Sample records for shared services center

  1. NASA Shared Services Center breaks ground

    NASA Image and Video Library

    2006-02-24

    NASA officials and elected leaders were on hand for the groundbreaking ceremony of the NASA Shared Services Center Feb. 24, 2006, on the grounds of Stennis Space Center. The NSSC provides agency centralized administrative processing, human resources, procurement and financial services. From left, Louisiana Economic Development Secretary Mike Olivier, Stennis Space Center Director Rick Gilbrech, Computer Sciences Corp. President Michael Laphen, NASA Deputy Administrator Shana Dale, Rep. Gene Taylor, Sen. Trent Lott, Mississippi Gov. Haley Barbour, NASA Administrator Mike Griffin and Shared Services Center Executive Director Arbuthnot use golden shovels to break ground at the site.

  2. NASA Shared Services Center breaks ground

    NASA Technical Reports Server (NTRS)

    2006-01-01

    NASA officials and elected leaders were on hand for the groundbreaking ceremony of the NASA Shared Services Center Feb. 24, 2006, on the grounds of Stennis Space Center. The NSSC provides agency centralized administrative processing, human resources, procurement and financial services. From left, Louisiana Economic Development Secretary Mike Olivier, Stennis Space Center Director Rick Gilbrech, Computer Sciences Corp. President Michael Laphen, NASA Deputy Administrator Shana Dale, Rep. Gene Taylor, Sen. Trent Lott, Mississippi Gov. Haley Barbour, NASA Administrator Mike Griffin and Shared Services Center Executive Director Arbuthnot use golden shovels to break ground at the site.

  3. KENNEDY SPACE CENTER, FLA. - KSC Director Jim Kennedy (center) makes a presentation to NASA and other officials about the benefits of locating NASA’s new Shared Services Center in the Central Florida Research Park, near Orlando. Central Florida leaders are proposing the research park as the site for the NASA Shared Services Center. The center would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Six sites around the U.S. are under consideration by NASA.

    NASA Image and Video Library

    2004-02-19

    KENNEDY SPACE CENTER, FLA. - KSC Director Jim Kennedy (center) makes a presentation to NASA and other officials about the benefits of locating NASA’s new Shared Services Center in the Central Florida Research Park, near Orlando. Central Florida leaders are proposing the research park as the site for the NASA Shared Services Center. The center would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Six sites around the U.S. are under consideration by NASA.

  4. KENNEDY SPACE CENTER, FLA. - KSC Director Jim Kennedy makes a presentation to NASA and other officials about the benefits of locating NASA’s new Shared Services Center in the Central Florida Research Park, near Orlando. At the far left is Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida. Central Florida leaders are proposing the research park as the site for the NASA Shared Services Center. The center would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Six sites around the U.S. are under consideration by NASA.

    NASA Image and Video Library

    2004-02-19

    KENNEDY SPACE CENTER, FLA. - KSC Director Jim Kennedy makes a presentation to NASA and other officials about the benefits of locating NASA’s new Shared Services Center in the Central Florida Research Park, near Orlando. At the far left is Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida. Central Florida leaders are proposing the research park as the site for the NASA Shared Services Center. The center would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Six sites around the U.S. are under consideration by NASA.

  5. 42 CFR 447.70 - General alternative cost sharing protections.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 4 2011-10-01 2011-10-01 false General alternative cost sharing protections. 447.70 Section 447.70 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL ASSISTANCE PROGRAMS PAYMENTS FOR SERVICES Payments: General Provisions Alternative Premiums and Cost Sharing Under...

  6. 42 CFR 447.70 - General alternative cost sharing protections.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 4 2010-10-01 2010-10-01 false General alternative cost sharing protections. 447.70 Section 447.70 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL ASSISTANCE PROGRAMS PAYMENTS FOR SERVICES Payments: General Provisions Alternative Premiums and Cost Sharing Under...

  7. 42 CFR 447.70 - General alternative cost sharing protections.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 4 2013-10-01 2013-10-01 false General alternative cost sharing protections. 447.70 Section 447.70 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL ASSISTANCE PROGRAMS PAYMENTS FOR SERVICES Payments: General Provisions Alternative Premiums and Cost Sharing Under...

  8. 42 CFR 447.70 - General alternative cost sharing protections.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 4 2012-10-01 2012-10-01 false General alternative cost sharing protections. 447.70 Section 447.70 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL ASSISTANCE PROGRAMS PAYMENTS FOR SERVICES Payments: General Provisions Alternative Premiums and Cost Sharing Under...

  9. KSC-04PD-0253

    NASA Technical Reports Server (NTRS)

    2004-01-01

    KENNEDY SPACE CENTER, FLA. KSC Director Jim Kennedy (center) makes a presentation to NASA and other officials about the benefits of locating NASAs new Shared Services Center in the Central Florida Research Park, near Orlando. Central Florida leaders are proposing the research park as the site for the NASA Shared Services Center. The center would centralize NASAs payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Six sites around the U.S. are under consideration by NASA.

  10. QuickStats: Percentage of Adult Day Services Center Participants, by Selected Diagnoses

    MedlinePlus

    ... MMWR ) MMWR Share Compartir QuickStats: Percentage of Adult Day Services Center Participants,* by Selected Diagnoses † — National Study ... which is the estimated number of enrolled adult day services center participants in the United States on ...

  11. Tried & Tested. Ideas from Teacher Centers in the Southeast.

    ERIC Educational Resources Information Center

    Bohstedt, Jinx, Ed.; Eisenmann-Donahue, Pat, Ed.

    Throughout the southeastern United States, teacher centers share much in common. The conceptual framework of teachers helping teachers inspires the development of resources and services which are similar whether the center serves a large district or only a few schools. Although the teacher centers share similar philosophies, concerns, successes,…

  12. Alternative Fuels Data Center: Hydraulic Hybrid Pressed into Service in

    Science.gov Websites

    Refuse Collection Hydraulic Hybrid Pressed into Service in Refuse Collection to someone by E -mail Share Alternative Fuels Data Center: Hydraulic Hybrid Pressed into Service in Refuse Collection on Facebook Tweet about Alternative Fuels Data Center: Hydraulic Hybrid Pressed into Service in Refuse

  13. 42 CFR 438.108 - Cost sharing.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 4 2010-10-01 2010-10-01 false Cost sharing. 438.108 Section 438.108 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL ASSISTANCE PROGRAMS MANAGED CARE Enrollee Rights and Protections § 438.108 Cost sharing. The contract must...

  14. Alternative Fuels Data Center: Semi Service Outfits Replica Batmobile to

    Science.gov Websites

    Run on Natural Gas Semi Service Outfits Replica Batmobile to Run on Natural Gas to someone by E -mail Share Alternative Fuels Data Center: Semi Service Outfits Replica Batmobile to Run on Natural Gas on Natural Gas on Twitter Bookmark Alternative Fuels Data Center: Semi Service Outfits Replica

  15. 42 CFR 457.520 - Cost sharing for well-baby and well-child care services.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 4 2013-10-01 2013-10-01 false Cost sharing for well-baby and well-child care services. 457.520 Section 457.520 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STATE CHILDREN'S HEALTH INSURANCE PROGRAMS (SCHIPs) ALLOTMENTS AND...

  16. 42 CFR 457.520 - Cost sharing for well-baby and well-child care services.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 4 2011-10-01 2011-10-01 false Cost sharing for well-baby and well-child care services. 457.520 Section 457.520 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STATE CHILDREN'S HEALTH INSURANCE PROGRAMS (SCHIPs) ALLOTMENTS AND...

  17. 42 CFR 457.520 - Cost sharing for well-baby and well-child care services.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 4 2014-10-01 2014-10-01 false Cost sharing for well-baby and well-child care services. 457.520 Section 457.520 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STATE CHILDREN'S HEALTH INSURANCE PROGRAMS (SCHIPs) ALLOTMENTS AND...

  18. 42 CFR 457.520 - Cost sharing for well-baby and well-child care services.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 4 2012-10-01 2012-10-01 false Cost sharing for well-baby and well-child care services. 457.520 Section 457.520 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STATE CHILDREN'S HEALTH INSURANCE PROGRAMS (SCHIPs) ALLOTMENTS AND...

  19. 48 CFR 1802.101 - Definitions.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... Acquisition Internet Service (NAIS) means the Internet service (URL: hhtp://procurement.nasa.gov) NASA uses to... Administrator or Deputy Administrator of NASA. Contracting activity in NASA includes the NASA Headquarters installation, the NASA Shared Services Center, and the following field installations: Ames Research Center...

  20. 48 CFR 1802.101 - Definitions.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... Acquisition Internet Service (NAIS) means the Internet service (URL: hhtp://procurement.nasa.gov) NASA uses to... Administrator or Deputy Administrator of NASA. Contracting activity in NASA includes the NASA Headquarters installation, the NASA Shared Services Center, and the following field installations: Ames Research Center...

  1. 48 CFR 1802.101 - Definitions.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Acquisition Internet Service (NAIS) means the Internet service (URL: hhtp://procurement.nasa.gov) NASA uses to... Administrator or Deputy Administrator of NASA. Contracting activity in NASA includes the NASA Headquarters installation, the NASA Shared Services Center, and the following field installations: Ames Research Center...

  2. 48 CFR 1802.101 - Definitions.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... Acquisition Internet Service (NAIS) means the Internet service (URL: hhtp://procurement.nasa.gov) NASA uses to... Administrator or Deputy Administrator of NASA. Contracting activity in NASA includes the NASA Headquarters installation, the NASA Shared Services Center, and the following field installations: Ames Research Center...

  3. 48 CFR 1802.101 - Definitions.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... Acquisition Internet Service (NAIS) means the Internet service (URL: hhtp://procurement.nasa.gov) NASA uses to... Administrator or Deputy Administrator of NASA. Contracting activity in NASA includes the NASA Headquarters installation, the NASA Shared Services Center, and the following field installations: Ames Research Center...

  4. KSC-04PD-0254

    NASA Technical Reports Server (NTRS)

    2004-01-01

    KENNEDY SPACE CENTER, FLA. KSC Director Jim Kennedy makes a presentation to NASA and other officials about the benefits of locating NASAs new Shared Services Center in the Central Florida Research Park, near Orlando. At the far left is Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida. Central Florida leaders are proposing the research park as the site for the NASA Shared Services Center. The center would centralize NASAs payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Six sites around the U.S. are under consideration by NASA.

  5. Alternative Fuels Data Center: Natural Gas Related Links

    Science.gov Websites

    , AGA provides services to member natural gas pipelines, marketers, gatherers, international gas Natural Gas Printable Version Share this resource Send a link to Alternative Fuels Data Center : Natural Gas Related Links to someone by E-mail Share Alternative Fuels Data Center: Natural Gas Related

  6. Centralized automated cataloging of health science materials in the MLC/SUNY/OCLC shared cataloging service.

    PubMed Central

    Raper, J E

    1977-01-01

    Since February 1976, The Medical Library Center of New York, with the assistance of the SUNY/OCLC Network, has offered, on a subscription basis, a centralized automated cataloging service to health science libraries in the greater metropolitan New York area. By using workforms and prints of OCLC record (amended by the subscribing participants), technical services personnel at the center have fed cataloging data, via a CRT terminal, into the OCLC system, which provides (1) catalog cards, received in computer filing order; (2) book card, spine, and pocket labels; (3) accessions lists; and (4) data for eventual production of book catalogs and union catalogs. The experience of the center in the development, implementation, operation, and budgeting of its shared cataloging service is discussed. PMID:843650

  7. Centralized automated cataloging of health science materials in the MLC/SUNY/OCLC shared cataloging service.

    PubMed

    Raper, J E

    1977-04-01

    Since February 1976, The Medical Library Center of New York, with the assistance of the SUNY/OCLC Network, has offered, on a subscription basis, a centralized automated cataloging service to health science libraries in the greater metropolitan New York area. By using workforms and prints of OCLC record (amended by the subscribing participants), technical services personnel at the center have fed cataloging data, via a CRT terminal, into the OCLC system, which provides (1) catalog cards, received in computer filing order; (2) book card, spine, and pocket labels; (3) accessions lists; and (4) data for eventual production of book catalogs and union catalogs. The experience of the center in the development, implementation, operation, and budgeting of its shared cataloging service is discussed.

  8. KENNEDY SPACE CENTER, FLA. - NASA Administrator Sean O’Keefe (center) is welcomed to the Central Florida Research Park, near Orlando. Central Florida leaders are proposing the research park as the site for the new NASA Shared Services Center. The center would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Six sites around the U.S. are under consideration by NASA.

    NASA Image and Video Library

    2004-02-19

    KENNEDY SPACE CENTER, FLA. - NASA Administrator Sean O’Keefe (center) is welcomed to the Central Florida Research Park, near Orlando. Central Florida leaders are proposing the research park as the site for the new NASA Shared Services Center. The center would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Six sites around the U.S. are under consideration by NASA.

  9. 38 CFR 17.241 - Sharing medical information services.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2012-07-01 2012-07-01 false Sharing medical... AFFAIRS MEDICAL Sharing of Medical Facilities, Equipment, and Information § 17.241 Sharing medical... Under Secretary for Health shall prescribe, Directors of Department of Veterans Affairs medical centers...

  10. Serving the Community: A Small, Liberal Arts College Writing Center.

    ERIC Educational Resources Information Center

    Rossini, Carol

    The word "service" certainly conjures some undesirable connotations, and theorists such as Nancy Grimm propose that writing centers need to shed their service labels to attain respectability. In this paper, the writing center director of a small liberal arts college shares her perspective and juxtaposes that with Grimm's position that…

  11. 76 FR 19655 - Medicare Program; Waiver Designs in Connection With the Medicare Shared Savings Program and the...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-07

    ... Savings Program and the Innovation Center AGENCY: Centers for Medicare & Medicaid Services (CMS) and...) of the Social Security Act (of the Act), as added by the Affordable Care Act (ACA) authorizes the... payment and service delivery models by the Center for Medicare and Medicaid Innovation. This notice with...

  12. Resource Centers for Gifted Education.

    ERIC Educational Resources Information Center

    Clark, Linda R.; And Others

    1995-01-01

    Shared Information Services is a state-operated network of four resource centers for gifted education in Indiana. The network provides support in the areas of program development, teacher education, classroom teaching resources, and program evaluation. A variety of library and technical assistance services is provided to teachers and others by…

  13. Internet and Electronic Information Management

    DTIC Science & Technology

    2004-12-01

    centers to form consortia and share electronic information sources. Although traditional resource sharing arrangements encouraged competition rather...outside world, through public relations and through marketing information products or services, to its own competitive advantage (Davenport 1997: 193-217... electronic information sources are a challenge for electronic information managers. Libraries and information centers are no longer “the only game in town

  14. Tracking and data relay satellite system: NASA's new spacecraft data acquisition system

    NASA Astrophysics Data System (ADS)

    Schneider, W. C.; Garman, A. A.

    The growth in NASA's ground network complexity and cost triggered a search for an alternative. Through a lease service contract, Western Union will provide to NASA 10 years of space communications services with a Tracking and Data Relay Satellite System (TDRSS). A constellation of four operating satellites in geostationary orbit and a single ground terminal will provide complete tracking, telemetry and command service for all of NASA's Earth orbital satellites below an altitude of 12,000 km. The system is shared: two satellites will be dedicated to NASA service; a third will provide backup as a shared spare; the fourth satellite will be dedicated to Western Union's Advanced Westar commercial service. Western Union will operate the ground terminal and provide operational satellite control. NASA's Network Control Center will provide the focal point for scheduling user services and controlling the interface between TDRSS and the rest of the NASA communications network, project control centers and data processing facilities. TDRSS single access user spacecraft data systems should be designed for efficient time shared data relay support. Reimbursement policy and rate structure for non-NASA users are currently being developed.

  15. KENNEDY SPACE CENTER, FLA. - NASA Administrator Sean O’Keefe (left) greets U.S. Representative Ric Keller during a tour of the Central Florida Research Park, near Orlando. Central Florida leaders are proposing the research park as the site for the new NASA Shared Services Center. The center would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Six sites around the U.S. are under consideration by NASA.

    NASA Image and Video Library

    2004-02-19

    KENNEDY SPACE CENTER, FLA. - NASA Administrator Sean O’Keefe (left) greets U.S. Representative Ric Keller during a tour of the Central Florida Research Park, near Orlando. Central Florida leaders are proposing the research park as the site for the new NASA Shared Services Center. The center would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Six sites around the U.S. are under consideration by NASA.

  16. KENNEDY SPACE CENTER, FLA. - NASA Administrator Sean O’Keefe (right) greets Florida Congressman Tom Feeney during a tour of the Central Florida Research Park, near Orlando. Central Florida leaders are proposing the research park as the site for the new NASA Shared Services Center. The center would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Six sites around the U.S. are under consideration by NASA.

    NASA Image and Video Library

    2004-02-19

    KENNEDY SPACE CENTER, FLA. - NASA Administrator Sean O’Keefe (right) greets Florida Congressman Tom Feeney during a tour of the Central Florida Research Park, near Orlando. Central Florida leaders are proposing the research park as the site for the new NASA Shared Services Center. The center would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Six sites around the U.S. are under consideration by NASA.

  17. 42 CFR 447.294 - Medicaid disproportionate share hospital (DSH) allotment reductions for Federal fiscal year 2014...

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 4 2014-10-01 2014-10-01 false Medicaid disproportionate share hospital (DSH) allotment reductions for Federal fiscal year 2014 and Federal fiscal year 2015. 447.294 Section 447.294 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL ASSISTANCE PROGRAMS PAYMENTS FOR...

  18. 42 CFR 447.294 - Medicaid disproportionate share hospital (DSH) allotment reductions for Federal fiscal year 2014...

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 4 2013-10-01 2013-10-01 false Medicaid disproportionate share hospital (DSH) allotment reductions for Federal fiscal year 2014 and Federal fiscal year 2015. 447.294 Section 447.294 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL ASSISTANCE PROGRAMS PAYMENTS FOR...

  19. School Library Media Centers in a Statewide Network.

    ERIC Educational Resources Information Center

    Fox, Carol

    1990-01-01

    Description of library services in Illinois focuses on school libraries and youth services. Topics discussed include multitype library systems; automation; youth services consultants; data collection for youth services; resource sharing for schools; promotion of reading and library programs; communications networks; and standards and certification…

  20. KENNEDY SPACE CENTER, FLA. - NASA Administrator Sean O’Keefe (center) listens to Congressman Tom Feeney (second from left) during a tour of the Central Florida Research Park, near Orlando. At right is U.S. Congressman Dave Weldon. Central Florida leaders are proposing the research park as the site for the new NASA Shared Services Center. The center would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Six sites around the U.S. are under consideration by NASA.

    NASA Image and Video Library

    2004-02-19

    KENNEDY SPACE CENTER, FLA. - NASA Administrator Sean O’Keefe (center) listens to Congressman Tom Feeney (second from left) during a tour of the Central Florida Research Park, near Orlando. At right is U.S. Congressman Dave Weldon. Central Florida leaders are proposing the research park as the site for the new NASA Shared Services Center. The center would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Six sites around the U.S. are under consideration by NASA.

  1. 42 CFR 423.6 - Cost-sharing in beneficiary education and enrollment-related costs.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 3 2010-10-01 2010-10-01 false Cost-sharing in beneficiary education and enrollment-related costs. 423.6 Section 423.6 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES... BENEFIT General Provisions § 423.6 Cost-sharing in beneficiary education and enrollment-related costs. The...

  2. International Conference of Directors of National Libraries on Resource Sharing in Asia and Oceania, Canberra, 1979: Papers from Australasia and Oceania.

    ERIC Educational Resources Information Center

    Ronnie, Mary; And Others

    1980-01-01

    Describes four library resource sharing projects in (1) New Zealand, (2) Papua New Guinea, (3) Australia, and (4) Fiji. Numerous shared services are discussed, including national bibliographies, publications exchanges, staff exchanges, clearing centers for duplicates, library planning, and national collections. (LLS)

  3. OCLC: Yesterday, Today and Tomorrow.

    ERIC Educational Resources Information Center

    Smith, K. Wayne

    1998-01-01

    Discusses the Online Computer Library Center's (OCLC) evolution as an organization, highlighting its nonprofit status, financial philosophy, membership role in governance, collections and technical services, resource sharing, and reference services. Presents a chronology of OCLC products, services, and technological innovation 1967-1997. (PEN)

  4. Revitalizing communities together: the shared values, goals, and work of education, urban planning, and public health.

    PubMed

    Cohen, Alison Klebanoff; Schuchter, Joseph W

    2013-04-01

    Inequities in education, the urban environment, and health co-exist and mutually reinforce each other. Educators, planners, and public health practitioners share commitments to place-based, participatory, youth-focused, and equitable work. They also have shared goals of building community resilience, social capital, and civic engagement. Interdisciplinary programs that embody these shared values and work towards these shared goals are emerging, including school-based health centers, full-service community schools, community health centers, Promise Neighborhoods, and Choice Neighborhoods. The intersection of these three fields represents an opportunity to intervene on social determinants of health. More collaborative research and practice across public health, education, and planning should build from the shared values identified to continue to address these common goals.

  5. 42 CFR 457.232 - Refunding of Federal Share of CHIP overpayments to providers and referral of allegations of waste...

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 4 2010-10-01 2010-10-01 false Refunding of Federal Share of CHIP overpayments to providers and referral of allegations of waste, fraud or abuse to the Office of Inspector General. 457.232 Section 457.232 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STATE CHILDREN'S...

  6. Cardiology needs good planning for the future.

    PubMed

    Goodroe, J H; Hicks, K J

    1990-08-01

    In today's health care environment, hospitals have to develop strategies to maintain their market share, especially in cardiac services. The authors share generic strategies in cost leadership, product differentiation and technological leadership that can be adapted and implemented in cardiac centers.

  7. KENNEDY SPACE CENTER, FLA. - Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida, takes part in the proposal for locating NASA’s new Shared Services Center in the Central Florida Research Park, near Orlando. The presentation was given to NASA Administrator Sean O’Keefe and other officials. The center would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Six sites around the U.S. are under consideration by NASA.

    NASA Image and Video Library

    2004-02-19

    KENNEDY SPACE CENTER, FLA. - Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida, takes part in the proposal for locating NASA’s new Shared Services Center in the Central Florida Research Park, near Orlando. The presentation was given to NASA Administrator Sean O’Keefe and other officials. The center would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Six sites around the U.S. are under consideration by NASA.

  8. KSC-04PD-0270

    NASA Technical Reports Server (NTRS)

    2004-01-01

    KENNEDY SPACE CENTER, FLA. After a presentation about the assets of the Central Florida Research Park, near Orlando, as the site of NASAs new Shared Services Center, Congressmen Tom Feeney (center) and Dave Weldon (right) share a humorous moment with NASA Administrator Sean OKeefe (foreground). Six sites around the U.S. are under consideration for location of the Center, which would centralize NASAs payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Others attending the presentation included Congressman Dave Weldon, U.S. Representative Ric Keller, Center Director Jim Kennedy and Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida.

  9. Access to Care for Medicare-Medicaid Dually Eligible Beneficiaries: The Role of State Medicaid Payment Policies.

    PubMed

    Zheng, Nan Tracy; Haber, Susan; Hoover, Sonja; Feng, Zhanlian

    2017-12-01

    Medicaid programs are not required to pay the full Medicare coinsurance and deductibles for Medicare-Medicaid dually eligible beneficiaries. We examined the association between the percentage of Medicare cost sharing paid by Medicaid and the likelihood that a dually eligible beneficiary used evaluation and management (E&M) services and safety net provider services. Medicare and Medicaid Analytic eXtract enrollment and claims data for 2009. Multivariate analyses used fee-for-service dually eligible and Medicare-only beneficiaries in 20 states. A comparison group of Medicare-only beneficiaries controlled for state factors that might influence utilization. Paying 100 percent of the Medicare cost sharing compared to 20 percent increased the likelihood (relative to Medicare-only) that a dually eligible beneficiary had any E&M visit by 6.4 percent. This difference in the percentage of cost sharing paid decreased the likelihood of using safety net providers, by 37.7 percent for federally qualified health centers and rural health centers, and by 19.8 percent for hospital outpatient departments. Reimbursing the full Medicare cost-sharing amount would improve access for dually eligible beneficiaries, although the magnitude of the effect will vary by state and type of service. © Health Research and Educational Trust.

  10. 1401318

    NASA Image and Video Library

    2014-09-18

    KIM WHITSON, DIRECTOR OF PROCUREMENT AT THE MARSHALL SPACE FLIGHT CENTER IN HUNTSVILLE ALABAMA, SPEAKS TO THE NASA / MARSHALL SMALL BUSINESS ALLIANCE MEETING ON SEPT. 18 AT THE DAVIDSON CENTER FOR SPACE EXPLORATION AT THE U.S. SPACE & ROCKET CENTER. MORE THAN 450 REPRESENTATIVES FROM SMALL BUSINESSES DISCUSSED POTENTIAL SUB-CONTRACTING OPPORTUNITIES WITH REPRESENTATIVES FROM MARSHALL CENTER, JOHNSON SPACE CENTER, GODDARD SPACE FLIGHT CENTER, KENNEDY SPACE CENTER, STENNIS SPACE CENTER AND THE NASA SHARED SERVICES.

  11. Establishing a Center to Support Faculty Research

    ERIC Educational Resources Information Center

    Goodwin, Laura; Kozleski, Elizabeth; Muth, Rodney; Rhodes, Lynn K.; White, Kim Kennedy

    2005-01-01

    This article describes the establishment in fall 2002 of a School of Education Research Center designed to support faculty in increasing productivity and quality in research. Details are provided about center goals, services, staffing, space, resources, and logistics during the first year of operation. In addition, data are shared about faculty…

  12. Student Centered Financial Services: Innovations That Succeed

    ERIC Educational Resources Information Center

    Sinsabaugh, Nancy, Ed.

    2007-01-01

    This collection of best practices shares how 18 higher education institutions across the country have successfully evaluated and redesigned their student financial services programs to improve services to students and their parents and find cost savings for the institution. This volume illustrates how other institutions have successfully tackled…

  13. Federated Giovanni: A Distributed Web Service for Analysis and Visualization of Remote Sensing Data

    NASA Technical Reports Server (NTRS)

    Lynnes, Chris

    2014-01-01

    The Geospatial Interactive Online Visualization and Analysis Interface (Giovanni) is a popular tool for users of the Goddard Earth Sciences Data and Information Services Center (GES DISC) and has been in use for over a decade. It provides a wide variety of algorithms and visualizations to explore large remote sensing datasets without having to download the data and without having to write readers and visualizers for it. Giovanni is now being extended to enable its capabilities at other data centers within the Earth Observing System Data and Information System (EOSDIS). This Federated Giovanni will allow four other data centers to add and maintain their data within Giovanni on behalf of their user community. Those data centers are the Physical Oceanography Distributed Active Archive Center (PO.DAAC), MODIS Adaptive Processing System (MODAPS), Ocean Biology Processing Group (OBPG), and Land Processes Distributed Active Archive Center (LP DAAC). Three tiers are supported: Tier 1 (GES DISC-hosted) gives the remote data center a data management interface to add and maintain data, which are provided through the Giovanni instance at the GES DISC. Tier 2 packages Giovanni up as a virtual machine for distribution to and deployment by the other data centers. Data variables are shared among data centers by sharing documents from the Solr database that underpins Giovanni's data management capabilities. However, each data center maintains their own instance of Giovanni, exposing the variables of most interest to their user community. Tier 3 is a Shared Source model, in which the data centers cooperate to extend the infrastructure by contributing source code.

  14. 42 CFR 447.66 - General alternative premium protections.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 4 2011-10-01 2011-10-01 false General alternative premium protections. 447.66 Section 447.66 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL ASSISTANCE PROGRAMS PAYMENTS FOR SERVICES Payments: General Provisions Alternative Premiums and Cost Sharing Under Sectio...

  15. 42 CFR 447.66 - General alternative premium protections.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 4 2012-10-01 2012-10-01 false General alternative premium protections. 447.66 Section 447.66 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL ASSISTANCE PROGRAMS PAYMENTS FOR SERVICES Payments: General Provisions Alternative Premiums and Cost Sharing Under Sectio...

  16. 42 CFR 447.66 - General alternative premium protections.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 4 2013-10-01 2013-10-01 false General alternative premium protections. 447.66 Section 447.66 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL ASSISTANCE PROGRAMS PAYMENTS FOR SERVICES Payments: General Provisions Alternative Premiums and Cost Sharing Under Sectio...

  17. 42 CFR 447.66 - General alternative premium protections.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 4 2010-10-01 2010-10-01 false General alternative premium protections. 447.66 Section 447.66 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL ASSISTANCE PROGRAMS PAYMENTS FOR SERVICES Payments: General Provisions Alternative Premiums and Cost Sharing Under Sectio...

  18. KSC-04pd0270

    NASA Image and Video Library

    2004-02-19

    KENNEDY SPACE CENTER, FLA. - After a presentation about the assets of the Central Florida Research Park, near Orlando, as the site of NASA’s new Shared Services Center, Congressmen Tom Feeney (center) and Dave Weldon (right) share a humorous moment with NASA Administrator Sean O’Keefe (foreground). Six sites around the U.S. are under consideration for location of the Center, which would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Others attending the presentation included Congressman Dave Weldon, U.S. Representative Ric Keller, Center Director Jim Kennedy and Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida.

  19. KENNEDY SPACE CENTER, FLA. - - U.S. Representative Ric Keller (left) listens intently to a presentation proposing the use of the Central Florida Research Park, near Orlando, as the site of NASA’s new Shared Services Center. NASA and Florida officials toured the research park as well. Central Florida leaders are proposing the research park as the site for the center, which would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Six sites around the U.S. are under consideration by NASA.

    NASA Image and Video Library

    2004-02-19

    KENNEDY SPACE CENTER, FLA. - - U.S. Representative Ric Keller (left) listens intently to a presentation proposing the use of the Central Florida Research Park, near Orlando, as the site of NASA’s new Shared Services Center. NASA and Florida officials toured the research park as well. Central Florida leaders are proposing the research park as the site for the center, which would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Six sites around the U.S. are under consideration by NASA.

  20. Current and future funding sources for specialty mental health and substance abuse treatment providers.

    PubMed

    Levit, Katharine R; Stranges, Elizabeth; Coffey, Rosanna M; Kassed, Cheryl; Mark, Tami L; Buck, Jeffrey A; Vandivort-Warren, Rita

    2013-06-01

    Goals were to describe funding for specialty behavioral health providers in 1986 and 2005 and examine how the recession, parity law, and Affordable Care Act (ACA) may affect future funding. Numerous public data sets and actuarial methods were used to estimate spending for services from specialty behavioral health providers (general hospital specialty units; specialty hospitals; psychiatrists; other behavioral health professionals; and specialty mental health and substance abuse treatment centers). Between 1986 and 2005, hospitals-which had received the largest share of behavioral health spending-declined in importance, and spending shares trended away from specialty hospitals that were largely funded by state and local governments. Hospitals' share of funding from private insurance decreased from 25% in 1986 to 12% in 2005, and the Medicaid share increased from 11% to 23%. Office-based specialty providers continued to be largely dependent on private insurance and out-of-pocket payments, with psychiatrists receiving increased Medicaid funding. Specialty centers received increased funding shares from Medicaid (from 11% to 29%), and shares from other state and local government sources fell (from 64% to 46%). With ACA's full implementation, spending on behavioral health will likely increase under private insurance and Medicaid. Parity in private plans will also push a larger share of payments for office-based professionals from out-of-pocket payments to private insurance. As ACA provides insurance for formerly uninsured individuals, funding by state behavioral health authorities of center-based treatment will likely refocus on recovery and support services. Federal Medicaid rules will increase in importance as more people needing behavioral health treatment become covered.

  1. 25 CFR 170.166 - What services do Indian LTAP centers provide?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... technology implementation in cooperation with the private sector; (9) Develop educational programs to... transportation technology transfer services, including education, training, technical assistance and related... developing and sharing tribal transportation technology and traffic safety systems and information with other...

  2. 25 CFR 170.166 - What services do Indian LTAP centers provide?

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... transportation technology transfer services, including education, training, technical assistance and related... developing and sharing tribal transportation technology and traffic safety systems and information with other... departments and universities; (8) Provide technical assistance on transportation technology and enhance new...

  3. 25 CFR 170.166 - What services do Indian LTAP centers provide?

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... transportation technology transfer services, including education, training, technical assistance and related... developing and sharing tribal transportation technology and traffic safety systems and information with other... departments and universities; (8) Provide technical assistance on transportation technology and enhance new...

  4. 25 CFR 170.166 - What services do Indian LTAP centers provide?

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... transportation technology transfer services, including education, training, technical assistance and related... developing and sharing tribal transportation technology and traffic safety systems and information with other... departments and universities; (8) Provide technical assistance on transportation technology and enhance new...

  5. 25 CFR 170.166 - What services do Indian LTAP centers provide?

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... transportation technology transfer services, including education, training, technical assistance and related... developing and sharing tribal transportation technology and traffic safety systems and information with other... departments and universities; (8) Provide technical assistance on transportation technology and enhance new...

  6. The Shared Bibliographic Input Network (SBIN): A Summary of the Experiment.

    ERIC Educational Resources Information Center

    Cotter, Gladys A.

    As part of its mission to provide centralized services for the acquisition, storage, retrieval, and dissemination of scientific and technical information (STI) to support Department of Defense (DoD) research, development, and engineering studies programs, the Defense Technical Information Center (DTIC) sponsors the Shared Bibliographic Input…

  7. 2012 Earth Day

    NASA Image and Video Library

    2012-04-24

    Bonnie Humphrey of NASA (l to r), Van Ward of NASA, Kim Maddox of the Naval Oceanographic Office, and Al Bryden of the NASA Shared Services Center learn about the Crosby Arboretum in Picayune, Miss., during the Earth Day celebration at Stennis Space Center on April 24, 2012.

  8. KSC-2014-3802

    NASA Image and Video Library

    2014-09-11

    Cape Canaveral, Fla. – At Fire Station 1 at NASA’s Kennedy Space Center in Florida, Kennedy Space Center Fire Chief Richard Anderson, center and Commander of the Honor Guard James Dumont, left, share emotional words at the 9/11 memorial during a ceremony held by Kennedy’s Fire and Rescue personnel. Behind the pair are members of NASA's Protective Services. Kennedy Fire and Rescue Services commemorated the 13th anniversary of 9/11 with a ceremony that included a minute of silence at 10:28 a.m., which was the moment of collapse of the north tower of the World Trade Center. Photo credit: Jim Grossmann

  9. KENNEDY SPACE CENTER, FLA. - Congressman Dave Weldon listens to a presentation about the assets of the Central Florida Research Park, near Orlando, as the site of NASA’s new Shared Services Center. Six sites around the U.S. are under consideration for location of the Center, which would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Others attending the presentation included Congressman Tom Feeney, U.S. Representative Ric Keller, U.S. Senator Bill Nelson, Center Director Jim Kennedy and Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida.

    NASA Image and Video Library

    2004-02-19

    KENNEDY SPACE CENTER, FLA. - Congressman Dave Weldon listens to a presentation about the assets of the Central Florida Research Park, near Orlando, as the site of NASA’s new Shared Services Center. Six sites around the U.S. are under consideration for location of the Center, which would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Others attending the presentation included Congressman Tom Feeney, U.S. Representative Ric Keller, U.S. Senator Bill Nelson, Center Director Jim Kennedy and Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida.

  10. Bridging the Silos of Service Delivery for High-Need, High-Cost Individuals.

    PubMed

    Sherry, Melissa; Wolff, Jennifer L; Ballreich, Jeromie; DuGoff, Eva; Davis, Karen; Anderson, Gerard

    2016-12-01

    Health care reform efforts that emphasize value have increased awareness of the importance of nonmedical factors in achieving better care, better health, and lower costs in the care of high-need, high-cost individuals. Programs that care for socioeconomically disadvantaged, high-need, high-cost individuals have achieved promising results in part by bridging traditional service delivery silos. This study examined 5 innovative community-oriented programs that are successfully coordinating medical and nonmedical services to identify factors that stimulate and sustain community-level collaboration and coordinated care across silos of health care, public health, and social services delivery. The authors constructed a conceptual framework depicting community health systems that highlights 4 foundational factors that facilitate community-oriented collaboration: flexible financing, shared leadership, shared data, and a strong shared vision of commitment toward delivery of person-centered care.

  11. The Integrated Bibliographic Information System: Resource Sharing Tailored for Local Needs.

    ERIC Educational Resources Information Center

    Cotter, Gladys A.; Hartt, Richard W.

    The Defense Technical Information Center (DTIC), which is charged with providing information services to the scientific and technical community of the Department of Defense (DoD), actively seeks ways to promote resource sharing as a means for speeding access to information while reducing the costs of information processing throughout the defense…

  12. 42 CFR 423.773 - Requirements for eligibility.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 3 2010-10-01 2010-10-01 false Requirements for eligibility. 423.773 Section 423.773 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICARE PROGRAM VOLUNTARY MEDICARE PRESCRIPTION DRUG BENEFIT Premiums and Cost-Sharing Subsidies...

  13. Shared leadership in a newly merged medical center.

    PubMed

    Coluccio, M; Havlick, K

    1998-01-01

    Mergers of new health care entities require visionary leadership in forming effective partnerships. Shared leadership was one key ingredient in blending two major health care competitors in the Northwest. Building a successful foundation for shared leadership required formation of a common vision, definition of core values, and establishment of guiding principles. Honoring respective cultures, recognizing achievements, and inviting participation led to the design of the shared leadership model focused on the primary objective for the merger: Enhancing health care services to the community.

  14. Shared services centers and work sustainability: which contributions from ergonomics?

    PubMed

    Arnoud, Justine; Falzon, Pierre

    2012-01-01

    This study examines the way in which Shared Services Centers (SSCs) were implemented in a French multinational company. It aims to characterize the change according to the capabilities model developed by Amartya Sen: what are the effects of SSCs in terms of capabilities development and developmental quality of work, i.e. in the enabling potential of work? A 3-step methodology has been used: first, an investigation was conducted in a pay service of a local entity moving into SSC in 2013; second, two investigations were conducted in another pay service of a SSC: first, a few months after the change, and then, one year after the change (the same operators were interviewed). Results show a tendency to the decrease of the enabling potential. Additionally, it was noted that administrators are kept away from the design process and have to struggle with inappropriate rules. The efficiency and sustainability of the SSC are questioned; in this context, the human factor specialist has an important role to play.

  15. FIRST Robotics, Gulfport High, StenniSphere, Bo Clarke, mentor

    NASA Technical Reports Server (NTRS)

    2006-01-01

    Bo Clarke, mentor for Gulfport High School's Team Fusion, offers strategy tips to students and coaches during the FIRST Robotics Competition kickoff held at StenniSphere on Jan. 7. Clarke is the lead building and infrastructure specialist for NASA's Shared Services Center at Stennis Space Center.

  16. FIRST Robotics, Gulfport High, StenniSphere, Bo Clarke, mentor

    NASA Image and Video Library

    2006-01-07

    Bo Clarke, mentor for Gulfport High School's Team Fusion, offers strategy tips to students and coaches during the FIRST Robotics Competition kickoff held at StenniSphere on Jan. 7. Clarke is the lead building and infrastructure specialist for NASA's Shared Services Center at Stennis Space Center.

  17. KENNEDY SPACE CENTER, FLA. - U.S. Senator Bill Nelson (center) makes a point while talking to NASA Administrator Sean O’Keefe (right) about the assets of the Central Florida Research Park, near Orlando, as the site of NASA’s new Shared Services Center. Six sites around the U.S. are under consideration for location of the Center, which would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Others attending the presentation included Congressman Tom Feeney, Congressman Dave Weldon, U.S. Representative Ric Keller, Center Director Jim Kennedy and Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida.

    NASA Image and Video Library

    2004-02-19

    KENNEDY SPACE CENTER, FLA. - U.S. Senator Bill Nelson (center) makes a point while talking to NASA Administrator Sean O’Keefe (right) about the assets of the Central Florida Research Park, near Orlando, as the site of NASA’s new Shared Services Center. Six sites around the U.S. are under consideration for location of the Center, which would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Others attending the presentation included Congressman Tom Feeney, Congressman Dave Weldon, U.S. Representative Ric Keller, Center Director Jim Kennedy and Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida.

  18. KSC-04PD-0250

    NASA Technical Reports Server (NTRS)

    2004-01-01

    KENNEDY SPACE CENTER, FLA. NASA Administrator Sean OKeefe (center) is welcomed to the Central Florida Research Park, near Orlando. Central Florida leaders are proposing the research park as the site for the new NASA Shared Services Center. The center would centralize NASAs payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Six sites around the U.S. are under consideration by NASA.

  19. A collaborative environment for shared classification of neuroimages: The experience of the Colibri project.

    PubMed

    Alloni, Anna; Lanzola, Giordano; Triulzi, Fabio; Bellazzi, Riccardo; Reni, Gianluigi

    2015-08-01

    The Colibri project is introduced, whose aim is setting up a shared database of Magnetic Resonance images concerning pediatric patients affected by neurological rare disorders. The project involves 19 Italian centers of excellence in pediatric neuro-radiology and is supported by the nationwide coordinating center for the Information and Communication Technology research infrastructure. After the first year devoted to the design and the implementation, in November 2014 the system finally went into service at the centers involved in the project. This paper illustrates the initial assessment of the user perception and provides some preliminary statistics about its use.

  20. 42 CFR 423.771 - Basis and scope.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 3 2010-10-01 2010-10-01 false Basis and scope. 423.771 Section 423.771 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICARE PROGRAM VOLUNTARY MEDICARE PRESCRIPTION DRUG BENEFIT Premiums and Cost-Sharing Subsidies for Low...

  1. Proceedings of the Annual Military Librarians’ Workshop (21st): Resource Sharing, 27-29 September 1977

    DTIC Science & Technology

    1977-09-29

    means of which the librarians may develop or improve individual proficiency, service and stature in librarianship . To investigate techniques by which...librarians as adninistrators and managers. DISCUSSION: The group discussed improving individual proficiency, service and stature in librarianship centered

  2. 42 CFR 433.206 - Threshold methodology.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 4 2013-10-01 2013-10-01 false Threshold methodology. 433.206 Section 433.206 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL ASSISTANCE PROGRAMS STATE FISCAL ADMINISTRATION Methodologies for Determining Federal Share of Medicaid Expenditures for Adult Eligibilit...

  3. 42 CFR 433.206 - Threshold methodology.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 4 2014-10-01 2014-10-01 false Threshold methodology. 433.206 Section 433.206 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL ASSISTANCE PROGRAMS STATE FISCAL ADMINISTRATION Methodologies for Determining Federal Share of Medicaid Expenditures for Adult Eligibilit...

  4. Establishment of a Business Training Center and Development of Partnerships with Local High Schools and Businesses. Final Report.

    ERIC Educational Resources Information Center

    Carter, Kathleen G.

    In 1989, Salem Community College (SCC) developed a Business Training Center (BTC) to enhance and/or develop significant partnerships with high schools and business and industry. Through the Center, SCC implemented programs of study and shared services and/or externships with the DuPont Company and three local high schools. The partnership with…

  5. Stennis Space Center celebrates Native American culture

    NASA Technical Reports Server (NTRS)

    2009-01-01

    Famie Willis (left), 2009-2010 Choctaw Indian Princess, displays artifacts during Native American Heritage Month activities at Stennis Space Center on Nov. 24. The celebration featured various Native American cultural displays for Stennis employees to view. Shown above are (l to r): Willis, Elaine Couchman of NASA Shared Services Center, John Cecconi of NSSC and Lakeisha Robertson of the Environmental Protection Agency.

  6. Stennis Space Center celebrates Native American culture

    NASA Image and Video Library

    2009-11-24

    Famie Willis (left), 2009-2010 Choctaw Indian Princess, displays artifacts during Native American Heritage Month activities at Stennis Space Center on Nov. 24. The celebration featured various Native American cultural displays for Stennis employees to view. Shown above are (l to r): Willis, Elaine Couchman of NASA Shared Services Center, John Cecconi of NSSC and Lakeisha Robertson of the Environmental Protection Agency.

  7. KSC-02pd0041

    NASA Image and Video Library

    2002-01-25

    KENNEDY SPACE CENTER, FLA. -- (From left) Center Director Roy Bridges, Brig. Gen. Donald P. Pettit and Executive Director of the Cape Canaveral Spaceport Management Office Ed Gormel share the ribbon cutting at the formal opening of a Customer Service office at the Spaceport. Gen. Pettit is the commander of the 45th Space Wing

  8. KENNEDY SPACE CENTER, FLA. - NASA and government officials are gathered to hear about the assets of the Central Florida Research Park, near Orlando, as the site of NASA’s new Shared Services Center. Seated at right are Lisa Malone, director of KSC External Affairs, and Joel Wells, with the Government Relations Office. Fourth from right is Jim Jennings, NASA deputy associate administrator for institutions and asset management. Six sites around the U.S. are under consideration for the center, which would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus.

    NASA Image and Video Library

    2004-02-19

    KENNEDY SPACE CENTER, FLA. - NASA and government officials are gathered to hear about the assets of the Central Florida Research Park, near Orlando, as the site of NASA’s new Shared Services Center. Seated at right are Lisa Malone, director of KSC External Affairs, and Joel Wells, with the Government Relations Office. Fourth from right is Jim Jennings, NASA deputy associate administrator for institutions and asset management. Six sites around the U.S. are under consideration for the center, which would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus.

  9. Exploring NASA GES DISC Data with Interoperable Services

    NASA Technical Reports Server (NTRS)

    Zhao, Peisheng; Yang, Wenli; Hegde, Mahabal; Wei, Jennifer C.; Kempler, Steven; Pham, Long; Teng, William; Savtchenko, Andrey

    2015-01-01

    Overview of NASA GES DISC (NASA Goddard Earth Science Data and Information Services Center) data with interoperable services: Open-standard and Interoperable Services Improve data discoverability, accessibility, and usability with metadata, catalogue and portal standards Achieve data, information and knowledge sharing across applications with standardized interfaces and protocols Open Geospatial Consortium (OGC) Data Services and Specifications Web Coverage Service (WCS) -- data Web Map Service (WMS) -- pictures of data Web Map Tile Service (WMTS) --- pictures of data tiles Styled Layer Descriptors (SLD) --- rendered styles.

  10. 42 CFR 447.51 - Requirements and options.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 4 2010-10-01 2010-10-01 false Requirements and options. 447.51 Section 447.51 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES..., Premium Or Similar Cost Sharing Charge § 447.51 Requirements and options. (a) The plan must provide that...

  11. 42 CFR 447.30 - Withholding the Federal share of payments to Medicaid providers to recover Medicare overpayments.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Medicaid providers to recover Medicare overpayments. 447.30 Section 447.30 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL ASSISTANCE... payments to Medicaid providers to recover Medicare overpayments. (a) Basis and purpose. This section...

  12. KENNEDY SPACE CENTER, FLA. - NASA Administrator Sean O’Keefe discusses the presentation about the assets of the Central Florida Research Park, near Orlando, as the site of NASA’s new Shared Services Center. Six sites around the U.S. are under consideration for location of the Center, which would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Others attending the presentation included Florida Congressman Tom Feeney, Congressman Dave Weldon, U.S. Representative Ric Keller, U.S. Senator Bill Nelson, Center Director Jim Kennedy and Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida.

    NASA Image and Video Library

    2004-02-19

    KENNEDY SPACE CENTER, FLA. - NASA Administrator Sean O’Keefe discusses the presentation about the assets of the Central Florida Research Park, near Orlando, as the site of NASA’s new Shared Services Center. Six sites around the U.S. are under consideration for location of the Center, which would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Others attending the presentation included Florida Congressman Tom Feeney, Congressman Dave Weldon, U.S. Representative Ric Keller, U.S. Senator Bill Nelson, Center Director Jim Kennedy and Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida.

  13. International GPS (Global Positioning System) Service for Geodynamics

    NASA Technical Reports Server (NTRS)

    Zumberge, J. F. (Editor); Liu, R. (Editor); Neilan, R. E. (Editor)

    1995-01-01

    The International GPS (Global Positioning System) Service for Geodynamics (IGS) began formal operation on January 1, 1994. This first annual report is divided into sections, which mirror different aspects of the service. Section (1) contains general information, including the history of the IGS, its organization, and the global network of GPS tracking sites; (2) contains information on the Central Bureau Information System; (3) describes the International Earth Rotation Service (IERS); (4) details collecting and distributing IGS data in Data Center reports; (6) describes how the IGS Analysis Centers generate their products; (7) contains miscellaneous contributions from other organizations that share common interests with the IGS.

  14. The Five-Point Plan: A Practical Framework for Campus Cultural Centers

    ERIC Educational Resources Information Center

    Jenkins, Toby S.

    2008-01-01

    This article features Paul Robeson Cultural Center (PRCC) at Pennsylvania State University, which uses a model of cultural education and engagement to design and deliver programs and services committed to enhancing the university's cultural climate. This article shares a cultural programming framework that was used to steward change and growth in…

  15. KENNEDY SPACE CENTER, FLA. - U.S. Senator Bill Nelson (center) and NASA Administrator Sean O’Keefe are deep in conversation as they leave the Central Florida Research Park, near Orlando. Behind Nelson at left is Congressman Tom Feeney. The research park is being proposed as the location for NASA’s new Shared Services Center. Six sites around the U.S. are under consideration for location of the Center, which would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Others attending the presentation included U.S. Representative Ric Keller, Congressman Dave Weldon, Center Director Jim Kennedy and Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida.

    NASA Image and Video Library

    2004-02-19

    KENNEDY SPACE CENTER, FLA. - U.S. Senator Bill Nelson (center) and NASA Administrator Sean O’Keefe are deep in conversation as they leave the Central Florida Research Park, near Orlando. Behind Nelson at left is Congressman Tom Feeney. The research park is being proposed as the location for NASA’s new Shared Services Center. Six sites around the U.S. are under consideration for location of the Center, which would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Others attending the presentation included U.S. Representative Ric Keller, Congressman Dave Weldon, Center Director Jim Kennedy and Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida.

  16. DNA Data Bank of Japan

    PubMed Central

    Mashima, Jun; Kodama, Yuichi; Fujisawa, Takatomo; Katayama, Toshiaki; Okuda, Yoshihiro; Kaminuma, Eli; Ogasawara, Osamu; Okubo, Kousaku; Nakamura, Yasukazu; Takagi, Toshihisa

    2017-01-01

    The DNA Data Bank of Japan (DDBJ) (http://www.ddbj.nig.ac.jp) has been providing public data services for thirty years (since 1987). We are collecting nucleotide sequence data from researchers as a member of the International Nucleotide Sequence Database Collaboration (INSDC, http://www.insdc.org), in collaboration with the US National Center for Biotechnology Information (NCBI) and European Bioinformatics Institute (EBI). The DDBJ Center also services Japanese Genotype-phenotype Archive (JGA), with the National Bioscience Database Center to collect human-subjected data from Japanese researchers. Here, we report our database activities for INSDC and JGA over the past year, and introduce retrieval and analytical services running on our supercomputer system and their recent modifications. Furthermore, with the Database Center for Life Science, the DDBJ Center improves semantic web technologies to integrate and to share biological data, for providing the RDF version of the sequence data. PMID:27924010

  17. The Current and Projected Taxpayer Shares of US Health Costs.

    PubMed

    Himmelstein, David U; Woolhandler, Steffie

    2016-03-01

    We estimated taxpayers' current and projected share of US health expenditures, including government payments for public employees' health benefits as well as tax subsidies to private health spending. We tabulated official Centers for Medicare and Medicaid Services figures on direct government spending for health programs and public employees' health benefits for 2013, and projected figures through 2024. We calculated the value of tax subsidies for private spending from official federal budget documents and figures for state and local tax collections. Tax-funded health expenditures totaled $1.877 trillion in 2013 and are projected to increase to $3.642 trillion in 2024. Government's share of overall health spending was 64.3% of national health expenditures in 2013 and will rise to 67.1% in 2024. Government health expenditures in the United States account for a larger share of gross domestic product (11.2% in 2013) than do total health expenditures in any other nation. Contrary to public perceptions and official Centers for Medicare and Medicaid Services estimates, government funds most health care in the United States. Appreciation of government's predominant role in health funding might encourage more appropriate and equitable targeting of health expenditures.

  18. The Current and Projected Taxpayer Shares of US Health Costs

    PubMed Central

    Woolhandler, Steffie

    2016-01-01

    Objectives. We estimated taxpayers’ current and projected share of US health expenditures, including government payments for public employees’ health benefits as well as tax subsidies to private health spending. Methods. We tabulated official Centers for Medicare and Medicaid Services figures on direct government spending for health programs and public employees’ health benefits for 2013, and projected figures through 2024. We calculated the value of tax subsidies for private spending from official federal budget documents and figures for state and local tax collections. Results. Tax-funded health expenditures totaled $1.877 trillion in 2013 and are projected to increase to $3.642 trillion in 2024. Government’s share of overall health spending was 64.3% of national health expenditures in 2013 and will rise to 67.1% in 2024. Government health expenditures in the United States account for a larger share of gross domestic product (11.2% in 2013) than do total health expenditures in any other nation. Conclusions. Contrary to public perceptions and official Centers for Medicare and Medicaid Services estimates, government funds most health care in the United States. Appreciation of government’s predominant role in health funding might encourage more appropriate and equitable targeting of health expenditures. PMID:26794173

  19. 42 CFR 425.204 - Content of the application.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 3 2014-10-01 2014-10-01 false Content of the application. 425.204 Section 425.204 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICARE PROGRAM (CONTINUED) MEDICARE SHARED SAVINGS PROGRAM Application Procedures and Participation Agreement § 425.204 Content of the...

  20. Resource Sharing for Better Service: The Northland Pioneer College/Mogollon High School Experiment.

    ERIC Educational Resources Information Center

    Rothlisberg, Allen P.

    Northland Pioneer College, a decentralized community college serving rurally populated Northeastern Arizona, has a cooperative agreement with Mogollon High School Library in Heber to serve both college and high school students and faculty. Under this experimental agreement, on-site learning resource center services are provided by the high school,…

  1. [Outcome mesurement: the case of the "Center of Results" of the public healthcare providers network in Catalonia, Spain].

