yi-Ting; Hsu, Hung-Chieh; Lin, Ching-Hui; Liou, Yi-Jyun; Lai, Ying-Chung; Lin, Yun-Hua; Chang, Wei-Lun; Chiang, Hung-Lung; Cheng, Man-Ting

    2012-05-15

    First measurements of ambient 10-1000 nm particle number concentrations (N(TOT)) and size distributions were made at an urban, coastal, mountain and downwind site within the Central Taiwan Air Quality Management District during a cold and a warm period. The primary objectives were to characterize the spatial and temporal variability of the size-fractionated submicrometer particles and their relationships with copollutants and meteorological parameters. The results show that the ultrafine particles (<100 nm) are the major contributor to the N(TOT). The mean N(TOT) was highest at the urban site, whereas lower and comparable at the three other sites. Although the mean N(TOT) at each site showed insignificant differences between study periods, their diurnal patterns and size distribution modal characteristics were modestly to substantially different between study sites. Correlation analyses of time-resolved collocated aerosol, copollutants and meteorological data suggest that the observed variability is largely attributable to the local traffic and to a lesser extent photochemistry and SO(2) possibly from combustion sources or regional transport. Despite sharing a common traffic source, the ultrafine particles were poorly correlated with the accumulation particles (100-1000 nm), between which the latter showed strong positive correlation with the PM(2.5) and PM(10). Overall, the N(TOT) and size distributions show modest spatial heterogeneity and strong diurnal variability. In addition, the ultrafine particles have variable sources or meteorology-dependent formation processes within the study area. The results imply that single-site measurements of PM(2.5), PM(10) or N(TOT) alone and without discriminating particle sizes would be inadequate for exposure and impact assessment of submicrometer particle numbers in a region of diverse environments. Copyright © 2012 Elsevier B.V. All rights reserved.

  5. An inexact double-sided chance-constrained model for air quality management in Nanshan District, Shengzhen, China

    NASA Astrophysics Data System (ADS)

    Shao, Liguo; Xu, Ye; Huang, Guohe

    2014-12-01

    In this study, an inexact double-sided fuzzy-random-chance-constrained programming (IDSFRCCP) model was developed for supporting air quality management of the Nanshan District of Shenzhen, China, under uncertainty. IDSFRCCP is an integrated model incorporating interval linear programming and double-sided fuzzy-random-chance-constrained programming models. It can express uncertain information as both fuzzy random variables and discrete intervals. The proposed model was solved based on the stochastic and fuzzy chance-constrained programming techniques and an interactive two-step algorithm. The air quality management system of Nanshan District, including one pollutant, six emission sources, six treatment technologies and four receptor sites, was used to demonstrate the applicability of the proposed method. The results indicated that the IDSFRCCP was capable of helping decision makers to analyse trade-offs between system cost and risk of constraint violation. The mid-range solutions tending to lower bounds with moderate αh and qi values were recommended as decision alternatives owing to their robust characteristics.

  6. 78 FR 25011 - Revisions to the California State Implementation Plan, Antelope Valley Air Quality Management...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-29

    ... Management District, Santa Barbara County Air Pollution Control District, South Coast Air Quality Management District and Ventura County Air Pollution Control District AGENCY: Environmental Protection Agency (EPA... Management District (AVAQMD), Santa Barbara County Air Pollution Control District (SBCAPCD), South Coast...

  7. From microbes to water districts: Linking observations across scales to uncover the implications of riparian and channel management on water quality in an irrigated agricultural landscape

    NASA Astrophysics Data System (ADS)

    Webster, A.; Cadenasso, M. L.

    2016-12-01

    Interactions among runoff, riparian and stream ecosystems, and water quality remain uncertain in many settings, particularly those heavily impacted by human activities. For example, waterways in the irrigated agricultural landscape of California's Central Valley are seasonally disconnected from groundwater tables and are extensively modified by infrastructure and management. These conditions make the impact of riparian and channel management difficult to predict across scales, which hinders efforts to promote best management practices to improve water quality. We seek to link observations across catchment, reach, and patch scales to understand patterns of nitrate and turbidity in waterways draining irrigated cropland. Data was collected on 80 reaches spanning two water management districts. At the catchment scale, water districts implemented waterway and riparian management differently: one water district had a decentralized approach, allowing individual land owners to manage their waterway channels and banks, while the other had a centralized approach, in which land owners defer management to a district-run program. At the reach scale, riparian and waterway vegetation, geomorphic complexity, and flow conditions were quantified. Reach-scale management such as riparian planting projects and channel dredging frequency were also considered. At the patch scale, denitrification potential and organic matter were measured in riparian toe-slope soils and channel sediments, along with associated vegetation and geomorphic features. All factors were tested for their ability to predict water quality using generalized linear mixed effects models and the consistency of predictors within and across scales was evaluated. A hierarchy of predictors emerges: catchment-scale management regimes predict reach-scale geomorphic and vegetation complexity, which in turn predicts sediment denitrification potential - the patch-scale factor most associated with low nitrate. Similarly

  8. Improving malaria treatment and prevention in India by aiding district managers to manage their programmes with local information: a trial assessing the impact of Lot Quality Assurance Sampling on programme outcomes.

    PubMed

    Valadez, Joseph J; Devkota, Baburam; Pradhan, Madan Mohan; Meherda, Pramod; Sonal, G S; Dhariwal, Akshay; Davis, Rosemary

    2014-10-01

    This paper reports the first trial of Lot Quality Assurance Sampling (LQAS) assessing associations between access to LQAS data and subsequent improvements in district programming. This trial concerns India's approach to addressing an increase in malaria-attributable deaths by training community health workers to diagnose, treat and prevent malaria, while using LQAS to monitor sub-district performance and make programme improvements. The Ministry of Health introduced LQAS into four matched high malaria burden districts (Annual Parasite Incidence >5) (N > 5 million). In each sub-district, we sampled four populations in three 6-monthly surveys: households, children <5 years, people with fever in the last 2 weeks and community health workers. In three districts, trained local staff collected, analysed and used data for programme management; in one control district, non-local staff collected data and did not disseminate results. For eight indicators, we calculated the change in proportion from survey one to three and used a Difference-in-Differences test to compare the relative change between intervention and control districts. Coverage increased from survey one to three for 24 of 32 comparisons. Difference-in-Differences tests revealed that intervention districts exhibited significantly greater change in four of six vertical strategies (insecticide treated bed-nets and indoor residual spraying), one of six treatment-seeking behaviours and four of 12 health worker capacity indicators. The control district displayed greater improvement than two intervention districts for one health worker capacity indicator. One district with poor management did not improve. In this study, LQAS results appeared to support district managers to increase coverage in underperforming areas, especially for vertical strategies in the presence of diligent managers. © 2014 The Authors. Tropical Medicine & International Health published by John Wiley & Sons Ltd.

  9. 77 FR 66780 - Revisions to the California State Implementation Plan, South Coast Air Quality Management District

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-07

    ... California Air Resources Board (CARB). Table 1--Submitted Rules Local agency Rule No. Rule title Amended... to the SIP- approved version on June 3, 2011 and CARB submitted them to us on September 27, 2011. C... Control Measure for Architectural Coatings,'' CARB, October 2007. 4. ``Improving Air Quality with Economic...

  10. 77 FR 63326 - Huron Wetland Management District, Madison Wetland Management District, and Sand Lake Wetland...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-16

    ... Sand Lake Wetland Management District, SD; Final Comprehensive Conservation Plan and Finding of No... assessment (EA) involving Huron, Madison, and Sand Lake Wetland Management Districts (Districts). In this..., Madison Wetland Management District, Sand Lake Wetland Management District final CCP'' in the subject...

  11. 78 FR 21582 - Revisions to the California State Implementation Plan, Butte County Air Quality Management...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-11

    ... AGENCY 40 CFR Part 52 Revisions to the California State Implementation Plan, Butte County Air Quality Management District and Sacramento Metropolitan Air Quality Management District AGENCY: Environmental... County Air Quality Management District (BCAQMD) and Sacramento Metropolitan Air Quality...

  12. Quality Management for Schools.

    ERIC Educational Resources Information Center

    Mulligan, Dorothy

    1992-01-01

    W. Edwards Deming introduced management principles that helped Japan become a world economic power. Virginia is attempting to adapt these techniques to education with a grant that provides training and support for school personnel in several school districts. Describes a quality management program at Christa McAuliffe Elementary School that has…

  13. 78 FR 21540 - Revisions to the California State Implementation Plan, Butte County Air Quality Management...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-11

    ... AGENCY 40 CFR Part 52 Revisions to the California State Implementation Plan, Butte County Air Quality Management District and Sacramento Metropolitan Air Quality Management District AGENCY: Environmental... revisions to the Butte County Air Quality Management District (BCAQMD) and Sacramento Metropolitan...

  14. Relationship between environmental management with quality of kampong space room (Case study: RW 3 of Sukun Sub District, Malang City)

    NASA Astrophysics Data System (ADS)

    Wardhani, D. K.; Azmi, D. S.; Purnamasari, W. D.

    2017-06-01

    RW 3 Sukun Malang was one of kampong that won the competition kampong environment and had managed to maintain the preservation of the kampong. Society of RW 3 Sukun undertake various activities to manage the environment by optimizing the use of kampong space. Despite RW 3 Sukun had conducted environmental management activities, there are several locations in the kampong space that less well maintained. The purpose of this research was to determine the relation of environmental management with the quality of kampong space in RW 3 Sukun. This research used qualitative and quantitative research approaches. Quantitative research conducted by using descriptive statistical analysis in assessing the quality of kampong space with weighting, scoring, and overlay maps. Quantitative research was also conducted on the relation analysis of environmental management with the quality of kampong space by using typology analysis and pearson correlation analysis. Qualitative research conducted on the analysis of environmental management and the relation analysis of environmental management with the quality of kampong space. Result of this research indicates that environmental management in RW 3 Sukun have relation with the quality of kampong space.

  15. School District Cash Management. Program Audit.

    ERIC Educational Resources Information Center

    New York State Legislative Commission on Expenditure Review, Albany.

    New York State law permits school districts to invest cash not immediately needed for district operation and also specifies the kinds of investments that may be made in order to ensure the safety and liquidity of public funds. This audit examines cash management and investment practices in New York state's financially independent school districts.…

  16. School District Cash Management. Program Audit.

    ERIC Educational Resources Information Center

    New York State Legislative Commission on Expenditure Review, Albany.

    New York State law permits school districts to invest cash not immediately needed for district operation and also specifies the kinds of investments that may be made in order to ensure the safety and liquidity of public funds. This audit examines cash management and investment practices in New York state's financially independent school districts.…

  17. Hydrology, Water Quality, and Aquatic Communities of Selected Springs in the St. Johns River Water Management District, Florida

    USGS Publications Warehouse

    Walsh, Stephen J.; Knowles, Leel; Katz, Brian G.; Strom, Douglas G.

    2009-01-01

    Hydrologic, physicochemical, and aquatic community data were collected and compiled by the U.S. Geological Survey for selected springs within the St. Johns River Water Management District from January 2004 to October 2007. Nine springs were included in this study: Alexander, Apopka, Bugg, De Leon, Gemini, Green, Rock, Silver Glen, and Wekiwa. Urban lands increased in Alexander, Apopka, De Leon, Gemini, Green, and Wekiwa springsheds between 1973 and 2004, accompanied by a loss of forested and/or agricultural lands in most springsheds. Forested cover increased and open surface waters and wetlands decreased in the Bugg and Rock springsheds. Although rainfall did not change significantly over time in each springshed, spring discharge decreased significantly in De Leon, Fern Hammock, Rock, Silver, and Wekiwa Springs. Nitrate concentrations increased significantly with time in Apopka, Fern Hammock, Gemini Springs run, and Juniper Springs, and decreased significantly in Alexander Spring, Bugg Spring run, Rock Springs, and Wekiwa Springs. Phosphorus increased significantly with time in Juniper Springs and decreased significantly in Apopka, De Leon, Rock, Silver Glen, and Wekiwa Springs. Benthic macroinvertebrate communities ranged from relatively low diversity assemblages (Green Spring) to assemblages with high taxonomic richness, diversity, and dominance (Rock and De Leon Springs). Shannon-Wiener diversity index averages among samples pooled by spring were lowest for Apopka Spring and greatest for Rock, Bugg, and Silver Glen Springs. Mean Stream Condition Index for pooled samples per spring was lowest for De Leon and Gemini Springs and highest for Rock and Wekiwa Springs. Mean percentages of very tolerant taxa were lowest for Alexander Spring and highest for Bugg and Green Springs. Fish community richness was lowest for Green Spring, and greatest for Alexander Spring run and Silver Glen Springs. Forty five fish species representing 35 genera and 23 families were collected

  18. The Perceptions of Administrators from Quality Award-Winning School Districts and a Comparison of Student Academic Achievement in Quality Award-Winning Districts

    ERIC Educational Resources Information Center

    Jauch, Kevin

    2010-01-01

    This research project served two main purposes. The first was to uncover the perceptions of district administrators from Quality award-winning school districts in regard to the use of the Malcolm Baldrige National Quality Award program as a management framework. This was accomplished by using the Interstate School Leaders Licensure Consortium's…

  19. Quality Management for Educational Technology Services: A Guide to Application of the Deming Management Method for District, University and Regional Media and Technology Centers.

    ERIC Educational Resources Information Center

    Richie, Mark L.

    This book shows how the quality management approach pioneered in Japan by Dr. W. Edwards Deming allows educational service centers to expand services and be more flexible by reducing waste and rework. Deming's method shows how to change from reactive management to a dynamic system of continuous improvement that restores worker pride, increases…

  20. Strengthening health management: experience of district teams in The Gambia.

    PubMed

    Conn, C P; Jenkins, P; Touray, S O

    1996-03-01

    The lack of basic management skills of district-level health teams is often described as a major constraint to implementation of primary health care in developing countries. To improve district-level management in The Gambia, a 'management strengthening' project was implemented in two out of the three health regions. Against a background of health sector decentralization policy the project had two main objectives: to improve health team management skills and to improve resources management under specially-trained administrators. The project used a problem-solving and participatory strategy for planning and implementing activities. The project resulted in some improvements in the management of district-level health services, particularly in the quality of team planning and coordination, and the management of the limited available resources. However, the project demonstrated that though health teams had better management skills and systems, their effectiveness was often limited by the policy and practice of the national level government and donor agencies. In particular, they were limited by the degree to which decision making was centralized on issues of staffing, budgeting, and planning, and by the extent to which national level managers have lacked skills and motivation for management change. They were also limited by the extent to which donor-supported programmes were still based on standardized models which did not allow for varying and complex environments at district level. These are common problems despite growing advocacy for more devolution of decision making to the local level.

  1. Prevention reference manual: chemical specific. Volume 1. Control of accidental releases of hydrogen fluoride (SCAQMD) (South Coast Air Quality Management District). Final report, May 1986-March 1987

    SciTech Connect

    Davis, D.S.; DeWolf, G.B.; Quass, J.D.

    1987-07-01

    This manual summarizes technical information that will assist in identifying and controlling hydrogen fluoride release hazards specific to the South Coast Air Quality Management District (SCAQMD) of southern California. The SCAQMD has considered a strategy for reducing the risk of a major accidental air release of toxic chemicals. The strategy includes monitoring the storage, handling, and use of certain chemicals and provides guidance to industry and communities. Anhydrous hydrogen fluoride, a corrosive liquid that boils at room temperature, rapidly absorbs moisture to form highly corrosive hydrofluoric acid. Hydrogen fluoride gas has an IDLH (immediately dangerous to life and health) concentration of 20 ppm, which makes it a substantial acute toxic hazard. Reducing the risk associated with an accidental release of hydrogen fluoride involves identifying some of the potential causes of accidental releases that apply to the processes that use hydrogen fluoride in the SCAQMD. The manual identifies examples of potential causes as well as measures that may be taken to reduce the accidental-release risk.

  2. Water quality status of dugouts from five districts in Northern Ghana: implications for sustainable water resources management in a water stressed tropical savannah environment.

    PubMed

    Cobbina, Samuel J; Anyidoho, Louis Y; Nyame, Frank; Hodgson, I O A

    2010-08-01

    This study was primarily aimed at investigating the physicochemical and microbial quality of water in 14 such dugouts from five districts in the northern region of Ghana. Results obtained suggest that except for colour, turbidity, total iron and manganese, many physicochemical parameters were either within or close to the World Health Organisation's acceptable limits for drinking water. Generally, colour ranged from 5 to 750 Hz (mean 175 Hz), turbidity from 0.65 to 568 nephelometric turbidity units (NTU; mean 87.9 NTU), total iron from 0.07 to 7.85 mg/L (mean 1.0 mg/L) and manganese from 0.03 to 1.59 mg/L (mean 0.50 mg/L). Coliform counts in water from all the dugouts in both wet and dry seasons were, however, above the recommended limits for drinking water. Total and faecal coliforms ranged from 125 to 68,000 colony forming units (cfu)/100 mL (mean 10,623 cfu/100 mL) and <1 to 19,000 cfu/100 mL (mean 1,310 cfu /100 mL), respectively. The poor microbial quality, as indicated by the analytically significant presence of coliform bacteria in all samples of dugout water, strongly suggests susceptibility and exposure to waterborne diseases of, and consequent health implications on, the many people who continuously patronise these vital water resources throughout the year. In particular, more proactive sustainable water management options, such as introduction to communities of simple but cost-effective purification techniques for water drawn from dugouts for drinking purposes, education and information dissemination to the water users to ensure environmentally hygienic practices around dugouts, may be needed.

  3. Management Techniques for School Districts.

    ERIC Educational Resources Information Center

    Lane, John J., Ed.

    This volume addresses five of the critical areas of school business management: planning, organizational management, personnel management, controlling, and directing. The various chapters describe a variety of techniques and processes for getting people to perform effectively in meeting organizational goals. The first section focuses on planning…

  4. Energy Management. A Guide for School Districts.

    ERIC Educational Resources Information Center

    Wisconsin Association of School Boards, Winneconne.

    A successful energy management program in a single school or a school district requires an energy audit or survey. The audit identifies how much energy is being consumed, as well as where it is going. Furthermore, it shows opportunities for energy conservation. The walk-through energy conservation survey is the method that has the best prospect…

  5. Energy Management. A Guide for School Districts.

    ERIC Educational Resources Information Center

    Wisconsin Association of School Boards, Winneconne.

    A successful energy management program in a single school or a school district requires an energy audit or survey. The audit identifies how much energy is being consumed, as well as where it is going. Furthermore, it shows opportunities for energy conservation. The walk-through energy conservation survey is the method that has the best prospect…

  6. 76 FR 44535 - Revisions to the California State Implementation Plan, Northern Sierra Air Quality Management...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-26

    ... AGENCY 40 CFR Part 52 Revisions to the California State Implementation Plan, Northern Sierra Air Quality Management District, Sacramento Metropolitan Air Quality Management District, and South Coast Air Quality... proposing to approve revisions to the Northern Sierra Air Quality Management District (NSAQMD),...

  7. The Relation among School District Health, Total Quality Principles for School Organization and Student Achievement

    ERIC Educational Resources Information Center

    Marshall, Jon; Pritchard, Ruie; Gunderson, Betsey

    2004-01-01

    The purpose of this study was to determine the congruence among W. E. Deming's 14 points for Total Quality Management (TQM), the organizational health of school districts, and student achievement. Based on Kanter's (1983) concept of a Culture of Pride with a Climate of Success, healthy districts were defined as having an organizational culture…

  8. Guidelines for preparing a quality assurance plan for district offices of the U.S. Geological Survey

    USGS Publications Warehouse

    Schroder, L.J.; Shampine, W.J.

    1992-01-01

    The U.S. Geological Survey has a policy that requires each District office to prepare a Quality Assurance Plan. This plan is a combination of a District's management principles and quality assurance processes. The guidelines presented in this report provide a framework or expanded outline that a District can use to prepare a plan. Parti- cular emphasis is given to a District's: (1) quality assurance policies; (2) organization and staff responsibilities; and (3) program and project planning. The guidelines address the 'how', 'what', and 'who' questions that need to be answered when a District Quality Assurance Plan is prepared.

  9. Building Teacher Quality in the Kansas City, Missouri School District

    ERIC Educational Resources Information Center

    Corso, Aileen; Franck, Valerie; Kelliher, Kate; McCorry, Betsy

    2011-01-01

    This study looks at the policies and practices shaping teacher quality in the Kansas City, Missouri School District (KCMSD). It is part of a series of analyses by the National Council on Teacher Quality (NCTQ) in school districts across the nation. Framing this analysis are five policy goals for improving teacher quality: (1) Staffing. Teacher…

  10. 78 FR 58459 - Revisions to the California State Implementation Plan, Antelope Valley Air Quality Management...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-24

    ...) * * * (i) * * * (E) Ventura County Air Pollution Control District. (1) Rule 74.18, ``Motor Vehicle and... Management District, Santa Barbara County Air Pollution Control District, South Coast Air Quality Management District and Ventura County Air Pollution Control District AGENCY: Environmental Protection Agency (EPA...

  11. The Creative Cost Management Strategies of Two School Districts.

    ERIC Educational Resources Information Center

    Pheasant, Marilyn

    1984-01-01

    Two Oregon schools districts that have been effective in managing their resources are Reedsport, a smaller district and the subject of part 1 of this bulletin; and Beaverton, one of the largest districts in the state, the focus of part 2. The Reedsport district plans the use of its funds based on a goal-setting process in the areas of instruction,…

  12. The Creative Cost Management Strategies of Two School Districts.

    ERIC Educational Resources Information Center

    Pheasant, Marilyn

    1984-01-01

    Two Oregon schools districts that have been effective in managing their resources are Reedsport, a smaller district and the subject of part 1 of this bulletin; and Beaverton, one of the largest districts in the state, the focus of part 2. The Reedsport district plans the use of its funds based on a goal-setting process in the areas of instruction,…

  13. Managing work-related stress in the district nursing workplace.

    PubMed

    Burke, Michelle

    2013-11-01

    This article aims to highlight the issue of work-related stress within the district nursing workplace. It will acknowledge how the management of work-related stress has previously been discussed within nursing literature and will consider the emerging relationship between staff working conditions, staff wellbeing and quality of patient care. It will reintroduce the Health and Safety Executive's (HSE's) Management Standards approach to tackling work-related stress, which provides management support to reduce environmental work stressors and encourage enabling work environments and a positive workplace culture.

  14. Evaluation of a monitoring program for assessing the effects of management practices on the quantity and quality of drainwater from the Panoche Water District, western San Joaquin Valley, California

    USGS Publications Warehouse

    Leighton, David A.; Fio, John L.

    1995-01-01

    An evaluation was made of an existing monitoring program in the Panoche Water District for 1986-93. The Panoche Water District is an agricultural area located in the western San Joaquin Valley of California. Because irrigation drainage from this area has high concentrations of dissolved solids and selenium, management strategies have been developed to improve the quality of drainwater discharge. The purpose of the Panoche Water District's monitoring program is to assess the effects of water- and land-use practices on local ground water and drain flow from the district. Drainflow from the district consists of the discharge from 50 separate on-farm underground tile-drainage systems. The Panoche Water District maintains information on water deliveries, planned and actual crop types, and planned and actual acreages planted each year. In addition, the water district monitors ground-water and drainage-system discharges using a variety of data-collection methods. A total of 62 observation well sites are used to monitor ground-water level and quality. A total of 42 sites were monitored for drainflow quantity, and drain flow quality samples were collected from the outlets of each of the 50 drainage systems. However, these data were collected inconsistently and (or) intermittently during the period studied. All data obtained from the water district were compiled and stored in a geographic information system database. Water delivered for irrigation by the Panoche Water District is a mix of imported water and local ground water pumped directly into delivery canals. Although delivered water is a mix, information on the proportion of water from the two sources is not reported. Also, individual growers pump directly to their crops unknown quantities of ground water, the total of which could be greater than 60 percent of total applications during years when water district deliveries are greatly reduced (for example, the years during and following a drought). To evaluate the

  15. Old Wine in New Bottles: The Quality of Work Life in Schools and School Districts.

    ERIC Educational Resources Information Center

    Bacharach, Samuel B.; Mitchell, Stephen M.

    This essay reviews quality of work life as a management technique and argues that quality-of-work-life programs, conceptualized multidimensionally, offer a unique mechanism for improving working conditions in schools and within districts. A brief analysis of major management ideologies concludes that some techniques advocated under the label of…

  16. Quality improvement and the hierarchy of needs in low resource settings: perspective of a district health officer.

    PubMed

    Durand, A Mark

    2010-02-01

    District services in developing countries are afflicted with frequent system breakdowns, caused by a combination of resource constraints, limitations of the health workforce, and poorly developed management systems. Narrowly focused, outcome-oriented quality improvement initiatives and sporadic accreditation visits fail to address the most pressing need of district health services- to improve manageability. To improve quality at the district level, attention should be directed first toward this need- by building widely focused systems for ongoing, operational monitoring and response.

  17. 78 FR 49992 - Revisions to the California State Implementation Plan, Antelope Valley Air Quality Management...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-16

    ... Quality Management District (AVAQMD) and Ventura County Air Pollution Control District (VCAPCD) portions... AGENCY 40 CFR Part 52 Revisions to the California State Implementation Plan, Antelope Valley Air Quality Management District and Ventura County Air Pollution Control District AGENCY: Environmental Protection...

  18. Association between State Assistance on the Topic of Indoor Air Quality and School District-Level Policies That Promote Indoor Air Quality in Schools

    ERIC Educational Resources Information Center

    Everett Jones, Sherry; Doroski, Brenda; Glick, Sherry

    2015-01-01

    Nationally representative data from the 2012 School Health Policies and Practices Study examined whether state assistance on indoor air quality (IAQ) was associated with district-level policies and practices related to IAQ and integrated pest management (IPM). Districts in states that provided assistance on IAQ were more likely than districts not…

  19. Association between State Assistance on the Topic of Indoor Air Quality and School District-Level Policies That Promote Indoor Air Quality in Schools

    ERIC Educational Resources Information Center

    Everett Jones, Sherry; Doroski, Brenda; Glick, Sherry

    2015-01-01

    Nationally representative data from the 2012 School Health Policies and Practices Study examined whether state assistance on indoor air quality (IAQ) was associated with district-level policies and practices related to IAQ and integrated pest management (IPM). Districts in states that provided assistance on IAQ were more likely than districts not…

  20. Health districts as quality improvement collaboratives and multijurisdictional entities.

    PubMed

    Livingood, William; Marshall, Nandi; Peden, Angela; Gonzalez, Ketty; Shah, Gulzar H; Alexander, Dayna; Penix, Kellie; Lawrence, Raymona; Toal, Russell; Woodhouse, Lynn

    2012-11-01

    Local health departments are increasingly challenged to meet emerging health problems at the same time that they are being challenged with dwindling resources and the demands of accreditation. To assess the capacity of Multicounty health districts to serve as "Quality Improvement Collaboratives" and support local health departments to meet accreditation standards. The study used an online survey tool and follow-up phone calls with key informants in health districts and county health departments in Georgia. Data collection was primarily based on an instrument to measure Quality Improvement Collaboratives that was adapted and tested for use with public health agencies in Georgia. The Georgia PBRN conducted this study of health districts and county health departments. The Georgia Department of Public Health supports 18 health districts and 159 county health departments (GA DPH, 2011). The health districts range in county composition from 1 to 16 counties in each district. Key informants comprised district and county health department staff and county health department board members were identified by 13 participating health district offices. Key opinion leaders from both the rural and nonrural counties agreed that the Districts were important for providing essential services and supporting quality improvement collaboration. Psychometric testing of the Quality Improvement Collaborative assessment public health instrument yielded high scores for validity and reliability. Regionalization of local public health capacity is a critical emerging issue for public health accreditation and quality improvement. This study demonstrated the utility of regionalization across traditional local geopolitical boundaries.

  1. Quality Management in Education.

    ERIC Educational Resources Information Center

    Tribus, Myron

    When transferring the methods of quality management from industry to academia, there are important differences that must be considered. This paper describes the differences between traditional management and quality management, and shows how Deming's principles of Total Quality Management (TQM) can be applied to education. Some of these principles…

  2. Groundwater quality and water quality index at Bhandara District.

    PubMed

    Rajankar, Prashant N; Tambekar, Dilip H; Wate, Satish R

    2011-08-01

    The present investigation reports the results of a monitoring study focusing on groundwater quality of Bhandara District of central India. Since, remediation of groundwater is very difficult, knowledge of the existing nature, magnitude, and sources of the various pollution loads is a prerequisite to assessing groundwater quality. The water quality index (WQI) value as a function of various physicochemical and bacteriological parameters was determined for groundwater obtained from a total of 21 locations. The WQI during pre-monsoon season varied from 68 to 83, while for post-monsoon, it was between 56 and 76. Significantly (P < 0.01) lower WQI for the post-monsoon season was observed, indicating deterioration of the groundwater overall in corresponding season. The study revealed that groundwater from only 19% locations was fit for domestic use, thus indicating the need of proper treatment before use.

  3. 75 FR 40726 - Revisions to the California State Implementation Plan, Sacramento Metropolitan Air Quality...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-14

    ... Quality Management District and South Coast Air Quality Management District AGENCY: Environmental... revisions to the Sacramento Metropolitan Air Quality Management District (SMAQMD) and South Coast Air... Reference. (A) South Coast Air Quality Management District. ] (1) Rule 1144, ``Vanishing Oils and...

  4. Teacher-Quality Checklist for School Districts

    ERIC Educational Resources Information Center

    National Council on Teacher Quality, 2010

    2010-01-01

    Many districts struggle with multiple--and often incompatible--data systems for tracking payroll, collecting teacher evaluations, recruiting and hiring. Aligning these systems and annually assessing where a district stands is the first step towards developing a smart human capital strategy. This checklist outlines the goals, data and questions a…

  5. 76 FR 44493 - Revisions to the California State Implementation Plan, Northern Sierra Air Quality Management...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-26

    ... AGENCY 40 CFR Part 52 Revisions to the California State Implementation Plan, Northern Sierra Air Quality Management District, Sacramento Metropolitan Air Quality Management District, and South Coast Air Quality... taking direct final action to approve revisions to the Northern Sierra Air Quality Management...

  6. Quality-Assurance/Quality-Control Manual for Collection and Analysis of Water-Quality Data in the Ohio District, US Geological Survey

    USGS Publications Warehouse

    Francy, D.S.; Jones, A.L.; Myers, Donna N.; Rowe, G.L.; Eberle, Michael; Sarver, K.M.

    1998-01-01

    The U.S. Geological Survey (USGS), Water Resources Division (WRD), requires that quality-assurance/quality-control (QA/QC) activities be included in any sampling and analysis program. Operational QA/QC procedures address local needs while incorporating national policies. Therefore, specific technical policies were established for all activities associated with water-quality project being done by the Ohio District. The policies described in this report provide Ohio District personnel, cooperating agencies, and others with a reference manual on QA/QC procedures that are followed in collecitng and analyzing water-quality samples and reporting water-quality information in the Ohio District. The project chief, project support staff, District Water-Quality Specialist, and District Laboratory Coordinator are all involved in planning and implementing QA/QC activities at the district level. The District Chief and other district-level managers provide oversight, and the Regional Water-Quality Specialist, Office of Water Quality (USGS headquarters), and the Branch of Quality Systems within the Office of Water Quality create national QA/QC polices and provide assistance to District personnel. In the literature, the quality of all measurement data is expressed in terms of precision, variability, bias, accuracy, completeness, representativeness, and comparability. In the Ohio District, bias and variability will be used to describe quality-control data generated from samples in the field and laboratory. Each project chief must plan for implementation and financing of QA/QC activities necessary to achieve data-quality objectives. At least 15 percent of the total project effort must be directed toward QA/QC activities. Of this total, 5-10 percent will be used for collection and analysis of quality-control samples. This is an absolute minimum, and more may be required based on project objectives. Proper techniques must be followed in the collection and processing of surface

  7. Statistical quality management

    NASA Astrophysics Data System (ADS)

    Vanderlaan, Paul

    1992-10-01

    Some aspects of statistical quality management are discussed. Quality has to be defined as a concrete, measurable quantity. The concepts of Total Quality Management (TQM), Statistical Process Control (SPC), and inspection are explained. In most cases SPC is better than inspection. It can be concluded that statistics has great possibilities in the field of TQM.

  8. 25 CFR 167.5 - Land management districts.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 25 Indians 1 2012-04-01 2011-04-01 true Land management districts. 167.5 Section 167.5 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR LAND AND WATER NAVAJO GRAZING REGULATIONS § 167.5 Land management districts. The Commissioner of Indian Affairs has established and will retain the...

  9. 25 CFR 167.5 - Land management districts.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 25 Indians 1 2010-04-01 2010-04-01 false Land management districts. 167.5 Section 167.5 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR LAND AND WATER NAVAJO GRAZING REGULATIONS § 167.5 Land management districts. The Commissioner of Indian Affairs has established and will retain the...

  10. Managing the Risks of School District Special Events.

    ERIC Educational Resources Information Center

    Berlonghi, Alexander

    1991-01-01

    A school district's risk manager must provide the leadership in risk management for district special events. Tables list the following: (1) seven reasons for event failures, and preventive measures to take; (2) risk analysis checklist; and (3) event planning outline. (MLF)

  11. Introducing quality management into primary health care services in Uganda.

    PubMed Central

    Omaswa, F.; Burnham, G.; Baingana, G.; Mwebesa, H.; Morrow, R.

    1997-01-01

    In 1994, a national quality assurance programme was established in Uganda to strengthen district-level management of primary health care services. Within 18 months both objective and subjective improvements in the quality of services had been observed. In the examples documented here, there was a major reduction in maternal mortality among pregnant women referred to Jinja District Hospital, a reduction in waiting times and increased patient satisfaction at Masaka District Hospital, and a marked reduction in reported cases of measles in Arua District. Beyond these quantitative improvements, increased morale of district health team members, improved satisfaction among patients, and greater involvement of local government in the decisions of district health committees have been observed. At the central level, the increased coordination of activities has led to new guidelines for financial management and the procurement of supplies. District quality management workshops followed up by regular support visits from the Ministry of Health headquarters have led to a greater understanding by central staff of the issues faced at the district level. The quality assurance programme has also fostered improved coordination among national disease-control programmes. Difficulties encountered at the central level have included delays in carrying out district support visits and the failure to provide appropriate support. At the district level, some health teams tackled problems over which they had little control or which were overly complex; others lacked the management capacity for problem solving. PMID:9185368

  12. 77 FR 26475 - Revisions to the California State Implementation Plan, Antelope Valley Air Quality Management...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-04

    ... the Antelope Valley Air Quality Management District (AVAQMD), Eastern Kern Air Pollution Control... AGENCY 40 CFR Part 52 Revisions to the California State Implementation Plan, Antelope Valley Air Quality Management District and Eastern Kern, and Santa Barbara County; Air Pollution Control Districts AGENCY...

  13. Developing management capacity building package to district health manager in northwest of Iran: A sequential mixed method study.

    PubMed

    Tabrizi, Jafar Sadegh; Gholipour, Kamal; Farahbakhsh, Mostafa; Jahanbin, Hasan; Karamuz, Majid

    2016-11-01

    To assess districts health managers educational needs and develop management training programmes. This mixed-method study was carried out between August 2014 and August 2015 in Tabriz, Iran. Four focus group discussion sessions and three semi-structured face-to-face interviews were conducted among district health managers and experts of a health centre. Besides, 52 questionnaires were completed to weigh and finalise management education module and courses. Interviews and focus group discussions were tape-recorded, transcribed and analysed using content analysis method. Data was analysed using SPSS17. There were 52 participants, of whom 40(78.8%) were men and 12(21.2%) were women. All of the subjects (100%) took part in the quantitative phase, while 25(48.08%) participated in the qualitative phase. In the qualitative section, 11(44%) participants were heads of unit/departments in provincial health centre and 14(56%) were district health managers. In the quantitative phase, 30(57.7%) participants were district health managers and 8(28.8%) were heads of units/departments. Moreover, 33(63.4%) participants had medical education. The job experience of 3(5.8%) participants in the current position was below five years. Districts health management training programme consisted of 10modules with 53 educational topics. The normalised score out of a total of 100 for rules and ethics was 75.51, health information management 71.19, management and leadership 69.27, district management 68.08, human resources and organisational creativity 67.58,quality improvement 66.6, health resources management 62.37, planning and evaluation 61.87, research in health system 59.15, and community participation was 53.15. Considering district health managers' qualification in health and medicine, they had not been trained in basic management. Almost all the management and leadership courses were prioritised as most necessary.

  14. District nurses' views on quality of primary healthcare encounters.

    PubMed

    Nygren Zotterman, Anna; Skär, Lisa; Olsson, Malin; Söderberg, Siv

    2015-09-01

    Good encounters are fundamental for good and professional nursing care, and can be described as treating patients with respect and protecting their integrity and autonomy. This study describes district nurses' views on quality of healthcare encounters in primary healthcare. A purposive sample of 27 district nurses participated in five focus group interviews. The focus groups interviews were digitally recorded and transcribed verbatim. The interview texts were analysed using a thematic content analysis. The analysis resulted in four themes, including being aware of the importance and difficulties during encounters, being the patient's advocate, being attentive to the unique person and being informed when a meeting turned out poorly. The results show that district nurses believed that encounters formed the basis of their work and it was vital for them to be aware of any difficulties. District nurses found that acting in a professional manner during encounters is the most significant factor, but this type of interaction was sometimes difficult because of stress and lack of time. The district nurses considered themselves to be the patients' advocate in the healthcare system; in addition, the acts of seeing, listening, believing and treating the patient seriously were important for providing good quality care. If a poor encounter occurred between the district nurse and the patient, the district nurses found that it was necessary to arrange a meeting to properly communicate what problems arose during the interaction. The district nurses highlighted that providing an apology and explanation could improve future encounters and establish a better nurse-patient relationship. In conclusion, this study shows the importance of confirming and respecting patients' dignity as the fundamental basis for a good quality encounter in primary healthcare.

  15. Total Quality Management Simplified.

    ERIC Educational Resources Information Center

    Arias, Pam

    1995-01-01

    Maintains that Total Quality Management (TQM) is one method that helps to monitor and improve the quality of child care. Lists four steps for a child-care center to design and implement its own TQM program. Suggests that quality assurance in child-care settings is an ongoing process, and that TQM programs help in providing consistent, high-quality…

  16. Total Quality Management Simplified.

    ERIC Educational Resources Information Center

    Arias, Pam

    1995-01-01

    Maintains that Total Quality Management (TQM) is one method that helps to monitor and improve the quality of child care. Lists four steps for a child-care center to design and implement its own TQM program. Suggests that quality assurance in child-care settings is an ongoing process, and that TQM programs help in providing consistent, high-quality…

  17. Seeking Accountability through State-Appointed Emergency District Management

    ERIC Educational Resources Information Center

    Arsen, David; Mason, Mary L.

    2013-01-01

    Michigan's Local Government and School District Accountability Act of 2011 empowers the governor to appoint emergency managers (EMs) in financially troubled school districts. EMs assume all powers of the superintendent and school board. They can reshape academic programs, nullify labor contracts, and open and close schools. This article analyzes…

  18. Seeking Accountability through State-Appointed Emergency District Management

    ERIC Educational Resources Information Center

    Arsen, David; Mason, Mary L.

    2013-01-01

    Michigan's Local Government and School District Accountability Act of 2011 empowers the governor to appoint emergency managers (EMs) in financially troubled school districts. EMs assume all powers of the superintendent and school board. They can reshape academic programs, nullify labor contracts, and open and close schools. This article analyzes…

  19. 25 CFR 167.5 - Land management districts.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 25 Indians 1 2014-04-01 2014-04-01 false Land management districts. 167.5 Section 167.5 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR LAND AND WATER NAVAJO GRAZING REGULATIONS § 167.5... requirements of the Navajo Indians and the necessity of rehabilitating the grazing lands. District boundary...

  20. 25 CFR 167.5 - Land management districts.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 25 Indians 1 2013-04-01 2013-04-01 false Land management districts. 167.5 Section 167.5 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR LAND AND WATER NAVAJO GRAZING REGULATIONS § 167.5... requirements of the Navajo Indians and the necessity of rehabilitating the grazing lands. District boundary...

  1. Quality management in orthodontics.

    PubMed

    Prahl-Andersen, Birte

    2005-11-01

    The introduction of modern quality thinking to orthodontic care should be a continuing effort on the part of the orthodontic profession. The strategy for the development of a European quality management system in orthodontic care was developed from 1993 to 2000 during the EURO-QUAL project. During the project's first stage, the basic prerequisites were identified for a general model of quality management in orthodontic care. A supra-national agreement was reached on policy statements for orthodontic care in Europe. The essential components of an orthodontic quality management system are: linking orthodontic care to population need, patient partnership, clinical accountability, and containing costs.Value-based health care and "TQM", the philosophy of total quality management, are basic principles applied in accordance with the recommendations of the European Health Committee of September 1997 and the "Health-for-All" policy framework of the World Health Organization.

  2. Evaluating the Mexican Federal District's integrated solid waste management programme.

    PubMed

    Wismer, Susan; Lopez de Alba Gomez, Adriana

    2011-05-01

    Generation of solid waste is a problem of great environmental significance in the Mexican Federal District. With an estimated daily generation of 12 500 tons, waste management is a priority for the district government. Integrated waste management programmes have been implemented in the Mexican Federal District in the past. They have failed. This research has examined the most recent initiative in an effort to discover the causes of failure, using a case study approach. In addition to identifying barriers to and opportunities for implementation of an effective integrated waste management system in the Federal District, this research recommends options for a newly proposed waste management system with the aim of achieving the objectives desired by the government, while aiding in the pursuit of sustainable development.

  3. Transforming air quality management

    SciTech Connect

    Janet McCabe

    2005-04-01

    Earlier this year, the Clean Air Act Advisory Committee submitted to EPA 38 recommendations intended to improve air quality management in the United States. This article summarizes the evaluation process leading up to the Committee's recommendations. 3 refs., 2 figs.

