Model of Dredging Impact on Dungeness Crab in Grays Harbor, Washington

DTIC Science & Technology

1987-06-01

Washington. 43 pp. Barry, Steve. 1986. Personal communication . Washington Dept. of Fisheries , Montesano, Washington. Bella, D.A. and K.J. Williamson. 1980... FISHERIES 18SHERIES RESEARCH INSTITUTE *~~ ~~~~~~~ Z *;r. .’."*,* U.-~0 SECURITY CLASSIFICATION OF THIS PAGE REPORT DOCUMENTATION PAGE Form Approved...School of Fisheries U.S.Ary Corps of Engineers, Seattle District 6c. ADDRESS (Cty, State, and ZIP Code) 7b. ADDRESS (City, State, and ZIP Code

Validity of administrative coding in identifying patients with upper urinary tract calculi.

PubMed

Semins, Michelle J; Trock, Bruce J; Matlaga, Brian R

2010-07-01

Administrative databases are increasingly used for epidemiological investigations. We performed a study to assess the validity of ICD-9 codes for upper urinary tract stone disease in an administrative database. We retrieved the records of all inpatients and outpatients at Johns Hopkins Hospital between November 2007 and October 2008 with an ICD-9 code of 592, 592.0, 592.1 or 592.9 as one of the first 3 diagnosis codes. A random number generator selected 100 encounters for further review. We considered a patient to have a true diagnosis of an upper tract stone if the medical records specifically referenced a kidney stone event, or included current or past treatment for a kidney stone. Descriptive and comparative analyses were performed. A total of 8,245 encounters coded as upper tract calculus were identified and 100 were randomly selected for review. Two patients could not be identified within the electronic medical record and were excluded from the study. The positive predictive value of using all ICD-9 codes for an upper tract calculus (592, 592.0, 592.1) to identify subjects with renal or ureteral stones was 95.9%. For 592.0 only the positive predictive value was 85%. However, although the positive predictive value for 592.1 only was 100%, 26 subjects (76%) with a ureteral stone were not appropriately billed with this code. ICD-9 coding for urinary calculi is likely to be sufficiently valid to be useful in studies using administrative data to analyze stone disease. However, ICD-9 coding is not a reliable means to distinguish between subjects with renal and ureteral calculi. Copyright (c) 2010 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

18 CFR 410.1 - Basin regulations-Water Code and Administrative Manual-Part III Water Quality Regulations.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 18 Conservation of Power and Water Resources 2 2010-04-01 2010-04-01 false Basin regulations-Water Code and Administrative Manual-Part III Water Quality Regulations. 410.1 Section 410.1 Conservation of Power and Water Resources DELAWARE RIVER BASIN COMMISSION ADMINISTRATIVE MANUAL BASIN REGULATIONS; WATER CODE AND ADMINISTRATIVE MANUAL-PART III...

18 CFR 410.1 - Basin regulations-Water Code and Administrative Manual-Part III Water Quality Regulations.

Code of Federal Regulations, 2014 CFR

2014-04-01

... 18 Conservation of Power and Water Resources 2 2014-04-01 2014-04-01 false Basin regulations-Water Code and Administrative Manual-Part III Water Quality Regulations. 410.1 Section 410.1 Conservation of Power and Water Resources DELAWARE RIVER BASIN COMMISSION ADMINISTRATIVE MANUAL BASIN REGULATIONS; WATER CODE AND ADMINISTRATIVE MANUAL-PART III...

18 CFR 410.1 - Basin regulations-Water Code and Administrative Manual-Part III Water Quality Regulations.

Code of Federal Regulations, 2013 CFR

2013-04-01

... 18 Conservation of Power and Water Resources 2 2013-04-01 2012-04-01 true Basin regulations-Water Code and Administrative Manual-Part III Water Quality Regulations. 410.1 Section 410.1 Conservation of Power and Water Resources DELAWARE RIVER BASIN COMMISSION ADMINISTRATIVE MANUAL BASIN REGULATIONS; WATER CODE AND ADMINISTRATIVE MANUAL-PART III...