    PubMed

    Argenter-Giralt, Miquel; Barba-Albós, Genoveva; Román-Martínez, Anna

    2010-02-01

    The health information system in Catalonia has experienced an important evolution but obtaining integrated data to evaluate the health services is still difficult. At the end of 2008 the basis of the information system of the "Center of Results" and a first set of indicators has been approved by the health system stakeholders. The "Center of Results" is assigned to the Catalan Health Service. It has a Direction Board and a Technical Committee to regulate its operation. The "Center of Results" has the mission to measure, evaluate and disseminate the results obtained in health care by the members of the public health services, to facilitate decision making with shared responsibility at the service of the quality of the health care given to the citizens of Catalonia. The "Center of Results" is based on performance principles that determine their operation: to share and to coordinate the existing information, to stimulate the participation and the co-responsibility of the implied agents, continuous improvement of the health information, promotion of good practices in the use of information and its responsible use, efficient instrumentation of technologies and analytical capacity to transform data into information. A participative process has been made to select and prioritize indicators. This process has reached consensus on a set of indicators. These indicators must contribute to assess the impact of the interventions of the health system on the level of the population's health and how results, with an efficient use of the resources, are obtained. 2010 Elsevier España S.L. All rights reserved.

  2. A flexible, open, decentralized system for digital pathology networks.

    PubMed

    Schuler, Robert; Smith, David E; Kumaraguruparan, Gowri; Chervenak, Ann; Lewis, Anne D; Hyde, Dallas M; Kesselman, Carl

    2012-01-01

    High-resolution digital imaging is enabling digital archiving and sharing of digitized microscopy slides and new methods for digital pathology. Collaborative research centers, outsourced medical services, and multi-site organizations stand to benefit from sharing pathology data in a digital pathology network. Yet significant technological challenges remain due to the large size and volume of digitized whole slide images. While information systems do exist for managing local pathology laboratories, they tend to be oriented toward narrow clinical use cases or offer closed ecosystems around proprietary formats. Few solutions exist for networking digital pathology operations. Here we present a system architecture and implementation of a digital pathology network and share results from a production system that federates major research centers.

  3. A Flexible, Open, Decentralized System for Digital Pathology Networks

    PubMed Central

    SMITH, David E.; KUMARAGURUPARAN, Gowri; CHERVENAK, Ann; LEWIS, Anne D.; HYDE, Dallas M.; KESSELMAN, Carl

    2014-01-01

    High-resolution digital imaging is enabling digital archiving and sharing of digitized microscopy slides and new methods for digital pathology. Collaborative research centers, outsourced medical services, and multi-site organizations stand to benefit from sharing pathology data in a digital pathology network. Yet significant technological challenges remain due to the large size and volume of digitized whole slide images. While information systems do exist for managing local pathology laboratories, they tend to be oriented toward narrow clinical use cases or offer closed ecosystems around proprietary formats. Few solutions exist for networking digital pathology operations. Here we present a system architecture and implementation of a digital pathology network and share results from a production system that federates major research centers. PMID:22941985

  4. Development and demonstration of marketing techniques for establishment of ride-sharing corporations in New York State. Final report

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

    Peters, E.W.

    1987-10-01

    Convincing commuters to join car or vanpools can be a challenging task. Through the Energy Authority project, two guides were produced to assist in establishing ride-sharing corporations and in marketing ride-sharing services in New York State. The first guide explains how to set up a ride-sharing corporation; the second guide, developed following the completion of a Commuter Behavior Study and a six-month demonstration, discusses marketing ride-share services. The Commuter Behavior Study centered on an 18-page questionnaire mailed to 6,000 households in Long Island and upstate New York. The study's findings were incorporated into a marketing plan followed by the contractor,more » Island Rides, a Long Island-based ridesharing corporation, during a six-month demonstration project. By using the promotional techniques identified in the study, Island Rides experienced a 68% increase in ride-sharing applications during this successful demonstration. The results of both the study and the demonstration are presented in the report.« less

  5. KENNEDY SPACE CENTER, FLA. - NASA officials and government representatives are gathered to learn about the assets of the Central Florida Research Park, near Orlando. At the far end of the table is NASA Administrator Sean O’Keefe. He is flanked, on the left, by Florida Congressman Tom Feeney and U.S. Senator Bill Nelson; and on the right by U.S. Congressman Dave Weldon. Central Florida leaders are proposing the research park as the site for the NASA Shared Services Center. The center would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Six sites around the U.S. are under consideration by NASA.

    NASA Image and Video Library

    2004-02-19

    KENNEDY SPACE CENTER, FLA. - NASA officials and government representatives are gathered to learn about the assets of the Central Florida Research Park, near Orlando. At the far end of the table is NASA Administrator Sean O’Keefe. He is flanked, on the left, by Florida Congressman Tom Feeney and U.S. Senator Bill Nelson; and on the right by U.S. Congressman Dave Weldon. Central Florida leaders are proposing the research park as the site for the NASA Shared Services Center. The center would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Six sites around the U.S. are under consideration by NASA.

  6. The "5Rs of Reorganization": A Case Report on Service Delivery Reorganization within a Pediatric Rehabilitation Organization.

    PubMed

    Phoenix, Michelle; Rosenbaum, Peter; Watson, Denise; Camden, Chantal

    2016-01-01

    Pediatric rehabilitation centers constantly reorganize services to accommodate changes in funding, client needs, evidence-based practices, accountability requirements, theoretical models, and values. However, there are few service delivery models or descriptions of how organizations plan for change to guide organizations through this complex task. This case report presents the "5Rs of Reorganization," a novel process for planning service delivery reorganization projects in pediatric rehabilitation centers. The 5Rs include: 1. Recognize the need for change, 2. Reallocate resources for project management, 3. Review the reality of clients, service delivery, and the community, 4. Reconstruct reality, and 5. Report results. The implementation and outcomes of the "5Rs of Reorganization" process are described for one pediatric rehabilitation center to illustrate how use of this process led to effective service delivery reorganization planning. The resulting multi-component customized service delivery plan reflects high levels of stakeholder involvement. Principles of project management can be applied to support service delivery reorganization planning within pediatric rehabilitation centers using the "5Rs of Reorganization." Strong communication throughout the planning phase is key to developing and sharing a plan for service delivery reorganization. Communication can be supported through use of the 5R process.

  7. Data Democratization - Promoting Real-Time Data Sharing and Use Worldwide

    NASA Astrophysics Data System (ADS)

    Yoksas, T. C.; Almeida, W. G.; Leon, V. C.

    2007-05-01

    The Unidata Program Center (Unidata) of the University Corporation of Atmospheric Research (UCAR) is actively involved in international collaborations whose goals are the free-and-open sharing of hydro-meteorological data; the distribution of analysis and visualization tools for those data; the establishment of server technologies that provide easy-to-use, programmatic remote-access to a wide variety of datasets, and in the building of a community where data, tools, and best practices in education and research are shared. The tools and services provided by Unidata are available to the research and education community free-of-charge. Data sharing capabilities are being provided by Unidata's Internet Data Distribution (IDD) system, a community-based effort that has been the primary source of real-time meteorological data in the US university community for over a decade. A collaboration among Unidata, Brazil's Centro de Previso de Tempo e Estudos Climaticos (CPTEC), the Universidad Federal do Rio de Janeiro (UFRJ), and the Universidade de Sao Paulo (USP) has resulted in the creation of a Brazilian peer of the North American IDD, the IDD-Brasil. Collaboration between Unidata and the Universidad de Costa Rica (UCR) seeks to extend IDD data sharing throughout Central America and the Caribbean in an IDD-Caribe. Efforts aimed at creating a data sharing network for researchers on the Antarctic continent have resulted in the establishment of the Antarctic-IDD. Most recently, explorations of data sharing between UCAR and select countries in Africa have begun. Data analysis and visualization capabilities are available through Unidata in a suite of freely-available applications: the National Centers for Environmental Prediction (NCEP) GEneral Meteorology PAcKage (GEMPAK); the Unidata Integrated Data Viewer (IDV); and University of Wisconsin, Space Science and Engineering Center (SSEC) Man-computer Interactive Data Access System (McIDAS). Remote data access capabilities are provided by Unidata's Thematic Realtime Environmental Data Services (THREDDS) servers (which incorporate Open-source Project for a Network Data Access (OPeNDAP) data services), and the Abstract Data Distribution Environment (ADDE) of McIDAS. It is envisioned that the data sharing capabilities available in the IDD, IDD-Brasil, IDD-Caribe, and Antarctic-IDD, remote data access capabilities available in THREDDS and ADDE, and analysis capabilities available in GEMPAK, the IDV, and McIDAS will help foster new collaborations among prominent universities, national meteorological agencies, and WMO Regional Meteorological Training Centers throughout North, Central, and South America, in the Antarctic research community, and eventually in Africa. This paper is intended to inform AGU 2007 Joint Assembly attendees, especially those in Mexico and Central America, of the availability of real-time data and tools to analyze/visualize those data, and to promote the free-and-open sharing of data, especially of locally-held datasets of general interest.

  8. NASA Day at the Capitol

    NASA Image and Video Library

    2009-02-19

    Astronaut Rex Walheim (center) speaks to members of the Mississippi House of Representatives in chambers during NASA Day at the Capitol in Jackson on Feb. 19. Walheim was joined at the podium by members of the Mississippi House of Representatives Gulf Coast delegation, as well as Stennis Space Center Director Gene Goldman (astronaut's immediate right) and NASA's Shared Services Center Director Rick Arbuthnot and Partners for Stennis Executive Director Tish Williams (astronaut's immediate left).

  9. Sharing the Burden and Risk: An Operational Assessment of the Reserve Components in Operation Iraqi Freedom

    DTIC Science & Technology

    2016-10-01

    Manpower Data Center (DMDC) for data extracts identifying monthly deployments from September 2001 through December 2014. This data would answer questions... Manpower Data Center (DMDC) databases captured which service members were mobilized and deployed. Government history offices, lessons learned...develop MOEs and MOPs to conduct assessments. 1. Data Extracts Concurrent with engagement efforts, IDA queried the Defense Manpower Data Center (DMDC

  10. NASA Day at the Capitol

    NASA Technical Reports Server (NTRS)

    2009-01-01

    Astronaut Rex Walheim (center) speaks to members of the Mississippi House of Representatives in chambers during NASA Day at the Capitol in Jackson on Feb. 19. Walheim was joined at the podium by members of the Mississippi House of Representatives Gulf Coast delegation, as well as Stennis Space Center Director Gene Goldman (astronaut's immediate right) and NASA's Shared Services Center Director Rick Arbuthnot and Partners for Stennis Executive Director Tish Williams (astronaut's immediate left).

  11. 2011 Special Olympics

    NASA Image and Video Library

    2011-03-19

    A military color guard opens the 2011 John C. Stennis Area III Track and Field Competitions on March 19. Stennis Space Center is an annual host for the Special Olympics games, which draws special athletes from Hancock, Harrison, Pearl River, and Stone counties and involves hundreds of volunteers and sponsors. The 2011 event was sponsored by the NASA Shared Services Center, located at Stennis.

  12. KENNEDY SPACE CENTER, FLA. - U.S. Senator Bill Nelson (left front) and NASA Administrator Sean O’Keefe (right front) leave the Central Florida Research Park, near Orlando. Behind Nelson (at left) is Congressman Tom Feeney. The research park is being proposed as the location for NASA’s new Shared Services Center. Six sites around the U.S. are under consideration for location of the Center, which would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Others attending the presentation included U.S. Representative Ric Keller, Congressman Dave Weldon, Center Director Jim Kennedy and Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida.

    NASA Image and Video Library

    2004-02-19

    KENNEDY SPACE CENTER, FLA. - U.S. Senator Bill Nelson (left front) and NASA Administrator Sean O’Keefe (right front) leave the Central Florida Research Park, near Orlando. Behind Nelson (at left) is Congressman Tom Feeney. The research park is being proposed as the location for NASA’s new Shared Services Center. Six sites around the U.S. are under consideration for location of the Center, which would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Others attending the presentation included U.S. Representative Ric Keller, Congressman Dave Weldon, Center Director Jim Kennedy and Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida.

  13. A tale of two cultures: examining patient-centered care in a forensic mental health hospital

    PubMed Central

    Livingston, James D.; Nijdam-Jones, Alicia; Brink, Johann

    2012-01-01

    Several questions remain unanswered regarding the extent to which the principles and practices of patient-centered care are achievable in the context of a forensic mental health hospital. This study examined patient-centered care from the perspectives of patients and providers in a forensic mental health hospital. Patient-centered care was assessed using several measures of complementary constructs. Interviews were conducted with 30 patients and surveys were completed by 28 service providers in a forensic mental health hospital. Patients and providers shared similar views of the therapeutic milieu and recovery orientation of services; however, providers were more likely to perceive the hospital as being potentially unsafe. Overall, the findings indicated that characteristics of patient-centered care may be found within a forensic mental health hospital. The principles of patient-centered care can be integrated into service delivery in forensic mental health hospitals, though special attention to providers’ perceptions of safety is needed. PMID:22815648

  14. Consortium--A New Direction for Staff Development

    ERIC Educational Resources Information Center

    Cope, Adrienne B.

    1976-01-01

    The shared services and joint planning of the area-wide continuing education program of the Northwest Allegheny Hospitals Corporation (a Consortium of seven acute care and two rehabilitation centers in Allegheny County, Pennsylvania) are described. (LH)

  15. KSC-04PD-0249

    NASA Technical Reports Server (NTRS)

    2004-01-01

    KENNEDY SPACE CENTER, FLA. NASA Administrator Sean OKeefe (right) greets Florida Congressman Tom Feeney during a tour of the Central Florida Research Park, near Orlando. Central Florida leaders are proposing the research park as the site for the new NASA Shared Services Center. The center would centralize NASAs payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Six sites around the U.S. are under consideration by NASA.

  16. KSC-04PD-0252

    NASA Technical Reports Server (NTRS)

    2004-01-01

    KENNEDY SPACE CENTER, FLA. NASA Administrator Sean OKeefe (left) greets U.S. Representative Ric Keller during a tour of the Central Florida Research Park, near Orlando. Central Florida leaders are proposing the research park as the site for the new NASA Shared Services Center. The center would centralize NASAs payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Six sites around the U.S. are under consideration by NASA.

  17. [Tumor Data Interacted System Design Based on Grid Platform].

    PubMed

    Liu, Ying; Cao, Jiaji; Zhang, Haowei; Zhang, Ke

    2016-06-01

    In order to satisfy demands of massive and heterogeneous tumor clinical data processing and the multi-center collaborative diagnosis and treatment for tumor diseases,a Tumor Data Interacted System(TDIS)was established based on grid platform,so that an implementing virtualization platform of tumor diagnosis service was realized,sharing tumor information in real time and carrying on standardized management.The system adopts Globus Toolkit 4.0tools to build the open grid service framework and encapsulats data resources based on Web Services Resource Framework(WSRF).The system uses the middleware technology to provide unified access interface for heterogeneous data interaction,which could optimize interactive process with virtualized service to query and call tumor information resources flexibly.For massive amounts of heterogeneous tumor data,the federated stored and multiple authorized mode is selected as security services mechanism,real-time monitoring and balancing load.The system can cooperatively manage multi-center heterogeneous tumor data to realize the tumor patient data query,sharing and analysis,and compare and match resources in typical clinical database or clinical information database in other service node,thus it can assist doctors in consulting similar case and making up multidisciplinary treatment plan for tumors.Consequently,the system can improve efficiency of diagnosis and treatment for tumor,and promote the development of collaborative tumor diagnosis model.

  18. KENNEDY SPACE CENTER, FLA. - After talking to the media, NASA Administrator Sean O’Keefe (left) speaks to Congressman Dave Weldon (center) and Florida Congressman Tom Feeney (right). O’Keefe and government officials were at the park for a presentation about the assets of the research park as the site of NASA’s new Shared Services Center. Six sites around the U.S. are under consideration for location of the Center, which would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Others attending the presentation included U.S. Senator Bill Nelson, U.S. Representative Ric Keller, Center Director Jim Kennedy and Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida.

    NASA Image and Video Library

    2004-02-19

    KENNEDY SPACE CENTER, FLA. - After talking to the media, NASA Administrator Sean O’Keefe (left) speaks to Congressman Dave Weldon (center) and Florida Congressman Tom Feeney (right). O’Keefe and government officials were at the park for a presentation about the assets of the research park as the site of NASA’s new Shared Services Center. Six sites around the U.S. are under consideration for location of the Center, which would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Others attending the presentation included U.S. Senator Bill Nelson, U.S. Representative Ric Keller, Center Director Jim Kennedy and Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida.

  19. DNA Data Bank of Japan: 30th anniversary.

    PubMed

    Kodama, Yuichi; Mashima, Jun; Kosuge, Takehide; Kaminuma, Eli; Ogasawara, Osamu; Okubo, Kousaku; Nakamura, Yasukazu; Takagi, Toshihisa

    2018-01-04

    The DNA Data Bank of Japan (DDBJ) Center (http://www.ddbj.nig.ac.jp) has been providing public data services for 30 years since 1987. We are collecting nucleotide sequence data and associated biological information from researchers as a member of the International Nucleotide Sequence Database Collaboration (INSDC), in collaboration with the US National Center for Biotechnology Information and the European Bioinformatics Institute. The DDBJ Center also services the Japanese Genotype-phenotype Archive (JGA) with the National Bioscience Database Center to collect genotype and phenotype data of human individuals. Here, we outline our database activities for INSDC and JGA over the past year, and introduce submission, retrieval and analysis services running on our supercomputer system and their recent developments. Furthermore, we highlight our responses to the amended Japanese rules for the protection of personal information and the launch of the DDBJ Group Cloud service for sharing pre-publication data among research groups. © The Author(s) 2017. Published by Oxford University Press on behalf of Nucleic Acids Research.

  20. KSC-04PD-0251

    NASA Technical Reports Server (NTRS)

    2004-01-01

    KENNEDY SPACE CENTER, FLA. NASA Administrator Sean OKeefe (center) listens to Congressman Tom Feeney (second from left) during a tour of the Central Florida Research Park, near Orlando. At right is U.S. Congressman Dave Weldon. Central Florida leaders are proposing the research park as the site for the new NASA Shared Services Center. The center would centralize NASAs payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Six sites around the U.S. are under consideration by NASA.

  1. Lessons Learned from the Creation of a Center of Excellence in Low Vision and Vision Rehabilitation in Wenzhou, China

    ERIC Educational Resources Information Center

    Marinoff, Rebecca; Heilberger, Michael H.

    2017-01-01

    A model Center of Excellence in Low Vision and Vision Rehabilitation was created in a health care setting in China utilizing an inter-institutional relationship with a United States optometric institution. Accomplishments of, limitations to, and stimuli to the provision of low vision and vision rehabilitation services are shared.

  2. Federally funded comprehensive women's health centers: leading innovation in women's healthcare delivery.

    PubMed

    Bean-Mayberry, Bevanne; Yano, Elizabeth M; Bayliss, Nichole; Navratil, Judith; Weisman, Carol S; Scholle, Sarah Hudson

    2007-11-01

    Women's healthcare has historically been fragmented, given the artificial separation of reproductive care from general medical care. Aiming to advance new care models for delivery of comprehensive, integrated clinical care for women, two federal agencies-the U.S. Department of Health and Human Services (DHHS) and Department of Veterans Affairs (VA)-launched specialized women's health centers (WHCs). Exemplars of comprehensive service delivery, these originally federally funded centers have served as foundations for innovations in delivering comprehensive care to women in diverse practice settings. Little is known, however, about details of their organization, staffing, practice arrangements, and service availability that might inform adoption of similar models in the community. Using comparable key informant surveys, we collected organizational data from the DHHS National Centers of Excellence (CoE) (n = 13) and the original VA comprehensive WHC's (n = 8). We abstracted supplemental data (e.g., academic affiliation) from the 2001 American Hospital Association (AHA) survey. All DHHS and VA women's health programs served urban areas, and nearly all had academic partnerships. DHHS centers had three times the average caseload as did VA centers. Preventive cancer screening and general reproductive services were uniformly available at all centers, although DHHS centers offered extensive reproductive services on-site more frequently, and VA centers more often had on-site mental healthcare. The DHHS and VA comprehensive WHCs share similar missions and comparable organization, education, and clinical services, demonstrating their commitment to reducing fragmented service delivery. Their common structural components present opportunities for further advancing women's quality of care across other systems of care.

  3. KENNEDY SPACE CENTER, FLA. - U.S. Senator Bill Nelson (left foreground) and NASA Administrator Sean O’Keefe (right) look deep in conversation as they leave the Central Florida Research Park, near Orlando. Behind Nelson is Congressman Tom Feeney and Center Director Jim Kennedy. The research park is being proposed as the location for NASA’s new Shared Services Center. Six sites around the U.S. are under consideration for location of the Center, which would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Others attending the presentation included U.S. Representative Ric Keller, Congressman Dave Weldon and Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida.

    NASA Image and Video Library

    2004-02-19

    KENNEDY SPACE CENTER, FLA. - U.S. Senator Bill Nelson (left foreground) and NASA Administrator Sean O’Keefe (right) look deep in conversation as they leave the Central Florida Research Park, near Orlando. Behind Nelson is Congressman Tom Feeney and Center Director Jim Kennedy. The research park is being proposed as the location for NASA’s new Shared Services Center. Six sites around the U.S. are under consideration for location of the Center, which would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Others attending the presentation included U.S. Representative Ric Keller, Congressman Dave Weldon and Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida.

  4. KENNEDY SPACE CENTER, FLA. - Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida, talks to the media at the Central Florida Research Park, near Orlando. She gave a presentation to NASA Administrator Sean O’Keefe (far right) about the assets of the research park as the site of NASA’s new Shared Services Center. Behind Dana are (left to right) U.S. Senator Bill Nelson, Florida Congressman Tom Feeney; U.S. Representative Ric Keller; and Congressman Dave Weldon. Six sites around the U.S. are under consideration for location of the Center, which would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Center Director Jim Kennedy also attended the presentation.

    NASA Image and Video Library

    2004-02-19

    KENNEDY SPACE CENTER, FLA. - Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida, talks to the media at the Central Florida Research Park, near Orlando. She gave a presentation to NASA Administrator Sean O’Keefe (far right) about the assets of the research park as the site of NASA’s new Shared Services Center. Behind Dana are (left to right) U.S. Senator Bill Nelson, Florida Congressman Tom Feeney; U.S. Representative Ric Keller; and Congressman Dave Weldon. Six sites around the U.S. are under consideration for location of the Center, which would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Center Director Jim Kennedy also attended the presentation.

  5. 75 FR 22140 - Office of Clinical and Preventive Services; Division of Oral Health; Dental Preventive and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-27

    ... direct provision of clinical care. Well-designed Support Centers will indirectly impact upon patients... done with evaluation results? With whom will the results be shared? How will evaluative data be...

  6. Grape Seed Extract

    MedlinePlus

    ... Greece people have used grapes, grape leaves, and sap for health purposes. Grape seed extract was developed ... sharing research results, and educating the public. Its resources include publications (such as Dietary ... Department of Health & Human Services, National Institutes of Health, National Center for ...

  7. Philanthropy and Beyond: Creating Shared Value to Promote Well-Being for Individuals in Their Communities.

    PubMed

    Kottke, Thomas E; Pronk, Nico; Zinkel, Andrew R; Isham, George J

    2017-01-01

    Health care organizations can magnify the impact of their community service and other philanthropic activities by implementing programs that create shared value. By definition, shared value is created when an initiative generates benefit for the sponsoring organization while also generating societal and community benefit. Because the programs generate benefit for the sponsoring organizations, the magnitude of any particular initiative is limited only by the market for the benefit and not the resources that are available for philanthropy.In this article we use three initiatives in sectors other than health care to illustrate the concept of shared value. We also present examples of five types of shared value programs that are sponsored by health care organizations: telehealth, worksite health promotion, school-based health centers, green and healthy housing, and clean and green health services. On the basis of the innovativeness of health care organizations that have already implemented programs that create shared value, we conclude that the opportunities for all health care organizations to create positive impact for individuals and communities through similar programs is large, and the limits have yet to be defined.

  8. New Interfaces to Web Documents and Services

    NASA Technical Reports Server (NTRS)

    Carlisle, W. H.

    1996-01-01

    This paper reports on investigations into how to extend capabilities of the Virtual Research Center (VRC) for NASA's Advanced Concepts Office. The work was performed as part of NASA's 1996 Summer Faculty Fellowship program, and involved research into and prototype development of software components that provide documents and services for the World Wide Web (WWW). The WWW has become a de-facto standard for sharing resources over the internet, primarily because web browsers are freely available for the most common hardware platforms and their operating systems. As a consequence of the popularity of the internet, tools, and techniques associated with web browsers are changing rapidly. New capabilities are offered by companies that support web browsers in order to achieve or remain a dominant participant in internet services. Because a goal of the VRC is to build an environment for NASA centers, universities, and industrial partners to share information associated with Advanced Concepts Office activities, the VRC tracks new techniques and services associated with the web in order to determine the their usefulness for distributed and collaborative engineering research activities. Most recently, Java has emerged as a new tool for providing internet services. Because the major web browser providers have decided to include Java in their software, investigations into Java were conducted this summer.

  9. KSC-04PD-0259

    NASA Technical Reports Server (NTRS)

    2004-01-01

    KENNEDY SPACE CENTER, FLA. U.S. Representative Ric Keller (left) listens intently to a presentation proposing the use of the Central Florida Research Park, near Orlando, as the site of NASAs new Shared Services Center. NASA and Florida officials toured the research park as well. Central Florida leaders are proposing the research park as the site for the center, which would centralize NASAs payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Six sites around the U.S. are under consideration by NASA.

  10. KSC-04PD-0255

    NASA Technical Reports Server (NTRS)

    2004-01-01

    KENNEDY SPACE CENTER, FLA. Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida, takes part in the proposal for locating NASAs new Shared Services Center in the Central Florida Research Park, near Orlando. The presentation was given to NASA Administrator Sean OKeefe and other officials. The center would centralize NASAs payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Six sites around the U.S. are under consideration by NASA.

  11. Awareness campaign. Orthopedic Hospital of Oklahoma launches awareness campaign.

    PubMed

    2007-01-01

    The Orthopedic Hospital of Oklahoma is a 25-bed inpatient and outpatient center with one focus: Orthopedics. To acquaint people with its services and build brand awareness to drive market share, the hospital launched a print campaign featuring actual patients.

  12. Data Democratization - Promoting Real-Time Data Sharing and Use throughout the Americas

    NASA Astrophysics Data System (ADS)

    Yoksas, T. C.

    2006-05-01

    The Unidata Program Center (Unidata) of the University Corporation of Atmospheric Research (UCAR) is actively involved in international collaborations whose goals are real-time sharing of hydro-meteorological data by institutions of higher education throughout the Americas; in the distribution of analysis and visualization tools for those data; and in the establishment of server sites that provide easy-to-use, programmatic remote- access to a wide variety of datasets. Data sharing capabilities are being provided by Unidata's Internet Data Distribution (IDD) system, a community-based effort that has been the primary source of real-time meteorological data for approximately 150 US universities for over a decade. A collaboration among Unidata, Brazil's Centro de PreviSão de Tempo e Estudos Climáticos (CPTEC), the Universidad Federal do Rio de Janeiro (UFRJ), and the Universidade de São Paulo (USP) has resulted in the creation of a Brazilian peer of the North American IDD, the IDD-Brasil. Collaboration among Unidata, the Universidad de Costa Rica (UCR), and the University of Puerto Rico at Mayaguez (UPRM) seeks to extend IDD data sharing throughout Central America and the Caribbean in an IDD-Caribe. Collaboration between Unidata and the Caribbean Institute for Meteorology and Hydrology (CIMH), a World Meteorological Organization (WMO) Regional Meteorological Training Center (RMTC) based in Barbados, has been launched to investigate the possibility of expansion of IDD data sharing throughout Caribbean RMTC member countries. Most recently, efforts aimed at creating a data sharing network for researchers on the Antarctic continent have resulted in the establishment of the Antarctic-IDD. Data analysis and visualization capabilities are being provided by Unidata through a suite of freely-available applications: the National Centers for Environmental Prediction (NCEP) GEneral Meteorology PAcKage (GEMPAK); the Unidata Integrated Data Viewer (IDV); and University of Wisconsin, Space Science and Engineering Center (SSEC) Man-computer Interactive Data Access System (McIDAS). Remote data access capabilities are provided by Unidata's Thematic Realtime Environmental Data Services (THREDDS) servers (which incorporate Open-source Project for a Network Data Access (OPeNDAP) data services), and the Abstract Data Distribution Environment (ADDE) of McIDAS. It is envisioned that the data sharing capabilities available in the IDD, IDD-Brasil, and IDD-Caribe, remote data access capabilities available in THREDDS and ADDE, and analysis capabilities available in GEMPAK, the IDV, and McIDAS will help foster new collaborations among prominent university educators and researchers, national meteorological agencies, and WMO Regional Meteorological Training Centers throughout North, Central, and South America.

  13. Development and Preliminary Results of CTAS on Airline Operational Control Center Operations

    NASA Technical Reports Server (NTRS)

    Zelenka, Richard; Beatty, Roger; Falcone, Richard; Engelland, Shawn; Tobias, Leonard (Technical Monitor)

    1998-01-01

    Continued growth and expansion of air traffic and increased air carrier economic pressures have mandated greater flexibility and collaboration in air traffic management. The ability of airspace users to select their own routes, so called "free-flight", and to more actively manage their fleet operations for maximum economic advantage are receiving great attention. A first step toward greater airspace user and service provider collaboration is information sharing. In this work, arrival scheduling and airspace management data generated by the NASA/FAA Center/TRACON Automation System (CTAS) and used by the FAA service provider is shared with an airline with extensive operations within the CTAS operational domain. The design and development of a specialized airline CTAS "repeater" system is described, as well as some preliminary results of the impact and benefits of this information on the air carrier's operations. FAA controller per aircraft scheduling information, such as that provided by CTAS, has never before been shared in real-time with an airline. Expected airline benefits include improved fleet planning and arrival gate management, more informed "hold-go" decisions, and avoidance of costly aircraft diversions to alternate airports when faced with uncertain airborne arrival delays.

  14. Development and Preliminary Results of CTAS on Airline Operational Control Center Operations

    NASA Technical Reports Server (NTRS)

    Zelenka, Richard; Beatty, Roger; Engelland, Shawn

    2004-01-01

    Continued growth and expansion of air traffic and increased air carrier economic pressures have mandated greater flexibility and collaboration in air traffic management. The ability of airspace users to select their own routes, so called "free-flight", and to more actively manage their fleet operations for maximum economic advantage are receiving great attention. A first step toward greater airspace user and service provider collaboration is information sharing. In this work, arrival scheduling and airspace management data generated by the NASA/FAA Center/TRACON Automation System (CTAS) and used by the FAA service provider is shared with an airline with extensive operations within the CTAS operational domain. The design and development of a specialized airline CTAS "repeater" system is described, as well as some preliminary results of the impact and benefits of this information on the air carrier's operations. FAA controller per aircraft scheduling information, such as that provided by CTAS, has never before been shared in real-time with an airline. Expected airline benefits include improved fleet planning and arrival gate management, more informed "hold-go decisions, and avoidance of costly aircraft diversions to alternate airports when faced with uncertain airborne arrival delays.

  15. Centers for Medicare & Medicaid Services

    MedlinePlus

    ... sites Expand Expand Home - Opens in a new window About CMS Newsroom Archive - Opens in a new window Tools dropdown menu to share, print or email ... the medicare.gov website - Opens in a new window MyMedicare.gov Link to the MyMedicare.gov website - ...

  16. Data Serving Climate Simulation Science at the NASA Center for Climate Simulation

    NASA Technical Reports Server (NTRS)

    Salmon, Ellen M.

    2011-01-01

    The NASA Center for Climate Simulation (NCCS) provides high performance computational resources, a multi-petabyte archive, and data services in support of climate simulation research and other NASA-sponsored science. This talk describes the NCCS's data-centric architecture and processing, which are evolving in anticipation of researchers' growing requirements for higher resolution simulations and increased data sharing among NCCS users and the external science community.

  17. An Academic-Service Partnership: A System-Wide Approach and Case Report.

    PubMed

    Bay, Esther H; Tschannen, Dana J

    2017-06-01

    An academic-service partnership was formed to increase educational capacity, improve evidence-based nursing at the point of care, and engage staff nurses, clinical faculty, and students in patient and family care. This case report reflects an overview of the first year of full implementation, and survey results from nurse leaders and faculty at the 3-year time point. Following its third year of an academic-service partnership, the shared mission, vision, and values have resulted in stronger NCLEX-RN results, improved quality initiatives, and trends for improvements in patient outcomes. Alignment with faculty and mentors surrounding student expectations has improved, as well as shared evidence-based practices. Sustaining an academic-service partnership requires dedicated leaders, faculty, and mentors. This partnership continues to thrive and move toward excellence in patient- and family-centered outcomes and undergraduate clinical education. [J Nurs Educ. 2017;56(6):373-377.]. Copyright 2017, SLACK Incorporated.

  18. KENNEDY SPACE CENTER, FLA. - - U.S. Representative Ric Keller talks to the media at the Central Florida Research Park, near Orlando. He, NASA Administrator Sean O’Keefe and government officials were at the park for a presentation about the assets of the research park as the site of NASA’s new Shared Services Center. Behind Keller are (left to right) U.S. Senator Bill Nelson; Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida; Florida Congressman Tom Feeney; Congressman Dave Weldon; and O’Keefe. Six sites around the U.S. are under consideration for location of the Center, which would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Center Director Jim Kennedy also attended the presentation.

    NASA Image and Video Library

    2004-02-19

    KENNEDY SPACE CENTER, FLA. - - U.S. Representative Ric Keller talks to the media at the Central Florida Research Park, near Orlando. He, NASA Administrator Sean O’Keefe and government officials were at the park for a presentation about the assets of the research park as the site of NASA’s new Shared Services Center. Behind Keller are (left to right) U.S. Senator Bill Nelson; Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida; Florida Congressman Tom Feeney; Congressman Dave Weldon; and O’Keefe. Six sites around the U.S. are under consideration for location of the Center, which would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Center Director Jim Kennedy also attended the presentation.

  19. KENNEDY SPACE CENTER, FLA. - NASA Administrator Sean O’Keefe talks to the media at the Central Florida Research Park, near Orlando. He and government officials were at the park for a presentation about the assets of the research park as the site of NASA’s new Shared Services Center. Behind O’Keefe are (left to right) Florida Congressman Tom Feeney; U.S. Representative Ric Keller; and Congressman Dave Weldon. Six sites around the U.S. are under consideration for location of the Center, which would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Others attending the presentation included U.S. Senator Bill Nelson, Center Director Jim Kennedy and Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida.

    NASA Image and Video Library

    2004-02-19

    KENNEDY SPACE CENTER, FLA. - NASA Administrator Sean O’Keefe talks to the media at the Central Florida Research Park, near Orlando. He and government officials were at the park for a presentation about the assets of the research park as the site of NASA’s new Shared Services Center. Behind O’Keefe are (left to right) Florida Congressman Tom Feeney; U.S. Representative Ric Keller; and Congressman Dave Weldon. Six sites around the U.S. are under consideration for location of the Center, which would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Others attending the presentation included U.S. Senator Bill Nelson, Center Director Jim Kennedy and Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida.

  20. KENNEDY SPACE CENTER, FLA. - NASA and government officials are gathered to hear about the assets of the Central Florida Research Park, near Orlando, as the site of NASA’s new Shared Services Center. Six sites around the U.S. are under consideration. At the far end is NASA Administrator Sean O’Keefe. He is flanked, on the left, by Florida Congressman Tom Feeney and U.S. Senator Bill Nelson; and on the right by U.S. Congressman Dave Weldon and U.S. Representative Ric Keller. In the foreground, at left, is Center Director Jim Kennedy. At right is Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida. The center would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus.

    NASA Image and Video Library

    2004-02-19

    KENNEDY SPACE CENTER, FLA. - NASA and government officials are gathered to hear about the assets of the Central Florida Research Park, near Orlando, as the site of NASA’s new Shared Services Center. Six sites around the U.S. are under consideration. At the far end is NASA Administrator Sean O’Keefe. He is flanked, on the left, by Florida Congressman Tom Feeney and U.S. Senator Bill Nelson; and on the right by U.S. Congressman Dave Weldon and U.S. Representative Ric Keller. In the foreground, at left, is Center Director Jim Kennedy. At right is Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida. The center would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus.

  1. KENNEDY SPACE CENTER, FLA. - Florida Congressman Tom Feeney talks to the media at the Central Florida Research Park, near Orlando. He, NASA Administrator Sean O’Keefe and government officials were at the park for a presentation about the assets of the research park as the site of NASA’s new Shared Services Center. Behind Feeney are (left to right) U.S. Senator Bill Nelson; Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida; U.S. Representative Ric Keller; Congressman Dave Weldon; and O’Keefe. Six sites around the U.S. are under consideration for location of the Center, which would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Center Director Jim Kennedy also attended the presentation.

    NASA Image and Video Library

    2004-02-19

    KENNEDY SPACE CENTER, FLA. - Florida Congressman Tom Feeney talks to the media at the Central Florida Research Park, near Orlando. He, NASA Administrator Sean O’Keefe and government officials were at the park for a presentation about the assets of the research park as the site of NASA’s new Shared Services Center. Behind Feeney are (left to right) U.S. Senator Bill Nelson; Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida; U.S. Representative Ric Keller; Congressman Dave Weldon; and O’Keefe. Six sites around the U.S. are under consideration for location of the Center, which would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Center Director Jim Kennedy also attended the presentation.

  2. KENNEDY SPACE CENTER, FLA. - Congressman Dave Weldon talks to the media at the Central Florida Research Park, near Orlando. He, NASA Administrator Sean O’Keefe and other government officials were at the park for a presentation about the assets of the research park as the site of NASA’s new Shared Services Center. Behind Weldon are (left to right) U.S. Senator Bill Nelson; Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida; and Florida Congressman Tom Feeney; at right is O’Keefe. Six sites around the U.S. are under consideration for location of the Center, which would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Center Director Jim Kennedy also attended the presentation.

    NASA Image and Video Library

    2004-02-19

    KENNEDY SPACE CENTER, FLA. - Congressman Dave Weldon talks to the media at the Central Florida Research Park, near Orlando. He, NASA Administrator Sean O’Keefe and other government officials were at the park for a presentation about the assets of the research park as the site of NASA’s new Shared Services Center. Behind Weldon are (left to right) U.S. Senator Bill Nelson; Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida; and Florida Congressman Tom Feeney; at right is O’Keefe. Six sites around the U.S. are under consideration for location of the Center, which would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Center Director Jim Kennedy also attended the presentation.

  3. KENNEDY SPACE CENTER, FLA. - U.S. Senator Bill Nelson talks to the media at the Central Florida Research Park, near Orlando. He, NASA Administrator Sean O’Keefe and other government officials were at the park for a presentation about the assets of the research park as the site of NASA’s new Shared Services Center. Behind Nelson are (left to right) Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida; Florida Congressman Tom Feeney; U.S. Representative Ric Keller; Congressman Dave Weldon and O’Keefe. Six sites around the U.S. are under consideration for location of the Center, which would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Center Director Jim Kennedy also attended the presentation.

    NASA Image and Video Library

    2004-02-19

    KENNEDY SPACE CENTER, FLA. - U.S. Senator Bill Nelson talks to the media at the Central Florida Research Park, near Orlando. He, NASA Administrator Sean O’Keefe and other government officials were at the park for a presentation about the assets of the research park as the site of NASA’s new Shared Services Center. Behind Nelson are (left to right) Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida; Florida Congressman Tom Feeney; U.S. Representative Ric Keller; Congressman Dave Weldon and O’Keefe. Six sites around the U.S. are under consideration for location of the Center, which would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Center Director Jim Kennedy also attended the presentation.

  4. KENNEDY SPACE CENTER, FLA. - NASA Administrator Sean O’Keefe talks to the media at the Central Florida Research Park, near Orlando. He and government officials were at the park for a presentation about the assets of the research park as the site of NASA’s new Shared Services Center. Behind O’Keefe are (left to right) U.S. Senator Bill Nelson; Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida; U.S. Representative Ric Keller; Florida Congressman Tom Feeney; and Congressman Dave Weldon. Six sites around the U.S. are under consideration for location of the Center, which would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Center Director Jim Kennedy also attended the presentation.

    NASA Image and Video Library

    2004-02-19

    KENNEDY SPACE CENTER, FLA. - NASA Administrator Sean O’Keefe talks to the media at the Central Florida Research Park, near Orlando. He and government officials were at the park for a presentation about the assets of the research park as the site of NASA’s new Shared Services Center. Behind O’Keefe are (left to right) U.S. Senator Bill Nelson; Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida; U.S. Representative Ric Keller; Florida Congressman Tom Feeney; and Congressman Dave Weldon. Six sites around the U.S. are under consideration for location of the Center, which would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Center Director Jim Kennedy also attended the presentation.

  5. KENNEDY SPACE CENTER, FLA. - NASA Administrator Sean O’Keefe talks to the media at the Central Florida Research Park, near Orlando. He and government officials were at the park for a presentation about the assets of the research park as the site of NASA’s new Shared Services Center. Behind O’Keefe are (left to right) Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida; U.S. Representative Ric Keller; Florida Congressman Tom Feeney; and Congressman Dave Weldon. At right is Mike Rein, division chief of KSC External Affairs. Six sites around the U.S. are under consideration for location of the Center, which would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Others attending the presentation included U.S. Senator Bill Nelson and Center Director Jim Kennedy.

    NASA Image and Video Library

    2004-02-19

    KENNEDY SPACE CENTER, FLA. - NASA Administrator Sean O’Keefe talks to the media at the Central Florida Research Park, near Orlando. He and government officials were at the park for a presentation about the assets of the research park as the site of NASA’s new Shared Services Center. Behind O’Keefe are (left to right) Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida; U.S. Representative Ric Keller; Florida Congressman Tom Feeney; and Congressman Dave Weldon. At right is Mike Rein, division chief of KSC External Affairs. Six sites around the U.S. are under consideration for location of the Center, which would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Others attending the presentation included U.S. Senator Bill Nelson and Center Director Jim Kennedy.

  6. KENNEDY SPACE CENTER, FLA. - NASA Administrator Sean O’Keefe talks to the media at the Central Florida Research Park, near Orlando. He and government officials were at the park for a presentation about the assets of the research park as the site of NASA’s new Shared Services Center. Behind O’Keefe are (left to right) Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida; Florida Congressman Tom Feeney; U.S. Representative Ric Keller; and Congressman Dave Weldon. At right is Mike Rein, division chief of KSC External Affairs. Six sites around the U.S. are under consideration for location of the Center, which would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Others attending the presentation included U.S. Senator Bill Nelson and Center Director Jim Kennedy.

    NASA Image and Video Library

    2004-02-19

    KENNEDY SPACE CENTER, FLA. - NASA Administrator Sean O’Keefe talks to the media at the Central Florida Research Park, near Orlando. He and government officials were at the park for a presentation about the assets of the research park as the site of NASA’s new Shared Services Center. Behind O’Keefe are (left to right) Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida; Florida Congressman Tom Feeney; U.S. Representative Ric Keller; and Congressman Dave Weldon. At right is Mike Rein, division chief of KSC External Affairs. Six sites around the U.S. are under consideration for location of the Center, which would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Others attending the presentation included U.S. Senator Bill Nelson and Center Director Jim Kennedy.

  7. KENNEDY SPACE CENTER, FLA. - NASA Administrator Sean O’Keefe talks to the media at the Central Florida Research Park, near Orlando. He and government officials were at the park for a presentation about the assets of the research park as the site of NASA’s new Shared Services Center. Behind O’Keefe are (left to right) Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida; and Florida Congressman Tom Feeney. Six sites around the U.S. are under consideration for location of the Center, which would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Others attending the presentation included U.S. U.S. Senator Bill Nelson, U.S. Representative Ric Keller, Congressman Dave Weldon and Center Director Jim Kennedy.

    NASA Image and Video Library

    2004-02-19

    KENNEDY SPACE CENTER, FLA. - NASA Administrator Sean O’Keefe talks to the media at the Central Florida Research Park, near Orlando. He and government officials were at the park for a presentation about the assets of the research park as the site of NASA’s new Shared Services Center. Behind O’Keefe are (left to right) Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida; and Florida Congressman Tom Feeney. Six sites around the U.S. are under consideration for location of the Center, which would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Others attending the presentation included U.S. U.S. Senator Bill Nelson, U.S. Representative Ric Keller, Congressman Dave Weldon and Center Director Jim Kennedy.

  8. KENNEDY SPACE CENTER, FLA. - NASA Administrator Sean O’Keefe talks to the media at the Central Florida Research Park, near Orlando. He and government officials were at the park for a presentation about the assets of the research park as the site of NASA’s new Shared Services Center. On the left is Center Director Jim Kennedy. On the right are U.S. Senator Bill Nelson; Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida; and U.S. Representative Ric Keller . Six sites around the U.S. are under consideration for location of the Center, which would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Others attending the presentation included Florida Congressman Tom Feeney and Congressman Dave Weldon.

    NASA Image and Video Library

    2004-02-19

    KENNEDY SPACE CENTER, FLA. - NASA Administrator Sean O’Keefe talks to the media at the Central Florida Research Park, near Orlando. He and government officials were at the park for a presentation about the assets of the research park as the site of NASA’s new Shared Services Center. On the left is Center Director Jim Kennedy. On the right are U.S. Senator Bill Nelson; Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida; and U.S. Representative Ric Keller . Six sites around the U.S. are under consideration for location of the Center, which would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Others attending the presentation included Florida Congressman Tom Feeney and Congressman Dave Weldon.

  9. Preliminary experience of shared clinical management between Milan and Pointe Noire using the INteractive TeleConsultation Network for Worldwide HealthcAre Services (INCAS): telemedicine between Milan and Africa.

    PubMed

    Malacarne, Mara; Lesma, Alessandro; Madera, Angelo; Malfatti, Eugenio; Castelli, Alberto; Lucini, Daniela; Pizzinelli, Paolo; Pagani, Massimo

    2004-01-01

    This paper describes preliminary experience in shared clinical management of patients located in Pointe Noire, Africa, and a referral center, Sacco University Hospital, located in Milan, Italy. The employed infrastructure INteractive TeleConsultation Network for Worldwide HealthcAre Services (INCAS) jointly developed by CEFRIEL (Center of Excellence For Research, Innovation, Education & Industrial Labs partnership) and ENI (Ente Nazionale Idrocarburi) is based on commercial off-the-shelf technology. This minimizes maintenance problems, while permitting a simple and friendly sharing of data using the telephone and e-mail for store-and-forward applications. The critical aspect of the flow of events comprising the exchange of information is discussed. In 60% of cases, only one telemedicine consultation was required. In the remainder 40%, a number of telemedicine consultations were required for appropriate management of clinical cases. The project demonstrated flexibility as documented by the wide range of pathologies that can be dealt with it. Finally the possibility of using shared clinical management as a learning tool is highlighted by the steep and rising learning curve. We conclude, however, that the patient, although handled in a "virtual" manner, should be viewed as very "real," as some of them elected to close the gap physically between Pointe Noire and Milan, and chose to be treated at the referral site.

  10. A Hybrid Cloud Computing Service for Earth Sciences

    NASA Astrophysics Data System (ADS)

    Yang, C. P.

    2016-12-01

    Cloud Computing is becoming a norm for providing computing capabilities for advancing Earth sciences including big Earth data management, processing, analytics, model simulations, and many other aspects. A hybrid spatiotemporal cloud computing service is bulit at George Mason NSF spatiotemporal innovation center to meet this demands. This paper will report the service including several aspects: 1) the hardware includes 500 computing services and close to 2PB storage as well as connection to XSEDE Jetstream and Caltech experimental cloud computing environment for sharing the resource; 2) the cloud service is geographically distributed at east coast, west coast, and central region; 3) the cloud includes private clouds managed using open stack and eucalyptus, DC2 is used to bridge these and the public AWS cloud for interoperability and sharing computing resources when high demands surfing; 4) the cloud service is used to support NSF EarthCube program through the ECITE project, ESIP through the ESIP cloud computing cluster, semantics testbed cluster, and other clusters; 5) the cloud service is also available for the earth science communities to conduct geoscience. A brief introduction about how to use the cloud service will be included.

  11. Product line development: a strategy for clinical success in academic centers.

    PubMed

    Turnipseed, William D; Lund, Dennis P; Sollenberger, Donna

    2007-10-01

    Academic medical centers, which have traditionally been relatively inefficient, have increasing difficulty in meeting the missions of patient care, teaching, and research in a progressively competitive medical marketplace. One strategy for improved efficiency in patient care while keeping quality high is utilization of a product line matrix. This study addresses the outcome of utilizing a product line strategy consisting of 3 service lines during the past 5 years at the University of Wisconsin Hospital and Clinics (UWHC). Service lines in heart and vascular surgery, oncology, and pediatrics have been organized since 2001, and report directly to hospital leadership as a product line. Service line leadership consists of a combination of medical leaders plus representatives of hospital administration, and service lines are allowed direct access to resources for program development, marketing, and resource allocation. Measurements of patient numbers, market share, length of stay, net margin, and patient satisfaction have been gathered and compared with the preproduct line era. In the 3 service lines, UWHC has seen variable but steady growth in patient numbers, enhanced market share, positive net margins, and improved patient satisfaction during the period of measurement. During this same period, the insurance milieu has resulted in consistent downward pressure on reimbursement, which has been offset by improved patient care efficiency as measured by length of stay, enhanced preferred provider status, and gains in market share. Scorecard measures of quality are also being developed and show enhanced teaching and research opportunities for students and trainees as well as improved Press Ganey patient satisfaction scores. At UWHC, the development of a product line matrix consisting of 3 service lines has resulted in more patient care efficiency, enhanced patient satisfaction, improved margin for the hospital, and enlargement of teaching and research opportunities. The key to successful implementation of the product line concept is a close working relationship between the hospital administration and service line medical leadership.

  12. An Ongoing Revolution: Resource Sharing and OCLC.

    ERIC Educational Resources Information Center

    Nevins, Kate

    1998-01-01

    Discusses early developments in the Online Computer Library Center (OCLC) interlibrary loan, including use of OCLC for verification and request transmittal, improved service to patrons, internal cost control, affect on work flow and borrowing patterns. Describes advances in OCLC, including internationalization, electronic information access,…

  13. Medicaid Expansion And Grant Funding Increases Helped Improve Community Health Center Capacity.

    PubMed

    Han, Xinxin; Luo, Qian; Ku, Leighton

    2017-01-01

    Through the expansion of Medicaid eligibility and increases in core federal grant funding, the Affordable Care Act (ACA) sought to increase the capacity of community health centers to provide primary care to low-income populations. We examined the effects of the ACA Medicaid expansion and changes in federal grant levels on the centers' numbers of patients, percentages of patients by type of insurance, and numbers of visits from 2012 to 2015. In the period after expansion (2014-15), health centers in expansion states had a 5 percent higher total patient volume, larger shares of Medicaid patients, smaller shares of uninsured patients, and increases in overall visits and mental health visits, compared to centers in nonexpansion states. Increases in federal grant funding levels were associated with increases in numbers of patients and of overall, medical, and preventive service visits. If federal grant levels are not sustained after 2017, there could be marked reductions in health center capacity in both expansion and nonexpansion states. Project HOPE—The People-to-People Health Foundation, Inc.

  14. Philanthropy and Beyond: Creating Shared Value to Promote Well-Being for Individuals in Their Communities

    PubMed Central

    Kottke, Thomas E; Pronk, Nico; Zinkel, Andrew R; Isham, George J

    2017-01-01

    Health care organizations can magnify the impact of their community service and other philanthropic activities by implementing programs that create shared value. By definition, shared value is created when an initiative generates benefit for the sponsoring organization while also generating societal and community benefit. Because the programs generate benefit for the sponsoring organizations, the magnitude of any particular initiative is limited only by the market for the benefit and not the resources that are available for philanthropy. In this article we use three initiatives in sectors other than health care to illustrate the concept of shared value. We also present examples of five types of shared value programs that are sponsored by health care organizations: telehealth, worksite health promotion, school-based health centers, green and healthy housing, and clean and green health services. On the basis of the innovativeness of health care organizations that have already implemented programs that create shared value, we conclude that the opportunities for all health care organizations to create positive impact for individuals and communities through similar programs is large, and the limits have yet to be defined. PMID:28488982

  15. KSC-04PD-0263

    NASA Technical Reports Server (NTRS)

    2004-01-01

    KENNEDY SPACE CENTER, FLA. NASA and government officials are gathered to hear about the assets of the Central Florida Research Park, near Orlando, as the site of NASAs new Shared Services Center. Seated at right are Lisa Malone, director of KSC External Affairs, and Joel Wells, with the Government Relations Office. Fourth from right is Jim Jennings, NASA deputy associate administrator for institutions and asset management. Six sites around the U.S. are under consideration for the center, which would centralize NASAs payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus.

  16. KSC-04PD-0265

    NASA Technical Reports Server (NTRS)

    2004-01-01

    KENNEDY SPACE CENTER, FLA. Congressman Dave Weldon listens to a presentation about the assets of the Central Florida Research Park, near Orlando, as the site of NASAs new Shared Services Center. Six sites around the U.S. are under consideration for location of the Center, which would centralize NASAs payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Others attending the presentation included Congressman Tom Feeney, U.S. Representative Ric Keller, U.S. Senator Bill Nelson, Center Director Jim Kennedy and Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida.

  17. [Research on tumor information grid framework].

    PubMed

    Zhang, Haowei; Qin, Zhu; Liu, Ying; Tan, Jianghao; Cao, Haitao; Chen, Youping; Zhang, Ke; Ding, Yuqing

    2013-10-01

    In order to realize tumor disease information sharing and unified management, we utilized grid technology to make the data and software resources which distributed in various medical institutions for effective integration so that we could make the heterogeneous resources consistent and interoperable in both semantics and syntax aspects. This article describes the tumor grid framework, the type of the service being packaged in Web Service Description Language (WSDL) and extensible markup language schemas definition (XSD), the client use the serialized document to operate the distributed resources. The service objects could be built by Unified Modeling Language (UML) as middle ware to create application programming interface. All of the grid resources are registered in the index and released in the form of Web Services based on Web Services Resource Framework (WSRF). Using the system we can build a multi-center, large sample and networking tumor disease resource sharing framework to improve the level of development in medical scientific research institutions and the patient's quality of life.

  18. Interoperable web applications for sharing data and products of the International DORIS Service

    NASA Astrophysics Data System (ADS)

    Soudarin, L.; Ferrage, P.