  4. 30 CFR 71.301 - Respirable dust control plan; approval by District Manager and posting.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... District Manager and posting. 71.301 Section 71.301 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION... plan; approval by District Manager and posting. (a) The District Manager will approve respirable dust control plans on a mine-by-mine basis. When approving respirable dust control plans, the District Manager...

  5. 75 FR 6837 - Notice of Call for Nominations for Bureau of Land Management's California Desert District...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-11

    ... Desert District Advisory Council AGENCY: Bureau of Land Management, Interior. ACTION: Notice. SUMMARY: The Bureau of Land Management's (BLM) California Desert District is soliciting nominations from the... be sent to the District Manager, Bureau of Land Management, California Desert District Office,...

  6. 77 FR 2469 - Revisions to the California State Implementation Plan, Antelope Valley Air Quality Management...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-18

    ... AGENCY 40 CFR Part 52 Revisions to the California State Implementation Plan, Antelope Valley Air Quality... to the Antelope Valley Air Quality Management District (AVAQMD) and Imperial County Air Pollution.... * * * * * (G) Antelope Valley Air Quality Management District. (1) Rule 1134, ``Stationary Gas...

  7. Multipollutant air quality management.

    PubMed

    Hidy, George M; Pennell, William T

    2010-06-01

    On the basis of a recent NARSTO assessment, this review discusses the factors involved in the implementation of a risk- and results-based multipollutant air quality management strategy applicable to North America. Such a strategy could evolve from current single-pollutant regulatory practices using a series of steps that would seek to minimize risk of exposure for humans and ecosystems while providing for a quantitative evaluation of the effectiveness of the management process. The tools needed to support multipollutant air quality management are summarized. They include application of a formal risk analysis, accounting for atmospheric processes, ambient measurements, emissions characterization, air quality modeling of emissions to ambient concentrations, and characterization of human and ecological responses to ambient pollutant exposure. The new management strategy would expand the current practice of accountability that relates emission reductions and attainment of air quality derived from air quality criteria and standards. Conceptually, achievement of accountability would establish goals optimizing risk reduction associated with pollution management. This expanded approach takes into account the sequence of processes from emissions reduction to resulting changes in ambient concentration. Using ambient concentration as a proxy for exposure, the resulting improvement in human and ecosystem health is estimated. The degree to which this chain of processes and effects can be achieved in current practice is examined in a multipollutant context exemplified by oxidants, as indicated by ozone, particulate matter, and some hazardous air pollutants. Achievement of a multipollutant management strategy will mostly depend on improving knowledge about human and ecosystem response to pollutant exposure.

  8. Water Quality Unit, Edmonds School District.

    ERIC Educational Resources Information Center

    Edmonds School District 15, Lynnwood, WA.

    This interdisciplinary program, developed for secondary students, contains 20 water quality activities that can either be used directly in, or as a supplement to, curriculum in Science, Home Economics and Industrial Arts, Mathematics, Health, English, and Social Studies. The topics investigated include: pollution analysis, industrial need,…

  9. 76 FR 65525 - Huron, Madison, and Sand Lake Wetland Management District; Comprehensive Conservation Plan

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-21

    ... Fish and Wildlife Service Huron, Madison, and Sand Lake Wetland Management District; Comprehensive... conservation plan (CCP) and environmental assessment (EA) for the Huron, Madison, and Sand Lake Wetland... (district), Madison Wetland Management District, and Sand Lake Wetland Management District are part of...

  10. Techniques for managing quality.

    PubMed

    Plsek, P E

    1995-01-01

    The science of quality management is an eclectic collection of concepts and methods primarily borrowed from other fields. Techniques roughly fall into three categories involving quality improvement, planning, and measurement. Improvement techniques include models to guide team-based efforts, tools for process description, and tools for data analysis. These methods are the most visible artifacts of CQI efforts in health care organizations today. Less widely known, but equally powerful, are the techniques of quality planning. There are models to guide both process design and strategic planning, methods for identifying customer needs, and tools to support these efforts. Finally, while measurement is a traditionally well-developed area in health care, industrial quality management science broadens our outlook about what is important to measure. It also provides the technique of benchmarking, which suggests that we look beyond our own organization when we measure performance.

  11. One Paradox in District Accountability and Site-Based Management.

    ERIC Educational Resources Information Center

    Shellman, David W.

    The paradox of site-based school management with use of standardized tests or instructional management systems that restrict teacher choices was evident in one school district in North Carolina in which measurement of student success has centered on student performance on state-mandated tests. A study was conducted to see if students whose…

  12. Quality management under current conditions

    NASA Astrophysics Data System (ADS)

    Vasiliev, V. A.; Aleksandrova, S. V.

    2015-12-01

    The diversity of the concept of quality is defined. Modern quality management methods and tools are considered. The global components of quality management and quality management system ISO 9000 are discussed. Education requirements for specialists in the field of quality are formulated.

  13. Quality Management and Information Brokerage.

    ERIC Educational Resources Information Center

    van Halm, Johan

    1995-01-01

    To compete effectively, information brokers need to adopt management and marketing tools; Total Quality Management can upgrade an organization's performance by using customer feedback of its services. SERVQUAL identifies gaps in service by assessing quality expectations versus quality experiences. (AEF)

  14. Quality Management and Information Brokerage.

    ERIC Educational Resources Information Center

    van Halm, Johan

    1995-01-01

    To compete effectively, information brokers need to adopt management and marketing tools; Total Quality Management can upgrade an organization's performance by using customer feedback of its services. SERVQUAL identifies gaps in service by assessing quality expectations versus quality experiences. (AEF)

  15. 'Busyness' and the preclusion of quality palliative district nursing care.

    PubMed

    Nagington, Maurice; Luker, Karen; Walshe, Catherine

    2013-12-01

    Ethical care is beginning to be recognised as care that accounts for the views of those at the receiving end of care. However, in the context of palliative and supportive district nursing care, the patients' and their carers' views are seldom heard. This qualitative research study explores these views. Data were collected through semi-structured interviews with 26 patients with palliative and supportive care needs receiving district nursing care, and 13 of their carers. Participants were recruited via community nurses and hospices between September 2010 and October 2011. Post-structural discourse analysis is used to examine how discourses operate on a moral level. One discourse, 'busyness', is argued to preclude a moral form of nursing care. The discourse of friendship is presented to contrast this. Discussion explores Gallagher's 'slow ethics' and challenges the currently accepted ways of measuring to improve quality of care concluding that quality cannot be measured.

  16. Total Quality Management.

    ERIC Educational Resources Information Center

    Focus in Change, 1992

    1992-01-01

    The philosophy known as Total Quality Management (TQM) is frequently presented as a way to change and improve public education. This issue of "Focus in Change" examines Deming's original 14 TQM points and their application to education. Myron Tribus lays out the core philosophy of the movement and discusses its possible application to…

  17. Total Quality Management Seminar.

    ERIC Educational Resources Information Center

    Massachusetts Career Development Inst., Springfield.

    This booklet is one of six texts from a workplace literacy curriculum designed to assist learners in facing the increased demands of the workplace. The booklet contains seven sections that cover the following topics: (1) meaning of total quality management (TQM); (2) the customer; (3) the organization's culture; (4) comparison of management…

  18. Surface-water quality-assurance plan for the Wisconsin district of the U. S. Geological Survey, Water Resources Division

    USGS Publications Warehouse

    Garn, H.S.

    2002-01-01

    This surface-water quality-assurance plan documents the standards, policies, and procedures used by the Wisconsin District of the U.S. Geological Survey, Water Resources Division, for activities related to the collection, processing, storage, analysis, management, and publication of surface-water data. The roles and responsibilities of District personnel in following these policies and procedures including those related to safety and training are presented.

  19. 78 FR 63934 - Approval of Air Quality Implementation Plans; California; El Dorado County Air Quality Management...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-25

    ... AGENCY 40 CFR Part 52 Approval of Air Quality Implementation Plans; California; El Dorado County Air... Plan (SIP) revision submitted by California for the El Dorado County Air Quality Management District... Ambient Air Quality Standards (NAAQS). We are proposing to approve the submitted SIP revision under...

  20. What Do District Health Managers in Ghana Use Their Working Time for? A Case Study of Three Districts.

    PubMed

    Bonenberger, Marc; Aikins, Moses; Akweongo, Patricia; Bosch-Capblanch, Xavier; Wyss, Kaspar

    2015-01-01

    Ineffective district health management potentially impacts on health system performance and service delivery. However, little is known about district health managing practices and time allocation in resource-constrained health systems. Therefore, a time use study was conducted in order to understand current time use practices of district health managers in Ghana. All 21 district health managers working in three districts of the Eastern Region were included in the study and followed for a period of three months. Daily retrospective interviews about their time use were conducted, covering 1182 person-days of observation. Total time use of the sample population was assessed as well as time use stratified by managerial position. Differences of time use over time were also evaluated. District health managers used most of their working time for data management (16.6%), attending workshops (12.3%), financial management (8.7%), training of staff (7.1%), drug and supply management (5.0%), and travelling (9.6%). The study found significant variations of time use across the managerial cadres as well as high weekly variations of time use impulsed mainly by a national vertical program. District health managers in Ghana use substantial amounts of their working time in only few activities and vertical programs greatly influence their time use. Our findings suggest that efficiency gains are possible for district health managers. However, these are unlikely to be achieved without improvements within the general health system, as inefficiencies seem to be largely caused by external factors.

  1. Managing Neonatal and Early Childhood Syndromic Sepsis in Sub-District Hospitals in Resource Poor Settings: Improvement in Quality of Care through Introduction of a Package of Interventions in Rural Bangladesh

    PubMed Central

    Iqbal, Afrin; Hoque, D. M. Emdadul; Moinuddin, Md.; Zaman, Sojib Bin; Rahman, Qazi Sadeq-ur; Begum, Tahmina; Chowdhury, Atique Iqbal; Haider, Rafiqul; Arifeen, Shams El; Kissoon, Niranjan; Larson, Charles P.

    2017-01-01

    Introduction Sepsis is dysregulated systemic inflammatory response which can lead to tissue damage, organ failure, and death. With an estimated 30 million cases per year, it is a global public health concern. Severe infections leading to sepsis account for more than half of all under five deaths and around one quarter of all neonatal deaths annually. Most of these deaths occur in low and middle income countries and could be averted by rapid assessment and appropriate treatment. Evidence suggests that service provision and quality of care pertaining to sepsis management in resource poor settings can be improved significantly with minimum resource allocation and investments. Cognizant of the stark realities, a project titled ‘Interrupting Pathways to Sepsis Initiative’ (IPSI) introduced a package of interventions for improving quality of care pertaining to sepsis management at 2 sub-district level public hospitals in rural Bangladesh. We present here the quality improvement process and achievements regarding some fundamental steps of sepsis management which include rapid identification and admission, followed by assessment for hypoxemia, hypoglycaemia and hypothermia, immediate resuscitation when required and early administration of parenteral broad spectrum antibiotics. Materials and Method Key components of the intervention package include identification of structural and functional gaps through a baseline environmental scan, capacity development on protocolized management through training and supportive supervision by onsite ‘Program Coaches’, facilitating triage and rapid transfer of patients through ‘Welcoming Persons’ and enabling rapid treatment through ‘Task Shifting’ from on-call physicians to on-duty paramedics in the emergency department and on-call physicians to on-duty nurses in the inpatient department. Results From August, 2013 to March, 2015, 1,262 under-5 children were identified as syndromic sepsis in the emergency departments; of

  2. Managing Neonatal and Early Childhood Syndromic Sepsis in Sub-District Hospitals in Resource Poor Settings: Improvement in Quality of Care through Introduction of a Package of Interventions in Rural Bangladesh.

    PubMed

    Rahman, Ahmed Ehsanur; Iqbal, Afrin; Hoque, D M Emdadul; Moinuddin, Md; Zaman, Sojib Bin; Rahman, Qazi Sadeq-Ur; Begum, Tahmina; Chowdhury, Atique Iqbal; Haider, Rafiqul; Arifeen, Shams El; Kissoon, Niranjan; Larson, Charles P

    2017-01-01

    Sepsis is dysregulated systemic inflammatory response which can lead to tissue damage, organ failure, and death. With an estimated 30 million cases per year, it is a global public health concern. Severe infections leading to sepsis account for more than half of all under five deaths and around one quarter of all neonatal deaths annually. Most of these deaths occur in low and middle income countries and could be averted by rapid assessment and appropriate treatment. Evidence suggests that service provision and quality of care pertaining to sepsis management in resource poor settings can be improved significantly with minimum resource allocation and investments. Cognizant of the stark realities, a project titled 'Interrupting Pathways to Sepsis Initiative' (IPSI) introduced a package of interventions for improving quality of care pertaining to sepsis management at 2 sub-district level public hospitals in rural Bangladesh. We present here the quality improvement process and achievements regarding some fundamental steps of sepsis management which include rapid identification and admission, followed by assessment for hypoxemia, hypoglycaemia and hypothermia, immediate resuscitation when required and early administration of parenteral broad spectrum antibiotics. Key components of the intervention package include identification of structural and functional gaps through a baseline environmental scan, capacity development on protocolized management through training and supportive supervision by onsite 'Program Coaches', facilitating triage and rapid transfer of patients through 'Welcoming Persons' and enabling rapid treatment through 'Task Shifting' from on-call physicians to on-duty paramedics in the emergency department and on-call physicians to on-duty nurses in the inpatient department. From August, 2013 to March, 2015, 1,262 under-5 children were identified as syndromic sepsis in the emergency departments; of which 82% were admitted. More neonates (30%) were referred

  3. Managing complex palliative wounds: an interactive educational approach for district nurses.

    PubMed

    Willis, Shirley; Sutton, Joanne

    2013-09-01

    Complex palliative wounds, although uncommon, are extremely distressing for patients because of their associated symptoms. Managing these symptoms presents significant challenges to clinicians. As the majority of these patients will be managed at home, district nurses will be the main providers of care. The quality of the literature in this field is limited due to the small number of patients presenting with these wounds and the difficulties associated with researching issues within palliative care. However, the literature available identifies that community nurses would value greater education in managing these wounds because the accepted wound healing theories and management strategies do not apply. This underpins the rationale for developing an educational resource to provide district nurses with current, evidence-based information to support their wound-management decisions in caring for this patient group. This paper reports the development, through an action research work-based project, of such an interactive educational package.

  4. 75 FR 40762 - Revisions to the California State Implementation Plan, Sacramento Metropolitan Air Quality...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-14

    ... AGENCY 40 CFR Part 52 Revisions to the California State Implementation Plan, Sacramento Metropolitan Air Quality Management District and South Coast Air Quality Management District AGENCY: Environmental... Sacramento Metropolitan Air Quality Management District (SMAQMD) and South Coast Air Quality...

  5. 78 FR 37719 - Interim Final Determination To Defer Sanctions; California; South Coast Air Quality Management...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-24

    ... approval of revisions to the South Coast Air Quality Management District's (SCAQMD) portion of the... Quality Management District Proposed Contingency Measures for the 2007 PM 2.5 SIP'' (dated October 2011... AGENCY 40 CFR Part 52 Interim Final Determination To Defer Sanctions; California; South Coast Air...

  6. School District Financial Management and Banking.

    ERIC Educational Resources Information Center

    Dembowski, Frederick L.; Davey, Robert D.

    This chapter of "Principles of School Business Management" introduces the concept of cash management, or the process of managing an institution's moneys to ensure maximum cash availability and maximum yield on investments. Four activities are involved: (1) conversion of accounts receivable to cash receipts; (2) conversion of accounts payable to…

  7. Quality Management of Biorepositories

    PubMed Central

    Gunter, Elaine W.; Sexton, Katherine C.; Bell, Walter C.

    2015-01-01

    Biomedical investigators require high quality human tissue to support their research; thus, an important aspect of the provision of tissues by biorepositories is the assurance of high quality and consistency of processing specimens. This is best accomplished by a quality management system (QMS). This article describes the basis of a QMS program designed to aid biorepositories that want to improve their operations. In 1983, the UAB Tissue Collection and Biobanking Facility (TCBF) introduced a QMS program focused on providing solid tissues to support a wide range of research; this QMS included a quality control examination of the specific specimens provided for research. Similarly, the Division of Laboratory Sciences at the Centers for Disease Control and Prevention (CDC) introduced a QMS program for their laboratory analyses, focused primarily on bodily fluids. The authors of this article bring together the experience of the QMS programs at these two sites to facilitate the development or improvement of quality management systems of a wide range of biorepositories. PMID:26035008

  8. Air quality risk management.

    PubMed

    Williams, Martin L

    2008-01-01

    Rather than attempt to provide a comprehensive account of air quality risk assessment, as might be found in a textbook or manual, this article discusses some issues that are of current importance in the United Kingdom and the rest of Europe, with special emphasis on risk assessment in the context of policy formulation, and emerging scientific knowledge. There are two pollutants of particular concern and that both pose challenges for risk assessment and policy, and they are particulate matter (PM) and ozone. The article describes some issues for health risk assessment and finally some forward-looking suggestions for future approaches to air quality management.

  9. Quality Management Program

    SciTech Connect

    Not Available

    1991-10-01

    According to {section} 35.32, Quality Management Program,'' of 10 CFR Part 35, Medical Use of Byproduct Material,'' applicants or licensees, as applicable, are required to establish a quality management (QM) program. This regulatory guide provides guidance to licensees and applicants for developing policies and procedures for the QM program. This guide does not restrict or limit the licensee from using other guidance that may be equally useful in developing a QM program, e.g., information available from the Joint Commission on Accreditation of Healthcare Organizations or the American College of Radiology. Any information collection activities mentioned in this regulatory guide are contained as requirements in 10 CFR Part 35, which provides the regulatory basis for this guide. This information collection requirements in 10 CFR Part 35 have been cleared under OMB Clearance No. 3150-0010.

  10. Distribution of water quality parameters in Dhemaji district, Assam (India).

    PubMed

    Buragohain, Mridul; Bhuyan, Bhabajit; Sarma, H P

    2010-07-01

    The primary objective of this study is to present a statistically significant water quality database of Dhemaji district, Assam (India) with special reference to pH, fluoride, nitrate, arsenic, iron, sodium and potassium. 25 water samples collected from different locations of five development blocks in Dhemaji district have been studied separately. The implications presented are based on statistical analyses of the raw data. Normal distribution statistics and reliability analysis (correlation and covariance matrix) have been employed to find out the distribution pattern, localisation of data, and other related information. Statistical observations show that all the parameters under investigation exhibit non uniform distribution with a long asymmetric tail either on the right or left side of the median. The width of the third quartile was consistently found to be more than the second quartile for each parameter. Differences among mean, mode and median, significant skewness and kurtosis value indicate that the distribution of various water quality parameters in the study area is widely off normal. Thus, the intrinsic water quality is not encouraging due to unsymmetrical distribution of various water quality parameters in the study area.

  11. An Integer Programming Approach to School District Financial Management.

    ERIC Educational Resources Information Center

    Dembowski, Frederick L.

    Because of the nature of school district cash flows, there are opportunities for investing surplus cash and the necessity to borrow cash in deficit periods. The term structure of interest rates makes the manual determination of the optimal financial package impossible. In this research, an integer programming model of this cash management process…

  12. Perceptions of Crisis Management in a K-12 School District

    ERIC Educational Resources Information Center

    Tucker, Joy

    2012-01-01

    This multiple-case qualitative study was conducted to examine the perceptions of community members, students, and staff regarding school crisis management following a 2006 tornado and 2010 bus accident in a small rural school district in Missouri. Online surveys were collected from 66 participants, and 10 follow-up interviews were completed with…

  13. Information Security Management Practices of K-12 School Districts

    ERIC Educational Resources Information Center

    Nyachwaya, Samson

    2013-01-01

    The research problem addressed in this quantitative correlational study was the inadequacy of sound information security management (ISM) practices in K-12 school districts, despite their increasing ownership of information assets. Researchers have linked organizational and sociotechnical factors to the implementation of information security…

  14. An Integer Programming Approach to School District Financial Management.

    ERIC Educational Resources Information Center

    Dembowski, Frederick L.

    Because of the nature of school district cash flows, there are opportunities for investing surplus cash and the necessity to borrow cash in deficit periods. The term structure of interest rates makes the manual determination of the optimal financial package impossible. In this research, an integer programming model of this cash management process…

  15. Information Security Management Practices of K-12 School Districts

    ERIC Educational Resources Information Center

    Nyachwaya, Samson

    2013-01-01

    The research problem addressed in this quantitative correlational study was the inadequacy of sound information security management (ISM) practices in K-12 school districts, despite their increasing ownership of information assets. Researchers have linked organizational and sociotechnical factors to the implementation of information security…

  16. Natural Disaster & Crisis Management in School Districts and Community Colleges.

    ERIC Educational Resources Information Center

    Florida State Dept. of Education, Tallahassee. Office of Educational Facilities.

    This document provides school districts and community colleges in Florida with guidance on disaster preparedness planning and management for all types of disasters. Procedures include those for insurance coverage, emergency shelters, command centers and disaster team organization, emergency communications, security, preparation prior to disaster,…

  17. Perceptions of Crisis Management in a K-12 School District

    ERIC Educational Resources Information Center

    Tucker, Joy

    2012-01-01

    This multiple-case qualitative study was conducted to examine the perceptions of community members, students, and staff regarding school crisis management following a 2006 tornado and 2010 bus accident in a small rural school district in Missouri. Online surveys were collected from 66 participants, and 10 follow-up interviews were completed with…

  18. Managing quality and compliance.

    PubMed

    McNeil, Alice; Koppel, Carl

    2015-01-01

    Critical care nurses assume vital roles in maintaining patient care quality. There are distinct facets to the process including standard setting, regulatory compliance, and completion of reports associated with these endeavors. Typically, multiple niche software applications are required and user interfaces are varied and complex. Although there are distinct quality indicators that must be tracked as well as a list of serious or sentinel events that must be documented and reported, nurses may not know the precise steps to ensure that information is properly documented and actually reaches the proper authorities for further investigation and follow-up actions. Technology advances have permitted the evolution of a singular software platform, capable of monitoring quality indicators and managing all facets of reporting associated with regulatory compliance.

  19. An assessment of the quality of care for children in eighteen randomly selected district and sub-district hospitals in Bangladesh

    PubMed Central

    2012-01-01

    Background Quality hospital care is important in ensuring that the needs of severely ill children are met to avert child mortality. However, the quality of hospital care for children in developing countries has often been found poor. As the first step of a country road map for improving hospital care for children, we assessed the baseline situation with respect to the quality of care provided to children under-five years age in district and sub-district level hospitals in Bangladesh. Methods Using adapted World Health Organization (WHO) hospital assessment tools and standards, an assessment of 18 randomly selected district (n=6) and sub-district (n=12) hospitals was undertaken. Teams of trained assessors used direct case observation, record review, interviews, and Management Information System (MIS) data to assess the quality of clinical case management and monitoring; infrastructure, processes and hospital administration; essential hospital and laboratory supports, drugs and equipment. Results Findings demonstrate that the overall quality of care provided in these hospitals was poor. No hospital had a functioning triage system to prioritise those children most in need of immediate care. Laboratory supports and essential equipment were deficient. Only one hospital had all of the essential drugs for paediatric care. Less than a third of hospitals had a back-up power supply, and just under half had functioning arrangements for safe-drinking water. Clinical case management was found to be sub-optimal for prevalent illnesses, as was the quality of neonatal care. Conclusion Action is needed to improve the quality of paediatric care in hospital settings in Bangladesh, with a particular need to invest in improving newborn care. PMID:23268650

  20. An assessment of the quality of care for children in eighteen randomly selected district and sub-district hospitals in Bangladesh.

    PubMed

    Hoque, Dewan M E; Rahman, Muntasirur; Billah, Sk Masum; Savic, Michael; Karim, A Q M Rezaul; Chowdhury, Enayet K; Hossain, Altaf; Musa, S A J Md; Kumar, Harish; Malhotra, Sudhansh; Matin, Ziaul; Raina, Neena; Weber, Martin W; El Arifeen, Shams

    2012-12-26

    Quality hospital care is important in ensuring that the needs of severely ill children are met to avert child mortality. However, the quality of hospital care for children in developing countries has often been found poor. As the first step of a country road map for improving hospital care for children, we assessed the baseline situation with respect to the quality of care provided to children under-five years age in district and sub-district level hospitals in Bangladesh. Using adapted World Health Organization (WHO) hospital assessment tools and standards, an assessment of 18 randomly selected district (n=6) and sub-district (n=12) hospitals was undertaken. Teams of trained assessors used direct case observation, record review, interviews, and Management Information System (MIS) data to assess the quality of clinical case management and monitoring; infrastructure, processes and hospital administration; essential hospital and laboratory supports, drugs and equipment. Findings demonstrate that the overall quality of care provided in these hospitals was poor. No hospital had a functioning triage system to prioritise those children most in need of immediate care. Laboratory supports and essential equipment were deficient. Only one hospital had all of the essential drugs for paediatric care. Less than a third of hospitals had a back-up power supply, and just under half had functioning arrangements for safe-drinking water. Clinical case management was found to be sub-optimal for prevalent illnesses, as was the quality of neonatal care. Action is needed to improve the quality of paediatric care in hospital settings in Bangladesh, with a particular need to invest in improving newborn care.

  1. Region 7 Quality Management Plan

    EPA Pesticide Factsheets

    To document adherence to EPA Order 5360.1 A2, EPA requires each organizational unitto develop a quality management plan per the specifications in EPA Requirements for QualityManagement Plans, EPA QA R-2.

  2. Air Quality Management Process Cycle

    EPA Pesticide Factsheets

    Air quality management are activities a regulatory authority undertakes to protect human health and the environment from the harmful effects of air pollution. The process of managing air quality can be illustrated as a cycle of inter-related elements.

  3. District nurses' perceptions of osteoporosis management: a qualitative study.

    PubMed

    Claesson, A; Toth-Pal, E; Piispanen, P; Salminen, H

    2015-07-01

    Underdiagnosis of osteoporosis is common. This study investigated Swedish district nurses' perceptions of osteoporosis management. They perceived the condition as having low priority, and the consequences of this perception were insufficient awareness of the condition and perceptions of bone-specific medication as unsafe. They perceived, though, competency when working with fall prevention. Undertreatment of patients with osteoporosis is common. Sweden's medical care strategy dictates prioritisation of various conditions; while guidelines exist, osteoporosis is not prioritised. The aim of this study was to investigate district nurses' perceptions of osteoporosis management within Sweden's primary health care system. Four semi-structured focus group interviews were conducted with 13 female district nurses. The interviews were analysed using thematic analysis. The overall theme was perceiving osteoporosis management as ambiguous. The themes were perceiving barriers and perceiving opportunities. These subthemes were linked to perceiving barriers: (i) insufficient procedures, lack of time and not aware of the condition; (ii) insufficient knowledge about diagnosis and about fracture risk assessment tools; (iii) low priority condition and unclear responsibility for osteoporosis management; and (iv) bone-specific medication was sometimes perceived to be unsafe. These subthemes were linked to perceiving opportunities: (i) professional competency when discussing fall prevention in home visit programs, (ii) willingness to learn more about osteoporosis management, (iii) collaboration with other professionals and (iv) willingness to identify individuals at high risk of fracture. Osteoporosis was reported, by the district nurses, to be a low-priority condition with consequences being unawareness of the condition, insufficient knowledge about bone-specific medications, fracture risk assessment tools and procedures. These may be some of the explanations for the undertreatment of

  4. 78 FR 21581 - Revisions to the California State Implementation Plan, Antelope Valley Air Quality Management...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-11

    ... From the Federal Register Online via the Government Publishing Office ENVIRONMENTAL PROTECTION AGENCY 40 CFR Part 52 Revisions to the California State Implementation Plan, Antelope Valley Air Quality... the Antelope Valley Air Quality Management District (AVAQMD), Monterey Bay Unified Air...

  5. 75 FR 39038 - Tamarac National Wildlife Refuge and Wetland Management District, Minnesota

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-07

    ... Fish and Wildlife Service Tamarac National Wildlife Refuge and Wetland Management District, Minnesota... environmental assessment (EA) for Tamarac National Wildlife Refuge (NWR) and Tamarac Wetland Management District.... The Tamarac Wetland Management District consists of 8,577 acres of wetland easements...

  6. Achieving Competitive Advantage in Human Resource Management in General School District of Riyadh in Saudi Arabia

    ERIC Educational Resources Information Center

    Al dakeel, Taghreed M.; Almannie, Mohamed A.

    2015-01-01

    The general school district of Riyadh is one of largest in the country of (45) school districts in Saudi Arabia. The school districts play an important roles in the development of education, therefore the objective of the study is to examine the roles of the management in the school districts to see if it is achieving competitive advantage. After…

  7. Enablers and barriers to evidence based planning in the district health system in Uganda; perceptions of district health managers.

    PubMed

    Henriksson, Dorcus Kiwanuka; Ayebare, Florence; Waiswa, Peter; Peterson, Stefan Swartling; Tumushabe, Elly K; Fredriksson, Mio

    2017-02-02

    The District Health System was endorsed as the key strategy to achieve 'Health for all' during the WHO organized inter-regional meeting in Harare in 1987. Many expectations were put upon the district health system, including planning. Although planning should be evidence based to prioritize activities, in Uganda it has been described as occurring more by chance than by choice. The role of planning is entrusted to the district health managers with support from the Ministry of Health and other stakeholders, but there is limited knowledge on the district health manager's capacity to carry out evidence-based planning. The aim of this study was to determine the barriers and enablers to evidence-based planning at the district level. This qualitative study collected data through key informant interviews with district managers from two purposefully selected districts in Uganda that have been implementing evidence-based planning. A deductive process of thematic analysis was used to classify responses within themes. There were considerable differences between the districts in regard to the barriers and enablers for evidence-based planning. Variations could be attributed to specific contextual and environmental differences such as human resource levels, date of establishment of the district, funding and the sociopolitical environment. The perceived lack of local decision space coupled with the perception that the politicians had all the power while having limited knowledge on evidence-based planning was considered an important barrier. There is a need to review the mandate of the district managers to make decisions in the planning process and the range of decision space available within the district health system. Given the important role elected officials play in a decentralized system a concerted effort should be made to increase their knowledge on evidence-based planning and the district health system as a whole.

  8. Total Quality Management in Construction

    DTIC Science & Technology

    1993-08-01

    Non M-M to TOTAL QUALITY MANAGEMENT IN CONSTRUCTION Icc I FCHARLES C. MILLER I A REPORT PRESENTED TO THE GRADUATE COMMIITTEE OF THE DEPARTMENT OF...Ii I I TOTAL QUALITY MANAGEMENT IN CONSTRUCTION I I BY CHARLES C. MILLER A REPORT PRESENTED TO THE GRADUATE COMMITTEE OF THE DEPARTMENT OF CIVIL...Figures iii Introduction 1 Chapter 1 - Defining Total Quality Management 4 Philosophy 4 The Team Concept 20 Quality Improvement Process 27 Chapter 2

  9. School District Wellness Policy Quality and Weight-Related Outcomes among High School Students in Minnesota

    ERIC Educational Resources Information Center

    Hoffman, Pamela K.; Davey, Cynthia S.; Larson, Nicole; Grannon, Katherine Y.; Hanson, Carlie; Nanney, Marilyn S.

    2016-01-01

    Weight-related outcomes were examined among high school students in Minnesota public school districts according to the quality of district wellness policies. Wellness policy strength and comprehensiveness were scored using the Wellness School Assessment Tool (WellSAT) for 325 Minnesota public school districts in 2013. The associations between…

  10. 77 FR 5191 - Approval and Promulgation of Air Quality Implementation Plans; District of Columbia; Regional...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-02

    ... AGENCY 40 CFR Part 52 Approval and Promulgation of Air Quality Implementation Plans; District of Columbia; Regional Haze State Implementation Plan AGENCY: Environmental Protection Agency (EPA). ACTION: Final rule. SUMMARY: EPA is approving the District of Columbia Regional Haze Plan, a revision to the District of...

  11. 77 FR 65630 - Approval and Promulgation of Air Quality Implementation Plans; District of Columbia; The 2002...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-30

    ... submitted by the District of Columbia, through the District Department of the Environment (DDOE), on April 2... submittal are available at the District of Columbia Department of the Environment, Air Quality Division... Environmental protection, Air pollution control, Carbon monoxide, Incorporation by reference, Nitrogen...

  12. School District Wellness Policy Quality and Weight-Related Outcomes among High School Students in Minnesota

    ERIC Educational Resources Information Center

    Hoffman, Pamela K.; Davey, Cynthia S.; Larson, Nicole; Grannon, Katherine Y.; Hanson, Carlie; Nanney, Marilyn S.

    2016-01-01

    Weight-related outcomes were examined among high school students in Minnesota public school districts according to the quality of district wellness policies. Wellness policy strength and comprehensiveness were scored using the Wellness School Assessment Tool (WellSAT) for 325 Minnesota public school districts in 2013. The associations between…

  13. Challenges Faced by Maine School Districts in Providing High Quality Public Education. Research Brief

    ERIC Educational Resources Information Center

    Silvernail, David L.; Linet, Sarah R.

    2014-01-01

    The goal of this study was to: (1) identify challenges faced by Maine school districts in providing high quality public education; (2) describe the magnitude of the challenges; and (3) identify areas where school districts were experiencing some success in meeting these challenges. The School Districts Challenge Survey was distributed online to…

  14. 75 FR 61369 - Revisions to the California State Implementation Plan; Sacramento Metropolitan Air Quality...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-05

    ... Quality Management District AGENCY: Environmental Protection Agency (EPA). ACTION: Proposed rule. SUMMARY: EPA is proposing to approve a revision to the Sacramento Metropolitan Air Quality Management District..., 2006, the Sacramento Metropolitan Air Quality Management District (SMAQMD) adopted the ``Ozone...

  15. What Do District Health Managers in Ghana Use Their Working Time for? A Case Study of Three Districts

    PubMed Central

    Bonenberger, Marc; Aikins, Moses; Akweongo, Patricia; Bosch-Capblanch, Xavier; Wyss, Kaspar

    2015-01-01

    Background Ineffective district health management potentially impacts on health system performance and service delivery. However, little is known about district health managing practices and time allocation in resource-constrained health systems. Therefore, a time use study was conducted in order to understand current time use practices of district health managers in Ghana. Methods All 21 district health managers working in three districts of the Eastern Region were included in the study and followed for a period of three months. Daily retrospective interviews about their time use were conducted, covering 1182 person-days of observation. Total time use of the sample population was assessed as well as time use stratified by managerial position. Differences of time use over time were also evaluated. Results District health managers used most of their working time for data management (16.6%), attending workshops (12.3%), financial management (8.7%), training of staff (7.1%), drug and supply management (5.0%), and travelling (9.6%). The study found significant variations of time use across the managerial cadres as well as high weekly variations of time use impulsed mainly by a national vertical program. Conclusions District health managers in Ghana use substantial amounts of their working time in only few activities and vertical programs greatly influence their time use. Our findings suggest that efficiency gains are possible for district health managers. However, these are unlikely to be achieved without improvements within the general health system, as inefficiencies seem to be largely caused by external factors. PMID:26068907

  16. Patient safety culture in a district hospital in South Africa: An issue of quality.

    PubMed

    Mayeng, Lorraine M; Wolvaardt, Jacqueline E

    2015-11-05

    The Nursing Act 33 of 2005 holds nurse practitioners responsible for all acts and omissions in the delivery of quality patient care. But quality patient care is influenced by a number of factors beyond the control of nurse practitioners. Patient safety culture is one such factor and is seldom explored in hospitals in developing countries. This article describes the patient safety culture of a district hospital in South Africa. The study identified and analysed the factors that influence the patient safety culture by using the Manchester Patient Safety Framework at the National District Hospital, Bloemfontein, Free State Province. A descriptive cross-sectional study was conducted and included the total population of permanent staff; community service health professionals; temporarily employed health professionals and volunteers. The standard Manchester Patient Safety Framework questionnaire was distributed with a response rate of 61%. Less than half of the respondents (42.4%; n = 61) graded their units as acceptable. Several quality dimensions were statistically significant for the employment profile: overall commitment to quality (p = 0.001); investigating patient incidents (p = 0.031); organisational learning following incidents (p < 0.001); communication around safety issues (p = 0.001); and team working around safety issues (p = 0.005). These same quality dimensions were also statistically significant for the professional profiles. Medical doctors had negative perceptions of all the safety dimensions. The research measured and described patient safety culture (PSC) amongst the staff at the National District Hospital (NDH). This research has identified the perceived inadequacies with PSC and gives nurse managers a clear mandate to implement change to ensure a PSC that fosters quality patient care.

  17. Rationality and Reality in Instructional Management: Results from a Survey of Districts in the Far West.

    ERIC Educational Resources Information Center

    Rowan, Brian

    To discover whether school districts can develop highly rationalized forms of instructional management, this study gathered data from a telephone survey conducted in the school year 1983-84 of administrators in 30 western districts. The instructional management practices of these districts were then compared with an "ideal type" of rationalized…

  18. Total Quality Management (TQM) Bibliography

    DTIC Science & Technology

    1990-04-01

    GTE FIE COPY DTIC c" ECTE 8JUL 25 1990u TOTAL QUALITY MANAGEMENT (TQM) BIBLIOGRAPHY APRIL-1990 Jointly supported by __’__________-_________ Jointly...Arsenal, AL 35898-5241 1I. TITLE (Include Security Classification) TOTAL QUALITY MANAGEMENT (TQM) BIBL IRAPHY APRIL-1990 12. PERSONAL AUTHOR(S) Knott...implementation of the concept of total quality management (TQM). The selected coverage includes books, periodical articles, conference papers and reports. Coded

  19. Surface Water Quality-Assurance Plan for the Alabama District of the U. S. Geological Survey

    USGS Publications Warehouse

    Hedgecock, T. Scott; Pearman, J. Leroy; Stricklin, Victor E.

    2002-01-01

    The U.S. Geological Survey, Water Resources Division, has a policy that requires each District office to prepare a Surface Water Quality-Assurance Plan. The plan for each District describes the policies and procedures that ensure high quality in the collection, processing, analysis, computer storage, and publication of surface-water data. The Alabama District Surface Water Quality-Assurance Plan documents the standards, policies, and procedures used by the District for activities related to the collection, processing, storage, analysis, and publication of surface-water data.

  20. Empowering districts to target priorities for improving child health service in Uganda using change management and rapid assessment methods

    PubMed Central

    Odaga, John; Henriksson, Dorcus K.; Nkolo, Charles; Tibeihaho, Hector; Musabe, Richard; Katusiime, Margaret; Sinabulya, Zaccheus; Mucunguzi, Stephen; Mbonye, Anthony K.; Valadez, Joseph J.

    2016-01-01

    Background Local health system managers in low- and middle-income countries have the responsibility to set health priorities and allocate resources accordingly. Although tools exist to aid this process, they are not widely applied for various reasons including non-availability, poor knowledge of the tools, and poor adaptability into the local context. In Uganda, delivery of basic services is devolved to the District Local Governments through the District Health Teams (DHTs). The Community and District Empowerment for Scale-up (CODES) project aims to provide a set of management tools that aid contextualised priority setting, fund allocation, and problem-solving in a systematic way to improve effective coverage and quality of child survival interventions. Design Although the various tools have previously been used at the national level, the project aims to combine them in an integral way for implementation at the district level. These tools include Lot Quality Assurance Sampling (LQAS) surveys to generate local evidence, Bottleneck analysis and Causal analysis as analytical tools, Continuous Quality Improvement, and Community Dialogues based on Citizen Report Cards and U reports. The tools enable identification of gaps, prioritisation of possible solutions, and allocation of resources accordingly. This paper presents some of the tools used by the project in five districts in Uganda during the proof-of-concept phase of the project. Results All five districts were trained and participated in LQAS surveys and readily adopted the tools for priority setting and resource allocation. All districts developed health operational work plans, which were based on the evidence and each of the districts implemented more than three of the priority activities which were included in their work plans. Conclusions In the five districts, the CODES project demonstrated that DHTs can adopt and integrate these tools in the planning process by systematically identifying gaps and setting

  1. Empowering districts to target priorities for improving child health service in Uganda using change management and rapid assessment methods.

    PubMed

    Odaga, John; Henriksson, Dorcus K; Nkolo, Charles; Tibeihaho, Hector; Musabe, Richard; Katusiime, Margaret; Sinabulya, Zaccheus; Mucunguzi, Stephen; Mbonye, Anthony K; Valadez, Joseph J

    2016-01-01

    Background Local health system managers in low- and middle-income countries have the responsibility to set health priorities and allocate resources accordingly. Although tools exist to aid this process, they are not widely applied for various reasons including non-availability, poor knowledge of the tools, and poor adaptability into the local context. In Uganda, delivery of basic services is devolved to the District Local Governments through the District Health Teams (DHTs). The Community and District Empowerment for Scale-up (CODES) project aims to provide a set of management tools that aid contextualised priority setting, fund allocation, and problem-solving in a systematic way to improve effective coverage and quality of child survival interventions. Design Although the various tools have previously been used at the national level, the project aims to combine them in an integral way for implementation at the district level. These tools include Lot Quality Assurance Sampling (LQAS) surveys to generate local evidence, Bottleneck analysis and Causal analysis as analytical tools, Continuous Quality Improvement, and Community Dialogues based on Citizen Report Cards and U reports. The tools enable identification of gaps, prioritisation of possible solutions, and allocation of resources accordingly. This paper presents some of the tools used by the project in five districts in Uganda during the proof-of-concept phase of the project. Results All five districts were trained and participated in LQAS surveys and readily adopted the tools for priority setting and resource allocation. All districts developed health operational work plans, which were based on the evidence and each of the districts implemented more than three of the priority activities which were included in their work plans. Conclusions In the five districts, the CODES project demonstrated that DHTs can adopt and integrate these tools in the planning process by systematically identifying gaps and setting

  2. Empowering districts to target priorities for improving child health service in Uganda using change management and rapid assessment methods.