18 CFR 410.1 - Basin regulations-Water Code and Administrative Manual-Part III Water Quality Regulations.

Code of Federal Regulations, 2012 CFR

2012-04-01

... 18 Conservation of Power and Water Resources 2 2012-04-01 2012-04-01 false Basin regulations-Water Code and Administrative Manual-Part III Water Quality Regulations. 410.1 Section 410.1 Conservation of Power and Water Resources DELAWARE RIVER BASIN COMMISSION ADMINISTRATIVE MANUAL BASIN REGULATIONS; WATER CODE AND ADMINISTRATIVE MANUAL-PART III...

77 FR 18716 - Transportation Security Administration Postal Zip Code Change; Technical Amendment

Federal Register 2010, 2011, 2012, 2013, 2014

2012-03-28

... organizational changes and it has no substantive effect on the public. DATES: Effective March 28, 2012. FOR... No. 1572-9] Transportation Security Administration Postal Zip Code Change; Technical Amendment AGENCY: Transportation Security Administration, DHS. ACTION: Final rule. SUMMARY: This rule is a technical change to...

Integrating Bar-Code Medication Administration Competencies in the Curriculum: Implications for Nursing Education and Interprofessional Collaboration.

PubMed

Angel, Vini M; Friedman, Marvin H; Friedman, Andrea L

This article describes an innovative project involving the integration of bar-code medication administration technology competencies in the nursing curriculum through interprofessional collaboration among nursing, pharmacy, and computer science disciplines. A description of the bar-code medication administration technology project and lessons learned are presented.

The Impact of Bar Code Medication Administration Technology on Reported Medication Errors

ERIC Educational Resources Information Center

Holecek, Andrea

2011-01-01

The use of bar-code medication administration technology is on the rise in acute care facilities in the United States. The technology is purported to decrease medication errors that occur at the point of administration. How significantly this technology affects actual rate and severity of error is unknown. This descriptive, longitudinal research…

Evaluation of the Washington nighttime seat belt enforcement program.

DOT National Transportation Integrated Search

2017-04-01

The Washington Traffic Safety Commission (WTSC) and the National Highway Traffic Safety Administration (NHTSA) : conducted a high-visibility Nighttime Seat Belt Enforcement (NTSBE) program in Washington. The two-year program : followed the basic Clic...

Washington State Survey of Adolescent Health Behaviors.

ERIC Educational Resources Information Center

Washington State Dept. of Social and Health Services, Olympia.

The 1992 Washington State Survey of Adolescent Health Behaviors (WSSAHB) was created to collect information regarding a variety of adolescent health behaviors among students in the state of Washington. It expands on two previous administrations of a student tobacco, alcohol, and other drug survey and includes questions about medical care, safety,…

Using Modified-ISS Model to Evaluate Medication Administration Safety During Bar Code Medication Administration Implementation in Taiwan Regional Teaching Hospital.

PubMed

Ma, Pei-Luen; Jheng, Yan-Wun; Jheng, Bi-Wei; Hou, I-Ching

2017-01-01

Bar code medication administration (BCMA) could reduce medical errors and promote patient safety. This research uses modified information systems success model (M-ISS model) to evaluate nurses' acceptance to BCMA. The result showed moderate correlation between medication administration safety (MAS) to system quality, information quality, service quality, user satisfaction, and limited satisfaction.

36 CFR 1253.4 - Washington National Records Center.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 36 Parks, Forests, and Public Property 3 2010-07-01 2010-07-01 false Washington National Records Center. 1253.4 Section 1253.4 Parks, Forests, and Public Property NATIONAL ARCHIVES AND RECORDS ADMINISTRATION PUBLIC AVAILABILITY AND USE LOCATION OF RECORDS AND HOURS OF USE § 1253.4 Washington National...

The systems approach to airport security: The FAA (Federal Aviation Administration)/BWI (Baltimore-Washington International) Airport demonstration project

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

Caskey, D.L.; Olascoaga, M.T.

1990-01-01

Sandia National Laboratories has been involved in designing, installing and evaluating security systems for various applications during the past 15 years. A systems approach to security that evolved from this experience was applied to aviation security for the Federal Aviation Administration. A general systems study of aviation security in the United States was concluded in 1987. One result of the study was a recommendation that an enhanced security system concept designed to meet specified objectives be demonstrated at an operational airport. Baltimore-Washington International Airport was selected as the site for the demonstration project which began in 1988 and will bemore » completed in 1992. This article introduced the systems approach to airport security and discussed its application at Baltimore-Washington International Airport. Examples of design features that could be included in an enhanced security concept also were presented, including details of the proposed Ramps Area Intrusion Detection System (RAIDS).« less

Washington State Juvenile Justice Code: An Experiment in Justice.