    2017-12-01

    The International DORIS Service (IDS) was created in 2003 under the umbrella of the International Association of Geodesy (IAG) to foster scientific research related to the French satellite tracking system DORIS and to deliver scientific products, mostly related to the International Earth rotation and Reference systems Service (IERS). Since its start, the organization has continuously evolved, leading to additional and improved operational products from an expanded set of DORIS Analysis Centers. In addition, IDS has developed services for sharing data and products with the users. Metadata and interoperable web applications are proposed to explore, visualize and download the key products such as the position time series of the geodetic points materialized at the ground tracking stations. The Global Geodetic Observing System (GGOS) encourages the IAG Services to develop such interoperable facilities on their website. The objective for GGOS is to set up an interoperable portal through which the data and products produced by the IAG Services can be served to the user community. We present the web applications proposed by IDS to visualize time series of geodetic observables or to get information about the tracking ground stations and the tracked satellites. We discuss the future plans for IDS to meet the recommendations of GGOS. The presentation also addresses the needs for the IAG Services to adopt common metadata thesaurus to describe data and products, and interoperability standards to share them.

  19. Global Social Media Directory. A Resource Guide

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

    Noonan, Christine F.; Piatt, Andrew W.

    Social media platforms are internet-based applications focused on broadcasting user-generated content. While primarily web-based, these services are increasingly available on mobile platforms. Communities and individuals share information, photos, music, videos, provide commentary and ratings/reviews, and more. In essence, social media is about sharing information, consuming information, and repurposing content. Social media technologies identified in this report are centered on social networking services, media sharing, blogging and microblogging. The purpose of this Resource Guide is to provide baseline information about use and application of social media platforms around the globe. It is not intended to be comprehensive as social media evolvesmore » on an almost daily basis. The long-term goal of this work is to identify social media information about all geographic regions and nations. The primary objective is that of understanding the evolution and spread of social networking and user-generated content technologies internationally.« less

  20. The Joint Space Operations Center Mission System and the Advanced Research, Collaboration, and Application Development Environment Status Update 2016

    NASA Astrophysics Data System (ADS)

    Murray-Krezan, Jeremy; Howard, Samantha; Sabol, Chris; Kim, Richard; Echeverry, Juan

    2016-05-01

    The Joint Space Operations Center (JSpOC) Mission System (JMS) is a service-oriented architecture (SOA) infrastructure with increased process automation and improved tools to enhance Space Situational Awareness (SSA) performed at the US-led JSpOC. The Advanced Research, Collaboration, and Application Development Environment (ARCADE) is a test-bed maintained and operated by the Air Force to (1) serve as a centralized test-bed for all research and development activities related to JMS applications, including algorithm development, data source exposure, service orchestration, and software services, and provide developers reciprocal access to relevant tools and data to accelerate technology development, (2) allow the JMS program to communicate user capability priorities and requirements to developers, (3) provide the JMS program with access to state-of-the-art research, development, and computing capabilities, and (4) support JMS Program Office-led market research efforts by identifying outstanding performers that are available to shepherd into the formal transition process. In this paper we will share with the international remote sensing community some of the recent JMS and ARCADE developments that may contribute to greater SSA at the JSpOC in the future, and share technical areas still in great need.

  1. 76 FR 67801 - Medicare Program; Medicare Shared Savings Program: Accountable Care Organizations

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-02

    ... Community Care Network NP Nurse Practitioner NPI National Provider Identifier NQF National Quality Forum OIG...: Accountable Care Organizations; Final Rule #0;#0;Federal Register / Vol. 76 , No. 212 / Wednesday, November 2... Savings Program: Accountable Care Organizations AGENCY: Centers for Medicare & Medicaid Services (CMS...

  2. American Indian Youth Resource Guide.

    ERIC Educational Resources Information Center

    Bane, William; Goodluck, Charlotte

    This document was produced by the Family Resource Center, a federally funded project designed to develop and share resources and information on youth services, child abuse and neglect, and child welfare in Region VIII, which includes Colorado, Utah, Wyoming, North Dakota, South Dakota, and Montana. This resource guide contains introductory…

  3. Interoperable Data Access Services for NOAA IOOS

    NASA Astrophysics Data System (ADS)

    de La Beaujardiere, J.

    2008-12-01

    The Integrated Ocean Observing System (IOOS) is intended to enhance our ability to collect, deliver, and use ocean information. The goal is to support research and decision-making by providing data on our open oceans, coastal waters, and Great Lakes in the formats, rates, and scales required by scientists, managers, businesses, governments, and the public. The US National Oceanic and Atmospheric Administration (NOAA) is the lead agency for IOOS. NOAA's IOOS office supports the development of regional coastal observing capability and promotes data management efforts to increase data accessibility. Geospatial web services have been established at NOAA data providers including the National Data Buoy Center (NDBC), the Center for Operational Oceanographic Products and Services (CO-OPS), and CoastWatch, and at regional data provider sites. Services established include Open-source Project for a Network Data Access Protocol (OpenDAP), Open Geospatial Consortium (OGC) Sensor Observation Service (SOS), and OGC Web Coverage Service (WCS). These services provide integrated access to data holdings that have been aggregated at each center from multiple sources. We wish to collaborate with other groups to improve our service offerings to maximize interoperability and enhance cross-provider data integration, and to share common service components such as registries, catalogs, data conversion, and gateways. This paper will discuss the current status of NOAA's IOOS efforts and possible next steps.

  4. NASA Day at the Capitol

    NASA Image and Video Library

    2009-02-19

    Stennis Space Center leaders and guests visit with Mississippi Senate members in chambers during NASA Day at the Capitol events in Jackson on Feb. 19. Standing at the Senate podium (rear) is Mississippi Lt. Gov. Phil Bryant. Standing at the lectern below are (l to r): Sen. David Baria, D-Bay St. Louis; Partners for Stennis Chair Clay Wagner; NASA Shared Services Center Director Rick Arbuthnot; astronaut Rex Walheim; Stennis Space Center Director Gene Goldman; President Pro Tempore Billy Hewes, R-Gulfport; Sen. Ezell Lee, D-Picayune; and Sen. Tommy Gollott, R-Biloxi.

  5. KSC-04PD-0266

    NASA Technical Reports Server (NTRS)

    2004-01-01

    KENNEDY SPACE CENTER, FLA. U.S. Senator Bill Nelson (center) makes a point while talking to NASA Administrator Sean OKeefe (right) about the assets of the Central Florida Research Park, near Orlando, as the site of NASAs new Shared Services Center. Six sites around the U.S. are under consideration for location of the Center, which would centralize NASAs payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Others attending the presentation included Congressman Tom Feeney, Congressman Dave Weldon, U.S. Representative Ric Keller, Center Director Jim Kennedy and Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida.

  6. KSC-04PD-0275

    NASA Technical Reports Server (NTRS)

    2004-01-01

    KENNEDY SPACE CENTER, FLA. NASA Administrator Sean OKeefe (center) talks to U.S. Senator Bill Nelson (left) after a presentation about the assets of the Central Florida Research Park, near Orlando, as the site of NASAs new Shared Services Center. Six sites around the U.S. are under consideration for location of the Center, which would centralize NASAs payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Others attending the presentation included Florida Congressman Tom Feeney, Congressman Dave Weldon, U.S. Representative Ric Keller, Center Director Jim Kennedy and Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida.

  7. KSC-04pd0275

    NASA Image and Video Library

    2004-02-19

    KENNEDY SPACE CENTER, FLA. - NASA Administrator Sean O’Keefe (center) talks to U.S. Senator Bill Nelson (left) after a presentation about the assets of the Central Florida Research Park, near Orlando, as the site of NASA’s new Shared Services Center. Six sites around the U.S. are under consideration for location of the Center, which would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Others attending the presentation included Florida Congressman Tom Feeney, Congressman Dave Weldon, U.S. Representative Ric Keller, Center Director Jim Kennedy and Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida.

  8. Welcome to the National Wetlands Research Center Library: Successful Research Begins @ Your Library

    USGS Publications Warehouse

    Broussard, Linda

    2007-01-01

    The National Wetlands Research Center (NWRC) library is part of the U.S. Geological Survey (USGS) and is the only USGS library dedicated to wetland science. The mission of the NWRC library is to support the research and information needs of scientists, managers, and support personnel by providing a specialized, scientific collection of library materials and related information services that are responsive to and reflect internal and external customer needs and work processes. The NWRC library participates in international cataloging and resource sharing that allows libraries from throughout the world to borrow from its collections and lend to NWRC. This sharing of materials facilitates the research of other governmental agencies, universities, and those interested in the study of wetlands.

  9. Welcome to the National Wetlands Research Center Library: Not Just Another Library-A Special Library

    USGS Publications Warehouse

    Broussard, Linda

    2007-01-01

    Libraries are grouped into four major types: public, school, academic, and special. The U.S. Geological Survey's (USGS) National Wetlands Research Center (NWRC) library is classified as a special library because it is sponsored by the Federal government, and the collections focus on a specific subject. The NWRC library is the only USGS library dedicated to wetland science. Library personnel offer expert research services to meet the informational needs of NWRC scientists, managers, and support personnel. The NWRC library participates in international cataloging and resource sharing, which allows libraries from throughout the world to borrow from its collections. This sharing facilitates the research of other governmental agencies, universities, and those interested in the study of wetlands.

  10. Harvard Catalyst | The Clinical Translational Science Center IND/IDE Consult Service: providing an IND/IDE consult service in a decentralized network of academic healthcare centers.

    PubMed

    Kim, Min J; Winkler, Sabune J; Bierer, Barbara E; Wolf, Delia

    2014-04-01

    The Food and Drug Administration (FDA) regulations require sponsors of clinical investigations involving an investigational drug or device to submit an Investigational New Drug (IND) or Investigational Device Exemption (IDE) application. Strict adherence to applicable regulations is vital to the success of clinical research. Unlike most major pharmaceutical sponsors, investigator sponsors often do not fully appreciate their regulatory obligations nor have resources to ensure compliance. As a result they can place themselves and their institutions at risk. Nevertheless, investigator-initiated clinical trials are vital to the further development of innovative drugs, biologics, and medical devices. The IND/IDE Subcommittee under the Regulatory Knowledge and Support Program at Harvard Catalyst, The Harvard Clinical and Translational Science Center worked in collaboration with Harvard and Harvard affiliated institutions to create and launch an IND/IDE Consult Service in a decentralized network of collaborating Academic Healthcare Centers (AHC). The IND/IDE Consult Service offers expertise, resources, and shared experiences to assist sponsor-investigators and IRBs in meeting regulatory requirements for conducting and reviewing investigator-initiated IND/IDE studies. The scope of the services provided by the Harvard Catalyst IND/IDE Consult Service are described, including the specifics of the service, lessons learned, and challenges faced, in a scalable model that builds inter-institutional capacity. © 2014 Wiley Periodicals, Inc.

  11. Harvard Catalyst | The Clinical Translational Science Center IND/IDE Consult Service: Providing an IND/IDE Consult Service in a Decentralized Network of Academic Healthcare Centers

    PubMed Central

    Winkler, Sabune J.; Bierer, Barbara E.; Wolf, Delia

    2014-01-01

    Abstract The Food and Drug Administration (FDA) regulations require sponsors of clinical investigations involving an investigational drug or device to submit an Investigational New Drug (IND) or Investigational Device Exemption (IDE) application. Strict adherence to applicable regulations is vital to the success of clinical research. Unlike most major pharmaceutical sponsors, investigator sponsors often do not fully appreciate their regulatory obligations nor have resources to ensure compliance. As a result they can place themselves and their institutions at risk. Nevertheless, investigator‐initiated clinical trials are vital to the further development of innovative drugs, biologics, and medical devices. The IND/IDE Subcommittee under the Regulatory Knowledge and Support Program at Harvard Catalyst, The Harvard Clinical and Translational Science Center worked in collaboration with Harvard and Harvard affiliated institutions to create and launch an IND/IDE Consult Service in a decentralized network of collaborating Academic Healthcare Centers (AHC). The IND/IDE Consult Service offers expertise, resources, and shared experiences to assist sponsor‐investigators and IRBs in meeting regulatory requirements for conducting and reviewing investigator‐initiated IND/IDE studies. The scope of the services provided by the Harvard Catalyst IND/IDE Consult Service are described, including the specifics of the service, lessons learned, and challenges faced, in a scalable model that builds inter‐institutional capacity. PMID:24455986

  12. 42 CFR 425.306 - Participation agreement and exclusivity of ACO participant TINs.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... participant TINs. 425.306 Section 425.306 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT... participant TINs. (a) For purposes of the Shared Savings Program, each ACO participant TIN is required to commit to a participation agreement with CMS. (b) Each ACO participant TIN upon which beneficiary...

  13. 42 CFR 425.306 - Participation agreement and exclusivity of ACO participant TINs.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... participant TINs. 425.306 Section 425.306 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT... participant TINs. (a) For purposes of the Shared Savings Program, each ACO participant TIN is required to commit to a participation agreement with CMS. (b) Each ACO participant TIN upon which beneficiary...

  14. 42 CFR 425.306 - Participation agreement and exclusivity of ACO participant TINs.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... participant TINs. 425.306 Section 425.306 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT... participant TINs. (a) For purposes of the Shared Savings Program, each ACO participant TIN is required to commit to a participation agreement with CMS. (b) Each ACO participant TIN upon which beneficiary...

  15. Higher Education and Nonprofit Community Collaboration: Innovative Teaching and Learning for Graduate Student Education

    ERIC Educational Resources Information Center

    Lucas, Chris M.; Sherman, Nancy E.; Fischer, Cindy

    2013-01-01

    Current graduate student models of education reflect both traditional and contemporary pedagogical strategies. For professional degree programs centered on leadership and human services providing traditional instruction combined with experience-based and real-world learning is necessary. This paper shares a brief overview of graduate education…

  16. Integrated Bibliographic Information System: Integrating Resources by Integrating Information Technologies.

    ERIC Educational Resources Information Center

    Cotter, Gladys A.; Hartt, Richard W.

    The Defense Technical Information Center (DTIC), an organization charged with providing information services to the Department of Defense (DoD) scientific and technical community, actively seeks ways to promote resource sharing as a means for speeding access to information while reducing the costs of information processing throughout the technical…

  17. 75 FR 76036 - Charming Shoppes of Delaware, Inc. Accounts Payable, Rent, Merchandise Disbursement Divisions...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-07

    ... DEPARTMENT OF LABOR Employment and Training Administration [TA-W-74,250] Charming Shoppes of Delaware, Inc. Accounts Payable, Rent, Merchandise Disbursement Divisions, and Payroll Department Within the Shared Service Center, Bensalem, PA; Amended Certification Regarding Eligibility To Apply for Worker Adjustment Assistance In accordance with...

  18. Shared Service Centers and Professional Employability

    ERIC Educational Resources Information Center

    Rothwell, A. T.; Herbert, I. P.; Seal, W.

    2011-01-01

    This paper presents case study evidence of evolutionary changes in business support functions resulting in a fundamental hollowing out of the professional space over time and distance, creating the "hourglass" profession. In an IT-enabled, boundaryless world, many professional activities can now be undertaken, in the manner of the Martini slogan,…

  19. Hispanic/Latino Natural Support Systems. CSAP Implementation Guide.

    ERIC Educational Resources Information Center

    Acosta, Annie; Hamel, Vicki

    This guide is intended to share knowledge about the Hispanic/Latino community with Center for Substance Abuse Prevention (CSAP) grant recipients and to help them develop effective prevention services responsive to the communities they serve. The guide: (1) highlights specific characteristics of the Hispanic and Latino communities that affect…

  20. UNAVCO Data Center Initiatives in CyberInfrastructure for Discovery, Services, and Distribution of Data and Products

    NASA Astrophysics Data System (ADS)

    Boler, F.; Meertens, C.

    2012-04-01

    The UNAVCO Data Center in Boulder, Colorado, archives for preservation and distributes geodesy data and products in the GNSS, InSAR, and LiDAR domains to the scientific and education community. The GNSS data, which in addition to geodesy are useful for tectonic, volcanologic, ice mass, glacial isostatic adjustment, meteorological and other studies, come from 2,500 continuously operating stations and 8000 survey-mode observation points around the globe that are operated by over 100 U.S. and international members of the UNAVCO consortium. SAR data, which are in many ways complementary to the GNSS data collection have been acquired in concert with the WInSAR Consortium activities and with EarthScope, with a focus on the western United States. UNAVCO also holds a growing collection of terrestrial laser scanning data. Several partner US geodesy data centers, along with UNAVCO, have developed and are in the process of implementing the Geodesy Seamless Archive Centers, a web services based technology to facilitate the exchange of metadata and delivery of data and products to users. These services utilize a repository layer implemented at each data center, and a service layer to identify and present any data center-specific services and capabilities, allowing simplified vertical federation of metadata from independent data centers. UNAVCO also has built web services for SAR data discovery and delivery, and will partner with other SAR data centers and institutions to provide access for the InSAR scientist to SAR data and ancillary data sets, web services to produce interferograms, and mechanisms to archive and distribute resulting higher level products. Improved access to LiDAR data from space-based, airborne, and terrestrial platforms through utilization of web services is similarly currently under development. These efforts in cyberinfrastructure, while initially aimed at intra-domain data sharing and providing products for research and education, are envisioned as potentially serving as the basis for leveraging integrated access across a broad set of Earth science domains.

  1. Consumer-operated service program members' explanatory models of mental illness and recovery.

    PubMed

    Hoy, Janet M

    2014-10-01

    Incorporating individuals' understandings and explanations of mental illness into service delivery offers benefits relating to increased service relevance and meaning. Existing research delineates explanatory models of mental illness held by individuals in home, outpatient, and hospital-based contexts; research on models held by those in peer-support contexts is notably absent. In this article, I describe themes identified within and across explanatory models of mental illness and recovery held by mental health consumers (N = 24) at one peer center, referred to as a consumer-operated service center (COSP). Participants held explanatory models inclusive of both developmental stressors and biomedical causes, consistent with a stress-diathesis model (although no participant explicitly referenced such). Explicit incorporation of stress-diathesis constructs into programming at this COSP offers the potential of increasing service meaning and relevance. Identifying and incorporating shared meanings across individuals' understandings of mental illness likewise can increase relevance and meaning for particular subgroups of service users. © The Author(s) 2014.

  2. What CFOs should know before venturing into the cloud.

    PubMed

    Rajendran, Janakan

    2013-05-01

    There are three major trends in the use of cloud-based services for healthcare IT: Cloud computing involves the hosting of health IT applications in a service provider cloud. Cloud storage is a data storage service that can involve, for example, long-term storage and archival of information such as clinical data, medical images, and scanned documents. Data center colocation involves rental of secure space in the cloud from a vendor, an approach that allows a hospital to share power capacity and proven security protocols, reducing costs.

  3. Research on the digital education resources of sharing pattern in independent colleges based on cloud computing environment

    NASA Astrophysics Data System (ADS)

    Xiong, Ting; He, Zhiwen

    2017-06-01

    Cloud computing was first proposed by Google Company in the United States, which was based on the Internet center, providing a standard and open network sharing service approach. With the rapid development of the higher education in China, the educational resources provided by colleges and universities had greatly gap in the actual needs of teaching resources. therefore, Cloud computing of using the Internet technology to provide shared methods liked the timely rain, which had become an important means of the Digital Education on sharing applications in the current higher education. Based on Cloud computing environment, the paper analyzed the existing problems about the sharing of digital educational resources in Jiangxi Province Independent Colleges. According to the sharing characteristics of mass storage, efficient operation and low input about Cloud computing, the author explored and studied the design of the sharing model about the digital educational resources of higher education in Independent College. Finally, the design of the shared model was put into the practical applications.

  4. The Development of University Computing in Sweden 1965-1985

    NASA Astrophysics Data System (ADS)

    Dahlstrand, Ingemar

    In 1965-70 the government agency, Statskontoret, set up five university computing centers, as service bureaux financed by grants earmarked for computer use. The centers were well equipped and staffed and caused a surge in computer use. When the yearly flow of grant money stagnated at 25 million Swedish crowns, the centers had to find external income to survive and acquire time-sharing. But the charging system led to the computers not being fully used. The computer scientists lacked equipment for laboratory use. The centers were decentralized and the earmarking abolished. Eventually they got new tasks like running computers owned by the departments, and serving the university administration.

  5. KSC-04PD-0264

    NASA Technical Reports Server (NTRS)

    2004-01-01

    KENNEDY SPACE CENTER, FLA. Florida Congressman Tom Feeney (left) and U.S. Senator Bill Nelson (right) listen to a presentation about the assets of the Central Florida Research Park, near Orlando, as the site of NASAs new Shared Services Center. Six sites around the U.S. are under consideration for location of the Center, which would centralize NASAs payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Others attending the presentation included Congressman Dave Weldon, U.S. Representative Ric Keller, Center Director Jim Kennedy and Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida.

  6. KSC-04PD-0268

    NASA Technical Reports Server (NTRS)

    2004-01-01

    KENNEDY SPACE CENTER, FLA. NASA Administrator Sean OKeefe gestures during a discussion with Florida government leaders about the location for NASAs new Shared Services Center. At left of OKeefe is U.S. Senator Bill Nelson; at right is Congressman Dave Weldon. Six sites around the U.S. are under consideration for location of the Center, which would centralize NASAs payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The Florida location being proposed is of the Central Florida Research Park, near Orlando. Others attending the presentation included Congressman Tom Feeney, U.S. Representative Ric Keller, Center Director Jim Kennedy and Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida.

  7. KSC-04PD-0276

    NASA Technical Reports Server (NTRS)

    2004-01-01

    KENNEDY SPACE CENTER, FLA. NASA Administrator Sean OKeefe discusses the presentation about the assets of the Central Florida Research Park, near Orlando, as the site of NASAs new Shared Services Center. Six sites around the U.S. are under consideration for location of the Center, which would centralize NASAs payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Others attending the presentation included Florida Congressman Tom Feeney, Congressman Dave Weldon, U.S. Representative Ric Keller, U.S. Senator Bill Nelson, Center Director Jim Kennedy and Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida.

  8. KSC-04PD-0267

    NASA Technical Reports Server (NTRS)

    2004-01-01

    KENNEDY SPACE CENTER, FLA. NASA Administrator Sean OKeefe (left) talks with Congressman Dave Weldon (right) after a presentation about the assets of the Central Florida Research Park, near Orlando, as the site of NASAs new Shared Services Center. Six sites around the U.S. are under consideration for location of the Center, which would centralize NASAs payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Others attending the presentation included Congressman Tom Feeney, U.S. Representative Ric Keller, U.S. Senator Bill Nelson, Center Director Jim Kennedy and Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida.

  9. KSC-04PD-0269

    NASA Technical Reports Server (NTRS)

    2004-01-01

    KENNEDY SPACE CENTER, FLA. NASA Administrator Sean OKeefe (left) talks with Congressman Dave Weldon (right) after a presentation about the assets of the Central Florida Research Park, near Orlando, as the site of NASAs new Shared Services Center. Six sites around the U.S. are under consideration for location of the Center, which would centralize NASAs payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Others attending the presentation included Congressman Tom Feeney, U.S. Representative Ric Keller, U.S. Senator Bill Nelson, Center Director Jim Kennedy and Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida.

  10. KSC-04pd0264

    NASA Image and Video Library

    2004-02-19

    KENNEDY SPACE CENTER, FLA. - Florida Congressman Tom Feeney (left) and U.S. Senator Bill Nelson (right) listen to a presentation about the assets of the Central Florida Research Park, near Orlando, as the site of NASA’s new Shared Services Center. Six sites around the U.S. are under consideration for location of the Center, which would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Others attending the presentation included Congressman Dave Weldon, U.S. Representative Ric Keller, Center Director Jim Kennedy and Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida.

  11. KSC-04pd0269

    NASA Image and Video Library

    2004-02-19

    KENNEDY SPACE CENTER, FLA. - NASA Administrator Sean O’Keefe (left) talks with Congressman Dave Weldon (right) after a presentation about the assets of the Central Florida Research Park, near Orlando, as the site of NASA’s new Shared Services Center. Six sites around the U.S. are under consideration for location of the Center, which would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Others attending the presentation included Congressman Tom Feeney, U.S. Representative Ric Keller, U.S. Senator Bill Nelson, Center Director Jim Kennedy and Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida.

  12. KSC-04pd0267

    NASA Image and Video Library

    2004-02-19

    KENNEDY SPACE CENTER, FLA. - NASA Administrator Sean O’Keefe (left) talks with Congressman Dave Weldon (right) after a presentation about the assets of the Central Florida Research Park, near Orlando, as the site of NASA’s new Shared Services Center. Six sites around the U.S. are under consideration for location of the Center, which would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Others attending the presentation included Congressman Tom Feeney, U.S. Representative Ric Keller, U.S. Senator Bill Nelson, Center Director Jim Kennedy and Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida.

  13. "Take an opportunity whenever you get it": Information Sharing among African-American Women with Hypertension.

    PubMed

    Jones, Lenette M; Wright, Kathy D; Wallace, McKenzie K; Veinot, Tiffany

    2018-01-01

    Nearly half of African-American women have hypertension, which increases their risk for cardiovascular disease and stroke. A plethora of consumer health information products and services exist to inform people with hypertension and to promote self-management among them. Promotion of information sharing by African-American women represents a promising, culturally-applicable strategy for consumer health information services focused on hypertension self-management. Yet, how African-American women share hypertension information with others is unclear. The purpose of this qualitative, descriptive study was to examine practices of information sharing in African-American women with hypertension. Thirteen women (mean age = 73, SD = 9.87) participated in one of two focus groups held at an urban community health center. Thematic analysis revealed that the women shared information about how they self-managed their blood pressure 1) with female family members and friends, 2) about ways in which they adapted self-management strategies to work for them, 3) mostly in group settings, and 4) because they wanted to prevent others from suffering and reinforce their own knowledge about hypertension self-management. New findings emerged regarding assessing "readiness" for information. Study findings will be used to inform the design of an information sharing intervention to support self-management of hypertension in African-American women.

  14. Case study of the integration of a local health department and a community health center.

    PubMed Central

    Lambrew, J M; Ricketts, T C; Morrissey, J P

    1993-01-01

    As rural communities struggle to sustain health services locally, innovative alternatives to traditional programs are being developed. A significant adaptation is the rural health network or alliance that links local health departments and community health centers. The authors describe how a rural local health department and community health center, the core organizations in publicly sponsored primary care, came to share a building and administrative and service activities. Both the details of this alliance and its development are examined. The case history reveals that circumstance and State involvement were the catalysts for service integration, more so than the need for or the benefits of the arrangement. The closure of a county-owned hospital created a situation in which State officials were able to broker a cooperative agreement between the two agencies. This case study suggests two hypotheses: that need for integrated services alone may not be sufficient to catalyze the development of primary care alliances and that strong policy support may override any local and internal resistance to integration. PMID:8434093

  15. Armstrong Memorial Service

    NASA Image and Video Library

    2012-09-13

    NASA Deputy Administrator Lori Garver, right, shares a moment with Apollo 17 mission commander Gene Cernan, the last man to walk on the moon, left, as U.S. Sen. Kay Bailey Hutchison, R-Texas, center looks on prior to a memorial service celebrating the life of Neil Armstrong, Thursday, Sept. 13, 2012, at the Washington National Cathedral. Armstrong, the first man to walk on the moon during the 1969 Apollo 11 mission, died Saturday, Aug. 25. He was 82. Photo Credit: (NASA/Bill Ingalls)

  16. Forging successful academic-community partnerships with community health centers: the California statewide Area Health Education Center (AHEC) experience.

    PubMed

    Fowkes, Virginia; Blossom, H John; Mitchell, Brenda; Herrera-Mata, Lydia

    2014-01-01

    Increased access to insurance under the Affordable Care Act will increase demands for clinical services in community health centers (CHCs). CHCs also have an increasingly important educational role to train clinicians who will remain to practice in community clinics. CHCs and Area Health Education Centers (AHECs) are logical partners to prepare the health workforce for the future. Both are sponsored by the Health Resources and Services Administration, and they share a mission to improve quality of care in medically underserved communities. AHECs emphasize the educational side of the mission, and CHCs the service side. Building stronger partnerships between them can facilitate a balance between education and service needs.From 2004 to 2011, the California Statewide AHEC program and its 12 community AHECs (centers) reorganized to align training with CHC workforce priorities. Eight centers merged into CHC consortia; others established close partnerships with CHCs in their respective regions. The authors discuss issues considered and approaches taken to make these changes. Collaborative innovative processes with program leadership, staff, and center directors revised the program mission, developed common training objectives with an evaluation plan, and defined organizational, functional, and impact characteristics for successful AHECs in California. During this planning, centers gained confidence as educational arms for the safety net and began collaborations with statewide programs as well as among themselves. The AHEC reorganization and the processes used to develop, strengthen, and identify standards for centers forged the development of new partnerships and established academic-community trust in planning and implementing programs with CHCs.

  17. KSC-04PD-0271

    NASA Technical Reports Server (NTRS)

    2004-01-01

    KENNEDY SPACE CENTER, FLA. Congressman Tom Feeney (left) makes a point during a discussion around the table about the assets of the Central Florida Research Park, near Orlando, as the site of NASAs new Shared Services Center. At center is U.S. Senator Bill Nelson; at right is NASA Administrator Sean OKeefe. Six sites around the U.S. are under consideration for location of the Center, which would centralize NASAs payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Others attending the presentation included Congressman Dave Weldon, U.S. Representative Ric Keller, Center Director Jim Kennedy and Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida.

  18. KSC-04PD-0291

    NASA Technical Reports Server (NTRS)

    2004-01-01

    KENNEDY SPACE CENTER, FLA. After talking to the media, NASA Administrator Sean OKeefe (left) speaks to Congressman Dave Weldon (center) and Florida Congressman Tom Feeney (right). OKeefe and government officials were at the park for a presentation about the assets of the research park as the site of NASAs new Shared Services Center. Six sites around the U.S. are under consideration for location of the Center, which would centralize NASAs payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Others attending the presentation included U.S. Senator Bill Nelson, U.S. Representative Ric Keller, Center Director Jim Kennedy and Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida.

  19. KSC-04PD-0279

    NASA Technical Reports Server (NTRS)

    2004-01-01

    KENNEDY SPACE CENTER, FLA. U.S. Senator Bill Nelson (center) and NASA Administrator Sean OKeefe are deep in conversation as they leave the Central Florida Research Park, near Orlando. Behind Nelson at left is Congressman Tom Feeney. The research park is being proposed as the location for NASAs new Shared Services Center. Six sites around the U.S. are under consideration for location of the Center, which would centralize NASAs payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Others attending the presentation included U.S. Representative Ric Keller, Congressman Dave Weldon, Center Director Jim Kennedy and Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida.

  20. KSC-04pd0271

    NASA Image and Video Library

    2004-02-19

    KENNEDY SPACE CENTER, FLA. - Congressman Tom Feeney (left) makes a point during a discussion around the table about the assets of the Central Florida Research Park, near Orlando, as the site of NASA’s new Shared Services Center. At center is U.S. Senator Bill Nelson; at right is NASA Administrator Sean O’Keefe. Six sites around the U.S. are under consideration for location of the Center, which would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Others attending the presentation included Congressman Dave Weldon, U.S. Representative Ric Keller, Center Director Jim Kennedy and Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida.

  1. Extending The P4P Agenda, Part 1: How Medicare Can Improve Patient Decision Making And Reduce Unnecessary Care

    PubMed Central

    Wennberg, John E.; O'Connor, Annette M.; Collins, E. Dale; Weinstein, James N.

    2008-01-01

    The decision to undergo many discretionary medical treatments should be based on informed patient choice. Shared decision making is an effective strategy for achieving this goal. The Centers for Medicare and Medicaid Services (CMS) should extend its pay-for-performance (P4P) agenda to assure that all Americans have access to a certified shared decision-making process. This paper outlines a strategy to achieve informed patient choice as the standard of practice for preference-sensitive care. PMID:17978377

  2. Ready to Succeed: Changing Systems to Give California's Foster Children the Opportunities They Deserve to be Ready for and Succeed in School. Recommendations to Improve School Readiness, School Success, and Data Sharing from The California Education Collaborative for Children in Foster Care. Summary Report

    ERIC Educational Resources Information Center

    Center for the Future of Teaching and Learning, 2008

    2008-01-01

    In 2005, the Stuart Foundation funded two of its grantees--the Center for the Future of Teaching and Learning and Mental Health Advocacy Services, Inc.--to both model and achieve greater collaboration between the public education and child welfare sectors. The two organizations share a philosophical commitment to narrowing the profound gaps…

  3. Integrated Services and Supports in Oakland Community Schools. Knowledge Brief

    ERIC Educational Resources Information Center

    John W. Gardner Center for Youth and Their Communities, 2015

    2015-01-01

    This brief is part of a series that shares findings from a research collaboration between the John W. Gardner Center for Youth and Their Communities at Stanford University and Oakland Unified School District (OUSD) focused on understanding implementation of the community school model in the district. This brief highlights findings related to…

  4. 77 FR 2500 - Medicaid Program; Disproportionate Share Hospital Payments-Uninsured Definition

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-18

    ... Definition AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS. ACTION: Proposed rule. SUMMARY: This... consistent with the definitions under 45 CFR Part 144 and 45 CFR Part 146, as well as individuals who have coverage based upon a legally liable third party payer. This regulatory definition was not the same as the...

  5. International Directory of Libraries and Documentation Centres in Terminology = Repertoire international des biblioteques et des centres de documentation en terminologie.

    ERIC Educational Resources Information Center

    Cousineau, Marie-Josee, Comp.

    Designed to assist terminologists, translators, librarians, and documentalists by promoting resource-sharing, networking, and cooperation in the transfer and dissemination of international terminological data, this directory lists information resources and reference services available from 60 libraries and documentation centers around the world.…

  6. American Indian Tribal Programs in Child Welfare in Region VIII.

    ERIC Educational Resources Information Center

    Goodluck, Charlotte; Elpers, Jenny

    Designed to develop and to share information and resources on child abuse and neglect, child welfare, and youth services in Region VIII (Colorado, Utah, Wyoming, North Dakota, South Dakota, and Montana), the Family Resource Center, a federally funded two year program, has developed a directory containing names, addresses, phone numbers and…

  7. A Community-University Exchange Project Modeled after Europe's Science Shops

    ERIC Educational Resources Information Center

    Tryon, Elizabeth; Ross, J. Ashleigh

    2012-01-01

    This article describes a pilot project of the Morgridge Center for Public Service at the University of Wisconsin-Madison for a new structure for community-based learning and research. It is based on the European-derived science shop model for democratizing campus-community partnerships using shared values of mutual respect and validation of…

  8. Neuroimaging, Genetics, and Clinical Data Sharing in Python Using the CubicWeb Framework

    PubMed Central

    Grigis, Antoine; Goyard, David; Cherbonnier, Robin; Gareau, Thomas; Papadopoulos Orfanos, Dimitri; Chauvat, Nicolas; Di Mascio, Adrien; Schumann, Gunter; Spooren, Will; Murphy, Declan; Frouin, Vincent

    2017-01-01

    In neurosciences or psychiatry, the emergence of large multi-center population imaging studies raises numerous technological challenges. From distributed data collection, across different institutions and countries, to final data publication service, one must handle the massive, heterogeneous, and complex data from genetics, imaging, demographics, or clinical scores. These data must be both efficiently obtained and downloadable. We present a Python solution, based on the CubicWeb open-source semantic framework, aimed at building population imaging study repositories. In addition, we focus on the tools developed around this framework to overcome the challenges associated with data sharing and collaborative requirements. We describe a set of three highly adaptive web services that transform the CubicWeb framework into a (1) multi-center upload platform, (2) collaborative quality assessment platform, and (3) publication platform endowed with massive-download capabilities. Two major European projects, IMAGEN and EU-AIMS, are currently supported by the described framework. We also present a Python package that enables end users to remotely query neuroimaging, genetics, and clinical data from scripts. PMID:28360851

  9. Neuroimaging, Genetics, and Clinical Data Sharing in Python Using the CubicWeb Framework.

    PubMed

    Grigis, Antoine; Goyard, David; Cherbonnier, Robin; Gareau, Thomas; Papadopoulos Orfanos, Dimitri; Chauvat, Nicolas; Di Mascio, Adrien; Schumann, Gunter; Spooren, Will; Murphy, Declan; Frouin, Vincent

    2017-01-01

    In neurosciences or psychiatry, the emergence of large multi-center population imaging studies raises numerous technological challenges. From distributed data collection, across different institutions and countries, to final data publication service, one must handle the massive, heterogeneous, and complex data from genetics, imaging, demographics, or clinical scores. These data must be both efficiently obtained and downloadable. We present a Python solution, based on the CubicWeb open-source semantic framework, aimed at building population imaging study repositories. In addition, we focus on the tools developed around this framework to overcome the challenges associated with data sharing and collaborative requirements. We describe a set of three highly adaptive web services that transform the CubicWeb framework into a (1) multi-center upload platform, (2) collaborative quality assessment platform, and (3) publication platform endowed with massive-download capabilities. Two major European projects, IMAGEN and EU-AIMS, are currently supported by the described framework. We also present a Python package that enables end users to remotely query neuroimaging, genetics, and clinical data from scripts.

  10. Joint venture versus outreach: a financial analysis of case studies.

    PubMed

    Forsman, R W

    2001-01-01

    Medical centers across the country are facing cost challenges, and national commercial laboratories are experiencing financial declines that necessitate their capturing market share in any way possible. Many laboratories are turning to joint ventures or partnerships for financial relief. However, it often is in the best interest of the patient and the medical center to integrate laboratory services across the continuum of care. This article analyzes two hypothetical joint ventures involving a laboratory management agreement and full laboratory outsourcing.

  11. 2011 Women's History Month

    NASA Image and Video Library

    2011-03-24

    John C. Stennis Space Center employees (l to r) Janet Kovac (NASA Shared Services Center), Lael Butler (Environmental Protection Agency Gulf of Mexico Program), Mary Carter (NSSC) and Maura Lohrenz (Naval Research Laboratory) celebrate a correct answer during the Women's History Month Quiz Bowl held onsite March 24. The contest between the women and a panel of four men tested each side's knowledge of women's history facts and events. This year's Women's History Month theme was 'Our History is Our Strength.' Befitting that sentiment, the panel of women won the contest.

  12. Operating and Managing a Backup Control Center

    NASA Technical Reports Server (NTRS)

    Marsh, Angela L.; Pirani, Joseph L.; Bornas, Nicholas

    2010-01-01

    Due to the criticality of continuous mission operations, some control centers must plan for alternate locations in the event an emergency shuts down the primary control center. Johnson Space Center (JSC) in Houston, Texas is the Mission Control Center (MCC) for the International Space Station (ISS). Due to Houston s proximity to the Gulf of Mexico, JSC is prone to threats from hurricanes which could cause flooding, wind damage, and electrical outages to the buildings supporting the MCC. Marshall Space Flight Center (MSFC) has the capability to be the Backup Control Center for the ISS if the situation is needed. While the MSFC Huntsville Operations Support Center (HOSC) does house the BCC, the prime customer and operator of the ISS is still the JSC flight operations team. To satisfy the customer and maintain continuous mission operations, the BCC has critical infrastructure that hosts ISS ground systems and flight operations equipment that mirrors the prime mission control facility. However, a complete duplicate of Mission Control Center in another remote location is very expensive to recreate. The HOSC has infrastructure and services that MCC utilized for its backup control center to reduce the costs of a somewhat redundant service. While labor talents are equivalent, experiences are not. Certain operations are maintained in a redundant mode, while others are simply maintained as single string with adequate sparing levels of equipment. Personnel at the BCC facility must be trained and certified to an adequate level on primary MCC systems. Negotiations with the customer were done to match requirements with existing capabilities, and to prioritize resources for appropriate level of service. Because some of these systems are shared, an activation of the backup control center will cause a suspension of scheduled HOSC activities that may share resources needed by the BCC. For example, the MCC is monitoring a hurricane in the Gulf of Mexico. As the threat to MCC increases, HOSC must begin a phased activation of the BCC, while working resource conflicts with normal HOSC activities. In a long duration outage to the MCC, this could cause serious impacts to the BCC host facility s primary mission support activities. This management of a BCC is worked based on customer expectations and negotiations done before emergencies occur. I.

  13. The pharmacoeconomic picture in Saudi Arabia.

    PubMed

    Alkhenizan, Abdullah

    2014-08-01

    Saudi Arabia is the largest country in the region and it is the largest oil producing country in the world. It is one of the few countries in the world which was not affected significantly by the global economic crisis. Health care spending is led mainly by governmental expenditure. Private sector share of the health care services is supported by the government and increasing. The demands for pharmaceutical products, medical devices and health care services is fueled by the rapidly growing population and the wide spread of chronic diseases. Publications and expertise in the field of pharmacoeconomics is scarce within the country. There is an urgent need to establish a national center for pharmacoeconomics to lead the country efforts in controlling the cost of health care services. Such a center is needed to promote pharmacoeconomics research and train health care professionals in this field.

  14. UCLA's Molecular Screening Shared Resource: enhancing small molecule discovery with functional genomics and new technology.

    PubMed

    Damoiseaux, Robert

    2014-05-01

    The Molecular Screening Shared Resource (MSSR) offers a comprehensive range of leading-edge high throughput screening (HTS) services including drug discovery, chemical and functional genomics, and novel methods for nano and environmental toxicology. The MSSR is an open access environment with investigators from UCLA as well as from the entire globe. Industrial clients are equally welcome as are non-profit entities. The MSSR is a fee-for-service entity and does not retain intellectual property. In conjunction with the Center for Environmental Implications of Nanotechnology, the MSSR is unique in its dedicated and ongoing efforts towards high throughput toxicity testing of nanomaterials. In addition, the MSSR engages in technology development eliminating bottlenecks from the HTS workflow and enabling novel assays and readouts currently not available.

  15. User-Friendly Data-Sharing Practices for Fostering Collaboration within a Research Network: Roles of a Vanguard Center for a Community-Based Study

    PubMed Central

    Lee, Jae Eun; Sung, Jung Hye; Barnett, M. Edwina; Norris, Keith

    2015-01-01

    Although various attempts have been made to build collaborative cultures for data sharing, their effectiveness is still questionable. The Jackson Heart Study (JHS) Vanguard Center (JHSVC) at the NIH-funded Research Centers in Minority Institutions (RCMI) Translational Research Network (RTRN) Data Coordinating Center (DCC) may be a new concept in that the data are being shared with a research network where a plethora of scientists/researchers are working together to achieve their common goal. This study describes the current practices to share the JHS data through the mechanism of JHSVC. The JHS is the largest single-site cohort study to prospectively investigate the determinants of cardiovascular disease among African-Americans. It has adopted a formal screened access method through a formalized JHSVC mechanism, in which only a qualified scientist(s) can access the data. The role of the DCC was to help RTRN researchers explore hypothesis-driven ideas to enhance the output and impact of JHS data through customized services, such as feasibility tests, data querying, manuscript proposal development and data analyses for publication. DCC has implemented these various programs to facilitate data utility. A total of 300 investigators attended workshops and/or received training booklets. DCC provided two online and five onsite workshops and developed/distributed more than 250 copies of the booklet to help potential data users understand the structure of and access to the data. Information on data use was also provided through the RTRN website. The DCC efforts led to the production of five active manuscript proposals, seven completed publications, 11 presentations and four NIH grant proposals. These outcomes resulted from activities during the first four years; over the last couple of years, there were few new requests. Our study suggested that DCC-customized services enhanced the accessibility of JHS data and their utility by RTRN researchers and helped to achieve the principal goal of JHSVC of scientific productivity. In order to achieve long-term success, the following, but not limited to these, should be addressed in the current data sharing practices: preparation of new promotional strategies in response to changes in technology and users’ needs, collaboration with the Network statisticians, harmonization of the JHS data with the other local-based heart datasets to meet the needs of the potential users from the broader geographical areas, adoption of the RTRN comprehensive data-sharing policy to broaden the variety of research topics and implementation of an ongoing monitoring program to evaluate its success. PMID:26703645

  16. KSC-04PD-0277

    NASA Technical Reports Server (NTRS)

    2004-01-01

    KENNEDY SPACE CENTER, FLA. U.S. Senator Bill Nelson (left foreground) and NASA Administrator Sean OKeefe (right) look deep in conversation as they leave the Central Florida Research Park, near Orlando. Behind Nelson is Congressman Tom Feeney and Center Director Jim Kennedy. The research park is being proposed as the location for NASAs new Shared Services Center. Six sites around the U.S. are under consideration for location of the Center, which would centralize NASAs payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Others attending the presentation included U.S. Representative Ric Keller, Congressman Dave Weldon and Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida.

  17. KSC-04PD-0278

    NASA Technical Reports Server (NTRS)

    2004-01-01

    KENNEDY SPACE CENTER, FLA. U.S. Senator Bill Nelson (left front) and NASA Administrator Sean OKeefe (right front) leave the Central Florida Research Park, near Orlando. Behind Nelson (at left) is Congressman Tom Feeney. The research park is being proposed as the location for NASAs new Shared Services Center. Six sites around the U.S. are under consideration for location of the Center, which would centralize NASAs payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Others attending the presentation included U.S. Representative Ric Keller, Congressman Dave Weldon, Center Director Jim Kennedy and Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida.

  18. KSC-04pd0268

    NASA Image and Video Library

    2004-02-19

    KENNEDY SPACE CENTER, FLA. - NASA Administrator Sean O’Keefe gestures during a discussion with Florida government leaders about the location for NASA’s new Shared Services Center. At left of O’Keefe is U.S. Senator Bill Nelson; at right is Congressman Dave Weldon. Six sites around the U.S. are under consideration for location of the Center, which would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The Florida location being proposed is of the Central Florida Research Park, near Orlando. Others attending the presentation included Congressman Tom Feeney, U.S. Representative Ric Keller, Center Director Jim Kennedy and Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida.

  19. Application of Telemedicine in Gansu Province of China.

    PubMed

    Cai, Hui; Wang, Hongjing; Guo, Tiankang; Bao, Guoxian

    2016-01-01

    Telemedicine has become an increasingly popular option for long-distance health care and continuing education. As information and communication technology is underdeveloped in China, telemedicine develops slowly. At present, telemedicine consultation centers are situated mainly in developed cities, such as Beijing, Shanghai, and Guangzhou. In many less developed regions, such as northwest China, the conditions or related facilities are not available for the application of a better medical service. Accordingly, the aim of this paper was to introduce the construction and application of a telemedicine consultation center in Gansu Province in the northwest of China. In addition, the function of Gansu Provincial Telemedicine Consultation Center on emergency public events was introduced. As a whole, there was a great demand for telemedicine service in the local medical institutions. In the telemedicine consultation center, the telemedicine equipments and regulations were needed to be improved. The function of telemedicine service was not fully used, there was a large space to be applied and the publicity of telemedicine service was important. What is important was that telemedicine played a significance role in promoting the medical policy reform, improving the medical environment and launching the remote rescue in the emergency public events. This paper emphasizes the health care challenges of poor regions, and indicates how to share the high-quality medical service of provincial hospitals effectively and how to help residents in resource-poor environments.

  20. Application of Telemedicine in Gansu Province of China

    PubMed Central

    Cai, Hui; Wang, Hongjing

    2016-01-01

    Telemedicine has become an increasingly popular option for long-distance health care and continuing education. As information and communication technology is underdeveloped in China, telemedicine develops slowly. At present, telemedicine consultation centers are situated mainly in developed cities, such as Beijing, Shanghai, and Guangzhou. In many less developed regions, such as northwest China, the conditions or related facilities are not available for the application of a better medical service. Accordingly, the aim of this paper was to introduce the construction and application of a telemedicine consultation center in Gansu Province in the northwest of China. In addition, the function of Gansu Provincial Telemedicine Consultation Center on emergency public events was introduced. As a whole, there was a great demand for telemedicine service in the local medical institutions. In the telemedicine consultation center, the telemedicine equipments and regulations were needed to be improved. The function of telemedicine service was not fully used, there was a large space to be applied and the publicity of telemedicine service was important. What is important was that telemedicine played a significance role in promoting the medical policy reform, improving the medical environment and launching the remote rescue in the emergency public events. This paper emphasizes the health care challenges of poor regions, and indicates how to share the high-quality medical service of provincial hospitals effectively and how to help residents in resource-poor environments. PMID:27332894

  1. KSC-04PD-0256

    NASA Technical Reports Server (NTRS)

    2004-01-01

    KENNEDY SPACE CENTER, FLA. NASA officials and government representatives are gathered to learn about the assets of the Central Florida Research Park, near Orlando. At the far end of the table is NASA Administrator Sean OKeefe. He is flanked, on the left, by Florida Congressman Tom Feeney and U.S. Senator Bill Nelson; and on the right by U.S. Congressman Dave Weldon. Central Florida leaders are proposing the research park as the site for the NASA Shared Services Center. The center would centralize NASAs payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Six sites around the U.S. are under consideration by NASA.

  2. Dataworks for GNSS: Software for Supporting Data Sharing and Federation of Geodetic Networks

    NASA Astrophysics Data System (ADS)

    Boler, F. M.; Meertens, C. M.; Miller, M. M.; Wier, S.; Rost, M.; Matykiewicz, J.

    2015-12-01

    Continuously-operating Global Navigation Satellite System (GNSS) networks are increasingly being installed globally for a wide variety of science and societal applications. GNSS enables Earth science research in areas including tectonic plate interactions, crustal deformation in response to loading by tectonics, magmatism, water and ice, and the dynamics of water - and thereby energy transfer - in the atmosphere at regional scale. The many individual scientists and organizations that set up GNSS stations globally are often open to sharing data, but lack the resources or expertise to deploy systems and software to manage and curate data and metadata and provide user tools that would support data sharing. UNAVCO previously gained experience in facilitating data sharing through the NASA-supported development of the Geodesy Seamless Archive Centers (GSAC) open source software. GSAC provides web interfaces and simple web services for data and metadata discovery and access, supports federation of multiple data centers, and simplifies transfer of data and metadata to long-term archives. The NSF supported the dissemination of GSAC to multiple European data centers forming the European Plate Observing System. To expand upon GSAC to provide end-to-end, instrument-to-distribution capability, UNAVCO developed Dataworks for GNSS with NSF funding to the COCONet project, and deployed this software on systems that are now operating as Regional GNSS Data Centers as part of the NSF-funded TLALOCNet and COCONet projects. Dataworks consists of software modules written in Python and Java for data acquisition, management and sharing. There are modules for GNSS receiver control and data download, a database schema for metadata, tools for metadata handling, ingest software to manage file metadata, data file management scripts, GSAC, scripts for mirroring station data and metadata from partner GSACs, and extensive software and operator documentation. UNAVCO plans to provide a cloud VM image of Dataworks that would allow standing up a Dataworks-enabled GNSS data center without requiring upfront investment in server hardware. By enabling data creators to organize their data and metadata for sharing, Dataworks helps scientists expand their data curation awareness and responsibility, and enhances data access for all.

  3. KSC-04PD-0272

    NASA Technical Reports Server (NTRS)

    2004-01-01

    KENNEDY SPACE CENTER, FLA. U.S. Representative Ric Keller (center) talks to NASA Administrator Sean OKeefe (left foreground) about the assets of the Central Florida Research Park, near Orlando, as the site of NASAs new Shared Services Center. At left behind OKeefe is Congressman Dave Weldon. Six sites around the U.S. are under consideration for location of the Center, which would centralize NASAs payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. The consolidation is part of the One NASA focus. Others attending the presentation included Florida Congressman Tom Feeney, U.S. Senator Bill Nelson, Center Director Jim Kennedy and Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida.

  4. KSC-04pd0272

    NASA Image and Video Library

    2004-02-19

    KENNEDY SPACE CENTER, FLA. - U.S. Representative Ric Keller (center) talks to NASA Administrator Sean O’Keefe (left foreground) about the assets of the Central Florida Research Park, near Orlando, as the site of NASA’s new Shared Services Center. At left behind O’Keefe is Congressman Dave Weldon. Six sites around the U.S. are under consideration for location of the Center, which would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. The consolidation is part of the One NASA focus. Others attending the presentation included Florida Congressman Tom Feeney, U.S. Senator Bill Nelson, Center Director Jim Kennedy and Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida.

  5. Ambulatory surgery center market share and rates of outpatient surgery in the elderly.

    PubMed

    Hollenbeck, Brent K; Hollingsworth, John M; Dunn, Rodney L; Zaojun Ye; Birkmeyer, John D

    2010-12-01

    Relative to outpatient surgery in hospital settings, ambulatory surgery centers (ASCs) are more efficient and associated with a lower cost per case. However, these facilities may also spur higher overall procedure utilization and thus lead to greater overall health care costs. The authors used the State Ambulatory Surgery Database from the State of Florida to identify Medicare-aged patients undergoing 4 common ambulatory procedures in 2006, including knee arthroscopy, cystoscopy, cataract removal, and colonoscopy. Hospital service areas (HSAs) were characterized according to ASC market share, that is, the proportion of residents undergoing outpatient surgery in these facilities. The authors then examined relationships between ASC market share and rates of each procedure. Age-adjusted rates of ambulatory surgery ranged from 190.5 cases per 1000 to 320.8 cases per 1000 in HSAs with low and high ASC market shares, respectively (P < .01). For all 4 procedures, adjusted rates of procedures were significantly higher in HSAs with the highest ASC market share. The greatest difference, both in relative and absolute terms, was observed for patients undergoing cystoscopy. In areas of high ASC market share, the age-adjusted rate of cystoscopy was nearly 3-fold higher than in areas with low ASC market share (34.5 vs 11.9 per 1000 population; P < .01). The presence of an ASC is associated with higher utilization of common outpatient procedures in the elderly. Whether ASCs are meeting unmet clinical demand or spurring overutilization is not clear.

  6. Improving data discoverability, accessibility, and interoperability with the Esri ArcGIS Platform at the NASA Atmospheric Science Data Center (ASDC).

    NASA Astrophysics Data System (ADS)

    Tisdale, M.