    PubMed

    Odaga, John; Henriksson, Dorcus K; Nkolo, Charles; Tibeihaho, Hector; Musabe, Richard; Katusiime, Margaret; Sinabulya, Zaccheus; Mucunguzi, Stephen; Mbonye, Anthony K; Valadez, Joseph J

    2016-01-01

    Local health system managers in low- and middle-income countries have the responsibility to set health priorities and allocate resources accordingly. Although tools exist to aid this process, they are not widely applied for various reasons including non-availability, poor knowledge of the tools, and poor adaptability into the local context. In Uganda, delivery of basic services is devolved to the District Local Governments through the District Health Teams (DHTs). The Community and District Empowerment for Scale-up (CODES) project aims to provide a set of management tools that aid contextualised priority setting, fund allocation, and problem-solving in a systematic way to improve effective coverage and quality of child survival interventions. Although the various tools have previously been used at the national level, the project aims to combine them in an integral way for implementation at the district level. These tools include Lot Quality Assurance Sampling (LQAS) surveys to generate local evidence, Bottleneck analysis and Causal analysis as analytical tools, Continuous Quality Improvement, and Community Dialogues based on Citizen Report Cards and U reports. The tools enable identification of gaps, prioritisation of possible solutions, and allocation of resources accordingly. This paper presents some of the tools used by the project in five districts in Uganda during the proof-of-concept phase of the project. All five districts were trained and participated in LQAS surveys and readily adopted the tools for priority setting and resource allocation. All districts developed health operational work plans, which were based on the evidence and each of the districts implemented more than three of the priority activities which were included in their work plans. In the five districts, the CODES project demonstrated that DHTs can adopt and integrate these tools in the planning process by systematically identifying gaps and setting priority interventions for child survival.

  3. Management: Total Army Quality Management

    DTIC Science & Technology

    2002-03-15

    meet current and future customer needs . 3–2. Strategic planning a. Strategic planning is the process by which managers at higher levels envision their...framework for all Army organizations to measure how well they are meeting their stated goals and customer needs . It provides a systematic review that...business. (2) Customer-Driven – The organization’s focus is on its customers – ensuring its operations meet customer needs in the most efficient manner

  4. Quality improvement in emergency obstetric referrals: qualitative study of provider perspectives in Assin North district, Ghana

    PubMed Central

    Afari, Henrietta; Hirschhorn, Lisa R; Michaelis, Annie; Barker, Pierre; Sodzi-Tettey, Sodzi

    2014-01-01

    Objective To describe healthcare worker (HCW)-identified system-based bottlenecks and the value of local engagement in designing strategies to improve referral processes related to emergency obstetric care in rural Ghana. Design Qualitative study using semistructured interviews of participants to obtain provider narratives. Setting Referral systems in obstetrics in Assin North Municipal Assembly, a rural district in Ghana. This included one district hospital, six health centres and four local health posts. This work was embedded in an ongoing quality improvement project in the district addressing barriers to existing referral protocols to lessen delays. Participants 18 HCWs (8 midwives, 4 community health officers, 3 medical assistants, 2 emergency room nurses, 1 doctor) at different facility levels within the district. Results We identified important gaps in referral processes in Assin North, with the most commonly noted including recognising danger signs, alerting receiving units, accompanying critically ill patients, documenting referral cases and giving and obtaining feedback on referred cases. Main root causes identified by providers were in four domains: (1) transportation, (2) communication, (3) clinical skills and management and (4) standards of care and monitoring, and suggested interventions that target these barriers. Mapping these challenges allowed for better understanding of next steps for developing comprehensive, evidence-based solutions to identified referral gaps within the district. Conclusions Providers are an important source of information on local referral delays and in the development of approaches to improvement responsive to these gaps. Better engagement of HCWs can help to identify and evaluate high-impact holistic interventions to address faulty referral systems which result in poor maternal outcomes in resource-poor settings. These perspectives need to be integrated with patient and community perspectives. PMID:24833695

  5. Internal versus External Quality Management

    ERIC Educational Resources Information Center

    Hofman, Roelande H.; Dijkstra, Nynke J.; Hofman, W. H. Adriaan

    2008-01-01

    This article presents the findings of research into quality management in Dutch elementary schools using theories of school accountability and school improvement as fundamentals. The study is based on data gathered from almost 1000 school leaders. It attempts to determine whether different types of quality management exist in primary schools.…

  6. Internal versus External Quality Management

    ERIC Educational Resources Information Center

    Hofman, Roelande H.; Dijkstra, Nynke J.; Hofman, W. H. Adriaan

    2008-01-01

    This article presents the findings of research into quality management in Dutch elementary schools using theories of school accountability and school improvement as fundamentals. The study is based on data gathered from almost 1000 school leaders. It attempts to determine whether different types of quality management exist in primary schools.…

  7. Geospatial modelling for groundwater quality mapping: a case study of Rupnagar district, Punjab, India

    NASA Astrophysics Data System (ADS)

    Sahoo, S.; Kaur, A.; Litoria, P.; Pateriya, B.

    2014-11-01

    Over period of time, the water usage and management is under stress for various reasons including pollution in both surface and subsurface. The groundwater quality decreases due to the solid waste from urban and industrial nodes, rapid use of insecticides and pesticides in agricultural practices. In this study, ground water quality maps for Rupnagar district of Punjab has been prepared using geospatial interpolation technique through Inverse Distance Weighted (IDW) approach. IDW technique has been used for major ground water quality parameters observed from the field samples like Arsenic, Hardness, pH, Iron, Fluoride, TDS, and Sulphate. To assess the ground water quality of the Rupnagar district, total 280 numbers of samples from various sources of tubewells for both pre and post monsoon have collected. Out of which, 80 to 113 samples found Iron with non potable limits ranging 0.3-1.1mg/l and 0.3-1.02mg/l according to BIS standard for both the seasons respectively. Chamkaur Sahib, Rupnagar, Morinda blocks have been found non potable limit of iron in both pre & post-monsoon. 11 to 52 samples in this region have sulphate with permissible limits in both the season ranging 200-400mg/l and 201-400mg/l. But arsenic had acceptable limit in both the season. Various parameters-wise ground water quality map is generated using the range values of drinking water quality to know the distribution of different parameters and diversification in the concentration of different elements. These maps are very much needful for human being to expand awareness among the people to maintain the Cleanness of water at their highest quality and purity levels to achieve a healthy life.

  8. Total Quality Management for Schools.

    ERIC Educational Resources Information Center

    Greenwood, Malcolm S.; Gaunt, Helen J.

    Education in the United Kingdom has been shaped by the advent of local school management and the rapid growth of grant-maintained schools. Total Quality Management (TQM) offers a new way of looking at management principles and structures by identifying the needs of both internal and external customers. This book applies principles of TQM…

  9. Total Quality Management for Schools.

    ERIC Educational Resources Information Center

    Greenwood, Malcolm S.; Gaunt, Helen J.

    Education in the United Kingdom has been shaped by the advent of local school management and the rapid growth of grant-maintained schools. Total Quality Management (TQM) offers a new way of looking at management principles and structures by identifying the needs of both internal and external customers. This book applies principles of TQM…

  10. An Experiment in Humanistic Management within Community College District Twelve, Centralia/Olympia, Washington.

    ERIC Educational Resources Information Center

    Miller, Dale A.; Hurley, John A.

    Community College District Twelve, a multi-college district serving a two-county area in southwestern Washington, has attempted to incorporate at administrative levels many of the humanistic, process-oriented principles of management discussed by Maslow and Maccoby. A concept of the ideal leadership style for District Twelve guides the selection…

  11. Total quality management implementation guidelines

    SciTech Connect

    Not Available

    1993-12-01

    These Guidelines were designed by the Energy Quality Council to help managers and supervisors in the Department of Energy Complex bring Total Quality Management to their organizations. Because the Department is composed of a rich mixture of diverse organizations, each with its own distinctive culture and quality history, these Guidelines are intended to be adapted by users to meet the particular needs of their organizations. For example, for organizations that are well along on their quality journeys and may already have achieved quality results, these Guidelines will provide a consistent methodology and terminology reference to foster their alignment with the overall Energy quality initiative. For organizations that are just beginning their quality journeys, these Guidelines will serve as a startup manual on quality principles applied in the Energy context.

  12. The Development Effectiveness Management Model for Sub-District Secondary School

    ERIC Educational Resources Information Center

    Butsankom, Akachai; Sirishuthi, Chaiyuth; Lammana, Preeda

    2016-01-01

    The purposes of this research were to study the factors of effectiveness management model for subdistrict secondary school, to investigate current situations and desirable situations of effectiveness management model for sub-district secondary school, to develop the effectiveness management model for sub-district secondary school and to study the…

  13. Seasonal Variation of Groundwater Quality in Erode District, Tamil Nadu, India.

    PubMed

    Kavidha, R; Elangovan, K

    2014-07-01

    In recent years, the recurring environmental issues regarding hazardous waste, global climate change, stratospheric ozone depletion, groundwater contamination, disaster mitigation and removal of pollutant have become the focus of environmental attention. In the management of water resources, quality of water is just as important as its quantity. In order to assess the quality and/or suitability of groundwater for drinking and irrigation in Erode District, 144 water samples each in post-monsoon and pre-monsoon during the year 2007 were collected and analyzed for various parameters. These parameters were compared with IS: 10500-1991 drinking water standards. Out of 144 samples, 29 samples exceeded the permissible limit for both the monsoons, 71 samples were within the permissible limit for both the monsoons and the remaining samples exceeded the permissible limit for any one of the monsoon. During both monsoons, except some samples, most of the samples were suitable for drinking and irrigation.

  14. Total Quality Management in a Knowledge Management Perspective.

    ERIC Educational Resources Information Center

    Johannsen, Carl Gustav

    2000-01-01

    Presents theoretical considerations on both similarities and differences between information management and knowledge management and presents a conceptual model of basic knowledge management processes. Discusses total quality management and quality control in the context of information management. (Author/LRW)

  15. Total Quality Management in a Knowledge Management Perspective.

    ERIC Educational Resources Information Center

    Johannsen, Carl Gustav

    2000-01-01

    Presents theoretical considerations on both similarities and differences between information management and knowledge management and presents a conceptual model of basic knowledge management processes. Discusses total quality management and quality control in the context of information management. (Author/LRW)

  16. Total quality environmental management: Integrating environmental and quality management systems

    SciTech Connect

    Carley, J.A.; Kubala, G.; Hudson, T.

    1996-11-01

    As the oilfield industry strives to globally sustain continuous movement of environmental and quality performance, companies have come to realize Total Quality Environmental Management (TQEM) is essential in product research, development manufacturing and services. As our industry endeavors to continuously improve, more emphasis is being placed upon the management systems we apply such as ISO 14000 and ISO 9000. These standards are tools for improving environmental and quality performance, meeting customer requirements, and increasing profitability. lbs paper presents actual examples of the successful integration of environmental and quality management systems into an operational TQEM system. Also presented are pilot study evaluations of the draft ISO 14000 standards by two certified ISO 9000 facilities. Examples of continuous improvement and cross-functional teams as means to merge environment and quality management into the functions of process control, corrective and preventive action, document control, and waste management are presented. Results and improvements from facilities involved with TQEM discussed along with their strategies and progress in consolidating the environmental and quality programs into a single, viable management system. The case histories from various facilities demonstrate the implementation of TQEM and in TQEM promotes a cleaner environment, reduces costs, con- serves energy and raw materials, minimizes pollutants and wastes, and reduces redundant paperwork.

  17. Improving quality through performance-based financing in district hospitals in Rwanda between 2006 and 2010: a 5-year experience.

    PubMed

    Janssen, Willy; Ngirabega, Jean de Dieu; Matungwa, Michel; Van Bastelaere, Stefaan

    2015-01-01

    Since 2000 performance-based financing (PBF) made its way to sub-Saharan health systems in an attempt to improve service delivery. In Rwanda initial experiences in 2001 and 2002 led to a scaling up of the initiative to all health centres (HC) and district hospitals (DH). In 2008 PBF became national strategy. PBF was introduced in Rwanda in 2006 at the DH level. Evaluation on their service delivery was carried out quarterly in the following areas: hospital management, support to the health centres and clinical activities. We studied four DHs. After 5 years, an improvement in the quantity of clinical activities was observed, as well as quality in hospital management, in HC support and in clinical activities. PBF proves to be a promising approach in strengthening and maintaining quality service delivery in the sub-Saharan district hospitals. © The Author(s) 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.

  18. A Multilevel, Statewide Investigation of School District Anti-Bullying Policy Quality and Student Bullying Involvement

    ERIC Educational Resources Information Center

    Gower, Amy L.; Cousin, Molly; Borowsky, Iris W.

    2017-01-01

    Background: Although nearly all states in the United States require school districts to adopt anti-bullying policies, little research examines the effect of these policies on student bullying and health. Using a statewide sample, we investigated associations between the quality of school district anti-bullying policies and student bullying…

  19. A Multilevel, Statewide Investigation of School District Anti-Bullying Policy Quality and Student Bullying Involvement

    ERIC Educational Resources Information Center

    Gower, Amy L.; Cousin, Molly; Borowsky, Iris W.

    2017-01-01

    Background: Although nearly all states in the United States require school districts to adopt anti-bullying policies, little research examines the effect of these policies on student bullying and health. Using a statewide sample, we investigated associations between the quality of school district anti-bullying policies and student bullying…

  20. Total Quality Management and Cost of Quality

    NASA Astrophysics Data System (ADS)

    Hadjicostas, Evsevios

    Before we start analysing the philosophy of Total Quality Management it is worthwhile going back to the early days of quality and the quality movement. In fact, the quality concept dates back to the creation of Adam and Eve: “And God saw every thing that he had made, and, behold, it was very good”. (Genesis A 31). It is remarkable that at the end of each day, looking at his creations God was saying, “This is good”. However, at the end of the sixth day, after he finished the creation of human beings, he said, “This is very good”. It is amazing that he did not say, “This is excellent”. This is because excellence is something that we gain after tireless effort. God left room for improvement in order to challenge us and make our life more attractive, which has really happened!

  1. Managing Air Quality - Emissions Inventories

    EPA Pesticide Factsheets

    This page describes the role of emission inventories in the air quality management process, a description of how emission inventories are developed, and where U.S. emission inventory information can be found.

  2. Total Quality Management Implementation Plan.

    DTIC Science & Technology

    1989-06-01

    E 14. SUBJECT TERMS 15. NUMBER OF PAGES TOM ( Total Quality Management ), Continuous Process Improvement,_________ Depot Operations, Supply Support 16... Quality Management Implementation Plan 6. AUTHOR(S) 7. PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) 8. PERFORMING ORGANIZATION Defense General...Reduction PrOtect (O704.Ot8SL Wasilngton, OC 20503j. .EPORT DATE 3. REPORT TYPE AND DATES COVERED June 19891 4. TITLE AND SUBTITLE S. FUNDING NUMBERS Total

  3. 76 FR 61057 - Revisions to the California State Implementation Plan, Sacramento Metropolitan Air Quality...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-03

    ... Quality Management District, Ventura County Air Pollution Control District, and Placer County Air... Management District (SMAQMD), Ventura County Air Pollution Control District (VCAPCD), and Placer County Air... Operations,'' adopted on April 8, 2008. * * * * * (389) * * * (i) * * * (B) Placer County Air...

  4. Managing Quality: TQM in Libraries.

    ERIC Educational Resources Information Center

    Riggs, Donald E.

    1993-01-01

    Discusses the use of total quality management (TQM) principles in libraries. Topics addressed include commitment from the library director; strategic planning; training needs for library staff; the identification and selection of targeted areas that would benefit from TQM; quality improvement teams; analysis; proposed solutions; and evaluation…

  5. Resource, quality and safety management.

    PubMed

    Hovenga, Evelyn J S

    2010-01-01

    This chapter gives an educational overview of: * Resource management relative to sustainability and the use casemix systems * Types of resources and their information system needs to support their optimal management * Quality, performance measurement options and associated information needs * Casemix systems' characteristics, usage and need for enterprise systems.

  6. Leadership and Total Quality Management

    DTIC Science & Technology

    1992-04-15

    Quality Management when combine with good leadership and management skills yields increased productivity. This paper will focus on the skills required of...The leadership of large and complex organizations in today’s environment of shrinking resources requires a strong commitment by the leader. Total

  7. What is Total Quality Management?

    ERIC Educational Resources Information Center

    Bryan, William A.

    1996-01-01

    Provides a general overview of Total Quality Management (TQM) and explains why there is pressure for change in higher education institutions. Defines TQM and the various themes, tools, and beliefs that make it different from other management approaches. Presents 14 principles and how they might be applied to student affairs. (RJM)

  8. Investigation of health care waste management in Binzhou District, China

    SciTech Connect

    Ruoyan, Gai; Xu Lingzhong; Li Huijuan; Zhou Chengchao; He Jiangjiang; Yoshihisa, Shirayama; Tang Wei; Chushi, Kuroiwa

    2010-02-15

    In China, national regulations and standards for health care waste management were implemented in 2003. To investigate the current status of health care waste management at different levels of health care facilities (HCF) after the implementation of these regulations, one tertiary hospital, one secondary hospital, and four primary health care centers from Binzhou District were visited and 145 medical staff members and 24 cleaning personnel were interviewed. Generated medical waste totaled 1.22, 0.77, and 1.17 kg/bed/day in tertiary, secondary, and primary HCF, respectively. The amount of medical waste generated in primary health care centers was much higher than that in secondary hospitals, which may be attributed to general waste being mixed with medical waste. This study found that the level of the HCF, responsibility for medical waste management in departments and wards, educational background and training experience can be factors that determine medical staff members' knowledge of health care waste management policy. Regular training programs and sufficient provision of protective measures are urgently needed to improve occupational safety for cleaning personnel. Financing and administrative monitoring by local authorities is needed to improve handling practices and the implementation of off-site centralized disposal in primary health care centers.

  9. Community involvement in obstetric emergency management in rural areas: a case of Rukungiri district, Western Uganda

    PubMed Central

    2012-01-01

    Background Maternal mortality is a major public health problem worldwide especially in low income countries. Most causes of maternal deaths are due to direct obstetric complications. Maternal mortality ratio remains high in Rukungiri district, western Uganda estimated at 475 per 100,000 live births. The objectives were to identify types of community involvement and examine factors influencing the level of community involvement in the management of obstetric emergencies. Methods We conducted a descriptive study during 2nd to 28th February 2009 in rural Rukungiri district, western Uganda. A total of 448 heads of households, randomly selected from 6/11 (54.5%) of sub-counties, 21/42 (50.0%) parishes and 32/212 (15.1%) villages (clusters), were interviewed. Data were analysed using STATA version 10.0. Results Community pre-emergency support interventions available included community awareness creation (sensitization) while interventions undertaken when emergency had occurred included transportation and referring women to health facility. Community support programmes towards health care (obstetric emergencies) included establishment of community savings and credit schemes, and insurance schemes. The factors associated with community involvement in obstetric emergency management were community members being employed (AOR = 1.91, 95% CI: 1.02 - 3.54) and rating the quality of maternal health care as good (AOR = 2.22, 95% CI: 1.19 - 4.14). Conclusions Types of community involvement in obstetric emergency management include practices and support programmes. Community involvement in obstetric emergency management is influenced by employment status and perceived quality of health care services. Policies to promote community networks and resource mobilization strategies for health care should be implemented. There is need for promotion of community support initiatives including health insurance schemes and self help associations; further community sensitization by empowered

  10. 76 FR 16805 - Notice of Call for Nominations for the Bureau of Land Management's California Desert District...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-25

    ... Land Management's California Desert District Advisory Council AGENCY: Bureau of Land Management... Desert District is soliciting nominations from the public for six members of its California Desert... should be sent to Teresa Raml, District Manager, Bureau of Land Management, California Desert...

  11. Challenges of Asthma Management for School Nurses in Districts with High Asthma Hospitalization Rates

    ERIC Educational Resources Information Center

    Liberatos, Penny; Leone, Jennifer; Craig, Ann Marie; Frei, Elizabeth Mary; Fuentes, Natalie; Harris, India Marie

    2013-01-01

    Background: School nurses play a central role in assisting elementary school children in managing their asthma, especially those in higher-risk school districts that are at increased risk of uncontrolled asthma. Study purposes are to (1) identify barriers to asthma management by school nurses in higher-risk school districts; and (2) assess the…

  12. Challenges of Asthma Management for School Nurses in Districts with High Asthma Hospitalization Rates

    ERIC Educational Resources Information Center

    Liberatos, Penny; Leone, Jennifer; Craig, Ann Marie; Frei, Elizabeth Mary; Fuentes, Natalie; Harris, India Marie

    2013-01-01

    Background: School nurses play a central role in assisting elementary school children in managing their asthma, especially those in higher-risk school districts that are at increased risk of uncontrolled asthma. Study purposes are to (1) identify barriers to asthma management by school nurses in higher-risk school districts; and (2) assess the…

  13. Interventions for hiring, retaining and training district health systems managers in low- and middle-income countries.

    PubMed

    Rockers, Peter C; Bärnighausen, Till

    2013-04-30

    District managers are playing an increasingly important role in determining the performance of health systems in low- and middle-income countries as a result of decentralization. To assess the effectiveness of interventions to hire, retain and train district health systems managers in low- and middle-income countries. We searched a wide range of international databases, including the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE and EMBASE. We also searched online resources of international agencies, including the World Bank, to find relevant grey literature. Searches were conducted in December 2011. District health systems managers are those persons who are responsible for overseeing the operations of the health system within a defined, subnational geographical area that is designated as a district. Hiring and retention interventions include those that aim to increase the attractiveness of district management positions, as well as those related to hiring and retention processes, such as private contracting. Training interventions include education programs to develop future managers and on-the-job training programs for current managers. To be included, studies needed to use one of the following study designs: randomized controlled trial, nonrandomized controlled trial, controlled before-and-after study, and interrupted time series analysis. We report measures of effect in the same way that the primary study authors have reported them. Due to the varied nature of interventions included in this review we could not pool data across studies. Two studies met our inclusion criteria. The findings of one study conducted in Cambodia provide low quality evidence that private contracts with international nongovernmental organizations (NGOs) for district health systems management ('contracting-in') may improve health care access and utilization. Contracting-in increased use of antenatal care by 28% and use of public facilities by 14%. However, contracting

  14. Air quality management in Mexico.

    PubMed

    Fernández-Bremauntz, Adrián

    2008-01-01

    Several significant program and policy measures have been implemented in Mexico over the past 15 yr to improve air quality. This article provides an overview of air quality management strategies in Mexico, including (1) policy initiatives such as vehicle use restrictions, air quality standards, vehicle emissions, and fuel quality standards, and (2) supporting programs including establishment of a national emission inventory, an air pollution episodes program, and the implementation of exposure and health effects studies. Trends in air pollution episodes and ambient air pollutant concentrations are described.

  15. [Informatics data quality and management].

    PubMed

    Feng, Rung-Chuang

    2009-06-01

    While the quality of data affects every aspect of business, it is frequently overlooked in terms of customer data integration, data warehousing, business intelligence and enterprise applications. Regardless of which data terms are used, a high level of data quality is a critical base condition essential to satisfy user needs and facilitate the development of effective applications. In this paper, the author introduces methods, a management framework and the major factors involved in data quality assessment. Author also integrates expert opinions to develop data quality assessment tools.

  16. Total quality management issues in managed care.

    PubMed

    McLaughlin, C P; Kaluzny, A D

    1997-01-01

    The implementation of total quality management (TQM) in health care has gone on in parallel with the growth of managed care. What is the interaction between the two? Key issues are the ascendance of cost control over quality in many areas, erosion of employee commitment and loyalty, and a short-run orientation. Associated with this is an emphasis on organizational learning rather than learning by autonomous professionals. Both TQM and managed care acknowledge the dynamic nature of clinical processes and the ability and responsibility of both institutions and clinicians to improve their processes. Both are consistent with efforts to identify and implement best practices. However, these similarities should not mask fundamental differences. Continuous improvement must shift its focus from avoiding unnecessary variation to facilitating rapid organizational learning and institutionalizing mass customization into the delivery of health services.

  17. Water-use data by category, county, and water management district in Florida, 1950-90

    USGS Publications Warehouse

    Marella, R.L.

    1995-01-01

    The population for Florida in 1990 was estimated at 12.94 million, an increase of nearly 10.17 million (370 percent) from the population of 2.77 million in 1950. Consequently, water use (fresh and saline) in Florida increased nearly 510 percent (15,175 million gallons per day) between 1950 and 1990. The resident population of the State is projected to surpass 20 million by the year 2020. Through the cooperation of the Florida Department of Environ- mental Protection and the U.S. Geologial Survey, water-use data for the period between 1950 and 1990 has been consolidated into one publication. This report aggregates and summarizes the quantities of water withdrawn annually for all water-use categories (public supply, self-supplied domestic, self-supplied commercial-industrial, agriculture, and thermoelectric power generation), by counties, and water management districts in Florida from 1950 through 1990. Total water withdrawn in Florida increased from 2,923 million gallons per day in 1950 to 17,898 million gallons per day in 1990. Surface- water withdrawals during 1950 totaled 2,333 million gallons per day but were not differentiated between fresh and saline, therefore, comparisons between fresh and saline water were made beginning with 1955 data. Freshwater withdrawals increased 245 percent between 1955 and 1990. Saline water withdrawals increased more than 1,500 percent between 1955 and 1990. In 1955, more than 47 percent of the fresh- water used was withdrawn from ground-water sources and 53 percent was withdrawn from surface-water sources. In 1990, nearly 62 percent of the fresh- water withdrawn was from ground-water sources, while 38 percent was withdrawn from surface-water sources. The steady increase in ground-water withdrawals since the 1950's primarily is a result of the ability to drill and pump water more economically from large, deep wells and the reliability of both the quality and quantity of water from these wells. Water withdrawn for public supply in

  18. Quality Management and Calibration

    NASA Astrophysics Data System (ADS)

    Merkus, Henk G.

    Good specification of a product’s performance requires adequate characterization of relevant properties. Particulate products are usually characterized by some PSD, shape or porosity parameter(s). For proper characterization, adequate sampling, dispersion, and measurement procedures should be available or developed and skilful personnel should use appropriate, well-calibrated/qualified equipment. The characterization should be executed, in agreement with customers, in a wellorganized laboratory. All related aspects should be laid down in a quality handbook. The laboratory should provide proof for its capability to perform the characterization of stated products and/or reference materials within stated confidence limits. This can be done either by internal validation and audits or by external GLP accreditation.

  19. Factors influencing the work efficiency of district health managers in low-resource settings: a qualitative study in Ghana.

    PubMed

    Bonenberger, Marc; Aikins, Moses; Akweongo, Patricia; Wyss, Kaspar

    2016-01-14

    There is increasing evidence that good district management practices can improve health system performance and conversely, that poor and inefficient management practices have detrimental effects. The aim of the present study was to identify factors contributing to inefficient management practices of district health managers and ways to improve their overall efficiency. Nineteen semi-structured interviews were conducted with district health managers in three districts of the Eastern Region in Ghana. The 19 interviews conducted comprised 90% of the managerial workforce in these districts in 2013. A thematic analysis was carried out using the WHO's leadership and management strengthening framework to structure the results. Key factors for inefficient district health management practices were identified to be: human resource shortages, inadequate planning and communication skills, financial constraints, and a narrow decision space that constrains the authority of district health managers and their ability to influence decision-making. Strategies that may improve managerial efficiency at both an individual and organizational level included improvements to planning, communication, and time management skills, and ensuring the timely release of district funds. Filling District Health Management Team vacancies, developing leadership and management skills of district health managers, ensuring a better flow of district funds, and delegating more authority to the districts seems to be a promising intervention package, which may result in better and more efficient management practices and stronger health system performance.

  20. Total Quality Management (TQM): Group Dynamics Workshop

    DTIC Science & Technology

    1990-05-15

    TOTAL QUALITY MANAGEMENT (TQM) Group Dynamics Workshop © Copyright 1990 Booz*Allen & Hamilton... QUALITY MANAGEMENT (TQM) GROUP DYNAMICS COURSE -’ Total Quality Management * This course has been designed under the direction and approval of OASD (P...participants’ use of group dynamics skills as leaders and members of OSD TQM groups. Total Quality Management " Examples of such groups include

  1. Providing quality services. JICA Reproductive Health Project. Thanh Chuong district.

    PubMed

    Nguyen Huu Son

    1999-01-01

    This article concerns the quality of services provided by the different groups sponsored by the Japan International Cooperation Agency (JICA) Reproductive Health project. Nguyen Huu Son, Chairperson of the People's Committee of Thanh Tien Commune, cites that the JICA project has helped improve their Commune Health Center (CHC). The project has provided basic medical equipment that has been lacking in the CHCs, subsequently making the task of providing quality services easier and more comfortable for midwives and other health personnel. For the Thanh Tien Commune Health Center, Nguyen Hoang An reports that the JICA project has brought about improvement in their CHC fields; namely, 1) providing health knowledge to community people; 2) increase in health staff's skills through training; 3) keeping record of management and the CHC services; and 4) renovating health facilities. As a result, clients have increased and many of the community people now have confidence in their services. For the Women's Union of Thanh Tien Commune, Nguyen Thi Loc reports that the assistance provided by JICA has greatly helped in the acquisition of necessary skills for disseminating adequate information to women.

  2. Illinois water quality management plan

    SciTech Connect

    Not Available

    1992-12-01

    The report describes the purpose of the plan to consolidate and streamline portions of approved state and areawide water quality management (WQM) plans in order to facilitate their usage in the operations of all designated WQM agencies. The report identifies both point and nonpoint pollution sources, reviews policies and regulations already in place and makes recommendations for pollution prevention and control. Information on the plan's management structure is also included.

  3. Relevance of water quality index for groundwater quality evaluation: Thoothukudi District, Tamil Nadu, India

    NASA Astrophysics Data System (ADS)

    Singaraja, C.

    2017-09-01

    The present hydrogeochemical study was confined to the Thoothukudi District in Tamilnadu, India. A total of 100 representative water samples were collected during pre-monsoon and post-monsoon and analyzed for the major cations (sodium, calcium, magnesium and potassium) and anions (chloride, sulfate, bicarbonate, fluoride and nitrate) along with various physical and chemical parameters (pH, total dissolved salts and electrical conductivity). Water quality index rating was calculated to quantify the overall water quality for human consumption. The PRM samples exhibit poor quality in greater percentage when compared with POM due to dilution of ions and agricultural impact. The overlay of WQI with chloride and EC corresponds to the same locations indicating the poor quality of groundwater in the study area. Sodium (Na %), sodium absorption ratio (SAR), residual sodium carbonate (RSC), residual sodium bicarbonate, permeability index (PI), magnesium hazards (MH), Kelly's ratio (KR), potential salinity (PS) and Puri's salt index (PSI) and domestic quality parameters such as total hardness (TH), temporary, permanent hardness and corrosivity ratio (CR) were calculated. The majority of the samples were not suitable for drinking, irrigation and domestic purposes in the study area. In this study, the analysis of salinization/freshening processes was carried out through binary diagrams such as of mole ratios of {SO}_{ 4}^{ 2- } /Cl- and Cl-/EC that clearly classify the sources of seawater intrusion and saltpan contamination. Spatial diagram BEX was used to find whether the aquifer was in the salinization region or in the freshening encroachment region.

  4. Creating Quality Choices: District Schools. Closing the Achievement Gap series

    ERIC Educational Resources Information Center

    Read, Tory

    2008-01-01

    The "Closing the Achievement Gap" series explores the Casey Foundation's education investments and presents stories, results, and lessons learned. This publication presents an in-depth look at the Foundation's multi-year investment in a school district feeder pattern in Atlanta, and stories about Casey contributions to district…

  5. 30 CFR 90.301 - Respirable dust control plan; approval by District Manager; copy to part 90 miner.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... District Manager; copy to part 90 miner. 90.301 Section 90.301 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR COAL MINE SAFETY AND HEALTH MANDATORY HEALTH STANDARDS-COAL MINERS WHO HAVE... control plan; approval by District Manager; copy to part 90 miner. (a) The District Manager will approve...

  6. 30 CFR 90.301 - Respirable dust control plan; approval by District Manager; copy to part 90 miner.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... District Manager; copy to part 90 miner. 90.301 Section 90.301 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR COAL MINE SAFETY AND HEALTH MANDATORY HEALTH STANDARDS-COAL MINERS WHO HAVE... control plan; approval by District Manager; copy to part 90 miner. (a) The District Manager will approve...

  7. 30 CFR 90.301 - Respirable dust control plan; approval by District Manager; copy to part 90 miner.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... District Manager; copy to part 90 miner. 90.301 Section 90.301 Mineral Resources MINE SAFETY AND HEALTH... EVIDENCE OF THE DEVELOPMENT OF PNEUMOCONIOSIS Respirable Dust Control Plans § 90.301 Respirable dust control plan; approval by District Manager; copy to part 90 miner. (a) The District Manager will approve...

  8. Leadership and management for quality.

    PubMed

    Gillam, Steve; Siriwardena, A Niroshan

    2013-01-01

    This is the third in a series of articles about the science of quality improvement. Leadership and management are required for change and are therefore important for all quality improvement initiatives. We describe the differences between and features of each, and how they support change in individuals, groups and organisations according to the culture and characteristics of the latter. Finally, we see that leadership competencies are conceptualised in the NHS Leadership Framework and how this can be applied to quality improvement in general practice and healthcare more generally.

  9. Quality-assurance plan for water-quality activities in the North Florida Program Office, Florida District

    USGS Publications Warehouse

    Berndt, Marian P.; Katz, Brian G.

    2000-01-01

    In accordance with guidelines set forth by the Office of Water Quality in the Water Resources Division of the U.S. Geological Survey, a quality-assurance plan was created for use by the Florida District's North Florida Program Office in conducting water-quality activities. This plan documents the standards, policies, and procedures used by the North Florida Program Office for activities related to the collection, processing, storage, analysis, and publication of water-quality data.

  10. 78 FR 10589 - Revision of Air Quality Implementation Plan; California; Sacramento Metropolitan Air Quality...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-14

    ... AGENCY 40 CFR Part 52 Revision of Air Quality Implementation Plan; California; Sacramento Metropolitan Air Quality Management District; Stationary Source Permits AGENCY: Environmental Protection Agency... by California as a revision to the Sacramento Metropolitan Air Quality Management District (SMAQMD...

  11. Total Quality Management Implementation Strategy: Directorate of Quality Assurance

    DTIC Science & Technology

    1989-05-01

    Directorate of Quality Assurance Total Quality Management Implementation Strategy 6. AUTHOR(S) 7. PERFORMING ORGANIZATION NAME(S) AND ADORESS(ES) 8...that job. DTIC 7: t-I ECTE I SEP29 1989 14. SUBJECT TERMS 15. NUMBER OF PAGES TOM ( Total Quality Management ), Quality Assurance, Continuous Process...Prescribed by ANSI Std Z39-18 29d- 102 DEFENSE LOGISTICS AGENCY DIRECTORATE OF QUALITY ASSURANCE 0 TOTAL QUALITY MANAGEMENT IMPLEMENTATION STRATEGY 0 89 9

  12. Indoor Air Quality Management Program.

    ERIC Educational Resources Information Center

    Anne Arundel County Public Schools, Annapolis, MD.

    In an effort to provide Indoor Air Quality (IAQ) management guidance, Anne Arundel County Public Schools was selected by the Maryland State Department of Education to develop a program that could be used by other school systems. A major goal was to produce a handbook that was "user friendly." Hence, its contents are a mix of history,…

  13. Indoor Air Quality Management Program.

    ERIC Educational Resources Information Center

    Anne Arundel County Public Schools, Annapolis, MD.

    In an effort to provide Indoor Air Quality (IAQ) management guidance, Anne Arundel County Public Schools was selected by the Maryland State Department of Education to develop a program that could be used by other school systems. A major goal was to produce a handbook that was "user friendly." Hence, its contents are a mix of history,…

  14. E-Service Quality Management

    ERIC Educational Resources Information Center

    Batagan, Lorena; Pocovnicu, Adrian; Capisizu, Sergiu

    2009-01-01

    A characteristic of today's society is the increasing use of modern information and communication technologies in all areas. Computer applications, called e-services, are being developed to provide efficient access to services, electronically. Quality management systems are needed to provide a consistent way to select, evaluate, prioritize and…

  15. Total Quality Management in Education.

    ERIC Educational Resources Information Center

    Johnson, James H.

    1993-01-01

    Ways to apply the concepts and processes of Total Quality Management (TQM) to education are discussed in this document. Following the introduction and the preface, chapter 1 provides a historical overview and describes the four cornerstones of TQM--an understanding of systems, psychology, knowledge, and statistics. Chapter 2 describes some of the…

  16. [Quality management in cardiovascular echography].

    PubMed

    Gullace, Giuseppe

    2002-12-01

    The quality management of an organization can be defined as the ability to identify, plan and implement programs of measure, analysis, verification and control that allow to monitor management, resources, activities, processes and output/outcome of the same organization, including the satisfaction of the customers. Whatever the model used, it is demonstrated that the management-quality system, either for professional quality or for organization, turns out to be effective even in the health organizations within and to any level of organizational-structural complexity. The present paper concerns the experience of the Italian Society of Cardiovascular Echography (SIEC) on quality certification, both as a scientific society compared to other health organizations and to cardiovascular echo laboratories, and the definition of minimum requirements for the accreditation of the same laboratories. The model most frequently used for quality management is represented by the ISO 9000: Vision 2000, that is a management model with specific reference to the organization and the customer satisfaction. The model applied to the health structure needs a rapid change in mentality that addresses the operators to define, share and achieve objectives to be brought on by means of an active collaboration, group activity and deep sense of belonging necessary to the attainment of expected objectives. When the model is applied by a scientific society, it is necessary to take into account the different structural and functional organization, the constitution and the operators differing on the point of view of origin, experiences, mentality, and roles. The ISO 9000: Vision 2000 model can be applied also to the cardiovascular echo laboratory which may be compared to a simple organization; for its corrected functioning, SIEC has defined minimal requirements for the accreditation, realization and modalities to carry out and manage quality. The quality system represents a new way of operating of an

  17. Quality of care for patients with non-communicable diseases in the Dedza District, Malawi

    PubMed Central

    Wood, Rachel; Der Merwe, Lisa Van; Mash, Robert

    2015-01-01

    Introduction In Malawi, non-communicable diseases (NCDs) are thought to cause 28% of deaths in adults. The aim of this study was to establish the extent of primary care morbidity related to NCDs, as well as to audit the quality of care, in the primary care setting of Dedza District, central Malawi. Methods This study was a baseline audit using clinic registers and a questionnaire survey of senior health workers at 5 clinics, focusing on care for hypertension, diabetes, asthma and epilepsy Results A total of 82 581 consultations were recorded, of which 2489 (3.0%) were for the selected NCDs. Only 5 out of 32 structural criteria were met at all 5 clinics and 9 out of 29 process criteria were never performed at any clinic. The only process criteria performed at all five clinics was measurement of blood pressure. The staff's knowledge on NCDs was basic and the main barriers to providing quality care were lack of medication and essential equipment, inadequate knowledge and guidelines, fee-for-service at two clinics, geographic inaccessibility and lack of confidence in the primary health care system by patients. Conclusion Primary care morbidity from NCDs is currently low, although other studies suggest a significant burden of disease. This most likely represents a lack of utilisation, recognition, diagnosis and ability to manage patients with NCDs. Quality of care is poor due to a lack of essential resources, guidelines, and training. PMID:26245609

  18. Association Between State Assistance on the Topic of Indoor Air Quality and School District-Level Policies That Promote Indoor Air Quality in Schools.

    PubMed

    Everett Jones, Sherry; Doroski, Brenda; Glick, Sherry

    2015-12-01

    Nationally representative data from the 2012 School Health Policies and Practices Study examined whether state assistance on indoor air quality (IAQ) was associated with district-level policies and practices related to IAQ and integrated pest management (IPM). Districts in states that provided assistance on IAQ were more likely than districts not in such states to (1) have an IAQ management program (p < .001); (2) require schools to conduct periodic inspections of the heating, ventilation, and air conditioning system (p < .05); of the building for cracks, leaks, or past water damage (p < .01); for mold (p < .01); for clutter that prevents effective cleaning and maintenance (p < .05); of the plumbing system (p < .01); and for condensation in and around school facilities (p < .001); (3) have an engine idling reduction program ( < .001); (4) have a policy to purchase low-emitting products (p < .05); and (5) require IPM strategies (p < .05). Increasing the number of states that provide IAQ-related assistance to school districts and schools may improve school IAQ. © The Author(s) 2015.

  19. Waste Management Quality Assurance Plan

    SciTech Connect

    Waste Management Group

    2006-08-14

    The WMG QAP is an integral part of a management system designed to ensure that WMG activities are planned, performed, documented, and verified in a manner that assures a quality product. A quality product is one that meets all waste acceptance criteria, conforms to all permit and regulatory requirements, and is accepted at the offsite treatment, storage, and disposal facility. In addition to internal processes, this QA Plan identifies WMG processes providing oversight and assurance to line management that waste is managed according to all federal, state, and local requirements for waste generator areas. A variety of quality assurance activities are integral to managing waste. These QA functions have been identified in the relevant procedures and in subsequent sections of this plan. The WMG QAP defines the requirements of the WMG quality assurance program. These requirements are derived from Department of Energy (DOE) Order 414.1C, Quality Assurance, Contractor Requirements Document, the LBNL Operating and Assurance Program Plan (OAP), and other applicable environmental compliance documents. The QAP and all associated WMG policies and procedures are periodically reviewed and revised, as necessary, to implement corrective actions, and to reflect changes that have occurred in regulations, requirements, or practices as a result of feedback on work performed or lessons learned from other organizations. The provisions of this QAP and its implementing documents apply to quality-affecting activities performed by the WMG; WMG personnel, contractors, and vendors; and personnel from other associated LBNL organizations, except where such contractors, vendors, or organizations are governed by their own WMG-approved QA programs.

  20. Does No Child Left Behind Really Capture School Quality? Evidence from an Urban School District

    ERIC Educational Resources Information Center

    Price, Heather E.

    2010-01-01

    Before revising the No Child Left Behind (NCLB) legislation under the new administration, policy makers need to be informed as to whether or not the NCLB labeling formula adequately distinguishes good-quality schools from poor-quality schools. This study tests this question, using rich descriptive data for Milwaukee's urban school district (MPS).…

  1. 76 FR 20237 - Approval and Promulgation of Air Quality Implementation Plans; District of Columbia; Section 110...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-12

    ... Department of the Environment, Air Quality Division, 51 N Street, NE., Fifth Floor, Washington, DC 20002. FOR... CFR part 52 Environmental protection, Air pollution control, Incorporation by reference, Nitrogen... AGENCY 40 CFR Part 52 Approval and Promulgation of Air Quality Implementation Plans; District of...

  2. Does No Child Left Behind Really Capture School Quality? Evidence from an Urban School District

    ERIC Educational Resources Information Center

    Price, Heather E.

    2010-01-01

    Before revising the No Child Left Behind (NCLB) legislation under the new administration, policy makers need to be informed as to whether or not the NCLB labeling formula adequately distinguishes good-quality schools from poor-quality schools. This study tests this question, using rich descriptive data for Milwaukee's urban school district (MPS).…

  3. 77 FR 22676 - Revisions to the Arizona State Implementation Plan, Pinal County Air Quality Control District

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-17

    ... AGENCY 40 CFR Part 52 Revisions to the Arizona State Implementation Plan, Pinal County Air Quality Control District AGENCY: Environmental Protection Agency (EPA). ACTION: Final rule. SUMMARY: EPA is finalizing a limited approval and limited disapproval of a revision to the Pinal County Air Quality Control...

  4. 78 FR 3879 - Ochoco National Forest, Paulina Ranger District; Oregon; Fox Canyon Cluster Allotment Management...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-17

    ... Forest Service Ochoco National Forest, Paulina Ranger District; Oregon; Fox Canyon Cluster Allotment... Ranger District. The Fox Canyon Cluster project area is located approximately 35 miles east of Prineville... within the Big Summit Cluster Allotment Management Plans Final Environmental Impact Statement (Record...

  5. Achieving Coherence in District Improvement: Managing the Relationship between the Central Office and Schools

    ERIC Educational Resources Information Center

    Johnson, Susan Moore; Marietta, Geoff; Higgins, Monica C.; Mapp, Karen L.; Grossman, Allen

    2015-01-01

    "Achieving Coherence in District Improvement" focuses on a problem of practice faced by educational leaders across the nation: how to effectively manage the relationship between the central office and schools. The book is based on a study of five large urban districts that have demonstrated improvement in student achievement. The…

  6. Managing Technology Resourcefully: Part II--Working with Your District's Technology

    ERIC Educational Resources Information Center

    Weeks, Richard

    2009-01-01

    A large school district may have a technology department staffed by a chief technology officer who supervises two or more directors of operations, project managers, and technicians. On the other hand, a small district may employ an information technologist who works with technicians, consultants, volunteers with a knack for technology, and…

  7. Achieving Coherence in District Improvement: Managing the Relationship between the Central Office and Schools

    ERIC Educational Resources Information Center

    Johnson, Susan Moore; Marietta, Geoff; Higgins, Monica C.; Mapp, Karen L.; Grossman, Allen

    2015-01-01

    "Achieving Coherence in District Improvement" focuses on a problem of practice faced by educational leaders across the nation: how to effectively manage the relationship between the central office and schools. The book is based on a study of five large urban districts that have demonstrated improvement in student achievement. The…

  8. Administration of the School District Risk Management Program. School Business Administration Publication No. 1.

    ERIC Educational Resources Information Center

    California Association of School Business Officials, Sacramento.

    This publication is designed to provide school district administrators and boards of education with information they can use in developing, administering, and evaluating their district's risk management needs. In particular, it is meant to help school officials 1) identify local insurance needs consistent with California's statutory requirements,…

  9. Seeking Accountability through State-Appointed Emergency District Management. Working Paper #28

    ERIC Educational Resources Information Center

    Arsen, David; Mason, Mary L.

    2012-01-01

    Michigan's Local Government and School District Accountability Act of 2011 empowers the governor to appoint emergency managers (EMs) in financially-troubled school districts. EMs assume all powers of the superintendent and school board. They can reshape academic programs, nullify labor contracts, and open and close schools. This paper analyzes the…

  10. Evaluation of capacity-building program of district health managers in India: a contextualized theoretical framework.

    PubMed

    Prashanth, N S; Marchal, Bruno; Kegels, Guy; Criel, Bart

    2014-01-01

    Performance of local health services managers at district level is crucial to ensure that health services are of good quality and cater to the health needs of the population in the area. In many low- and middle-income countries, health services managers are poorly equipped with public health management capacities needed for planning and managing their local health system. In the south Indian Tumkur district, a consortium of five non-governmental organizations partnered with the state government to organize a capacity-building program for health managers. The program consisted of a mix of periodic contact classes, mentoring and assignments and was spread over 30 months. In this paper, we develop a theoretical framework in the form of a refined program theory to understand how such a capacity-building program could bring about organizational change. A well-formulated program theory enables an understanding of how interventions could bring about improvements and an evaluation of the intervention. In the refined program theory of the intervention, we identified various factors at individual, institutional, and environmental levels that could interact with the hypothesized mechanisms of organizational change, such as staff's perceived self-efficacy and commitment to their organizations. Based on this program theory, we formulated context-mechanism-outcome configurations that can be used to evaluate the intervention and, more specifically, to understand what worked, for whom and under what conditions. We discuss the application of program theory development in conducting a realist evaluation. Realist evaluation embraces principles of systems thinking by providing a method for understanding how elements of the system interact with one another in producing a given outcome.

  11. Evaluation of Capacity-Building Program of District Health Managers in India: A Contextualized Theoretical Framework

    PubMed Central

    Prashanth, N. S.; Marchal, Bruno; Kegels, Guy; Criel, Bart

    2014-01-01

    Performance of local health services managers at district level is crucial to ensure that health services are of good quality and cater to the health needs of the population in the area. In many low- and middle-income countries, health services managers are poorly equipped with public health management capacities needed for planning and managing their local health system. In the south Indian Tumkur district, a consortium of five non-governmental organizations partnered with the state government to organize a capacity-building program for health managers. The program consisted of a mix of periodic contact classes, mentoring and assignments and was spread over 30 months. In this paper, we develop a theoretical framework in the form of a refined program theory to understand how such a capacity-building program could bring about organizational change. A well-formulated program theory enables an understanding of how interventions could bring about improvements and an evaluation of the intervention. In the refined program theory of the intervention, we identified various factors at individual, institutional, and environmental levels that could interact with the hypothesized mechanisms of organizational change, such as staff’s perceived self-efficacy and commitment to their organizations. Based on this program theory, we formulated context–mechanism–outcome configurations that can be used to evaluate the intervention and, more specifically, to understand what worked, for whom and under what conditions. We discuss the application of program theory development in conducting a realist evaluation. Realist evaluation embraces principles of systems thinking by providing a method for understanding how elements of the system interact with one another in producing a given outcome. PMID:25121081

  12. Municipal solid waste management in Lahore City District, Pakistan

    SciTech Connect

    Batool, Syeda Adila Muhammad Nawaz Ch

    2009-06-15

    This study deals with generation, composition, collection, transportation, and disposal, as well as the present cost of the waste management on the basis of 60% collection of the total waste and the cost of proposed improved system of management on the basis of 100% waste collection using the IWM-2 LCI model. A GIS map of Data Ganj Bakhsh Town (DGBT) of Lahore City District showing communal storage facilities is also provided. DGBT has a population of 1,624,169 living in 232,024 dwellings. The total waste generated per year is 500,000 tons, or 0.84/kg/cap/day. Presently 60% of the MSW is collected and disposed in open dumps, while 40% is not collected and lies along roadsides, streets railway lines, depressions, vacant plots, drains, storm drains and open sewers. In DGBT, 129 containers of 5-m{sup 3} capacity, 120 containers of 10-m{sup 3} capacity and 380 skips of 2.5-m{sup 3} capacity are placed for waste collection. The overall collection and disposal cost of the MSW of DGBT is $3,177,900/yr, which is $10.29/ton. Modeling was conducted using the IWM-2 model for improved collection and disposal on the basis of 100% service, compared to the current 60% service. The modelled cost is $8.3/per ton, which is 20% less than the present cost, but the overall cost of 100% collection and disposal increases to $4,155,737/yr.

  13. Waste Management Quality Assurance Plan

    SciTech Connect

    Not Available

    1993-11-30

    Lawrence Berkeley Laboratory`s Environment Department addresses its responsibilities through activities in a variety of areas. The need for a comprehensive management control system for these activities has been identified by the Department of Energy (DOE). The WM QA (Waste Management Quality Assurance) Plan is an integral part of a management system that provides controls necessary to ensure that the department`s activities are planned, performed, documented, and verified. This WM QA Plan defines the requirements of the WM QA program. These requirements are derived from DOE Order 5700.6C, Quality Assurance, the LBL Operating and Assurance Program Plan (OAP, LBL PUB-3111), and other environmental compliance documents applicable to WM activities. The requirements presented herein, as well as the procedures and methodologies that direct the implementation of these requirements, will undergo review and revisions as necessary. The provisions of this QA Plan and its implementing documents apply to quality-affecting activities performed by and for WM. It is also applicable to WM contractors, vendors, and other LBL organizations associated with WM activities, except where such contractors, vendors, or organizations are governed by their own WM-approved QA programs. References used in the preparation of this document are (1) ASME NQA-1-1989, (2) ANSI/ASQC E4 (Draft), (3) Waste Management Quality Assurance Implementing Management Plan (LBL PUB-5352, Rev. 1), (4) LBL Operating and Assurance Program Plan (OAP), LBL PUB-3111, 2/3/93. A list of terms and definitions used throughout this document is included as Appendix A.

  14. Defense Depot Tracy Total Quality Management Plan

    DTIC Science & Technology

    1989-07-01

    PAGES TQM ( Total Quality Management ), Depot Operations, Continuous Process Improvement 16. PRICE CODE 17. SECURITY CLASSIFICATION 18. SECURITY...make up our pcrceptions of Total Quality Management . Our goal is to improve those proven management processes that have brought us success while being...MANIAGEMENT F. QUALITY AUDITS OF PRODUCTS AND OPERATIONS ASSETS MANAGEMENT 00 i .......... / ~899 29 03 1 EFENSE DEPOT TACY TOTAL QUALITY MANAGEMENT PLAN

  15. Total Quality Management in Education. Second Edition.

    ERIC Educational Resources Information Center

    Sallis, Edward

    Quality is at the top of most agendas, and improving quality is probably the most important task facing any institution. In addition, quality is difficult to define or measure. This book, the second edition of "Total Quality Management in Education," introduces the key concepts of Total Quality Management (TQM) and demonstrates how they…

  16. Total Quality Management in Education. Second Edition.

    ERIC Educational Resources Information Center

    Sallis, Edward

    Quality is at the top of most agendas, and improving quality is probably the most important task facing any institution. In addition, quality is difficult to define or measure. This book, the second edition of "Total Quality Management in Education," introduces the key concepts of Total Quality Management (TQM) and demonstrates how they…

  17. Auditing the Immunization Data Quality from Routine Reports in Shangyu District, East China

    PubMed Central

    Hu, Yu; Zhang, Xinpei; Li, Qian; Chen, Yaping

    2016-01-01

    Objective: To evaluate the immunization data quality in Shangyu District, East China. Methods: An audit for immunization data for the year 2014 was conducted in 20 vaccination clinics of Shangyu District. The consistency of immunization data was estimated by verification factors (VFs), which was the proportion of vaccine doses reported as being administered that could be verified by written documentation at vaccination clinics. The quality of monitoring systems was evaluated using the quality index (QI). Results: The VFs of 20 vaccine doses ranged from 0.94 to 1.04 at the district level. The VFs for the 20 vaccination clinics ranged from 0.57 to 1.07. The VFs for Shangyu District was 0.98. The mean of total QI score of the 20 vaccination clinics was 80.32%. A significant correlation between the VFs of the 3rd dose of the diphtheria–tetanus–pertussis combined vaccine (DTP) and QI scores was observed at the vaccination clinic level. Conclusions: Deficiencies in data consistency and immunization reporting practice in Shangyu District were observed. Targeted measures are suggested to improve the quality of the immunization reporting system in vaccination clinics with poor data consistency. PMID:27869729

  18. Auditing the Immunization Data Quality from Routine Reports in Shangyu District, East China.

    PubMed

    Hu, Yu; Zhang, Xinpei; Li, Qian; Chen, Yaping

    2016-11-18

    Objective: To evaluate the immunization data quality in Shangyu District, East China. Methods: An audit for immunization data for the year 2014 was conducted in 20 vaccination clinics of Shangyu District. The consistency of immunization data was estimated by verification factors (VFs), which was the proportion of vaccine doses reported as being administered that could be verified by written documentation at vaccination clinics. The quality of monitoring systems was evaluated using the quality index (QI). Results: The VFs of 20 vaccine doses ranged from 0.94 to 1.04 at the district level. The VFs for the 20 vaccination clinics ranged from 0.57 to 1.07. The VFs for Shangyu District was 0.98. The mean of total QI score of the 20 vaccination clinics was 80.32%. A significant correlation between the VFs of the 3rd dose of the diphtheria-tetanus-pertussis combined vaccine (DTP) and QI scores was observed at the vaccination clinic level. Conclusions: Deficiencies in data consistency and immunization reporting practice in Shangyu District were observed. Targeted measures are suggested to improve the quality of the immunization reporting system in vaccination clinics with poor data consistency.

  19. Strategic Plan for Sustainable Energy Management and Environmental Stewardship for Los Angeles Unified School District

    SciTech Connect

    Walker, A.; Beattie, D.; Thomas, K.; Davis, K.; Sim, M.; Jhaveri, A.

    2007-11-01

    This Strategic Plan for Sustainable Energy Management and Environmental Stewardship states goals, measures progress toward goals and how actions are monitored to achieve continuous improvement for the Los Angeles Unified School District.

  20. EPA Region 3 Quality Management Plans

    EPA Pesticide Factsheets

    Has links to resources that describe the Region's Quality Assurance Program, which is a collection of the Region's ongoing quality assurance (QA) policies, procedures, responsibilities and management systems.

  1. ISO 9000 Quality Management System

    NASA Astrophysics Data System (ADS)

    Hadjicostas, Evsevios

    The ISO 9000 series describes a quality management system applicable to any organization. In this chapter we present the requirements of the standard in a way that is as close as possible to the needs of analytical laboratories. The sequence of the requirements follows that in the ISO 9001:2008 standard. In addition, the guidelines for performance improvement set out in the ISO 9004 are reviewed. Both standards should be used as a reference as well as the basis for further elaboration.

  2. Training pharmacy workers in recognition, management, and prevention of STDs: district-randomized controlled trial.

    PubMed Central

    Garcia, Patricia; Hughes, James; Carcamo, Cesar; Holmes, King K.

    2003-01-01

    OBJECTIVES: To determine the effectiveness of an intervention for pharmacy workers in improving their recognition and management of sexually transmitted disease (STD) syndromes. METHODS: We randomly selected 14 districts (total population nearly 4 million) from the 24 districts of low socioeconomic status in Lima, Peru. We randomly assigned paired districts to receive training and support for management and prevention of STDs or a control intervention about management of diarrhoea. The STD intervention included interactive luncheon seminars on recognition and management of four STD syndromes (urethral discharge, vaginal discharge, genital ulcers, and pelvic inflammatory disease) and STD/HIV prevention counselling; monthly pharmacy visits by "prevention salespersons" who distributed materials that included "STD/HIV prevention packets" containing information, condoms, and cards given to patients for referral of their sex partners; and workshops for physicians on managing patients with STD syndromes referred from pharmacies. Standardized simulated patients visited pharmacies in intervention and control districts at one, three, and six months after training to assess outcomes. FINDINGS: Standardized simulated patients reported significantly better recognition and management (appropriate antimicrobial regimens provided for discharge syndromes and referral to specially trained physicians for genital ulcers or pelvic inflammatory disease) by pharmacy workers of all four STD syndromes. They also reported significantly more frequent recommendations for use of condoms and treatment of partners at pharmacies in intervention districts than in control districts (by "intention-to-train" analyses, P<0.05 for 47/48 primary outcome comparisons). CONCLUSION: Training was feasible and effectively improved pharmacy workers' practices. PMID:14758407

  3. School district wellness policy quality and weight-related outcomes among high school students in Minnesota

    PubMed Central

    Hoffman, Pamela K.; Davey, Cynthia S.; Larson, Nicole; Grannon, Katherine Y.; Hanson, Carlie; Nanney, Marilyn S.

    2016-01-01

    Weight-related outcomes were examined among high school students in Minnesota public school districts according to the quality of district wellness policies. Wellness policy strength and comprehensiveness were scored using the Wellness School Assessment Tool (WellSAT) for 325 Minnesota public school districts in 2013. The associations between WellSAT scores and district-level means of high school student responses to a statewide survey of health behaviors were examined in this ecologic study. WellSAT Total Strength and Total Comprehensiveness scores were positively associated with both student mean Body Mass Index (BMI) percentile (Strength: P = 0.018, Comprehensiveness: P = 0.031) and mean percent overweight or obese (Strength: P = 0.008, Comprehensiveness: P = 0.026), but only in districts with >50% of students eligible for Free or Reduced-Price Lunches (FRPLs), or ‘high FRPL districts’. WellSAT Physical Education and Physical Activity subscale scores were also positively associated with the mean days per week students engaged in physical activity for ≥ 60 min in high FRPL districts (Strength: P = 0.008, Comprehensiveness: P = 0.003) and in low FRPL districts (<35% eligible) for Strength score: (P = 0.027). In medium FRPL districts (35–50% eligible), Nutrition Education and Wellness Promotion Strength and Comprehensiveness subscale scores were positively associated with, respectively, daily servings of vegetables (P = 0.037) and fruit (P = 0.027); and WellSAT Total scores were positively associated with daily vegetable servings (Strength: P = 0.037, Comprehensiveness: P = 0.012). Administrators of economically disadvantaged school districts with a higher percentage of overweight students may be recognizing the need for stronger wellness policies and the specific importance of implementing policies pertaining to physical activity as a means to improve student health. PMID:26850060

  4. The performance of health laboratories and the quality of malaria diagnosis in six districts of Tanzania.

    PubMed

    Ishengoma, D R S; Derua, Y A; Rwegoshora, R T; Tenu, F; Massaga, J J; Mboera, L E G; Magesa, S M

    2010-03-01

    Early laboratory diagnosis is critical for the optimal management of human malaria, particularly following the introduction of relatively expensive, artemisinin-combination therapies (ACT). The performance of the laboratories and the quality of malaria diagnosis have recently been assessed in 36 healthcare facilities in six districts of Tanzania. Questionnaires, checklists and observations were used to collect information on the availability and functional status of equipment as well as on laboratory personnel and their performance in malaria diagnosis. Together, the surveyed facilities had 112 laboratory staff [almost half (41.1%) of whom were laboratory assistants] and 57 microscopes. Twenty-seven (75.0%) of the healthcare facilities included in the survey had only one functional microscope each. Only seven (12.3%) of the assessed microscopes had been serviced in the previous 2 years. Of the 38 microscopists who were assessed, 24 (63.2%) were re-using microscope slides, 29 (73.5%) were producing bloodsmears of low quality, and 30 (79.0%) were using Field's stain. Although the facility microscopists gave similar results to experienced research microscopists when reading bloodsmears prepared by the survey team, using high-quality reagents (kappa=0.769), they appeared far less competent when reading smears stained using the reagents from the study laboratories (kappa=0.265-0.489). The quality of malaria diagnosis at healthcare facilities in Tanzania, which is generally poor (largely because of inadequate supplies of consumables and the limited skills of laboratory staff in the preparation of bloodsmears), urgently needs to be improved if the utilization of ACT is to be sustainable.

  5. Total quality management in American industry.

    PubMed

    Widtfeldt, A K; Widtfeldt, J R

    1992-07-01

    The definition of total quality management is conformance to customer requirements and specifications, fitness for use, buyer satisfaction, and value at an affordable price. The three individuals who have developed the total quality management concepts in the United States are W.E. Deming, J.M. Juran, and Philip Crosby. The universal principles of total quality management are (a) a customer focus, (b) management commitment, (c) training, (d) process capability and control, and (e) measurement through quality improvement tools. Results from the National Demonstration Project on Quality Improvement in Health Care showed the principles of total quality management could be applied to healthcare.

  6. Are Schools Making the Grade? School Districts Nationwide Adopt Safer Pest Management Policies.

    ERIC Educational Resources Information Center

    Piper, Cortney; Owens, Kagan

    2002-01-01

    This report documents school districts that have adopted safer pest management policies, such as integrated pest management (IPM), in response to state requirements or as a voluntary measure that exceeds state law. It also documents the state of local school pest management policies and illustrates the opportunities that exist for better…

  7. 76 FR 13344 - Beaver Creek Landscape Management Project, Ashland Ranger District, Custer National Forest...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-11

    ... Forest Service Beaver Creek Landscape Management Project, Ashland Ranger District, Custer National Forest... Environmental Impact Statement for the Beaver Creek Landscape Management Project in the Federal Register (75 FR... Creek Landscape Management Project was published in the Federal Register on October 15, 2010 (75...

  8. Groundwater quality in Ghaziabad district, Uttar Pradesh, India: Multivariate and health risk assessment.

    PubMed

    Chabukdhara, Mayuri; Gupta, Sanjay Kumar; Kotecha, Yatharth; Nema, Arvind K

    2017-07-01

    This study aimed to assess the quality of groundwater and potential health risk due to ingestion of heavy metals in the peri-urban and urban-industrial clusters of Ghaziabad district, Uttar Pradesh, India. Furthermore, the study aimed to evaluate heavy metals sources and their pollution level using multivariate analysis and fuzzy comprehensive assessment (FCA), respectively. Multivariate analysis using principle component analysis (PCA) showed mixed origin for Pb, Cd, Zn, Fe, and Ni, natural source for Cu and Mn and anthropogenic source for Cr. Among all the metals, Pb, Cd, Fe and Ni were above the safe limits of Bureau of Indian Standards (BIS) and World Health Organization (WHO) except Ni. Health risk in terms of hazard quotient (HQ) showed that the HQ values for children were higher than the safe level (HQ = 1) for Pb (2.4) and Cd (2.1) in pre-monsoon while in post-monsoon the value exceeded only for Pb (HQ = 1.23). The health risks of heavy metals for the adults were well within safe limits. The finding of this study indicates potential health risks to the children due to chronic exposure to contaminated groundwater in the region. Based on FCA, groundwater pollution could be categorized as quite high in the peri-urban region, and absolutely high in the urban region of Ghaziabad district. This study showed that different approaches are required for the integrated assessment of the groundwater pollution, and provides a scientific basis for the strategic future planning and comprehensive management. Copyright © 2017 Elsevier Ltd. All rights reserved.

  9. 77 FR 12491 - Revisions to the California State Implementation Plan, Antelope Valley Air Quality Management...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-01

    ... AGENCY 40 CFR Part 52 Revisions to the California State Implementation Plan, Antelope Valley Air Quality... revisions to the Antelope Valley Air Quality Management District (AVAQMD) and San Joaquin Valley Unified Air..., 2011, the submittal for Antelope Valley AQMD and SJVUAPCD Negative Declarations submitted on June...

  10. 77 FR 12527 - Revisions to the California State Implementation Plan, Antelope Valley Air Quality Management...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-01

    ... From the Federal Register Online via the Government Publishing Office ENVIRONMENTAL PROTECTION AGENCY 40 CFR Part 52 Revisions to the California State Implementation Plan, Antelope Valley Air Quality... Antelope Valley Air Quality Management District (AVAQMD) and San Joaquin Valley Unified Air...

  11. 77 FR 26448 - Revisions to the California State Implementation Plan, Antelope Valley Air Quality Management...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-04

    ... AGENCY 40 CFR Part 52 Revisions to the California State Implementation Plan, Antelope Valley Air Quality... approve revisions to the Antelope Valley Air Quality Management District (AVAQMD), Eastern Kern Air... rules were developed as part of the local agency's program to control these pollutants. Antelope...

  12. 78 FR 21545 - Revisions to the California State Implementation Plan, Antelope Valley Air Quality Management...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-11

    ... AGENCY 40 CFR Part 52 Revisions to the California State Implementation Plan, Antelope Valley Air Quality... approve revisions to the Antelope Valley Air Quality Management District (AVAQMD) and Monterey Bay Unified... developed as part of the local agency's program to control these pollutants. Antelope Valley AQMD Rule...

  13. 76 FR 50891 - Revisions to the California State Implementation Plan, South Coast Air Quality Management...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-17

    ... AGENCY 40 CFR Part 52 Revisions to the California State Implementation Plan, South Coast Air Quality Management District (SCAQMD) AGENCY: Environmental Protection Agency (EPA). ACTION: Final rule. SUMMARY: EPA... sources, to achieve emissions reductions milestones, to attain and maintain ambient air quality...

  14. Community and District Empowerment for Scale-up (CODES): a complex district-level management intervention to improve child survival in Uganda: study protocol for a randomized controlled trial.

    PubMed

    Waiswa, Peter; O'Connell, Thomas; Bagenda, Danstan; Mullachery, Pricila; Mpanga, Flavia; Henriksson, Dorcus Kiwanuka; Katahoire, Anne Ruhweza; Ssegujja, Eric; Mbonye, Anthony K; Peterson, Stefan Swartling

    2016-03-11

    Innovative and sustainable strategies to strengthen districts and other sub-national health systems and management are urgently required to reduce child mortality. Although highly effective evidence-based and affordable child survival interventions are well-known, at the district level, lack of data, motivation, analytic and planning capacity often impedes prioritization and management weaknesses impede implementation. The Community and District Empowerment for Scale-up (CODES) project is a complex management intervention designed to test whether districts when empowered with data and management tools can prioritize and implement evidence-based child survival interventions equitably. The CODES strategy combines management, diagnostic, and evaluation tools to identify and analyze the causes of bottlenecks to implementation, build capacity of district management teams to implement context-specific solutions, and to foster community monitoring and social accountability to increase demand for services. CODES combines UNICEF tools designed to systematize priority setting, allocation of resources and problem solving with Community dialogues based on Citizen Report Cards and U-Reports used to engage and empower communities in monitoring health service provision and to demand for quality services. Implementation and all data collection will be by the districts teams or local Community-based Organizations who will be supported by two local implementing partners. The study will be evaluated as a cluster randomized trial with eight intervention and eight comparison districts over a period of 3 years. Evaluation will focus on differences in uptake of child survival interventions and will follow an intention-to-treat analysis. We will also document and analyze experiences in implementation including changes in management practices. By increasing the District Health Management Teams' capacity to prioritize and implement context-specific solutions, and empowering communities to

  15. Toward a System of Total Quality Management: Applying the Deming Approach to the Education Setting.

    ERIC Educational Resources Information Center

    McLeod, Willis B.; And Others

    1992-01-01

    Recently, the Petersburg (Virginia) Public Schools have moved away from a highly centralized organizational structure to a Total Quality Management system featuring shared decision making and school-based management practices. The district was guided by Deming's philosophy that all stakeholders should be involved in defining the level of products…

  16. Student Achievement in Privately Managed and District-Managed Schools in Philadelphia Since the State Takeover. Research Brief

    ERIC Educational Resources Information Center

    Gill, Brian; Zimmer, Ron; Christman, Jolley; Blanc, Suzanne

    2007-01-01

    Following a state takeover of the Philadelphia public schools in 2002, 45 schools were turned over to private managers, making Philadelphia the site of the nation's largest experiment in the private management of public schools. This study examines achievement effects in the privately managed schools, as well as in schools with district-led…

  17. A Primer for School Risk Management: Creating and Maintaining District and Site-Based Liability Prevention Programs.

    ERIC Educational Resources Information Center

    Dunklee, Dennis R.; Shoop, Robert J.

    This book offers guidelines for school district authorities in establishing or expanding the role of districtwide risk management and gives direction for the development of individual school-based risk-management programs. Part 1 relates fundamental constructs of risk management to school site-level and district-level management. Chapters address…

  18. A Primer for School Risk Management: Creating and Maintaining District and Site-Based Liability Prevention Programs.

    ERIC Educational Resources Information Center

    Dunklee, Dennis R.; Shoop, Robert J.

    This book offers guidelines for school district authorities in establishing or expanding the role of districtwide risk management and gives direction for the development of individual school-based risk-management programs. Part 1 relates fundamental constructs of risk management to school site-level and district-level management. Chapters address…

  19. Evaluation criteria for district health management information systems: lessons from the Ministry of Health, Kenya.

    PubMed

    Odhiambo-Otieno, George W

    2005-01-01

    There has been no comprehensive evaluation of the district health management information systems (DHMISs) since the establishment of these systems by the Ministry of Health (MoH), in Kenya. This is partly due to lack of defined criteria for evaluating the systems. The objective of this study is to design evaluation criteria for assessing the viability, sustainability and ultimate contribution of DHMIS in the management of the district health system (DHS) in Kenya. This descriptive cross-sectional study was undertaken in three DHSs in Kenya. Empirical evidence was collected through interviews, complemented by a comprehensive review of relevant literature, reports and operational manuals of various health information systems in Kenya. A set of evaluation criteria for DHMISs in Kenya was designed for each of the three phases of implementation: phase one-pre-implementation evaluation criteria (categorized as policy and objectives, technical feasibility, financial viability, political viability and administrative operability) to be applied at the design stage; phase two-concurrent (operational) implementation evaluation criteria to be applied during implementation of the new system; phase three-post-implementation evaluation criteria (classified as internal-quality of information; external-resources and managerial support; ultimate-systems impact) to be applied after operating the implemented system for at least 3 years. In designing a DHMIS model there is need to have built-in these three sets of evaluation criteria which should be used in a phased manner. Pre-implementation evaluation criteria should be used to evaluate the system's viability before more resources are committed to its implementation; concurrent (operational) implementation evaluation criteria should be used to ascertain the status of the on-going implementation with the view to either fine-tune or abandon it altogether before more resources are used on it; and post-implementation evaluation criteria

  20. Web applications for total quality management.

    PubMed

    Golaz, O; Hochstrasser, D

    1999-05-01

    Total quality management involves the consideration of many quality subjects as part of the management, such as quality processes, quality education, quality assurance, quality planning, quality results and quality document management. But crucial quality elements are also communication, data management and information sharing. Web applications and other associated computer communication applications such as E-mail and newsgroups, for example, offer to the laboratory environment the best tools to achieve proper communication and data management/sharing. These applications, enabling the set-up of Internet and Intranet sites, are used to share the information in the form of simple text pages or of completely interactive pages, which could comprise audio and video files, web page formulae and web data management applications. These applications are being associated to several applications and also being integrated into the laboratory information system (LIS).

  1. Strengthening district-based health reporting through the district health management information software system: the Ugandan experience

    PubMed Central

    2014-01-01

    Background Untimely, incomplete and inaccurate data are common challenges in planning, monitoring and evaluation of health sector performance, and health service delivery in many sub-Saharan African settings. We document Uganda’s experience in strengthening routine health data reporting through the roll-out of the District Health Management Information Software System version 2 (DHIS2). Methods DHIS2 was adopted at the national level in January 2011. The system was initially piloted in 4 districts, before it was rolled out to all the 112 districts by July 2012. As part of the roll-out process, 35 training workshops targeting 972 users were conducted throughout the country. Those trained included Records Assistants (168, 17.3%), District Health Officers (112, 11.5%), Health Management Information System Focal Persons (HMIS-FPs) (112, 11.5%), District Biostatisticians (107, 11%) and other health workers (473, 48.7%). To assess improvements in health reporting, we compared data on completeness and timeliness of outpatient and inpatient reporting for the period before (2011/12) and after (2012/13) the introduction of DHIS2. We reviewed data on the reporting of selected health service coverage indicators as a proxy for improved health reporting, and documented implementation challenges and lessons learned during the DHIS2 roll-out process. Results Completeness of outpatient reporting increased from 36.3% in 2011/12 to 85.3% in 2012/13 while timeliness of outpatient reporting increased from 22.4% to 77.6%. Similarly, completeness of inpatient reporting increased from 20.6% to 57.9% while timeliness of inpatient reporting increased from 22.5% to 75.6%. There was increased reporting on selected health coverage indicators (e.g. the reporting of one-year old children who were immunized with three doses of pentavelent vaccine increased from 57% in 2011/12 to 87% in 2012/13). Implementation challenges included limited access to computers and internet (34%), inadequate

  2. Total Quality Management (TQM), an Overview

    DTIC Science & Technology

    1991-09-01

    TYPE AND DATES COVERED ISeptember 1991 In-Hfouse 4. TITLE AND SUBTITLE 5 . FUNDING NUMBERS TOTAL QUALITY MANAGEMENT (TQM), AN OVERVIEW PE - 62702F PR...proposed a 14 step approach to quality : 1. Management commitment 2. Quality improvement team 3. Quality measurement (defect rates) 4. Cost of quality ...evaluation 5 . Quality awareness 6. Corrective action 7. Ad hoc committee for zero defects program 8. Supervisor training 9. Zero defects day 10. Goal

  3. Taking a Measure of Impact: 2 Colorado Districts Calibrate the Effects of High Quality Professional Learning

    ERIC Educational Resources Information Center

    Jacobson, Linda

    2016-01-01

    Snapshots of two Colorado districts in the Redesign PD Community of Practice: Denver Public Schools' professional learning partners help subject-matter experts and others provide educators with a high-quality learning experience. In Jefferson County, Learning Forward's Standards for Professional Learning guide educators to make teacher…

  4. 76 FR 58116 - Approval and Promulgation of Air Quality Implementation Plans; District of Columbia, Maryland...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-20

    ... available at the District of Columbia. Department of the Environment, Air Quality Division, 1200 1st Street, NE., 5th floor, Washington, DC 20002; the Maryland Department of the Environment, 1800 Washington... the Environment (DDOE), the Maryland Department of the Environment (MDE), and the Virginia...

  5. Race to the Top District Competition: The Data Quality Campaign's Comments on ED's Proposed Criteria

    ERIC Educational Resources Information Center

    Data Quality Campaign, 2012

    2012-01-01

    The Data Quality Campaign (DQC) submits these comments in response to the US Department of Education's (ED) draft requirements, priorities, selection criteria, and definitions for the Race to the Top District (RTT-D) competition. DQC applauds ED for including the following components of the proposal: (1) Data is acknowledged throughout the…

  6. Taking a Measure of Impact: 2 Colorado Districts Calibrate the Effects of High Quality Professional Learning

    ERIC Educational Resources Information Center

    Jacobson, Linda

    2016-01-01

    Snapshots of two Colorado districts in the Redesign PD Community of Practice: Denver Public Schools' professional learning partners help subject-matter experts and others provide educators with a high-quality learning experience. In Jefferson County, Learning Forward's Standards for Professional Learning guide educators to make teacher…

  7. 77 FR 44560 - Revisions to the Nevada State Implementation Plan, Washoe County Air Quality District

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-30

    ... AGENCY 40 CFR Part 52 Revisions to the Nevada State Implementation Plan, Washoe County Air Quality... approve revisions to the Washoe County District Board of Health (WCDBOH) portion of the Nevada State Implementation Plan (SIP) that EPA expects to be submitted by the Nevada Division of Environmental...

  8. Total quality management program planning

    SciTech Connect

    Thornton, P.T.; Spence, K.

    1994-05-01

    As government funding grows scarce, competition between the national laboratories is increasing dramatically. In this era of tougher competition, there is no for resistance to change. There must instead be a uniform commitment to improving the overall quality of our products (research and technology) and an increased focus on our customers` needs. There has been an ongoing effort to bring the principles of total quality management (TQM) to all Energy Systems employees to help them better prepare for future changes while responding to the pressures on federal budgets. The need exists for instituting a vigorous program of education and training to an understanding of the techniques needed to improve and initiate a change in organizational culture. The TQM facilitator is responsible for educating the work force on the benefits of self-managed work teams, designing a program of instruction for implementation, and thus getting TQM off the ground at the worker and first-line supervisory levels so that the benefits can flow back up. This program plan presents a conceptual model for TQM in the form of a hot air balloon. In this model, there are numerous factors which can individually and collectively impede the progress of TQM within the division and the Laboratory. When these factors are addressed and corrected, the benefits of TQM become more visible. As this occurs, it is hoped that workers and management alike will grasp the ``total quality`` concept as an acceptable agent for change and continual improvement. TQM can then rise to the occasion and take its rightful place as an integral and valid step in the Laboratory`s formula for survival.

  9. Industrial Quality Standards and Total Quality Management in Higher Education.

    ERIC Educational Resources Information Center

    Tannock, James D. T.

    1991-01-01

    Examines practical applications for the suitability of two different approaches to quality management within engineering education. One utilizes quality systems standards as typified by a specific industrial process that ensures an effective production system. The other applies the notion of total quality management emphasizing a process of…

  10. Industrial Quality Standards and Total Quality Management in Higher Education.

    ERIC Educational Resources Information Center

    Tannock, James D. T.

    1991-01-01

    Examines practical applications for the suitability of two different approaches to quality management within engineering education. One utilizes quality systems standards as typified by a specific industrial process that ensures an effective production system. The other applies the notion of total quality management emphasizing a process of…

  11. Monitoring of water quality of selected wells in Brno district

    NASA Astrophysics Data System (ADS)

    Marková, Jana; Harbuľáková, Vlasta Ondrejka

    2016-06-01

    The article deals with two wells in the country of Brno-district (Brčálka well and Well Olšová). The aim of work was monitoring of elementary parameters of water at regular monthly intervals to measure: water temperature, pH values, solubility oxygen and spring yield. According to the client's requirements (Lesy města Brno) laboratory analyzes of selected parameters were done twice a year and their results were compared with Ministry of Health Decree no. 252/2004 Coll.. These parameters: nitrate, chemical oxygen demand (COD), calcium and magnesium and its values are presented in graphs, for ammonium ions and nitrite in the table. Graphical interpretation of spring yields dependence on the monthly total rainfall and dependence of water temperature on ambient temperature was utilized. The most important features of wells include a water source, a landmark in the landscape, aesthetic element or resting and relaxing place. Maintaining wells is important in terms of future generations.

  12. Quality management in a staff model HMO.

    PubMed

    Perry, B C; Kirz, H L

    1989-01-01

    Group Health Cooperative of Puget Sound is gradually developing a quality management approach to the delivery of health care. Derived from the strong commitment of its medical staff and operations management to providing optimal health care and building on the best aspects of traditional quality assurance, the quality management approach provides a realistic program that makes a meaningful difference to the quality of patient care. This paper describes the various components of the evolving approach including physician performance management, departmental activities, multidiciplinary review, and the activities of the centralized office of quality of care assessment and regional quality action committees.

  13. The path dependence of district manager decision-space in Ghana

    PubMed Central

    Kwamie, Aku; van Dijk, Han; Ansah, Evelyn K; Agyepong, Irene Akua

    2016-01-01

    The district health system in Ghana today is characterized by high resource-uncertainty and narrow decision-space. This article builds a theory-driven historical case study to describe the influence of path-dependent administrative, fiscal and political decentralization processes on development of the district health system and district manager decision-space. Methods included a non-exhaustive literature review of democratic governance in Ghana, and key informant interviews with high-level health system officials integral to the development of the district health system. Through our analysis we identified four periods of district health system progression: (1) development of the district health system (1970–85); (2) Strengthening District Health Systems Initiative (1986–93); (3) health sector reform planning and creation of the Ghana Health Service (1994–96) and (4) health sector reform implementation (1997–2007). It was observed that district manager decision-space steadily widened during periods (1) and (2), due to increases in managerial profile, and concerted efforts at managerial capacity strengthening. Periods (3) and (4) saw initial augmentation of district health system financing, further widening managerial decision-space. However, the latter half of period 4 witnessed district manager decision-space contraction. Formalization of Ghana Health Service structures influenced by self-reinforcing tendencies towards centralized decision-making, national and donor shifts in health sector financing, and changes in key policy actors all worked to the detriment of the district health system, reversing early gains from bottom-up development of the district health system. Policy feedback mechanisms have been influenced by historical and contemporary sequencing of local government and health sector decentralization. An initial act of administrative decentralization, followed by incomplete political and fiscal decentralization has ensured that the balance of

  14. The path dependence of district manager decision-space in Ghana.

    PubMed

    Kwamie, Aku; van Dijk, Han; Ansah, Evelyn K; Agyepong, Irene Akua

    2016-04-01

    The district health system in Ghana today is characterized by high resource-uncertainty and narrow decision-space. This article builds a theory-driven historical case study to describe the influence of path-dependent administrative, fiscal and political decentralization processes on development of the district health system and district manager decision-space. Methods included a non-exhaustive literature review of democratic governance in Ghana, and key informant interviews with high-level health system officials integral to the development of the district health system. Through our analysis we identified four periods of district health system progression: (1) development of the district health system (1970-85); (2) Strengthening District Health Systems Initiative (1986-93); (3) health sector reform planning and creation of the Ghana Health Service (1994-96) and (4) health sector reform implementation (1997-2007). It was observed that district manager decision-space steadily widened during periods (1) and (2), due to increases in managerial profile, and concerted efforts at managerial capacity strengthening. Periods (3) and (4) saw initial augmentation of district health system financing, further widening managerial decision-space. However, the latter half of period 4 witnessed district manager decision-space contraction. Formalization of Ghana Health Service structures influenced by self-reinforcing tendencies towards centralized decision-making, national and donor shifts in health sector financing, and changes in key policy actors all worked to the detriment of the district health system, reversing early gains from bottom-up development of the district health system. Policy feedback mechanisms have been influenced by historical and contemporary sequencing of local government and health sector decentralization. An initial act of administrative decentralization, followed by incomplete political and fiscal decentralization has ensured that the balance of power has

  15. [Relationship between perceived emotional intelligence and professional quality of life with the achievement of occupational objectives in the costa del sol primary health care district].