    2017-12-01

    NASA's Atmospheric Science Data Center (ASDC) is operationally using the Esri ArcGIS Platform to improve data discoverability, accessibility and interoperability to meet the diversifying user requirements from government, private, public and academic communities. The ASDC is actively working to provide their mission essential datasets as ArcGIS Image Services, Open Geospatial Consortium (OGC) Web Mapping Services (WMS), and OGC Web Coverage Services (WCS) while leveraging the ArcGIS multidimensional mosaic dataset structure. Science teams at ASDC are utilizing these services through the development of applications using the Web AppBuilder for ArcGIS and the ArcGIS API for Javascript. These services provide greater exposure of ASDC data holdings to the GIS community and allow for broader sharing and distribution to various end users. These capabilities provide interactive visualization tools and improved geospatial analytical tools for a mission critical understanding in the areas of the earth's radiation budget, clouds, aerosols, and tropospheric chemistry. The presentation will cover how the ASDC is developing geospatial web services and applications to improve data discoverability, accessibility, and interoperability.

  7. Ontology driven integration platform for clinical and translational research

    PubMed Central

    Mirhaji, Parsa; Zhu, Min; Vagnoni, Mattew; Bernstam, Elmer V; Zhang, Jiajie; Smith, Jack W

    2009-01-01

    Semantic Web technologies offer a promising framework for integration of disparate biomedical data. In this paper we present the semantic information integration platform under development at the Center for Clinical and Translational Sciences (CCTS) at the University of Texas Health Science Center at Houston (UTHSC-H) as part of our Clinical and Translational Science Award (CTSA) program. We utilize the Semantic Web technologies not only for integrating, repurposing and classification of multi-source clinical data, but also to construct a distributed environment for information sharing, and collaboration online. Service Oriented Architecture (SOA) is used to modularize and distribute reusable services in a dynamic and distributed environment. Components of the semantic solution and its overall architecture are described. PMID:19208190

  8. Tracking and data relay satellite system - NASA's new spacecraft data acquisition system

    NASA Technical Reports Server (NTRS)

    Schneider, W. C.; Garman, A. A.

    1979-01-01

    This paper describes NASA's new spacecraft acquisition system provided by the Tracking and Data Relay Satellite System (TDRSS). Four satellites in geostationary orbit and a ground terminal will provide complete tracking, telemetry, and command service for all of NASA's orbital satellites below a 12,000 km altitude. Western Union will lease the system, operate the ground terminal and provide operational satellite control. NASA's network control center will be the focal point for scheduling user services and controlling the interface between TDRSS and the NASA communications network, project control centers, and data processing. TDRSS single access user spacecraft data systems will be designed for time shared data relay support, and reimbursement policy and rate structure for non-NASA users are being developed.

  9. Out from under the rock: improving FDNY information sharing

    DTIC Science & Technology

    2017-03-01

    56 Figure 7. Map of Firehouses and EMS Stations in Brooklyn, New York .................57... EMS emergency medical services EOC emergency operations center ERP emergency response plan FBI Federal Bureau of Investigation FDNY Fire...highlights thin readership and a need for improvement. An FDNY survey of 500 firefighters and EMS personnel was conducted from 2014 to 2015, the

  10. MARC and the Library Service Center: Automation at Bargain Rates.

    ERIC Educational Resources Information Center

    Pearson, Karl M.

    Despite recent research and development in the field of library automation, libraries have been unable to reap the benefits promised by technology due to the high cost of building and maintaining their own computer-based systems. Time-sharing and disc mass storage devices will bring automation costs, if spread over a number of users, within the…

  11. Nez Perce Tribe Welcomes Wolves Back to Idaho.

    ERIC Educational Resources Information Center

    Grossman, Elizabeth

    2002-01-01

    The Nez Perce Tribe is working with the U.S. Fish and Wildlife Service to reintroduce the gray wolf to central Idaho. The tribe does all the fieldwork with the wolves and shares their work with the public at the Wolf Education and Research Center, Winchester, Idaho. Despite opposition from ranchers and legislators, the wolf population is…

  12. Use of Computer-Based Reference Services in Texas Information Exchange Libraries.

    ERIC Educational Resources Information Center

    Menges, Gary L.

    The Texas Information Exchange (TIE) is a state-wide library network organized in 1967 for the purpose of sharing resources among Texas libraries. Its membership includes 37 college and university libraries, the Texas State Library, and ten public libraries that serve as Major Resource Centers in the Texas State Library Communications Network. In…

  13. Hospital-based group: ideal practice for the future?

    PubMed

    Matloff, J M; Denton, T A

    1995-11-01

    The format for future cardiothoracic surgical practices includes the option of a hospital-based group where provider groups and the hospital share the responsibilities and obligations of clinical care and the cost of that care. Based on personal experience at the Cedars-Sinai Medical Center, Los Angeles, three separate contract relationships during our tenure have reflected the evolution of cardiothoracic surgeons' relationship to our patients and the hospital in which we work. Although other organizational modes may prove equally successful, the hospital-based group practice is a viable structure that supports the preservation of quality in the work performed. This relationship helps to maintain a steady volume of patients enabling research endeavors, which are primarily funded through practice incomes, to continue and it also provides a platform for networking with defined patient referrals, shared services, and bench-marking with other centers.

  14. The DBCLS BioHackathon: standardization and interoperability for bioinformatics web services and workflows. The DBCLS BioHackathon Consortium*.

    PubMed

    Katayama, Toshiaki; Arakawa, Kazuharu; Nakao, Mitsuteru; Ono, Keiichiro; Aoki-Kinoshita, Kiyoko F; Yamamoto, Yasunori; Yamaguchi, Atsuko; Kawashima, Shuichi; Chun, Hong-Woo; Aerts, Jan; Aranda, Bruno; Barboza, Lord Hendrix; Bonnal, Raoul Jp; Bruskiewich, Richard; Bryne, Jan C; Fernández, José M; Funahashi, Akira; Gordon, Paul Mk; Goto, Naohisa; Groscurth, Andreas; Gutteridge, Alex; Holland, Richard; Kano, Yoshinobu; Kawas, Edward A; Kerhornou, Arnaud; Kibukawa, Eri; Kinjo, Akira R; Kuhn, Michael; Lapp, Hilmar; Lehvaslaiho, Heikki; Nakamura, Hiroyuki; Nakamura, Yasukazu; Nishizawa, Tatsuya; Nobata, Chikashi; Noguchi, Tamotsu; Oinn, Thomas M; Okamoto, Shinobu; Owen, Stuart; Pafilis, Evangelos; Pocock, Matthew; Prins, Pjotr; Ranzinger, René; Reisinger, Florian; Salwinski, Lukasz; Schreiber, Mark; Senger, Martin; Shigemoto, Yasumasa; Standley, Daron M; Sugawara, Hideaki; Tashiro, Toshiyuki; Trelles, Oswaldo; Vos, Rutger A; Wilkinson, Mark D; York, William; Zmasek, Christian M; Asai, Kiyoshi; Takagi, Toshihisa

    2010-08-21

    Web services have become a key technology for bioinformatics, since life science databases are globally decentralized and the exponential increase in the amount of available data demands for efficient systems without the need to transfer entire databases for every step of an analysis. However, various incompatibilities among database resources and analysis services make it difficult to connect and integrate these into interoperable workflows. To resolve this situation, we invited domain specialists from web service providers, client software developers, Open Bio* projects, the BioMoby project and researchers of emerging areas where a standard exchange data format is not well established, for an intensive collaboration entitled the BioHackathon 2008. The meeting was hosted by the Database Center for Life Science (DBCLS) and Computational Biology Research Center (CBRC) and was held in Tokyo from February 11th to 15th, 2008. In this report we highlight the work accomplished and the common issues arisen from this event, including the standardization of data exchange formats and services in the emerging fields of glycoinformatics, biological interaction networks, text mining, and phyloinformatics. In addition, common shared object development based on BioSQL, as well as technical challenges in large data management, asynchronous services, and security are discussed. Consequently, we improved interoperability of web services in several fields, however, further cooperation among major database centers and continued collaborative efforts between service providers and software developers are still necessary for an effective advance in bioinformatics web service technologies.

  15. The DBCLS BioHackathon: standardization and interoperability for bioinformatics web services and workflows. The DBCLS BioHackathon Consortium*

    PubMed Central

    2010-01-01

    Web services have become a key technology for bioinformatics, since life science databases are globally decentralized and the exponential increase in the amount of available data demands for efficient systems without the need to transfer entire databases for every step of an analysis. However, various incompatibilities among database resources and analysis services make it difficult to connect and integrate these into interoperable workflows. To resolve this situation, we invited domain specialists from web service providers, client software developers, Open Bio* projects, the BioMoby project and researchers of emerging areas where a standard exchange data format is not well established, for an intensive collaboration entitled the BioHackathon 2008. The meeting was hosted by the Database Center for Life Science (DBCLS) and Computational Biology Research Center (CBRC) and was held in Tokyo from February 11th to 15th, 2008. In this report we highlight the work accomplished and the common issues arisen from this event, including the standardization of data exchange formats and services in the emerging fields of glycoinformatics, biological interaction networks, text mining, and phyloinformatics. In addition, common shared object development based on BioSQL, as well as technical challenges in large data management, asynchronous services, and security are discussed. Consequently, we improved interoperability of web services in several fields, however, further cooperation among major database centers and continued collaborative efforts between service providers and software developers are still necessary for an effective advance in bioinformatics web service technologies. PMID:20727200

  16. FDSN and EarthCube: Coordinating Global Infrastructures within Seismology and Across Other Geophysical Domains

    NASA Astrophysics Data System (ADS)

    Ahern, T. K.; Ekstrom, G.; Grobbelaer, M.; Trabant, C. M.; Van Fossen, M.; Stults, M.; Tsuboi, S.; Beaudoin, B. C.; Bondar, I.

    2016-12-01

    Seismology, by its very nature, requires sharing information across international boundaries and as such seismology evolved as a science that promotes free and open access to data. The International Federation of Digital Seismograph Networks (FDSN) has commission status within IASPEI and as such is the international standards body in our community. In the late 1980s a domain standard for exchanging seismological information was created and the SEED format is still the dominant domain standard. More recently the FDSN standardized web-service interfaces for key services used in our community. The standardization of these services also enabled the development of a federation of data centers. These federated centers, can be accessed through standard FDSN service calls. Client software exists that currently allows seamless and transparent access to all data managed at 14 globally distributed data centers on three continents with plans to expand this more broadly. IRIS is also involved in the EarthCube project funded by the US National Science Foundation. The GEOphysical Web Services (GeoWS) project extended the style of web services endorsed by the FDSN to interdisciplinary domains. IRIS worked with five data centers in other domains (Caltech, UCSD, Columbia University, UNAVCO and Unidata) to develop `similar' service-based interfaces to their data systems that were drawn from the oceanographic, atmospheric, and solid earth divisions within the NSF's geosciences directorate. Additionally IRIS developed GeoWS style web services for six additional data collections that included magnetic observations, field gravity measurements, superconducting gravimetry data, volcano monitoring data, tidal data, and oceanographic observations including those from cabled arrays in the ocean. This presentation will highlight the success the FDSN and GeoWS services have demonstrated within and beyond seismology as well as identifying some next steps being considered.

  17. Geodetic Seamless Archive Centers Modernization - Information Technology for Exploiting the Data Explosion

    NASA Astrophysics Data System (ADS)

    Boler, F. M.; Blewitt, G.; Kreemer, C. W.; Bock, Y.; Noll, C. E.; McWhirter, J.; Jamason, P.; Squibb, M. B.

    2010-12-01

    Space geodetic science and other disciplines using geodetic products have benefited immensely from open sharing of data and metadata from global and regional archives Ten years ago Scripps Orbit and Permanent Array Center (SOPAC), the NASA Crustal Dynamics Data Information System (CDDIS), UNAVCO and other archives collaborated to create the GPS Seamless Archive Centers (GSAC) in an effort to further enable research with the expanding collections of GPS data then becoming available. The GSAC partners share metadata to facilitate data discovery and mining across participating archives and distribution of data to users. This effort was pioneering, but was built on technology that has now been rendered obsolete. As the number of geodetic observing technologies has expanded, the variety of data and data products has grown dramatically, exposing limitations in data product sharing. Through a NASA ROSES project, the three archives (CDDIS, SOPAC and UNAVCO) have been funded to expand the original GSAC capability for multiple geodetic observation types and to simultaneously modernize the underlying technology by implementing web services. The University of Nevada, Reno (UNR) will test the web services implementation by incorporating them into their daily GNSS data processing scheme. The effort will include new methods for quality control of current and legacy data that will be a product of the analysis/testing phase performed by UNR. The quality analysis by UNR will include a report of the stability of the stations coordinates over time that will enable data users to select sites suitable for their application, for example identifying stations with large seasonal effects. This effort will contribute to enhanced ability for very large networks to obtain complete data sets for processing.

  18. Fault tolerant onboard packet switch architecture for communication satellites: Shared memory per beam approach

    NASA Technical Reports Server (NTRS)

    Shalkhauser, Mary JO; Quintana, Jorge A.; Soni, Nitin J.

    1994-01-01

    The NASA Lewis Research Center is developing a multichannel communication signal processing satellite (MCSPS) system which will provide low data rate, direct to user, commercial communications services. The focus of current space segment developments is a flexible, high-throughput, fault tolerant onboard information switching processor. This information switching processor (ISP) is a destination-directed packet switch which performs both space and time switching to route user information among numerous user ground terminals. Through both industry study contracts and in-house investigations, several packet switching architectures were examined. A contention-free approach, the shared memory per beam architecture, was selected for implementation. The shared memory per beam architecture, fault tolerance insertion, implementation, and demonstration plans are described.

  19. Written informed consent for living liver donor evaluation: compliance with Centers for Medicare and Medicaid Services and Organ Procurement and Transplantation Network Guidelines and alibi offers.

    PubMed

    Thiessen, Carrie; Kim, Yunsoo A; Yoo, Peter S; Rodriguez-Davalos, Manuel; Mulligan, David; Kulkarni, Sanjay

    2014-04-01

    We examined written informed consent forms for living liver donor evaluations to determine whether they incorporated elements required by the Centers for Medicare and Medicaid Services (CMS) and suggested by the Organ Procurement and Transplantation Network (OPTN). We contacted each of the 41 US centers that performed at least 1 living donor liver transplant in 2011; 37 centers reported active living donor evaluation programs. Twenty-six centers shared their consent form for living donor evaluation (response rate = 70%). Each document was double-coded for consent element content. We found that 57% of the centers included the 9 mandated CMS elements. Although the OPTN guidelines are non-binding, 78% of the centers used consent forms that addressed at least two-thirds of the elements recommended by OPTN. Only 17% of the centers provided written offers of an alibi to donors who withdrew from the evaluation. On the basis of our findings, we offer suggestions that may be relevant to ongoing revisions to the OPTN living liver donor consent policy and may help centers to improve the clarity of their written consent forms. © 2014 American Association for the Study of Liver Diseases.

  20. Enhancing In-Flight Transoceanic Communications Using Swift-64 Packet Mode Service

    NASA Technical Reports Server (NTRS)

    Slywczak, Richard A.

    2004-01-01

    Current aeronautical communications can be divided into two segments. The first provides state of the art, packet switched technology to the cabin passengers so that they have access to e-mail and web services. The second provides basic circuit switch communication technology to the cockpit, which does not use bandwidth as efficiently as packet switching nor promotes resource sharing. This paper explores the research efforts currently being conducted by the NASA/Glenn Research Center (GRC) for transoceanic communications. The goal is to bring packet mode services to both the cabin and the cockpit of the aircraft and be able to attain benefits by sharing the data link with cabin services. First, this paper will outline the goals of the program and detail the benefits and issues related to this research. We will explain our current laboratory setup and show an architecture implemented in the testbed. Finally, we will present a work plan that will show the progression of research over the next year. This plan will describe a complete cycle from conceptual design and laboratory implementation to the final flight testing.

  1. How the Awareness of u-Healthcare Service and Health Conditions Affect Healthy Lifestyle: An Empirical Analysis Based on a u-Healthcare Service Experience

    PubMed Central

    Youm, Sekyoung

    2015-01-01

    Abstract Objective: The objectives of this study are (1) to establish a ubiquitous healthcare (u-healthcare) center for those who wish to use u-healthcare, allowing them to experience the service, and (2) to evaluate the users' awareness and expectations of the service based on their overall assessment. Materials and Methods: To establish the u-healthcare center, a kiosk, devices for health checkup, a body-type examination system, and a physical fitness assessment system were installed. Also, a u-healthcare Web site was developed. A survey was conducted on 280 individuals who visited the u-healthcare center and used the service, to determine (1) individual awareness of u-healthcare before using the service and their change of perception after use, (2) factors that affect the use of u-healthcare, and (3) the effects of disease awareness on exercise habits. Results: Only 25.4% of the participants were aware of u-healthcare, and only 36% who saw the u-healthcare center recognized that it was where the u-healthcare service was provided. The group of individuals who were willing to use the u-healthcare showed statistically significant differences in their satisfaction with the overall environment of the center, as well as the specificity of the descriptions, examination results, kindness of the staff, and their responses. Additionally, the group of individuals who were diagnosed with chronic diseases and the group who were not showed statistically significant differences in the number of days on which they exercised lightly or took a walk. Conclusions: To promote the usage of u-healthcare service, the understanding of the service and the credibility of examination results need to be increased by sharing successful cases. Furthermore, to expand the use of the system that allows a person to regularly check his or her state of health, a lifelong periodical management system linked with another medical welfare program will be needed. PMID:25635473

  2. How the awareness of u-healthcare service and health conditions affect healthy lifestyle: an empirical analysis based on a u-healthcare service experience.

    PubMed

    Youm, Sekyoung; Park, Seung-Hun

    2015-04-01

    The objectives of this study are (1) to establish a ubiquitous healthcare (u-healthcare) center for those who wish to use u-healthcare, allowing them to experience the service, and (2) to evaluate the users' awareness and expectations of the service based on their overall assessment. To establish the u-healthcare center, a kiosk, devices for health checkup, a body-type examination system, and a physical fitness assessment system were installed. Also, a u-healthcare Web site was developed. A survey was conducted on 280 individuals who visited the u-healthcare center and used the service, to determine (1) individual awareness of u-healthcare before using the service and their change of perception after use, (2) factors that affect the use of u-healthcare, and (3) the effects of disease awareness on exercise habits. Only 25.4% of the participants were aware of u-healthcare, and only 36% who saw the u-healthcare center recognized that it was where the u-healthcare service was provided. The group of individuals who were willing to use the u-healthcare showed statistically significant differences in their satisfaction with the overall environment of the center, as well as the specificity of the descriptions, examination results, kindness of the staff, and their responses. Additionally, the group of individuals who were diagnosed with chronic diseases and the group who were not showed statistically significant differences in the number of days on which they exercised lightly or took a walk. To promote the usage of u-healthcare service, the understanding of the service and the credibility of examination results need to be increased by sharing successful cases. Furthermore, to expand the use of the system that allows a person to regularly check his or her state of health, a lifelong periodical management system linked with another medical welfare program will be needed.

  3. KSC-04PD-0284

    NASA Technical Reports Server (NTRS)

    2004-01-01

    KENNEDY SPACE CENTER, FLA. Congressman Dave Weldon talks to the media at the Central Florida Research Park, near Orlando. He, NASA Administrator Sean OKeefe and other government officials were at the park for a presentation about the assets of the research park as the site of NASAs new Shared Services Center. Behind Weldon are (left to right) U.S. Senator Bill Nelson; Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida; and Florida Congressman Tom Feeney; at right is OKeefe. Six sites around the U.S. are under consideration for location of the Center, which would centralize NASAs payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Center Director Jim Kennedy also attended the presentation.

  4. KSC-04PD-0283

    NASA Technical Reports Server (NTRS)

    2004-01-01

    KENNEDY SPACE CENTER, FLA. U.S. Senator Bill Nelson talks to the media at the Central Florida Research Park, near Orlando. He, NASA Administrator Sean OKeefe and other government officials were at the park for a presentation about the assets of the research park as the site of NASAs new Shared Services Center. Behind Nelson are (left to right) Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida; Florida Congressman Tom Feeney; U.S. Representative Ric Keller; Congressman Dave Weldon and OKeefe. Six sites around the U.S. are under consideration for location of the Center, which would centralize NASAs payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Center Director Jim Kennedy also attended the presentation.

  5. KSC-04PD-0289

    NASA Technical Reports Server (NTRS)

    2004-01-01

    KENNEDY SPACE CENTER, FLA. NASA Administrator Sean OKeefe talks to the media at the Central Florida Research Park, near Orlando. He and government officials were at the park for a presentation about the assets of the research park as the site of NASAs new Shared Services Center. Behind OKeefe are (left to right) U.S. Senator Bill Nelson; Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida; U.S. Representative Ric Keller; Florida Congressman Tom Feeney; and Congressman Dave Weldon. Six sites around the U.S. are under consideration for location of the Center, which would centralize NASAs payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Center Director Jim Kennedy also attended the presentation.

  6. KSC-04PD-0281

    NASA Technical Reports Server (NTRS)

    2004-01-01

    KENNEDY SPACE CENTER, FLA. NASA Administrator Sean OKeefe talks to the media at the Central Florida Research Park, near Orlando. He and government officials were at the park for a presentation about the assets of the research park as the site of NASAs new Shared Services Center. Behind OKeefe are (left to right) Florida Congressman Tom Feeney; U.S. Representative Ric Keller; and Congressman Dave Weldon. Six sites around the U.S. are under consideration for location of the Center, which would centralize NASAs payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Others attending the presentation included U.S. Senator Bill Nelson, Center Director Jim Kennedy and Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida.

  7. KSC-04PD-0282

    NASA Technical Reports Server (NTRS)

    2004-01-01

    KENNEDY SPACE CENTER, FLA. Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida, talks to the media at the Central Florida Research Park, near Orlando. She gave a presentation to NASA Administrator Sean OKeefe (far right) about the assets of the research park as the site of NASAs new Shared Services Center. Behind Dana are (left to right) U.S. Senator Bill Nelson, Florida Congressman Tom Feeney; U.S. Representative Ric Keller; and Congressman Dave Weldon. Six sites around the U.S. are under consideration for location of the Center, which would centralize NASAs payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Center Director Jim Kennedy also attended the presentation.

  8. KSC-04PD-0285

    NASA Technical Reports Server (NTRS)

    2004-01-01

    KENNEDY SPACE CENTER, FLA. Florida Congressman Tom Feeney talks to the media at the Central Florida Research Park, near Orlando. He, NASA Administrator Sean OKeefe and government officials were at the park for a presentation about the assets of the research park as the site of NASAs new Shared Services Center. Behind Feeney are (left to right) U.S. Senator Bill Nelson; Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida; U.S. Representative Ric Keller; Congressman Dave Weldon; and OKeefe. Six sites around the U.S. are under consideration for location of the Center, which would centralize NASAs payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Center Director Jim Kennedy also attended the presentation.

  9. KSC-04PD-0286

    NASA Technical Reports Server (NTRS)

    2004-01-01

    KENNEDY SPACE CENTER, FLA. U.S. Representative Ric Keller talks to the media at the Central Florida Research Park, near Orlando. He, NASA Administrator Sean OKeefe and government officials were at the park for a presentation about the assets of the research park as the site of NASAs new Shared Services Center. Behind Keller are (left to right) U.S. Senator Bill Nelson; Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida; Florida Congressman Tom Feeney; Congressman Dave Weldon; and OKeefe. Six sites around the U.S. are under consideration for location of the Center, which would centralize NASAs payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Center Director Jim Kennedy also attended the presentation.

  10. SHARING EDUCATIONAL SERVICES.

    ERIC Educational Resources Information Center

    Catskill Area Project in Small School Design, Oneonta, NY.

    SHARED SERVICES, A COOPERATIVE SCHOOL RESOURCE PROGRAM, IS DEFINED IN DETAIL. INCLUDED IS A DISCUSSION OF THEIR NEED, ADVANTAGES, GROWTH, DESIGN, AND OPERATION. SPECIFIC PROCEDURES FOR OBTAINING STATE AID IN SHARED SERVICES, EFFECTS OF SHARED SERVICES ON THE SCHOOL, AND HINTS CONCERNING SHARED SERVICES ARE DESCRIBED. CHARACTERISTICS OF THE SMALL…

  11. The Case for a Paradigm Shift in Extension from Information-Centric to Community-Centric Programming

    ERIC Educational Resources Information Center

    Strong, Emma; Rowntree, Jason; Thurlow, Kable; Raven, Matt R.

    2015-01-01

    Since its establishment through the Smith-Lever Act, the Cooperative Extension Service has sought to use non-formal education programs centered on community needs to provide research-based information. However, the onset of the information age has transformed the way knowledge is shared and as a result altered the way people access information.…

  12. Federated Giovanni

    NASA Technical Reports Server (NTRS)

    Lynnes, C.

    2014-01-01

    Federated Giovanni is a NASA-funded ACCESS project to extend the scope of the GES DISC Giovanni online analysis tool to 4 other Distributed Active Archive Centers within EOSDIS: OBPG, LP-DAAC, MODAPS and PO.DAAC. As such, it represents a significant instance of sharing technology across the DAACs. We also touch on several sub-areas that are also sharable, such as Giovanni URLs, workflows and OGC-accessible services.

  13. Vermont Core Standards and Self-Assessment Tool for Center-Based Early Childhood Programs.

    ERIC Educational Resources Information Center

    Vermont State Agency of Human Services, Waterbury.

    In response to the desire to create for child development services a unified system which shares common standards for quality and respects the diversity and uniqueness of individuals and of programs, a committee of the Early Childhood Work Group collected and compared all the different standards now in force for the early childhood programs in the…

  14. The building and sustaining of a health care partnership: the Meharry-Vanderbilt Alliance.

    PubMed

    Chatman, Vera Stevens; Buford, Juanita F; Plant, Brynne

    2003-11-01

    The ability of academic health centers (AHCs) to maintain their financial viability and mission in the face of revolutionary changes was broadly discussed during the last decade. Among the suggestions for protecting the future of AHCs was to form strategic alliances to further the missions of education, research, and service. Although the evidence indicates that 55% of strategic alliances fall apart after three years, the Meharry-Vanderbilt Alliance is now beginning its fifth year, and it appears to be growing stronger. This article presents a brief overview of the evolving historical relationship between Meharry Medical College and Vanderbilt University Medical Center-two institutions that share the same fundamental missions but have very different traditions, cultures, resources, and emphases for medical training-and their relationship with Metropolitan General Hospital at Meharry, a public hospital. The characteristics that have distinguished this strategic alliance are its organizational structure, clearly articulated and measurable objectives, an independent central office, and a shared responsibility for the management and provision of clinical services at Nashville General Hospital. The belief that the Meharry-Vanderbilt Alliance is the "right thing to do" has provided a foundation for cooperation at all levels of both AHCs.

  15. KSC-04PD-0273

    NASA Technical Reports Server (NTRS)

    2004-01-01

    KENNEDY SPACE CENTER, FLA. NASA Administrator Sean OKeefe (left) talks to U.S. Representative Ric Keller across the table after a presentation about the assets of the Central Florida Research Park, near Orlando, as the site of NASAs new Shared Services Center. In the center is U.S. Congressman Dave Weldon. Six sites around the U.S. are under consideration for location of the Center, which would centralize NASAs payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. The consolidation is part of the One NASA focus. Others attending the presentation included Florida Congressman Tom Feeney, Congressman Dave Weldon, U.S. Senator Bill Nelson, Center Director Jim Kennedy and Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida.

  16. KSC-04pd0273

    NASA Image and Video Library

    2004-02-19

    KENNEDY SPACE CENTER, FLA. - NASA Administrator Sean O’Keefe (left) talks to U.S. Representative Ric Keller across the table after a presentation about the assets of the Central Florida Research Park, near Orlando, as the site of NASA’s new Shared Services Center. In the center is U.S. Congressman Dave Weldon. Six sites around the U.S. are under consideration for location of the Center, which would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. The consolidation is part of the One NASA focus. Others attending the presentation included Florida Congressman Tom Feeney, Congressman Dave Weldon, U.S. Senator Bill Nelson, Center Director Jim Kennedy and Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida.

  17. Implementation of a Shared Resource Financial Management System

    PubMed Central

    Caldwell, T.; Gerlach, R.; Israel, M.; Bobin, S.

    2010-01-01

    CF-6 Norris Cotton Cancer Center (NCCC), an NCI-designated Comprehensive Cancer Center at Dartmouth Medical School, administers 12 Life Sciences Shared Resources. These resources are diverse and offer multiple products and services. Previous methods for tracking resource use, billing, and financial management were time consuming, error prone and lacked appropriate financial management tools. To address these problems, we developed and implemented a web-based application with a built-in authorization system that uses Perl, ModPerl, Apache2, and Oracle as the software infrastructure. The application uses a role-based system to differentiate administrative users with those requesting services and includes many features requested by users and administrators. To begin development, we chose a resource that had an uncomplicated service, a large number of users, and required the use of all of the applications features. The Molecular Biology Core Facility at NCCC fit these requirements and was used as a model for developing and testing the application. After model development, institution wide deployment followed a three-stage process. The first stage was to interview the resource manager and staff to understand day-to-day operations. At the second stage, we generated and tested customized forms defining resource services. During the third stage, we added new resource users and administrators to the system before final deployment. Twelve months after deployment, resource administrators reported that the new system performed well for internal and external billing and tracking resource utilization. Users preferred the application's web-based system for distribution of DNA sequencing and other data. The sample tracking features have enhanced day-to-day resource operations, and an on-line scheduling module for shared instruments has proven a much-needed utility. Principal investigators now are able to restrict user spending to specific accounts and have final approval of the invoices before the billing, which has significantly reduced the number of unpaid invoices.

  18. Models of user involvement in the mental health context: intentions and implementation challenges.

    PubMed

    Storm, Marianne; Edwards, Adrian

    2013-09-01

    Patient-centered care, shared decision-making, patient participation and the recovery model are models of care which incorporate user involvement and patients' perspectives on their treatment and care. The aims of this paper are to examine these different care models and their association with user involvement in the mental health context and discuss some of the challenges associated with their implementation. The sources used are health policy documents and published literature and research on patient-centered care, shared decision-making, patient participation and recovery. The policy documents advocate that mental health services should be oriented towards patients' or users' needs, participation and involvement. These policies also emphasize recovery and integration of people with mental disorders in the community. However, these collaborative care models have generally been subject to limited empirical research about effectiveness. There are also challenges to implementation of the models in inpatient care. What evidence there is indicates tensions between patients' and providers' perspectives on treatment and care. There are issues related to risk and the person's capacity for user involvement, and concerns about what role patients themselves wish to play in decision-making. Lack of competence and awareness among providers are further issues. Further work on training, evaluation and implementation is needed to ensure that inpatient mental health services are adapting user oriented care models at all levels of services.

  19. E-Center: A Collaborative Platform for Wide Area Network Users

    NASA Astrophysics Data System (ADS)

    Grigoriev, M.; DeMar, P.; Tierney, B.; Lake, A.; Metzger, J.; Frey, M.; Calyam, P.

    2012-12-01

    The E-Center is a social collaborative web-based platform for assisting network users in understanding network conditions across network paths of interest to them. It is designed to give a user the necessary tools to isolate, identify, and resolve network performance-related problems. E-Center provides network path information on a link-by-link level, as well as from an end-to-end perspective. In addition to providing current and recent network path data, E-Center is intended to provide a social media environment for them to share issues, ideas, concerns, and problems. The product has a modular design that accommodates integration of other network services that make use of the same network path and performance data.

  20. Using secure web services to visualize poison center data for nationwide biosurveillance: a case study.

    PubMed

    Savel, Thomas G; Bronstein, Alvin; Duck, William; Rhodes, M Barry; Lee, Brian; Stinn, John; Worthen, Katherine

    2010-01-01

    Real-time surveillance systems are valuable for timely response to public health emergencies. It has been challenging to leverage existing surveillance systems in state and local communities, and, using a centralized architecture, add new data sources and analytical capacity. Because this centralized model has proven to be difficult to maintain and enhance, the US Centers for Disease Control and Prevention (CDC) has been examining the ability to use a federated model based on secure web services architecture, with data stewardship remaining with the data provider. As a case study for this approach, the American Association of Poison Control Centers and the CDC extended an existing data warehouse via a secure web service, and shared aggregate clinical effects and case counts data by geographic region and time period. To visualize these data, CDC developed a web browser-based interface, Quicksilver, which leveraged the Google Maps API and Flot, a javascript plotting library. Two iterations of the NPDS web service were completed in 12 weeks. The visualization client, Quicksilver, was developed in four months. This implementation of web services combined with a visualization client represents incremental positive progress in transitioning national data sources like BioSense and NPDS to a federated data exchange model. Quicksilver effectively demonstrates how the use of secure web services in conjunction with a lightweight, rapidly deployed visualization client can easily integrate isolated data sources for biosurveillance.

  1. Proposing Telecardiology Services on Cloud for Different Medical Institutions: A Model of Reference.

    PubMed

    de la Torre-Díez, Isabel; Garcia-Zapirain, Begoña; López-Coronado, Miguel; Rodrigues, Joel J P C

    2017-08-01

    For a cloud-based telecardiology solution to be established in any scenario, it is necessary to ensure optimum levels of security, as patient's data will not be in the same place from where access is gained. The main objective of this article is to present a secure, cloud-based solution for a telecardiology service in different scenarios: a hospital, a health center in a city, and a group of health centers in a rural area. iCanCloud software is used to simulate the scenarios. The first scenario will be a city hospital with over 220,000 patients at its emergency services, and ∼1 million outpatient consultations. For the health center in a city, it serves ∼107,000 medical consultations and 16,700 pediatric consultations/year. In the last scenario, a group of health centers in a rural area serve an average 437.08 consultations/month and around 15.6 a day. Each one of the solutions proposed shares common features including the following: secure authentication through smart cards, the use of StorageGRID technology, and load balancers. For all cases, the cloud is private and the estimated price of the solution would cost around 450 €/month. Thanks to the research conducted in this work, it has been possible to provide an adapted solution in the form of a telecardiology service for a hospital, city health center, and rural health centers that offer security, privacy, and robustness, and is also optimum for a large number of cloud requests.

  2. Service line structure and decision-maker attention in three health systems: Implications for patient-centered care.

    PubMed

    Louis, Christopher J; Clark, Jonathan R; Gray, Barbara; Brannon, Diane; Parker, Victoria

    2017-06-15

    Scholars have noted a disconnect between the level at which structure is typically examined (the organization) and the level at which the relevant coordination takes place (service delivery). Accordingly, our understanding of the role structure plays in care coordination is limited. In this article, we explore service line structure, with an aim of advancing our understanding of the role service line structure plays in producing coordinated, patient-centered care. We do so by giving special attention to the cognitive roots of patient-centeredness. Our exploratory study relied on comparative case studies of the breast cancer service lines in three health systems. Nonprobability discriminative snowball sampling was used to identify the final sample of key informants. We employed a grounded approach to analyzing and interpreting the data. We found substantial variation across the three service lines in terms of their structure. We also found corresponding variation across the three case sites in terms of where informant attention was primarily focused in the process of coordinating care. Drawing on the attention-based view of the firm, our results draw a clear connection between structural characteristics and the dominant focus of attention (operational tactics, provider roles and relationships, or patient needs and engagement) in health care service lines. Our exploratory results suggest that service line structures influence attention in two ways: (a) by regulating the type and intensity of the problems facing service line participants and (b) by encouraging (or discouraging) a shared purpose around patient needs. Patient-centered attention-a precursor to coordinated, patient-centered care-depends on the internal choices organizations make around service line structure. Moreover, a key task for organizational and service line leaders is to structure service lines to create a context that minimizes distractions and enables care providers to focus their attention on the needs of their patients.

  3. A resource-sharing model based on a repeated game in fog computing.

    PubMed

    Sun, Yan; Zhang, Nan

    2017-03-01

    With the rapid development of cloud computing techniques, the number of users is undergoing exponential growth. It is difficult for traditional data centers to perform many tasks in real time because of the limited bandwidth of resources. The concept of fog computing is proposed to support traditional cloud computing and to provide cloud services. In fog computing, the resource pool is composed of sporadic distributed resources that are more flexible and movable than a traditional data center. In this paper, we propose a fog computing structure and present a crowd-funding algorithm to integrate spare resources in the network. Furthermore, to encourage more resource owners to share their resources with the resource pool and to supervise the resource supporters as they actively perform their tasks, we propose an incentive mechanism in our algorithm. Simulation results show that our proposed incentive mechanism can effectively reduce the SLA violation rate and accelerate the completion of tasks.

  4. Building a team through a strategic planning process.

    PubMed

    Albert, Debra; Priganc, Dave

    2014-01-01

    Strategic planning is a process often left to senior hospital leadership, with limited input from unit-level, bedside patient care providers. This frequent approach to strategic planning misses the opportunity to engage a wide range of employees, build a shared sense of commitment, produce a collaborative team environment, and to generate greater acceptance of the plan. The Patient Care Services division at the University of Chicago Medicine used a strategic planning process that incorporated 360-degree input from both within the Patient Care Services division and outside of the division. The result is a strategic vision and plan that, shaped by broad-based input from both internal and external constituencies, is strengthened by the team that emerged from the process. Through the process of identifying a common understanding of the group's future direction, a shared purpose was created that transcended traditional professional boundaries and shaped a cohesive team focused on effective and efficient patient care. Now, with a focused strategic plan and a team centered on a shared purpose, the team is beginning to effectively deliver on the plan.

  5. Patient-centered interventions to improve medication management and adherence: a qualitative review of research findings

    PubMed Central

    Kuntz, Jennifer L.; Safford, Monika M.; Singh, Jasvinder A.; Phansalkar, Shobha; Slight, Sarah P.; Her, Qoua Liang; Lapointe, Nancy Allen; Mathews, Robin; O’Brien, Emily; Brinkman, William B.; Hommel, Kevin; Farmer, Kevin C.; Klinger, Elissa; Maniam, Nivethietha; Sobko, Heather J.; Bailey, Stacy C.; Cho, Insook; Rumptz, Maureen H.; Vandermeer, Meredith L.; Hornbrook, Mark C.

    2018-01-01

    Objective Patient-centered approaches to improving medication adherence hold promise, but evidence of their effectiveness is unclear. This review reports the current state of scientific research around interventions to improve medication management through four patient-centered domains: shared decision-making, methods to enhance effective prescribing, systems for eliciting and acting on patient feedback about medication use and treatment goals, and medication-taking behavior. Methods We reviewed literature on interventions that fell into these domains and were published between January 2007 and May 2013. Two reviewers abstracted information and categorized studies by intervention type. Results We identified 60 studies, of which 40% focused on patient education. Other intervention types included augmented pharmacy services, decision aids, shared decision-making, and clinical review of patient adherence. Medication adherence was an outcome in most (70%) of the studies, although 50% also examined patient-centered outcomes. Conclusions We identified a large number of medication management interventions that incorporated patient-centered care and improved patient outcomes. We were unable to determine whether these interventions are more effective than traditional medication adherence interventions. Practice Implications Additional research is needed to identify effective and feasible approaches to incorporate patient-centeredness into the medication management processes of the current health care system, if appropriate. PMID:25264309

  6. A stakeholder visioning exercise to enhance chronic care and the integration of community pharmacy services.

    PubMed

    Franco-Trigo, L; Tudball, J; Fam, D; Benrimoj, S I; Sabater-Hernández, D

    2018-02-21

    Collaboration between relevant stakeholders in health service planning enables service contextualization and facilitates its success and integration into practice. Although community pharmacy services (CPSs) aim to improve patients' health and quality of life, their integration in primary care is far from ideal. Key stakeholders for the development of a CPS intended at preventing cardiovascular disease were identified in a previous stakeholder analysis. Engaging these stakeholders to create a shared vision is the subsequent step to focus planning directions and lay sound foundations for future work. This study aims to develop a stakeholder-shared vision of a cardiovascular care model which integrates community pharmacists and to identify initiatives to achieve this vision. A participatory visioning exercise involving 13 stakeholders across the healthcare system was performed. A facilitated workshop, structured in three parts (i.e., introduction; developing the vision; defining the initiatives towards the vision), was designed. The Chronic Care Model inspired the questions that guided the development of the vision. Workshop transcripts, researchers' notes and materials produced by participants were analyzed using qualitative content analysis. Stakeholders broadened the objective of the vision to focus on the management of chronic diseases. Their vision yielded 7 principles for advanced chronic care: patient-centered care; multidisciplinary team approach; shared goals; long-term care relationships; evidence-based practice; ease of access to healthcare settings and services by patients; and good communication and coordination. Stakeholders also delineated six environmental factors that can influence their implementation. Twenty-four initiatives to achieve the developed vision were defined. The principles and factors identified as part of the stakeholder shared-vision were combined in a preliminary model for chronic care. This model and initiatives can guide policy makers as well as healthcare planners and researchers to develop and integrate chronic disease services, namely CPSs, in real-world settings. Copyright © 2018 Elsevier Inc. All rights reserved.

  7. Good Neighbors: Shared Challenges and Solutions Toward Increasing Value at Academic Medical Centers and Universities.

    PubMed

    Clancy, Gerard P

    2015-12-01

    Academic medical centers (AMCs) and universities are experiencing increasing pressure to enhance the value they offer at the same time that they are facing challenges related to outcomes, controlling costs, new competition, and government mandates. Yet, rarely do the leaders of these academic neighbors work cooperatively to enhance value. In this Perspective the author, a former university regional campus president with duties in an AMC as an academic physician, shares his insights into the shared challenges these academic neighbors face in improving the value of their services in complex environments. He describes the successes some AMCs have had in generating revenues from new clinical programs that reduce the overall cost of care for larger populations. He also describes how several universities have taken a comprehensive approach to reduce overhead and administrative costs. The author identifies six themes related to successful value improvement efforts and provides examples of successful strategies used by AMCs and their university neighbors to improve the overall value of their programs. He concludes by encouraging leaders of AMCs and universities to share information about their successes in value improvements with each other, to seek additional joint value enhancement efforts, and to market their value improvements to the public.

  8. Physician Payment Methods and the Patient-Centered Medical Home: Comment on "A Troubled Asset Relief Program for the Patient-Centered Medical Home".

    PubMed

    Quinn, Kevin

    This commentary analyzes the patient-centered medical home (PCMH) model within a framework of the 8 basic payment methods in health care. PCMHs are firmly within the fee-for-service tradition. Changes to the process and structure of the Resource Based Relative Value Scale, which underlies almost all physician fee schedules, could make PCMHs more financially viable. Of the alternative payment methods being considered, shared savings models are unlikely to transform medical practice whereas capitation models place unrealistic expectations on providers to accept epidemiological risk. Episode payment may strike a feasible balance for PCMHs, with newly available episode definitions presenting opportunities not previously available.

  9. Cloud-based hospital information system as a service for grassroots healthcare institutions.

    PubMed

    Yao, Qin; Han, Xiong; Ma, Xi-Kun; Xue, Yi-Feng; Chen, Yi-Jun; Li, Jing-Song

    2014-09-01

    Grassroots healthcare institutions (GHIs) are the smallest administrative levels of medical institutions, where most patients access health services. The latest report from the National Bureau of Statistics of China showed that 96.04 % of 950,297 medical institutions in China were at the grassroots level in 2012, including county-level hospitals, township central hospitals, community health service centers, and rural clinics. In developing countries, these institutions are facing challenges involving a shortage of funds and talent, inconsistent medical standards, inefficient information sharing, and difficulties in management during the adoption of health information technologies (HIT). Because of the necessity and gravity for GHIs, our aim is to provide hospital information services for GHIs using Cloud computing technologies and service modes. In this medical scenario, the computing resources are pooled by means of a Cloud-based Virtual Desktop Infrastructure (VDI) to serve multiple GHIs, with different hospital information systems dynamically assigned and reassigned according to demand. This paper is concerned with establishing a Cloud-based Hospital Information Service Center to provide hospital information software as a service (HI-SaaS) with the aim of providing GHIs with an attractive and high-performance medical information service. Compared with individually establishing all hospital information systems, this approach is more cost-effective and affordable for GHIs and does not compromise HIT performance.

  10. A Book Club for a Nation, Built Chapter by Chapter. The Big Read. Final Report

    ERIC Educational Resources Information Center

    Sloan, Kay; Honeyford, Michelle; Bass, Kristin

    2008-01-01

    This report shares the findings from a nineteen-month study of The Big Read, an initiative of the National Endowment for the Arts, in partnership with the Institute of Museum and Library Services and Arts Midwest, designed to restore reading to the center of American culture. Piloted in early 2006 and launched nationwide later that year, The Big…

  11. The Role of Standards in Cloud-Computing Interoperability

    DTIC Science & Technology

    2012-10-01

    services are not shared outside the organization. CloudStack, Eucalyptus, HP, Microsoft, OpenStack , Ubuntu, and VMWare provide tools for building...center requirements • Developing usage models for cloud ven- dors • Independent IT consortium OpenStack http://www.openstack.org • Open-source...software for running private clouds • Currently consists of three core software projects: OpenStack Compute (Nova), OpenStack Object Storage (Swift

  12. KSC-04PD-0287

    NASA Technical Reports Server (NTRS)

    2004-01-01

    KENNEDY SPACE CENTER, FLA. NASA Administrator Sean OKeefe talks to the media at the Central Florida Research Park, near Orlando. He and government officials were at the park for a presentation about the assets of the research park as the site of NASAs new Shared Services Center. Behind OKeefe are (left to right) Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida; and Florida Congressman Tom Feeney. Six sites around the U.S. are under consideration for location of the Center, which would centralize NASAs payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Others attending the presentation included U.S. U.S. Senator Bill Nelson, U.S. Representative Ric Keller, Congressman Dave Weldon and Center Director Jim Kennedy.

  13. KSC-04PD-0262

    NASA Technical Reports Server (NTRS)

    2004-01-01

    KENNEDY SPACE CENTER, FLA. NASA and government officials are gathered to hear about the assets of the Central Florida Research Park, near Orlando, as the site of NASAs new Shared Services Center. Six sites around the U.S. are under consideration. At the far end is NASA Administrator Sean OKeefe. He is flanked, on the left, by Florida Congressman Tom Feeney and U.S. Senator Bill Nelson; and on the right by U.S. Congressman Dave Weldon and U.S. Representative Ric Keller. In the foreground, at left, is Center Director Jim Kennedy. At right is Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida. The center would centralize NASAs payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus.

  14. KSC-04PD-0288

    NASA Technical Reports Server (NTRS)

    2004-01-01

    KENNEDY SPACE CENTER, FLA. NASA Administrator Sean OKeefe talks to the media at the Central Florida Research Park, near Orlando. He and government officials were at the park for a presentation about the assets of the research park as the site of NASAs new Shared Services Center. On the left is Center Director Jim Kennedy. On the right are U.S. Senator Bill Nelson; Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida; and U.S. Representative Ric Keller . Six sites around the U.S. are under consideration for location of the Center, which would centralize NASAs payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Others attending the presentation included Florida Congressman Tom Feeney and Congressman Dave Weldon.

  15. The historic origins of nursing centers.

    PubMed

    Glass, L K

    1989-01-01

    The four examples presented are representative of nursing service organizations at the turn of the century that fit our current definition of nursing center. They share commonalities that led to their creation and continuation. These nursing centers were created to respond to a recognized need: There was a clientele that was not being served; the clientele served were generally poor, of low socioeconomic status; and income generation (money) was not a motivating factor for the nurses. There was a strong leader for each center who championed the cause and took the risks, and these centers were all very successful at what they set out to do. It is interesting to note that the commonalities from the turn of the century can also be applied to the 1980s. Using this history to refresh our memory can help us build on the strong base that these early nursing centers provided.

  16. Virtualization of open-source secure web services to support data exchange in a pediatric critical care research network

    PubMed Central

    Sward, Katherine A; Newth, Christopher JL; Khemani, Robinder G; Cryer, Martin E; Thelen, Julie L; Enriquez, Rene; Shaoyu, Su; Pollack, Murray M; Harrison, Rick E; Meert, Kathleen L; Berg, Robert A; Wessel, David L; Shanley, Thomas P; Dalton, Heidi; Carcillo, Joseph; Jenkins, Tammara L; Dean, J Michael

    2015-01-01

    Objectives To examine the feasibility of deploying a virtual web service for sharing data within a research network, and to evaluate the impact on data consistency and quality. Material and Methods Virtual machines (VMs) encapsulated an open-source, semantically and syntactically interoperable secure web service infrastructure along with a shadow database. The VMs were deployed to 8 Collaborative Pediatric Critical Care Research Network Clinical Centers. Results Virtual web services could be deployed in hours. The interoperability of the web services reduced format misalignment from 56% to 1% and demonstrated that 99% of the data consistently transferred using the data dictionary and 1% needed human curation. Conclusions Use of virtualized open-source secure web service technology could enable direct electronic abstraction of data from hospital databases for research purposes. PMID:25796596

  17. KSC-2012-1546

    NASA Image and Video Library

    2012-02-23

    ORLANDO, Fla. -- Representatives from NASA’s Launch Services Program, located at Kennedy Space Center in Florida, provide information on the program to participants in NASA’s Project Management Challenge 2012. PM Challenge 2012 was held at the Caribe Royale Hotel and Convention Center in Orlando, Fla., on February 22-23, to provide a forum for all stakeholders in the project management community to meet and share stories, lessons learned and new uses of technology in the industry. The PM Challenge is sponsored by NASA's Office of the Chief Engineer. For additional information, visit http://www.nasa.gov/offices/oce/pmchallenge/index.html. Photo credit: NASA/Jim Grossmann

  18. TRENCADIS - secure architecture to share and manage DICOM objects in a ontological framework based on OGSA.

    PubMed

    Blanquer, Ignacio; Hernandez, Vicente; Segrelles, Damià; Torres, Erik

    2007-01-01

    Today most European healthcare centers use the digital format for their databases of images. TRENCADIS is a software architecture comprising a set of services as a solution for interconnecting, managing and sharing selected parts of medical DICOM data for the development of training and decision support tools. The organization of the distributed information in virtual repositories is based on semantic criteria. Different groups of researchers could organize themselves to propose a Virtual Organization (VO). These VOs will be interested in specific target areas, and will share information concerning each area. Although the private part of the information to be shared will be removed, special considerations will be taken into account to avoid the access by non-authorized users. This paper describes the security model implemented as part of TRENCADIS. The paper is organized as follows. First introduces the problem and presents our motivations. Section 1 defines the objectives. Section 2 presents an overview of the existing proposals per objective. Section 3 outlines the overall architecture. Section 4 describes how TRENCADIS is architected to realize the security goals discussed in the previous sections. The different security services and components of the infrastructure are briefly explained, as well as the exposed interfaces. Finally, Section 5 concludes and gives some remarks on our future work.

  19. Focus on: Washington Hospital Center, Biomedical Engineering Department.

    PubMed

    Hughes, J D

    1995-01-01

    The Biomedical Engineering Department of the Washington Hospital Center provides clinical engineering services to an urban 907-bed, tertiary care teaching hospital and a variety of associated healthcare facilities. With an annual budget of over $3,000,000, the 24-person department provides cradle-to-grave support for a host of sophisticated medical devices and imaging systems such as lasers, CT scanners, and linear accelerators as well as traditional patient care instrumentation. Hallmarks of the department include its commitment to customer service and patient care, close collaboration with clinicians and quality assurance teams throughout the hospital system, proactive involvement in all phases of the technology management process, and shared leadership in safety standards with the hospital's risk management group. Through this interactive process, the department has assisted the Center not only in the acquisition of 11,000 active devices with a value of more than $64 million, but also in becoming one of the leading providers of high technology healthcare in the Washington, DC metropolitan area.

  20. Grid computing enhances standards-compatible geospatial catalogue service

    NASA Astrophysics Data System (ADS)

    Chen, Aijun; Di, Liping; Bai, Yuqi; Wei, Yaxing; Liu, Yang

    2010-04-01

    A catalogue service facilitates sharing, discovery, retrieval, management of, and access to large volumes of distributed geospatial resources, for example data, services, applications, and their replicas on the Internet. Grid computing provides an infrastructure for effective use of computing, storage, and other resources available online. The Open Geospatial Consortium has proposed a catalogue service specification and a series of profiles for promoting the interoperability of geospatial resources. By referring to the profile of the catalogue service for Web, an innovative information model of a catalogue service is proposed to offer Grid-enabled registry, management, retrieval of and access to geospatial resources and their replicas. This information model extends the e-business registry information model by adopting several geospatial data and service metadata standards—the International Organization for Standardization (ISO)'s 19115/19119 standards and the US Federal Geographic Data Committee (FGDC) and US National Aeronautics and Space Administration (NASA) metadata standards for describing and indexing geospatial resources. In order to select the optimal geospatial resources and their replicas managed by the Grid, the Grid data management service and information service from the Globus Toolkits are closely integrated with the extended catalogue information model. Based on this new model, a catalogue service is implemented first as a Web service. Then, the catalogue service is further developed as a Grid service conforming to Grid service specifications. The catalogue service can be deployed in both the Web and Grid environments and accessed by standard Web services or authorized Grid services, respectively. The catalogue service has been implemented at the George Mason University/Center for Spatial Information Science and Systems (GMU/CSISS), managing more than 17 TB of geospatial data and geospatial Grid services. This service makes it easy to share and interoperate geospatial resources by using Grid technology and extends Grid technology into the geoscience communities.

  1. Teleradiology mobile internet system with a new information security solution

    NASA Astrophysics Data System (ADS)

    Satoh, Hitoshi; Niki, Noboru; Eguchi, Kenji; Ohmatsu, Hironobu; Kusumoto, Masahiko; Kaneko, Masahiro; Moriyama, Noriyuki

    2014-03-01

    We have developed an external storage system by using secret sharing scheme and tokenization for regional medical cooperation, PHR service and information preservation. The use of mobile devices such as smart phones and tablets will be accelerated for a PHR service, and the confidential medical information is exposed to the risk of damage and intercept. We verified the transfer rate of the sending and receiving of data to and from the external storage system that connected it with PACS by the Internet this time. External storage systems are the data centers that exist in Okinawa, in Osaka, in Sapporo and in Tokyo by using secret sharing scheme. PACS continuously transmitted 382 CT images to the external data centers. Total capacity of the CT images is about 200MB. The total time that had been required to transmit was about 250 seconds. Because the preservation method to use secret sharing scheme is applied, security is strong. But, it also takes the information transfer time of this system too much. Therefore, DICOM data is masked to the header information part because it is made to anonymity in our method. The DICOM data made anonymous is preserved in the data base in the hospital. Header information including individual information is divided into two or more tallies by secret sharing scheme, and preserved at two or more external data centers. The token to relate the DICOM data anonymity made to header information preserved outside is strictly preserved in the token server. The capacity of header information that contains patient's individual information is only about 2% of the entire DICOM data. This total time that had been required to transmit was about 5 seconds. Other, common solutions that can protect computer communication networks from attacks are classified as cryptographic techniques or authentication techniques. Individual number IC card is connected with electronic certification authority of web medical image conference system. Individual number IC card is given only to the person to whom the authority to operate web medical image conference system was given.