    PubMed

    Macías Fernández, Antonio José; Gutiérrez-Castañeda, Carlos; Carmona González, Francisco Jesús; Crespillo Vílchez, Daniel

    2016-05-01

    To examine the relationship between "Quality of Professional Life" and "Perceived Emotional Intelligence" and the relationship of both of these with the level of achievement of occupational objectives in the Costa del Sol Primary Health Care District. Multicentre descriptive cross-sectional observational study. The Costa del Sol Primary Health Care District in the province of Málaga. Sample of Employees of all categories in fixed and contracted employment in the Management Units of the Costa del Sol District. (N=303). Respondents 247 (81.5%) The data collected was that of the percentage of achievement of objectives in 2010 and the socio-demographic data of the participants, using ad hoc designed self-report questionnaires. The TMMS -24 questionnaire was used to measure the "Perceived Emotional Intelligence", with the following dimensions: Perception, comprehension, and emotional control, and the CVP-35 measuring: management support, work demands, and intrinsic motivation. Significant correlationas were observed between Quality of Professional Life and Emotional Intelligence in the Regulation (p<.01) and Comprehension categories (p<0.05). There were also significant correlations between the profession and the type of contract in the achievement of objectives (p<.005), and quality of professional life and type of contract (p<.05). The perceived quality of professional life is related to perception and regulation dimensions of Emotional Intelligence. Knowledge of emotion management methods should be promoted by management organisations for all employees. Copyright © 2015 Elsevier España, S.L.U. All rights reserved.

  16. Risk Management: Supporting the District's Ancillary Services Staff

    ERIC Educational Resources Information Center

    Waldmann, Steve; Strasburger, Tom

    2013-01-01

    The everyday operations of a school district depend on a network of people, including students, teachers, staff, and administrators. However, the ancillary services staff are really responsible for making the school day run smoothly. They are often the first employees that students see in the morning, either on the school bus or in the cafeteria,…

  17. Risk Management: Supporting the District's Ancillary Services Staff

    ERIC Educational Resources Information Center

    Waldmann, Steve; Strasburger, Tom

    2013-01-01

    The everyday operations of a school district depend on a network of people, including students, teachers, staff, and administrators. However, the ancillary services staff are really responsible for making the school day run smoothly. They are often the first employees that students see in the morning, either on the school bus or in the cafeteria,…

  18. Managing School Districts in a Decade of Decline.

    ERIC Educational Resources Information Center

    Hathaway, Walter E.

    Due to enrollment decline, reductions in federal support, and declining state support because of a constricted economy, growing inflation, expanding government and legal requirements, and the loss of public confidence in education, the Portland School District (Oregon) developed a short-term contingency budget planning process in fiscal 1980-81 to…

  19. Crisis Management: A School District Response to Suicide.

    ERIC Educational Resources Information Center

    Harris, Morag B. Colvin

    This manual outlines crisis policy development, specifically targeting students at risk for life threatening behaviors. Its stated intent is to present a consistent message to all school districts so that they can create adequate and prudent standards for the care of their young people. The materials in this manual are intended to help school…

  20. Clinton County School District "Learning Management System" Dropout Prevention Program.

    ERIC Educational Resources Information Center

    Thomas, Rudy

    To provide potential dropouts with increased opportunities for academic and social success and ensure school and community involvement, the Clinton County School District (Kentucky) has developed a comprehensive dropout prevention program emphasizing the assessment of student needs. This paper describes the program's purpose, target groups,…

  1. Improving paediatric and neonatal care in rural district hospitals in the highlands of Papua New Guinea: a quality improvement approach

    PubMed Central

    Sa’avu, Martin; Duke, Trevor; Matai, Sens

    2014-01-01

    Background In developing countries such as Papua New Guinea (PNG), district hospitals play a vital role in clinical care, training health-care workers, implementing immunization and other public health programmes and providing necessary data on disease burdens and outcomes. Pneumonia and neonatal conditions are a major cause of child admission and death in hospitals throughout PNG. Oxygen therapy is an essential component of the management of pneumonia and neonatal conditions, but facilities for oxygen and care of the sick newborn are often inadequate, especially in district hospitals. Improving this area may be a vehicle for improving overall quality of care. Method A qualitative study of five rural district hospitals in the highlands provinces of Papua New Guinea was undertaken. A structured survey instrument was used by a paediatrician and a biomedical technician to assess the quality of paediatric care, the case-mix and outcomes, resources for delivery of good-quality care for children with pneumonia and neonatal illnesses, existing oxygen systems and equipment, drugs and consumables, infection-control facilities and the reliability of the electricity supply to each hospital. A floor plan was drawn up for the installation of the oxygen concentrators and a plan for improving care of sick neonates, and a process of addressing other priorities was begun. Results In remote parts of PNG, many district hospitals are run by under-resourced non-government organizations. Most hospitals had general wards in which both adults and children were managed together. Paediatric case-loads ranged between 232 and 840 patients per year with overall case-fatality rates (CFR) of 3–6% and up to 15% among sick neonates. Pneumonia accounts for 28–37% of admissions with a CFR of up to 8%. There were no supervisory visits by paediatricians, and little or no continuing professional development of staff. Essential drugs were mostly available, but basic equipment for the care of sick

  2. Improving paediatric and neonatal care in rural district hospitals in the highlands of Papua New Guinea: a quality improvement approach.

    PubMed

    Sa'avu, Martin; Duke, Trevor; Matai, Sens

    2014-05-01

    In developing countries such as Papua New Guinea (PNG), district hospitals play a vital role in clinical care, training health-care workers, implementing immunization and other public health programmes and providing necessary data on disease burdens and outcomes. Pneumonia and neonatal conditions are a major cause of child admission and death in hospitals throughout PNG. Oxygen therapy is an essential component of the management of pneumonia and neonatal conditions, but facilities for oxygen and care of the sick newborn are often inadequate, especially in district hospitals. Improving this area may be a vehicle for improving overall quality of care. A qualitative study of five rural district hospitals in the highlands provinces of Papua New Guinea was undertaken. A structured survey instrument was used by a paediatrician and a biomedical technician to assess the quality of paediatric care, the case-mix and outcomes, resources for delivery of good-quality care for children with pneumonia and neonatal illnesses, existing oxygen systems and equipment, drugs and consumables, infection-control facilities and the reliability of the electricity supply to each hospital. A floor plan was drawn up for the installation of the oxygen concentrators and a plan for improving care of sick neonates, and a process of addressing other priorities was begun. In remote parts of PNG, many district hospitals are run by under-resourced non-government organizations. Most hospitals had general wards in which both adults and children were managed together. Paediatric case-loads ranged between 232 and 840 patients per year with overall case-fatality rates (CFR) of 3-6% and up to 15% among sick neonates. Pneumonia accounts for 28-37% of admissions with a CFR of up to 8%. There were no supervisory visits by paediatricians, and little or no continuing professional development of staff. Essential drugs were mostly available, but basic equipment for the care of sick neonates was often absent or

  3. Total Quality Management, DLA Finance Center

    DTIC Science & Technology

    1989-07-01

    ton. DC 20503. DATE 3. REPORT TYPE AND DATES COVERED SJuly 1989 4. TITLE AND SUBTIT’LE 5. FUNDING NUMBERS Total Quality Management , DLA Finance Center 6...1989 ~ D 14. SUBJECT TERMS 15. NUMBER OF PAGES TQM ( Total Quality Management ), Continuous Process Improvement. ., I Management 16. PRICE CODE 17...CONCEPTS TQM BASICS Total Quality Management (TQM) is a concept which is based on the work of a variety of people in a variety of fields. It includes

  4. [The application of total quality management (TQM) in quality management of radiation therapy].

    PubMed

    Jiang, Rui-yao; Fu, Shen; Li, Bin

    2009-03-01

    The strategies and methods of the total quality management (TQM) need to applied in quality management of radiation therapy. We should improve the level of quality control and quality assurance in radiation therapy. By establishing quality control system in radiation therapy, standardization of radiation therapy workflow, strengthening quality control of devices and physical technique and paying attention to safety protection and staff training.

  5. National Implications for Urban School Systems: Strategic Planning in the Human Resource Management Department in a Large Urban School District

    ERIC Educational Resources Information Center

    Johnson, Clarence; Kritsonis, William Allan

    2007-01-01

    This article addresses several key ongoing issues in a large urban school district. Literature focuses on what make a large urban school district effective in Human Resource Management. The effectiveness is addressed through recruitment and retention practices. A comparison of the school district with current research is the main approach to the…

  6. Becoming a Learning Organization: The Espoused Values of Police Managers from Two Norwegian Districts

    ERIC Educational Resources Information Center

    Filstad, Cathrine; Gottschalk, Petter

    2011-01-01

    Purpose: The aim of this paper is to investigate the extent to which espoused values among police managers in the Norwegian police force are compatible with those of a learning organization. Design/methodology/approach: A questionnaire was developed and administered to police managers in two police districts in Norway. A set of values was…

  7. An Exploration of Supply Chain Management Practices in the Central District Municipality

    ERIC Educational Resources Information Center

    Ambe, I. M.

    2009-01-01

    The main objective of the paper is to explore supply chain management practices in the Central District Municipality, North West province of South Africa, using the grounded theory methodology. Supply chain management was introduced in the South African public sector to alleviate deficiencies related to governance, interpretation and…

  8. Becoming a Learning Organization: The Espoused Values of Police Managers from Two Norwegian Districts

    ERIC Educational Resources Information Center

    Filstad, Cathrine; Gottschalk, Petter

    2011-01-01

    Purpose: The aim of this paper is to investigate the extent to which espoused values among police managers in the Norwegian police force are compatible with those of a learning organization. Design/methodology/approach: A questionnaire was developed and administered to police managers in two police districts in Norway. A set of values was…

  9. How District Leaders Use Knowledge Management to Influence Principals' Instructional Leadership

    ERIC Educational Resources Information Center

    McGloughlin, Denise Marie

    2016-01-01

    The study of knowledge management, an integrated system of an organization's culture, conditions, and structure, as applied to educational institutions is limited. It was not known how district leaders use knowledge management to influence principals' instructional leadership performance. The purpose of this qualitative single-case study was to…

  10. Rethinking Knowledge Management: Strategies for Enhancing District-Level Teacher and Leader Tacit Knowledge Sharing

    ERIC Educational Resources Information Center

    Edge, Karen

    2013-01-01

    Grounded within knowledge management (KM) theory and conceptions of tacit and explicit knowledge, this article draws on historical evidence from the Early Years Literacy Project (EYLP), a four-year instructional renewal strategy implemented across 100 schools in a large Canadian school district. The EYLP management approach included a series of…

  11. How District Leaders Use Knowledge Management to Influence Principals' Instructional Leadership

    ERIC Educational Resources Information Center

    McGloughlin, Denise Marie

    2016-01-01

    The study of knowledge management, an integrated system of an organization's culture, conditions, and structure, as applied to educational institutions is limited. It was not known how district leaders use knowledge management to influence principals' instructional leadership performance. The purpose of this qualitative single-case study was to…

  12. An Exploration of Supply Chain Management Practices in the Central District Municipality

    ERIC Educational Resources Information Center

    Ambe, I. M.

    2009-01-01

    The main objective of the paper is to explore supply chain management practices in the Central District Municipality, North West province of South Africa, using the grounded theory methodology. Supply chain management was introduced in the South African public sector to alleviate deficiencies related to governance, interpretation and…

  13. Rethinking Knowledge Management: Strategies for Enhancing District-Level Teacher and Leader Tacit Knowledge Sharing

    ERIC Educational Resources Information Center

    Edge, Karen

    2013-01-01

    Grounded within knowledge management (KM) theory and conceptions of tacit and explicit knowledge, this article draws on historical evidence from the Early Years Literacy Project (EYLP), a four-year instructional renewal strategy implemented across 100 schools in a large Canadian school district. The EYLP management approach included a series of…

  14. The Meetings Management in the Secondary Schools in Ramtha District, from the Teachers Point of View

    ERIC Educational Resources Information Center

    Abu-Shreah, Mohammad; Al-Sharif, Milad

    2017-01-01

    The study aimed to identify the reality of meetings management in secondary schools in Ramtha District, from the teachers' point of view, and to reveal the impact of each of (sex, educational qualification, experience) on the reality of the teachers' meetings management assessments, in the secondary schools.The two researchers, in order to achieve…

  15. Planning-Programming-Budgeting Concepts Applied to Public School District Financial Management.

    ERIC Educational Resources Information Center

    Jordon, Leland G.; Weaver, James L.

    The rising cost of public education and the resulting pressures for higher local property tax rates have caused the financial management of public schools to come under increased scrutiny. This study applies planning programing budgeting systems (PPBS) to school district financial management. A program structure is described that relates all…

  16. Total Quality Management Implementation Plan for Military Personnel Management

    DTIC Science & Technology

    1989-09-01

    2050.. )ATE 3. REPORT TYPE AND DATES CO VERED 4. TITLE AND SUBTITLE 5,rrmir18 . FUNDING NUMBERS Total Quality Management Implementation Plan for...SUBJECT TERMS 15. NUMBER OF PAGES TQM ( Total Quality Management ), Military Personnel Management, Continuous Process Improvement 16. PRICE CODE 17. SECURITY...UNCLASSIFIED UNCLASSIFIED UL NSN 7540-01-280-5500 Standard Form 298 (Rev. 2-89) Prescribed by ANSI Std Z39-16 296-102 TOTAL QUALITY MANAGEMENT I

  17. 77 FR 2755 - Call for Nominations for the Bureau of Land Management's California Desert District Advisory Council

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-19

    ... Bureau of Land Management Call for Nominations for the Bureau of Land Management's California Desert... of Land Management's (BLM) California Desert District is soliciting nominations from the public for six members of its California Desert District Advisory Council (Council) to serve 3- year...

  18. Supplement Analysis for the Transmission System Vegetation Management Program FEIS (DOE/EIS-0285/SA-96) - Snohomish District Substations

    SciTech Connect

    Hermeston, Mark W.

    2002-07-19

    Proposed Action: Vegetation Management for facilities located in the Snohomish District. BPA proposes total vegetation management (bareground) in the electrical substations, and, noxious weed management and maintenance of landscaping within the property boundaries of the listed facilities. These facilities are all located within the Snohomish District of the Snohomish Region.

  19. Hydrology and Ground-Water Quality in the Mine Workings within the Picher Mining District, Northeastern Oklahoma, 2002-03

    USGS Publications Warehouse

    DeHay, Kelli L.; Andrews, William J.; Sughru, Michael P.

    2004-01-01

    The Picher mining district of northeastern Ottawa County, Oklahoma, was a major site of mining for lead and zinc ores in the first half of the 20th century. The primary source of lead and zinc were sulfide minerals disseminated in the cherty limestones and dolomites of the Boone Formation of Mississippian age, which comprises the Boone aquifer. Ground water in the aquifer and seeping to surface water in the district has been contaminated by sulfate, iron, lead, zinc, and several other metals. The U.S. Geological Survey, in cooperation with the Oklahoma Department of Environmental Quality, investigated hydrology and ground-water quality in the mine workings in the mining district, as part of the process to aid water managers and planners in designing remediation measures that may restore the environmental quality of the district to pre-mining conditions. Most ground-water levels underlying the mining district had similar altitudes, indicating a large degree of hydraulic connection in the mine workings and overlying aquifer materials. Recharge-age dates derived from concentrations of chlorofluorocarbons and other dissolved gases indicated that water in the Boone aquifer may flow slowly from the northeast and southeast portions of the mining district. However, recharge-age dates may have been affected by the types of sites sampled, with more recent recharge-age dates being associated with mine-shafts, which are more prone to atmospheric interactions and surface runoff than the sampled airshafts. Water levels in streams upstream from the confluence of Tar and Lytle Creeks were several feet higher than those in adjacent portions of the Boone aquifer, perhaps due to low-permeability streambed sediments and indicating the streams may be losing water to the aquifer in this area. From just upstream to downstream from the confluence of Tar and Lytle Creeks, surface-water elevations in these streams were less than those in the surrounding Boone aquifer, indicating that

  20. Managers and the new definition of quality.

    PubMed

    Chilgren, Allison A

    2008-01-01

    The manager, particularly the mid-level manager, has a vital role in the success of any healthcare organization, especially in the realm of patient perception of quality. To patients, "quality" means how well a service was delivered, not how technically superior the actual service or clinical component turned out. This definition of quality can also be referred to as patient satisfaction. Managers, with help of an integrative team, can develop quality processes geared toward patient expectations by doing a number of things, including the following: clearly identify outcomes, and empower employees to achieve those goals; form an integrated quality development team to establish quality metrics; build in cultural competence into quality processes; and align the organization's mission to the overall quality program. With a successful quality program, managers can expect a considerable return on investment, satisfied patients and staff, and improved clinical outcomes.

  1. Total Quality Management: Institutional Research Applications.

    ERIC Educational Resources Information Center

    Heverly, Mary Ann

    Total Quality Management (TQM), a technique traditionally reserved for the manufacturing sector, has recently spread to service companies, government agencies, and educational institutions. TQM places responsibility for quality problems with management rather than on the workers. A principal concept of TQM is the management of Process Variation,…

  2. Hydrogeochemistry and groundwater quality assessment along Wadi Al Showat, Khamis Mushiet District, Southwest Saudi Arabia

    NASA Astrophysics Data System (ADS)

    Alhumidan, S. M.; Alfaifi, H. J.; Ibrahim, E. K. E.; Abdel Rahman, K.

    2015-12-01

    In the present study, the hydrochemistry and geologic characteristics of the shallow groundwater aquifer along Wadi Al Showat, Khamis Mushiet District, Southwest Saudi Arabia was evaluated and assessed. Along this wadi the fractured/weathered basement rocks house significant quantity of groundwater that usually used by local people for agricultural and domestic purposes. Assessing and evaluation of the quality of the groundwater in such shallow aquifers is very important; especially the groundwater is generally occurred within the fractured basement rocks at shallow depths, thus exposing the groundwater to surface or near-surface contaminants is expected. For this purpose hydrochemical and biological analysis was conducted for 25 water samples collected from the available shallow dug wells along the studied wadi. The study reveals that the groundwater quality changed due to the agriculture and urbanization practices along the wadi. The effect of domestic waste water and septic tanks was obvious. In addition, the field investigation indicates that the basement rocks in the area is dissected by two main sets of fractures that oriented in the west-northwest and east-west directions. In some places, the basement rocks is intruded by coarse-grained, quartz-rich quartzite grained monzogranite, and pegmatite veins that have a coarse-grained weathering product, therefore, they tend to develop and preserve open joint systems between the granitic blocks. These fracturing system are important from the hydrogeological point of view, as they facilitate the storage, water flow movement through them and also facilitate the vertical infiltration of the surface pollutants. These results led to a better understanding of the groundwater characteristics that is important in groundwater management in the study area.

  3. Spatial variability of groundwater quality of Sabour block, Bhagalpur district (Bihar, India)

    NASA Astrophysics Data System (ADS)

    Verma, D. K.; Bhunia, Gouri Sankar; Shit, Pravat Kumar; Kumar, S.; Mandal, Jajati; Padbhushan, Rajeev

    2016-01-01

    This paper examines the quality of groundwater of Sabour block, Bhagalpur district of Bihar state, which lies on the southern region of Indo-Gangetic plains in India. Fifty-nine samples from different sources of water in the block have been collected to determine its suitability for drinking and irrigational purposes. From the samples electrical conductivity (EC), pH and concentrations of Calcium (Ca2+), Magnesium (Mg2+), Sodium (Na+), Potassium (K+), carbonate ion (CO{3/2-}), Bicarbonate ion (HCO{3/-}), Chloride ion (Cl-), and Fluoride (F-) were determined. Surface maps of all the groundwater quality parameters have been prepared using radial basis function (RBF) method. RBF model was used to interpolate data points in a group of multi-dimensional space. Root Mean Square Error (RMSE) is employed to scrutinize the best fit of the model to compare the obtained value. The mean value of pH, EC, Ca2+, Mg2+, Na+, K+, HCO3 -, Cl-, and F- are found to be 7.26, 0.69, 38.98, 34.20, 16.92, 1.19, 0.02, and 0.28, respectively. Distribution of calcium concentration is increasing to the eastern part and K+ concentrations raise to the downstream area in the southwestern part. Low pH concentrations (less than 6.71) occur in eastern part of the block. Spatial variations of hardness in Sabour block portraying maximum concentration in the western part and maximum SAR (more than 4.23) were recorded in the southern part. These results are not exceeding for drinking and irrigation uses recommended by World Health Organization. Therefore, the majority of groundwater samples are found to be safe for drinking and irrigation management practices.

  4. Spatial variability of groundwater quality of Sabour block, Bhagalpur district (Bihar, India)

    NASA Astrophysics Data System (ADS)

    Verma, D. K.; Bhunia, Gouri Sankar; Shit, Pravat Kumar; Kumar, S.; Mandal, Jajati; Padbhushan, Rajeev

    2017-07-01

    This paper examines the quality of groundwater of Sabour block, Bhagalpur district of Bihar state, which lies on the southern region of Indo-Gangetic plains in India. Fifty-nine samples from different sources of water in the block have been collected to determine its suitability for drinking and irrigational purposes. From the samples electrical conductivity (EC), pH and concentrations of Calcium (Ca2+), Magnesium (Mg2+), Sodium (Na+), Potassium (K+), carbonate ion (CO 3 2- ), Bicarbonate ion (HCO 3 - ), Chloride ion (Cl-), and Fluoride (F-) were determined. Surface maps of all the groundwater quality parameters have been prepared using radial basis function (RBF) method. RBF model was used to interpolate data points in a group of multi-dimensional space. Root Mean Square Error (RMSE) is employed to scrutinize the best fit of the model to compare the obtained value. The mean value of pH, EC, Ca2+, Mg2+, Na+, K+, HCO3 -, Cl-, and F- are found to be 7.26, 0.69, 38.98, 34.20, 16.92, 1.19, 0.02, and 0.28, respectively. Distribution of calcium concentration is increasing to the eastern part and K+ concentrations raise to the downstream area in the southwestern part. Low pH concentrations (less than 6.71) occur in eastern part of the block. Spatial variations of hardness in Sabour block portraying maximum concentration in the western part and maximum SAR (more than 4.23) were recorded in the southern part. These results are not exceeding for drinking and irrigation uses recommended by World Health Organization. Therefore, the majority of groundwater samples are found to be safe for drinking and irrigation management practices.

  5. Thai district Leaders' perceptions of managing the direct observation treatment program in Trang Province, Thailand.

    PubMed

    Choowong, Jiraporn; Tillgren, Per; Söderbäck, Maja

    2016-07-28

    Thailand is 18th out of the 22 countries with the highest tuberculosis (TB) burden. It will be a challenge for Thailand to achieve the UN Millennium Development target for TB, as well as the new WHO targets for eliminating TB by 2035. More knowledge and a new approach are needed to tackle the complex challenges of managing the DOT program in Thailand. Contextual factors strongly influence the local implementation of evidence in practice. Using the PARIHS model, the aim has been to explore district leaders' perceptions of the management of the DOT program in Trang province, Thailand. A phenomenographic approach was used to explore the perceptions among district DOT program leaders in Trang province. We conducted semi-structured interviews with district leaders responsible for managing the DOT program in five districts. The analysis of the data transcriptions was done by grouping similarities and differences of perceptions, which were constructed in a hierarchical outcome space that shows a set of descriptive categories. The first descriptive category revealed a common perception of the leaders' duty and wish to comply with the NTP guidelines when managing and implementing the DOT program in their districts. More varied perceptions among the leaders concerned how to achieve successful treatment. Other perceptions concerned practical dilemmas, which included fear of infection, mutual distrust, and inadequate knowledge about TB. Further, the leaders perceived a need for improved management practices in implementing the TB guidelines. Using the PARIHS framework to gain a retrospective perspective on the district-level policy implementation of the DOT program and studying the leadership's perceptions about applying the guidelines to practice, has brought new knowledge about management practices. Additional support and resources from the regional level are needed to manage the challenges.

  6. Development of a district information system for water management planning and strategic decision making

    NASA Astrophysics Data System (ADS)

    Loukas, A.; Tzabiras, J.; Spiliotopoulos, M.; Kokkinos, K.; Fafoutis, C.; Mylopoulos, N.

    2015-06-01

    The overall objective of this work is the development of a District Information System (DIS) which could be used by stakeholders for the purposes of a district day-to-day water management as well as for planning and strategic decisionmaking. The DIS was developed from a GIS-based modeling approach, which integrates a generic crop model and a hydraulic model of the transport/distribution system, using land use maps generated by Landsat TM imagery. The main sub-objectives are: (i) the development of an operational algorithm to retrieve crop evapotranspiration from remote sensing data, (ii) the development of an information system with friendly user interface for the data base, the crop module and the hydraulic module and (iii) the analysis and validation of management scenarios from model simulations predicting the respective behavior. The Lake Karla watershed is used in this study, but the overall methodology could be used as a basis for future analysis elsewhere. Surface Energy Balance Algorithm for Land (SEBAL) was used to derive monthly actual evapotranspiration (ET) values from Landsat TM imagery. Meteorological data from the archives of the Institute for Research and Technology, Thessaly (I.RE.TE.TH) has also been used. The methodology was developed using high quality Landsat TM images during 2007 growing season. Monthly ET values are used as an input to CROPWAT model. Outputs of CROPWAT model are then used as input for WEAP model. The developed scenario is based on the actual situation of the surface irrigation network of the Local Administration of Land Reclamation (LALR) of Pinios for the year of 2007. The DIS is calibrated with observed data of this year and the district parameterization is conducted based on the actual operation of the network. The operation of the surface irrigation network of Pinios LALR is simulated using Technologismiki Works, while the operation of closed pipe irrigation network of Lake Karla LALR is simulated using Watercad. Four

  7. Improvement of the management of residual waste in areas without thermal treatment facilities: A life cycle analysis of an Italian management district

    SciTech Connect

    Di Maria, Francesco; Micale, Caterina; Morettini, Emanuela; Sisani, Luciano; Damiano, Roberto

    2015-10-15

    Highlights: • LCA analysis of two option for residual waste management. • Exploitation of mechanical physical sorting facility for extracting recyclable from RMSW. • Processing the mechanically sorted organic fraction in bioreactor landfill. • Sensitivity analysis demonstrate high influence for impact assessment of substitution ratio for recycle materials. - Abstract: Starting from an existing waste management district without thermal treatment facilities, two different management scenarios for residual waste were compared by life cycle assessment (LCA). The adoption of a bioreactor landfill for managing the mechanically sorted organic fraction instead of bio-stabilization led to reduction of global warming and fresh water eutrophication by 50% and 10%, respectively. Extraction of recyclables from residual waste led to avoided emissions for particulate matter, acidification and resource depletion impact categories. Marginal energy and the amount of energy recovered from landfill gas marginally affected the LCA results. On the contrary the quality of the recyclables extracted can significantly modify the eco profile of the management schemes.

  8. Implementing the WHO integrated tool to assess quality of care for mothers, newborns and children: results and lessons learnt from five districts in Malawi.

    PubMed

    Smith, Helen; Asfaw, Atnafu Getachew; Aung, Kyaw Myint; Chikoti, Lastone; Mgawadere, Florence; d'Aquino, Luigi; van den Broek, Nynke

    2017-08-25

    In 2014 the World Health Organization (WHO) developed a new tool to be used to assess the quality of care for mothers, newborns and children provided at healthcare facility level. This paper reports on the feasibility of using the tool, its limitations and strengths. Across 5 districts in Malawi, 35 healthcare facilities were assessed. The WHO tool includes checklists, interviews and observation of case management by which care is assessed against agreed standards using a Likert scale (1 lowest: not meeting standard, 5 highest: compliant with standard). Descriptive statistics were used to provide summary scores for each standard. A 'dashboard' system was developed to display the results. For maternal care three areas met standards; 1) supportive care for admitted patients (71% of healthcare facilities scored 4 or 5); 2) prevention and management of infections during pregnancy (71% scored 4 or 5); and 3) management of unsatisfactory progress of labour (84% scored 4 or 5). Availability of essential equipment and supplies was noted to be a critical barrier to achieving satisfactory standards of paediatric care (mean score; standard deviation: 2.9; SD 0.95) and child care (2.7; SD 1.1). Infection control is inadequate across all districts for maternal, newborn and paediatric care. Quality of care varies across districts with a mean (SD) score for all standards combined of 3 (SD 0.19) for the worst performing district and 4 (SD 0.27) for the best. The best performing district has an average score of 4 (SD 0.27). Hospitals had good scores for overall infrastructure, essential drugs, organisation of care and management of preterm labour. However, health centres were better at case management of HIV/AIDS patients and follow-up of sick children. There is a need to develop an expanded framework of standards which is inclusive of all areas of care. In addition, it is important to ensure structure, process and outcomes of health care are reflected.

  9. Improving Operational Readiness through Total Quality Management

    DTIC Science & Technology

    1991-06-21

    DTIC AD-A236 611 EL CT F NAVAL WAR COLL GE C Newport, R. I. IMPROVING OPERATIONAL READINESS THROUGH TOTAL QUALITY MANAGEMENT by Herb Westphal Defense...IMPROVING OPERATIONAL READINESS THROUGH TOTAL QUALITY MANAGEMENT (TQM) A Case Study: The Defense Mapping Agency Combat Support Center (DMACSC) initiated a...of the Defense Mapping Agency Combat Support Center’s (DMACSC) Total Quality Management (TQM) improvement methodology. This allows the reader to

  10. Total Quality Management (TQM). Implementers Workshop

    DTIC Science & Technology

    1990-05-15

    SHEE’T :s t’ii ,rrl DEPARTMENT OF DEFENSE May 15, 1990 Lfl CN I TOTAL QUALITY MANAGEMENT (TQM) Implementers Workshop © Copyright 1990 Booz.Allen...must be continually performed in order to achieve successful TQM implementation. 1-5 = TOTAL QUALITY MANAGEMENT Implementers Workshop Course Content...information, please refer to the student manual, Total Quality Management (TOM) Awareness Seminar, that was provided for the Awareness Course. You may

  11. Checklist for Reviewing EPA Quality Management Plans

    EPA Pesticide Factsheets

    This checklist will be used to review the Quality Management Plans (QMPs) that are submitted to the Quality Staff of the Office of Environmental Information (OEI) for Agency review under EPA Order 5360.1 A2.

  12. Groundwater quality around Tummalapalle area, Cuddapah District, Andhra Pradesh, India

    NASA Astrophysics Data System (ADS)

    Sreedhar, Y.; Nagaraju, A.

    2017-04-01

    The suitability of groundwater for drinking and irrigation was assessed in Tummalapalle area. Forty groundwater samples were analysed for major cations, anions and other parameters such as pH, electrical conductivity, total dissolved solids (TDS), total alkalinity and total hardness (TH). The parameters such as sodium adsorption ratio, adjusted sodium adsorption ratio (adj.SAR), per cent sodium, potential salinity, residual sodium carbonate, non-carbonate hardness, Kelly's ratio and permeability index were calculated for the evaluation of irrigation water quality. Groundwater chemistry was also analysed by statistical analysis, USSL, Wilcox, Doneen, Piper and Chadhas diagrams, to find out their suitability for irrigation. TDS and TH were used as main parameters to interpret the suitability of groundwater for drinking purpose. The correlation coefficient matrix between the hydrochemical parameters was carried out using Pearson's correlation to infer the possible water-rock interactions responsible for the variation of groundwater chemistry and this has been supported by Gibbs diagram. The results indicate that the groundwater in Tummalapalle area is alkaline in nature. Ca-Mg-HCO3 is the dominant hydrogeochemical facies. Water chemistry of the study area strongly reflects the dominance of weathering of rock-forming minerals such as bicarbonates and silicates. All parameters and diagrams suggest that the water samples of the study are good for irrigation, and the plots of TDS and TH suggest that 12.5% of the samples are good for human consumption.

  13. Potentiometric surface of the Floridan Aquifer, Southwest Florida Water Management District and adjacent areas, September 1978

    USGS Publications Warehouse

    Wolansky, R.M.; Mills, L.R.; Woodham, W.M.; Laughlin, C.P.

    1978-01-01

    A September 1978 potentiometric-surface map depicts the annual high water-level period of the Floridan aquifer in the Southwest Florida Management District. Potentiometric levels increased 10 to 25 feet between May 1978 and September 1978, in the citrus and farming sections of southern Hillsborough, northern Hardee, southwestern Polk and Manatee Counties. These areas are widely affected by pumping for irrigation and have the greatest fluctuations in water-levels between the low and high water-level periods. Water-level rises in coastal, northern and southern areas of the Water Management District ranged from 0 to 10 feet. (Woodard-USGS)

  14. Potentiometric surface of the Floridan Aquifer, Southwest Florida Water Management District, September 1979

    USGS Publications Warehouse

    Yobbi, D.K.; Woodham, W.M.; Laughlin, Charles P.

    1979-01-01

    A September 1979 potentiometric-surface map of the Southwest Florida Water Management District depicts the annual high water-level period. Potentiometric levels increased 1 to 20 feet between May 1979 and September 1979, in the citrus and farming sections of southern Hillsborough, northern Hardee, southwestern Polk, northwestern DeSoto, and Manatee Counties. Water levels in these areas are widely affected by pumping for irrigation and have the greatest range in fluctuations. Water-level increases ranged from 0 to 7 feet in coastal, northern, and southern areas of the Water Management District. Generally, potentiometric levels were higher than previous September levels due to heavy rains in August and September. (USGS)

  15. Potentiometric surface of Floridan aquifer, Southwest Florida Water Management District and adjacent areas, September 1977

    USGS Publications Warehouse

    Ryder, P.D.; Mills, L.R.; Laughlin, C.P.

    1978-01-01

    A potentiometric-surface map of the Southwest Florida Water Management District depicts the annual high water-level period. Potentiometric levels increased 15 to 30 feet between May 1977 and September 1977 in the citrus and farming sections of southeastern Hillsborough, northern Hardee, and southwestern Polk Counties. These areas are widely affected by pumpage for irrigation and have the greatest range in water-level fluctuations between the low and high water-level periods. Water-level rises in coastal, northern, and southern areas of the Water Management District ranged from 0 to 15 feet. (Woodard-USGS)

  16. Managing Air Quality - Ongoing Evaluation of Progress

    EPA Pesticide Factsheets

    Describes the importance of evaluating if air quality programs are achieving the desired results to inform environmental program managers, regulated industry and the public, and provides EPA examples.

  17. Managing a total quality maintenance painting program

    SciTech Connect

    Poncio, S.; Coots, R.

    1995-12-01

    Managing a Coatings Program can be a difficult task without the proper tools. Owners can reduce overall costs through the implementation of a total quality program. A total quality program encompasses elements such as project management, safety and quality assurance. This paper will address the area of quality assurance for coating materials and their application. Significant highlights of an owners program are presented to help other owner/end users.

  18. Equity without Adjudication: Kansas School Finance Reform and the 1992 School District Finance and Quality Performance Act.

    ERIC Educational Resources Information Center

    Berger, Charles

    1998-01-01

    Examines the nonadjudicative path to educational finance reform pursued by Judge Terry Bullock in Kansas that culminated in the 1992 School District Finance and Quality Performance Act. This act has drastically reduced disparities in educational expenditures and rates among districts and increased overall school funding levels. The act has also…

  19. The Quality of Local District Assessments Used in Nebraska's School-Based Teacher-Led Assessment and Reporting System (STARS)

    ERIC Educational Resources Information Center

    Brookhart, Susan M.

    2005-01-01

    A sample of 293 local district assessments used in the Nebraska STARS (School-based Teacher-led Assessment and Reporting System), 147 from 2004 district mathematics assessment portfolios and 146 from 2003 reading assessment portfolios, was scored with a rubric evaluating their quality. Scorers were Nebraska educators with background and training…

  20. Levels of Leadership: Effects of District and School Leaders on the Quality of School Programs of Family and Community Involvement

    ERIC Educational Resources Information Center

    Epstein, Joyce L.; Galindo, Claudia L.; Sheldon, Steven B.

    2011-01-01

    Purpose: This study tests key constructs of sociocultural and organizational learning theories with quantitative methods to better understand the nature and impact of district and school leadership and actions on the quality of programs of family and community involvement. Research Design: Survey data from a "nested" sample of 24 districts and 407…

  1. Levels of Leadership: Effects of District and School Leaders on the Quality of School Programs of Family and Community Involvement

    ERIC Educational Resources Information Center

    Epstein, Joyce L.; Galindo, Claudia L.; Sheldon, Steven B.

    2011-01-01

    Purpose: This study tests key constructs of sociocultural and organizational learning theories with quantitative methods to better understand the nature and impact of district and school leadership and actions on the quality of programs of family and community involvement. Research Design: Survey data from a "nested" sample of 24 districts and 407…

  2. The Quality of Local District Assessments Used in Nebraska's School-Based Teacher-Led Assessment and Reporting System (STARS)

    ERIC Educational Resources Information Center

    Brookhart, Susan M.

    2005-01-01

    A sample of 293 local district assessments used in the Nebraska STARS (School-based Teacher-led Assessment and Reporting System), 147 from 2004 district mathematics assessment portfolios and 146 from 2003 reading assessment portfolios, was scored with a rubric evaluating their quality. Scorers were Nebraska educators with background and training…

  3. Selected water-quality data for the Minidoka Irrigation District, south-central Idaho, June 1987

    USGS Publications Warehouse

    Young, H.W.; Parliman, D.J.; O'Dell, I.

    1987-01-01

    This map report presents June 1987 water-quality data, principally dissolved nitrite plus nitrate (as nitrogen), and depth-to-water measurements for 67 wells in the Minidoka Irrigation District, south-central Idaho. Nitrogen concentrations ranged from 0.2 to 76 milligrams per liter; the median concentrations was 6.6 milligrams per liter. Nitrogen concentrations in 9 samples exceeded the U. S. Environmental Protection Agency public drinking-water limit of 10 milligrams per liter. (USGS)

  4. Water Quality Assessment and Management

    EPA Pesticide Factsheets

    Overview of Clean Water Act (CWA) restoration framework including; water quality standards, monitoring/assessment, reporting water quality status, TMDL development, TMDL implementation (point & nonpoint source control)

  5. Quantitative research versus quality assurance, quality improvement, total quality management, and continuous quality improvement.

    PubMed

    Vogelsang, J

    1999-04-01

    The purpose of this report is to provide a review of the scientific method used in the quantitative research studies for consumers, evaluators, and applied nurse researchers. The fundamental characteristics of the problem-solving/ performance-improvement processes of quality assurance, quality improvement, total quality management, and continuous quality improvement are described. Research is compared with these processes, and is followed by a discussion about the publication of quantitative research findings.

  6. Total quality management in orthodontic practice.

    PubMed

    Atta, A E

    1999-12-01

    Quality is the buzz word for the new Millennium. Patients demand it, and we must serve it. Yet one must identify it. Quality is not imaging or public relations; it is a business process. This short article presents quality as a balance of three critical notions: core clinical competence, perceived values that our patients seek and want, and the cost of quality. Customer satisfaction is a variable that must be identified for each practice. In my practice, patients perceive quality as communication and time, be it treatment or waiting time. Time is a value and cost that must be managed effectively. Total quality management is a business function; it involves diagnosis, design, implementation, and measurement of the process, the people, and the service. Kazien is a function that reduces value services, eliminates waste, and manages time and cost in the process. Total quality management is a total commitment for continuous improvement.

  7. Quality management: does it pay off?

    PubMed

    van den Heuvel, Jaap; Bogers, Ad J J C; Does, Ronald J M M; van Dijk, Sandra L; Berg, Marc

    2006-01-01

    Health care today is facing serious quality problems while costs are exploding. Quality management therefore becomes a major strategic challenge. In this article, we go through the strategy deployment and quality management process of the Red Cross Hospital in the Netherlands. Growth, efficiency improvement, and optimizing quality of care were chosen as our main strategic goals. To enable achievement of these goals, we implemented and integrated an ISO 9001:2000 quality management system with Six Sigma, a quality improvement approach from industry. The results of 5 years of quality management illustrated by the scores of a number of performance indicators clearly show that we were able to achieve all our strategic goals. On the basis of our findings, we believe that the combination of ISO 9000 and Six Sigma provides the proper tools to bring health care organizations to a higher level of performance.

  8. Improvement of the management of residual waste in areas without thermal treatment facilities: A life cycle analysis of an Italian management district.

    PubMed

    Di Maria, Francesco; Micale, Caterina; Morettini, Emanuela; Sisani, Luciano; Damiano, Roberto

    2015-10-01

    Starting from an existing waste management district without thermal treatment facilities, two different management scenarios for residual waste were compared by life cycle assessment (LCA). The adoption of a bioreactor landfill for managing the mechanically sorted organic fraction instead of bio-stabilization led to reduction of global warming and fresh water eutrophication by 50% and 10%, respectively. Extraction of recyclables from residual waste led to avoided emissions for particulate matter, acidification and resource depletion impact categories. Marginal energy and the amount of energy recovered from landfill gas marginally affected the LCA results. On the contrary the quality of the recyclables extracted can significantly modify the eco profile of the management schemes. Copyright © 2015 Elsevier Ltd. All rights reserved.

  9. School District Information Study. Planning for the Management of Information through Technology. A Planning and Staff Development Project.

    ERIC Educational Resources Information Center

    New York State Education Dept., Albany. Div. of Elementary and Secondary Education Planning.

    Designed to provide assistance to school district personnel who seek to develop a plan for information management and related applications of technology, this guide presents the School District Information Study (SDIS) model for the review of management policies, procedures, and activities related to information processing done by school district…

  10. 30 CFR 90.301 - Respirable dust control plan; approval by District Manager; copy to part 90 miner.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Respirable dust control plan; approval by... EVIDENCE OF THE DEVELOPMENT OF PNEUMOCONIOSIS Respirable Dust Control Plans § 90.301 Respirable dust control plan; approval by District Manager; copy to part 90 miner. (a) The District Manager will...

  11. Quality Management Plan for the Environmental Assessment and Innovation Division

    EPA Pesticide Factsheets

    Quality management plan (QMP) which identifies the mission, roles, responsibilities of personnel with regard to quality assurance and quality management for the environmental assessment and innovation division.

  12. 77 FR 39181 - Revisions to the California State Implementation Plan, Mojave Desert Air Quality Management...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-02

    ... in the Federal Register on February 28, 2012 and concern glass furnaces and biomass boilers. We are... Adopted Submitted MDAQMD 1165 Glass Melting Furnaces......... 08/12/08 12/23/08 YSAQMD 2.43 Biomass...) * * * (F) Yolo-Solano Air Quality Management District. (1) Rule 2.43, ``Biomass Boilers,'' adopted on...