  2. Alternative Fuels Data Center: Alternative Fueling Station Locator

    Science.gov Websites

    Locate Stations Printable Version Share this resource Send a link to Alternative Fuels Data Center : Alternative Fueling Station Locator to someone by E-mail Share Alternative Fuels Data Center: Alternative Fuels Data Center: Alternative Fueling Station Locator on Digg Find More places to share Alternative

  3. Alternative Fuels Data Center: Hydrogen Fueling Station Locations

    Science.gov Websites

    Hydrogen Printable Version Share this resource Send a link to Alternative Fuels Data Center : Hydrogen Fueling Station Locations to someone by E-mail Share Alternative Fuels Data Center: Hydrogen Fuels Data Center: Hydrogen Fueling Station Locations on Digg Find More places to share Alternative

  4. Implementing integrated services for people with epilepsy in primary care in Ethiopia: a qualitative study.

    PubMed

    Catalao, Raquel; Eshetu, Tigist; Tsigebrhan, Ruth; Medhin, Girmay; Fekadu, Abebaw; Hanlon, Charlotte

    2018-05-21

    In order to tackle the considerable treatment gap for epilepsy in many low- and middle-income countries (LMICs), a task sharing model is recommended whereby care is integrated into primary health services. However, there are limited data on implementation and impact of such services in LMICs. Our study aimed to explore the perspectives of service users and caregivers on the accessibility, experience and perceived impact of epilepsy treatment received in a task-shared model in a rural district of Ethiopia. A qualitative study was carried out using interviews with purposively sampled service users (n = 13) and caregivers (n = 3) from a community-ascertained cohort of people with epilepsy receiving integrated services in primary care in rural Ethiopia. Interviews followed a topic guide with questions regarding acceptability, satisfaction, barriers to access care, pathways through care and impact of services. Framework analysis was employed to analyse the data. Proximity of the new service in local primary health centers decreased the cost of transportation for the majority of service users thus improving access to services. First-hand experience of services was in some cases associated with a willingness to promote the services and inform others of the existence of effective biomedical treatment for epilepsy. However, most service users and their caregivers continued to seek help from traditional healers alongside biomedical care. Most of the care received was focused on medication provision with limited information provided on how to manage their illness and its effects. Caregivers and service users spoke about the high emotional and financial burden of the disease and lack of ongoing practical and emotional support. The majority of participants reported clinical improvement on medication, which in over half of the participants was associated with ability to return to money generating activities. Task-sharing improved the accessibility of epilepsy care for services users and caregivers and was perceived as having a positive impact on symptoms and productivity. Nonetheless, promotion of self-management, holistic care and family engagement were highlighted as areas requiring further improvement. Future work on implementing chronic care models in LMIC contexts is warranted.

  5. Sex and drugs and rock'n'roll.

    PubMed

    Cassidy, J

    The community center at the housing estate of St. Mellons in Cardiff, Wales, has two projects serving youth. A physician and nurse make up a team operating family planning clinic at the youth center on Friday afternoons. Local graffiti artists have created brightly colored posters to promote the drop-in center. Teenagers come to the youth center to play pool, drink coffee, and to listen to music. In a room next to this activity, the team distributes contraceptives (e.g., condoms). They also counsel teens about sexuality, relationships, self-respect, health, and disease. They work to dispel any incorrect information that they often hear. Counseling provides the teens correct information, which they can convey to their peers. The director of family planning and well-woman services for South Glamorgan finds peer education to be more effective than sex education in schools. A psychiatric nurse and her community drug colleagues set up a drop-in center for a needle exchange, but the team finds itself acting as a drugs information service. The advice it gives includes ho to use drugs more safely, possible adverse reactions, referrals (medical, detoxification, and counseling), and the nature of substances on the street. Clients trust the team so much that they share with the team members when there is a bad drug on the market. An outreach worker has headed up a residential week-end with some teens to further discuss drug use. Despite their success and popularity, lack of financial or human resources prevents expansion of both service. The drug needle exchange/information service tried to work out of another youth center, but fear by neighbors that it would give the area a bad name hampered its opening.

  6. Analyzing the requirements for a robust security criteria and management of multi-level security in the clouds

    NASA Astrophysics Data System (ADS)

    Farroha, Bassam S.; Farroha, Deborah L.

    2011-06-01

    The new corporate approach to efficient processing and storage is migrating from in-house service-center services to the newly coined approach of Cloud Computing. This approach advocates thin clients and providing services by the service provider over time-shared resources. The concept is not new, however the implementation approach presents a strategic shift in the way organizations provision and manage their IT resources. The requirements on some of the data sets targeted to be run on the cloud vary depending on the data type, originator, user, and confidentiality level. Additionally, the systems that fuse such data would have to deal with the classifying the product and clearing the computing resources prior to allowing new application to be executed. This indicates that we could end up with a multi-level security system that needs to follow specific rules and can send the output to a protected network and systems in order not to have data spill or contaminated resources. The paper discusses these requirements and potential impact on the cloud architecture. Additionally, the paper discusses the unexpected advantages of the cloud framework providing a sophisticated environment for information sharing and data mining.

  7. TopoLens: Building a cyberGIS community data service for enhancing the usability of high-resolution National Topographic datasets

    USGS Publications Warehouse

    Hu, Hao; Hong, Xingchen; Terstriep, Jeff; Liu, Yan; Finn, Michael P.; Rush, Johnathan; Wendel, Jeffrey; Wang, Shaowen

    2016-01-01

    Geospatial data, often embedded with geographic references, are important to many application and science domains, and represent a major type of big data. The increased volume and diversity of geospatial data have caused serious usability issues for researchers in various scientific domains, which call for innovative cyberGIS solutions. To address these issues, this paper describes a cyberGIS community data service framework to facilitate geospatial big data access, processing, and sharing based on a hybrid supercomputer architecture. Through the collaboration between the CyberGIS Center at the University of Illinois at Urbana-Champaign (UIUC) and the U.S. Geological Survey (USGS), a community data service for accessing, customizing, and sharing digital elevation model (DEM) and its derived datasets from the 10-meter national elevation dataset, namely TopoLens, is created to demonstrate the workflow integration of geospatial big data sources, computation, analysis needed for customizing the original dataset for end user needs, and a friendly online user environment. TopoLens provides online access to precomputed and on-demand computed high-resolution elevation data by exploiting the ROGER supercomputer. The usability of this prototype service has been acknowledged in community evaluation.

  8. Does courtesy bias affect how clients report on objective and subjective measures of family planning service quality? A comparison between facility- and home-based interviews.

    PubMed

    Hameed, Waqas; Ishaque, Muhammad; Gul, Xaher; Siddiqui, Junaid-Ur-Rehman; Hussain, Sharmeen; Hussain, Wajahat; Ahmed, Aftab; Balal, Asma

    2017-01-01

    Despite a general understanding that exit interviews being conducted at service providers' facilities may influence clients' responses favorably to health professionals, there is very little evidence available that demonstrates the extent to which this problem exists. This study aimed at assessing and comparing clients' perceptions of the quality of family planning services and their satisfaction levels between facility- and home-based interviews. A cross-sectional survey was conducted among clients receiving family planning services across three service delivery channels - nongovernmental organization (NGO) clinics, social franchise (SF) centers, and outreach camps. The survey took place from December 2015 to January 2016 in 70 districts across all four provinces of Pakistan. A total of 2,807 clients were interviewed, of whom 1,404 clients were interviewed at health facilities after receiving services and 1,403 were interviewed at their homes within 3 days of method uptake. Overall, we found no significant differences between the characteristics of study participants interviewed at health facilities or at home. The findings suggested that experiences reported in exit surveys at facilities were strongly biased positively. This was true for both experiential (service quality) and perception-based (satisfaction) questions in the context of SF centers, while at NGO clinics the interview location only affected clients' responses regarding service quality. However, in outreach settings, clients are more likely to share bad experiences in exit interviews than in home-based interviews on objectively asked questions (service quality). Our study indicates signs of courtesy bias and possibly the Hawthorne effect in exit interviews. Program implementers could opt for home-based interviews for women receiving services at NGO clinics or SF center, whereas exit interviews could be used in outreach settings.

  9. Does courtesy bias affect how clients report on objective and subjective measures of family planning service quality? A comparison between facility- and home-based interviews

    PubMed Central

    Hameed, Waqas; Ishaque, Muhammad; Gul, Xaher; Siddiqui, Junaid-ur-Rehman; Hussain, Sharmeen; Hussain, Wajahat; Ahmed, Aftab; Balal, Asma

    2017-01-01

    Purpose Despite a general understanding that exit interviews being conducted at service providers’ facilities may influence clients’ responses favorably to health professionals, there is very little evidence available that demonstrates the extent to which this problem exists. This study aimed at assessing and comparing clients’ perceptions of the quality of family planning services and their satisfaction levels between facility- and home-based interviews. Methods A cross-sectional survey was conducted among clients receiving family planning services across three service delivery channels – nongovernmental organization (NGO) clinics, social franchise (SF) centers, and outreach camps. The survey took place from December 2015 to January 2016 in 70 districts across all four provinces of Pakistan. A total of 2,807 clients were interviewed, of whom 1,404 clients were interviewed at health facilities after receiving services and 1,403 were interviewed at their homes within 3 days of method uptake. Results Overall, we found no significant differences between the characteristics of study participants interviewed at health facilities or at home. The findings suggested that experiences reported in exit surveys at facilities were strongly biased positively. This was true for both experiential (service quality) and perception-based (satisfaction) questions in the context of SF centers, while at NGO clinics the interview location only affected clients’ responses regarding service quality. However, in outreach settings, clients are more likely to share bad experiences in exit interviews than in home-based interviews on objectively asked questions (service quality). Conclusion Our study indicates signs of courtesy bias and possibly the Hawthorne effect in exit interviews. Program implementers could opt for home-based interviews for women receiving services at NGO clinics or SF center, whereas exit interviews could be used in outreach settings. PMID:29760573

  10. Data management and data enrichment for systems biology projects.

    PubMed

    Wittig, Ulrike; Rey, Maja; Weidemann, Andreas; Müller, Wolfgang

    2017-11-10

    Collecting, curating, interlinking, and sharing high quality data are central to de.NBI-SysBio, the systems biology data management service center within the de.NBI network (German Network for Bioinformatics Infrastructure). The work of the center is guided by the FAIR principles for scientific data management and stewardship. FAIR stands for the four foundational principles Findability, Accessibility, Interoperability, and Reusability which were established to enhance the ability of machines to automatically find, access, exchange and use data. Within this overview paper we describe three tools (SABIO-RK, Excemplify, SEEK) that exemplify the contribution of de.NBI-SysBio services to FAIR data, models, and experimental methods storage and exchange. The interconnectivity of the tools and the data workflow within systems biology projects will be explained. For many years we are the German partner in the FAIRDOM initiative (http://fair-dom.org) to establish a European data and model management service facility for systems biology. Copyright © 2017 The Authors. Published by Elsevier B.V. All rights reserved.

  11. Space-based Science Operations Grid Prototype

    NASA Technical Reports Server (NTRS)

    Bradford, Robert N.; Welch, Clara L.; Redman, Sandra

    2004-01-01

    Grid technology is the up and coming technology that is enabling widely disparate services to be offered to users that is very economical, easy to use and not available on a wide basis. Under the Grid concept disparate organizations generally defined as "virtual organizations" can share services i.e. sharing discipline specific computer applications, required to accomplish the specific scientific and engineering organizational goals and objectives. Grids are emerging as the new technology of the future. Grid technology has been enabled by the evolution of increasingly high speed networking. Without the evolution of high speed networking Grid technology would not have emerged. NASA/Marshall Space Flight Center's (MSFC) Flight Projects Directorate, Ground Systems Department is developing a Space-based Science Operations Grid prototype to provide to scientists and engineers the tools necessary to operate space-based science payloads/experiments and for scientists to conduct public and educational outreach. In addition Grid technology can provide new services not currently available to users. These services include mission voice and video, application sharing, telemetry management and display, payload and experiment commanding, data mining, high order data processing, discipline specific application sharing and data storage, all from a single grid portal. The Prototype will provide most of these services in a first step demonstration of integrated Grid and space-based science operations technologies. It will initially be based on the International Space Station science operational services located at the Payload Operations Integration Center at MSFC, but can be applied to many NASA projects including free flying satellites and future projects. The Prototype will use the Internet2 Abilene Research and Education Network that is currently a 10 Gb backbone network to reach the University of Alabama at Huntsville and several other, as yet unidentified, Space Station based science experimenters. There is an international aspect to the Grid involving the America's Pathway (AMPath) network, the Chilean REUNA Research and Education Network and the University of Chile in Santiago that will further demonstrate how extensive these services can be used. From the user's perspective, the Prototype will provide a single interface and logon to these varied services without the complexity of knowing the where's and how's of each service. There is a separate and deliberate emphasis on security. Security will be addressed by specifically outlining the different approaches and tools used. Grid technology, unlike the Internet, is being designed with security in mind. In addition we will show the locations, configurations and network paths associated with each service and virtual organization. We will discuss the separate virtual organizations that we define for the varied user communities. These will include certain, as yet undetermined, space-based science functions and/or processes and will include specific virtual organizations required for public and educational outreach and science and engineering collaboration. We will also discuss the Grid Prototype performance and the potential for further Grid applications both space-based and ground based projects and processes. In this paper and presentation we will detail each service and how they are integrated using Grid

  12. Sharing Experience Learned Firsthand (SELF): Self-disclosure of lived experience in mental health services and supports.

    PubMed

    Marino, Casadi Khaki; Child, Beckie; Campbell Krasinski, Vanessa

    2016-06-01

    Self-disclosure of lived experiences with mental health challenges is a central method for challenging stigma and promoting empowerment. Individuals are encouraged to share their stories yet little is known about the process of self-disclosure in this context. This article presents the results of an investigation of the role of lived experience in professional training and work. A mixed methods design was used in a sequential exploratory manner. A purposive sample of 35 individuals participated in interviews and focus groups. Based on their reports and a literature review, an anonymous online survey (N = 117) was developed and distributed through consumer networks and the SAMHSA funded Consumer Technical Assistance Centers. The qualitative data was subjected to thematic analysis. The survey data were statistically analyzed for differences in levels of disclosure and factors regarding risks, benefits, and guidance regarding self-disclosure. Participants valued their lived experience as a resource through which they could assist others and service delivery. Lived experience was foundational to building relationships with individuals in recovery. Disclosure was dependent on social context and perceptions of safety. Individuals expressed concerns regarding exclusion and discrimination. Project participants maintained that their lived experience was their greatest strengths in helping others. At the same time, decisions about disclosure were made in complex social contexts featuring power differentials. Sharing lived experience is essential to peer-delivered services and further exploration is needed to support service development. (PsycINFO Database Record (c) 2016 APA, all rights reserved).

  13. The History of the Bellevue Hospital Chest Service (1903-2015).

    PubMed

    Rom, William N; Reibman, Joan

    2015-10-01

    For more than 100 years, the Bellevue Hospital Chest Service in New York City has contributed major advances in our understanding of pulmonary disease. Research from the cardiopulmonary laboratory of the Chest Service by Drs. Cournand and Richards resulted in the shared Nobel Prize in Physiology or Medicine in 1956 for the development of human cardiac catheterization. In more recent years, continuing its mission to serve the underserved and respond to health crises, the Bellevue Chest Service has served as a leader in the management of HIV infections, multiple drug-resistant tuberculosis epidemics, early detection of lung cancer, and management of urban asthma. Members of the Chest Service founded the World Trade Center Environmental Health Center shortly after collapse of the towers in 2001. The Chest Service became New York's infectious isolation unit caring for the first patient in New York infected with Ebola virus. Recent research has focused on disease management, with the first in-house Directly Observed Therapy Clinic for treatment of tuberculosis, clinical trials of aerosolized IFN-γ, and translational research on host defense against tuberculosis infection. Studies of the airway mucosa have revealed mechanisms by which ambient pollutants promote asthma. Studies on the World Trade Center firefighters and community populations have promoted understanding of systemic inflammation and small airways function. Today, the partnership between a public hospital and an academic institution promotes the synergy that leads to cost-effective and state-of-the art care for an underserved population as well as cutting-edge training and research.

  14. Using Secure Web Services to Visualize Poison Center Data for Nationwide Biosurveillance: A Case Study

    PubMed Central

    Savel, Thomas G; Bronstein, Alvin; Duck, William; Rhodes, M. Barry; Lee, Brian; Stinn, John; Worthen, Katherine

    2010-01-01

    Objectives Real-time surveillance systems are valuable for timely response to public health emergencies. It has been challenging to leverage existing surveillance systems in state and local communities, and, using a centralized architecture, add new data sources and analytical capacity. Because this centralized model has proven to be difficult to maintain and enhance, the US Centers for Disease Control and Prevention (CDC) has been examining the ability to use a federated model based on secure web services architecture, with data stewardship remaining with the data provider. Methods As a case study for this approach, the American Association of Poison Control Centers and the CDC extended an existing data warehouse via a secure web service, and shared aggregate clinical effects and case counts data by geographic region and time period. To visualize these data, CDC developed a web browser-based interface, Quicksilver, which leveraged the Google Maps API and Flot, a javascript plotting library. Results Two iterations of the NPDS web service were completed in 12 weeks. The visualization client, Quicksilver, was developed in four months. Discussion This implementation of web services combined with a visualization client represents incremental positive progress in transitioning national data sources like BioSense and NPDS to a federated data exchange model. Conclusion Quicksilver effectively demonstrates how the use of secure web services in conjunction with a lightweight, rapidly deployed visualization client can easily integrate isolated data sources for biosurveillance. PMID:23569581

  15. Optimizing Data Center Services to Foster Stewardship and Use of Geospatial Data by Heterogeneous Populations of Users

    NASA Astrophysics Data System (ADS)

    Downs, R. R.; Chen, R. S.; de Sherbinin, A. M.

    2017-12-01

    Growing recognition of the importance of sharing scientific data more widely and openly has refocused attention on the state of data repositories, including both discipline- or topic-oriented data centers and institutional repositories. Data creators often have several alternatives for depositing and disseminating their natural, social, health, or engineering science data. In selecting a repository for their data, data creators and other stakeholders such as their funding agencies may wish to consider the user community or communities served, the type and quality of data products already offered, and the degree of data stewardship and associated services provided. Some data repositories serve general communities, e.g., those in their host institution or region, whereas others tailor their services to particular scientific disciplines or topical areas. Some repositories are selective when acquiring data and conduct extensive curation and reviews to ensure that data products meet quality standards. Many repositories have secured credentials and established a track record for providing trustworthy, high quality data and services. The NASA Socioeconomic Data and Applications Center (SEDAC) serves users interested in human-environment interactions, including researchers, students, and applied users from diverse sectors. SEDAC is selective when choosing data for dissemination, conducting several reviews of data products and services prior to release. SEDAC works with data producers to continually improve the quality of its open data products and services. As a Distributed Active Archive Center (DAAC) of the NASA Earth Observing System Data and Information System, SEDAC is committed to improving the accessibility, interoperability, and usability of its data in conjunction with data available from other DAACs, as well as other relevant data sources. SEDAC is certified as a Regular Member of the International Council for Science World Data System (ICSU-WDS).

  16. Understanding the Risk Factors of Trauma Center Closures

    PubMed Central

    Shen, Yu-Chu; Hsia, Renee Y.; Kuzma, Kristen

    2011-01-01

    Objectives We analyze whether hazard rates of shutting down trauma centers are higher due to financial pressures or in areas with vulnerable populations (such as minorities or the poor). Materials and Methods This is a retrospective study of all hospitals with trauma center services in urban areas in the continental US between 1990 and 2005, identified from the American Hospital Association Annual Surveys. These data were linked with Medicare cost reports, and supplemented with other sources, including the Area Resource File. We analyze the hazard rates of trauma center closures among several dimensions of risk factors using discrete-time proportional hazard models. Results The number of trauma center closures increased from 1990 to 2005, with a total of 339 during this period. The hazard rate of closing trauma centers in hospitals with a negative profit margin is 1.38 times higher than those hospitals without the negative profit margin (P < 0.01). Hospitals receiving more generous Medicare reimbursements face a lower hazard of shutting down trauma centers (ratio: 0.58, P < 0.01) than those receiving below average reimbursement. Hospitals in areas with higher health maintenance organizations penetration face a higher hazard of trauma center closure (ratio: 2.06, P < 0.01). Finally, hospitals in areas with higher shares of minorities face a higher risk of trauma center closure (ratio: 1.69, P < 0.01). Medicaid load and uninsured populations, however, are not risk factors for higher rates of closure after we control for other financial and community characteristics. Conclusions Our findings give an indication on how the current proposals to cut public spending could exacerbate the trauma closure particularly among areas with high shares of minorities. In addition, given the negative effect of health maintenance organizations on trauma center survival, the growth of Medicaid managed care population should be monitored. Finally, high shares of Medicaid or uninsurance by themselves are not independent risk factors for higher closure as long as financial pressures are mitigated. Targeted policy interventions and further research on the causes, are needed to address these systems-level disparities. PMID:19704354

  17. Understanding the risk factors of trauma center closures: do financial pressure and community characteristics matter?

    PubMed

    Shen, Yu-Chu; Hsia, Renee Y; Kuzma, Kristen

    2009-09-01

    We analyze whether hazard rates of shutting down trauma centers are higher due to financial pressures or in areas with vulnerable populations (such as minorities or the poor). This is a retrospective study of all hospitals with trauma center services in urban areas in the continental US between 1990 and 2005, identified from the American Hospital Association Annual Surveys. These data were linked with Medicare cost reports, and supplemented with other sources, including the Area Resource File. We analyze the hazard rates of trauma center closures among several dimensions of risk factors using discrete-time proportional hazard models. The number of trauma center closures increased from 1990 to 2005, with a total of 339 during this period. The hazard rate of closing trauma centers in hospitals with a negative profit margin is 1.38 times higher than those hospitals without the negative profit margin (P < 0.01). Hospitals receiving more generous Medicare reimbursements face a lower hazard of shutting down trauma centers (ratio: 0.58, P < 0.01) than those receiving below average reimbursement. Hospitals in areas with higher health maintenance organizations penetration face a higher hazard of trauma center closure (ratio: 2.06, P < 0.01). Finally, hospitals in areas with higher shares of minorities face a higher risk of trauma center closure (ratio: 1.69, P < 0.01). Medicaid load and uninsured populations, however, are not risk factors for higher rates of closure after we control for other financial and community characteristics. Our findings give an indication on how the current proposals to cut public spending could exacerbate the trauma closure particularly among areas with high shares of minorities. In addition, given the negative effect of health maintenance organizations on trauma center survival, the growth of Medicaid managed care population should be monitored. Finally, high shares of Medicaid or uninsurance by themselves are not independent risk factors for higher closure as long as financial pressures are mitigated. Targeted policy interventions and further research on the causes, are needed to address these systems-level disparities.

  18. Alternative Fuels Data Center

    Science.gov Websites

    AFDC » Tools Printable Version Share this resource Send a link to Alternative Fuels Data Center to someone by E-mail Share Alternative Fuels Data Center on Facebook Tweet about Alternative Fuels Data on Delicious Rank Alternative Fuels Data Center on Digg Find More places to share Alternative Fuels

  19. Alternative Fuels Data Center: Forgot Your Password?

    Science.gov Websites

    AFDC Printable Version Share this resource Send a link to Alternative Fuels Data Center: Forgot Your Password? to someone by E-mail Share Alternative Fuels Data Center: Forgot Your Password? on to share Alternative Fuels Data Center: Forgot Your Password? on AddThis.com... Forgot Your Password

  20. Alternative Fuels Data Center: Propane Laws and Incentives

    Science.gov Websites

    Propane Printable Version Share this resource Send a link to Alternative Fuels Data Center: Propane Laws and Incentives to someone by E-mail Share Alternative Fuels Data Center: Propane Laws and and Incentives on Digg Find More places to share Alternative Fuels Data Center: Propane Laws and

  1. Alternative Fuels Data Center: Hydrogen Laws and Incentives

    Science.gov Websites

    Hydrogen Printable Version Share this resource Send a link to Alternative Fuels Data Center : Hydrogen Laws and Incentives to someone by E-mail Share Alternative Fuels Data Center: Hydrogen Laws and Laws and Incentives on Digg Find More places to share Alternative Fuels Data Center: Hydrogen Laws and

  2. Alternative Fuels Data Center: Idle Reduction Laws and Incentives

    Science.gov Websites

    Conserve Fuel Printable Version Share this resource Send a link to Alternative Fuels Data Center : Idle Reduction Laws and Incentives to someone by E-mail Share Alternative Fuels Data Center: Idle Fuels Data Center: Idle Reduction Laws and Incentives on Digg Find More places to share Alternative

  3. Task Group on a Culture of Savings: Implementing Behavior Change in DoD

    DTIC Science & Technology

    2011-01-01

    Robert Hale Task Group Chairman – Navy Future Personnel and Pay Solution (FPPS) - Business Case November 30, 2009 – Case for Shared Services in the...Public Sector - Accenture Shared Services in Government - AT Kearney – 2009 Global Shared Services Survey Results - Deloitte – Shared Services - a...Benchmark Study - The Johnson Group – Economics of Business Process Outsourcing - Technology Association of Georgia – State of Shared Services and Business

  4. Report To The Secretary Of Defense-Task Group On A Culture Of Savings: Implementing Behavior Change In DoD

    DTIC Science & Technology

    2011-01-01

    Shared Services in the Public Sector - Accenture Shared Services in Government - AT Kearney – 2009 Global Shared Services Survey Results - Deloitte... Shared Services - a Benchmark Study - The Johnson Group – Economics of Business Process Outsourcing - Technology Association of Georgia – State of... Shared Services and Business Process Outsourcing - Accenture – Public Sector Outsourcing Surge in 2010 - National Outsourcing Association – Naval

  5. Leveraging Service Oriented Architecture to Enhance Information Sharing for Surface Transportation Security

    DTIC Science & Technology

    2008-09-01

    telephone, conference calls, emails, alert notifications, and blackberry . The RDTSF holds conference calls with its stakeholders to provide routine... tunnels ) is monitored by CCTV cameras with live feeds to WMATA’s Operations Control Center (OCC) to detect unauthorized entry into areas not intended for...message by email, blackberry and phone to the Security Coordinators. Dissemination of classified information however, is generally handled through the

  6. Joint Use of Public Schools: Developing a New Social Contract for the Shared Use of Public Schools

    ERIC Educational Resources Information Center

    Filardo, Mary; Vincent, Jeff M.; Allen, Marni; Franklin, Jason

    2010-01-01

    In this paper, the 21st Century School Fund and the Center for Cities and Schools at the University of California Berkeley provide a conceptual frame for the joint use of PK-12 public school buildings. There is a growing conversation about and demand for joint use as a way to provide services to children and families in convenient locations,…

  7. Cost Analysis in a Multi-Mission Operations Environment

    NASA Technical Reports Server (NTRS)

    Felton, Larry; Newhouse, Marilyn; Bornas, Nick; Botts, Dennis; Ijames, Gayleen; Montgomery, Patty; Roth, Karl

    2014-01-01

    Spacecraft control centers have evolved from dedicated, single-mission or single mission-type support to multi-mission, service-oriented support for operating a variety of mission types. At the same time, available money for projects is shrinking and competition for new missions is increasing. These factors drive the need for an accurate and flexible model to support estimating service costs for new or extended missions; the cost model in turn drives the need for an accurate and efficient approach to service cost analysis. The National Aeronautics and Space Administration (NASA) Huntsville Operations Support Center (HOSC) at Marshall Space Flight Center (MSFC) provides operations services to a variety of customers around the world. HOSC customers range from launch vehicle test flights; to International Space Station (ISS) payloads; to small, short duration missions; and has included long duration flagship missions. The HOSC recently completed a detailed analysis of service costs as part of the development of a complete service cost model. The cost analysis process required the team to address a number of issues. One of the primary issues involves the difficulty of reverse engineering individual mission costs in a highly efficient multi-mission environment, along with a related issue of the value of detailed metrics or data to the cost model versus the cost of obtaining accurate data. Another concern is the difficulty of balancing costs between missions of different types and size and extrapolating costs to different mission types. The cost analysis also had to address issues relating to providing shared, cloud-like services in a government environment, and then assigning an uncertainty or risk factor to cost estimates that are based on current technology, but will be executed using future technology. Finally the cost analysis needed to consider how to validate the resulting cost models taking into account the non-homogeneous nature of the available cost data and the decreasing flight rate. This paper presents the issues encountered during the HOSC cost analysis process, and the associated lessons learned. These lessons can be used when planning for a new multi-mission operations center or in the transformation from a dedicated control center to multi-center operations, as an aid in defining processes that support future cost analysis and estimation. The lessons can also be used by mature service-oriented, multi-mission control centers to streamline or refine their cost analysis process.

  8. Providing the Tools for Information Sharing: Net-Centric Enterprise Services

    DTIC Science & Technology

    2007-07-01

    The Department of Defense (DoD) is establishing a net-centric environment that increasingly leverages shared services and Service-Oriented...transformational program that delivers a set of shared services as part of the DoD’s common infrastructure to enable networked joint force capabilities, improved interoperability, and increased information sharing across mission area services.

  9. KSC-04PD-0280

    NASA Technical Reports Server (NTRS)

    2004-01-01

    KENNEDY SPACE CENTER, FLA. NASA Administrator Sean OKeefe talks to the media at the Central Florida Research Park, near Orlando. He and government officials were at the park for a presentation about the assets of the research park as the site of NASAs new Shared Services Center. Behind OKeefe are (left to right) Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida; Florida Congressman Tom Feeney; U.S. Representative Ric Keller; and Congressman Dave Weldon. At right is Mike Rein, division chief of KSC External Affairs. Six sites around the U.S. are under consideration for location of the Center, which would centralize NASAs payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Others attending the presentation included U.S. Senator Bill Nelson and Center Director Jim Kennedy.

  10. KSC-04PD-0290

    NASA Technical Reports Server (NTRS)

    2004-01-01

    KENNEDY SPACE CENTER, FLA. NASA Administrator Sean OKeefe talks to the media at the Central Florida Research Park, near Orlando. He and government officials were at the park for a presentation about the assets of the research park as the site of NASAs new Shared Services Center. Behind OKeefe are (left to right) Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida; U.S. Representative Ric Keller; Florida Congressman Tom Feeney; and Congressman Dave Weldon. At right is Mike Rein, division chief of KSC External Affairs. Six sites around the U.S. are under consideration for location of the Center, which would centralize NASAs payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Others attending the presentation included U.S. Senator Bill Nelson and Center Director Jim Kennedy.

  11. 42 CFR 447.52 - Cost sharing.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... agency imposes cost sharing under § 447.54, the process by which hospital emergency room services are... State option, cost sharing imposed for any service (other than for drugs and non-emergency services... group under § 447.56(a), and (iii) For cost sharing imposed for non-emergency services furnished in an...

  12. Sharing Educational Services. PREP-13.

    ERIC Educational Resources Information Center

    Jongeward, Ray; Heesacker, Frank

    The focus of this report is on shared services in the rural setting. The kit contains three documents of useful information for any school planning a shared service activity to improve rural education. 13-A identifies 215 shared services in 50 states along with an indexing of each service by subject area and by state. 13-B is a series of 10…

  13. A Study of Veterans Administration/Department of Defense Health Care Resources Sharing at Keller Army Community Hospital West Point, New York 10996

    DTIC Science & Technology

    1984-04-01

    civilian facility. In FY 79, of the $20 million that the Veterans Administration (VA) spent on shared services , only $17,000 was for services shared...2) present incentives to encourage shared services are inadequate; and (3) such sharing of resources can be effected without a detrimental impact on...Regionalization in Perspective", which provided an excellent review of hospital regionalization and the potential benefits associated with shared services . 6

  14. Project Report, Part One, Final Report for Phase I, Rural Shared Services.

    ERIC Educational Resources Information Center

    Northern Montana Coll., Havre.

    In an attempt to identify, synthesize, and evaluate shared services research and development efforts conducted throughout the nation, and bring those results together in a single report, Part One of a four-part report defines rural shared services and the organizational patterns under which shared service activity exists, describes the activities…

  15. Can Local Police and Sheriff’s Departments Provide a Higher Degree of Homeland Security Coordination and Collaboration Through Consolidation of Police Services

    DTIC Science & Technology

    2010-09-01

    SUPPORTING A SHARED SERVICES MODEL, CONSOLIDATION AND SHARED INTELLIGENCE SUPPORT ........41 1. Geographical Similarities...42 D. SHARED SERVICES CONCEPT ...............................................................43 1. The Joint Powers Agreement...87 VII. INTELLIGENCE IMPLICATIONS OF A SHARED SERVICES MODEL ......89 A. INTRODUCTION

  16. The power of collaboration: using internet-based tools to facilitate networking and benchmarking within a consortium of academic health centers.

    PubMed

    Korner, Eli J; Oinonen, Michael J; Browne, Robert C

    2003-02-01

    The University HealthSystem Consortium (UHC) represents a strategic alliance of 169 academic health centers and associated institutions engaged in knowledge sharing and idea-generation. The use of the Internet as a tool in the delivery of UHC's products and services has increased dramatically over the past year and will continue to increase during the foreseeable future. This paper examines the current state of UHC-member institution driven tools and services that utilize the Web as a fundamental component in their delivery. The evolution of knowledge management at UHC, its management information and reporting tools, and expansion of e-commerce provide real world examples of Internet use in health care delivery and management. Health care workers are using these Web-based tools to help manage rising costs and optimize patient outcomes. Policy, technical, and organizational issues must be resolved to facilitate rapid adoption of Internet applications.

  17. Agriculture and Health Sectors Collaborate in Addressing Population Health

    PubMed Central

    Kaufman, Arthur; Boren, Jon; Koukel, Sonja; Ronquillo, Francisco; Davies, Cindy; Nkouaga, Carolina

    2017-01-01

    PURPOSE Population health is of growing importance in the changing health care environment. The Cooperative Extension Service, housed in each state’s land grant university, has a major impact on population health through its many community-based efforts, including the Supplemental Nutrition Assistance Program – Education (SNAP-Ed) nutrition programs, 4-H youth engagement, health and wellness education, and community development. Can the agricultural and health sectors, which usually operate in parallel, mostly unknown to each other, collaborate to address population health? We set out to provide an overview of the collaboration between the Cooperative Extension Service and the health sector in various states and describe a case study of 1 model as it developed in New Mexico. METHODS We conducted a literature review and personally contacted states in which the Cooperative Extension Service is collaborating on a “Health Extension” model with academic health centers or their health systems. We surveyed 6 states in which Health Extension models are being piloted as to their different approaches. For a case study of collaboration in New Mexico, we drew on interviews with the leadership of New Mexico State University’s Cooperative Extension Service in the College of Agricultural, Consumer and Environmental Sciences; the University of New Mexico (UNM) Health Science Center’s Office for Community Health; and the personal experiences of frontline Cooperative Extension agents and UNM Health Extension officers who collaborated on community projects. RESULTS A growing number of states are linking the agricultural Cooperative Extension Service with academic health centers and with the health care system. In New Mexico, the UNM academic health center has created “Health Extension Rural Offices” based on principles of the Cooperative Extension model. Today, these 2 systems are working collaboratively to address unmet population health needs in their communities. Nationally, the Cooperative Extension Service has formed a steering committee to guide its movement into the health arena. CONCLUSION Resources of the agricultural and health sectors offer communities complementary expertise and resources to address adverse population health outcomes. The collaboration between Cooperative Extension and the health sector is 1 manifestation of this emerging collaboration model termed Health Extension. Initial skepticism and protection of funding sources and leadership roles can be overcome with shared funding from new sources, shared priority setting and decision making, and the initiation of practical, collaborative projects that build personal relationships and trust. PMID:28893819

  18. [Educational guidance for families with mentally ill parents: a bridge between youth welfare services and psychiatric care system].

    PubMed

    Schrappe, Andreas

    2013-01-01

    In the last fifteen years a lot of services were established to assist children and their mentally ill parents. To improve the preventive and therapeutic interventions in favour of these families, the cooperation between all the institutions involved has to be enhanced. Family counselling centers can play an important role as a link between the psychiatric care system and the youth welfare services. By transferring the psychiatric terminology to the families' everyday language, the counsellors help the parents and the children to share their experiences with the parental illness. To implement a consultation-hour in a psychiatric clinic is an example of how educational guidance can close the gap between the two systems and strengthen the cooperation.

  19. Content-based management service for medical videos.

    PubMed

    Mendi, Engin; Bayrak, Coskun; Cecen, Songul; Ermisoglu, Emre

    2013-01-01

    Development of health information technology has had a dramatic impact to improve the efficiency and quality of medical care. Developing interoperable health information systems for healthcare providers has the potential to improve the quality and equitability of patient-centered healthcare. In this article, we describe an automated content-based medical video analysis and management service that provides convenience and ease in accessing the relevant medical video content without sequential scanning. The system facilitates effective temporal video segmentation and content-based visual information retrieval that enable a more reliable understanding of medical video content. The system is implemented as a Web- and mobile-based service and has the potential to offer a knowledge-sharing platform for the purpose of efficient medical video content access.

  20. Integrating Grid Services into the Cray XT4 Environment

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

    NERSC; Cholia, Shreyas; Lin, Hwa-Chun Wendy

    2009-05-01

    The 38640 core Cray XT4"Franklin" system at the National Energy Research Scientific Computing Center (NERSC) is a massively parallel resource available to Department of Energy researchers that also provides on-demand grid computing to the Open Science Grid. The integration of grid services on Franklin presented various challenges, including fundamental differences between the interactive and compute nodes, a stripped down compute-node operating system without dynamic library support, a shared-root environment and idiosyncratic application launching. Inour work, we describe how we resolved these challenges on a running, general-purpose production system to provide on-demand compute, storage, accounting and monitoring services through generic gridmore » interfaces that mask the underlying system-specific details for the end user.« less

  1. Loglines. May-June 2013

    DTIC Science & Technology

    2013-06-01

    Design: Paul Henry Crank Writers: Beth Reece Sara Moore Amanda Neumann Lally Laksbergs Loglines is prepared electronically, using desktop publishing...just what we used to call ‘part chasers,’” said Andrew Drake, DLA Pacific Logistics Operations Center deputy chief. WSRs and LNOs have to know the...sometimes the services don’t know what details they need to share with us in order for us to better meet their requirements,” he added. Exercise support

  2. An Overview of Intercultural Training: Graduate-Level Preparation for Military Service Abroad

    DTIC Science & Technology

    1992-09-01

    and to the people at centers for international business education and in professional associations. The information they shared and the materials they...North Africa; (5) Western Europe; (6) Eastern Europe; (7) South Asia; (8) Southeast Asia and Oceania; (9) East Asia; and (10) International Business . Graduate...Africa; 5. Western Europe; 6. Eastern Europe; 7. South Asia; 8. Southeast Asia and Oceania; 9. East Asia; and 0. International Business . Advanced

  3. Patient experience with outpatient encounters at public hospitals in Shanghai: Examining different aspects of physician services and implications of overcrowding.

    PubMed

    Bao, Yuhua; Fan, Guanrong; Zou, Dongdong; Wang, Tong; Xue, Di

    2017-01-01

    Over 90% of outpatient care in China was delivered at public hospitals, making outpatient experience in this setting an important aspect of quality of care. To assess outpatient experience with different aspects of physician services at China's public hospitals and its association with overcrowding of the hospital outpatient departments. Retrospective analysis of a large survey of outpatient experience in Shanghai, China. We tested the hypotheses that patient experience was poorer with physician-patient communication, education, and shared decision-making and where and when there was greater overcrowding of the hospital outpatient departments. Ordered logistic models were estimated separately for general and specialty hospitals. 7,147 outpatients at 40 public hospitals in Shanghai, China, in 2014. Patient experience with physician services were self-reported based on 12 questions as part of a validated instrument. Indicators of overcrowding included time of visit (morning vs. afternoon, Monday vs. rest of the week) and hospital outpatient volume in the first half of 2014. Overall, patients reported very favorable experience with physician services. Two out of the 12 questions pertaining to both communication and shared decision-making consistently received lower ratings. Hospitals whose outpatient volumes were in the top two quartiles received lower patient ratings, but the relationship achieved statistical significance among specialty hospitals only. Inadequate physician-patient communication and shared decision-making and hospital overcrowding compromise outpatient experience with physician services at Chinese public hospitals. Effective diversion of patients with chronic and less complex conditions to community health centers will be critical to alleviate the extreme workloads at hospitals with high patient volumes and, in turn, improve patient experience.

  4. Cost Analysis In A Multi-Mission Operations Environment

    NASA Technical Reports Server (NTRS)

    Newhouse, M.; Felton, L.; Bornas, N.; Botts, D.; Roth, K.; Ijames, G.; Montgomery, P.

    2014-01-01

    Spacecraft control centers have evolved from dedicated, single-mission or single missiontype support to multi-mission, service-oriented support for operating a variety of mission types. At the same time, available money for projects is shrinking and competition for new missions is increasing. These factors drive the need for an accurate and flexible model to support estimating service costs for new or extended missions; the cost model in turn drives the need for an accurate and efficient approach to service cost analysis. The National Aeronautics and Space Administration (NASA) Huntsville Operations Support Center (HOSC) at Marshall Space Flight Center (MSFC) provides operations services to a variety of customers around the world. HOSC customers range from launch vehicle test flights; to International Space Station (ISS) payloads; to small, short duration missions; and has included long duration flagship missions. The HOSC recently completed a detailed analysis of service costs as part of the development of a complete service cost model. The cost analysis process required the team to address a number of issues. One of the primary issues involves the difficulty of reverse engineering individual mission costs in a highly efficient multimission environment, along with a related issue of the value of detailed metrics or data to the cost model versus the cost of obtaining accurate data. Another concern is the difficulty of balancing costs between missions of different types and size and extrapolating costs to different mission types. The cost analysis also had to address issues relating to providing shared, cloud-like services in a government environment, and then assigning an uncertainty or risk factor to cost estimates that are based on current technology, but will be executed using future technology. Finally the cost analysis needed to consider how to validate the resulting cost models taking into account the non-homogeneous nature of the available cost data and the decreasing flight rate. This paper presents the issues encountered during the HOSC cost analysis process, and the associated lessons learned. These lessons can be used when planning for a new multi-mission operations center or in the transformation from a dedicated control center to multi-center operations, as an aid in defining processes that support future cost analysis and estimation. The lessons can also be used by mature serviceoriented, multi-mission control centers to streamline or refine their cost analysis process.

  5. 2006 Net Centric Operations Conference - Facilitating Net Centric Operations and Warfare

    DTIC Science & Technology

    2006-03-16

    22, 2005 • White Paper, “Facilitating Shared Services in the DoD,” Feb 12, 2006 • White Paper, “ Shared Services : Performance Accountability and Risk...who demand a culture of information sharing and improved organizational effectiveness.” 12 Facilitating Shared Services : Task “What should be the...distinct programs.” 13 Facilitating Shared Services : Focus Areas • Governance and Control Policy • Common Information Standards and Technical

  6. Innovation in patient-centered care: lessons from a qualitative study of innovative health care organizations in Washington State

    PubMed Central

    2012-01-01

    Background Growing interest in the promise of patient-centered care has led to numerous health care innovations, including the patient-centered medical home, shared decision-making, and payment reforms. How best to vet and adopt innovations is an open question. Washington State has been a leader in health care reform and is a rich laboratory for patient-centered innovations. We sought to understand the process of patient-centered care innovation undertaken by innovative health care organizations – from strategic planning to goal selection to implementation to maintenance. Methods We conducted key-informant interviews with executives at five health plans, five provider organizations, and ten primary care clinics in Washington State. At least two readers of each interview transcript identified themes inductively; final themes were determined by consensus. Results Innovation in patient-centered care was a strategic objective chosen by nearly every organization in this study. However, other goals were paramount: cost containment, quality improvement, and organization survival. Organizations commonly perceived effective chronic disease management and integrated health information technology as key elements for successful patient-centered care innovation. Inertia, resource deficits, fee-for-service payment, and regulatory limits on scope of practice were cited as barriers to innovation, while organization leadership, human capital, and adaptive culture facilitated innovation. Conclusions Patient-centered care innovations reflected organizational perspectives: health plans emphasized cost-effectiveness while providers emphasized health care delivery processes. Health plans and providers shared many objectives, yet the two rarely collaborated to achieve them. The process of innovation is heavily dependent on organizational culture and leadership. Policymakers can improve the pace and quality of patient-centered innovation by setting targets and addressing conditions for innovation. PMID:23241305

  7. Innovation in patient-centered care: lessons from a qualitative study of innovative health care organizations in Washington State.

    PubMed

    Reed, Peter; Conrad, Douglas A; Hernandez, Susan E; Watts, Carolyn; Marcus-Smith, Miriam

    2012-12-14

    Growing interest in the promise of patient-centered care has led to numerous health care innovations, including the patient-centered medical home, shared decision-making, and payment reforms. How best to vet and adopt innovations is an open question. Washington State has been a leader in health care reform and is a rich laboratory for patient-centered innovations. We sought to understand the process of patient-centered care innovation undertaken by innovative health care organizations - from strategic planning to goal selection to implementation to maintenance. We conducted key-informant interviews with executives at five health plans, five provider organizations, and ten primary care clinics in Washington State. At least two readers of each interview transcript identified themes inductively; final themes were determined by consensus. Innovation in patient-centered care was a strategic objective chosen by nearly every organization in this study. However, other goals were paramount: cost containment, quality improvement, and organization survival. Organizations commonly perceived effective chronic disease management and integrated health information technology as key elements for successful patient-centered care innovation. Inertia, resource deficits, fee-for-service payment, and regulatory limits on scope of practice were cited as barriers to innovation, while organization leadership, human capital, and adaptive culture facilitated innovation. Patient-centered care innovations reflected organizational perspectives: health plans emphasized cost-effectiveness while providers emphasized health care delivery processes. Health plans and providers shared many objectives, yet the two rarely collaborated to achieve them. The process of innovation is heavily dependent on organizational culture and leadership. Policymakers can improve the pace and quality of patient-centered innovation by setting targets and addressing conditions for innovation.

  8. Location of Shared Services, Part Three, Final Report for Phase I, Rural Shared Services.

    ERIC Educational Resources Information Center

    Northern Montana Coll., Havre.

    Part Three of a four-part report, designed to identify, evaluate, and synthesize shared services research and development efforts conducted throughout the nation, identifies 215 sites in 48 states which exhibit potentially significant attempts to improve rural education through some method of sharing services. A brief resume of each of the…

  9. Putting women at the center: a review of Indian policy to address person-centered care in maternal and newborn health, family planning and abortion.

    PubMed

    Srivastava, Aradhana; Singh, Devaki; Montagu, Dominic; Bhattacharyya, Sanghita

    2017-07-14

    Person-centered care is a critical component of quality care, essential to enable treatment adherence, and maximize health outcomes. Improving the quality of health services is a key strategy to achieve the new global target of zero preventable maternal deaths by 2030. Recognizing this, the Government of India has in the last decade initiated a number of strategies to address quality of care in health and family welfare services. We conducted a policy review of quality improvement strategies in India from 2005 to 15, covering three critical areas- maternal and newborn health, family planning, and abortion (MNHFP + A). Based on Walt and Gilson's policy triangle framework, we analyzed the extent to which policies incorporated person-centered care, while identifying unaddressed issues. Data was sourced from Government of India websites, scientific and grey literature databases. Twenty-two national policy documents, comprising two policy statements and 20 implementation guidelines of specific schemes were included in the review. Quality improvement strategies span infrastructure, commodities, human resources, competencies, and accountability that are driving quality assurance in MNHFP + A services. However, several implementation challenges have affected compliance with person-centered care, thereby affecting utilization and outcomes. Focus on person-centered care in Indian MNHFP + A policy has increased in recent years. Nevertheless, some aspects must still be strengthened, such as positive interpersonal behavior, information sharing and promptness of care. Implementation can be improved through better provider training, patient feedback and monitoring mechanisms. Moreover, unless persisting structural challenges are addressed implementation of person-centered care in facilities will not be effective.

  10. Multiple perspectives on shared decision-making and interprofessional collaboration in mental healthcare.

    PubMed

    Chong, Wei Wen; Aslani, Parisa; Chen, Timothy F

    2013-05-01

    Shared decision-making is an essential element of patient-centered care in mental health. Since mental health services involve healthcare providers from different professions, a multiple perspective to shared decision-making may be valuable. The objective of this study was to explore the perceptions of different healthcare professionals on shared decision-making and current interprofessional collaboration in mental healthcare. Semi-structured interviews were conducted with 31 healthcare providers from a range of professions, which included medical practitioners (psychiatrists, general practitioners), pharmacists, nurses, occupational therapists, psychologists and social workers. Findings indicated that healthcare providers supported the notion of shared decision-making in mental health, but felt that it should be condition dependent. Medical practitioners advocated a more active participation from consumers in treatment decision-making; whereas other providers (e.g. pharmacists, occupational therapists) focused more toward acknowledging consumers' needs in decisions, perceiving themselves to be in an advisory role in supporting consumers' decision-making. Although healthcare providers acknowledged the importance of interprofessional collaboration, only a minority discussed it within the context of shared decision-making. In conclusion, healthcare providers appeared to have differing perceptions on the level of consumer involvement in shared decision-making. Interprofessional roles to facilitate shared decision-making in mental health need to be acknowledged, understood and strengthened, before an interprofessional approach to shared decision-making in mental health can be effectively implemented.

  11. Envisioning a social-health information exchange as a platform to support a patient-centered medical neighborhood: a feasibility study.

    PubMed

    Nguyen, Oanh Kieu; Chan, Connie V; Makam, Anil; Stieglitz, Heather; Amarasingham, Ruben

    2015-01-01

    Social determinants directly contribute to poorer health, and coordination between healthcare and community-based resources is pivotal to addressing these needs. However, our healthcare system remains poorly equipped to address social determinants of health. The potential of health information technology to bridge this gap across the delivery of healthcare and social services remains unrealized. We conducted in-depth, in-person interviews with 50 healthcare and social service providers to determine the feasibility of a social-health information exchange (S-HIE) in an urban safety-net setting in Dallas County, Texas. After completion of interviews, we conducted a town hall meeting to identify desired functionalities for a S-HIE. We conducted thematic analysis of interview responses using the constant comparative method to explore perceptions about current communication and coordination across sectors, and barriers and enablers to S-HIE implementation. We sought participant confirmation of findings and conducted a forced-rank vote during the town hall to prioritize potential S-HIE functionalities. We found that healthcare and social service providers perceived a need for improved information sharing, communication, and care coordination across sectors and were enthusiastic about the potential of a S-HIE, but shared many technical, legal, and ethical concerns around cross-sector information sharing. Desired technical S-HIE functionalities encompassed fairly simple transactional operations such as the ability to view basic demographic information, visit and referral data, and medical history from both healthcare and social service settings. A S-HIE is an innovative and feasible approach to enabling better linkages between healthcare and social service providers. However, to develop S-HIEs in communities across the country, policy interventions are needed to standardize regulatory requirements, to foster increased IT capability and uptake among social service agencies, and to align healthcare and social service priorities to enable dissemination and broader adoption of this and similar IT initiatives.

  12. Designing a Community-Based Population Health Model.

    PubMed

    Durovich, Christopher J; Roberts, Peter W

    2018-02-01

    The pace of change from volume-based to value-based payment in health care varies dramatically among markets. Regardless of the ultimate disposition of the Affordable Care Act, employers and public-private payers will continue to increase pressure on health care providers to assume financial risk for populations in the form of shared savings, bundled payments, downside risk, or even capitation. This article outlines a suggested road map and practical considerations for health systems that are building or planning to build population health capabilities to meet the needs of their local markets. The authors review the traditional core capabilities needed to address the medical determinants of health for a population. They also share an innovative approach to community service integration to address the social determinants of health and the engagement of families to improve their own health and well-being. The foundational approach is to connect insurance products, the health care delivery system, and community service agencies around the family's well-being goals using human-centered design strategy.

  13. Organizing uninsured safety-net access to specialist physician services.

    PubMed

    Hall, Mark A

    2013-05-01

    Arranging referrals for specialist services is often the greatest difficulty that safety-net access programs face in attempting to provide fairly comprehensive services for the uninsured. When office-based community specialists are asked to care for uninsured patients, they cite the following barriers: difficulty determining which patients merit charity care, having to arrange for services patients need from other providers, and concerns about liability for providing inadequate care. Solutions to these barriers to specialist access can be found in the same institutional arrangements that support primary care and hospital services for the uninsured. These safety-net organization structures can be extended to include specialist physician care by funding community health centers to contract for specialist referrals, using free-standing referral programs to subsidize community specialists who accept uninsured patients at discounted rates, and encouraging hospitals through tax exemption or disproportionate share funding to require specialists on their medical staffs to accept an allocation of uninsured office-based referrals.

  14. Mature data transport and command management services for the Space Station

    NASA Technical Reports Server (NTRS)

    Carper, R. D.

    1986-01-01

    The duplex space/ground/space data services for the Space Station are described. The need to separate the uplink data service functions from the command functions is discussed. Command management is a process shared by an operation control center and a command management system and consists of four functions: (1) uplink data communications, (2) management of the on-board computer, (3) flight resource allocation and management, and (4) real command management. The new data service capabilities provided by microprocessors, ground and flight nodes, and closed loop and open loop capabilities are studied. The need for and functions of a flight resource allocation management service are examined. The system is designed so only users can access the system; the problems encountered with open loop uplink access are analyzed. The procedures for delivery of operational, verification, computer, and surveillance and monitoring data directly to users are reviewed.

  15. Evaluation of patient centered medical home practice transformation initiatives.

    PubMed

    Crabtree, Benjamin F; Chase, Sabrina M; Wise, Christopher G; Schiff, Gordon D; Schmidt, Laura A; Goyzueta, Jeanette R; Malouin, Rebecca A; Payne, Susan M C; Quinn, Michael T; Nutting, Paul A; Miller, William L; Jaén, Carlos Roberto

    2011-01-01

    The patient-centered medical home (PCMH) has become a widely cited solution to the deficiencies in primary care delivery in the United States. To achieve the magnitude of change being called for in primary care, quality improvement interventions must focus on whole-system redesign, and not just isolated parts of medical practices. Investigators participating in 9 different evaluations of Patient Centered Medical Home implementation shared experiences, methodological strategies, and evaluation challenges for evaluating primary care practice redesign. A year-long iterative process of sharing and reflecting on experiences produced consensus on 7 recommendations for future PCMH evaluations: (1) look critically at models being implemented and identify aspects requiring modification; (2) include embedded qualitative and quantitative data collection to detail the implementation process; (3) capture details concerning how different PCMH components interact with one another over time; (4) understand and describe how and why physician and staff roles do, or do not evolve; (5) identify the effectiveness of individual PCMH components and how they are used; (6) capture how primary care practices interface with other entities such as specialists, hospitals, and referral services; and (7) measure resources required for initiating and sustaining innovations. Broad-based longitudinal, mixed-methods designs that provide for shared learning among practice participants, program implementers, and evaluators are necessary to evaluate the novelty and promise of the PCMH model. All PCMH evaluations should as comprehensive as possible, and at a minimum should include a combination of brief observations and targeted qualitative interviews along with quantitative measures.

  16. Interface Specifications for the A-7E Shared Services Module.

    DTIC Science & Technology

    1982-09-08

    To illustrate the principles, the onboard software for the Navy’s A-7E aircraft will be redesigned and rewritten. The Shared Services module provides...purpose of the Shared Services module is to allow the remainder of the software to remain unchanged when the requirements-based rules for these values and...services change. This report describes the modular structure of the Shared Services module, and contains the abstract interface specifications for all

  17. Baseline Suitability Analysis

    DTIC Science & Technology

    2013-07-18

    VA) • DFAS • Human Resources - HR Shared Services (Indianapolis, IN) • Personnel Security - HR Shared Services (Indianapolis, IN) DHRA...Security (Camp Lejeune) No Yes Yes AAFES Human Resources No No No Force Protection Yes Yes Yes DFAS Human Resources - HR Shared Services No...No No Personnel Security - HR Shared Services Yes Yes Yes DLA Human Resources No No Yes Personnel Security Yes Yes Yes DoDEA Human

  18. a European Global Navigation Satellite System — the German Market and Value Adding Chain Effects

    NASA Astrophysics Data System (ADS)

    Vollerthun, A.; Wieser, M.

    2002-03-01

    Since Europe is considering to establish a "market-driven" European Global Navigation Satellite System, the German Center of Aerospace initiated a market research to justify a German investment in such a European project. The market research performed included the following market segments: aviation, railway, road traffic, shipping, surveying, farming, military, space applications, leisure, and sport. In these market segments, the forementioned inputs were determined for satellite navigation hardware (receivers) as well as satellite navigation services. The forecast period was from year 2007 to 2017. For the considered period, the market amounts to a total of DM 83.0 billion (approx. US $50 billion), whereas the satellite navigation equipment market makes up DM 39.8 billion, and charges for value-added-services amount to DM 43.2 billion. On closer examination road traffic can be identified as the dominant market share, both in the receiver-market and service-market. With a share of 96% for receivers and 73% for services the significance of the road traffic segment becomes obvious. The second part of this paper investigates the effects the market potential has on the Value-Adding-Chain. Therefore, all participants in the Value-Adding-Chain are identified, using industrial cost structure models the employment effect is analyzed, and possible tax revenues for the state are examined.

  19. A Cloud-based Infrastructure and Architecture for Environmental System Research

    NASA Astrophysics Data System (ADS)

    Wang, D.; Wei, Y.; Shankar, M.; Quigley, J.; Wilson, B. E.

    2016-12-01

    The present availability of high-capacity networks, low-cost computers and storage devices, and the widespread adoption of hardware virtualization and service-oriented architecture provide a great opportunity to enable data and computing infrastructure sharing between closely related research activities. By taking advantage of these approaches, along with the world-class high computing and data infrastructure located at Oak Ridge National Laboratory, a cloud-based infrastructure and architecture has been developed to efficiently deliver essential data and informatics service and utilities to the environmental system research community, and will provide unique capabilities that allows terrestrial ecosystem research projects to share their software utilities (tools), data and even data submission workflow in a straightforward fashion. The infrastructure will minimize large disruptions from current project-based data submission workflows for better acceptances from existing projects, since many ecosystem research projects already have their own requirements or preferences for data submission and collection. The infrastructure will eliminate scalability problems with current project silos by provide unified data services and infrastructure. The Infrastructure consists of two key components (1) a collection of configurable virtual computing environments and user management systems that expedite data submission and collection from environmental system research community, and (2) scalable data management services and system, originated and development by ORNL data centers.

  20. Establishing Transportation Framework Services Using the Open Geospatial Consortium Web Feature Service Specification

    NASA Astrophysics Data System (ADS)

    Yang, C.; Wong, D. W.; Phillips, T.; Wright, R. A.; Lindsey, S.; Kafatos, M.

    2005-12-01

    As a teamed partnership of the Center for Earth Observing and Space Research (CEOSR) at George Mason University (GMU), Virginia Department of Transportation (VDOT), Bureau of Transportation Statistics at the Department of Transportation (BTS/DOT), and Intergraph, we established Transportation Framework Data Services using Open Geospatial Consortium (OGC)'s Web Feature Service (WFS) Specification to enable the sharing of transportation data among the federal level with data from BTS/DOT, the state level through VDOT, the industries through Intergraph. CEOSR develops WFS solutions using Intergraph software. Relevant technical documents are also developed and disseminated through the partners. The WFS is integrated with operational geospatial systems at CEOSR and VDOT. CEOSR works with Intergraph on developing WFS solutions and technical documents. GeoMedia WebMap WFS toolkit is used with software and technical support from Intergraph. ESRI ArcIMS WFS connector is used with GMU's campus license of ESRI products. Tested solutions are integrated with framework data service operational systems, including 1) CEOSR's interoperable geospatial information services, FGDC clearinghouse Node, Geospatial One Stop (GOS) portal, and WMS services, 2) VDOT's state transportation data and GIS infrastructure, and 3)BTS/DOT's national transportation data. The project presents: 1) develop and deploy an operational OGC WFS 1.1 interfaces at CEOSR for registering with FGDC/GOS Portal and responding to Web ``POST'' requests for transportation Framework data as listed in Table 1; 2) build the WFS service that can return the data that conform to the drafted ANSI/INCITS L1 Standard (when available) for each identified theme in the format given by OGC Geography Markup Language (GML) Version 3.0 or higher; 3) integrate the OGC WFS with CEOSR's clearinghouse nodes, 4) establish a formal partnership to develop and share WFS-based geospatial interoperability technology among GMU, VDOT, BTS/DOT, and Intergraph; and 5) develop WFS-based solutions and technical documents using the GeoMedia WebMap WFS toolkit. Geospatial Web Feature Service is demonstrated to be more efficient in sharing vector data and supports direct Internet access transportation data. Developed WFS solutions also enhanced the interoperable service provided by CEOSR through the FGDC clearinghouse node and the GOS Portal.

  1. Integrating hydrologic modeling web services with online data sharing to prepare, store, and execute models in hydrology

    NASA Astrophysics Data System (ADS)

    Gan, T.; Tarboton, D. G.; Dash, P. K.; Gichamo, T.; Horsburgh, J. S.

    2017-12-01

    Web based apps, web services and online data and model sharing technology are becoming increasingly available to support research. This promises benefits in terms of collaboration, platform independence, transparency and reproducibility of modeling workflows and results. However, challenges still exist in real application of these capabilities and the programming skills researchers need to use them. In this research we combined hydrologic modeling web services with an online data and model sharing system to develop functionality to support reproducible hydrologic modeling work. We used HydroDS, a system that provides web services for input data preparation and execution of a snowmelt model, and HydroShare, a hydrologic information system that supports the sharing of hydrologic data, model and analysis tools. To make the web services easy to use, we developed a HydroShare app (based on the Tethys platform) to serve as a browser based user interface for HydroDS. In this integration, HydroDS receives web requests from the HydroShare app to process the data and execute the model. HydroShare supports storage and sharing of the results generated by HydroDS web services. The snowmelt modeling example served as a use case to test and evaluate this approach. We show that, after the integration, users can prepare model inputs or execute the model through the web user interface of the HydroShare app without writing program code. The model input/output files and metadata describing the model instance are stored and shared in HydroShare. These files include a Python script that is automatically generated by the HydroShare app to document and reproduce the model input preparation workflow. Once stored in HydroShare, inputs and results can be shared with other users, or published so that other users can directly discover, repeat or modify the modeling work. This approach provides a collaborative environment that integrates hydrologic web services with a data and model sharing system to enable model development and execution. The entire system comprised of the HydroShare app, HydroShare and HydroDS web services is open source and contributes to capability for web based modeling research.

  2. Regionalization of Health Care Services within the Department of Defense

    DTIC Science & Technology

    1981-02-01

    systems that were linked by formal and informal sharing, coordination, and cooperation. Shared services , cross utilization of personnel, and other limited...wasappearing in the private sector. This effort was in the form of multihospital systems and shared services organizations. These arrangements were...these are considered to be of greatest Importance when looking at the 8 reasons for success of multihospital systems and shared services arrangements

  3. Benefits and risks of shared services in healthcare.

    PubMed

    Kennewell, Suzanne; Baker, Laura

    2016-05-16

    Purpose - The purpose of this paper is to explore the experiences of staff in a large, public health service involved in transitioning support services to a shared services model. It aims to understand their perceptions of the benefits and risks arising from this change. Design/methodology/approach - Thematic analysis of qualitative data from semi-structured interviews with both service provider and customer agency staff was used to identify, analyze and report patterns of benefits and risks within data. Findings - Staff expressed the need for relevant subject-matter-experts to work within customer agencies to facilitate effective communication between the customer agency and shared services provider, reflecting observations found in out-sourcing literature. Research limitations/implications - Results point to significant challenges continuing to occur for shared services in healthcare. Risks identified suggest a more intimate relationship between clinical and support services than previously discussed. Originality/value - Previous discussion of the shared services model has not considered the skills, knowledge and ability required by staff in the customer agency. This research indicates that in the absence of such consideration, the concepts of the shared services model are weakened.

  4. Service mix in the hospital outpatient department: implications for Medicare payment reform.

    PubMed Central

    Miller, M E; Sulvetta, M B; Englert, E

    1995-01-01

    OBJECTIVE. To determine if implementation of a PPS for Medicare hospital outpatient department (HOPD) services will have distributional consequences across hospital types and regions, this analysis assesses variation in service mix and the provision of high-technology services in the HOPD. DATA. HCFA's 1990 claims file for a 5 percent random sample of Medicare beneficiaries using the HOPD was merged, by hospital provider number, with various HCFA hospital characteristic files. STUDY DESIGN. Hospital characteristics examined are urban/rural location, teaching status, disproportionate-share status, and bed size. Two analyses of HOPD services are presented: mix of services provided and the provision of high-technology services. The mix of services is measured by the percentage of services in each of 14 type-of-service categories (e.g., medical visits, advanced imaging services, diagnostic testing services). Technology provision is measured by the percentage of hospitals providing selected high-technology services. FINDINGS/CONCLUSIONS. The findings suggest that the role hospital types play in providing HOPD services warrants consideration in establishing a PPS. HOPDs in major teaching hospitals and hospitals serving a disproportionate share of the poor play an important role in providing routine visits. HOPDs in both major and minor teaching hospitals are important providers of high-technology services. Other findings have implications for the structure of an HOPD PPS as well. First, over half of the services provided in the HOPD are laboratory tests and HOPDs may have limited control over these services since they are often for patients referred from local physician offices. Second, service mix and technology provision vary markedly among regions, suggesting the need for a transition to prospective payment. Third, the organization of service supply in a region may affect service provision in the HOPD suggesting that an HOPD PPS needs to be coordinated with payment policies in competing sites of care (e.g., ambulatory surgical centers). PMID:7721585

  5. Utilities Cost Comparison Analysis between a Public Work Center and the Non-DoD Sector

    DTIC Science & Technology

    1992-12-01

    construction, consider innovative financing and 14 management arrangements (e.g. cost-sharing, public-private venture, leasing). Integrate...and services by financing all incurred costs. 27 Cash is put back into the working capital fund when customers pay cash from their O&M,N funds for the...firms, and other significantly sized business firms. The actual participants of the study may or may not be included in this listing. Disneyland was

  6. Servant leadership: enhancing quality of care and staff satisfaction.

    PubMed

    Neill, Mark W; Saunders, Nena S

    2008-09-01

    Servant leadership encompasses a powerful skill set that is particularly effective in implementing a team approach to the delivery of nursing practice. This model encourages the professional growth of nurses and simultaneously promotes the improved delivery of healthcare services through a combination of interdisciplinary teamwork, shared decision making, and ethical behavior. The authors describe the case application of servant leadership principles in a Department of Veterans Affairs Medical Intensive Care Unit located in a large urban center.

  7. Business Case Analysis of the Towed Gilder Air Launched System (TGALS)

    NASA Technical Reports Server (NTRS)

    Webb, Darryl W.; Nguyen, McLinton B.; Seibold, Robert W.; Wong, Frank C.; Budd, Gerald D.

    2017-01-01

    The Aerospace Corporation developed an integrated Business Case Analysis (BCA) model on behalf of the NASA Armstrong Flight Research Center (AFRC). This model evaluated the potential profitability of the Towed Glider Air Launched System (TGALS) concept, under development at AFRC, identifying potential technical, programmatic, and business decisions that could improve its business viability. The model addressed system performance metrics; development, production and operation cost estimates; market size and product service positioning; pricing alternatives; and market share.

  8. Post-disaster Gulf Coast Recovery Using Telehealth

    PubMed Central

    Kim, Thomas J.; Eastburn, Sasha L.; Icenogle, Marjorie L.; Slagle, Michelle; Nuriddin, Azizeh H.; Brantley, Katrina M.; Foreman, Rachel D.; Buckner, Ayanna V.

    2013-01-01

    Abstract Objective: The Gulf Coast continues to struggle with service need far outpacing available resources. Since 2005, the Regional Coordinating Center for Hurricane Response (RCC) at Morehouse School of Medicine, Atlanta, GA, has supported telehealth solutions designed to meet high service needs (e.g., psychiatry) within primary care and other healthcare organizations. The overall RCC vision is to support autonomous, useful, and sustainable telehealth programs towards mitigating unmet disaster-related needs. Subjects and Methods: To assess Gulf Coast telehealth experiences, we conducted semistructured interviews with both regional key informants and national organizations with Gulf Coast recovery interests. Using qualitative-descriptive analysis, interview transcripts were analyzed to identify shared development themes. Results: Thirty-eight key informants were interviewed, representing a 77.6% participation rate among organizations engaged by the RCC. Seven elements critical to telehealth success were identified: Funding, Regulatory, Workflow, Attitudes, Personnel, Technology, and Evaluation. These key informant accounts reveal shared insights with telehealth regarding successes, challenges, and recommendations. Conclusions: The seven elements critical to telehealth success both confirm and organize development principles from a diverse collective of healthcare stakeholders. The structured nature of these insights suggests a generalizable framework upon which other organizations might develop telehealth strategies toward addressing high service needs with limited resources. PMID:23427981

  9. The Evolution of the Shared Services Business Unit.

    ERIC Educational Resources Information Center

    Forst, Leland

    2000-01-01

    Explains shared services, where common business practices are applied by a staff unit focused entirely on delivering needed services at the highest value and lowest cost to internal customers. Highlights include accountability; examples of pioneering shared services organizations; customer focus transition; relationship management; expertise…

  10. 7 CFR 762.147 - Servicing shared appreciation agreements.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 7 Agriculture 7 2014-01-01 2014-01-01 false Servicing shared appreciation agreements. 762.147 Section 762.147 Agriculture Regulations of the Department of Agriculture (Continued) FARM SERVICE AGENCY, DEPARTMENT OF AGRICULTURE SPECIAL PROGRAMS GUARANTEED FARM LOANS § 762.147 Servicing shared appreciation...

  11. Developing Expert System for Tuberculosis Diagnose to Support Knowledge Sharing in the Era of National Health Insurance System

    NASA Astrophysics Data System (ADS)

    Lidya, L.

    2017-03-01

    National Health Insurance has been implemented since 1st January 2014. A number of new policies have been established including multilevel referral system. The multilevel referral system classified health care center into three levels, it determined that the flow of patient treatment should be started from first level health care center. There are 144 kind of diseases that must be treat in the first level which mainly consists of general physicians. Unfortunately, competence of the physician in the first level may not fulfil the standard competence yet. To improved the physisians knowledge, government has created many events to accelerate knowledge sharing. However, it still needs times and many resources to give significan results. Expert system is kind of software that provide consulting services to non-expert users in accordance with the area of its expertise. It can improved effectivity and efficiency of knowledge sharing and learning. This research was developed a model of TB diagnose expert system which comply with the standard procedure of TB diagnosis and regulation. The proposed expert system has characteristics as follows provide facility to manage multimedia clinical data, supporting the complexity of TB diagnosis (combine rule-based and case-based expert system), interactive interface, good usability, multi-platform, evolutionary.

  12. Alternative Fuels Data Center: About the Alternative Fuels Data Center

    Science.gov Websites

    About Printable Version Share this resource Send a link to Alternative Fuels Data Center: About the Alternative Fuels Data Center to someone by E-mail Share Alternative Fuels Data Center: About the Alternative Fuels Data Center on Facebook Tweet about Alternative Fuels Data Center: About the Alternative Fuels

  13. Function Specifications for the A-7E Function Driver Module.

    DTIC Science & Technology

    1981-11-27

    Computer interface specifications (HEN181). The services and values provided by the Shared Services module are accurately described in the Shared Services Module...None$) FD.7.l.3.1 FD.7.1.7.1 5517a FD.App3 -5 Appendix 3 Event List (Alphabetical) Events Signalled by other Shared Services submodules @F( ABSCI+ip az...the Shared Services and Device Interface modules. Al; Answer this question for each table that appears in the function driver specification being

  14. Two Years of International Cooperation on Conjunction Mitigation

    NASA Astrophysics Data System (ADS)

    Kelso, T. S.

    2010-09-01

    In an effort to mitigate the risks associated with satellite close approaches in the geostationary belt, several satellite operators came together in early 2008 to establish what is now known as the GEO Data Center. The GEO Data Center initially provided a framework for satellite operators to share orbital data for their fleets of satellites to be used to perform conjunction analysis and provide automated notification of close approaches via the SOCRATES-GEO system. After two years of operations, the GEO Data Center now has 14 members providing data for 186 satellites. Since the Iridium 33-Cosmos 2251 collision, a parallel system was set up with a LEO Data Center, which already has seven members providing data for 101 satellites. These data centers have already shown the significant benefit of sharing orbital data, particularly in terms of reducing positional uncertainty and, thereby, the number of false alarms. This paper will address the current framework for these efforts, highlighting how a service-oriented architecture is used to support orbital operations and increase efficiency of analysis and resolution of risk-mitigation tasks. It will show how the interactive work flow is used to quickly assess new maneuvers to determine whether they have successfully reduced the chances of a particular close approach without causing other close approaches elsewhere. It will also show how independent space situational awareness organizations can be employed to provide a more complete picture of the threat from nonparticipating satellites and the debris population.

  15. School Co-ops and Shared Media Services

    ERIC Educational Resources Information Center

    Miller, Thomas E.

    1973-01-01

    Examines shared services through school system cooperatives as one of the most promising alternatives to the reorganization of small school districts. Criteria are proposed for selection of services to be shared. Nine types of media services are discussed that could be provided appropriately through school cooperatives. (Author/WM)

  16. Integrated Air Surveillance Concept of Operations

    DTIC Science & Technology

    2011-11-01

    information, intelligence, weather data, and other situational awareness-related information. 4.2.4 Shared Services Automated processing of sensor and...other surveillance information will occur through shared services , accessible through an enterprise network infrastructure, that provide for collecting...also be provided, such as information discovery and translation. The IS architecture effort will identify specific shared services . Shared

  17. Increased Screening for Child Physical Abuse in Emergency Departments in a Regional Trauma System: Response to a Sentinel Event.

    PubMed

    Wilkins, Ginger G; Ball, Jane; Mann, N Clay; Nadkarni, Milan; Meredith, J Wayne

    2016-01-01

    A pediatric patient was assaulted while being treated at a Level 1 pediatric trauma center, prompting a Centers for Medicare & Medicaid Services site visit. The process of screening for physical abuse and protection of patients was reevaluated and revised, and a new guideline was implemented and shared with referral hospitals. During this same time period, 13 referral hospitals participated in an unrelated federally funded study determining the impact of recognition and care of injured children in states with and without a pediatric emergency care facility recognition program. A pre-post study analysis revealed that screening for abuse doubled during this time period.

  18. Costing Information Services

    PubMed Central

    Lutz, Raymond P.

    1971-01-01

    Information centers are being established for many disciplines. For the medical profession, users can benefit directly from these centers by having information searched by medical library professionals and readily available. If the users of an information system are to share in the operating expenses, some equitable system of charges must be established. The numerous systems of establishing user charges are listed and discussed, with the advantages or disadvantages of each system explained. After the systems have been reviewed, alternative methods of establishing prices are presented along with a typical example of what these prices might be, ranging from $7.50 to $2.50 per request. The implementation of the cost system is outlined and certain philosophical questions are posed. PMID:5582090

  19. KSC-08pd3590

    NASA Image and Video Library

    2008-11-07

    CAPE CANAVERAL, Fla. – Center Director Bob Cabana presents an award to retired U.S. Air Force Lt. Col. Lee A. Archer Jr., one of the Tuskegee Airmen, during a special presentation to the work force at NASA's Kennedy Space Center in Florida. Archer shared his experiences as combat fighter pilot, civil rights leader and business executive. Archer is the only Tuskegee Airmen fighter pilot to receive the honor “Ace” for shooting down five enemy aircraft during WWII. He retired as Air Force Command Pilot after 30 years of military service, 1941-1971. Archer is at Kennedy to serve as Military Marshall of the 2008 KSC Space & Air Show, Nov. 8-9. Photo credit: NASA/Kim Shiflett

  20. KSC-08pd3591

    NASA Image and Video Library

    2008-11-07

    CAPE CANAVERAL, Fla. – Retired U.S. Air Force Lt. Col. Lee A. Archer Jr. (seated at center), one of the Tuskegee Airmen, autographs photos for guests after a special presentation to the work force at NASA's Kennedy Space Center in Florida. Archer shared his experiences as combat fighter pilot, civil rights leader and business executive. Archer is the only Tuskegee Airmen fighter pilot to receive the honor “Ace” for shooting down five enemy aircraft during WWII. He retired as Air Force Command Pilot after 30 years of military service, 1941-1971. Archer is at Kennedy to serve as Military Marshall of the 2008 KSC Space & Air Show, Nov. 8-9. Photo credit: NASA/Kim Shiflett

  1. Government Cloud Computing Policies: Potential Opportunities for Advancing Military Biomedical Research.

    PubMed

    Lebeda, Frank J; Zalatoris, Jeffrey J; Scheerer, Julia B

    2018-02-07

    This position paper summarizes the development and the present status of Department of Defense (DoD) and other government policies and guidances regarding cloud computing services. Due to the heterogeneous and growing biomedical big datasets, cloud computing services offer an opportunity to mitigate the associated storage and analysis requirements. Having on-demand network access to a shared pool of flexible computing resources creates a consolidated system that should reduce potential duplications of effort in military biomedical research. Interactive, online literature searches were performed with Google, at the Defense Technical Information Center, and at two National Institutes of Health research portfolio information sites. References cited within some of the collected documents also served as literature resources. We gathered, selected, and reviewed DoD and other government cloud computing policies and guidances published from 2009 to 2017. These policies were intended to consolidate computer resources within the government and reduce costs by decreasing the number of federal data centers and by migrating electronic data to cloud systems. Initial White House Office of Management and Budget information technology guidelines were developed for cloud usage, followed by policies and other documents from the DoD, the Defense Health Agency, and the Armed Services. Security standards from the National Institute of Standards and Technology, the Government Services Administration, the DoD, and the Army were also developed. Government Services Administration and DoD Inspectors General monitored cloud usage by the DoD. A 2016 Government Accountability Office report characterized cloud computing as being economical, flexible and fast. A congressionally mandated independent study reported that the DoD was active in offering a wide selection of commercial cloud services in addition to its milCloud system. Our findings from the Department of Health and Human Services indicated that the security infrastructure in cloud services may be more compliant with the Health Insurance Portability and Accountability Act of 1996 regulations than traditional methods. To gauge the DoD's adoption of cloud technologies proposed metrics included cost factors, ease of use, automation, availability, accessibility, security, and policy compliance. Since 2009, plans and policies were developed for the use of cloud technology to help consolidate and reduce the number of data centers which were expected to reduce costs, improve environmental factors, enhance information technology security, and maintain mission support for service members. Cloud technologies were also expected to improve employee efficiency and productivity. Federal cloud computing policies within the last decade also offered increased opportunities to advance military healthcare. It was assumed that these opportunities would benefit consumers of healthcare and health science data by allowing more access to centralized cloud computer facilities to store, analyze, search and share relevant data, to enhance standardization, and to reduce potential duplications of effort. We recommend that cloud computing be considered by DoD biomedical researchers for increasing connectivity, presumably by facilitating communications and data sharing, among the various intra- and extramural laboratories. We also recommend that policies and other guidances be updated to include developing additional metrics that will help stakeholders evaluate the above mentioned assumptions and expectations. Published by Oxford University Press on behalf of the Association of Military Surgeons of the United States 2018. This work is written by (a) US Government employee(s) and is in the public domain in the US.

  2. The CUAHSI Water Data Center: Enabling Data Publication, Discovery and Re-use

    NASA Astrophysics Data System (ADS)

    Seul, M.; Pollak, J.

    2014-12-01

    The CUAHSI Water Data Center (WDC) supports a standards-based, services-oriented architecture for time-series data and provides a separate service to publish spatial data layers as shape files. Two new services that the WDC offers are a cloud-based server (Cloud HydroServer) for publishing data and a web-based client for data discovery. The Cloud HydroServer greatly simplifies data publication by eliminating the need for scientists to set up an SQL-server data base, a requirement that has proven to be a significant barrier, and ensures greater reliability and continuity of service. Uploaders have been developed to simplify the metadata documentation process. The web-based data client eliminates the need for installing a program to be used as a client and works across all computer operating systems. The services provided by the WDC is a foundation for big data use, re-use, and meta-analyses. Using data transmission standards enables far more effective data sharing and discovery; standards used by the WDC are part of a global set of standards that should enable scientists to access unprecedented amount of data to address larger-scale research questions than was previously possible. A central mission of the WDC is to ensure these services meet the needs of the water science community and are effective at advancing water science.

  3. KSC-2012-1545

    NASA Image and Video Library

    2012-02-23

    ORLANDO, Fla. -- The winners of NASA’s Quality and Safety Achievement Recognition, or QASAR, awards for 2011 pose for a group portrait during NASA’s ninth annual Project Management Challenge. From left are Teri Hamlin, Johnson Space Center Joseph B. Hamilton, Kennedy Space Center Francis “Frank” Merceret, Kennedy Space Center and Venki Venkat, Langley Research Center. Kennedy retiree Humberto "Bert" T. Garrido, not pictured, also received the award. NASA's QASAR award recognizes individual government and contractor employees who have demonstrated exemplary performance in contributing to the quality or safety of products, services, processes, or management programs and activities. PM Challenge 2012 was held at the Caribe Royale Hotel and Convention Center in Orlando, Fla., on February 22-23, to provide a forum for all stakeholders in the project management community to meet and share stories, lessons learned and new uses of technology in the industry. The PM Challenge is sponsored by NASA's Office of the Chief Engineer. For additional information, visit http://www.nasa.gov/offices/oce/pmchallenge/index.html. Photo credit: NASA/Jim Grossmann

  4. Research on Using the Naturally Cold Air and the Snow for Data Center Air-conditioning, and Humidity Control

    NASA Astrophysics Data System (ADS)

    Tsuda, Kunikazu; Tano, Shunichi; Ichino, Junko

    To lower power consumption has becomes a worldwide concern. It is also becoming a bigger area in Computer Systems, such as reflected by the growing use of software-as-a-service and cloud computing whose market has increased since 2000, at the same time, the number of data centers that accumulates and manages the computer has increased rapidly. Power consumption at data centers is accounts for a big share of the entire IT power usage, and is still rapidly increasing. This research focuses on the air-conditioning that occupies accounts for the biggest portion of electric power consumption by data centers, and proposes to develop a technique to lower the power consumption by applying the natural cool air and the snow for control temperature and humidity. We verify those effectiveness of this approach by the experiment. Furthermore, we also examine the extent to which energy reduction is possible when a data center is located in Hokkaido.

  5. Virtualization of open-source secure web services to support data exchange in a pediatric critical care research network.

    PubMed

    Frey, Lewis J; Sward, Katherine A; Newth, Christopher J L; Khemani, Robinder G; Cryer, Martin E; Thelen, Julie L; Enriquez, Rene; Shaoyu, Su; Pollack, Murray M; Harrison, Rick E; Meert, Kathleen L; Berg, Robert A; Wessel, David L; Shanley, Thomas P; Dalton, Heidi; Carcillo, Joseph; Jenkins, Tammara L; Dean, J Michael

    2015-11-01

    To examine the feasibility of deploying a virtual web service for sharing data within a research network, and to evaluate the impact on data consistency and quality. Virtual machines (VMs) encapsulated an open-source, semantically and syntactically interoperable secure web service infrastructure along with a shadow database. The VMs were deployed to 8 Collaborative Pediatric Critical Care Research Network Clinical Centers. Virtual web services could be deployed in hours. The interoperability of the web services reduced format misalignment from 56% to 1% and demonstrated that 99% of the data consistently transferred using the data dictionary and 1% needed human curation. Use of virtualized open-source secure web service technology could enable direct electronic abstraction of data from hospital databases for research purposes. © The Author 2015. Published by Oxford University Press on behalf of the American Medical Informatics Association. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  6. Provision of CT Scanning Capability to VA/DoD (Veterans Administration/ Department of Defense) Health Care Facilities through a Shared Mobile CT Unit: A Feasibility Study

    DTIC Science & Technology

    1984-07-27

    all Federal sectoT facilities. Shared services have long been recna, nzed as one way to reduce costs, throuph optima’ itilizaticn of capacity, but...stock arguments against shared services . A CT scanner may be installed in a mobile van and the service moved in its entirety from hospital to hospital...annually. This severely restricted further acquisition by hospitals in most health service areas (5,9,14). Shared Services : A Response to Regulation

  7. Dynamic User Interfaces for Service Oriented Architectures in Healthcare.

    PubMed

    Schweitzer, Marco; Hoerbst, Alexander

    2016-01-01

    Electronic Health Records (EHRs) play a crucial role in healthcare today. Considering a data-centric view, EHRs are very advanced as they provide and share healthcare data in a cross-institutional and patient-centered way adhering to high syntactic and semantic interoperability. However, the EHR functionalities available for the end users are rare and hence often limited to basic document query functions. Future EHR use necessitates the ability to let the users define their needed data according to a certain situation and how this data should be processed. Workflow and semantic modelling approaches as well as Web services provide means to fulfil such a goal. This thesis develops concepts for dynamic interfaces between EHR end users and a service oriented eHealth infrastructure, which allow the users to design their flexible EHR needs, modeled in a dynamic and formal way. These are used to discover, compose and execute the right Semantic Web services.

  8. Realizing Shared Services--A Punctuated Process Analysis of a Public IT Department

    ERIC Educational Resources Information Center

    Olsen, Timothy John

    2012-01-01

    IT services are increasingly being offered via a shared service model. This model promises the benefits of centralization and consolidation, as well as an increased customer satisfaction. Adopting shared services is not easy as it necessitates a major organizational change, with few documented exemplars to guide managers. This research explores a…

  9. 42 CFR 447.52 - Minimum and maximum income-related charges.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... agency imposes cost sharing under § 447.54, the process by which hospital emergency room services are... option, cost sharing imposed for any service (other than for drugs and non-emergency services furnished... group under § 447.56(a), and (iii) For cost sharing imposed for non-emergency services furnished in an...

  10. A Shared Service Approach for Children with Behavioral Disorders.

    ERIC Educational Resources Information Center

    Clark, Isabelle M.

    The Saskatoon Region Shared Service was formed by one urban and three adjoining rural school divisions in Saskatchewan (Canada), to serve a small, widespread population base of special needs students. The Shared Service established the Behavior Adjustment Model to develop a continuum of services for children with social and emotional problems. The…

  11. A Comparison of Center/TRACON Automation System and Airline Time of Arrival Predictions

    NASA Technical Reports Server (NTRS)

    Heere, Karen R.; Zelenka, Richard E.

    2000-01-01

    Benefits from information sharing between an air traffic service provider and a major air carrier are evaluated. Aircraft arrival time schedules generated by the NASA/FAA Center/TRACON Automation System (CTAS) were provided to the American Airlines System Operations Control Center in Fort Worth, Texas, during a field trial of a specialized CTAS display. A statistical analysis indicates that the CTAS schedules, based on aircraft trajectories predicted from real-time radar and weather data, are substantially more accurate than the traditional airline arrival time estimates, constructed from flight plans and en route crew updates. The improvement offered by CTAS is especially advantageous during periods of heavy traffic and substantial terminal area delay, allowing the airline to avoid large predictive errors with serious impact on the efficiency and profitability of flight operations.

  12. Growing the Next Generation of Data Professionals at the National Center for Atmospheric Research

    NASA Astrophysics Data System (ADS)

    Hou, C. Y.; Worley, S. J.; Mayernik, M. S.

    2017-12-01

    As a federally funded research and development center by the National Science Foundation, being able to provide education in order to advance scientific research is a top priority at the National Center for Atmospheric Research (NCAR). Among the various education programs available at the NCAR, the Data Stewardship Engineering Team (DSET) is working with students and early career professionals from the Library and Information Science (LIS) discipline. This LIS group is passionate about learning more about how to optimize the value of research information and often have innovative ideas regarding how to meet current as well as emerging information needs. As a new data initiative that focuses on developing the next generation data services, the NCAR DSET and its Digital Asset Services Hub is a rich, practical environment that provides opportunities for attaining experience and growing dedicated data stewards for the atmospheric and geosciences. In this presentation, the authors will describe the NCAR DSET's new outreach program. We will highlight the process that we are using to engage students and early career information scientists/librarians. This process allows them to acquire practical, hands-on data management and curation skills specific to the Earth sciences by enabling them to participate in an interdisciplinary environment as well as contribute to collaborative activities. We will also discuss the factors that influenced the structuring of the program, and share the current results and lessons learned. Ultimately, we aim to strengthen the NCAR's educational contribution to and collaboration with the LIS discipline by: 1) documenting the experience and soliciting feedback regarding the ways in which we could further expand the mutual interests of Earth sciences and LIS education curricula, and 2) sharing the findings and impacts of the outreach program at NCAR with the education community.

  13. Fort Collins Science Center

    USGS Publications Warehouse

    Banowetz, Michele

    2004-01-01

    FORT serves all Department of the Interior land management bureaus and other natural resource agencies. In addition, FORT scientists partner with DOI and other federal entities such as CDC, DOE, EPA, NASA, NIH, and USDA to share expertise and resources. FORT also partners with several universities and works cooperatively with states and nongovernmental organizations. Products and services include reports and publications, predictive models and software, maps and GIS products, and other technical assistance in the form of meetings, workshops, training, field visits, and needs assessments.

  14. A Study of the Linen and Laundry Control Procedures at the U.S. Air Force Medical Center, Wright-Patterson Air Force Base, Ohio.

    DTIC Science & Technology

    1980-08-01

    and Neck Surgery Obstetrics Infectious Diseases Internal Medicine Ocular Prosthesis Surgery Oral Surgery Orthopedic Surgery Maxillofacial Surgery...standpoint of an ability to adequately and correctly function and was a fertile area for review and examination. Statement of the Problem The problem was...was not favorable with shared base use laundry services, it should not be considered as a vote of "no-confidence" for its use industry wide. A review

  15. Retail battle for conservation dollars

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

    McCaughey, J.

    1981-07-16

    Large companies are entering the profitable retail market with conservation equipment and services that will compete for a share of the $10 to $80 billion Americans will spend on energy efficiency this year. Energy centers and clinics are also opening around the country to market products and compete with the utilities for energy audit business. The new retailing efforts are counting on homeowners' willingness to spend money to lower their energy bills. The smaller companies hope to hold their own against competition from large corporations. (DCK)

  16. 2011 NASA Day at the Capitol

    NASA Image and Video Library

    2011-02-10

    Astronaut Steven Swanson (front) speaks to members of the Mississippi Senate in chambers, with Lt. Gov. Phil Bryant presiding (rear), during NASA Day at the Capitol in Jackson on Feb. 10. Swanson was joined at the podium by Sen. David Baria, D-Bay St. Louis (l to r), NASA Shared Services Center Executive Director Rick Arbuthnot, Stennis Director Patrick Scheuermann, Sen. Ezell Lee, D-Picayune, and Sen. Billy Hewes, R-Gulfport. Baria, Lee and Hewes all are members of the Mississippi Senate Gulf Coast delegation.

  17. Alternative Fuels Data Center: Natural Gas

    Science.gov Websites

    Natural Gas Printable Version Share this resource Send a link to Alternative Fuels Data Center : Natural Gas to someone by E-mail Share Alternative Fuels Data Center: Natural Gas on Facebook Tweet about Alternative Fuels Data Center: Natural Gas on Twitter Bookmark Alternative Fuels Data Center: Natural Gas on

  18. Research data management support for large-scale, long-term, interdisciplinary collaborative research centers with a focus on environmental sciences

    NASA Astrophysics Data System (ADS)

    Curdt, C.; Hoffmeister, D.; Bareth, G.; Lang, U.

    2017-12-01

    Science conducted in collaborative, cross-institutional research projects, requires active sharing of research ideas, data, documents and further information in a well-managed, controlled and structured manner. Thus, it is important to establish corresponding infrastructures and services for the scientists. Regular project meetings and joint field campaigns support the exchange of research ideas. Technical infrastructures facilitate storage, documentation, exchange and re-use of data as results of scientific output. Additionally, also publications, conference contributions, reports, pictures etc. should be managed. Both, knowledge and data sharing is essential to create synergies. Within the coordinated programme `Collaborative Research Center' (CRC), the German Research Foundation offers funding to establish research data management (RDM) infrastructures and services. CRCs are large-scale, interdisciplinary, multi-institutional, long-term (up to 12 years), university-based research institutions (up to 25 sub-projects). These CRCs address complex and scientifically challenging research questions. This poster presents the RDM services and infrastructures that have been established for two CRCs, both focusing on environmental sciences. Since 2007, a RDM support infrastructure and associated services have been set up for the CRC/Transregio 32 (CRC/TR32) `Patterns in Soil-Vegetation-Atmosphere-Systems: Monitoring, Modelling and Data Assimilation' (www.tr32.de). The experiences gained have been used to arrange RDM services for the CRC1211 `Earth - Evolution at the Dry Limit' (www.crc1211.de), funded since 2016. In both projects scientists from various disciplines collect heterogeneous data at field campaigns or by modelling approaches. To manage the scientific output, the TR32DB data repository (www.tr32db.de) has been designed and implemented for the CRC/TR32. This system was transferred and adapted to the CRC1211 needs (www.crc1211db.uni-koeln.de) in 2016. Both repositories support secure and sustainable data storage, backup, documentation, publication with DOIs, search, download, statistics as well as web mapping features. Moreover, RDM consulting and support services as well as training sessions are carried out regularly.

  19. Evaluation of Patient Centered Medical Home Practice Transformation Initiatives

    PubMed Central

    Crabtree, Benjamin F.; Chase, Sabrina M.; Wise, Christopher G.; Schiff, Gordon D.; Schmidt, Laura A.; Goyzueta, Jeanette R.; Malouin, Rebecca A.; Payne, Susan M. C.; Quinn, Michael T.; Nutting, Paul A.; Miller, William L.; Jaén, Carlos Roberto

    2011-01-01

    Background The patient-centered medical home (PCMH) has become a widely cited solution to the deficiencies in primary care delivery in the United States. To achieve the magnitude of change being called for in primary care, quality improvement interventions must focus on whole-system redesign, and not just isolated parts of medical practices. Methods Investigators participating in 9 different evaluations of Patient Centered Medical Home implementation shared experiences, methodological strategies, and evaluation challenges for evaluating primary care practice redesign. Results A year-long iterative process of sharing and reflecting on experiences produced consensus on 7 recommendations for future PCMH evaluations: (1) look critically at models being implemented and identify aspects requiring modification; (2) include embedded qualitative and quantitative data collection to detail the implementation process; (3) capture details concerning how different PCMH components interact with one another over time; (4) understand and describe how and why physician and staff roles do, or do not evolve; (5) identify the effectiveness of individual PCMH components and how they are used; (6) capture how primary care practices interface with other entities such as specialists, hospitals, and referral services; and (7) measure resources required for initiating and sustaining innovations. Conclusions Broad-based longitudinal, mixed-methods designs that provide for shared learning among practice participants, program implementers, and evaluators are necessary to evaluate the novelty and promise of the PCMH model. All PCMH evaluations should as comprehensive as possible, and at a minimum should include a combination of brief observations and targeted qualitative interviews along with quantitative measures. PMID:21079525

  20. Exploring the characteristics of high-performing hospitals that influence trauma triage and transfer.

    PubMed

    Gagliardi, Anna R; Nathens, Avery B

    2015-02-01

    Many trauma patients might be first cared for at nondesignated centers before transfer to a trauma center. Limited research has investigated determinants of timely triage and transfer to identify those amenable to quality improvement. This study explored factors influencing timely triage and transfer in a regional trauma system. Centers (n = 15) with both long and short transfer times (emergency department length of stay before transfer) in Ontario were identified using a regional trauma registry. Physicians and nurses in these centers were interviewed with a view to determining factors that either impeded or enabled rapid decisions regarding the need for transfer to a trauma center. A grounded theory approach and constant comparative technique were used to collect and analyze data. Nineteen physicians and eight nurses participated. Clinician level (experience, training, personality, fear of judgment, nursing role), institutional level (guidelines, continuing education, trauma infrastructure, human resources) and system-level (bed availability, referral center, air transport, communication with trauma centers) factors influenced timely decision making. Participants offered several recommendations to improve care. These included guidelines for transfer, a "no refusal" policy at trauma centers, improved air transport and referral center services, as well as further regionalization. Additional features of hospitals with shorter transfer times included coaching of new staff, team meetings, leadership engagement, sharing of performance data, and minimum work hours for physicians. Numerous interacting factors that may influence trauma triage and transfer were identified. These findings can be used by policy makers, health care managers, and clinicians in emergency departments or trauma centers to evaluate and improve trauma triage and transfer, or plan new services. The findings can also be used by researchers to examine the relevance of these factors in other settings or to implement and evaluate the impact of interventions informed by recommendations generated here.

  1. EXPANSION of diabetes education in a United States-Mexico border community (Expanding Services for Patients to Acquire New Skills, Set Goals, and Improve Overall Knowledge).

    PubMed

    Carrillo, Melissa; Sias, Jeri; Navarrete, Jacquelyn P; Aboud, Sam; Valenzuela, Enrique

    To describe the process used by a pharmacy team at a community health center to coordinate and expand diabetes education services (English and Spanish) for a predominantly Hispanic, Spanish-speaking population. The project was implemented at 2 clinics in a federally qualified community health center system based in a low-income southwest U.S.-Mexico border community. This project enhanced accessibility to diabetes education to improve knowledge, skills, and goal setting through existing pharmacy services at the primary clinic and 1 rural satellite clinic. The success of the project was evaluated quantitatively. Metrics used to evaluate enhancement of existing practices included enrollment and completion rates, number of sessions, and diabetes leadership meetings. Over the 5-month project period assessed, 7 interdisciplinary professionals were certified as Diabetes Empowerment Education Program educators. Four sessions were conducted at both clinics. A total of 31 participants completed the diabetes classes. An educational attainment of 8th grade or less was reported in 91% of the rural participants compared with 50% of the urban participants. Ten interdisciplinary leadership meetings centered on recruitment, progress toward goals, and action items to ensure quality of classes. A nurse practitioner and pharmacist piloted a shared-visit model with 5 patients during a 45-minute time period. Successful diabetes education services occurred by implementing an evidence-based curriculum, identifying provider champions, increasing patient enrollment through provider referrals, and generating reports. Patient accountability was facilitated by setting patient-centered goals for knowledge and skills. Last, support groups provided ongoing support once patients graduated from a structured diabetes program. Copyright © 2018 American Pharmacists Association®. Published by Elsevier Inc. All rights reserved.

  2. ARES Education and Public Outreach

    NASA Technical Reports Server (NTRS)

    Allen, Jaclyn; Galindo, Charles; Graff, Paige; Willis, Kim

    2014-01-01

    The ARES Directorate education team is charged with translating the work of ARES scientists into content that can be used in formal and informal K-12 education settings and assisting with public outreach. This is accomplished through local efforts and national partnerships. Local efforts include partnerships with universities, school districts, museums, and the Lunar and Planetary Institute (LPI) to share the content and excitement of space science research. Sharing astromaterials and exploration science with the public is an essential part of the Directorate's work. As a small enclave of physical scientists at a NASA Center that otherwise emphasizes human space operations and engineering, the ARES staff is frequently called upon by the JSC Public Affairs and Education offices to provide presentations and interviews. Scientists and staff actively volunteer with the JSC Speaker's Bureau, Digital Learning Network, and National Engineers Week programs as well as at Space Center Houston activities and events. The education team also participates in many JSC educator and student workshops, including the Pre-Service Teacher Institute and the Texas Aerospace Scholars program, with workshop presentations, speakers, and printed materials.

  3. [Conceptual approach to formation of a modern system of medical provision].

    PubMed

    Belevitin, A B; Miroshnichenko, Iu V; Bunin, S A; Goriachev, A B; Krasavin, K D

    2009-09-01

    Within the frame of forming of a new face of medical service of the Armed Forces, were determined the principle approaches to optimization of the process of development of the system of medical supply. It was proposed to use the following principles: principle of hierarchic structuring, principle of purposeful orientation, principle of vertical task sharing, principle of horizontal task sharing, principle of complex simulation, principle of permanent perfection. The main direction of optimization of structure and composition of system of medical supply of the Armed Forces are: forming of modern institutes of medical supply--centers of support by technique and facilities on the base of central, regional storehouses, and attachment of several functions of organs of military government to them; creation of medical supply office on the base military hospitals, being basing treatment-prophylaxis institutes, in adjusted territorial zones of responsibility for the purpose of realization of complex of tasks of supplying the units and institutes, attached to them on medical support, by medical equipment. Building of medical support system is realized on three levels: Center - Military region (NAVY region) - territorial zone of responsibility.

  4. [Interprofessional collaboration in the Family Health Strategy: implications for the provision of care and work management].

    PubMed

    Matuda, Caroline Guinoza; Pinto, Nicanor Rodrigues da Silva; Martins, Cleide Lavieri; Frazão, Paulo

    2015-08-01

    Interprofessional collaboration is seen as a resource for tackling model of care and workforce problems. The scope of this study was to understand the perception about the shared work and interprofessional collaboration of professionals who work in primary health care. A qualitative study was conducted in São Paulo city. In-depth interviews were performed with professionals from distinct categories who worked in the Family Health Strategy and Support Center for Family Health. The results highlighted the empirical 'professional interaction' and 'production goals' categories. The forms of interaction, the role of specialized matrix support and the perspective in which production goals are perceived by the professionals pointed to tensions between traditional professional logic and collaboration logic. It also revealed the tensions between a model based on specialized procedures and a more collaborative model centered on health needs of families and of the community. The sharing of responsibilities and practices, changes in the logic of patient referral to specialized services and inadequate organizational arrangements remain major challenges to the integration of interprofessional collaboration for the development of new care practices.

  5. KENNEDY SPACE CENTER, FLA. - A blue-black indigo snake is seen crossing a roadway inside the Center. Indigo snakes are active during the day and spend a great deal of time foraging for food and mates. They often hide in gopher tortoise burrows (the tortoises don’t seem to mind) in sandy scrub habitats. The longest snakes in the United States, some individuals reach almost nine feet in length. In 1978, the U.S. Fish and Wildlife Service listed indigo snakes as a threatened species in all portions of its range; federal protection has helped to stop collection of these snakes from the wild. The numbers of indigo snakes are still declining throughout most of the Southeast, especially Georgia, Florida, Alabama, and Mississippi. Habitat loss and fragmentation is the main problem facing these snakes today. KSC shares a boundary with the Merritt Island National Wildlife Refuge, which encompasses 92,000 acres that are a habitat for more than 331 species of birds, 31 mammals, 117 fishes, and 65 amphibians and reptiles.

    NASA Image and Video Library

    2003-06-10

    KENNEDY SPACE CENTER, FLA. - A blue-black indigo snake is seen crossing a roadway inside the Center. Indigo snakes are active during the day and spend a great deal of time foraging for food and mates. They often hide in gopher tortoise burrows (the tortoises don’t seem to mind) in sandy scrub habitats. The longest snakes in the United States, some individuals reach almost nine feet in length. In 1978, the U.S. Fish and Wildlife Service listed indigo snakes as a threatened species in all portions of its range; federal protection has helped to stop collection of these snakes from the wild. The numbers of indigo snakes are still declining throughout most of the Southeast, especially Georgia, Florida, Alabama, and Mississippi. Habitat loss and fragmentation is the main problem facing these snakes today. KSC shares a boundary with the Merritt Island National Wildlife Refuge, which encompasses 92,000 acres that are a habitat for more than 331 species of birds, 31 mammals, 117 fishes, and 65 amphibians and reptiles.

  6. Share 35 Changes Center Level Liver Acceptance Practices

    PubMed Central

    Goldberg, David S.; Levine, Matthew; Karp, Seth; Gilroy, Richard; Peter, L

    2017-01-01

    Share 35 was implemented to provide improved access to organs for patients with MELD scores ≥35. However, little is known about the impact of Share 35 on organ offer acceptance rates. We evaluated all liver offers to adult patients that were ultimately transplanted between 1/1/2011–12/31/2015. The analyses focused on patients ranked in the top five positions of a given match run, and used multi-level mixed-effects models, clustering on individual waitlist candidate and transplant center. There was a significant interaction between Share 35 era and MELD category (p<0.001). Comparing offers to MELD score ≥35 patients, offers post-Share 35 were 36% less likely to be accepted compared to offers to MELD score ≥35 patients pre-Share 35 (adjusted OR: 0.64). There was no clinically meaningful difference in the DRI of livers that were declined for patients with an allocation MELD score ≥35 in the pre- vs post-Share 35 era. Organ offer acceptance rates for patients with an allocation MELD≥35 decreased in every region post-Share 35; the magnitude of these changes was bigger in regions 2, 3, 4, 5, 6, 7, and 11, compared to regions 8 and 9 that had regional sharing in place pre-Share 35. There were significant changes in organ offer acceptance rates at the center level pre- vs post-Share 35, and these changes varied across centers (p<0.001). Conclusions In liver transplant candidates achieving a MELD score ≥35, liver acceptance of offers declined significantly after implementation of Share 35. The alterations in behavior at the center level suggest that practice patterns changed as a direct result of Share 35. Changes in organ acceptance under even broader organ sharing (redistricting) would likely be even greater, posing major logistical and operational challenges, while potentially increasing discard rates, thus decreasing the total number of transplant nationally. PMID:28240804

  7. The building of the EUDAT Cross-Disciplinary Data Infrastructure

    NASA Astrophysics Data System (ADS)

    Lecarpentier, Damien; Michelini, Alberto; Wittenburg, Peter

    2013-04-01

    The EUDAT project is a European data initiative that brings together a unique consortium of 25 partners - including research communities, national data and high performance computing (HPC) centers, technology providers, and funding agencies - from 13 countries. EUDAT aims to build a sustainable cross-disciplinary and cross-national Commom Data Infrastructure (CDI) that provides a set of shared services for accessing and preserving research data. The design and deployment of these services is being coordinated by multi-disciplinary task forces comprising representatives from research communities and data centers. One of EUDAT's fundamental goals is the facilitation of cross-disciplinary data-intensive science. By providing opportunity for disciplines from across the spectrum to share data and cross-fertilize ideas, the CDI will encourage progress towards this vision of open and participatory data-intensive science. EUDAT will also facilitate this process through the creation of teams of experts from different disciplines, aiming to cooperatively develop services to meet the needs of several communities. Five research communities joined the EUDAT initiative at the start - CLARIN (Linguistics), ENES (Climate Modeling), EPOS (Earth Sciences), LifeWatch (Environmental Sciences - Biodiversity), VPH (Biological and Medical Sciences). They are acting as partners in the project, and have clear tasks and commitments. Since EUDAT started on the 1st of October 2011, we have been reviewing the approaches and requirements of these five communities regarding the deployment and use of a cross-disciplinary and persistent data e-Infrastructure. This analysis was conducted through interviews and frequent interactions with representatives of the communities. In this talk will be provided an updated status of the current CDI with specific refernce to the solid Earth science commnity of EPOS.

  8. An Analysis of Cloud Computing with Amazon Web Services for the Atmospheric Science Data Center

    NASA Astrophysics Data System (ADS)

    Gleason, J. L.; Little, M. M.

    2013-12-01

    NASA science and engineering efforts rely heavily on compute and data handling systems. The nature of NASA science data is such that it is not restricted to NASA users, instead it is widely shared across a globally distributed user community including scientists, educators, policy decision makers, and the public. Therefore NASA science computing is a candidate use case for cloud computing where compute resources are outsourced to an external vendor. Amazon Web Services (AWS) is a commercial cloud computing service developed to use excess computing capacity at Amazon, and potentially provides an alternative to costly and potentially underutilized dedicated acquisitions whenever NASA scientists or engineers require additional data processing. AWS desires to provide a simplified avenue for NASA scientists and researchers to share large, complex data sets with external partners and the public. AWS has been extensively used by JPL for a wide range of computing needs and was previously tested on a NASA Agency basis during the Nebula testing program. Its ability to support the Langley Science Directorate needs to be evaluated by integrating it with real world operational needs across NASA and the associated maturity that would come with that. The strengths and weaknesses of this architecture and its ability to support general science and engineering applications has been demonstrated during the previous testing. The Langley Office of the Chief Information Officer in partnership with the Atmospheric Sciences Data Center (ASDC) has established a pilot business interface to utilize AWS cloud computing resources on a organization and project level pay per use model. This poster discusses an effort to evaluate the feasibility of the pilot business interface from a project level perspective by specifically using a processing scenario involving the Clouds and Earth's Radiant Energy System (CERES) project.