  13. Twenty-One Leadership Responsibilities and Quality Management in the Context of Educational Baldrige Systems

    ERIC Educational Resources Information Center

    Ibach, Kimberly L.

    2014-01-01

    This body of work presents the summary of findings; explanation of implications; discussion of conclusions; and recommendations about practice, policy and future research regarding principal leadership in school districts recognized as national Baldrige Award winners. This study widened the scope and definition of quality management in education…

  14. Twenty-One Leadership Responsibilities and Quality Management in the Context of Educational Baldrige Systems

    ERIC Educational Resources Information Center

    Ibach, Kimberly L.

    2014-01-01

    This body of work presents the summary of findings; explanation of implications; discussion of conclusions; and recommendations about practice, policy and future research regarding principal leadership in school districts recognized as national Baldrige Award winners. This study widened the scope and definition of quality management in education…

  15. Deterioration of coastal groundwater quality in Island and mainland regions of Ramanathapuram District, Southern India.

    PubMed

    Sivasankar, Venkataramann; Ramachandramoorthy, Thiagarajan; Chandramohan, A

    2013-01-01

    A study was carried out in the Island and mainland regions of Ramanathapuram District to characterize the physico-chemical characteristics of 87 groundwater samples in Island and 112 groundwater samples in mainland which include pH, EC, TDS, salinity, total alkalinity, calcium hardness, magnesium hardness, total hardness, chloride and fluoride. Heavy inorganic load in majority of the groundwater samples has been estimated due to the salinity, TDS, TH and chloride beyond the threshold level which substantiates the percolation of sea water into the freshwater confined zones. Although the groundwater sources are available in plenty, the scarcity of potable water is most prevalent in this coastal area. The Water Quality Index (WQI) and Langeleir Saturation Index (LSI) have also been calculated to know the potable and corrosive/incrusting nature of the water samples. The statistical tools such as principal component analysis, box plots and correlation matrix have also been used to explain the influence of different physico-chemical parameters with respect to one another among the groundwater samples. The percentage of groundwater samples in mainland was more than that in Island with respect to the acceptable limit of WHO drinking standard, especially in TDS, CH, TH and chloride but the converse is observed in the case of fluoride. About 8% of the mainland aquifers and 42% of Island aquifers were identified to have fluoride greater than 1.5 mg/l. The signature of salt-water intrusion is observed from the ratio of Cl/CO(3)(2-) + HCO(3) and TA/TH. A proper management plan to cater potable water to the immediate needs of the people is to be envisaged.

  16. Quality improvement and quality management: Complementary or contradictory

    SciTech Connect

    Calhoun, M.B. )

    1993-09-01

    Quality improvement processes (QIP's) and quality management systems (QMS's) are becoming part of manufacturing and service company language. In some cases, there are perceived differences between the concepts of continuous improvement and documented systems to ensure quality. The author has seen examples of QIP's and QMS's working in a complementary fashion to improve existing manufacturing and administrative processes. These examples show that quality improvement activities are compatible with and can enhance the effectiveness of QMS's if the two are integrated properly.

  17. Characterization of Ground-Water Quality, Upper Republican Natural Resources District, Nebraska, 1998-2001

    USGS Publications Warehouse

    Frankforter, Jill D.; Chafin, Daniele T.

    2004-01-01

    Nearly all rural inhabitants and livestock in the Upper Republican Natural Resources District (URNRD) in southwestern Nebraska use ground water that can be affected by elevated nitrate concentrations. The development of ground-water irrigation in this area has increased the vulnerability of ground water to the introduction of fertilizers and other agricultural chemicals. In 1998, the U.S. Geological Survey, in cooperation with the Upper Republican Natural Resources District, began a study to characterize the quality of ground water in the Upper Republican Natural Resources District area with respect to physical properties and concentrations of major ions, coliform bacteria, nitrate, and pesticides, and to assess the presence of nitrogen concentrations in the unsaturated zone. At selected well sites, the ground-water characterization also included tritium and nitrogen-isotope analyses to provide information about the approximate age of the ground water and potential sources of nitrogen detected in ground-water samples, respectively. In 1998, ground-water samples were collected from 101 randomly selected domestic-well sites. Of the 101 samples collected, 26 tested positive for total coliform bacteria, exceeding the U.S. Environmental Protection Agency's Maximum Contaminant Level (MCL) of zero colonies. In 1999, ground-water samples were collected from 31 of the 101 well sites, and 16 tested positive for coliform bacteria. Nitrates were detected in ground water from all domestic-well samples and from all but four of the irrigation-well samples collected from 1998 to 2001. Eight percent of the domestic-well samples and 3 percent of the irrigation-well samples had nitrate concentrations exceeding the U.S. Environmental Protection Agency's MCL for drinking water of 10 milligrams per liter. Areas with nitrate concentrations exceeding 6 milligrams per liter, the URNRD's ground-water management-plan action level, were found predominantly in north-central Chase, western and

  18. Managing Teacher Retention in a Rural School District in South Africa

    ERIC Educational Resources Information Center

    Mafora, Patrick

    2013-01-01

    Retaining quality teachers is a global challenge for schools, particularly those in rural districts. A nation-wide study conducted by the Human Sciences Research Council (HSRC) found that 55 % of teachers in South Africa would leave teaching if they could. Resignation was found to be one of the three largest causes of attrition (Hall et al.…

  19. Managing Teacher Retention in a Rural School District in South Africa

    ERIC Educational Resources Information Center

    Mafora, Patrick

    2013-01-01

    Retaining quality teachers is a global challenge for schools, particularly those in rural districts. A nation-wide study conducted by the Human Sciences Research Council (HSRC) found that 55 % of teachers in South Africa would leave teaching if they could. Resignation was found to be one of the three largest causes of attrition (Hall et al.…

  20. Surface Water Quality-Assurance Plan for the Indiana District of the U.S. Geological Survey

    USGS Publications Warehouse

    Stewart, James A.; Arvin, Donald V.

    2003-01-01

    This Surface Water Quality-Assurance Plan documents the standards, policies, and procedures used by the Indiana District for activities related to the collection, processing, storage, analysis, and publication of surface-water data.

  1. Total Quality Management: A Selected Bibliography

    DTIC Science & Technology

    1992-03-01

    Total Quality Management (TQM) in the Department of Defense is a strategy for continuously improving performance at every level, and in all areas of...reflects selected books, documents, periodical articles, and videos on the subject of Total Quality Management (TQM) in the collection of the U.S. Army War College Library.

  2. Total Quality Management: A Guide to Implementation

    DTIC Science & Technology

    1989-08-01

    Total Quality Management (TQM) is a means for improving personal effectiveness and performance and for aligning and focusing all individual efforts...your individual effort and extending its effect and its importance throughout an organization and beyond. Total Quality Management is not a destination

  3. Application of Total Quality Management in Education

    ERIC Educational Resources Information Center

    Farooq, M. S.; Akhtar, M. S.; Ullah, S. Zia; Memon, R. A.

    2007-01-01

    The purpose of the paper is to analyzing thoughts of the modern management paradigm "Total Quality Management" (TQM), and its application in the field of education. The basic theme of TQM is participatory approach to address the question(s) of quality in business aswell as in the field of education. Reviewing fresh literature from the internet …

  4. Managing Change from a Quality Perspective.

    ERIC Educational Resources Information Center

    Snyder, Karolyn J.

    This paper presents findings of a study that examined the change process in 28 schools, with a focus on how principals went about transforming traditional school-work cultures into quality systems. The principals had participated in Managing Productive Schools (MPS), a comprehensive systems-approach program based on quality management concepts.…

  5. A Longitudinal Study of Selected Impacts of the School District Finance and Quality Performance Accreditation (SSDFQPA) Act on Representative Kansas School Districts, 2002-2011

    ERIC Educational Resources Information Center

    Jordan, Brian C.

    2012-01-01

    Information gained from the present study should provide important policy insights into whether adjustments to the School District Finance and Quality Performance Accreditation (SDFQPA) Act funding formula have supported the original goal behind SDFQPA, which was to provide more equal funding to public elementary and secondary pupils in Kansas.…

  6. A Longitudinal Study of Selected Impacts of the School District Finance and Quality Performance Accreditation (SDFQPA) Act on Representative Kansas School Districts, 2002-2011

    ERIC Educational Resources Information Center

    Jordan, Brian C.

    2012-01-01

    Information gained from the present study should provide important policy insights into whether adjustments to the School District Finance and Quality Performance Accreditation (SDFQPA) Act funding formula have supported the original goal behind SDFQPA, which was to provide more equal funding to public elementary and secondary pupils in Kansas.…

  7. Project Management for Quality Improvement in Radiology.

    PubMed

    Larson, David B; Mickelsen, L Jake

    2015-11-01

    This article outlines a structured approach for applying project management principles to quality improvement in radiology. We highlight the framework we use for managing improvement projects in our department and review basic project management principles. Project management involves techniques for executing projects effectively and efficiently. We recognize the following phases for managing improvement projects: idea, project evaluation and selection, role assignment, planning, improvement, and sustaining improvement.

  8. [Quality and safety management for radiotherapy].

    PubMed

    Pourel, N; Meyrieux, C; Perrin, B

    2016-09-01

    Quality and safety management have been implemented for many years in healthcare structures (hospitals treating cancer, private radiotherapy centres). Their structure and formalization have improved progressively over time. These recommendations aim at describing the link between quality and safety management through its organization scheme based on quality-safety policy, process approach, document management and quality measurement. Dedicated tools, such as experience feedback, a priori risk mapping, to-do-lists and check-lists are shown as examples and recommended as routine practice. Copyright © 2016 Société française de radiothérapie oncologique (SFRO). Published by Elsevier SAS. All rights reserved.

  9. A Management-Based CIPP Evaluation of a Northern New Jersey School District's Digital Backpack Program

    ERIC Educational Resources Information Center

    Bachenheimer, Barry A.

    2011-01-01

    The purpose of this study was to evaluate the Digital Backpack program in a Northern New Jersey School District using the CIPP Management-Based Evaluation model as a framework. The Stufflebeam (1971) CIPP model is an acronym for Context, Input, Process, and Product Evaluation. A "Digital Backpack" is a rolling computer bag given to K-12…

  10. AIDS in the Workplace: A Training for Managers and Supervisors. District of Oregon.

    ERIC Educational Resources Information Center

    Tyree, Jimmy L.

    This document provides a summary of "AIDS in the Workplace for Court Managers," a 3-hour seminar that was presented to the District of Oregon. The document begins with a summary of the seminar goals and objectives, which included the following: reduce fears and anxieties about HIV/AIDS in the workplace; provide information about the…

  11. Alternative Methods in the Evaluation of School District Cash Management Programs.

    ERIC Educational Resources Information Center

    Dembowski, Frederick L.

    1980-01-01

    Empirically evaluates three measures of effectiveness of school district cash management: the rate of return method in common use and two new measures--efficiency rating and Net Present Value (NPV). The NPV approach allows examination of efficiency and provides a framework for evaluating other areas of educational policy. (Author/IRT)

  12. A Management-Based CIPP Evaluation of a Northern New Jersey School District's Digital Backpack Program

    ERIC Educational Resources Information Center

    Bachenheimer, Barry A.

    2011-01-01

    The purpose of this study was to evaluate the Digital Backpack program in a Northern New Jersey School District using the CIPP Management-Based Evaluation model as a framework. The Stufflebeam (1971) CIPP model is an acronym for Context, Input, Process, and Product Evaluation. A "Digital Backpack" is a rolling computer bag given to K-12…

  13. A Case Study of Complete Energy Management at the Herricks Union Free School District.

    ERIC Educational Resources Information Center

    Schreiber, Melvin; Paige, Haskell E., Sr.

    A school district energy management program reduced oil consumption 34 percent and electrical consumption 20 percent. Low cost modifications to the heating and ventilating equipment in the schools resulted in energy savings that "paid back" the labor plus material costs in less than a year. Each building was placed into an energy…

  14. 75 FR 9388 - Prescott National Forest, Bradshaw Ranger District; Arizona; Bradshaw Vegetation Management Project

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-02

    ... Management Project AGENCY: Forest Service, USDA. ACTION: Notice of intent to prepare an environmental impact statement. SUMMARY: This project is a proposal to improve the health of fire adapted ecosystems while simultaneously reducing hazardous fuels on the Bradshaw Ranger District. The project area encompasses about...

  15. 75 FR 54085 - Divide Ranger District, Rio Grande National Forest; Colorado; Big Moose Vegetation Management...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-03

    ... [Federal Register Volume 75, Number 171 (Friday, September 3, 2010)] [Notices] [Page 54085] [FR Doc No: 2010-22037] DEPARTMENT OF AGRICULTURE Forest Service Divide Ranger District, Rio Grande National Forest; Colorado; Big Moose Vegetation Management Project AGENCY: Forest Service, Rio...

  16. Managing for Excellence in Urban High Schools: District and School Roles. Final Report.

    ERIC Educational Resources Information Center

    Yin, Robert K.; White, J. Lynne

    This 3-year study attempted to identify school and district management practices that produce exemplary urban high schools. Information was gathered from 40 high schools with the following characteristics: (1) offering a comprehensive curriculum with no examination requirements; (2) located in one of the 166 largest and densest central cities; and…

  17. Alternative Methods in the Evaluation of School District Cash Management Programs.

    ERIC Educational Resources Information Center

    Dembowski, Frederick L.

    1980-01-01

    Empirically evaluates three measures of effectiveness of school district cash management: the rate of return method in common use and two new measures--efficiency rating and Net Present Value (NPV). The NPV approach allows examination of efficiency and provides a framework for evaluating other areas of educational policy. (Author/IRT)

  18. 78 FR 54909 - Notice of Availability of the Proposed Winnemucca District Resource Management Plan and Final...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-06

    ... threatened or endangered species habitat, watersheds, and wild horses and burros. The Proposed RMP/Final EIS... pertaining to wild horses and burros in response to the Draft RMP/Draft EIS. Substantive comments were... management of wild horses and burros. Copies of the Proposed Winnemucca District RMP/Final EIS have been...

  19. Spatio-temporal analysis of wildfire ignitions in the St. Johns River Water Management District, Florida

    Treesearch

    Marc G. Genton; David T. Butry; Marcia L. Gumpertz; Jeffrey P. Prestemon

    2006-01-01

    We analyse the spatio-temporal structure of wildfire ignitions in the St. Johns River Water Management District in north-eastern Florida. We show, using tools to analyse point patterns (e.g. the L-function), that wildfire events occur in clusters. Clustering of these events correlates with irregular distribution of fire ignitions, including lightning...

  20. Factors Affecting the Management of Women Groups' Micro and Small Enterprises in Kakamega District, Kenya

    ERIC Educational Resources Information Center

    Wawire, Nelson H. W.; Nafukho, Fredrick M.

    2010-01-01

    Purpose: The purpose of this study is to highlight the main factors that affect the management of the WGs' Micro and Small Enterprises (MSEs) in Kakamega District and Africa in general. Design/methodology/approach: The study adopted a descriptive research design. This is because the study was concerned about a univariate question in which the…

  1. Entropic Management: Restructuring District Office Culture in the New York City Department of Education

    ERIC Educational Resources Information Center

    Howell, Fanon John

    2014-01-01

    Although a growing body of literature is produced on reform of urban school districts, few studies examine shifts in the culture of managers resulting from reorganization in these bureaucracies. This article engages an analysis of central office managerial culture in the New York City Department of Education during a culminating moment of district…

  2. The Influence of Lean on K-12 District Management: A Case Study

    ERIC Educational Resources Information Center

    Brown, Beverly

    2011-01-01

    For decades, policymakers and educators have focused on public school equity and adequacy, while paying little attention to efficiency. This qualitative single case study was designed to capture explicit information about Lean management, operations, and culture in a K-12 Michigan school district engaged in Lean training and implementation for a…

  3. Managing School Districts for High Performance: Cases in Public Education Leadership

    ERIC Educational Resources Information Center

    Childress, Stacey, Ed.; Elmore, Richard F., Ed.; Grossman, Allen, Ed.; Johnson, Susan Moore, Ed.

    2007-01-01

    "Managing School Districts for High Performance" brings together more than twenty case studies and other readings that offer a powerful and transformative approach to advancing and sustaining the work of school improvement. At the center of this work is the concept of organizational coherence: aligning organizational design, human…

  4. The Influence of Lean on K-12 District Management: A Case Study

    ERIC Educational Resources Information Center

    Brown, Beverly

    2011-01-01

    For decades, policymakers and educators have focused on public school equity and adequacy, while paying little attention to efficiency. This qualitative single case study was designed to capture explicit information about Lean management, operations, and culture in a K-12 Michigan school district engaged in Lean training and implementation for a…

  5. Entropic Management: Restructuring District Office Culture in the New York City Department of Education

    ERIC Educational Resources Information Center

    Howell, Fanon John

    2014-01-01

    Although a growing body of literature is produced on reform of urban school districts, few studies examine shifts in the culture of managers resulting from reorganization in these bureaucracies. This article engages an analysis of central office managerial culture in the New York City Department of Education during a culminating moment of district…

  6. Managing School Districts for High Performance: Cases in Public Education Leadership

    ERIC Educational Resources Information Center

    Childress, Stacey, Ed.; Elmore, Richard F., Ed.; Grossman, Allen, Ed.; Johnson, Susan Moore, Ed.

    2007-01-01

    "Managing School Districts for High Performance" brings together more than twenty case studies and other readings that offer a powerful and transformative approach to advancing and sustaining the work of school improvement. At the center of this work is the concept of organizational coherence: aligning organizational design, human…

  7. Total quality management -- Remedial actions planning program

    SciTech Connect

    Petty, J.L.; Horne, T.E.

    1989-01-01

    This paper describes the management approach being taken within the Hazardous Waste Remedial Actions Program (HAZWRAP) Support Contractor Office (SCO) to ensure quality of services in a highly competitive waste management environment. An overview is presented of the contractor support role assigned to Martin Marietta Energy Systems, Inc., by the Department of Energy (DOE) national program for managing hazardous waste. The HAZWRAP SCO mission, organizational structure, and major programs are outlined, with emphasis on waste management planning for the DOE Work for Others (WFO) Program. The HAZWRAP SCO provides waste management technical support, via interagency agreements between DOE and various Department of Defense (DOD) agencies for DOD sponsors planning remedial response actions. The remainder of the paper focuses on how the concept of Total Quality Management is applied to the HAZWRAP Remedial Actions Planning (RAP) Program. The management challenge is to achieve quality on a ''system'' basis where all functional elements of program management synergistically contribute to the total quality of the effort. The quality assurance (QA) program requirements applied to the RAP Program and its subcontractors are discussed. The application of management principles in the areas of program management, procurement, and QA to achieve total quality is presented. 3 refs.

  8. Performance of district disaster management teams after undergoing an operational level planners' training in Uganda.

    PubMed

    Orach, Christopher Garimol; Mayega, Roy William; Woboya, Vincent; William, Bazeyo

    2013-06-01

    Uganda is vulnerable to several natural, man-made and a hybrid of disasters including drought, famine, floods, warfare, and disease outbreaks. We assessed the district disaster team's performance, roles and experiences following the training. The disasters most commonly experienced by the district teams were epidemics of diseases in humans (7 of 12), animals (epizoonotics) (3 of 12) and crops (3 of 12); hailstorms and floods (3 of 12). The capabilities viewed most useful for management of disasters were provision of health care services (9/12) and response management (8 of 12). The capability domains most often consulted during the disasters were general response management (31%), health services (29%) and water and sanitation (17%). The skills areas perceived to be vital following the training were response to epidemics 10/12, disaster management planning 8/12, hazards and vulnerability analysis 7/12 and principles of disaster planning 7/12 respectively. Main challenges mentioned by district teams were inadequacy of finance and logistics, lack of commitment by key partners towards disaster preparedness and response. The most common disaster experienced disasters related to outbreaks of diseases in man, animals and crops. The most frequently applied capabilities were response management and provision of emergency health services. The activities most frequently implemented following disaster management teams training were conducting planning meetings, refinement of plans and dissemination of skills gained. The main challenges were related to limited budget allocations and legal frameworks for disaster management that should be addressed by both central and local governments.

  9. Assessing the quality of cost management

    SciTech Connect

    Fayne, V.; McAllister, A.; Weiner, S.B.

    1995-12-31

    Managing environmental programs can be effective only when good cost and cost-related management practices are developed and implemented. The Department of Energy`s Office of Environmental Management (EM), recognizing this key role of cost management, initiated several cost and cost-related management activities including the Cost Quality Management (CQM) Program. The CQM Program includes an assessment activity, Cost Quality Management Assessments (CQMAs), and a technical assistance effort to improve program/project cost effectiveness. CQMAs provide a tool for establishing a baseline of cost-management practices and for measuring improvement in those practices. The result of the CQMA program is an organization that has an increasing cost-consciousness, improved cost-management skills and abilities, and a commitment to respond to the public`s concerns for both a safe environment and prudent budget outlays. The CQMA program is part of the foundation of quality management practices in DOE. The CQMA process has contributed to better cost and cost-related management practices by providing measurements and feedback; defining the components of a quality cost-management system; and helping sites develop/improve specific cost-management techniques and methods.

  10. Hydrogeochemical analysis and evaluation of surface water quality of Pratapgarh district, Uttar Pradesh, India

    NASA Astrophysics Data System (ADS)

    Tiwari, Ashwani Kumar; Singh, Abhay Kumar; Singh, Amit Kumar; Singh, M. P.

    2015-07-01

    The hydrogeochemical study of surface water in Pratapgarh district has been carried out to assess the major ion chemistry and water quality for drinking and domestic purposes. For this purpose, twenty-five surface water samples were collected from river, ponds and canals and analysed for pH, electrical conductivity, total dissolved solids (TDS), turbidity, hardness, major cations (Ca2+, Mg2+, Na+ and K+), major anions (HCO3 -, F-, Cl-, NO3 -, SO4 2-) and dissolved silica concentration. The analytical results show mildly acidic to alkaline nature of surface water resources of Pratapgarh district. HCO3 - and Cl- are the dominant anions, while cation chemistry is dominated by Na+ and Ca2+. The statistical analysis and data plotted on the Piper diagram reveals that the surface water chemistry is mainly controlled by rock weathering with secondary contributions from agriculture and anthropogenic sources. Ca2+-Mg2+-HCO3 -, Ca2+-Mg2+-Cl- and Na+-HCO3 --Cl- are the dominant hydrogeochemical facies in the surface water of the area. For quality assessment, values of analysed parameters were compared with Indian and WHO water quality standards, which shows that the concentrations of TDS, F-, NO3 -, Na+, Mg2+ and total hardness are exceeding the desirable limits in some water samples. Water Quality Index (WQI) is one of the most effective tools to communicate information on the quality of any water body. The computed WQI values of Pratapgarh district surface water range from 28 to 198 with an average value of 82, and more than half of the study area is under excellent to good category.

  11. Hydrogeochemical analysis and evaluation of surface water quality of Pratapgarh district, Uttar Pradesh, India

    NASA Astrophysics Data System (ADS)

    Tiwari, Ashwani Kumar; Singh, Abhay Kumar; Singh, Amit Kumar; Singh, M. P.

    2017-07-01

    The hydrogeochemical study of surface water in Pratapgarh district has been carried out to assess the major ion chemistry and water quality for drinking and domestic purposes. For this purpose, twenty-five surface water samples were collected from river, ponds and canals and analysed for pH, electrical conductivity, total dissolved solids (TDS), turbidity, hardness, major cations (Ca2+, Mg2+, Na+ and K+), major anions (HCO3 -, F-, Cl-, NO3 -, SO4 2-) and dissolved silica concentration. The analytical results show mildly acidic to alkaline nature of surface water resources of Pratapgarh district. HCO3 - and Cl- are the dominant anions, while cation chemistry is dominated by Na+ and Ca2+. The statistical analysis and data plotted on the Piper diagram reveals that the surface water chemistry is mainly controlled by rock weathering with secondary contributions from agriculture and anthropogenic sources. Ca2+-Mg2+-HCO3 -, Ca2+-Mg2+-Cl- and Na+-HCO3 --Cl- are the dominant hydrogeochemical facies in the surface water of the area. For quality assessment, values of analysed parameters were compared with Indian and WHO water quality standards, which shows that the concentrations of TDS, F-, NO3 -, Na+, Mg2+ and total hardness are exceeding the desirable limits in some water samples. Water Quality Index (WQI) is one of the most effective tools to communicate information on the quality of any water body. The computed WQI values of Pratapgarh district surface water range from 28 to 198 with an average value of 82, and more than half of the study area is under excellent to good category.

  12. NASA total quality management 1989 accomplishments report

    NASA Technical Reports Server (NTRS)

    1990-01-01

    Described here are the accomplishments of NASA as a result of the use of Total Quality Management (TQM). The principles in practice which led to these process refinements are important cultural elements to any organization's productivity and quality efforts. The categories of TQM discussed here are top management leadership and support, strategic planning, focus on the customer, employee training and recognition, employee empowerment and teamwork, measurement and analysis, and quality assurance.

  13. Evaluating Quality Management in University Departments

    ERIC Educational Resources Information Center

    Becket, Nina; Brookes, Maureen

    2006-01-01

    Purpose: Despite the abundance of research on quality management there is no universal consensus on how best to measure quality in higher education. This paper undertakes a critical evaluation of the different methods used to assess the quality of provision in higher education departments in the UK. Design/methodology/approach: Drawing on relevant…

  14. Evaluating Quality Management in University Departments

    ERIC Educational Resources Information Center

    Becket, Nina; Brookes, Maureen

    2006-01-01

    Purpose: Despite the abundance of research on quality management there is no universal consensus on how best to measure quality in higher education. This paper undertakes a critical evaluation of the different methods used to assess the quality of provision in higher education departments in the UK. Design/methodology/approach: Drawing on relevant…

  15. Planning for Quality Schools: Meeting the Needs of District Families. Phase One: Understanding Current School Supply and Student Enrollment Patterns

    ERIC Educational Resources Information Center

    Garrison, David; Allen, Marni; Turner, Margery; Comey, Jennifer; Williams, Barika; Guernsey, Elizabeth; Filardo, Mary; Huvendick, Nancy; Sung, Ping

    2008-01-01

    This report is the first phase of a three-part Quality Schools Project to help the District of Columbia create a firm analytical basis for planning for quality schools to meet the needs of the city's families. The Quality School Project is a joint effort of the DC Office of the State Superintendent of Education, the 21st Century School Fund, the…

  16. South Florida Water Management District ambient pesticide monitoring network: 1992 to 2007.

    PubMed

    Pfeuffer, Richard J

    2011-11-01

    The South Florida Water Management District has collected surface water and sediment samples for analysis of over 80 pesticides since 1992. Residues of atrazine and DDE-p,p(') are nearly ubiquitous throughout the sampling area. Surface water concentrations of atrazine at nine of 14 selected monitoring locations exhibited a downward trend and none of the detected concentrations exceeded established levels of concern. Seventy-five percent of the sampled locations had average sediment residues of DDE-p,p(') at levels that may impact sediment-dwelling organisms. Monitoring locations with the highest average DDE-p,p(') concentrations (based on detected values) and the highest percentage of pesticide detections did not exhibit consistent trends. Some locations exhibited increasing trends while trends at other locations showed a decrease in concentrations. Additionally, specific location concentrations for ethion, diazinon, and endosulfan documented periods of surface water quality exceedances. However, product label changes and grower education have substantially contributed to the reduced number of exceedances over time.

  17. Total quality management in blood transfusion.

    PubMed

    Smit-Sibinga, C T

    2000-01-01

    Quality management is an ongoing development resulting in consistency products and services and ever increasing customer satisfaction. The ultimum is Total Quality Management. Quality systems and quality management in transfusion medicine have gained considerable attention since the outbreak of the AIDS epidemic. Where product orientation has long been applied through quality control, Good Manufacturing Practice (GMP) principles were introduced, shifting the developments in the direction of process orientation. Globally, and particularly in the more industrialised world people and system orientation has come along with the introduction of the ISO9001 concept. Harmonisation and a degree of uniformity are needed to implement a universally applicable Quality System and related Quality Management. Where the American Association of Blood Banks (AABB) is the professional organisation with the most extensive experience in quality systems in blood transfusion, the European Union and the Council of Europe now are in the process to design a quality system and management applicable to a larger variety of countries, based on a hybrid of current GMP and ISO9001 principles. The International Federation of Red Cross and Red Crescent Societies has developed a more universally to implement Quality Manual, with a pilot project in Honduras. It is recommendable to harmonise the various designs and bring the approaches under one common denominator.

  18. Evaluation of severe malaria case management in Mazowe District, Zimbabwe, 2014.

    PubMed

    Makumbe, Bargley; Tshuma, Cremence; Shambira, Gerald; Mungati, More; Gombe, Notion Tafara; Bangure, Donewell; Juru, Tsitsi Patience; Tshimanga, Mufuta

    2017-01-01

    Malaria is a preventable and curable disease. Mazowe district had been experiencing a lower malaria transmission rate in comparison to other districts in the Mashonaland Central province but it experienced a huge outbreak in the 2013-2014 rainy seasons with a case fatality rate (CFR) of 0.21%. This CFR was the highest in the province and it was twice as much as the national CFR (0.12%) for the same period. We evaluated severe malaria case management in Mazowe district to determine if practice is as per standard treatment guidelines. A descriptive cross sectional study was conducted in Mazowe district using the Logical Framework approach. District Health Executives (DHE) members, nurses and severe malaria case notes were purposively and conveniently selected into the study. Key informant Interviews and review of case notes were carried out. All data were analysed using Epi Info 3.5.1.to calculate means and frequencies. Permission to conduct the study was obtained from the Mashonaland Central Provincial Medical Directorate (PMD) Institutional Ethical Review Board (IRB). The median age in years of the cases was 16 (Q1=7.3; Q3=30.8) and up to 58.1% of the cases were female. Inputs including staff, medicines and medical and laboratory equipment for severe case management were inadequate in the district. Only 60% of severe cases were diagnosed using blood slides and up to 95.6% of cases presented with one or more of the clinical signs of severe malaria. All severe cases were treated using correct anti-malarial and analgesic doses. Patient monitoring was not done as per prerequisite intervals and up to 5% of cases died. The health workers had above average knowledge on severe malaria. Severe malaria case management inputs were inadequate in the district. For many cases, the district did not follow complicated malaria treatment guidelines for diagnosis, treatment and monitoring. Untrained staff needs training in Severe Malaria Case Management and monitoring of commodity

  19. Planning among nurse managers in district hospitals in Ghana.

    PubMed

    Asamani, James Avoka; Kwafo, Esther Oforiwaa; Ansah-Ofei, Adelaide Maria

    2013-12-01

    This article reports the results of a study that explored the planning practices of nurse managers at ward level, their knowledge of planning process and the factors that influence effective planning. Although the practice of planning was almost universal, half the participants had no knowledge of the process, and this knowledge gap was traced to a lack of educational preparation before their appointment. In-service training, support from management and staff, and funding were identified as major factors influencing effective planning at ward level. The authors recommend that prospective nurse managers have educational preparation before they take up these positions and nurse managers already in post have capacity-building training in planning.

  20. [Quality assurance and total quality management in residential home care].

    PubMed

    Nübling, R; Schrempp, C; Kress, G; Löschmann, C; Neubart, R; Kuhlmey, A

    2004-02-01

    Quality, quality assurance, and quality management have been important topics in residential care homes for several years. However, only as a result of reform processes in the German legislation (long-term care insurance, care quality assurance) is a systematic discussion taking place. Furthermore, initiatives and holistic model projects, which deal with the assessment and improvement of service quality, were developed in the field of care for the elderly. The present article gives a critical overview of essential developments. Different comprehensive approaches such as the implementation of quality management systems, nationwide expert-based initiatives, and developments towards professionalizing care are discussed. Empirically based approaches, especially those emphasizing the assessment of outcome quality, are focused on in this work. Overall, the authors conclude that in the past few years comprehensive efforts have been made to improve the quality of care. However, the current situation still requires much work to establish a nationwide launch and implementation of evidence-based quality assurance and quality management.

  1. Quality management in Irish health care.

    PubMed

    Ennis, K; Harrington, D

    1999-01-01

    This paper reports on the findings from a quantitative research study of quality management in the Irish health-care sector. The study findings suggest that quality management is what hospitals require to become more cost-effective and efficient. The research also shows that the culture of health-care institutions must change to one where employees experience pride in their work and where all are involved and committed to continuous quality improvement. It is recommended that a shift is required from the traditional management structures to a more participative approach. Furthermore, all managers whether from a clinical or an administration background must understand one another's role in the organisation. Finally, for quality to succeed in the health-care sector, strong committed leadership is required to overcome tensions in quality implementation.

  2. A GIS based district information system for water resources management and planning

    NASA Astrophysics Data System (ADS)

    Tzabiras, John; Spiliotopoulos, Marios; Kokkinos, Kostantinos; Fafoutis, Chrysostomos; Sidiropoulos, Pantelis; Vasiliades, Lampros; Loukas, Athanasios; Mylopoulos, Nikitas

    2014-05-01

    In many watersheds of the Mediterranean Countries, water resources are presently fully or overcommitted. Irrigators are the largest consumers of fresh water in Mediterranean Countries using up to 80% of all allocated water in some regions. Administrative efforts should be directed towards an integrated policy of water allocation which accounts for the characteristics and specificity of each farm, requiring the availability of data bases and management tools (decision support systems) specifically designed to fulfil the objectives of maximizing water use efficiency. The overall objective of this program was the development of a District Information System (DIS) which could be used by stakeholders at purposes of irrigation district day-to-day management as well as for planning and strategic decision-making. The DIS was developed from a GIS-based modelling approach which integrates a generic crop model, a hydraulic module for the water transfer/distribution system and uses remote sensing information. The main sub-objectives were: (i) the development of an operational algorithm to retrieve crop evapotranspiration from remote sensing data, (ii) the development of an information system with friendly user interface for the data base, the crop module and the hydraulic module and (iii) the analysis and validation of management scenarios from model simulations predicting the respective behaviour. Surface Energy Balance Algorithm for Land (SEBAL) was used to derive monthly actual evapotranspiration (ET) values from Landsat TM imagery. Meteorological data from the archive of the Institute for Research and Technology, Thessaly (I.RE.TE.TH) have also been used. The methodology was developed using high quality Landsat TM images during 2007 growing season. Monthly ET values are then used as an input to CROPWAT model. Outputs of CROPWAT model are then used as input for the hydraylic module consisted of TECHNOLOGISMIKI, WATERCAD and WEAP model. Hence, a reference scenario was

  3. Integrating quality, safety, and environment management systems.

    PubMed

    Winder, C

    1997-01-01

    Internationally consistent ISO standards are in use, or are being developed, for quality systems, environmental management, and occupational health and safety. These standards outline a model for the management of quality, environment or safety. In many respects the process of developing management systems for these matters contains a number of common elements, including obtaining commitment from senior management; instituting consultative mechanisms; developing a policy; identifying components of the management program; resourcing, implementing, and reviewing the program; and integrating the program into the organization's strategic plan. The necessity of developing separate management systems for different organizational aspects is wasteful and inefficient. Better management systems will be developed if they are integrated into a single management structure.

  4. Quality Connections: Transforming Schools through Total Quality Management.

    ERIC Educational Resources Information Center

    Schenkat, Randy

    Total Quality Management (TQM), the synchronization of quality principles across an organization, can help reveal that most problems within an organization are systemic and not personal. In the United States' educational system, teachers are often restricted, and little true learning communities are rare. Common educational practices, such as rote…

  5. Quality Connections: Transforming Schools through Total Quality Management.

    ERIC Educational Resources Information Center

    Schenkat, Randy

    Total Quality Management (TQM), the synchronization of quality principles across an organization, can help reveal that most problems within an organization are systemic and not personal. In the United States' educational system, teachers are often restricted, and little true learning communities are rare. Common educational practices, such as rote…

  6. Quality Goes to School: Readings on Quality Management in Education.

    ERIC Educational Resources Information Center

    American Association of School Administrators, Arlington, VA.

    In 1991, the American Association of School Administrators (AASA) published "An Introduction to Total Quality for Schools" to initiate its new learning network. This second collection of readings on quality management in education offers a series of perspectives through which readers can refine their own definitions and knowledge. It contains…

  7. Drinking water quality management: a holistic approach.

    PubMed

    Rizak, S; Cunliffe, D; Sinclair, M; Vulcano, R; Howard, J; Hrudey, S; Callan, P

    2003-01-01

    A growing list of water contaminants has led to some water suppliers relying primarily on compliance monitoring as a mechanism for managing drinking water quality. While such monitoring is a necessary part of drinking water quality management, experiences with waterborne disease threats and outbreaks have shown that compliance monitoring for numerical limits is not, in itself, sufficient to guarantee the safety and quality of drinking water supplies. To address these issues, the Australian National Health and Medical Research Council (NHMRC) has developed a Framework for Management of Drinking Water Quality (the Framework) for incorporation in the Australian Drinking Water Guidelines, the primary reference on drinking water quality in Australia. The Framework was developed specifically for drinking water supplies and provides a comprehensive and preventive risk management approach from catchment to consumer. It includes holistic guidance on a range of issues considered good practice for system management. The Framework addresses four key areas: Commitment to Drinking Water Quality Management, System Analysis and System Management, Supporting Requirements, and Review. The Framework represents a significantly enhanced approach to the management and regulation of drinking water quality and offers a flexible and proactive means of optimising drinking water quality and protecting public health. Rather than the primary reliance on compliance monitoring, the Framework emphasises prevention, the importance of risk assessment, maintaining the integrity of water supply systems and application of multiple barriers to assure protection of public health. Development of the Framework was undertaken in collaboration with the water industry, regulators and other stakeholder, and will promote a common and unified approach to drinking water quality management throughout Australia. The Framework has attracted international interest.

  8. Total Quality Management (TQM) Awareness Seminar. Revision 8

    DTIC Science & Technology

    1990-04-18

    TOTAL QUALITY MANAGEMENT (TQM) Awareness Seminar 0 Copyright 1990, BoozAllen & Hamilton Inc. PREPARED FOR...additional TOM training and Identify potential sources for TOM training. Total Quality Management ii1 TOTAL QUALITY MANAGEMENT (TQM) AWARENESS SEMINAR I...DOD Path to Total Quality Management 11. UNDERSTANDING TOTAL QUALITY MANAGEMENT : THE TQM IMPERATIVE " Exercise: Bead Box * History of

  9. Strategic service quality management for health care.

    PubMed

    Anderson, E A; Zwelling, L A

    1996-01-01

    Quality management has become one of the most important and most debated topics within the service sector. This is especially true for health care, as the controversy rages on how the existing American system should be restructured. Health care reform aimed at reducing costs and ensuring access to all Americans cannot be allowed to jeopardize the quality of care. As such, total quality management (TQM) has become a vital ingredient to strategic planning within the health care domain. At the heart of any such quality improvement effort is the issue of measurement. TQM cannot be effectively utilized as a competitive weapon unless quality can be accurately defined, measured, evaluated, and monitored over time. Through such analysis a hospital can elect how to expend its limited resources toward those quality improvement projects which will impact customer perceptions of service quality the most. Thus, the purpose of this report is to establish a framework by which to approach the issue of quality measurement, delineate the various components of quality that exist in health care, and explore how these elements affect one another. We propose that the issue of quality measurement in health care be approached as an integration of service quality attributes common to other service organizations and technical quality attributes unique to health care. We hope that this research will serve as a first step toward the synthesis of the various quality attributes inherent in the health care domain and encourage other researchers to address the interactions of the various quality attributes.

  10. Governing the implementation of emergency obstetric care: experiences of rural district health managers, Tanzania.

    PubMed

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

    2014-08-03

    Many health policies developed internationally often become adopted at the national level and are implemented locally at the district level. A decentralized district health system led by a district health management team becomes responsible for implementing such policies. This study aimed at exploring the experiences of a district health management team in implementing Emergency Obstetric Care (EmOC) related policies and identifying emerging governance aspects. The study used a qualitative approach in which data was obtained from thirteen individual interviews and one focus group discussion (FGD). Interviews were conducted with members of the district health management team, district health service boards and NGO representatives. The FGD included key informants who were directly involved in the work of implementing EmOC services in the district. Documentary reviews and observation were done to supplement the data. All the materials were analysed using a qualitative content analysis approach. Implementation of EmOC was considered to be a process accompanied by achievements and challenges. Achievements included increased institutional delivery, increased number of ambulances, training service providers in emergency obstetric care and building a new rural health centre that provides comprehensive emergency obstetric care. These achievements were associated with good leadership skills of the team together with partnerships that existed between different actors such as the Non-Governmental Organization (NGO), development partners, local politicians and Traditional Birth Attendants (TBAs). Most challenges faced during the implementation of EmOC were related to governance issues at different levels and included delays in disbursement of funds from the central government, shortages of health workers, unclear mechanisms for accountability, lack of incentives to motivate overburdened staffs and lack of guidelines for partnership development. The study revealed that

  11. Governing the implementation of Emergency Obstetric Care: experiences of Rural District Health Managers, Tanzania

    PubMed Central

    2014-01-01

    Background Many health policies developed internationally often become adopted at the national level and are implemented locally at the district level. A decentralized district health system led by a district health management team becomes responsible for implementing such policies. This study aimed at exploring the experiences of a district health management team in implementing Emergency Obstetric Care (EmOC) related policies and identifying emerging governance aspects. Methods The study used a qualitative approach in which data was obtained from thirteen individual interviews and one focus group discussion (FGD). Interviews were conducted with members of the district health management team, district health service boards and NGO representatives. The FGD included key informants who were directly involved in the work of implementing EmOC services in the district. Documentary reviews and observation were done to supplement the data. All the materials were analysed using a qualitative content analysis approach. Results Implementation of EmOC was considered to be a process accompanied by achievements and challenges. Achievements included increased institutional delivery, increased number of ambulances, training service providers in emergency obstetric care and building a new rural health centre that provides comprehensive emergency obstetric care. These achievements were associated with good leadership skills of the team together with partnerships that existed between different actors such as the Non-Governmental Organization (NGO), development partners, local politicians and Traditional Birth Attendants (TBAs). Most challenges faced during the implementation of EmOC were related to governance issues at different levels and included delays in disbursement of funds from the central government, shortages of health workers, unclear mechanisms for accountability, lack of incentives to motivate overburdened staffs and lack of guidelines for partnership development

  12. Pollution prevention and total quality management

    SciTech Connect

    Baker, G.E.