  9. The future is urban.

    PubMed

    1992-05-01

    Urban centers are growing due to natural increase and the movement of people from rural areas. Urban areas are the traditional centers of trade, science, and culture, but growth over a threshold results in crime, congestion, and pollution. Sustainability is threatened in modern towns that are dependent on other sources for food, fuel, or water. Housing, water, food supplies, and sanitation, communication, and transportation services are threatened in rapidly growing cities. In 1990 45/100 people lived in towns or cities. Hyper-cities have grown in number to 20, of which 14 are in developing countries. 83% of world population increase is expected to occur in cities. In 48 countries with faster population growth cities had growth rates averaging about 6.1% per year, and the urban share of total population averaged 2.8%. In 49 countries with slower population growth, urban growth rates averaged only 3.6% per year, and the urban share of total population averaged about 1.8%. Squatter settlements are endemic to urban areas that are congested and without basic services, limited housing particularly for the poor, and few job opportunities. The number of street children in urban areas has risen. This child population is subjected to low wages, overwork, auto accidents, poor health, and lack of social services. Malnutrition is a more serious issue in urban areas. In the Philippines malnutrition is 3% nationally and 9% in Metro Manila. Rural land reform in the Philippines is no longer a viable solution. In Metro Manila squatters are expected to increase in number to 4 million people by the year 2000, which would be almost 50% of total population. The squatter areas are areas of neglect, decay, and poverty. Cities are viewed as development's "blind alleys."

  10. Conceptual Design and Analysis of Service Oriented Architecture (SOA) for Command and Control of Space Assets

    DTIC Science & Technology

    2010-12-01

    strategy “to establish a net- centric environment that increasingly leverages shared services and SOAs that are:  Supported by…a single set of common...component services. As mentioned previously, this is an important characteristic of SOA. Also noteworthy is set of shared services seen on the...transmit information products directly to the user(s). 6. Shared Services One of the key benefits of Service Oriented Architecture is the ability to

  11. Strategies for Appropriate Patient-centered Care to Decrease the Nationwide Cost of Cancers in Korea.

    PubMed

    Bae, Jong-Myon

    2017-07-01

    In terms of years of life lost to premature mortality, cancer imposes the highest burden in Korea. In order to reduce the burden of cancer, the Korean government has implemented cancer control programs aiming to reduce cancer incidence, to increase survival rates, and to decrease cancer mortality. However, these programs may paradoxically increase the cost burden. For examples, a cancer screening program for early detection could bring about over-diagnosis and over-treatment, and supplying medical services in a paternalistic manner could lead to defensive medicine or futile care. As a practical measure to reduce the cost burden of cancer, appropriate cancer care should be established. Ensuring appropriateness requires patient-doctor communication to ensure that utility values are shared and that autonomous decisions are made regarding medical services. Thus, strategies for reducing the cost burden of cancer through ensuring appropriate patient-centered care include introducing value-based medicine, conducting cost-utility studies, and developing patient decision aids.

  12. Strategies for Appropriate Patient-centered Care to Decrease the Nationwide Cost of Cancers in Korea

    PubMed Central

    2017-01-01

    In terms of years of life lost to premature mortality, cancer imposes the highest burden in Korea. In order to reduce the burden of cancer, the Korean government has implemented cancer control programs aiming to reduce cancer incidence, to increase survival rates, and to decrease cancer mortality. However, these programs may paradoxically increase the cost burden. For examples, a cancer screening program for early detection could bring about over-diagnosis and over-treatment, and supplying medical services in a paternalistic manner could lead to defensive medicine or futile care. As a practical measure to reduce the cost burden of cancer, appropriate cancer care should be established. Ensuring appropriateness requires patient-doctor communication to ensure that utility values are shared and that autonomous decisions are made regarding medical services. Thus, strategies for reducing the cost burden of cancer through ensuring appropriate patient-centered care include introducing value-based medicine, conducting cost-utility studies, and developing patient decision aids. PMID:28768400

  13. Effects of a cost-sharing exemption on use of preventive services at one large employer.

    PubMed

    Busch, Susan H; Barry, Colleen L; Vegso, Sally J; Sindelar, Jody L; Cullen, Mark R

    2006-01-01

    In 2004, Alcoa introduced a new health benefit for a portion of its workforce, which eliminated cost sharing for preventive care while increasing cost sharing for many other services. In this era of increased consumerism, Alcoa's benefit redesign constituted an effort to reduce health care costs while preserving use of targeted services. Taking advantage of a unique natural experiment, we find that Alcoa was able to maintain rates of preventive service use. This evidence suggests that differential cost sharing can be used to preserve the use of critical health care services.

  14. Defense Health Care: Applying Key Management Practices Should Help Achieve Efficiencies within the Military Health System

    DTIC Science & Technology

    2012-04-01

    5. Realign the TRICARE Management Activity and establish a Joint Military Health Service Directorate to consolidate shared services and common...Directorate to consolidate shared services and common functions Realign TRICARE Management Activity and establish a TRICARE Health Plan Agency to...Uniformed Services University of the Health Sciences, (2) TRICARE health plan, (3) Health Management Support, and (4) Shared Services division

  15. A cross-functional service-oriented architecture to support real-time information exchange in emergency medical response.

    PubMed

    Hauenstein, Logan; Gao, Tia; Sze, Tsz Wo; Crawford, David; Alm, Alex; White, David

    2006-01-01

    Real-time information communication presents a persistent challenge to the emergency response community. During a medical emergency, various first response disciplines including Emergency Medical Service (EMS), Fire, and Police, and multiple health service facilities including hospitals, auxiliary care centers and public health departments using disparate information technology systems must coordinate their efforts by sharing real-time information. This paper describes a service-oriented architecture (SOA) that uses shared data models of emergency incidents to support the exchange of data between heterogeneous systems. This architecture is employed in the Advanced Health and Disaster Aid Network (AID-N) system, a testbed investigating information technologies to improve interoperation among multiple emergency response organizations in the Washington DC Metropolitan region. This architecture allows us to enable real-time data communication between three deployed systems: 1) a pre-hospital patient care reporting software system used on all ambulances in Arlington County, Virginia (MICHAELS), 2) a syndromic surveillance system used by public health departments in the Washington area (ESSENCE), and 3) a hazardous material reference software system (WISER) developed by the National Library Medicine. Additionally, we have extended our system to communicate with three new data sources: 1) wireless automated vital sign sensors worn by patients, 2) web portals for admitting hospitals, and 3) PDAs used by first responders at emergency scenes to input data (SIRP).

  16. Communal Sharing and the Provision of Low-Volume High-Cost Health Services: Results of a Survey.

    PubMed

    Richardson, Jeff; Iezzi, Angelo; Chen, Gang; Maxwell, Aimee

    2017-03-01

    This paper suggests and tests a reason why the public might support the funding of services for rare diseases (SRDs) when the services are effective but not cost effective, i.e. when more health could be produced by allocating funds to other services. It is postulated that the fairness of funding a service is influenced by a comparison of the average patient benefit with the average cost to those who share the cost. Survey respondents were asked to allocate a budget between cost-effective services that had a small effect upon a large number of relatively well patients and SRDs that benefited a small number of severely ill patients but were not cost effective because of their high cost. Part of the budget was always allocated to the SRDs. The budget share rose with the number sharing the cost. Sharing per se appears to characterise preferences. This has been obscured in studies that focus upon cost per patient rather than cost per person sharing the cost.

  17. Alternative Fuels Data Center: Ethanol Laws and Incentives

    Science.gov Websites

    Ethanol Printable Version Share this resource Send a link to Alternative Fuels Data Center: Ethanol Laws and Incentives to someone by E-mail Share Alternative Fuels Data Center: Ethanol Laws and Incentives on Facebook Tweet about Alternative Fuels Data Center: Ethanol Laws and Incentives on Twitter

  18. Alternative Fuels Data Center: Electricity Laws and Incentives

    Science.gov Websites

    Electricity Printable Version Share this resource Send a link to Alternative Fuels Data Center : Electricity Laws and Incentives to someone by E-mail Share Alternative Fuels Data Center: Electricity Laws and Incentives on Facebook Tweet about Alternative Fuels Data Center: Electricity Laws and Incentives on Twitter

  19. Alternative Fuels Data Center: Vehicle Search

    Science.gov Websites

    Tools » Vehicle Search Printable Version Share this resource Send a link to Alternative Fuels Data Center: Vehicle Search to someone by E-mail Share Alternative Fuels Data Center: Vehicle Search on Facebook Tweet about Alternative Fuels Data Center: Vehicle Search on Twitter Bookmark Alternative Fuels

  20. Alternative Fuels Data Center: Biodiesel Laws and Incentives

    Science.gov Websites

    Biodiesel Printable Version Share this resource Send a link to Alternative Fuels Data Center : Biodiesel Laws and Incentives to someone by E-mail Share Alternative Fuels Data Center: Biodiesel Laws and Incentives on Facebook Tweet about Alternative Fuels Data Center: Biodiesel Laws and Incentives on Twitter

  1. Alternative Fuels Data Center: State Laws and Incentives

    Science.gov Websites

    State Printable Version Share this resource Send a link to Alternative Fuels Data Center: State Laws and Incentives to someone by E-mail Share Alternative Fuels Data Center: State Laws and Incentives on Facebook Tweet about Alternative Fuels Data Center: State Laws and Incentives on Twitter Bookmark

  2. Facilitating Parent Centers: A Sharing of Ideas and Experiences.

    ERIC Educational Resources Information Center

    Heath, Terri; And Others

    This handbook describes the development and operation of family enhancement programs in Parent Centers in Wisconsin. Parent Centers, also called Family Centers, provide opportunities for parents to meet each other and to share concerns, ideas and fun. They can be "legitimate" places for parents to find friends for their children and…

  3. Design Challenges of an Episode-Based Payment Model in Oncology: The Centers for Medicare & Medicaid Services Oncology Care Model.

    PubMed

    Kline, Ronald M; Muldoon, L Daniel; Schumacher, Heidi K; Strawbridge, Larisa M; York, Andrew W; Mortimer, Laura K; Falb, Alison F; Cox, Katherine J; Bazell, Carol; Lukens, Ellen W; Kapp, Mary C; Rajkumar, Rahul; Bassano, Amy; Conway, Patrick H

    2017-07-01

    The Centers for Medicare & Medicaid Services developed the Oncology Care Model as an episode-based payment model to encourage participating practitioners to provide higher-quality, better-coordinated care at a lower cost to the nearly three-quarter million fee-for-service Medicare beneficiaries with cancer who receive chemotherapy each year. Episode payment models can be complex. They combine into a single benchmark price all payments for services during an episode of illness, many of which may be delivered at different times by different providers in different locations. Policy and technical decisions include the definition of the episode, including its initiation, duration, and included services; the identification of beneficiaries included in the model; and beneficiary attribution to practitioners with overall responsibility for managing their care. In addition, the calculation and risk adjustment of benchmark episode prices for the bundle of services must reflect geographic cost variations and diverse patient populations, including varying disease subtypes, medical comorbidities, changes in standards of care over time, the adoption of expensive new drugs (especially in oncology), as well as diverse practice patterns. Other steps include timely monitoring and intervention as needed to avoid shifting the attribution of beneficiaries on the basis of their expected episode expenditures as well as to ensure the provision of necessary medical services and the development of a meaningful link to quality measurement and improvement through the episode-based payment methodology. The complex and diverse nature of oncology business relationships and the specific rules and requirements of Medicare payment systems for different types of providers intensify these issues. The Centers for Medicare & Medicaid Services believes that by sharing its approach to addressing these decisions and challenges, it may facilitate greater understanding of the model within the oncology community and provide insight to others considering the development of episode-based payment models in the commercial or government sectors.

  4. Teleradiotherapy Network: Applications and Feasibility for Providing Cost-Effective Comprehensive Radiotherapy Care in Low- and Middle-Income Group Countries for Cancer Patients

    PubMed Central

    Heuser, Michael; Samiei, Massoud; Shah, Ragesh; Lutters, Gerd; Bodis, Stephan

    2015-01-01

    Abstract Globally, new cancer cases will rise by 57% within the next two decades, with the majority in the low- and middle-income countries (LMICs). Consequently, a steep increase of about 40% in cancer deaths is expected there, mainly because of lack of treatment facilities, especially radiotherapy. Radiotherapy is required for more than 50% of patients, but the capital cost for equipment often deters establishment of such facilities in LMICs. Presently, of the 139 LMICs, 55 do not even have a radiotherapy facility, whereas the remaining 84 have a deficit of 61.4% of their required radiotherapy units. Networking between centers could enhance the effectiveness and reach of existing radiotherapy in LMICs. A teleradiotherapy network could enable centers to share and optimally utilize their resources, both infrastructure and staffing. This could be in the form of a three-tier radiotherapy service consisting of primary, secondary, and tertiary radiotherapy centers interlinked through a network. The concept has been adopted in some LMICs and could also be used as a “service provider model,” thereby reducing the investments to set up such a network. Teleradiotherapy networks could be a part of the multipronged approach to address the enormous gap in radiotherapy services in a cost-effective manner and to support better accessibility to radiotherapy facilities, especially for LMICs. PMID:25763906

  5. Teleradiotherapy Network: Applications and Feasibility for Providing Cost-Effective Comprehensive Radiotherapy Care in Low- and Middle-Income Group Countries for Cancer Patients.

    PubMed

    Datta, Niloy Ranjan; Heuser, Michael; Samiei, Massoud; Shah, Ragesh; Lutters, Gerd; Bodis, Stephan

    2015-07-01

    Globally, new cancer cases will rise by 57% within the next two decades, with the majority in the low- and middle-income countries (LMICs). Consequently, a steep increase of about 40% in cancer deaths is expected there, mainly because of lack of treatment facilities, especially radiotherapy. Radiotherapy is required for more than 50% of patients, but the capital cost for equipment often deters establishment of such facilities in LMICs. Presently, of the 139 LMICs, 55 do not even have a radiotherapy facility, whereas the remaining 84 have a deficit of 61.4% of their required radiotherapy units. Networking between centers could enhance the effectiveness and reach of existing radiotherapy in LMICs. A teleradiotherapy network could enable centers to share and optimally utilize their resources, both infrastructure and staffing. This could be in the form of a three-tier radiotherapy service consisting of primary, secondary, and tertiary radiotherapy centers interlinked through a network. The concept has been adopted in some LMICs and could also be used as a "service provider model," thereby reducing the investments to set up such a network. Teleradiotherapy networks could be a part of the multipronged approach to address the enormous gap in radiotherapy services in a cost-effective manner and to support better accessibility to radiotherapy facilities, especially for LMICs.

  6. Job Sharing: An Employment Alternative for the Career Services Professional.

    ERIC Educational Resources Information Center

    Johnson, Louise; Meerdink, Lois A.

    1985-01-01

    Describes and assesses job sharing as an employment alternative for career services professionals. Discusses the job-sharing format with regard to fringe benefits, scheduling, advantages, client reactions, potential problems, and specific factors that contribute to successful job sharing. (BH)

  7. Resolving the Problem of Aligning Communities of Interest, Data Format Differences, Orthogonal Sensor Views, Intermittency, and Security - DoD Homeland Security Command and Control Advanced Concept Technology Demonstration

    DTIC Science & Technology

    2005-06-01

    provisioning, maintaining and guaranteeing service levels for the shared services ? Although these shared, distributed services lie well within the... shared services that interact with a common object definition for transporting alerts. The system is built on top of a rapid SOA application

  8. Using a service design model to develop the "Passport to Safer Birth" in Nigeria and Uganda.

    PubMed

    Salgado, Mariana; Wendland, Melanie; Rodriguez, Damaris; Bohren, Meghan A; Oladapo, Olufemi T; Ojelade, Olubunmi A; Olalere, Adebimpe A; Luwangula, Ronald; Mugerwa, Kidza; Fawole, Bukola

    2017-12-01

    To demonstrate how a human-centered service design approach can generate practical tools for good-quality childbirth care in low-resource settings. As part of the WHO "Better Outcomes in Labour Difficulty" (BOLD) project, a service design approach was used in eight Ugandan and Nigerian health facilities and communities to develop the "Passport to Safer Birth." There are three phases: Research for Design, Concept Design, and Detail Design. These generated design principles, design archetype personas, and Passport prototypes. Data collection methods included desk research, interviews, group discussions, and journey mapping to identify touchpoints where the woman interacts with the health system. A total of 90 interviews, 12 observation hours, and 15 group discussions were undertaken. The resulting design principles were: a shared and deeper understanding of pregnancy and childbirth among family and community; family readiness for decision-making and action; and the woman's sense of being in control and being cared for. Four archetype personas of women emerged: Vulnerable; Passive; Empowered; Accepter. Subsequent development of the Passport to Safer Birth tools addressed three domains: Care Mediator; Expectation Manager; and Pregnancy Assistant. The service design approach can create innovative, human-centered service solutions to improve maternity care experiences and outcomes in low-resource settings. © 2017 International Federation of Gynecology and Obstetrics The World Health Organization retains copyright and all other rights in the manuscript of this article as submitted for publication.

  9. Community oncology in an era of payment reform.

    PubMed

    Cox, John V; Ward, Jeffery C; Hornberger, John C; Temel, Jennifer S; McAneny, Barbara L

    2014-01-01

    Patients and payers (government and private) are frustrated with the fee-for-service system (FFS) of payment for outpatient health services. FFS rewards volume and highly valued services, including expensive diagnostics and therapeutics, over lesser valued cognitive services. Proposed payment schemes would incent collaboration and coordination of care among providers and reward quality. In oncology, new payment schemes must address the high costs of all services, particularly drugs, while preserving the robust distribution of sites of service available to patients in the United States. Information technology and personalized cancer care are changing the practice of oncology. Twenty-first century oncology will require increasing cognitive work and shared decision making, both of which are not well regarded in the FFS model. A high proportion of health care dollars are consumed in the final months of life. Effective delivery of palliative and end-of-life care must be addressed by practice and by new models of payment. Value-based reimbursement schemes will require oncology practices to change how they are structured. Lessons drawn from the principles of primary care's Patient Centered Medical Home (PCMH) will help oncology practice to prepare for new schemes. PCMH principles place a premium on proactively addressing toxicities of therapies, coordinating care with other providers, and engaging patients in shared decision making, supporting the ideal of value defined in the triple aim-to measurably improve patient experience and quality of care at less cost. Payment reform will be disruptive to all. Oncology must be engaged in policy discussions and guide rational shifts in priorities defined by new payment models.

  10. FORCEnet Net Centric Architecture - A Standards View

    DTIC Science & Technology

    2006-06-01

    SHARED SERVICES NETWORKING/COMMUNICATIONS STORAGE COMPUTING PLATFORM DATA INTERCHANGE/INTEGRATION DATA MANAGEMENT APPLICATION...R V I C E P L A T F O R M S E R V I C E F R A M E W O R K USER-FACING SERVICES SHARED SERVICES NETWORKING/COMMUNICATIONS STORAGE COMPUTING PLATFORM...E F R A M E W O R K USER-FACING SERVICES SHARED SERVICES NETWORKING/COMMUNICATIONS STORAGE COMPUTING PLATFORM DATA INTERCHANGE/INTEGRATION

  11. Classification of processes involved in sharing individual participant data from clinical trials.

    PubMed

    Ohmann, Christian; Canham, Steve; Banzi, Rita; Kuchinke, Wolfgang; Battaglia, Serena

    2018-01-01

    Background: In recent years, a cultural change in the handling of data from research has resulted in the strong promotion of a culture of openness and increased sharing of data. In the area of clinical trials, sharing of individual participant data involves a complex set of processes and the interaction of many actors and actions. Individual services/tools to support data sharing are available, but what is missing is a detailed, structured and comprehensive list of processes/subprocesses involved and tools/services needed. Methods : Principles and recommendations from a published data sharing consensus document are analysed in detail by a small expert group. Processes/subprocesses involved in data sharing are identified and linked to actors and possible services/tools. Definitions are adapted from the business process model and notation (BPMN) and applied in the analysis. Results: A detailed and comprehensive list of individual processes/subprocesses involved in data sharing, structured according to 9 main processes, is provided. Possible tools/services to support these processes/subprocesses are identified and grouped according to major type of support. Conclusions: The list of individual processes/subprocesses and tools/services identified is a first step towards development of a generic framework or architecture for sharing of data from clinical trials. Such a framework is strongly needed to give an overview of how various actors, research processes and services could form an interoperable system for data sharing.

  12. Classification of processes involved in sharing individual participant data from clinical trials

    PubMed Central

    Ohmann, Christian; Canham, Steve; Banzi, Rita; Kuchinke, Wolfgang; Battaglia, Serena

    2018-01-01

    Background: In recent years, a cultural change in the handling of data from research has resulted in the strong promotion of a culture of openness and increased sharing of data. In the area of clinical trials, sharing of individual participant data involves a complex set of processes and the interaction of many actors and actions. Individual services/tools to support data sharing are available, but what is missing is a detailed, structured and comprehensive list of processes/subprocesses involved and tools/services needed. Methods: Principles and recommendations from a published data sharing consensus document are analysed in detail by a small expert group. Processes/subprocesses involved in data sharing are identified and linked to actors and possible services/tools. Definitions are adapted from the business process model and notation (BPMN) and applied in the analysis. Results: A detailed and comprehensive list of individual processes/subprocesses involved in data sharing, structured according to 9 main processes, is provided. Possible tools/services to support these processes/subprocesses are identified and grouped according to major type of support. Conclusions: The list of individual processes/subprocesses and tools/services identified is a first step towards development of a generic framework or architecture for sharing of data from clinical trials. Such a framework is strongly needed to give an overview of how various actors, research processes and services could form an interoperable system for data sharing. PMID:29623192

  13. Choice and competition between adult congenital heart disease centers: evidence of considerable geographical disparities and association with clinical or academic results.

    PubMed

    Diller, Gerhard-Paul; Kempny, Aleksander; Piorkowski, Adam; Grübler, Martin; Swan, Lorna; Baumgartner, Helmut; Dimopoulos, Konstantinos; Gatzoulis, Michael A

    2014-03-01

    Although concentrating adult congenital heart disease services at high-volume centers has been widely advocated, the potential beneficial effects of competition and patient choice have received relatively little attention. We aimed to assess the degree of patient choice and competition between adult congenital heart disease units and to investigate whether competition indices correlate with clinical quality or research output. Competition between the 10 major adult congenital heart disease units in England was evaluated based on the Herfindahl-Hirschman Index, representing the sum of squared market shares of individual units. In addition, to account for geography and feasible access, we calculated spatial indices of competition based on travel time by road. These indices were correlated with 30-day mortality postpulmonary valve replacement in adult patients (as obtained from the National Central Cardiac Audit Database) and the aggregate research impact factors of individual centers. On a national level, a high level of competition without obvious dominant players was found (Herfindahl-Hirschman Index between 0.107 and 0.013). When accounting for geography, however, important disparities in patient choice and competition faced by individual centers emerged. The degree of local competition was correlated significantly with clinical outcomes and research output. In contrast, no association between center volume and outcome could be established. Beyond the usual focus on concentrating services at high-volume centers, the potentially beneficial effects of competition should not be ignored. Therefore, policymakers should consider fostering a competitive environment for adult congenital heart disease centers or at least avoiding creating government-granted monopolies in the field.

  14. The future of health care delivery and the experience of a tertiary care center in Saudi Arabia.

    PubMed

    Alsanea, Nasser

    2012-01-01

    Five major technological changes will herald a new era in health care delivery around the World: digitalization of the personal health record, sharing of health care digital data across different platforms, applications and institutions, delivery of patient services via the internet, use of the digital media and social networking as a medium for education and preventive medicine and introduction of smart applications as counselors to prevent medical errors. The implications of such changes are huge. Saudi Arabia is not isolated from such important developments. This article explores the future of health care delivery with a special focus on the experience of a tertiary care center in Saudi Arabia that has led the wave in such changes regionally.

  15. Measuring engagement effectiveness in social media

    NASA Astrophysics Data System (ADS)

    Li, Lei; Sun, Tong; Peng, Wei; Li, Tao

    2012-03-01

    Social media is becoming increasingly prevalent with the advent of web 2.0 technologies. Popular social media websites, such as Twitter and Facebook, are attracting a gigantic number of online users to post and share information. An interesting phenomenon under this trend involves that more and more users share their experiences or issues with regard to a product, and then the product service agents use commercial social media listening and engagement tools (e.g. Radian6, Sysomos, etc.) to response to users' complaints or issues and help them tackle their problems. This is often called customer care in social media or social customer relationship management (CRM). However, all these existing commercial social media tools only provide an aggregated level of trends, patterns and sentiment analysis based on the keyword-centric brand relevant data, which have little insights for answering one of the key questions in social CRM system: how effective is our social customer care engagement? In this paper, we focus on addressing the problem of how to measure the effectiveness of engagement for service agents in customer care. Traditional CRM effectiveness measurements are defined under the scenario of the call center, where the effectiveness is mostly based on the duration time per call and/or number of answered calls per day. Different from customer care in a call center, we can obtain detailed conversations between agents and customers in social media, and therefore the effectiveness can be measured by analyzing the content of conversations and the sentiment of customers.

  16. 42 CFR 447.54 - Maximum allowable and nominal charges.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... nonemergency services furnished in a hospital emergency room. (c) Institutional services. For institutional... hospital emergency department. (a) The agency may impose cost sharing for non-emergency services provided... exempt from cost sharing under § 447.56(a), the agency may impose cost sharing for non-emergency use of...

  17. Rural Shared Services: General Brochure and Information Sheets.

    ERIC Educational Resources Information Center

    Northwest Regional Educational Lab., Portland, OR.

    The brochure discusses the Shared Services Program of the Northwest Regional Educational Laboratory of Portland, Oregon. The program operates on the premise that it can provide additional programs (frequently of higher quality) to rural school districts at a lower per-capita cost. The shared services are conducted through cooperative efforts…

  18. Cost Analysis of MRI Services in Iran: An Application of Activity Based Costing Technique

    PubMed Central

    Bayati, Mohsen; Mahboub Ahari, Alireza; Badakhshan, Abbas; Gholipour, Mahin; Joulaei, Hassan

    2015-01-01

    Background: Considerable development of MRI technology in diagnostic imaging, high cost of MRI technology and controversial issues concerning official charges (tariffs) have been the main motivations to define and implement this study. Objectives: The present study aimed to calculate the unit-cost of MRI services using activity-based costing (ABC) as a modern cost accounting system and to fairly compare calculated unit-costs with official charges (tariffs). Materials and Methods: We included both direct and indirect costs of MRI services delivered in fiscal year 2011 in Shiraz Shahid Faghihi hospital. Direct allocation method was used for distribution of overhead costs. We used micro-costing approach to calculate unit-cost of all different MRI services. Clinical cost data were retrieved from the hospital registering system. Straight-line method was used for depreciation cost estimation. To cope with uncertainty and to increase the robustness of study results, unit costs of 33 MRI services was calculated in terms of two scenarios. Results: Total annual cost of MRI activity center (AC) was calculated at USD 400,746 and USD 532,104 based on first and second scenarios, respectively. Ten percent of the total cost was allocated from supportive departments. The annual variable costs of MRI center were calculated at USD 295,904. Capital costs measured at USD 104,842 and USD 236, 200 resulted from the first and second scenario, respectively. Existing tariffs for more than half of MRI services were above the calculated costs. Conclusion: As a public hospital, there are considerable limitations in both financial and administrative databases of Shahid Faghihi hospital. Labor cost has the greatest share of total annual cost of Shahid Faghihi hospital. The gap between unit costs and tariffs implies that the claim for extra budget from health providers may not be relevant for all services delivered by the studied MRI center. With some adjustments, ABC could be implemented in MRI centers. With the settlement of a reliable cost accounting system such as ABC technique, hospitals would be able to generate robust evidences for financial management of their overhead, intermediate and final ACs. PMID:26715979

  19. Cost Analysis of MRI Services in Iran: An Application of Activity Based Costing Technique.

    PubMed

    Bayati, Mohsen; Mahboub Ahari, Alireza; Badakhshan, Abbas; Gholipour, Mahin; Joulaei, Hassan

    2015-10-01

    Considerable development of MRI technology in diagnostic imaging, high cost of MRI technology and controversial issues concerning official charges (tariffs) have been the main motivations to define and implement this study. The present study aimed to calculate the unit-cost of MRI services using activity-based costing (ABC) as a modern cost accounting system and to fairly compare calculated unit-costs with official charges (tariffs). We included both direct and indirect costs of MRI services delivered in fiscal year 2011 in Shiraz Shahid Faghihi hospital. Direct allocation method was used for distribution of overhead costs. We used micro-costing approach to calculate unit-cost of all different MRI services. Clinical cost data were retrieved from the hospital registering system. Straight-line method was used for depreciation cost estimation. To cope with uncertainty and to increase the robustness of study results, unit costs of 33 MRI services was calculated in terms of two scenarios. Total annual cost of MRI activity center (AC) was calculated at USD 400,746 and USD 532,104 based on first and second scenarios, respectively. Ten percent of the total cost was allocated from supportive departments. The annual variable costs of MRI center were calculated at USD 295,904. Capital costs measured at USD 104,842 and USD 236, 200 resulted from the first and second scenario, respectively. Existing tariffs for more than half of MRI services were above the calculated costs. As a public hospital, there are considerable limitations in both financial and administrative databases of Shahid Faghihi hospital. Labor cost has the greatest share of total annual cost of Shahid Faghihi hospital. The gap between unit costs and tariffs implies that the claim for extra budget from health providers may not be relevant for all services delivered by the studied MRI center. With some adjustments, ABC could be implemented in MRI centers. With the settlement of a reliable cost accounting system such as ABC technique, hospitals would be able to generate robust evidences for financial management of their overhead, intermediate and final ACs.

  20. Implementation of a cloud-based electronic medical record exchange system in compliance with the integrating healthcare enterprise's cross-enterprise document sharing integration profile.

    PubMed

    Wu, Chien Hua; Chiu, Ruey Kei; Yeh, Hong Mo; Wang, Da Wei

    2017-11-01

    In 2011, the Ministry of Health and Welfare of Taiwan established the National Electronic Medical Record Exchange Center (EEC) to permit the sharing of medical resources among hospitals. This system can presently exchange electronic medical records (EMRs) among hospitals, in the form of medical imaging reports, laboratory test reports, discharge summaries, outpatient records, and outpatient medication records. Hospitals can send or retrieve EMRs over the virtual private network by connecting to the EEC through a gateway. International standards should be adopted in the EEC to allow users with those standards to take advantage of this exchange service. In this study, a cloud-based EMR-exchange prototyping system was implemented on the basis of the Integrating the Healthcare Enterprise's Cross-Enterprise Document Sharing integration profile and the existing EMR exchange system. RESTful services were used to implement the proposed prototyping system on the Microsoft Azure cloud-computing platform. Four scenarios were created in Microsoft Azure to determine the feasibility and effectiveness of the proposed system. The experimental results demonstrated that the proposed system successfully completed EMR exchange under the four scenarios created in Microsoft Azure. Additional experiments were conducted to compare the efficiency of the EMR-exchanging mechanisms of the proposed system with those of the existing EEC system. The experimental results suggest that the proposed RESTful service approach is superior to the Simple Object Access Protocol method currently implemented in the EEC system, according to the irrespective response times under the four experimental scenarios. Copyright © 2017 Elsevier B.V. All rights reserved.

  1. Development of a prehospital vital signs chart sharing system.

    PubMed

    Nakada, Taka-aki; Masunaga, Naohisa; Nakao, Shota; Narita, Maiko; Fuse, Takashi; Watanabe, Hiroaki; Mizushima, Yasuaki; Matsuoka, Tetsuya

    2016-01-01

    Physiological parameters are crucial for the caring of trauma patients. There is a significant loss of prehospital vital signs data of patients during handover between prehospital and in-hospital teams. Effective strategies for reducing the loss remain a challenging research area. We tested whether the newly developed electronic automated prehospital vital signs chart sharing system would increase the amount of prehospital vital signs data shared with a remote trauma center prior to hospital arrival. Fifty trauma patients, transferred to a level I trauma center in Japan, were studied. The primary outcome variable was the number of prehospital vital signs shared with the trauma center prior to hospital arrival. The prehospital vital signs chart sharing system significantly increased the number of prehospital vital signs, including blood pressure, heart rate, and oxygen saturation, shared with the in-hospital team at a remote trauma center prior to patient arrival at the hospital (P < .0001). There were significant differences in prehospital vital signs during ambulance transfer between patients who had severe bleeding and non-severe bleeding within 24 hours after injury onset. Vital signs data collected during ambulance transfer via patient monitors could be automatically converted to easily visible patient charts and effectively shared with the remote trauma center prior to hospital arrival. The prehospital vital signs chart sharing system increased the number of precise vital signs shared prior to patient arrival at the hospital, which can potentially contribute to better trauma care without increasing labor and reduce information loss during clinical handover. Copyright © 2015 Elsevier Inc. All rights reserved.

  2. Alternative Fuels Data Center: Natural Gas Laws and Incentives

    Science.gov Websites

    Natural Gas Printable Version Share this resource Send a link to Alternative Fuels Data Center : Natural Gas Laws and Incentives to someone by E-mail Share Alternative Fuels Data Center: Natural Gas Laws and Incentives on Facebook Tweet about Alternative Fuels Data Center: Natural Gas Laws and Incentives

  3. Implementation of Activity Based Cost Management Aboard Base Installations

    DTIC Science & Technology

    2004-09-01

    Shared Services Concept (After Penn State Briefing) .....................................30 Figure 8. Command Levels and Applicable Tools (From...resulting analysis of this duplication of efforts resulted in what they refer to as the “ Shared Services Concept.” Simply put, there should be “no...more than one of anything in the Base organization.” (Penn State Briefing) This Shared Services concept combined common support services that were

  4. Practice-Relevant Pedagogy for Mining Software Engineering Curricula Assets

    DTIC Science & Technology

    2007-06-20

    permits the application of the Lean methods by virtually grouping shared services into eWorkcenters to which only non-routine requests are routed...engineering can be applied to IT shared services improvement and provide precise system improvement methods to complement the ITIL best practice. This...Vertical� or internal service- chain of primary business functions and enabling shared services Framework results - Mined patterns that relate

  5. An Analysis of Medical Imaging Costs in Military Treatment Facilities

    DTIC Science & Technology

    2014-09-01

    authority to completely control the medical systems of each service, the DHA 7 was given management responsibility for specific shared services , functions...efficient health operations through enhanced enterprise-wide shared services . • Deliver more comprehensive primary care and integrated health...of shared services that will fall under central control: • facility planning • medical logistics • health information technology • Tricare health

  6. Commentary: health care payment reform and academic medicine: threat or opportunity?

    PubMed

    Shomaker, T Samuel

    2010-05-01

    Discussion of the flaws of the current fee-for-service health care reimbursement model has become commonplace. Health care costs cannot be reduced without moving away from a system that rewards providers for providing more services regardless of need, effectiveness, or quality. What alternatives are likely under health care reform, and how will they impact the challenged finances of academic medical centers? Bundled payment methodologies, in which all providers rendering services to a patient during an episode of care split a global fee, are gaining popularity. Also under discussion are concepts like the advanced medical home, which would establish primary care practices as a regular source of care for patients, and the accountable care organization, under which providers supply all the health care services needed by a patient population for a defined time period in exchange for a share of the savings resulting from enhanced coordination of care and better patient outcomes or a per-member-per-month payment. The move away from fee-for-service reimbursement will create financial challenges for academic medicine because of the threat to clinical revenue. Yet academic health centers, because they are in many cases integrated health care organizations, may be aptly positioned to benefit from models that emphasize coordinated care. The author also has included a series of recommendations for how academic medicine can prepare for the implementation of new payment models to help ease the transition away from fee-for-service reimbursement.

  7. Sharing criteria and performance standards for the 11.7-12.2 GHz band in region 2

    NASA Technical Reports Server (NTRS)

    1976-01-01

    Possible criteria for sharing between the broadcasting-satellite and the fixed-satellite services are considered for each of several parameters in three categories: system, space station, and earth station. Criteria for sharing between the two satellite services and the three terrestrial services to which the 12-GHz band is allocated are discussed separately, first for the case of the fixed and mobile services and then for the broadcasting service.

  8. Business Systems Modernization: Strategy for Evolving DOD’s Business Enterprise Architecture Offers a Conceptual Approach, but Execution Details are Needed

    DTIC Science & Technology

    2007-04-01

    Services and System Capabilities Enterprise Rules and Standards for Interoperability Navy AFArmy TRANS COM DFASDLA Ente prise Shared Services and System...Where commonality among components exists, there are also opportunities for identifying and leveraging shared services . A service-oriented architecture...and (3) shared services . The BMA federation strategy, according to these officials, is the first mission area federation strategy, and it is their

  9. Finding Services for an Open Architecture: A Review of Existing Applications and Programs in PEO C4I

    DTIC Science & Technology

    2011-01-01

    2004) Two key SOA success factors listed were as follows: 1. Shared Services Strategy: Existence of a strategy to identify overlapping business and...model Architectural pattern 22 Finding Services for an Open Architecture or eliminating redundancies and overlaps through use of shared services 2...Funding Model: Existence of an IT funding model aligned with and supportive of a shared services strategy. (Sun Micro- systems, 2004) Become Data

  10. Could Values and Social Structures in Singapore Facilitate Attainment of Patient-Focused, Cultural, and Linguistic Competency Standards in a Patient-Centered Medical Home Pilot?

    PubMed Central

    Shih, Jenny A; Shiow, Sue-Anne Toh Ee; Wee, Hwee-Lin

    2015-01-01

    Primary care practices in the United States are transforming into patient-centered medical homes (PCMHs) at a rapid pace. Newer PCMH standards have emphasized culturally and linguistically appropriate services (CLAS), but at this time, only some states in the United States have proposed or passed cultural competency training for health care professionals. Other countries are moving to PCMH models. Singapore, a small, ethnically diverse island nation, has national values and social structures that emphasize cultural and linguistic cohesion. In this piece, we examine Singapore’s first PCMH pilot with a national academic center and primary care practice group. Features such as common shared values, self-reliance, racial and religious harmony, patient experience surveillance, and incorporation of CLAS standards in routine health care transactions may predict success for the PCMH in Singapore, with some implications for the United States. PMID:28725822

  11. Achievement of European standards by CROB-IRCCS.

    PubMed

    Gallicchio, Rosj; Scapicchio, Daniele; Musto, Pellegrino; Storto, Giovanni

    2015-01-01

    The Organisation of European Cancer Institutes (OECI) has recently endorsed a program for the accreditation of Italian cancer institutes. Any cancer center that aims to provide research, education, and care services to cancer patients should undergo an evaluation process in order to become OECI accredited. On a center basis, the task turned out to be challenging, and required commitment and increased workload. The timing is an adjunctive constraint, especially when dealing with bureaucracy. Once undertaken, the accreditation process goes through preparation and completion of the self-evaluation, peer review, report, and final designation. This process constitutes an unrepeatable opportunity for improvement. It is required to implement the necessary changes in order to improve policies, procedures, and employee training. Sharing the highlighted general remarks, strengths, and opportunities provided by the different audit teams (on a cancer center basis) will constitute a significant instrument to enhance cancer care.

  12. Building Service Delivery Networks: Partnership Evolution Among Children's Behavioral Health Agencies in Response to New Funding.

    PubMed

    Bunger, Alicia C; Doogan, Nathan J; Cao, Yiwen

    2014-12-01

    Meeting the complex needs of youth with behavioral health problems requires a coordinated network of community-based agencies. Although fiscal scarcity or retrenchment can limit coordinated services, munificence can stimulate service delivery partnerships as agencies expand programs, hire staff, and spend more time coordinating services. This study examines the 2-year evolution of referral and staff expertise sharing networks in response to substantial new funding for services within a regional network of children's mental health organizations. Quantitative network survey data were collected from directors of 22 nonprofit organizations that receive funding from a county government-based behavioral health service fund. Both referral and staff expertise sharing networks changed over time, but results of a stochastic actor-oriented model of network dynamics suggest the nature of this change varies for these networks. Agencies with higher numbers of referral and staff expertise sharing partners tend to maintain these ties and/or develop new relationships over the 2 years. Agencies tend to refer to agencies they trust, but trust was not associated with staff expertise sharing ties. However, agencies maintain or form staff expertise sharing ties with referral partners, or with organizations that provide similar services. In addition, agencies tend to reciprocate staff expertise sharing, but not referrals. Findings suggest that during periods of resource munificence and service expansion, behavioral health organizations build service delivery partnerships in complex ways that build upon prior collaborative history and coordinate services among similar types of providers. Referral partnerships can pave the way for future information sharing relationships.

  13. Building Service Delivery Networks: Partnership Evolution Among Children’s Behavioral Health Agencies in Response to New Funding

    PubMed Central

    Bunger, Alicia C.; Doogan, Nathan J.; Cao, Yiwen

    2014-01-01

    Meeting the complex needs of youth with behavioral health problems requires a coordinated network of community-based agencies. Although fiscal scarcity or retrenchment can limit coordinated services, munificence can stimulate service delivery partnerships as agencies expand programs, hire staff, and spend more time coordinating services. This study examines the 2-year evolution of referral and staff expertise sharing networks in response to substantial new funding for services within a regional network of children’s mental health organizations. Quantitative network survey data were collected from directors of 22 nonprofit organizations that receive funding from a county government-based behavioral health service fund. Both referral and staff expertise sharing networks changed over time, but results of a stochastic actor-oriented model of network dynamics suggest the nature of this change varies for these networks. Agencies with higher numbers of referral and staff expertise sharing partners tend to maintain these ties and/or develop new relationships over the 2 years. Agencies tend to refer to agencies they trust, but trust was not associated with staff expertise sharing ties. However, agencies maintain or form staff expertise sharing ties with referral partners, or with organizations that provide similar services. In addition, agencies tend to reciprocate staff expertise sharing, but not referrals. Findings suggest that during periods of resource munificence and service expansion, behavioral health organizations build service delivery partnerships in complex ways that build upon prior collaborative history and coordinate services among similar types of providers. Referral partnerships can pave the way for future information sharing relationships. PMID:25574359

  14. The experience of Latino parents of hospitalized children during family-centered rounds.

    PubMed

    Walker-Vischer, Lisa; Hill, Constance; Mendez, Suzanne S

    2015-03-01

    The aim of this study is to describe the experience of Latino parents of hospitalized children during family-centered rounds (FCRs). Family-centered rounds provide a mechanism to exchange information and facilitate shared decision making. Latino parents may have a suboptimal experience during FCRs. Understanding this experience helps nurse leaders improve patient satisfaction. Using a convenience sample, written surveys in Spanish were given to 20 parents who had attended at least 2 FCRs. The surveys were translated into English for data analysis. The narrative data were analyzed for common themes using content analysis. Four themes were identified: valued perception, inclusion and care, facilitated communication, and meeting expectations. Parents in this study felt that their participation and input were valued and that these positively impacted care. Family-centered rounds helped them understand the plan and facilitated communication when done in Spanish. Nurse leaders play a key role in improving satisfaction and increasing access to translation services or bilingual staff.

  15. OOSTT: a Resource for Analyzing the Organizational Structures of Trauma Centers and Trauma Systems

    PubMed Central

    Utecht, Joseph; Judkins, John; Otte, J. Neil; Colvin, Terra; Rogers, Nicholas; Rose, Robert; Alvi, Maria; Hicks, Amanda; Ball, Jane; Bowman, Stephen M.; Maxson, Robert T.; Nabaweesi, Rosemary; Pradhan, Rohit; Sanddal, Nels D.; Tudoreanu, M. Eduard; Winchell, Robert J.; Brochhausen, Mathias

    2017-01-01

    Organizational structures of healthcare organizations has increasingly become a focus of medical research. In the CAFÉ project we aim to provide a web-service enabling ontology-driven comparison of the organizational characteristics of trauma centers and trauma systems. Trauma remains one of the biggest challenges to healthcare systems worldwide. Research has demonstrated that coordinated efforts like trauma systems and trauma centers are key components of addressing this challenge. Evaluation and comparison of these organizations is essential. However, this research challenge is frequently compounded by the lack of a shared terminology and the lack of effective information technology solutions for assessing and comparing these organizations. In this paper we present the Ontology of Organizational Structures of Trauma systems and Trauma centers (OOSTT) that provides the ontological foundation to CAFÉ's web-based questionnaire infrastructure. We present the usage of the ontology in relation to the questionnaire and provide the methods that were used to create the ontology. PMID:28217041

  16. Data transfer over the wide area network with a large round trip time

    NASA Astrophysics Data System (ADS)

    Matsunaga, H.; Isobe, T.; Mashimo, T.; Sakamoto, H.; Ueda, I.

    2010-04-01

    A Tier-2 regional center is running at the University of Tokyo in Japan. This center receives a large amount of data of the ATLAS experiment from the Tier-1 center in France. Although the link between the two centers has 10Gbps bandwidth, it is not a dedicated link but is shared with other traffic, and the round trip time is 290ms. It is not easy to exploit the available bandwidth for such a link, so-called long fat network. We performed data transfer tests by using GridFTP in various combinations of the parameters, such as the number of parallel streams and the TCP window size. In addition, we have gained experience of the actual data transfer in our production system where the Disk Pool Manager (DPM) is used as the Storage Element and the data transfer is controlled by the File Transfer Service (FTS). We report results of the tests and the daily activity, and discuss the improvement of the data transfer throughput.

  17. Approach to Managing MeaSURES Data at the GSFC Earth Science Data and Information Services Center (GES DISC)

    NASA Technical Reports Server (NTRS)

    Vollmer, Bruce; Kempler, Steven J.; Ramapriyan, Hampapuram K.

    2009-01-01

    A major need stated by the NASA Earth science research strategy is to develop long-term, consistent, and calibrated data and products that are valid across multiple missions and satellite sensors. (NASA Solicitation for Making Earth System data records for Use in Research Environments (MEaSUREs) 2006-2010) Selected projects create long term records of a given parameter, called Earth Science Data Records (ESDRs), based on mature algorithms that bring together continuous multi-sensor data. ESDRs, associated algorithms, vetted by the appropriate community, are archived at a NASA affiliated data center for archive, stewardship, and distribution. See http://measures-projects.gsfc.nasa.gov/ for more details. This presentation describes the NASA GSFC Earth Science Data and Information Services Center (GES DISC) approach to managing the MEaSUREs ESDR datasets assigned to GES DISC. (Energy/water cycle related and atmospheric composition ESDRs) GES DISC will utilize its experience to integrate existing and proven reusable data management components to accommodate the new ESDRs. Components include a data archive system (S4PA), a data discovery and access system (Mirador), and various web services for data access. In addition, if determined to be useful to the user community, the Giovanni data exploration tool will be made available to ESDRs. The GES DISC data integration methodology to be used for the MEaSUREs datasets is presented. The goals of this presentation are to share an approach to ESDR integration, and initiate discussions amongst the data centers, data managers and data providers for the purpose of gaining efficiencies in data management for MEaSUREs projects.

  18. Shared decision-making and interprofessional collaboration in mental healthcare: a qualitative study exploring perceptions of barriers and facilitators.

    PubMed

    Chong, Wei Wen; Aslani, Parisa; Chen, Timothy F

    2013-09-01

    Shared decision-making and interprofessional collaboration are important approaches to achieving consumer-centered care. The concept of shared decision-making has been expanded recently to include the interprofessional healthcare team. This study explored healthcare providers' perceptions of barriers and facilitators to both shared decision-making and interprofessional collaboration in mental healthcare. Semi-structured interviews were conducted with 31 healthcare providers, including medical practitioners (psychiatrists, general practitioners), pharmacists, nurses, occupational therapists, psychologists and social workers. Healthcare providers identified several factors as barriers to, and facilitators of shared decision-making that could be categorized into three major themes: factors associated with mental health consumers, factors associated with healthcare providers and factors associated with healthcare service delivery. Consumers' lack of competence to participate was frequently perceived by mental health specialty providers to be a primary barrier to shared decision-making, while information provision on illness and treatment to consumers was cited by healthcare providers from all professions to be an important facilitator of shared decision-making. Whilst healthcare providers perceived interprofessional collaboration to be influenced by healthcare provider, environmental and systemic factors, emphasis of the factors differed among healthcare providers. To facilitate interprofessional collaboration, mental health specialty providers emphasized the importance of improving mental health expertise among general practitioners and community pharmacists, whereas general health providers were of the opinion that information sharing between providers and healthcare settings was the key. The findings of this study suggest that changes may be necessary at several levels (i.e. consumer, provider and environment) to implement effective shared decision-making and interprofessional collaboration in mental healthcare.

  19. A Framework for Sharing and Integrating Remote Sensing and GIS Models Based on Web Service

    PubMed Central

    Chen, Zeqiang; Lin, Hui; Chen, Min; Liu, Deer; Bao, Ying; Ding, Yulin

    2014-01-01

    Sharing and integrating Remote Sensing (RS) and Geographic Information System/Science (GIS) models are critical for developing practical application systems. Facilitating model sharing and model integration is a problem for model publishers and model users, respectively. To address this problem, a framework based on a Web service for sharing and integrating RS and GIS models is proposed in this paper. The fundamental idea of the framework is to publish heterogeneous RS and GIS models into standard Web services for sharing and interoperation and then to integrate the RS and GIS models using Web services. For the former, a “black box” and a visual method are employed to facilitate the publishing of the models as Web services. For the latter, model integration based on the geospatial workflow and semantic supported marching method is introduced. Under this framework, model sharing and integration is applied for developing the Pearl River Delta water environment monitoring system. The results show that the framework can facilitate model sharing and model integration for model publishers and model users. PMID:24901016

  20. A framework for sharing and integrating remote sensing and GIS models based on Web service.

    PubMed

    Chen, Zeqiang; Lin, Hui; Chen, Min; Liu, Deer; Bao, Ying; Ding, Yulin

    2014-01-01

    Sharing and integrating Remote Sensing (RS) and Geographic Information System/Science (GIS) models are critical for developing practical application systems. Facilitating model sharing and model integration is a problem for model publishers and model users, respectively. To address this problem, a framework based on a Web service for sharing and integrating RS and GIS models is proposed in this paper. The fundamental idea of the framework is to publish heterogeneous RS and GIS models into standard Web services for sharing and interoperation and then to integrate the RS and GIS models using Web services. For the former, a "black box" and a visual method are employed to facilitate the publishing of the models as Web services. For the latter, model integration based on the geospatial workflow and semantic supported marching method is introduced. Under this framework, model sharing and integration is applied for developing the Pearl River Delta water environment monitoring system. The results show that the framework can facilitate model sharing and model integration for model publishers and model users.

  1. Skill sharing and delegation practice in two Queensland regional allied health cancer care services: a comparison of tasks.

    PubMed

    Passfield, Juanine; Nielsen, Ilsa; Brebner, Neil; Johnstone, Cara

    2017-07-24

    Objective Delegation and skill sharing are emerging service strategies for allied health (AH) professionals working in Queensland regional cancer care services. The aim of the present study was to describe the consistency between two services for the types and frequency of tasks provided and the agreement between teams in the decision to delegate or skill share clinical tasks, thereby determining the potential applicability to other services. Methods Datasets provided by two similar services were collated. Descriptive statistical analyses were used to assess the extent of agreement. Results In all, 214 tasks were identified as being undertaken by the services (92% agreement). Across the services, 70 tasks were identified as high frequency (equal to or more frequently than weekly) and 29 as not high frequency (46% agreement). Of the 68 tasks that were risk assessed, agreement was 66% for delegation and 60% for skill sharing, with high-frequency and intervention tasks more likely to be delegated. Conclusions Strong consistency was apparent for the clinical tasks undertaken by the two cancer care AH teams, with moderate agreement for the frequency of tasks performed. The proportion of tasks considered appropriate for skill sharing and/or delegation was similar, although variation at the task level was apparent. Further research is warranted to examine the range of factors that affect the decision to skill share or delegate. What is known about the topic? There is limited research evidence regarding the use of skill sharing and delegation service models for AH in cancer care services. In particular, the extent to which decisions about task safety and appropriateness for delegation or skill sharing can be generalised across services has not been investigated. What does this paper add? This study investigated the level of clinical task consistency between two similar AH cancer care teams in regional centres. It also examined the level of agreement with regard to delegation and skill sharing to provide an indication of the level of local service influence on workforce and service model decisions. What are the implications for practitioners? Local factors have a modest influence on delegation and skill sharing decisions of AH teams. Practitioners need to be actively engaged in decision making at the local level to ensure the clinical service model meets local needs. However, teams should also capitalise on commonalities between settings to limit duplication of training and resource development through collaborative networks.

  2. Interprofessional education through service-learning: lessons from a student-led free clinic.

    PubMed

    Farlow, Janice L; Goodwin, Charles; Sevilla, Javier

    2015-05-01

    The academic community must replicate and strengthen existing models for interprofessional education (IPE) to meet widespread calls for team-based patient-centered care. One effective but under-explored possibility for IPE is through student-led clinics, which now exist in the majority of medical schools. This short report presents the Indiana University Student Outreach Clinic (IU-SOC), which involves seven different professional programs across three institutions, as a model for how IPE can be delivered formally through service learning. Lessons learned, such as nurturing an intentional interprofessional program, structured orientation and reflection, and resource and knowledge sharing between the clinic and academic institutions, can be applied to all student-led clinics, but also can inform other IPE initiatives in health professional curricula.

  3. An Analysis of Implementation of the Defense Travel System at the Naval Postgraduate School

    DTIC Science & Technology

    2002-03-01

    processing called the Shared Services Office. The justification for this reorganization decision was to eliminate some inefficiency in the travel process...Table 2 shows the pros, cons, and issues surrounding the decision to create a Shared Services Office. Travel Manager was also modified to submit...service Location/space issues Expertise is centralized Travelers waiting for shared services concept to fail Coordinating the best order for

  4. Unifying Water Data Sources: How the CUAHSI Water Data Center is Enabling and Improving Access to a Growing Catalog of over 100 Data Providers

    NASA Astrophysics Data System (ADS)

    Pollak, J.; Berry, K.; Couch, A.; Arrigo, J.; Hooper, R. P.

    2013-12-01

    Scientific data about water are collected and distributed by numerous sources which can differ tremendously in scale. As competition for water resources increases, increasing access to and understanding of information about water will be critical. The mission of the new CUAHSI Water Data Center (WDC) is to provide those researchers who collect data a medium to publish their datasets and give those wanting to discover data the proper tools to efficiently find the data that they seek. These tools include standards-based data publication, data discovery tools based upon faceted and telescoping search, and a data analysis tool HydroDesktop that downloads and unifies data in standardized formats. The CUAHSI Hydrologic Information System (HIS) is a community developed and open source system for sharing water data. As a federated, web service oriented system it enables data publication for a diverse user population including scientific investigators (Research Coordination Networks, Critical Zone Observatories), government agencies (USGS, NASA, EPA), and citizen scientists (watershed associations). HydroDesktop is an end user application for data consumption in this system that the WDC supports. This application can be used for finding, downloading, and analyzing data from the HIS. It provides a GIS interface that allows users to incorporate spatial data that are not accessible via HIS, simple analysis tools to facilitate graphing and visualization, tools to export data to common file types, and provides an extensible architecture that developers can build upon. HydroDesktop, however, is just one example of a data access client for HIS. The web service oriented architecture enables data access by an unlimited number of clients provided they can consume the web services used in HIS. One such example developed at the WDC is the 'Faceted Search Client', which capitalizes upon exploratory search concepts to improve accuracy and precision during search. We highlight such features of the CUAHSI-HIS which make it particularly appropriate for providing unified access to several sources of water data. A growing community of researchers and educators are employing these tools for education; including sharing best practices around creating modules, supporting researchers and educators in accessing the services, and cataloging and sharing modules. The CUAHSI WDC is a community governed organization. Our agenda is driven by the community's voice through a Board of Directors and committees that decide strategic direction (new products), tactical decisions (product improvement), and evaluation of usability. By providing the aforementioned services within a community driven framework, we believe the WDC is providing critical services that include improving water data discoverability, accessibility and usability within a sustainable governance structure.

  5. Shared service alternatives offer flexibility and tax benefits.

    PubMed

    Danehy, L J; Scutt, R C; Stonehill, E

    1985-05-01

    Because the performance of shared service and tax-exempt status under Section 501(c)(3) of the Internal Revenue Code can be incompatible, hospitals planning to provide services to each other or to other organizations on a fee-for-service basis may wish to do so through a separate corporate entity. Using either a Section 501(e) shared service organization, a Sub-chapter T cooperative, or a taxable business corporation, a compromise can be reached between operational flexibility and tax benefits.

  6. Sharing is caring: The potential of the sharing economy to support aging in place.

    PubMed

    Miller, Julie; Ward, Carley; Lee, Chaiwoo; D'Ambrosio, Lisa; Coughlin, Joseph

    2018-01-24

    This article explores innovative applications of sharing economy services that have the potential to support a population aging in place, especially the "oldest old," aged 85 and older, and their caregivers. A mixed-methods study conducted by the MIT AgeLab examined perceptions of and experiences with sharing economy services, ultimately finding opportunities and barriers to use. Thus, although sharing economy services have potential to support aging in place, to do so successfully will require reconstructing how older adults, family caregivers, aging service professionals, gerontology educators, and gerontology students conceptualize and deliver care to an aging population. We suggest examples for gerontology educators to integrate into their classrooms to further cultivate an appreciation among students of multiple approaches to intervention, including those that leverage sharing economy and technology-enabled platforms to support older adults and their caregivers.

  7. Design and development of an international clinical data exchange system: the international layer function of the Dolphin Project

    PubMed Central

    Zhou, Tian-shu; Chu, Jian; Araki, Kenji; Yoshihara, Hiroyuki

    2011-01-01

    Objective At present, most clinical data are exchanged between organizations within a regional system. However, people traveling abroad may need to visit a hospital, which would make international exchange of clinical data very useful. Background Since 2007, a collaborative effort to achieve clinical data sharing has been carried out at Zhejiang University in China and Kyoto University and Miyazaki University in Japan; each is running a regional clinical information center. Methods An international layer system named Global Dolphin was constructed with several key services, sharing patients' health information between countries using a medical markup language (MML). The system was piloted with 39 test patients. Results The three regions above have records for 966 000 unique patients, which are available through Global Dolphin. Data exchanged successfully from Japan to China for the 39 study patients include 1001 MML files and 152 images. The MML files contained 197 free text-type paragraphs that needed human translation. Discussion The pilot test in Global Dolphin demonstrates that patient information can be shared across countries through international health data exchange. To achieve cross-border sharing of clinical data, some key issues had to be addressed: establishment of a super directory service across countries; data transformation; and unique one—language translation. Privacy protection was also taken into account. The system is now ready for live use. Conclusion The project demonstrates a means of achieving worldwide accessibility of medical data, by which the integrity and continuity of patients' health information can be maintained. PMID:21571747

  8. Formalize clinical processes into electronic health information systems: Modelling a screening service for diabetic retinopathy.

    PubMed

    Eguzkiza, Aitor; Trigo, Jesús Daniel; Martínez-Espronceda, Miguel; Serrano, Luis; Andonegui, José

    2015-08-01

    Most healthcare services use information and communication technologies to reduce and redistribute the workload associated with follow-up of chronic conditions. However, the lack of normalization of the information handled in and exchanged between such services hinders the scalability and extendibility. The use of medical standards for modelling and exchanging information, especially dual-model based approaches, can enhance the features of screening services. Hence, the approach of this paper is twofold. First, this article presents a generic methodology to model patient-centered clinical processes. Second, a proof of concept of the proposed methodology was conducted within the diabetic retinopathy (DR) screening service of the Health Service of Navarre (Spain) in compliance with a specific dual-model norm (openEHR). As a result, a set of elements required for deploying a model-driven DR screening service has been established, namely: clinical concepts, archetypes, termsets, templates, guideline definition rules, and user interface definitions. This model fosters reusability, because those elements are available to be downloaded and integrated in any healthcare service, and interoperability, since from then on such services can share information seamlessly. Copyright © 2015 Elsevier Inc. All rights reserved.

  9. The OCHIN community information network: bringing together community health centers, information technology, and data to support a patient-centered medical village.

    PubMed

    Devoe, Jennifer E; Sears, Abigail

    2013-01-01

    Creating integrated, comprehensive care practices requires access to data and informatics expertise. Information technology (IT) resources are not readily available to individual practices. One model of shared IT resources and learning is a "patient-centered medical village." We describe the OCHIN Community Health Information Network as an example of this model; community practices have come together collectively to form an organization that leverages shared IT expertise, resources, and data, providing members with the means to fully capitalize on new technologies that support improved care. This collaborative facilitates the identification of "problem sheds" through surveillance of network-wide data, enables shared learning regarding best practices, and provides a "community laboratory" for practice-based research. As an example of a community of solution, OCHIN uses health IT and data-sharing innovations to enhance partnerships between public health leaders, clinicians in community health centers, informatics experts, and policy makers. OCHIN community partners benefit from the shared IT resource (eg, a linked electronic health record, centralized data warehouse, informatics, and improvement expertise). This patient-centered medical village provides (1) the collective mechanism to build community-tailored IT solutions, (2) "neighbors" to share data and improvement strategies, and (3) infrastructure to support innovations based on electronic health records across communities, using experimental approaches.

  10. The University of Nebraska at Omaha Center for Space Data Use in Teaching and Learning

    NASA Technical Reports Server (NTRS)

    Grandgenett, Neal

    2000-01-01

    Within the context of innovative coursework and other educational activities, we are proposing the establishment of a University of Nebraska at Omaha (UNO) Center for the Use of Space Data in Teaching and Learning. This Center will provide an exciting and motivating process for educators at all levels to become involved in professional development and training which engages real life applications of mathematics, science, and technology. The Center will facilitate innovative courses (including online and distance education formats), systematic degree programs, classroom research initiatives, new instructional methods and tools, engaging curriculum materials, and various symposiums. It will involve the active participation of several Departments and Colleges on the UNO campus and be well integrated into the campus environment. It will have a direct impact on pre-service and in-service educators, the K12 (kindergarten through 12th grade) students that they teach, and other college students of various science, mathematics, and technology related disciplines, in which they share coursework. It is our belief that there are many exciting opportunities represented by space data and imagery, as a context for engaging mathematics, science, and technology education. The UNO Center for Space Data Use in Teaching and Learning being proposed in this document will encompass a comprehensive training and dissemination strategy that targets the improvement of K-12 education, through changes in the undergraduate and graduate preparation of teachers in science, mathematics and technology education.

  11. Open Management Group Data-Distribution Service (OMG-DDS) as a Data Transport for Vehicular Integration for C4ISR/EW Interoperability Services

    DTIC Science & Technology

    2012-08-01

    15 August 2012 2 UNCLASSIFIED VICTORY Overview • The VICTORY technical approach – Incorporate open-standards – Shared services (VICTORY services...availability) 15 August 2012 3 UNCLASSIFIED VICTORY Shared Services • VICTORY core services (Position, Orientation, Direction- of-Travel, and Time) • Service

  12. NABIC: A New Access Portal to Search, Visualize, and Share Agricultural Genomics Data.

    PubMed

    Seol, Young-Joo; Lee, Tae-Ho; Park, Dong-Suk; Kim, Chang-Kug

    2016-01-01

    The National Agricultural Biotechnology Information Center developed an access portal to search, visualize, and share agricultural genomics data with a focus on South Korean information and resources. The portal features an agricultural biotechnology database containing a wide range of omics data from public and proprietary sources. We collected 28.4 TB of data from 162 agricultural organisms, with 10 types of omics data comprising next-generation sequencing sequence read archive, genome, gene, nucleotide, DNA chip, expressed sequence tag, interactome, protein structure, molecular marker, and single-nucleotide polymorphism datasets. Our genomic resources contain information on five animals, seven plants, and one fungus, which is accessed through a genome browser. We also developed a data submission and analysis system as a web service, with easy-to-use functions and cutting-edge algorithms, including those for handling next-generation sequencing data.

  13. Shared-Ride Taxi Service in Boston, MA

    DOT National Transportation Integrated Search

    1985-03-01

    This report presents an evaluation of the Boston Shared-Ride Taxi Demonstration. The City of Boston's Traffic and Parking Department, the project grantee, designed a shared-ride service for Boston's Allston-Brighton neighborhood; Boston Cab Associati...

  14. National Space Club

    NASA Image and Video Library

    2018-03-20

    NASA Kennedy Space Center Director Bob Cabana speaks to National Space Club-Florida Chapter (NSCFC) members and guests at the Radisson Resort at the Port in Cape Canaveral, Florida. Cabana's presentation was titled, "KSC - Space Exploration Begins Here." He included an update on the multi-user spaceport and several programs, including Exploration Ground Systems, Launch Services Program and Commercial Crew Program. The NSCFC is a non-profit organization composed of representatives from the space industry, government, educational institutions, and private individuals who share a commitment to increasing public awareness of America's aerospace programs.

  15. Women in physical medicine and rehabilitation. Leadership issues.

    PubMed

    Wong, E Y; Cardenas, D D

    2001-02-01

    Academic medical centers share the triple missions of education, research, and clinical care, particularly in vulnerable populations. They are well positioned to have a significant impact on reducing health disparities between patients from diverse backgrounds, both now and in future generations. A key component to realizing this goal lies in increasing the number of women in academic medicine. Women bring a fresh perspective to the investigative process, often targeting gender is a better way of providing preventive services, and patient satisfaction studies have shown that many patients prefer women physicians.

  16. 42 CFR 447.53 - Applicability; specification; multiple charges.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... sharing. (2) Pregnant women. Services furnished to pregnant women if such services related to the... sharing all services furnished to pregnant women if they desire. (3) Institutionalized individuals...

  17. Dissemination Strategies and Devices, Part Four, Final Report for Phase I, Rural Shared Services.

    ERIC Educational Resources Information Center

    Northern Montana Coll., Havre.

    Part Four of a four-part report, designed to identify, synthesize, and evaluate shared services research and development efforts throughout the nation, presents a model to disseminate information concerning shared services information to rural educators. The discussion does not prescribe a "best-fit" model but presents several with an expanded…

  18. 25 Point Implementation Plan to Reform Federal information Technology Management

    DTIC Science & Technology

    2010-12-09

    8 6 . Develop a strategy for shared services . . . . . . . . . . . . . . . . . . . . . . 8...or shared services exist . Government officials have been trying to adopt best practices for years – from the Raines Rules of the 1990s through the...Additionally, leveraging shared services of “commodity” applications such as e-mail across functional organizations allows organizations to redirect

  19. Current and planned shared service arrangements in Wisconsin local and tribal health departments.

    PubMed

    Madamala, Kusuma; Young, Nancy; Young, Dustin; Giese, Lieske; Brandenberg, Terry; Zahner, Susan

    2014-01-01

    The objective of this study was to explore current and future use of shared service arrangements as a management strategy to increase capacity to provide public health essential services in Wisconsin. An online cross-sectional survey of 99 local and tribal health departments in Wisconsin was conducted. Select variables from the 2010 Wisconsin Local Health Department Survey were merged. Other data sources included results from a Board of Health governance analysis and the Wisconsin Department of Health Services region data. Descriptive analysis was performed of current and future shared service arrangements and the characteristics of the types of arrangements and agreements in place. Ninety-one of 99 Wisconsin local and tribal health departments responded, yielding a 92% response rate. Seventy-one percent of respondents currently share services with 1 or more other health departments. More frequent arrangements were present in programmatic areas than in departmental operations. Most frequently reported motivators include making better use of resources, providing better services, and responding to program requirements. Extensive qualitative comments indicate arrangements accomplished what the local health department hoped it would with perceived gains in efficiency and effectiveness. There is widespread use of shared services among health departments in Wisconsin. Extensive qualitative comments suggest participant satisfaction with what the arrangements have accomplished. Motivating factors in developing the arrangements and limited mention of expiration dates suggest continued study of how these arrangements may evolve. Further examination of shared services as a potential mechanism to advance service effectiveness and efficiency is needed.

  20. Cross-Jurisdictional Resource Sharing in Local Health Departments: Implications for Services, Quality, and Cost.

    PubMed

    Humphries, Debbie L; Hyde, Justeen; Hahn, Ethan; Atherly, Adam; O'Keefe, Elaine; Wilkinson, Geoffrey; Eckhouse, Seth; Huleatt, Steve; Wong, Samuel; Kertanis, Jennifer

    2018-01-01

    Forty one percent of local health departments in the U.S. serve jurisdictions with populations of 25,000 or less. Researchers, policymakers, and advocates have long questioned how to strengthen public health systems in smaller municipalities. Cross-jurisdictional sharing may increase quality of service, access to resources, and efficiency of resource use. To characterize perceived strengths and challenges of independent and comprehensive sharing approaches, and to assess cost, quality, and breadth of services provided by independent and sharing health departments in Connecticut (CT) and Massachusetts (MA). We interviewed local health directors or their designees from 15 comprehensive resource-sharing jurisdictions and 54 single-municipality jurisdictions in CT and MA using a semi-structured interview. Quantitative data were drawn from closed-ended questions in the semi-structured interviews; municipal demographic data were drawn from the American Community Survey and other public sources. Qualitative data were drawn from open-ended questions in the semi-structured interviews. The findings from this multistate study highlight advantages and disadvantages of two common public health service delivery models - independent and shared. Shared service jurisdictions provided more community health programs and services, and invested significantly more ($120 per thousand (1K) population vs. $69.5/1K population) on healthy food access activities. Sharing departments had more indicators of higher quality food safety inspections (FSIs), and there was a non-linear relationship between cost per FSI and number of FSI. Minimum cost per FSI was reached above the total number of FSI conducted by all but four of the jurisdictions sampled. Independent jurisdictions perceived their governing bodies to have greater understanding of the roles and responsibilities of local public health, while shared service jurisdictions had fewer staff per 1,000 population. There are trade-offs with sharing and remaining independent. Independent health departments serving small jurisdictions have limited resources but strong local knowledge. Multi-municipality departments have more resources but require more time and investment in governance and decision-making. When making decisions about the right service delivery model for a given municipality, careful consideration should be given to local culture and values. Some economies of scale may be achieved through resource sharing for municipalities <25,000 population.

  1. The Climate-G testbed: towards a large scale data sharing environment for climate change

    NASA Astrophysics Data System (ADS)

    Aloisio, G.; Fiore, S.; Denvil, S.; Petitdidier, M.; Fox, P.; Schwichtenberg, H.; Blower, J.; Barbera, R.

    2009-04-01

    The Climate-G testbed provides an experimental large scale data environment for climate change addressing challenging data and metadata management issues. The main scope of Climate-G is to allow scientists to carry out geographical and cross-institutional climate data discovery, access, visualization and sharing. Climate-G is a multidisciplinary collaboration involving both climate and computer scientists and it currently involves several partners such as: Centro Euro-Mediterraneo per i Cambiamenti Climatici (CMCC), Institut Pierre-Simon Laplace (IPSL), Fraunhofer Institut für Algorithmen und Wissenschaftliches Rechnen (SCAI), National Center for Atmospheric Research (NCAR), University of Reading, University of Catania and University of Salento. To perform distributed metadata search and discovery, we adopted a CMCC metadata solution (which provides a high level of scalability, transparency, fault tolerance and autonomy) leveraging both on P2P and grid technologies (GRelC Data Access and Integration Service). Moreover, data are available through OPeNDAP/THREDDS services, Live Access Server as well as the OGC compliant Web Map Service and they can be downloaded, visualized, accessed into the proposed environment through the Climate-G Data Distribution Centre (DDC), the web gateway to the Climate-G digital library. The DDC is a data-grid portal allowing users to easily, securely and transparently perform search/discovery, metadata management, data access, data visualization, etc. Godiva2 (integrated into the DDC) displays 2D maps (and animations) and also exports maps for display on the Google Earth virtual globe. Presently, Climate-G publishes (through the DDC) about 2TB of data related to the ENSEMBLES project (also including distributed replicas of data) as well as to the IPCC AR4. The main results of the proposed work are: wide data access/sharing environment for climate change; P2P/grid metadata approach; production-level Climate-G DDC; high quality tools for data visualization; metadata search/discovery across several countries/institutions; open environment for climate change data sharing.

  2. Using Evidence-Based Internet Interventions to Reduce Health Disparities Worldwide

    PubMed Central

    2010-01-01

    Health disparities are a persistent problem worldwide. A major obstacle to reducing health disparities is reliance on “consumable interventions,” that is, interventions that, once used, cannot be used again. To reduce health disparities, interventions are required that can be used again and again without losing their therapeutic power, that can reach people even if local health care systems do not provide them with needed health care, and that can be shared globally without taking resources away from the populations where the interventions were developed. This paper presents the argument that automated self-help evidence-based Internet interventions meet the above criteria and can contribute to the reduction of health disparities worldwide. Proof-of-concept studies show that evidence-based Internet interventions can reach hundreds of thousands of people worldwide and could be used in public sector settings to augment existing offerings and provide services not currently available (such as prevention interventions). This paper presents a framework for systematically filling in a matrix composed of columns representing common health problems and rows representing languages. To bring the benefits of evidence-based Internet interventions to the underserved, public sector clinics should establish eHealth resource centers, through which patients could be screened online for common disorders and provided with evidence-based Internet intervention services not currently available at the clinics. These resources should be available in the patients’ languages, in formats that do not require literacy, and that can be accessed with mobile devices. Such evidence-based Internet interventions should then be shared with public sector clinics as well as individuals anywhere in the world. Finally, this paper addresses sustainability and describes a continuum of evidence-based Internet interventions to share nationally and across the world. This approach to expanding health service delivery will significantly contribute to a reduction of health disparities worldwide, adding to the often-quoted slogan, “Think globally, act locally,” a third line: “Share globally.” PMID:21169162

  3. Using evidence-based internet interventions to reduce health disparities worldwide.

    PubMed

    Muñoz, Ricardo F

    2010-12-17

    Health disparities are a persistent problem worldwide. A major obstacle to reducing health disparities is reliance on "consumable interventions," that is, interventions that, once used, cannot be used again. To reduce health disparities, interventions are required that can be used again and again without losing their therapeutic power, that can reach people even if local health care systems do not provide them with needed health care, and that can be shared globally without taking resources away from the populations where the interventions were developed. This paper presents the argument that automated self-help evidence-based Internet interventions meet the above criteria and can contribute to the reduction of health disparities worldwide. Proof-of-concept studies show that evidence-based Internet interventions can reach hundreds of thousands of people worldwide and could be used in public sector settings to augment existing offerings and provide services not currently available (such as prevention interventions). This paper presents a framework for systematically filling in a matrix composed of columns representing common health problems and rows representing languages. To bring the benefits of evidence-based Internet interventions to the underserved, public sector clinics should establish eHealth resource centers, through which patients could be screened online for common disorders and provided with evidence-based Internet intervention services not currently available at the clinics. These resources should be available in the patients' languages, in formats that do not require literacy, and that can be accessed with mobile devices. Such evidence-based Internet interventions should then be shared with public sector clinics as well as individuals anywhere in the world. Finally, this paper addresses sustainability and describes a continuum of evidence-based Internet interventions to share nationally and across the world. This approach to expanding health service delivery will significantly contribute to a reduction of health disparities worldwide, adding to the often-quoted slogan, "Think globally, act locally," a third line: "Share globally."

  4. Sharing post-AML consolidation supportive therapy with local centers reduces patient travel burden without compromising outcomes.

    PubMed

    Hershenfeld, Samantha A; Maki, Kimberly; Rothfels, Lana; Murray, Cindy S; Nixon, Shannon; Schimmer, Aaron D; Doherty, Mary C

    2017-08-01

    Acute myeloid leukemia (AML) is frequently treated with induction and consolidation chemotherapy. Consolidation chemotherapy can be delivered on an ambulatory basis, requiring some patients to travel long distances for treatment at specialized centers. We developed a shared care model where patients receive consolidation chemotherapy at a quaternary center, but post-consolidation supportive care at local hospitals. To evaluate the impact of our model on patient travel and outcomes we conducted a retrospective analysis of AML and acute promyelocytic leukemia patients receiving consolidation over four years at our quaternary center. 73 patients received post-consolidation care locally, and 344 at the quaternary center. Gender, age and cytogenetic risk did not significantly differ between groups. Shared care patients saved mean round trip distance of 146.5km±99.6 and time of 96.7min±63.4 compared to travelling to quaternary center. There was no significant difference in overall survival between groups, and no increased hazard of death for shared care patients. 30, 60, and 90day survival from start of consolidation was 98.6%, 97.2%, and 95.9% for shared care and 98.8%, 97.1%, and 95.3% for quaternary center patients. Thus, a model utilizing regional partnerships for AML post-consolidation care reduces travel burden while maintaining safety. Copyright © 2017 Elsevier Ltd. All rights reserved.

  5. Identity Federation and Its Importance for NASA's Future: The SharePoint Extranet Pilot

    NASA Technical Reports Server (NTRS)

    Baturin, Rebecca R.

    2013-01-01

    My project at Kennedy Space Center (KSC) during the spring 2013 Project Management and Systems Engineering Internship was to functionalJy test and deploy the SharePoint Extranet system and ensure successful completion of the project's various lifecycle milestones as described by NASA Procedural Requirement (NPR) 7 120.7. I worked alongside NASA Project Managers, Systems Integration Engineers, and Information Technology (IT) Professionals to pilot this collaboration capability between NASA and its External Partners. The use of identity federation allows NASA to leverage externally-issued credentials of other federal agencies and private aerospace and defense companies, versus the traditional process of granting and maintaining full NASA identities for these individuals. This is the first system of its kind at NASA and it will serve as a pilot for the Federal Government. Recognizing the novelty of this service, NASA's initial approach for deployment included a pilot period where nearby employees of Patrick Air Force Base would assist in testing and deployment. By utilizing a credential registration process, Air Force users mapped their Air Force-issued Common Access Cards (CAC) to a NASA identity for access to the External SharePoint. Once the Air Force stands up an Active Directory Federation Services (ADFS) instance within their Data Center and establishes a direct trust with NASA, true identity federation can be established. The next partner NASA is targeting for collaboration is Lockheed Martin (LMCO), since they collaborate frequently for the ORION Program. Through the use of Exostar as an identity hub, LMCO employees will be able to access NASA data on a need to know basis, with NASA ultimately managing access. In a time when every dollar and resource is being scrutinized, this capability is an exciting new way for NASA to continue its collaboration efforts in a cost and resource effective manner.

  6. Some Problems Involved in the Shared Cataloging Subsystem of the Ohio College Library Center.

    ERIC Educational Resources Information Center

    Sacco, Margaret T.

    This report outlines the development of the Ohio College Library Center (OCLC) and considers some basic problems in OCLC shared cataloging--e.g., the uneven quality of input cataloging and increasing number of duplicate records. Summaries of findings from an OCLC evaluative study and two surveys of shared cataloging are presented. The report…

  7. Shared Services for Rural and Small Schools.

    ERIC Educational Resources Information Center

    Hanuske, Sarah

    As school populations decline and costs rise due to inflation, rural and small schools are turning to shared services in order to keep community schools open, meet federal mandates, and improve educational opportunities. Sharing ventures may be for limited purposes, such as sharing a physics teacher or having a joint drama production, or for more…

  8. 38 CFR 17.142 - Authority to approve sharing agreements, contracts for scarce medical specialist services and...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... sharing agreements, contracts for scarce medical specialist services and contracts for other medical... medical specialist services and contracts for other medical services. The Under Secretary for Health is... specialist services at Department of Veterans Affairs health care facilities (including, but not limited to...

  9. 75 FR 17763 - National Park Service Benefits-Sharing Final Environmental Impact Statement Record of Decision

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-07

    ... DEPARTMENT OF THE INTERIOR National Park Service National Park Service Benefits-Sharing Final Environmental Impact Statement Record of Decision AGENCY: National Park Service, Department of the Interior.... 4332(2)(C), the National Park Service announces the availability of the Record of Decision for the...

  10. Developing a PPO: challenges and benefits.

    PubMed

    Range, R P

    1984-12-01

    When deciding upon which kind of alternative delivery system to develop, Saint Vincent Charity Hospital and Health Center, Cleveland, selected the preferred provider organization (PPO) mode because of four basic advantages: (1) the health care consumer's freedom to choose providers; (2) effective cost containment; (3) coordination of services among allied providers; and (4) health promotion programs. More specifically, the Ohio Health Choice Plan (OHCP) benefits hospitals by assisting to maintain or increase market share, facilitating prompt claims payments, and improving financial mix. Physicians benefit not only because they receive prompt payment and are not a risk but also because the fee-for-service system is retained and their market shares can also be preserved or enhanced. Employers' advantages include savings through controlled utilization, positive employee relations, and improved management information. Employees' benefits include lower out-of-pocket costs and freedom of choice. As a full-service PPO, the organization provides benefits plans designed to meet each employer's needs as well as actuary services, claims screening and processing, benefits coordination, utilization control, management reporting, health promotion activities, and networking capabilities. Four major challenges do confront PPOs: 1. Start-up and operating costs can be significant; 2. The administrative skills required are different from those used in traditional health care systems; 3. The commitment in implementing and operating a PPO; and 4. All participating providers must genuinely accept the PPO. A PPO's success also can be measured in three ways: the development of a strong network; size of enrollment; and effectiveness in utilization control.(ABSTRACT TRUNCATED AT 250 WORDS)

  11. Alternative Fuels Data Center: Truck Stop Electrification Site Data

    Science.gov Websites

    Collection Methods Tools Printable Version Share this resource Send a link to Alternative Fuels Data Center: Truck Stop Electrification Site Data Collection Methods to someone by E-mail Share Alternative Fuels Data Center: Truck Stop Electrification Site Data Collection Methods on Facebook Tweet about

  12. TARDEC’s Victory Systems Integration Laboratory (SIL) is a Key Tool for Advancing Standardized Ground Vehicle Electronic Architecture

    DTIC Science & Technology

    2012-08-01

    The first phase consisted of Shared Services , Threat Detection and Reporting, and the Remote Weapon Station (RWS) build up and validation. The...Awareness build up and validation. The first phase consisted of the development of the shared services or core services that are required by many...C4ISR/EW systems. The shared services include: time synchronization, position, direction of travel, and orientation. Time synchronization is

  13. Innovation and Cultural Change Task Group Report

    DTIC Science & Technology

    2006-05-01

    authoritative information sources…common analytic methods… Chief Administrative Officer and Shared Services Problem • Core functions are not well...in a crippling fashion Solution • Chief administrative officer • Shared services (market principles, not primarily consolidation) QDR • Under...Additional Governance Reforms” DoD is said to be considering: – Migrating toward a shared services model for support functions… Defense Business Board

  14. Information Technology Strategic Plan 2009-2013

    DTIC Science & Technology

    2009-01-01

    and the absence of Enterprise funding models for shared services . Also, though progress has been made within the DHS IT community regarding...security access regulations for shared services ; and difficulties associated with 3 Office of the Chief Information Officer...infrastructure and shared services is the vision for the Infrastructure Transformation Program at DHS and is the means by which to reduce IT commodity

  15. Comprehensive reimbursement model: an alternative to fee-for-service reimbursement by blood centers.

    PubMed

    Fuller, M J; Holland, P V

    1997-01-01

    "If we could first know where we are, and whither we are tending, we could then better judge what to do and how to do it." This quote from Abraham Lincoln epitomizes where SMF and its CRM hospital customers are today. The CRM has been received by SMF's hospital customers as a step in the right direction. Currently, it seems to be the best way to partner with hospitals by sharing risk in the current health care delivery system milieu. The CRM focus on patient outcomes will provide hospitals and blood centers a common goal. Modifications to the CRM will most certainly be necessary. With input from customers and the community over time, and flexibility from SMF, a revised model will evolve that will be even more mutually beneficial.

  16. Distributed geospatial model sharing based on open interoperability standards

    USGS Publications Warehouse

    Feng, Min; Liu, Shuguang; Euliss, Ned H.; Fang, Yin

    2009-01-01

    Numerous geospatial computational models have been developed based on sound principles and published in journals or presented in conferences. However modelers have made few advances in the development of computable modules that facilitate sharing during model development or utilization. Constraints hampering development of model sharing technology includes limitations on computing, storage, and connectivity; traditional stand-alone and closed network systems cannot fully support sharing and integrating geospatial models. To address this need, we have identified methods for sharing geospatial computational models using Service Oriented Architecture (SOA) techniques and open geospatial standards. The service-oriented model sharing service is accessible using any tools or systems compliant with open geospatial standards, making it possible to utilize vast scientific resources available from around the world to solve highly sophisticated application problems. The methods also allow model services to be empowered by diverse computational devices and technologies, such as portable devices and GRID computing infrastructures. Based on the generic and abstract operations and data structures required for Web Processing Service (WPS) standards, we developed an interactive interface for model sharing to help reduce interoperability problems for model use. Geospatial computational models are shared on model services, where the computational processes provided by models can be accessed through tools and systems compliant with WPS. We developed a platform to help modelers publish individual models in a simplified and efficient way. Finally, we illustrate our technique using wetland hydrological models we developed for the prairie pothole region of North America.

  17. Defining products for a new health technology assessment agency in Madrid, Spain: a survey of decision makers.

    PubMed

    Andradas, Elena; Blasco, Juan-Antonio; Valentín, Beatriz; López-Pedraza, María-José; Gracia, Francisco-Javier

    2008-01-01

    The aim of this study was to explore the needs and requirements of decision makers in our regional healthcare system for health technology assessment (HTA) products to support portfolio development planning for a new HTA agency in Madrid, Spain. A Delphi study was conducted during 2003. Questionnaires were developed based on a review of products and services offered by other agency members of the International Network of Agencies for Health Technology Assessment, and included preference and prioritization questions to evaluate twenty-two different products and services. The initial Delphi panel involved eighty-seven experts from twenty-one public hospitals, eleven primary healthcare centers, six private hospitals, and eight departments of the Regional Ministry of Health of the Community of Madrid. The global participation rate was 83.9 percent. Ten of the twenty-two possible products were rated of high interest by more than 80 percent of respondents. Important differences in preferences and priorities were detected across different settings. Public hospitals and primary healthcare centers shared a more "micro" perspective, preferring classic technology-centered HTA products, whereas private hospitals and Ministry representatives demanded more "macro" products and services such as organizational model and information system assessments. The high participation rate supports the representativeness of the results for our regional context. The strategic development of an HTA portfolio based on decision makers' needs and requirements as identified in this type of exercise should help achieve a better impact on policy development and decision making.

  18. Early Citability of Data vs Peer-Review like Data Publishing Procedures

    NASA Astrophysics Data System (ADS)

    Stockhause, Martina; Höck, Heinke; Toussaint, Frank; Lautenschlager, Michael

    2014-05-01

    The World Data Center for Climate (WDCC) hosted at the German Climate Computing Center (DKRZ) was one of the first data centers, which established a peer-review like data publication procedure resulting in DataCite DOIs. Data in the long-term archive (LTA) is diligently reviewed by data managers and data authors to grant high quality and widely reusability of the published data. This traditional data publication procedure for LTA data bearing DOIs is very time consuming especially for WDCC's high data volumes of climate model data in the order of multiple TBytes. Data is shared with project members and selected scientists months before the data is long-term archived. The scientific community analyses and thus reviews the data leading to data quality improvements. Scientists wish to cite these unstable data in scientific publications before the long-term archiving and the thorough data review process are finalized. A concept for early preprint DOIs for shared but not yet long-term archived data is presented. Requirements on data documentation, persistence and quality and use cases for preprint DOIs within the data life-cycle are discussed as well as questions of how to document the differences of the two DOI types and how to relate them to each other with the recommendation to use LTA DOIs in citations. WDCC wants to offer an additional user service for early citations of data of basic quality without compromising the LTA DOIs, i.e. WDCC's standard DOIs, as trustworthy indicator for high quality data. Referencing Links: World Data Center for Climate (WDCC): http://www.wdc-climate.de German Climate Computing Center (DKRZ): http://www.dkrz.de DataCite: http://datacite.org

  19. KENNEDY SPACE CENTER, FLA. - Center Director Jim Kennedy (center) shares the kudos for Spaceport Super Safety and Health Day with members of the coordinating committee. Astronaut Barry E. Wilmore (at right) presented the award to Kennedy. Next to Wilmore at right is Dr. Woodrow Whitlow, KSC’s deputy director.

    NASA Image and Video Library

    2003-10-15

    KENNEDY SPACE CENTER, FLA. - Center Director Jim Kennedy (center) shares the kudos for Spaceport Super Safety and Health Day with members of the coordinating committee. Astronaut Barry E. Wilmore (at right) presented the award to Kennedy. Next to Wilmore at right is Dr. Woodrow Whitlow, KSC’s deputy director.

  20. Bringing Together Community Health Centers, Information Technology and Data to Support a Patient-Centered Medical Village from the OCHIN community of solutions

    PubMed Central

    DeVoe, Jennifer E.; Sears, Abigail

    2013-01-01

    Creating integrated, comprehensive care practices requires access to data and informatics expertise. Information technology (IT) resources are not readily available to individual practices. One model of shared IT resources and learning is a “patient-centered medical village.” We describe the OCHIN Community Health Information Network as an example of this model where community practices have come together collectively to form an organization which leverages shared IT expertise, resources, and data, providing members with the means to fully capitalize on new technologies that support improved care. This collaborative facilitates the identification of “problem-sheds” through surveillance of network-wide data, enables shared learning regarding best practices, and provides a “community laboratory” for practice-based research. As an example of a Community of Solution, OCHIN utilizes health IT and data-sharing innovations to enhance partnerships between public health leaders, community health center clinicians, informatics experts, and policy makers. OCHIN community partners benefit from the shared IT resource (e.g. a linked electronic health record (EHR), centralized data warehouse, informatics and improvement expertise). This patient-centered medical village provides (1) the collective mechanism to build community tailored IT solutions, (2) “neighbors” to share data and improvement strategies, and (3) infrastructure to support EHR-based innovations across communities, using experimental approaches. PMID:23657695

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

    Cuttica, John; Haefke, Cliff

    The Midwest Clean Energy Application Center (CEAC) was one of eight regional centers that promoted and assisted in transforming the market for combined heat and power (CHP), waste heat to power (WHP), and district energy (DE) technologies and concepts throughout the United States between October 1, 2009 and December 31, 2013. The key services the CEACs provided included: Market Opportunity Analyses – Supporting analyses of CHP market opportunities in diverse markets including industrial, federal, institutional, and commercial sectors. Education and Outreach – Providing information on the energy and non-energy benefits and applications of CHP to state and local policy makers,more » regulators, energy end-users, trade associations and others. Information was shared on the Midwest CEAC website: www.midwestcleanergy.org. Technical Assistance – Providing technical assistance to end-users and stakeholders to help them consider CHP, waste heat to power, and/or district energy with CHP in their facility and to help them through the project development process from initial CHP screening to installation. The Midwest CEAC provided services to the Midwest Region that included the states of Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Missouri, Nebraska, North Dakota, Ohio, South Dakota, and Wisconsin.« less

  2. The ``One Archive'' for JWST

    NASA Astrophysics Data System (ADS)

    Greene, G.; Kyprianou, M.; Levay, K.; Sienkewicz, M.; Donaldson, T.; Dower, T.; Swam, M.; Bushouse, H.; Greenfield, P.; Kidwell, R.; Wolfe, D.; Gardner, L.; Nieto-Santisteban, M.; Swade, D.; McLean, B.; Abney, F.; Alexov, A.; Binegar, S.; Aloisi, A.; Slowinski, S.; Gousoulin, J.

    2015-09-01

    The next generation for the Space Telescope Science Institute data management system is gearing up to provide a suite of archive system services supporting the operation of the James Webb Space Telescope. We are now completing the initial stage of integration and testing for the preliminary ground system builds of the JWST Science Operations Center which includes multiple components of the Data Management Subsystem (DMS). The vision for astronomical science and research with the JWST archive introduces both solutions to formal mission requirements and innovation derived from our existing mission systems along with the collective shared experience of our global user community. We are building upon the success of the Hubble Space Telescope archive systems, standards developed by the International Virtual Observatory Alliance, and collaborations with our archive data center partners. In proceeding forward, the “one archive” architectural model presented here is designed to balance the objectives for this new and exciting mission. The STScI JWST archive will deliver high quality calibrated science data products, support multi-mission data discovery and analysis, and provide an infrastructure which supports bridges to highly valued community tools and services.

  3. Cyber Capability Development Centre (CCDC) Private Cloud Design

    DTIC Science & Technology

    2014-11-01

    68 8.4 Shared Services Canada (SSC) Controlled Firewall .......................................................... 69 9 Cloud...opposed to east-west traffic (VM to VM). With North-South traffic, Shared Services Canada will want to ensure that the lab environment is contained. One...way traffic flow into the lab should be acceptable, Shared Services Canada will need to ensure that traffic doesn’t flow north or out of the CCDC

  4. A Service Oriented Web Application for Learner Knowledge Representation, Management and Sharing Conforming to IMS LIP

    ERIC Educational Resources Information Center

    Lazarinis, Fotis

    2014-01-01

    iLM is a Web based application for representation, management and sharing of IMS LIP conformant user profiles. The tool is developed using a service oriented architecture with emphasis on the easy data sharing. Data elicitation from user profiles is based on the utilization of XQuery scripts and sharing with other applications is achieved through…

  5. Transfer Wisdom Workshops: Coming to a NASA Center Near You

    NASA Technical Reports Server (NTRS)

    Lee, Denise

    2003-01-01

    In november 2001, the APPL Knowledge Sharing Initiative introduced a new product, the transfer wisdom workshop. The idea was to give practitioners at each of the NASA centers the opportunity to engage in a knowledge sharing activity.

  6. Cloud-Based Data Sharing Connects Emergency Managers

    NASA Technical Reports Server (NTRS)

    2014-01-01

    Under an SBIR contract with Stennis Space Center, Baltimore-based StormCenter Communications Inc. developed an improved interoperable platform for sharing geospatial data over the Internet in real time-information that is critical for decision makers in emergency situations.

  7. Sharing of Data Products From CPTEC/INPE and New Developments for Data Distribution

    NASA Astrophysics Data System (ADS)

    Almeida, W. G.; Lima, A. A.; Pessoa, A. S.; Ferreira, A. T.; Mendes, M. V.; Ferreira, N. J.; Silva Dias, M. F.; Yoksas, T.

    2006-05-01

    The CPTEC is the Center for Weather Forecast and Climatic Analysis, a division of the INPE, the Brazilian National Institute for Space Research. The CPTEC is an operational and research center, that runs the fastest supercomputer and is a pioneer in global and regional numerical weather forecasting in South America. The INPE is a traditional provider of data, softwares and services for researchers, forecasters and decision makers in Brazil and South America. The institution is a reference for space science, satellite imagery, and environmental studies. Several of the INPE's departments and centers, like the CPTEC, have a variety of valuable datasets, many of them freely available. Currently the politics of "free data and software" is being strengthened, as the INPE's administration has stated it as a priority for the following years. The CPTEC/INPE distributes outputs from several numerical models, like the COLA/CPTEC global model, and regional models for South America, among others. The web and FTP servers also are used to disseminate satellite imagery, satellite derived products, and data from INPE's automated reporting network. Products from the GTS data also are available. To improve these services new servers for FTP and internet are being installed. The data-sharing component of the Unidata Internet Data Distribution (IDD) also is being used to disseminate these data to university participants in both the South American IDD-Brazil and North American IDD. The IDD- Brasil is the expansion of the IDD system in Brazil, and now is delivering data to a rapidly increasing community of university users. Some months ago the CPTEC finished the installation of two new LDM/IDD servers for data relaying and dissemination. With this infrastructure the author believe that the LDM/IDD demand in South America must be attended for the next three years. Some projects and developments are under execution to provide external access to broader set of meteorological and hydro-meteorological data from CPTEC's databases. Under the auspices of the PROTIM (Program for Information Technology Applied to Meteorology), a project supported by one Brazilian governmental foundation (FINEP), the CPTEC embarked on several developments to open the internal databases for free external access. We view the data dissemination infrastructure installed in the INPE as the beginnings of a continent-wide network that can act for multi-way sharing of locally held data sets with peers worldwide.

  8. HR Shared Services and the Realignment of HR.

    ERIC Educational Resources Information Center

    Reilly, P.

    This report examines how adopting the shared services model of human resources (HR) services delivery can help businesses achieve better alignment between their HR service and specific business needs. Chapter 1 provides background information on the research project underlying this report, which included the following data collection activities:…

  9. Regional cost and experience, not size or hospital inclusion, helps predict ACO success.

    PubMed

    Schulz, John; DeCamp, Matthew; Berkowitz, Scott A

    2017-06-01

    The Medicare Shared Savings Program (MSSP) continues to expand and now includes 434 accountable care organizations (ACOs) serving more than 7 million beneficiaries. During 2014, 86 of these ACOs earned over $300 million in shared savings payments by promoting higher-quality patient care at a lower cost.Whether organizational characteristics, regional cost of care, or experience in the MSSP are associated with the ability to achieve shared savings remains uncertain.Using financial results from 2013 and 2014, we examined all 339 MSSP ACOs with a 2012, 2013, or 2014 start-date. We used a cross-sectional analysis to examine all ACOs and used a multivariate logistic model to predict probability of achieving shared savings.Experience, as measured by years in the MSSP program, was associated with success and the ability to earn shared savings varied regionally. This variation was strongly associated with differences in regional Medicare fee-for-service per capita costs: ACOs in high cost regions were more likely to earn savings. In the multivariate model, the number of ACO beneficiaries, inclusion of a hospital or involvement of an academic medical center, was not associated with likelihood of earning shared savings, after accounting for regional baseline cost variation.These results suggest ACOs are learning and improving from their experience. Additionally, the results highlight regional differences in ACO success and the strong association with variation in regional per capita costs, which can inform CMS policy to help promote ACO success nationwide.

  10. NABIC: A New Access Portal to Search, Visualize, and Share Agricultural Genomics Data

    PubMed Central

    Seol, Young-Joo; Lee, Tae-Ho; Park, Dong-Suk; Kim, Chang-Kug

    2016-01-01

    The National Agricultural Biotechnology Information Center developed an access portal to search, visualize, and share agricultural genomics data with a focus on South Korean information and resources. The portal features an agricultural biotechnology database containing a wide range of omics data from public and proprietary sources. We collected 28.4 TB of data from 162 agricultural organisms, with 10 types of omics data comprising next-generation sequencing sequence read archive, genome, gene, nucleotide, DNA chip, expressed sequence tag, interactome, protein structure, molecular marker, and single-nucleotide polymorphism datasets. Our genomic resources contain information on five animals, seven plants, and one fungus, which is accessed through a genome browser. We also developed a data submission and analysis system as a web service, with easy-to-use functions and cutting-edge algorithms, including those for handling next-generation sequencing data. PMID:26848255

  11. Experimental Internet Environment Software Development

    NASA Technical Reports Server (NTRS)

    Maddux, Gary A.

    1998-01-01

    Geographically distributed project teams need an Internet based collaborative work environment or "Intranet." The Virtual Research Center (VRC) is an experimental Intranet server that combines several services such as desktop conferencing, file archives, on-line publishing, and security. Using the World Wide Web (WWW) as a shared space paradigm, the Graphical User Interface (GUI) presents users with images of a lunar colony. Each project has a wing of the colony and each wing has a conference room, library, laboratory, and mail station. In FY95, the VRC development team proved the feasibility of this shared space concept by building a prototype using a Netscape commerce server and several public domain programs. Successful demonstrations of the prototype resulted in approval for a second phase. Phase 2, documented by this report, will produce a seamlessly integrated environment by introducing new technologies such as Java and Adobe Web Links to replace less efficient interface software.

  12. Specifying Software Behavior for Requirements and Design

    DTIC Science & Technology

    2013-01-01

    e.g., Behavior Hiding is comprised of the Function Driver and Shared Services modules. Blacked-out modules, which are concerned with mechanisms for...and Shared Services modules. “The Func- tion Driver Module consists of a set of modules called Func- tion Drivers; each Function Driver is the sole...system environment. Functions that capture the rules determining these output values specify that behavior. The Shared Services module concerns aspects of

  13. Review and Implementation Status of Prior Defense Business Board Recommendations

    DTIC Science & Technology

    2007-04-01

    Resource Management • Support unified models for shared services , and be prepared to adjust forward approaches for a Unified Medical Command...models for shared services – including by and between Veterans Affairs and Defense, electronic information exchange, disease treatment and prevention...www.dod.mil/dbb/pdf/DBB- Report-on-the-Military.pdf. • Continue to support unified models for shared services – including by and between Veterans Affairs

  14. Planning for Reform of the Governance of the Military Health System

    DTIC Science & Technology

    2012-03-02

    functions that are determined to be assigned to the ASD(HA). In addition, the DHA will assume responsibility for shared services , functions, and...operational capability for the DHA, the shared services and other functions and activities for which the DHA will have responsibility, the potential use of...and business processes and the consolidation and standardization of various shared services . They are also informed by a recognition that there

  15. Governance - Alignment and Configuration of Business Activities Task Group Report

    DTIC Science & Technology

    2006-05-01

    governance level and the Enterprise Model as a way of ensuring integration at the management and work/execution levels 3. Ensure shared services (i.e...Management Framework o QDR Organizational Model o Secretary of Defense 2006-2008 Priorities o Shared Services Defense Business Board...support for horizontal and vertical organizations • Move “supporting” organizations to shared services model May 2006 "Team Defense" 18 Task Group

  16. Information sharing between the National Health Service and criminal justice system in the United Kingdom.

    PubMed

    Lennox, Charlotte; Mason, Julie; McDonnell, Sharon; Shaw, Jenny; Senior, Jane

    2012-09-01

    Offenders with mental health problems often have complex and interrelated needs which separately challenge the criminal justice system (CJS) and National Health Service (NHS) in the United Kingdom (U.K.). Consequently, interagency collaboration and timely information sharing are essential. This study focused on the sharing of information about people with mental health problems in contact with the CJS. Questionnaires were distributed to a range of health and criminal justice personnel. The results showed that there was a mismatch between what service user information criminal justice agencies felt they needed and what was routinely received. Prison Service staff received more information (between 15% and 37%) from health agencies than the police (between 6% and 22%). Health professionals received most of the information they needed from criminal justice agencies (between 55% and 85%). Sharing service user information was impeded by incompatible computer systems and restrictions due to data protection/confidentiality requirements. In the U.K., recent governmental publications have highlighted the importance of information sharing; however there remains a clear mismatch between what health related information about service users criminal justice agencies need, and what is actually received. Better guidance is required to encourage and empower people to share. © 2012 International Association of Forensic Nurses.

  17. A DICOM-based 2nd generation Molecular Imaging Data Grid implementing the IHE XDS-i integration profile.

    PubMed

    Lee, Jasper; Zhang, Jianguo; Park, Ryan; Dagliyan, Grant; Liu, Brent; Huang, H K

    2012-07-01

    A Molecular Imaging Data Grid (MIDG) was developed to address current informatics challenges in archival, sharing, search, and distribution of preclinical imaging studies between animal imaging facilities and investigator sites. This manuscript presents a 2nd generation MIDG replacing the Globus Toolkit with a new system architecture that implements the IHE XDS-i integration profile. Implementation and evaluation were conducted using a 3-site interdisciplinary test-bed at the University of Southern California. The 2nd generation MIDG design architecture replaces the initial design's Globus Toolkit with dedicated web services and XML-based messaging for dedicated management and delivery of multi-modality DICOM imaging datasets. The Cross-enterprise Document Sharing for Imaging (XDS-i) integration profile from the field of enterprise radiology informatics was adopted into the MIDG design because streamlined image registration, management, and distribution dataflow are likewise needed in preclinical imaging informatics systems as in enterprise PACS application. Implementation of the MIDG is demonstrated at the University of Southern California Molecular Imaging Center (MIC) and two other sites with specified hardware, software, and network bandwidth. Evaluation of the MIDG involves data upload, download, and fault-tolerance testing scenarios using multi-modality animal imaging datasets collected at the USC Molecular Imaging Center. The upload, download, and fault-tolerance tests of the MIDG were performed multiple times using 12 collected animal study datasets. Upload and download times demonstrated reproducibility and improved real-world performance. Fault-tolerance tests showed that automated failover between Grid Node Servers has minimal impact on normal download times. Building upon the 1st generation concepts and experiences, the 2nd generation MIDG system improves accessibility of disparate animal-model molecular imaging datasets to users outside a molecular imaging facility's LAN using a new architecture, dataflow, and dedicated DICOM-based management web services. Productivity and efficiency of preclinical research for translational sciences investigators has been further streamlined for multi-center study data registration, management, and distribution.

  18. The Dockstore: enabling modular, community-focused sharing of Docker-based genomics tools and workflows

    PubMed Central

    O'Connor, Brian D.; Yuen, Denis; Chung, Vincent; Duncan, Andrew G.; Liu, Xiang Kun; Patricia, Janice; Paten, Benedict; Stein, Lincoln; Ferretti, Vincent

    2017-01-01

    As genomic datasets continue to grow, the feasibility of downloading data to a local organization and running analysis on a traditional compute environment is becoming increasingly problematic. Current large-scale projects, such as the ICGC PanCancer Analysis of Whole Genomes (PCAWG), the Data Platform for the U.S. Precision Medicine Initiative, and the NIH Big Data to Knowledge Center for Translational Genomics, are using cloud-based infrastructure to both host and perform analysis across large data sets. In PCAWG, over 5,800 whole human genomes were aligned and variant called across 14 cloud and HPC environments; the processed data was then made available on the cloud for further analysis and sharing. If run locally, an operation at this scale would have monopolized a typical academic data centre for many months, and would have presented major challenges for data storage and distribution. However, this scale is increasingly typical for genomics projects and necessitates a rethink of how analytical tools are packaged and moved to the data. For PCAWG, we embraced the use of highly portable Docker images for encapsulating and sharing complex alignment and variant calling workflows across highly variable environments. While successful, this endeavor revealed a limitation in Docker containers, namely the lack of a standardized way to describe and execute the tools encapsulated inside the container. As a result, we created the Dockstore ( https://dockstore.org), a project that brings together Docker images with standardized, machine-readable ways of describing and running the tools contained within. This service greatly improves the sharing and reuse of genomics tools and promotes interoperability with similar projects through emerging web service standards developed by the Global Alliance for Genomics and Health (GA4GH). PMID:28344774

  19. The Dockstore: enabling modular, community-focused sharing of Docker-based genomics tools and workflows.

    PubMed

    O'Connor, Brian D; Yuen, Denis; Chung, Vincent; Duncan, Andrew G; Liu, Xiang Kun; Patricia, Janice; Paten, Benedict; Stein, Lincoln; Ferretti, Vincent

    2017-01-01

    As genomic datasets continue to grow, the feasibility of downloading data to a local organization and running analysis on a traditional compute environment is becoming increasingly problematic. Current large-scale projects, such as the ICGC PanCancer Analysis of Whole Genomes (PCAWG), the Data Platform for the U.S. Precision Medicine Initiative, and the NIH Big Data to Knowledge Center for Translational Genomics, are using cloud-based infrastructure to both host and perform analysis across large data sets. In PCAWG, over 5,800 whole human genomes were aligned and variant called across 14 cloud and HPC environments; the processed data was then made available on the cloud for further analysis and sharing. If run locally, an operation at this scale would have monopolized a typical academic data centre for many months, and would have presented major challenges for data storage and distribution. However, this scale is increasingly typical for genomics projects and necessitates a rethink of how analytical tools are packaged and moved to the data. For PCAWG, we embraced the use of highly portable Docker images for encapsulating and sharing complex alignment and variant calling workflows across highly variable environments. While successful, this endeavor revealed a limitation in Docker containers, namely the lack of a standardized way to describe and execute the tools encapsulated inside the container. As a result, we created the Dockstore ( https://dockstore.org), a project that brings together Docker images with standardized, machine-readable ways of describing and running the tools contained within. This service greatly improves the sharing and reuse of genomics tools and promotes interoperability with similar projects through emerging web service standards developed by the Global Alliance for Genomics and Health (GA4GH).

  20. Fuzzy-rule-based Adaptive Resource Control for Information Sharing in P2P Networks

    NASA Astrophysics Data System (ADS)

    Wu, Zhengping; Wu, Hao

    With more and more peer-to-peer (P2P) technologies available for online collaboration and information sharing, people can launch more and more collaborative work in online social networks with friends, colleagues, and even strangers. Without face-to-face interactions, the question of who can be trusted and then share information with becomes a big concern of a user in these online social networks. This paper introduces an adaptive control service using fuzzy logic in preference definition for P2P information sharing control, and designs a novel decision-making mechanism using formal fuzzy rules and reasoning mechanisms adjusting P2P information sharing status following individual users' preferences. Applications of this adaptive control service into different information sharing environments show that this service can provide a convenient and accurate P2P information sharing control for individual users in P2P networks.

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