    1995-09-01

    Both quality management and pollution prevention are paradigms for their respective concepts to be followed and put into effect in industrial production. They each represent a framework for making things better, and for the examination and evaluation of current practices. Both pollution prevention and total quality management welcome innovative thought and the mandate to question the validity of practices. This chapter investigates the similarities of purpose and content of pollution prevention and total quality management techniques for industrial wastes. It also examines the reasons and directions that industry is following to make both paradigms integral parts of conducting business.

  13. Site Based Management: Implications for Education Service Districts.

    ERIC Educational Resources Information Center

    Young, John

    Educational improvement can occur if school decisionmaking is shifted from centralized, "top down" administration to individual school control cooperatively directed by the principal, the staff, and parents. Site-based management allows the school a high degree of autonomy by placing the responsibility and authority for decisions at the school…

  14. 77 FR 63781 - Revisions to the California State Implementation Plan, Sacramento Metropolitan Air Quality...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-17

    ... Quality Management Districts AGENCY: Environmental Protection Agency (EPA). ACTION: Proposed rule. SUMMARY: EPA is proposing to approve revisions to the Sacramento Metropolitan Air Quality Management...

  15. 77 FR 47581 - Revisions to the California State Implementation Plan, Sacramento Metropolitan Air Quality...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-09

    ... Quality Management District AGENCY: Environmental Protection Agency (EPA). ACTION: Proposed rule. SUMMARY: EPA is proposing to approve revisions to the Sacramento Metropolitan Air Quality Management...

  16. Assessment of groundwater quality in shallow wells within the southern districts of Malawi

    NASA Astrophysics Data System (ADS)

    Pritchard, M.; Mkandawire, T.; O'Neill, J. G.

    Lack of safe drinking water is a major problem in developing countries. Within Africa most people rely mainly on local groundwater sources for their water needs. These can be deep boreholes or shallow wells, the latter are normally found in poorer communities as they are the least expensive to construct. Over time water from these sources can be contaminated leading to fatal consequences. Previous monitoring of the quality of water from boreholes and shallow wells have been irregular, with the focus being mainly on boreholes. Information on seasonal water quality changes in shallow wells used by rural communities in Malawi has generally been lacking. A study was conducted from 2006 to 2007 to determine the quality of water from shallow wells in three districts in southern Malawi namely, Balaka, Chikwawa and Zomba districts. Water samples from 21 covered and five open shallow wells were analysed for chemical, microbiological and physical parameters using a portable water testing kit. Sampling was carried out at four different times of the year i.e. in August and October 2006 (dry season) and February and April 2007 (wet season). Microbiological data indicated that around 80% of the samples, obtained from the covered wells, failed to meet safe drinking water limits, set by World Health Organisation guidelines and Malawi Bureau of Standards, of zero total and faecal colony forming units (cfu)/100 ml. Values in excess of 1000 cfu/100 ml were noted in 10% of the samples, indicating gross contamination and the probability of pathogens being present. Contamination levels were higher during the wet season than the dry season in all three districts. Arsenic, ammonia, nitrate, nitrite and sulphate were all within the acceptable limits. Elevated levels of hardness, turbidity were noted in certain wells.

  17. Assessment of Groundwater quality in Krishnagiri and Vellore Districts in Tamil Nadu, India

    NASA Astrophysics Data System (ADS)

    Shanmugasundharam, A.; Kalpana, G.; Mahapatra, S. R.; Sudharson, E. R.; Jayaprakash, M.

    2015-11-01

    Groundwater quality is important as it is the main factor determining its suitability for drinking, domestic, agricultural and industrial purposes. The suitability of groundwater for drinking and irrigation has been assessed in north and eastern part of Krishnagiri district, South-western part of Vellore district and contiguous with Andhra Pradesh states, India. A total of 31 groundwater samples were collected in the study area. The groundwater quality assessment has been carried out by evaluating the physicochemical parameters such as pH, EC, TDS, HCO3^{ - } , Cl-, SO4^{2 - } , Ca2+, Mg2+, Na+ and K+. The dominant cations are in the order of Na+ > K+ > Ca2+ > Mg2+ while the dominant anions have the trends of Cl- > HCO3^{ - } > SO4^{2 - } > CO3. The quality of the water is evaluated using Wilcox diagram and the results reveals that most of the samples are found to be suitable for irrigation. Based on these parameters, groundwater has been assessed in favor of its suitability for drinking and irrigation purpose.

  18. Assessment of Groundwater quality in Krishnagiri and Vellore Districts in Tamil Nadu, India

    NASA Astrophysics Data System (ADS)

    Shanmugasundharam, A.; Kalpana, G.; Mahapatra, S. R.; Sudharson, E. R.; Jayaprakash, M.

    2017-07-01

    Groundwater quality is important as it is the main factor determining its suitability for drinking, domestic, agricultural and industrial purposes. The suitability of groundwater for drinking and irrigation has been assessed in north and eastern part of Krishnagiri district, South-western part of Vellore district and contiguous with Andhra Pradesh states, India. A total of 31 groundwater samples were collected in the study area. The groundwater quality assessment has been carried out by evaluating the physicochemical parameters such as pH, EC, TDS, {HCO}3^{ - }, Cl-, {SO}4^{2 - }, Ca2+, Mg2+, Na+ and K+. The dominant cations are in the order of Na+ > K+ > Ca2+ > Mg2+ while the dominant anions have the trends of Cl- > {HCO}3^{ - } > {SO}4^{2 - } > CO3. The quality of the water is evaluated using Wilcox diagram and the results reveals that most of the samples are found to be suitable for irrigation. Based on these parameters, groundwater has been assessed in favor of its suitability for drinking and irrigation purpose.

  19. Integrated groundwater quality management in urban areas

    NASA Astrophysics Data System (ADS)

    Swartjes, F. A.; Otte, P. F.

    2012-04-01

    Traditionally, groundwater assessments and remediations are approached at the scale of individual groundwater plumes. In urban areas, however, this management of individual groundwater plumes is often problematic for technical, practical or financial reasons, since the groundwater quality is often affected by a combination of sources, including (former) industrial activities, spills and leachate from uncontrolled landfills and building materials. As a result, often a whole series of intermingling contamination plumes is found in large volumes of groundwater. In several countries in the world, this led to stagnation of groundwater remediation in urban areas. Therefore, in the Netherlands there is a tendency managing groundwater in urban areas from an integrated perspective and on a larger scale. This so-called integrated groundwater quality management is often more efficient and hence, cheaper, since the organisation of the management of a cluster of groundwater plumes is much easier than it would be if all individual groundwater plumes were managed at different points in time. Integrated groundwater quality management should follow a tailor-made approach. However, to facilitate practical guidance was developed. This guidance relates to the delineation of the domain, the management of sources for groundwater contamination, procedures for monitoring, and (risk-based) assessment of the groundwater quality. Function-specific risk-based groundwater quality criteria were derived to support the assessment of the groundwater quality.

  20. Groundwater quality assessment using geospatial and statistical tools in Salem District, Tamil Nadu, India

    NASA Astrophysics Data System (ADS)

    Arulbalaji, P.; Gurugnanam, B.

    2016-11-01

    The water quality study of Salem district, Tamil Nadu has been carried out to assess the water quality for domestic and irrigation purposes. For this purpose, 59 groundwater samples were collected and analyzed for pH, electrical conductivity (EC), total dissolved solids (TDS), major anions (HCO3 -, CO3 -, F-, Cl-, NO2 - + NO3 -, and SO4 2-), major cations (Ca2+ Mg2+, Na+, and K+), alkalinity (ALK), and hardness (HAR). To assess the water quality, the following chemical parameters were calculated based on the analytical results, such as Piper plot, water quality index (WQI), sodium adsorption ratio (SAR), magnesium hazard (MH), Kelly index (KI), and residual sodium carbonate (RSC). Wilcox diagram represents that 23% of the samples are excellent to good, 40% of the samples are good to permissible, 10% of the samples are permissible to doubtful, 24% of the samples are doubtful unsuitable, and only 3% of the samples are unsuitable for irrigation. SAR values shows that 52% of the samples indicate high-to-very high and low-to-medium alkali water. KI values indicate good quality (30%) and not suitable (70%) for irrigation purposes. RSC values indicate that 89% of samples are suitable for irrigation purposes. MH reveals that 17% suitable and 83% samples are not suitable for irrigation purposes and for domestic purposes the excellent (8%), good (48%), and poor (44%). The agricultural waste, fertilizer used, soil leaching, urban runoff, livestock waste, and sewages are the sources of poor water quality. Some samples are not suitable for irrigation purposes due to high salinity, hardness, and magnesium concentration. In general, the groundwater of the Salem district was polluted by agricultural activities, anthropogenic activities, ion exchange, and weathering.

  1. Quality Management: An Annotated Bibliography.

    DTIC Science & Technology

    1986-06-01

    Garvin , D. A. (1983). Quality on the line. Harvard Business Review, 61( 5 ), 64-75. Key Terms: Case Histories...8217 ’. ," . ." . . .’ " . - "" , . . • " . ’ "" . - . I ’-4 * 0 Pavsidis, C. (1983). Zero defect programs thriving in Japan. b Quality Progress, 16( 5 ), 34-35. Key Terms: Approaches to QM/History of QM/SPC...1984). Quality Progress, 17(10), 32-37. Key Terms: Approaches to QM/SPC. Abstract: Feigenbaum , Juran, and Crosby

  2. A workbook for preparing surface water quality-assurance plans for districts of the U.S. Geological Survey, Water Resources Division

    USGS Publications Warehouse

    Arvin, Donald V.

    1995-01-01

    The U.S. Geological Survey, Water Resources Division, has a policy that each District Office is required to prepare a District Surface Water Quality-Assurance Plan. The plan for each District describes the policies and procedures that ensure high quality in the collection, processing, analysis, computer storage, and publication of surface-water data. The guidelines presented in this report are structured as a workbook to provide a specific framework for Districts in preparing their District Surface Water Quality-Assurance Plans.

  3. [Total quality management in laboratory medicine].

    PubMed

    Vogt, W

    1998-12-01

    The German Public Health will be continuously challenged in the future. It has to be assumed that modified managed care will not only take place sporadically. Thus, quality aspects of services gain more and more significance. Only suppliers will be successful who can offer services of highest quality at lowest prices. Quality in a comprehensive sense has to be substantiated in the near future. It is recommended to apply industry proven models also in public health service. Medical laboratories can be pioneers in this field as they have been already in the past. All previously proposed procedures can not describe quality of results comprehensively. They are based to a high degree on external control. Total quality management, however, represents a comprehensive approach. Principles are zero-defect approach, customer orientation and system management. Quality is given in the sense of TQM if the customer is permanently satisfied with the service of the supplier. In such a way, the customer defines quality of service. A customer is everyone who receives products or services. TQM overcomes the drawbacks of quality management systems, which are strongly formal and oriented by external control, as accreditation (EN 45,000) or certification (ISO 9000). Competition between hospitals is a declared goal of German health politics because usually quality is increased and cost decreased as a consequence. Competition means also comparison of services. TQM emphasizes benchmarking especially among the best suppliers.

  4. [Quality assurance and quality management in intensive care].

    PubMed

    Notz, K; Dubb, R; Kaltwasser, A; Hermes, C; Pfeffer, S

    2015-11-01

    Treatment success in hospitals, particularly in intensive care units, is directly tied to quality of structure, process, and outcomes. Technological and medical advancements lead to ever more complex treatment situations with highly specialized tasks in intensive care nursing. Quality criteria that can be used to describe and correctly measure those highly complex multiprofessional situations have only been recently developed and put into practice.In this article, it will be shown how quality in multiprofessional teams can be definded and assessed in daily clinical practice. Core aspects are the choice of a nursing theory, quality assurance measures, and quality management. One possible option of quality assurance is the use of standard operating procedures (SOPs). Quality can ultimately only be achieved if professional groups think beyond their boundaries, minimize errors, and establish and live out instructions and SOPs.

  5. Managing Air Quality - Program Implementation

    EPA Pesticide Factsheets

    Describes elements for the set of activities to ensure that control strategies are put into effect and that air quality goals and standards are fulfilled, permitting programs, and additional resources related to implementation under the Clean Air Act.

  6. LCA of integrated MSW management systems: Case study of the Bologna District

    SciTech Connect

    Buttol, P. Masoni, P.; Bonoli, A.; Goldoni, S.; Belladonna, V.; Cavazzuti, C.

    2007-07-01

    LCA as a decision-supporting tool in planning integrated municipal solid waste management is not, as yet, widely used in Italy. This paper presents a study concerning the application of the LCA methodology to support the development of the new waste management plan for the Bologna District. The main goal of the study was to show decision-makers at the political level the benefits obtainable with the use of LCA, in terms of the identification and quantification of the potential environmental impacts of different waste management strategies. The integrated waste management system of the Bologna District includes waste collection and transport, sorting, recycling, composting, incineration and landfilling. Three scenarios, referring to 2006 and assuming the presence of 950,000 inhabitants and the production of {approx}566,000 t of waste in the district, have been compared. A detailed model has been developed in order to capture effects related to the waste fraction from separated collection and to the different waste treatments. The discussion of the results has focussed in particular on the greenhouse effect and the acidification potential. On the basis of the results obtained, the analysis of an additional scenario characterised by a further increase in separated collection has been put forward.

  7. Proactive management of air quality.

    PubMed

    Angle, R P; Sandhu, H S

    2001-02-01

    Traditional air resource management systems have difficulty in addressing global issues, sustainable development, direct citizen participation, and integration with broad economic interests. As reactive management systems, they tend to be compliance-driven, static, and rigid. In contrast, proactive management systems are principle-driven, innovative, and flexible. Bridge scientists play a key role in supporting the transformation of raw data into wise action. Decision-makers need to integrate social values with knowledge about emissions, atmospheric processes, and potential environmental effects using the primary tools of measurements, monitoring, and modeling. The Alberta Clean Air Strategic Alliance, a unique partnership of governments, industry, and public interest groups formed in 1994, operates a comprehensive air management system that is capable of addressing air issues of greater complexity and uncertainty. Its success is measured by the satisfaction of its diverse stakeholders and by the number and scope of its initiatives. Copyright 2001 Springer-Verlag

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

    PubMed

    Khim, Keovathanak; Annear, Peter Leslie

    2013-11-01

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

  9. Building a competent health manager at district level: a grounded theory study from Eastern Uganda.

    PubMed

    Tetui, Moses; Hurtig, Anna-Karin; Ekirpa-Kiracho, Elizabeth; Kiwanuka, Suzanne N; Coe, Anna-Britt

    2016-11-21

    Health systems in low-income countries are often characterized by poor health outcomes. While many reasons have been advanced to explain the persistently poor outcomes, management of the system has been found to play a key role. According to a WHO framework, the management of health systems is central to its ability to deliver needed health services. In this study, we examined how district managers in a rural setting in Uganda perceived existing approaches to strengthening management so as to provide a pragmatic and synergistic model for improving management capacity building. Twenty-two interviews were conducted with district level administrative and political managers, district level health managers and health facility managers to understand their perceptions and definitions of management and capacity building. Kathy Charmaz's constructive approach to grounded theory informed the data analysis process. An interative, dynamic and complex model with three sub-process of building a competent health manager was developed. A competent manager was understood as one who knew his/her roles, was well informed and was empowered to execute management functions. Professionalizing health managers which was viewed as the foundation, the use of engaging learning approaches as the inside contents and having a supportive work environment the frame of the model were the sub-processes involved in the model. The sub-processes were interconnected although the respondents agreed that having a supportive work environment was more time and effort intensive relative to the other two sub-processes. The model developed in our study makes four central contributions to enhance the WHO framework and the existing literature. First, it emphasizes management capacity building as an iterative, dynamic and complex process rather than a set of characteristics of competent managers. Second, our model suggests the need for professionalization of health managers at different levels of the health

  10. The NCC project: A quality management perspective

    NASA Technical Reports Server (NTRS)

    Lee, Raymond H.

    1993-01-01

    The Network Control Center (NCC) Project introduced the concept of total quality management (TQM) in mid-1990. The CSC project team established a program which focused on continuous process improvement in software development methodology and consistent deliveries of high quality software products for the NCC. The vision of the TQM program was to produce error free software. Specific goals were established to allow continuing assessment of the progress toward meeting the overall quality objectives. The total quality environment, now a part of the NCC Project culture, has become the foundation for continuous process improvement and has resulted in the consistent delivery of quality software products over the last three years.

  11. The NCC project: A quality management perspective

    NASA Astrophysics Data System (ADS)

    Lee, Raymond H.

    1993-11-01

    The Network Control Center (NCC) Project introduced the concept of total quality management (TQM) in mid-1990. The CSC project team established a program which focused on continuous process improvement in software development methodology and consistent deliveries of high quality software products for the NCC. The vision of the TQM program was to produce error free software. Specific goals were established to allow continuing assessment of the progress toward meeting the overall quality objectives. The total quality environment, now a part of the NCC Project culture, has become the foundation for continuous process improvement and has resulted in the consistent delivery of quality software products over the last three years.

  12. Urban morphology and air quality in dense residential environments in Hong Kong. Part I: District-level analysis

    NASA Astrophysics Data System (ADS)

    Edussuriya, P.; Chan, A.; Ye, A.

    2011-09-01

    The link between urban morphology and air quality in various dense residential environments of Hong Kong are investigated through field measurements and statistical analysis. With regard to the myriads of parameters available in the literature, this study aims to identify the most important urban morphological parameters in the street-level and district levels that affect air quality dispersion in Hong Kong. The study postulates that there is an association between urban morphology and urban air quality and a statistical model is developed to explain the relationship amongst urban air quality, micro-meteorology and urban morphological dimension. The study considered 20 different urban residential areas in five major districts of Hong Kong and real-time street-level air pollutant and microclimatic data are collected. 21 morphological variables are identified and calculated based on the geometry of the urban fabric. This study is the first part of a series which focuses to identify whether district demarcation is correlated with air quality. According to the findings of statistical analysis, only 6 out of 21 morphological variables (complete aspect ratio, occlusivity, roughness height, zero-plane displacement height, total building volume/number of buildings, and standard deviation of height) report distinguishable variability at the district level. Their R2 (correlation coefficient) values vary from 0.2937 (plan area index) to 0.5457 (occlusivity) which is considered moderate to high. All these parameters describe the overall feature of the site rather than the specific geometric features of the street. It translates to the fact that in spite of the large in-district variations in morphological variables amongst the five districts, air pollution variations are insignificant for most of the variables and it means that air quality in Hong Kong are distinguishable not by district-level variable but rather in-site fabrics.

  13. Source Emissions in Multipollutant Air Quality Management

    EPA Science Inventory

    Human activities and natural processes that emit pollutants into the ambient atmosphere are the underlying cause of all air quality problems. In a technical sense, we refer to these activities and processes as pollutant sources. Although air quality management is usually concerne...

  14. Quality or Control? Management in Higher Education

    ERIC Educational Resources Information Center

    Milliken, John; Colohan, Gerry

    2004-01-01

    Over the past fifteen years the rationale, organisational infrastructure and delivery of social policy in Britain have undergone radical transformation. Whereas efficiency was the key word of the 1980s, quality was the touchstone of the 1990s and quality control with accountability has become the management philosophy of the new millennium.…

  15. Coordinating Council. Ninth Meeting: Total Quality Management

    NASA Technical Reports Server (NTRS)

    1992-01-01

    This report summarizes the 9th meeting of the STI Coordinating Council. The council listened to the speakers' understanding of Total Quality Management (TQM) principles and heard stories of successful applications of these principles. Definitions of quality stated were focused on customer satisfaction. Reports presented by the speakers are also included.

  16. Total quality management in behavioral health care.

    PubMed

    Sluyter, G V

    1998-01-01

    The literature on total quality management or continuous quality improvement in the behavioral health care field is just beginning to emerge. Although most of the evidence on its effectiveness remains anecdotal, it seems clear that it can work in behavioral health care organizations with strong leadership support and a long-term commitment.

  17. Total Quality Management Goes to Community College.

    ERIC Educational Resources Information Center

    DeCosmo, Richard D.; And Others

    1991-01-01

    This article details the four-year implementation of Total Quality Management at Delaware County Community College (Pennsylvania) to conserve resources, improve effectiveness, assure quality, and increase participation in decision making. Reported are planning, execution, and monitoring activities of the Implementation Team; specific problems…

  18. The Quality School: Managing Students without Coercion.

    ERIC Educational Resources Information Center

    Glasser, William

    Noncoercive student management practices to promote quality school work are examined in this book, which is based on the assertion that student motivation to perform quality work should not be compromised by focusing on minimal goals, such as dropout reduction and discipline problems. Replacement of the traditional coercive, divisive management…

  19. Source Emissions in Multipollutant Air Quality Management

    EPA Science Inventory

    Human activities and natural processes that emit pollutants into the ambient atmosphere are the underlying cause of all air quality problems. In a technical sense, we refer to these activities and processes as pollutant sources. Although air quality management is usually concerne...

  20. Quality or Control? Management in Higher Education

    ERIC Educational Resources Information Center

    Milliken, John; Colohan, Gerry

    2004-01-01

    Over the past fifteen years the rationale, organisational infrastructure and delivery of social policy in Britain have undergone radical transformation. Whereas efficiency was the key word of the 1980s, quality was the touchstone of the 1990s and quality control with accountability has become the management philosophy of the new millennium.…

  1. Users' perceptions of outpatient quality of care in Kilosa District Hospital in central Tanzania.

    PubMed

    Juma, D; Manongi, R

    2009-10-01

    Use of users' perception in measuring quality of care has been shown to be useful in screening problems and in planning for improvement of quality of health care delivery. Traditionally, quality of care has been measured using professional standards, neglecting users' opinions which may leave psychosocial needs unattended. The objective of this descriptive cross-sectional study was to assess users' perceptions of quality of care given at outpatient department (OPD) at Kilosa District Hospital in Central Tanzania. Hospital based exit interviews were conducted to adult patients or caregivers of children attending the hospital. Focus Group Discussions were conducted among community members in selected villages within the hospital catchment area. Information on perceptions on care provider-patient interaction, cost of service, availability of medicines, equipment and health personnel was sought from the participants. Overall OPD was perceived to have several shortcomings including verbal abuse of patients by care providers, lack of responsiveness to patients' needs, delays, inadequate examination, unreliable supply of medicines, lack of confidentiality and favouritism in health care provision. Cost of service was perceived to be reasonable provided medicines were available. In conclusion, provider-patient interactions, timely services, supply of medicines and favouritism were the major factors affecting quality of service at the hospital. Efforts should be made to address the shortcomings so as to improve quality of care and users perceptions.

  2. Potentiometric surface of the Floridan Aquifer, Southwest Florida Water Management District, May 1980

    USGS Publications Warehouse

    Yobbi, D.K.; Woodham, W.M.; Schiner, George R.

    1980-01-01

    A May 1980 potentiometric-surface map of the Southwest Florida Water Management District depicts the annual low water-level period. Potentiometric levels decreased 5 to 36 feet between September 1979 and May 1980, in the citrus and farming sections of southern Hillsborough, southwestern Polk, northwestern DeSoto , Hardee, and Manatee Counties. Water levels in these areas are widely affected by pumping for irrigation and have the greatest range in fluctuations. Water-level decreases ranged from 0 to 8 feet in coastal, northern, and southern areas of the Water Management District. Generally, potentiometric levels were lower than previous May levels except in the northernmost and southernmost counties where water levels were 1 to 5 feet higher. (USGS)

  3. Potentiometric surface of the Floridan Aquifer, Southwest Florida Water Management District, May 1981

    USGS Publications Warehouse

    Yobbi, D.K.; Woodham, W.M.; Schiner, George R.

    1981-01-01

    A May 1981 potentiometric-surface map of the Southwest Florida Water Management District depicts the annual low water-level period. Potentiometric levels decreased 10 to 45 feet between September 1980 and May 1981 in the citrus and farming sections of southern Hillsborough, northern Hardee, southwestern Polk, northwestern DeSoto, and Manatee Counties. Water levels in these areas are widely affected by pumping for irrigation and have the greatest range in fluctuations. Water-level decreases ranged from 0 to 1 feet in coastal, northern, and southern areas of the Water Management District. Water levels in all of the approximate 700 wells measured in May 1981 are lower than May 1980 because of the virtual absence of rainfall in April and May. (USGS)

  4. Quality-Based Supply Management Indicators

    DTIC Science & Technology

    1993-09-01

    current supply management indicators provide supply managers with cuality measurement tools. This research developed the Quality-Based Metrics Framework...improvements - they are after-the-process inspection points, not mid-cycle check points for process health . In fact, by the time, negative trends develop

  5. Total Quality Management in Libraries. ERIC Digest.

    ERIC Educational Resources Information Center

    Masters, Denise G.

    Total Quality Management (TQM) is "a system of continuous improvement employing participative management and centered on the needs of customers." Key components of TQM are employee involvement and training, problem-solving teams, statistical methods, long-term goals and thinking, and recognition that the system, not people, produces…

  6. Revitalizing Space Operations through Total Quality Management

    NASA Technical Reports Server (NTRS)

    Baylis, William T.

    1995-01-01

    The purpose of this paper is to show the reader what total quality management (TQM) is and how to apply TQM in the space systems and management arena. TQM is easily understood, can be implemented in any type of business organization, and works.

  7. Managing Service Quality with the Balanced Scorecard.

    ERIC Educational Resources Information Center

    Poll, Roswitha

    In order to evaluate and utilize library data for the management process, a German project, sponsored by the German Research Council, uses the Balanced Scorecard as the concept for integrated quality management. Performance indicators across the following four perspectives are combined to produce a balanced evaluation of the library: (1) users,…

  8. Revitalizing Space Operations through Total Quality Management

    NASA Technical Reports Server (NTRS)

    Baylis, William T.

    1995-01-01

    The purpose of this paper is to show the reader what total quality management (TQM) is and how to apply TQM in the space systems and management arena. TQM is easily understood, can be implemented in any type of business organization, and works.

  9. Total Quality Management. ERIC Digest, Number 73.

    ERIC Educational Resources Information Center

    Weaver, Tyler

    The Japanese success story has made W. Edwards Deming's Total Quality Management (TQM) theory increasingly popular among American managers, from car manufacturers to educational leaders. TQM is based on two tenets: the primacy of customer satisfaction and the necessity of tapping nontraditional sources (especially employee ideas) to institute…

  10. MANAGING INDOOR AIR QUALITY IN THE USA

    EPA Science Inventory

    The paper gives an overview of managing indoor air quality (IAQ) in the U.S. In contrast to outdoor air, which is regulated through various federal and state statutes, there is no unified and comprehensive governmental regulation of IAQ. Therefore, IAQ is managed through variou...

  11. MANAGING INDOOR AIR QUALITY IN THE USA

    EPA Science Inventory

    The paper gives an overview of managing indoor air quality (IAQ) in the U.S. In contrast to outdoor air, which is regulated through various federal and state statutes, there is no unified and comprehensive governmental regulation of IAQ. Therefore, IAQ is managed through variou...

  12. Challenges in provider payment under the Ghana National Health Insurance Scheme: a case study of claims management in two districts.

    PubMed

    Sodzi-Tettey, S; Aikins, M; Awoonor-Williams, J K; Agyepong, I A

    2012-12-01

    In 2004, Ghana started implementing a National Health Insurance Scheme (NHIS) to remove cost as a barrier to quality healthcare. Providers were initially paid by fee - for - service. In May 2008, this changed to paying providers by a combination of Ghana - Diagnostic Related Groupings (G-DRGs) for services and fee - for - service for medicines through the claims process. The study evaluated the claims management processes for two District MHIS in the Upper East Region of Ghana. Retrospective review of secondary claims data (2008) and a prospective observation of claims management (2009) were undertaken. Qualitative and quantitative approaches were used for primary data collection using interview guides and checklists. The reimbursements rates and value of rejected claims were calculated and compared for both districts using the z test. The null hypothesis was that no differences existed in parameters measured. Claims processes in both districts were similar and predominantly manual. There were administrative capacity, technical, human resource and working environment challenges contributing to delays in claims submission by providers and vetting and payment by schemes. Both Schemes rejected less than 1% of all claims submitted. Significant differences were observed between the Total Reimbursement Rates (TRR) and the Total Timely Reimbursement Rates (TTRR) for both schemes. For TRR, 89% and 86% were recorded for Kassena Nankana and Builsa Schemes respectively while for TTRR, 45% and 28% were recorded respectively. Ghana's NHIS needs to reform its provider payment and claims submission and processing systems to ensure simpler and faster processes. Computerization and investment to improve the capacity to administer for both purchasers and providers will be key in any reform.

  13. New Public Management and District Reform: Managerialism and Deflection of Local Leadership in a Texas School District

    ERIC Educational Resources Information Center

    Maxcy, Brendan

    2009-01-01

    Examining work and community relations in one Texas school district, this study explores intensifying managerialism under performance accountability (PA) pressures. Reports, press releases, and media accounts are combined with ethnographic study from one elementary school to explore the enactment of school district reforms. Locating PA within a…

  14. Potable water quality monitoring of primary schools in Magura district, Bangladesh: children's health risk assessment.

    PubMed

    Rahman, Aminur; Hashem, Abul; Nur-A-Tomal, Shahruk

    2016-12-01

    Safe potable water is essential for good health. Worldwide, school-aged children especially in the developing countries are suffering from various water-borne diseases. In the study, drinking water supplies for primary school children were monitored at Magura district, Bangladesh, to ensure safe potable water. APHA standard analytical methods were applied for determining the physicochemical parameters of the water samples. For determination of the essential physicochemical parameters, the samples were collected from 20 randomly selected tube wells of primary schools at Magura. The metal contents, especially arsenic (As), iron (Fe), and manganese (Mn), in the water samples were analyzed by atomic absorption spectroscopy. The range of physicochemical parameters found in water samples were as follows: pH 7.05-9.03, electrical conductivity 400-2340 μS/cm, chloride 10-640 mg/L, hardness 200-535 mg/L as CaCO3, and total dissolved solids 208-1216 mg/L. The level of metals in the tube well water samples were as follows: As 1 to 55 μg/L, Fe 40 to 9890 μg/L, and Mn 10 to 370 μg/L. Drinking water parameters of Magura district did not meet the requirement of the World Health Organization drinking water quality guideline, or the Drinking Water Quality Standards of Bangladesh.

  15. Groundwater quality at the Saline Valley Conservancy District well field, Gallatin County, Illinois

    USGS Publications Warehouse

    Gorczynska, Magdalena; Kay, Robert T.

    2016-08-29

    The Saline Valley Conservancy District (SVCD) operates wells that supply water to most of the water users in Saline and Gallatin Counties, Illinois. The SVCD wells draw water from a shallow sand and gravel aquifer located in close proximity to an abandoned underground coal mine, several abandoned oil wells, and at least one operational oil well. The aquifer that yields water to the SVCD wells overlies the New Albany Shale, which may be subjected to shale-gas exploration by use of hydraulic fracturing. The SVCD has sought technical assistance from the U.S. Geological Survey to characterize baseline water quality at the SVCD well field so that future changes in water quality (if any) and the cause of those changes (including mine leachate and hydraulic fracturing) can be identified.

  16. [Basic principles of quality management in public health service].

    PubMed

    Selbmann, H K

    1996-11-01

    Philosophy, objectives and tools of Total Quality Management are applicable in Public Health services as in every other business. However, they need special adaptation. In Public Health offices requirements of an effective Total Quality Management are the commitment of the top management, an appropriate structure of the quality management system, customer orientation and quality awareness of the personnel, quality indicators and the existence of procedures for problem recognition, good command of the tools of quality management, and the knowledge of the effectiveness of implemented traditional quality assurance measures. Certification procedures following the European Quality Award seem to be appropriate for a global evaluation of quality and quality management of a Public Health office.

  17. Instruments for Water Quality Management

    ERIC Educational Resources Information Center

    United Nations and Water, 1977

    1977-01-01

    The old system of licensing within the different sectors of the society in Norway is in the process of being incorporated into a system of total natural resource planning and regulation. This article outlines comprehensive physical and economic water pollution management plans for the municipality, the county, and the state. (Author/MA)

  18. Expanded Quality Management Using Information Power (EQUIP): protocol for a quasi-experimental study to improve maternal and newborn health in Tanzania and Uganda

    PubMed Central

    2014-01-01

    Background Maternal and newborn mortality remain unacceptably high in sub-Saharan Africa. Tanzania and Uganda are committed to reduce maternal and newborn mortality, but progress has been limited and many essential interventions are unavailable in primary and referral facilities. Quality management has the potential to overcome low implementation levels by assisting teams of health workers and others finding local solutions to problems in delivering quality care and the underutilization of health services by the community. Existing evidence of the effect of quality management on health worker performance in these contexts has important limitations, and the feasibility of expanding quality management to the community level is unknown. We aim to assess quality management at the district, facility, and community levels, supported by information from high-quality, continuous surveys, and report effects of the quality management intervention on the utilization and quality of services in Tanzania and Uganda. Methods In Uganda and Tanzania, the Expanded Quality Management Using Information Power (EQUIP) intervention is implemented in one intervention district and evaluated using a plausibility design with one non-randomly selected comparison district. The quality management approach is based on the collaborative model for improvement, in which groups of quality improvement teams test new implementation strategies (change ideas) and periodically meet to share results and identify the best strategies. The teams use locally-generated community and health facility data to monitor improvements. In addition, data from continuous health facility and household surveys are used to guide prioritization and decision making by quality improvement teams as well as for evaluation of the intervention. These data include input, process, output, coverage, implementation practice, and client satisfaction indicators in both intervention and comparison districts. Thus, intervention districts

  19. Total Quality Management in Information Services. Information Services Management Series.

    ERIC Educational Resources Information Center

    St. Clair, Guy

    Information services managers have a responsibility to provide the best information delivery possible. The basic principles of total quality management can be used by information professionals to help justify library funding through the creation of an environment where customer-patron satisfaction is paramount. This book reveals how to apply the…

  20. Total Quality Management in Information Services. Information Services Management Series.

    ERIC Educational Resources Information Center

    St. Clair, Guy

    Information services managers have a responsibility to provide the best information delivery possible. The basic principles of total quality management can be used by information professionals to help justify library funding through the creation of an environment where customer-patron satisfaction is paramount. This book reveals how to apply the…

  1. Readings on Managing Organizational Quality

    DTIC Science & Technology

    1990-05-01

    necessary for man- agement. .,Ich cuality -characteristlc is most critical? It is man- azement’s 4ob to discover which quality-characteristic is most critical...customers by building excellence health of which determines the future of the into every aspect of the organization. This is enterprise. done by creating...traditional areas such as wages, collaboration are broad, particularly health and safety. in education, training and meaningful involvement of employees in the

  2. Quality management of finite element analysis

    NASA Astrophysics Data System (ADS)

    Barlow, John

    1991-09-01

    A quality management system covering the use of finite element analysis is described. The main topics are as follows: acquisition, development and verification of software (including the software suppliers software quality control system), support, documentation, error control, internal software, software acceptance and release; development and qualification of analysis methods, including software evaluation, analysis procedure qualification and documentation, procedure quality checks, control of analysis procedure errors; product design and integrity analysis, including project quality assurance and analysis planning, task specification and allocation, analysis, execution, results checking and analysis records. Other issues include the commercial and business advantages of quality systems, project and technical management and the training and experience of personnel. The items are correlated with the requirements of International Standard Organization 9001.

  3. Leadership and management in quality radiology

    PubMed Central

    2007-01-01

    The practice of medical imaging and interventional radiology are undergoing rapid change in recent years due to technological advances, workload escalation, workforce shortage, globalisation, corporatisation, commercialisation and commoditisation of healthcare. These professional and economical changes are challenging the established norm but may bring new opportunities. There is an increasing awareness of and interest in the quality of care and patient safety in medical imaging and interventional radiology. Among the professional organisations, a range of quality systems are available to address individual, facility and system needs. To manage the limited resources successfully, radiologists and professional organisations must be leaders and champion for the cause of quality care and patient safety. Close collaboration with other stakeholders towards the development and management of proactive, long-term, system-based strategies and infrastructures will underpin a sustainable future in quality radiology. The International Radiology Quality Network can play a useful facilitating role in this worthwhile but challenging endeavour. PMID:21614284

  4. Quality Management of Reference Geo-Information

    NASA Astrophysics Data System (ADS)

    Jakobsson, A.; Hopfstock, A.; Beare, M.; Patrucco, R.

    2013-05-01

    This paper will introduce how quality of geo-information can be managed when the production environment is no longer inside one organization (e.g. collection of data is contracted out) or data is compiled from various sources like in case of Spatial Data Infrastructures (SDIs). The bases for quality management of reference geo-information are discussed using three viewpoints; data, process and organization and user centric viewpoints. These viewpoints can be met using ISO 19157 and ISO 19158 standards together with ESDIN developed Quality Model and Data Quality Services Framework (DQSF). Two different services are identified a Data Quality Web Service and a Data User Web Service. We discuss how these principles and services are implemented now within EuroGeographics and Ordnance Survey of Great Britain. Further development will be done during the European Location Framework (ELF) project, which is providing a single source of reference geo-information for Europe during 2013-2016.

  5. Getting by on credit: how district health managers in Ghana cope with the untimely release of funds.

    PubMed

    Asante, Augustine D; Zwi, Anthony B; Ho, Maria T

    2006-08-17

    District health systems in Africa depend largely on public funding. In many countries, not only are these funds insufficient, but they are also released in an untimely fashion, thereby creating serious cash flow problems for district health managers. This paper examines how the untimely release of public sector health funds in Ghana affects district health activities and the way district managers cope with the situation. A qualitative approach using semi-structured interviews was adopted. Two regions (Northern and Ashanti) covering the northern and southern sectors of Ghana were strategically selected. Sixteen managers (eight directors of health services and eight district health accountants) were interviewed between 2003/2004. Data generated were analysed for themes and patterns. The results showed that untimely release of funds disrupts the implementation of health activities and demoralises district health staff. However, based on their prior knowledge of when funds are likely to be released, district health managers adopt a range of informal mechanisms to cope with the situation. These include obtaining supplies on credit, borrowing cash internally, pre-purchasing materials, and conserving part of the fourth quarter donor-pooled funds for the first quarter of the next year. While these informal mechanisms have kept the district health system in Ghana running in the face of persistent delays in funding, some of them are open to abuse and could be a potential source of corruption in the health system. Official recognition of some of these informal managerial strategies will contribute to eliminating potential risks of corruption in the Ghanaian health system and also serve as an acknowledgement of the efforts being made by local managers to keep the district health system functioning in the face of budgetary constraints and funding delays. It may boost the confidence of the managers and even enhance service delivery.

  6. Getting by on credit: how district health managers in Ghana cope with the untimely release of funds

    PubMed Central

    Asante, Augustine D; Zwi, Anthony B; Ho, Maria T

    2006-01-01

    Background District health systems in Africa depend largely on public funding. In many countries, not only are these funds insufficient, but they are also released in an untimely fashion, thereby creating serious cash flow problems for district health managers. This paper examines how the untimely release of public sector health funds in Ghana affects district health activities and the way district managers cope with the situation. Methods A qualitative approach using semi-structured interviews was adopted. Two regions (Northern and Ashanti) covering the northern and southern sectors of Ghana were strategically selected. Sixteen managers (eight directors of health services and eight district health accountants) were interviewed between 2003/2004. Data generated were analysed for themes and patterns. Results The results showed that untimely release of funds disrupts the implementation of health activities and demoralises district health staff. However, based on their prior knowledge of when funds are likely to be released, district health managers adopt a range of informal mechanisms to cope with the situation. These include obtaining supplies on credit, borrowing cash internally, pre-purchasing materials, and conserving part of the fourth quarter donor-pooled funds for the first quarter of the next year. While these informal mechanisms have kept the district health system in Ghana running in the face of persistent delays in funding, some of them are open to abuse and could be a potential source of corruption in the health system. Conclusion Official recognition of some of these informal managerial strategies will contribute to eliminating potential risks of corruption in the Ghanaian health system and also serve as an acknowledgement of the efforts being made by local managers to keep the district health system functioning in the face of budgetary constraints and funding delays. It may boost the confidence of the managers and even enhance service delivery. PMID

  7. Hydrochemical characterization of a groundwater aquifer and its water quality in relation to irrigation in the Jinghuiqu irrigation district of China.

    PubMed

    Liu, Xiuhua; Li, Lin; Hu, Anyan

    2013-03-01

    The Jinghuiqu irrigation district is located in the semi-arid regions of northwestern China, where groundwater is the most important natural source for local industry, agriculture and residents. The present work was conducted in the Jinghuiqu irrigation district to characterize the groundwater aquifer, which has undergone long-term flood irrigation for over 2000 years. Isotopic and hydrochemical analyses, along with geological and hydrogeological tools, were used to determine the chemical properties and evolutionary processes of the groundwater aquifer. Results showed that the groundwater chemistry had changed significantly from 1990 to 2009. Water with concentrations of CaMgSO4 had decreased significantly, from 60% to 28% of the total water samples, during the period, while water with concentrations of NaSO4 and NaCl increased significantly, from 28% to 72%. The salinity of the groundwater increased rapidly and the affected area had expanded to most of the irrigation district. Stable isotope studies showed that most of the groundwater concentrations were derived from sulfate mineral dissolution. The minerals saturation indices (SI), ion ratios and oxygen isotope values of the groundwater indicated that the shallow groundwater had mainly experienced mineral dissolution, cation exchange, and mixing of the irrigated surface waters and groundwater. The groundwater quality had continuously evolved toward salinization as concentrations of SO4(2-) and Na+ grew to dominate it. Water quality risk analyses showed that most of the saline groundwater is not suitable for domestic and irrigation uses, especially in the middle and eastern parts of the irrigation district. These findings indicate that the irrigation district should strengthen the groundwater resources management.

  8. The role of change management in the District Health Authority Consolidation (Transition and Design) project in Nova Scotia.

    PubMed

    Stevenson, Colin; Burstall, Dawn

    2016-03-01

    The District Health Authority Consolidation (Transition and Design) project in Nova Scotia was initiated to consolidate the existing nine district health authorities into one provincial health authority. This article provides an overview of the internal change management approach and activities that were developed to support the various phases of the design and transition process. Three phases of work are outlined, and specific change management activities are described as are lessons learned from the overall approach. © 2016 The Canadian College of Health Leaders.

  9. Project Hanford management contract quality improvement project management plan

    SciTech Connect

    ADAMS, D.E.

    1999-03-25

    On July 13, 1998, the U.S. Department of Energy, Richland Operations Office (DOE-RL) Manager transmitted a letter to Fluor Daniel Hanford, Inc. (FDH) describing several DOE-RL identified failed opportunities for FDH to improve the Quality Assurance (QA) Program and its implementation. In addition, DOE-RL identified specific Quality Program performance deficiencies. FDH was requested to establish a periodic reporting mechanism for the corrective action program. In a July 17, 1998 response to DOE-RL, FDH agreed with the DOE concerns and committed to perform a comprehensive review of the Project Hanford Management Contract (PHMC) QA Program during July and August, 1998. As a result, the Project Hanford Management Contract Quality Improvement Plan (QIP) (FDH-3508) was issued on October 21, 1998. The plan identified corrective actions based upon the results of an in-depth Quality Program Assessment. Immediately following the scheduled October 22, 1998, DOE Office of Enforcement and Investigation (EH-10) Enforcement Conference, FDH initiated efforts to effectively implement the QIP corrective actions. A Quality Improvement Project (QI Project) leadership team was assembled to prepare a Project Management Plan for this project. The management plan was specifically designed to engage a core team and the support of representatives from FDH and the major subcontractors (MSCs) to implement the QIP initiatives; identify, correct, and provide feedback as to the root cause for deficiency; and close out the corrective actions. The QI Project will manage and communicate progress of the process.

  10. The reliability-quality relationship for quality systems and quality risk management.

    PubMed

    Claycamp, H Gregg; Rahaman, Faiad; Urban, Jason M

    2012-01-01

    Engineering reliability typically refers to the probability that a system, or any of its components, will perform a required function for a stated period of time and under specified operating conditions. As such, reliability is inextricably linked with time-dependent quality concepts, such as maintaining a state of control and predicting the chances of losses from failures for quality risk management. Two popular current good manufacturing practice (cGMP) and quality risk management tools, failure mode and effects analysis (FMEA) and root cause analysis (RCA) are examples of engineering reliability evaluations that link reliability with quality and risk. Current concepts in pharmaceutical quality and quality management systems call for more predictive systems for maintaining quality; yet, the current pharmaceutical manufacturing literature and guidelines are curiously silent on engineering quality. This commentary discusses the meaning of engineering reliability while linking the concept to quality systems and quality risk management. The essay also discusses the difference between engineering reliability and statistical (assay) reliability. The assurance of quality in a pharmaceutical product is no longer measured only "after the fact" of manufacturing. Rather, concepts of quality systems and quality risk management call for designing quality assurance into all stages of the pharmaceutical product life cycle. Interestingly, most assays for quality are essentially static and inform product quality over the life cycle only by being repeated over time. Engineering process reliability is the fundamental concept that is meant to anticipate quality failures over the life cycle of the product. Reliability is a well-developed theory and practice for other types of manufactured products and manufacturing processes. Thus, it is well known to be an appropriate index of manufactured product quality. This essay discusses the meaning of reliability and its linkages with quality

  11. 78 FR 12267 - Revision of Air Quality Implementation Plan; California; Placer County Air Pollution Control...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-22

    ... Pollution Control District and Feather River Air Quality Management District; Stationary Source Permits... County Air Pollution Control District (PCAPCD) and Feather River Air Quality Management District (FRAQMD... FRAQMD to regulate the construction and modification of stationary sources of air pollution within each...

  12. The Impact of Human Activities on Microbial Quality of Rivers in the Vhembe District, South Africa

    PubMed Central

    Traoré, Afsatou N.; Mulaudzi, Khodani; Chari, Gamuchirai J.E.; Foord, Stefan H.; Mudau, Lutendo S.; Barnard, Tobias G.; Potgieter, Natasha

    2016-01-01

    Background: Water quality testing is dictated by microbial agents found at the time of sampling in reference to their acceptable risk levels. Human activities might contaminate valuable water resources and add to the microbial load present in water bodies. Therefore, the effects of human activities on the microbial quality of rivers collected from twelve catchments in the Vhembe District in South Africa were investigated, with samples analyzed for total coliform (TC) and Eschericha coli (E. coli) contents. Methods: Physical parameters and various human activities were recorded for each sampling site. The Quanti-Tray® method was adopted for the assessment of TC and E. coli contents in the rivers over a two-year period. A multiplex polymerase chain (PCR) method was used to characterize the strains of E. coli found. Results: The microbial quality of the rivers was poor with both TC and E. coli contents found to be over acceptable limits set by the South African Department of Water and Sanitation (DWS). No significant difference (p > 0.05) was detected between TC and E. coli risks in dry and wet seasons. All six pathogenic E. coli strains were identified and Enteroaggregative E. coli (EAEC), atypical Enteropathogenic E. coli (a-EPEC) and Enterotoxigenic E. coli (ETEC) were the most prevalent E. coli strains detected (respectively, 87%, 86% and 83%). Conclusions: The study indicated that contamination in the majority of sampling sites, due to human activities such as car wash, animal grazing and farming, poses health risks to communities using the rivers for various domestic chores. It is therefore recommended that more education by the respective departments is done to avert pollution of rivers and prevent health risks to the communities in the Vhembe District. PMID:27529265

  13. Managing the Quality of Environmental Data in EPA Region 9

    EPA Pesticide Factsheets

    EPA Pacific Southwest, Region 9's Quality Assurance (QA) section's primary mission is to effectively oversee and carry out the Quality System and Quality Management Plan, and project-level quality assurance and quality control (QA/QC) activities.

  14. Quality Risk Management. Modernising the Architecture of Quality Assurance

    ERIC Educational Resources Information Center

    Raban, Colin; Turner, Liz

    2006-01-01

    Although the world is changing, quality management remains an area of relative calm. Many institutions continue to use elaborated versions of a model that is developed by the Council of Academic Awards and conceived at a time when higher education was not so exposed to market forces, when the policy and regulatory environment was relatively…

  15. Quality Risk Management. Modernising the Architecture of Quality Assurance

    ERIC Educational Resources Information Center

    Raban, Colin; Turner, Liz

    2006-01-01

    Although the world is changing, quality management remains an area of relative calm. Many institutions continue to use elaborated versions of a model that is developed by the Council of Academic Awards and conceived at a time when higher education was not so exposed to market forces, when the policy and regulatory environment was relatively…

  16. Insufficient quality of sputum submitted for tuberculosis diagnosis and associated factors, in Klaten district, Indonesia

    PubMed Central

    Sakundarno, Mateus; Nurjazuli, Nurjazuli; Jati, Sutopo Patria; Sariningdyah, Retna; Purwadi, Sumarsono; Alisjahbana, Bachti; van der Werf, Marieke J

    2009-01-01

    Background Sputum smear microscopy is the standard diagnostic method for detection of smear positive pulmonary tuberculosis (TB). Insufficient quality of sputum might result in missing cases. In this study we aimed at assessing the quality of sputum in a district in Central Java and determining patient and health worker factors associated with submission of three good quality sputum samples. Methods In 16 health centers information was collected on the quality of sputum submitted by TB suspects, i.e. volume, color, and viscosity. TB suspects were interviewed to assess their knowledge of TB, motivation to provide sputum and whether they were informed why and how to produce a sputum sample. Health workers were interviewed to assess what information they provided to TB suspects about the reason for sputum examination, methods to produce sputum and characteristics of a good quality sputum sample. All health worker and patient factors were evaluated for association with sputum quality. Results Of 387 TB suspects, 294 (76.0%) could be traced and interviewed, and of 272 (70.3%) information about sputum quality was available. Of those 203 (74.6%) submitted three samples, 90 (33.1%) provided at least one good sample, and 37 (13.6%) provided three good quality sputum samples. Of the 272 TB suspects, 168 (61.8%) mentioned that information on the reason for sputum examination was provided, 66 (24.3%) remembered that they were informed about how to produce sputum and 40 (14.7%) recalled being informed about the characteristics of good quality sputum. Paramedics reported to provide often/always information on the importance of sputum examination, and when to produce sputum. Information on how to produce sputum and characteristics of a good sputum sample was less often provided. None of the studied patient characteristics or health worker factors was associated with providing good quality sputum. Conclusion A considerable number of TB suspects did not provide three sputum samples

  17. Quality care as ethical care: a poststructural analysis of palliative and supportive district nursing care.

    PubMed

    Nagington, Maurice; Walshe, Catherine; Luker, Karen A

    2016-03-01

    Quality of care is a prominent discourse in modern health-care and has previously been conceptualised in terms of ethics. In addition, the role of knowledge has been suggested as being particularly influential with regard to the nurse-patient-carer relationship. However, to date, no analyses have examined how knowledge (as an ethical concept) impinges on quality of care. Qualitative semi-structured interviews were conducted with 26 patients with palliative and supportive care needs receiving district nursing care and thirteen of their lay carers. Poststructural discourse analysis techniques were utilised to take an ethical perspective on the current way in which quality of care is assessed and produced in health-care. It is argued that if quality of care is to be achieved, patients and carers need to be able to redistribute and redevelop the knowledge of their services in a collaborative way that goes beyond the current ways of working. Theoretical works and extant research are then used to produce tentative suggestions about how this may be achieved.

  18. Assessment of drinking water quality and rural household water treatment in Balaka District, Malawi

    NASA Astrophysics Data System (ADS)

    Mkwate, Raphael C.; Chidya, Russel C. G.; Wanda, Elijah M. M.

    2017-08-01

    Access to drinking water from unsafe sources is widespread amongst communities in rural areas such as Balaka District in Malawi. This situation puts many individuals and communities at risk of waterborne diseases despite some households adopting household water treatment to improve the quality of the water. However, there still remains data gaps regarding the quality of drinking water from such sources and the household water treatment methods used to improve public health. This study was, therefore, conducted to help bridge the knowledge gap by evaluating drinking water quality and adoption rate of household water treatment and storage (HWTS) practices in Nkaya, Balaka District. Water samples were collected from eleven systematically selected sites and analyzed for physico-chemical and microbiological parameters: pH, TDS, electrical conductivity (EC), turbidity, F-, Cl-, NO3-, Na, K, Fe, Faecal Coliform (FC) and Faecal Streptococcus (FS) bacteria using standard methods. The mean results were compared to the World Health Organization (WHO) and Malawi Bureau of Standards (MBS) (MS 733:2005) to ascertain the water quality for drinking purposes. A total of 204 randomly selected households were interviewed to determine their access to drinking water, water quality perception and HWTS among others. The majority of households (72%, n = 83) in Njerenje accessed water from shallow wells and rivers whilst in Phimbi boreholes were commonly used. Several households (>95%, n = 204) were observed to be practicing HWST techniques by boiling or chlorination and water storage in closed containers. The levels of pH (7.10-7.64), F- (0.89-1.46 mg/L), Cl- (5.45-89.84 mg/L), NO3- (0-0.16 mg/L), Na (20-490 mg/L), K (2.40-14 mg/L) and Fe (0.10-0.40 mg/L) for most sites were within the standard limits. The EC (358-2220 μS/cm), turbidity (0.54-14.60 NTU), FC (0-56 cfu/100 mL) and FS (0-120 cfu/100 mL) - mainly in shallow wells, were found to be above the WHO and MBS water quality

  19. Total quality management and the silent patient.

    PubMed

    Mills, Ann E; Rorty, Mary V

    2002-10-01

    This essay examines the impact of the imposition of businesses techniques, in particular, those associated with Total Quality Management, on the relationships of important components of the health care delivery system, including payers, managed care organizations, institutional and individual providers, enrollees, and patients. It examines structural anomalies within the delivery system and concludes that the use of Total Quality Management techniques within the health care system cannot prevent the shift of attention of other components away from the enrollee and the patient, and may even contribute to it. It speculates that the organization ethics process may serve as a quality control mechanism to prevent this shift and so help eliminate some of the ethically problematic processes and outcomes within the health care delivery system.

  20. Data Standardization and Quality Management.

    PubMed

    Lapchak, Paul A; Zhang, John H

    2017-03-10

    Important questions regarding the conduct of scientific research and data transparency have been raised in various scientific forums over the last 10 years. It is becoming clear, that in spite of published RIGOR guidelines, that improvement in the transparency of scientific research is required to focus on the discovery and drug development process so that a treatment can be provided to stroke patients. We have the unique privilege of conducting research using animal models of a disease so that we can address the development of a new therapy, and we should do this with great care and vigilance. This document identifies valuable resources for researchers to become Good Laboratory Practices compliant and increase and improve data transparency and provides guidelines for accurate data management to continue to propel the translational stroke research field forward while recognizing that there is a shortage of research funds worldwide. While data audits are being considered worldwide by funding agencies and they are used extensively by industry, they are still quite controversial for basic researchers. Due to the special exploratory nature of basic and translational science research, the current challenging funding environment, and independent and individualized laboratory activities, it is debatable if current individualized non-standardized data management and monitoring represents the best approach. Thus, herein, we propose steps to prepare research study data in an acceptable form for archival purposes so that standards for translational research data can be comparable to those that are accepted and adhered to by the clinical community. If all translational research laboratories follow and institute the guidelines while conducting translational research, data from all sources may be more comparable and reliable.

  1. Generalized thickness of the Floridan aquifer, Southwest Florida Water Management District

    USGS Publications Warehouse

    Wolansky, R.M.; Garbade, J.M.

    1981-01-01

    This map report presents the thickness of the Floridan aquifer in the Southwest Florida Water Management District. The Floridan aquifer ranges in thickness from 600 feet in the northern part of the District to 2,400 feet in the southern part. It is composed chiefly of limestone and dolomite beds that range in age from early Miocene to middle Eocene. For this investigation, the formations considered to be part of the Floridan aquifer are: Lake City and Avon Park Limestones of middle Eocene age; Ocala Limestone of late Eocene age; Suwannee Limestone of Oligocene age; and permeable parts of the Tampa Limestone and Hawthorn Formation of Miocene age that are in hydrologic contact with the rest of the aquifer. (USGS)

  2. [Current quality management situation and administration countermeasure study of enterprises marketing corneal contact lens].

    PubMed

    Liu, Yungui; Yao, Ying; Shangguan, Shihao; Gu, Qun; Gao, Wuming; Chen, Yaoshui

    2014-05-01

    Study the current quality management situation of enterprises marketing corneal contact lens via systemic investigations and explore effective administration countermeasures in the future. The quality management indicators of sixty-two corneal contact lens marketing enterprises in Xuhui district of Shanghai were systematically investigated and enterprises of different operation models was compared and analyzed. Wholesale enterprises and retail chain enterprises are apparently better than independent enterprises almost in all facets. Facilitate market accession of corneal contact lens marketing enterprises, encourage the business model of retail chain, enhance supervision of corneal contact lens marketing enterprises, especially independent franchisors.

  3. NASA total quality management 1989 accomplishments report

    NASA Technical Reports Server (NTRS)

    Tai, Betty P. (Editor); Stewart, Lynne M. (Editor)

    1990-01-01

    NASA and contractor employees achieved many notable improvements in 1989. The highlights of those improvements, described in this seventh annual Accomplishments Report, demonstrate that the people who support NASA's activities are getting more involved in quality and continuous improvement efforts. Their gains solidly support NASA's and this Nation's goal to remain a leader in space exploration and in world-wide market competition, and, when communicated to others through avenues such as this report, foster improvement efforts across government and industry. The principles in practice which led to these process refinements are important cultural elements to any organization's productivity and quality efforts. The categories in this report reflect NASA principles set forth in the 1980's and are more commonly known today as Total Quality Management (TQM): top management leadership and support; strategic planning; focus on the customer; employee training and recognition; employee empowerment and teamwork; measurement and analysis; and quality assurance.

  4. Total quality management in health care.

    PubMed

    McDonald, S C

    1994-01-01

    Total quality management (TQM), continuous quality improvement (CQI) and quality control are terms that are becoming very familiar to workers in the health care environment. The purpose of this article is to discuss these terms and the concepts they describe. The origins of TQM and the keen interest in its application to the health care environment today are addressed. In other environments, TQM has shown significant increases in productivity while increasing effectiveness. Its application to the health care environment is the provision of the best possible care through continuously improving service to meet or exceed the needs and expectations of the customer. The customer in the health care environment could be the patient, staff, physician and community serviced by the hospital. Characteristics of the new organizational structure are reviewed. Established techniques and processes are commonly used to identify process-improvement opportunities to assist the manager in continuously evaluating quality trends.

  5. 40 CFR 130.6 - Water quality management plans.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 21 2010-07-01 2010-07-01 false Water quality management plans. 130.6 Section 130.6 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) WATER PROGRAMS WATER QUALITY PLANNING AND MANAGEMENT § 130.6 Water quality management plans. (a) Water quality management...

  6. 40 CFR 130.6 - Water quality management plans.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 22 2011-07-01 2011-07-01 false Water quality management plans. 130.6 Section 130.6 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) WATER PROGRAMS WATER QUALITY PLANNING AND MANAGEMENT § 130.6 Water quality management plans. (a) Water quality management...

  7. 40 CFR 130.6 - Water quality management plans.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 40 Protection of Environment 22 2014-07-01 2013-07-01 true Water quality management plans. 130.6 Section 130.6 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) WATER PROGRAMS WATER QUALITY PLANNING AND MANAGEMENT § 130.6 Water quality management plans. (a) Water quality management (WQM...

  8. 15 CFR 995.25 - Quality management system.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 15 Commerce and Foreign Trade 3 2013-01-01 2013-01-01 false Quality management system. 995.25... § 995.25 Quality management system. (a) Quality management system for CEVADs. (1) CEVAD shall operate a quality management system, based on ISO 9001-2000 or equivalent, which embraces all elements of...

  9. 15 CFR 995.25 - Quality management system.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 15 Commerce and Foreign Trade 3 2012-01-01 2012-01-01 false Quality management system. 995.25... § 995.25 Quality management system. (a) Quality management system for CEVADs. (1) CEVAD shall operate a quality management system, based on ISO 9001-2000 or equivalent, which embraces all elements of...

  10. 40 CFR 130.6 - Water quality management plans.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 40 Protection of Environment 23 2013-07-01 2013-07-01 false Water quality management plans. 130.6 Section 130.6 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) WATER PROGRAMS WATER QUALITY PLANNING AND MANAGEMENT § 130.6 Water quality management plans. (a) Water quality management...

  11. 40 CFR 130.6 - Water quality management plans.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 40 Protection of Environment 23 2012-07-01 2012-07-01 false Water quality management plans. 130.6 Section 130.6 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) WATER PROGRAMS WATER QUALITY PLANNING AND MANAGEMENT § 130.6 Water quality management plans. (a) Water quality management...

  12. The role of quality improvement in disease management: a statewide tuberculosis control success story.

    PubMed

    Fos, Peter J; Lee, Jae Eun; Sung, Jung Hye; Zuniga, Miguel A; Amy, Brian W

    2005-01-01

    This study describes Mississippi's statewide latent tuberculosis infection (LTBI) control management efforts to improve treatment outcomes using scientific quality improvement tools. LTBI medication completion rates were observed by month and by nine administrative health districts for a 12-month period. Analysis of variance (ANOVA) was conducted to see if there was any significant change between preintervention and postintervention in medication completion rates. Regression analysis was performed to test the linearity of change across the monthly rates. A change from a rate of 79.7 percent to 90.5 percent completion of the LTBI medication regimen was observed after the quality improvement intervention was instituted. During the quality improvement intervention, the mean reached 96.5 percent completion, followed by a slight decline at the end of the intervention to 90.5 percent. The analysis revealed that the mean LTBI medication completion rate across the nine administrative health districts was significantly increased and variability was decreased across all administrative health districts, with minor exceptions. A quality improvement team approach was shown to be effective in disease management by increasing LTBI medication completion. New baseline expectations can be established when quality improvement initiatives are implemented. This success can be linked, in part, to the use of scientific methods, precise and valid data, persuasive and clear goal setting, appropriate feedback, and ongoing monitoring.

  13. Accessing groundwater quality in lower part of Nagapattinam district, Southern India: using hydrogeochemistry and GIS interpolation techniques

    NASA Astrophysics Data System (ADS)

    Gnanachandrasamy, G.; Ramkumar, T.; Venkatramanan, S.; Vasudevan, S.; Chung, S. Y.; Bagyaraj, M.

    2015-03-01

    The aim of this present study was to evaluate groundwater quality in the lower part of Nagapattinam district, Tamil Nadu, Southern India. A detailed geochemical study of groundwater region is described, and the origin of the chemical composition of groundwater has been qualitatively evaluated, using observations over a period of two seasons premonsoon (June) and monsoon (November) in the year of 2010. To attempt this goal, samples were analysed for various physico-chemical parameters such as temperature, pH, salinity, Na+, Ca2+, K+, Mg2+, Cl-, HCO3 - and SO4 2-. The abundance of major cations concentration in groundwater is as Na > Ca > Mg > K, while that of anions is Cl > SO4 > HCO3. The Piper trilinear diagram indicates Ca-Cl2 facies, and according to USSL diagram, most of the sample exhibits high salinity hazard (C3S1) type in both seasons. It indicates that high salinity (C3) and low sodium (S1) are moderately suitable for irrigation purposes. Gibbs boomerang exhibits most of the samples mainly controlled by evaporation and weathering process sector in both seasons. Irrigation status of the groundwater samples indicates that it was moderately suitable for agricultural purpose. ArcGIS 9.3 software was used for the generation of various thematic maps and the final groundwater quality map. An interpolation technique inverse distance weighting was used to obtain the spatial distribution of groundwater quality parameters. The final map classified the ground quality in the study area. The results of this research show that the development of the management strategies for the aquifer system is vitally necessary.

  14. NASA total quality management 1990 accomplishments report

    NASA Technical Reports Server (NTRS)

    1991-01-01

    NASA's efforts in Total Quality Management are based on continuous improvement and serve as a foundation for NASA's present and future endeavors. Given here are numerous examples of quality strategies that have proven effective and efficient in a time when cost reduction is critical. These accomplishment benefit our Agency and help to achieve our primary goal, keeping American in the forefront of the aerospace industry.

  15. Hanford Sampling Quality Management Plan (HSQMP)

    SciTech Connect

    Hyatt, J.E.

    1995-06-01

    HSQMP establishes quality requirements in response to DOE Order 5700. 6C and to 10 Code of Federal Regulations 830.120. HSQMP is designed to meet the needs of Richland Operations Office for controlling the quality of services provided by sampling operations. It is issued through the Analytical Services Program of the Waste Programs Division. This document describes the Environmental Sampling and Analysis Program activities considered to represent the best management activities necessary to achieve a sampling program with adequate control.

  16. The benefits of total quality management.

    PubMed

    Geraedts, H P; Montenarie, R; van Rijk, P P

    2001-01-01

    In this article, we will review the implementation of the ISO 9000 quality system in the Department of Nuclear Medicine. We will also discuss the benefits of working with the ISO 9000 standards and explain why we have shifted our focus from ISO 9000 towards the EFQM model. After an introduction concerning Total Quality Management and the EFQM model, we will describe how we have used the EFQM model to date and how we intend to implement TQM in the future.

  17. Health and quality of life among older rural people in Purworejo District, Indonesia

    PubMed Central

    Ng, Nawi; Hakimi, Mohammad; Byass, Peter; Wilopo, Siswanto; Wall, Stig

    2010-01-01

    Introduction Increasing life expectancy and longevity for people in many highly populated low- and middle-income countries has led to an increase in the number of older people. The population aged 60 years and over in Indonesia is projected to increase from 8.4% in 2005 to 25% in 2050. Understanding the determinants of healthy ageing is essential in targeting health-promotion programmes for older people in Indonesia. Objective To describe patterns of socio-economic and demographic factors associated with health status, and to identify any spatial clustering of poor health among older people in Indonesia. Methods In 2007, the WHO Study on global AGEing and adult health (SAGE) was conducted among 14,958 people aged 50 years and over in Purworejo District, Central Java, Indonesia. Three outcome measures were used in this analysis: self-reported quality of life (QoL), self-reported functioning and disability, and overall health score calculated from self-reported health over eight health domains. The factors associated with each health outcome were identified using multivariable logistic regression. Purely spatial analysis using Poisson regression was conducted to identify clusters of households with poor health outcomes. Results Women, older age groups, people not in any marital relationship and low educational and socio-economic levels were associated with poor health outcomes, regardless of the health indices used. Older people with low educational and socio-economic status (SES) had 3.4 times higher odds of being in the worst QoL quintile (OR = 3.35; 95% CI = 2.73–4.11) as compared to people with high education and high SES. This disadvantaged group also had higher odds of being in the worst functioning and most disabled quintile (OR = 1.67; 95% CI = 1.35–2.06) and the lowest overall health score quintile (OR = 1.66; 95% CI = 1.36–2.03). Poor health and QoL are not randomly distributed among the population over 50 years old in Purworejo District, Indonesia

  18. Innovation to improve health care provision and health systems in sub-Saharan Africa - promoting agency in mid-level workers and district managers.

    PubMed

    Fonn, Sharon; Ray, Sunanda; Blaauw, Duane

    2011-01-01

    Initiatives to address the human resource crisis in African health systems have included expanded training of mid-level workers (MLWs). Currently, MLWs are the backbone of many health systems in Africa but they are often de-motivated and they often operate in circumstances in which providing high quality care is challenging. Therefore, assuming that introducing additional people will materially change health system performance is unrealistic. We briefly critique such unifocal interventions and review the literature to understand the factors that affect the motivation and performance of MLWs. Three themes emerge: the low status and inadequate recognition of MLWs, quality of care issues and working in poorly managed systems. In response we propose three interrelated interventions: a regional association of MLWs to enhance their status and recognition, a job enrichment and mentoring system to address quality and a district managers' association to improve health systems management. The professionalisation of MLWs and district managers to address confidence, self-esteem and value is considered. The paper describes the thinking behind these interventions, which are currently being tested in Kenya, Nigeria, South Africa and Uganda for their acceptability and appropriateness. We offer the policy community a complementary repertoire to existing human resource strategies in order to effect real change in African health systems.

  19. [Perceived quality of integrated home care in two health districts of L'Aquila].

    PubMed

    Di Pillo, L; Sciommeri, A; Giacco, L; Scatigna, M; Marinucci, M C; Di Orio, F

    2003-01-01

    The present research, as far as its planning and realization is concerned, aims at exploring how ADI (Integrated Home Care) offers its services in two districts of Local Health Unit 04 in L'Aquila; a service that assumes a special relevance in the frame of interventions in favour of the individuals, since it is a valid alternative to hospitalization for disabled citizens or old people having special pathologies. The information collected gives a general outline of the competences involved within ADI, and also of the significance of the results that have been reached out in terms of quality of the assistance, since a subjective measurement, based on indexes of satisfaction, has been used.

  20. Relationship between land use and groundwater quality in six districts in the eastern region of Ghana.

    PubMed

    Fianko, J R; Osae, S; Adomako, D; Achel, D G

    2009-06-01

    The chemical quality of groundwater in six district of the eastern region beneath the different types of land use areas of Ghana was examined to evaluate the effects of human activities on groundwater. Analyses indicate that groundwater in the studied area is fresh and generally suitable for most uses. The groundwater is generally characterised by a chemical facies of Ca-HCO3-, Na-Cl and mixed Na-Ca-HCO3 types and is weakly mineralised. Anthropogenic disturbances have had and continue to have an impact on the aquatic ecosystem of Ghana. High concentration of Cl- and TDS were found in wells in high residential areas while the highest levels of Na, Ca, SO4(2-) and NO3- were found in agricultural and high density residential areas. About 50% of boreholes sampled have elevated level of NO3(-)-N emanating from agricultural runoff.

  1. An Energy Management Programme for Grande Prairie Public School District. Energy Conservation: Energy Management.

    ERIC Educational Resources Information Center

    Calgary Univ. (Alberta).

    This report describes a pilot energy conservation project in Grande Prairie (Alberta) School District No. 2357. Extensive data collection and analysis were undertaken to provide a sound, quantitative basis for evaluation of the program. Energy conserving measures requiring capital outlays were not considered. During the project, electric demand…

  2. Management and Operations Auditing: A Business Oriented Management Structure For a Unified School District.

    ERIC Educational Resources Information Center

    Conway, Ernest J.; And Others

    An operations audit was conducted for a school district. The purpose of the audit was to determine the organization of the central office and reorganize its structure and staff as appropriate to clearly define goals and objectives, specify roles and responsibilities, eliminate wasted or duplicated efforts, and functionally define operational work…

  3. Management and Operations Auditing: A Business Oriented Management Structure For a Unified School District.

    ERIC Educational Resources Information Center

    Conway, Ernest J.; And Others

    An operations audit was conducted for a school district. The purpose of the audit was to determine the organization of the central office and reorganize its structure and staff as appropriate to clearly define goals and objectives, specify roles and responsibilities, eliminate wasted or duplicated efforts, and functionally define operational work…

  4. Patient's perceptions about the service quality of public hospitals located at District Kohat.

    PubMed

    Aman, Bakhtiar; Abbas, Faisal

    2016-01-01

    To determine patients' perception regarding service and quality of healthcare at public-sector institutions. The descriptive quantitative study was conducted in Kohat district, Pakistan, between July and December 2014, and focussed on 30 variables to assess the participants' perceptions of the actual healthcare service quality delivered. SERVQUAL instrument was used to measure the reliability and cronbach alpha was calculated to measure the reliability and validity of the instrument. A total of 200 questionnaires were distributed and 157(78.5%) were received back fully filled. Of them, 105(67%) were men and 52(33%) were women.The mean value of Assurance parameter was 3.05±0.88, indicating trust in public hospitals was high as they had experienced and capable doctors. On the other hand, the lowest mean value of 2.61±0.84 was for Empathy, highlighting the fact that public hospitals lacked the ability to handle patients' problem properly, services were not offered in time and they were short of staff. Public hospitals were largely seen as failing to deliver quality service.

  5. Drinking Water Quality Assessment Studies for an Urbanized Part of the Nagpur District, Central India.

    PubMed

    Varade, Abhay M; Yenkie, Rajshree; Shende, Rahul; Kodate, Jaya

    2014-01-01

    The water quality of Hingna area of Nagpur district, Central India was assessed for its suitability as drinking water. 22 water samples, representing both the surface and groundwater sources, were collected and analysed for different inorganic constituents by using the standard procedures. The result depicted abundance of major ions; Ca2+ > Mg2+ > Na+ > K+ = HCO3- > Cl- > SO4(2-) > NO3-. The concentrations of different elements in water were compared with the drinking water standards defined by World Health Organization (WHO). The hydro-chemical results reveal that most of the samples were within the desirable limits of the drinking water quality. However, few samples of the area, showed higher values of total dissolved solids (TDS), total hardness (TH), and magnesium (Mg) indicating their 'hard water type' nature and found to be unfit for the drinking purpose. Such poor water quality of these samples is found due to the combined effect of urbanization and industrial activities. The potential health risks associated with various water parameters have also been documented in this paper.

  6. [Quality management in a Swiss hospital].

    PubMed

    Eicher, E

    1997-09-01

    Although there are quite good examples of quality management in Swiss hospitals available (the guidelines of quality management in the Swiss hospital etc.), the distribution of measures of quality assurance in Swiss hospitals is insufficient and focuses more on Hotel services and technical equipment rather than on the care by physicians and nurses. Beginning with Jan. 1, 1998, contracts of quality assurance between health care providers and sponsors have to be presented according to the new health insurance act. These contracts are proofed periodically by a national office. This necessitates a country-wide introduction of statistics (ICD-codes) and computerization. This is currently only in the process of realization. Additionally, hospitals and medical practices already undertake a comprehensive quality control due to local and regional initiatives. The society of Swiss physicians FMH supports mainly three areas: compulsory continuing medical education (80 hours annually, including 50 hours in recognized meetings), the development of guidelines by medical societies, and data collection including the development of a network for measures of quality assurance. The ISO-standard 9000 was changed for health care as ordered by the NAQ (National workshop for quality assurance) and the FMH. It is supposed to be used mainly for the certification of facilities for continuing medical education, perhaps also for the certification of hospitals.

  7. Spatial variation in water quality within the water bodies of a Peak District catchment and the contribution of moorland condition

    NASA Astrophysics Data System (ADS)

    Crouch, Tia; Walker, Jonathan

    2013-04-01

    Spatial variation in water quality within the water bodies of a Peak District catchment and the contribution of moorland condition Tia Crouch and Jonathan Walker (Moors for the Future Partnership) Upland locations are significant water supply sources providing over 70% of fresh water in Great Britain. However, the peatlands of the Peak District, Southern Pennines are highly contaminated with anthropogenically derived, atmospherically deposited pollutants, such as heavy metals. This is due to their location between the cities of Manchester and Sheffield, the centre of the 19th century English Industrial Revolution. These peatlands are also severely eroded; therefore erosion could be releasing these pollutants into the fluvial system, representing a threat to both aquatic ecosystems and drinking water supplies. These threats are regulated under the Water Framework Directive (WFD) and the Water Supply Regulations respectively. There are two aims of this project. The first aim is to identify spatial and temporal variability of water quality within the Bamford water treatment works (WTW) catchment. This was achieved by fortnightly spot sampling at eight of the tributaries into the reservoir system. The second aim is to assess the contribution of moorland condition to water quality within the Bamford WTW catchment. Similarly, this was achieved by fortnightly spot sampling at eight moorland streams, draining from a variety of peatland conditions (bare peat, restoration, intact and heather burn). Water samples were analysed for carbon (DOC, POC & TOC), pH, hardness and a suite of heavy metals, including copper, iron and zinc. In addition, stream temperature and stage height was recorded. Preliminary results highlight a number of issues within the Bamford WTW catchment: under the WFD streams are not achieving 'good' status for pH, copper and zinc, and under the Drinking Water Standards (DWS) streams are not achieving targets for aluminium, iron and colour. For example, the

  8. Quality of clinical supervision as perceived by attending doctors in university and district teaching hospitals.

    PubMed

    Busari, Jamiu O; Koot, Bart G

    2007-10-01

    Attending doctors (ADs) play important roles in the supervision of specialist registrars. Little is known, however, about how they perceive the quality of their supervision in different teaching settings. We decided to investigate whether there is any difference in how ADs perceive the quality of their supervision in university teaching hospital (UTH) and district teaching hospital (DTH) settings. We used a standardised questionnaire to investigate the quality of supervision as perceived by ADs. Fifteen items reflecting good teaching ability were measured on a 5-point Likert scale (1-5: never-always). We investigated for factors that influenced the perceived quality of supervision using Likert scale items (1-5: totally disagree-totally agree) and open-ended questionnaires. A total of 83 ADs (UTH: 51; DTH: 32) were eligible to participate in the survey. Of these, 43 (52%) returned the questionnaire (UTH: 25; DTH: 18). There was no difference in the overall mean of the 15 items between the UTH (3.67, standard deviation [SD] 0.35) and DTH (3.73, SD 0.31) ADs. Attending doctors in the DTH group rated themselves better at 'teaching technical skills' (mean 3.50, SD 0.70), compared with their UTH counterparts (mean 3.0, SD 0.76) (P = 0.03). Analysis of variance of the overall means revealed no significant difference between the different hospital settings. The results suggest that teaching hospital environments do not influence how ADs perceive the quality of their supervision. Lack of time for teaching was perceived as responsible for poor supervision. Other factors found to influence AD perceptions of good supervision included effective teaching skills, communication skills and provision of feedback.

  9. Nutrition Quality of US School Snack Foods: A First Look at 2011-2014 Bid Records in 8 School Districts.

    PubMed

    Wang, Y Claire; Hsiao, Amber; Chamberlin, Peter; Largay, McKenzie; Archibald, Abbie; Malone, Andrew; Stevelos, JoAnn

    2017-01-01

    As part of the Healthy, Hunger-Free Kids Act, snacks, and desserts sold in K-12 schools as of the 2014-2015 school year are required to meet the "Smart Snacks" nutritional guidelines. Although studies exist in tracking progress in local and national efforts, the proportion of snack food procured by school districts compliant with the Smart Snacks standard prior to its full implementation is unknown. We repurposed a previously untapped database, Interflex, of public bid records to examine the nutritional quality of snacks and desserts procured by school districts. We selected 8 school districts with at least 90% complete data each year during 2011-2012, 2012-2013, and 2013-2014 school years and at locations across different regions of the United States. We quantified the amount of calories and sugar of each product contained in the won bids based on available online sources and determined whether the produce complied with Smart Snack guidelines. In all 8 districts (snack expenditure analyzed ranging from $152,000 to $4.4 million), at least 50% of snack bids were compliant with the US Department of Agriculture Smart Snacks standard during the 2013-2014 school year. Across sampled districts, we observed a general trend in lower caloric density (kcal per product) and sugar density (grams of sugar per product) over a 3-year period. Many districts across the country have made headway in complying with the Smart Snack guidelines, though gaps remain. © 2016, American School Health Association.

  10. The Effect of the Use of the Ohio Baldrige Initiative Training in the Pilot Districts on the Sustained Use of Quality Tools by Classroom Teachers

    ERIC Educational Resources Information Center

    Schmidbauer, Hollace J.

    2010-01-01

    In the late 1990s, teachers in five pilot districts in Ohio were trained during the Baldrige in Education Initiative (BiE IN). Training included Baldrige's theory, quality process and quality tools. The study was a follow-up to determine the effect of the use of the Ohio Baldrige Initiative training in the pilot districts (and other early…

  11. The Effect of the Use of the Ohio Baldrige Initiative Training in the Pilot Districts on the Sustained Use of Quality Tools by Classroom Teachers

    ERIC Educational Resources Information Center

    Schmidbauer, Hollace J.

    2010-01-01

    In the late 1990s, teachers in five pilot districts in Ohio were trained during the Baldrige in Education Initiative (BiE IN). Training included Baldrige's theory, quality process and quality tools. The study was a follow-up to determine the effect of the use of the Ohio Baldrige Initiative training in the pilot districts (and other early…

  12. [Total quality management in healthcare. The European Foundation for Quality Management Model].

    PubMed

    Parente, S; Loureiro, R

    1998-11-01

    After presenting the quality model adapted by the health authorities, the authors refer to the development of quality methodology to the present day, and the importance of the self assessment of Quality focusing on the one according to the European Foundation For Quality Management (EFQM) adapted by healthcare organisations. Each criteria of the EFQM model is presented and its potential as a motivation for change by means of self assessment is discussed.

  13. Total Quality Management: Implications for Higher Education.

    ERIC Educational Resources Information Center

    Hoffman, Allan M., Ed.; Julius, Daniel J., Ed.

    This book contains 19 papers describing the implementation of Total Quality Management in a variety of higher education settings. Following a Foreword by Peter Likins and a Preface by Daniel J. Julius, the chapter titles and authors are: (1) "TQM: Implications for Higher Education--A Look Back to the Future" (Allan M. Hoffman and Randall…

  14. Total Quality Management: Implications for Higher Education.

    ERIC Educational Resources Information Center

    Hoffman, Allan M., Ed.; Julius, Daniel J., Ed.

    This book contains 19 papers describing the implementation of Total Quality Management in a variety of higher education settings. Following a Foreword by Peter Likins and a Preface by Daniel J. Julius, the chapter titles and authors are: (1) "TQM: Implications for Higher Education--A Look Back to the Future" (Allan M. Hoffman and Randall…

  15. Total Quality Management in Libraries: A Sourcebook.

    ERIC Educational Resources Information Center

    O'Neil, Rosanna M., Comp.

    Total Quality Management (TQM) brings together the best aspects of organizational excellence by driving out fear, offering customer-driven products and services, doing it right the first time by eliminating error, and maintaining inventory control without waste. Libraries are service organizations which are constantly trying to improve service.…

  16. Air quality management in the United States

    SciTech Connect

    William Chameides; Daniel Greenbaum; Raymond Wassel; K. John Holmes; Karl Gustavson; Amanda Staudt

    2005-07-01

    In 2004, the National Research Council released Air Quality Management in the United States, a report prepared in response to a congressional request for an independent evaluation of the overall effectiveness of the Clean Air Act. Based on that report, this article summarizes the committee's findings and recommendations. 10 refs., 2 figs.

  17. Applying Total Quality Management to Business Education.

    ERIC Educational Resources Information Center

    Brown, Daniel J.; Koenig, Harold F.

    1993-01-01

    Responses from 390 business school alumni (60%) show that students want educators to consider their opinions about their overall educational experience and what happens after graduation. A total quality management approach can help discover customer/student needs, establish a focus on improvement, and implement a process orientation. (SK)

  18. Applications of Quality Management in Language Education

    ERIC Educational Resources Information Center

    Heyworth, Frank

    2013-01-01

    This review examines applications of quality management (QM) in language education. QM approaches have been adapted from methodologies developed in industrial and commercial settings, and these are briefly described. Key aspects of QM in language education are the definition of purpose, descriptions of principles and practice, including various…

  19. Total Quality Management (TQM) in Higher Education.

    ERIC Educational Resources Information Center

    Sullivan, Michael F.

    This document consists largely of paper versions of the transparencies used by the author to give his conference paper on Total Quality Management (TQM) in the college and university setting. An introduction lists a series of definitional phrases, a list of what TQM is not, and 11 fundamental principles describing what TQM is. The three major…

  20. Total Quality Management in Libraries: A Sourcebook.

    ERIC Educational Resources Information Center

    O'Neil, Rosanna M., Comp.

    Total Quality Management (TQM) brings together the best aspects of organizational excellence by driving out fear, offering customer-driven products and services, doing it right the first time by eliminating error, and maintaining inventory control without waste. Libraries are service organizations which are constantly trying to improve service.…