ERIC Educational Resources Information Center

Illinois Univ., Champaign. Community Research Center.

In the Washington State juvenile justice system, serious or repeat offenders receive the full panoply of due process rights and procedures, with the exception of jury trials; minor offenders are diverted to community boards that require community service or victim restitution; and status offenders are removed from the courts' jurisdiction and…

Improved accuracy of co-morbidity coding over time after the introduction of ICD-10 administrative data

PubMed Central

2011-01-01

Background Co-morbidity information derived from administrative data needs to be validated to allow its regular use. We assessed evolution in the accuracy of coding for Charlson and Elixhauser co-morbidities at three time points over a 5-year period, following the introduction of the International Classification of Diseases, 10th Revision (ICD-10), coding of hospital discharges. Methods Cross-sectional time trend evaluation study of coding accuracy using hospital chart data of 3'499 randomly selected patients who were discharged in 1999, 2001 and 2003, from two teaching and one non-teaching hospital in Switzerland. We measured sensitivity, positive predictive and Kappa values for agreement between administrative data coded with ICD-10 and chart data as the 'reference standard' for recording 36 co-morbidities. Results For the 17 the Charlson co-morbidities, the sensitivity - median (min-max) - was 36.5% (17.4-64.1) in 1999, 42.5% (22.2-64.6) in 2001 and 42.8% (8.4-75.6) in 2003. For the 29 Elixhauser co-morbidities, the sensitivity was 34.2% (1.9-64.1) in 1999, 38.6% (10.5-66.5) in 2001 and 41.6% (5.1-76.5) in 2003. Between 1999 and 2003, sensitivity estimates increased for 30 co-morbidities and decreased for 6 co-morbidities. The increase in sensitivities was statistically significant for six conditions and the decrease significant for one. Kappa values were increased for 29 co-morbidities and decreased for seven. Conclusions Accuracy of administrative data in recording clinical conditions improved slightly between 1999 and 2003. These findings are of relevance to all jurisdictions introducing new coding systems, because they demonstrate a phenomenon of improved administrative data accuracy that may relate to a coding 'learning curve' with the new coding system. PMID:21849089

Improved accuracy of co-morbidity coding over time after the introduction of ICD-10 administrative data.

PubMed

Januel, Jean-Marie; Luthi, Jean-Christophe; Quan, Hude; Borst, François; Taffé, Patrick; Ghali, William A; Burnand, Bernard

2011-08-18

Co-morbidity information derived from administrative data needs to be validated to allow its regular use. We assessed evolution in the accuracy of coding for Charlson and Elixhauser co-morbidities at three time points over a 5-year period, following the introduction of the International Classification of Diseases, 10th Revision (ICD-10), coding of hospital discharges. Cross-sectional time trend evaluation study of coding accuracy using hospital chart data of 3'499 randomly selected patients who were discharged in 1999, 2001 and 2003, from two teaching and one non-teaching hospital in Switzerland. We measured sensitivity, positive predictive and Kappa values for agreement between administrative data coded with ICD-10 and chart data as the 'reference standard' for recording 36 co-morbidities. For the 17 the Charlson co-morbidities, the sensitivity - median (min-max) - was 36.5% (17.4-64.1) in 1999, 42.5% (22.2-64.6) in 2001 and 42.8% (8.4-75.6) in 2003. For the 29 Elixhauser co-morbidities, the sensitivity was 34.2% (1.9-64.1) in 1999, 38.6% (10.5-66.5) in 2001 and 41.6% (5.1-76.5) in 2003. Between 1999 and 2003, sensitivity estimates increased for 30 co-morbidities and decreased for 6 co-morbidities. The increase in sensitivities was statistically significant for six conditions and the decrease significant for one. Kappa values were increased for 29 co-morbidities and decreased for seven. Accuracy of administrative data in recording clinical conditions improved slightly between 1999 and 2003. These findings are of relevance to all jurisdictions introducing new coding systems, because they demonstrate a phenomenon of improved administrative data accuracy that may relate to a coding 'learning curve' with the new coding system.

Analysis of the technology acceptance model in examining hospital nurses' behavioral intentions toward the use of bar code medication administration.

PubMed

Song, Lunar; Park, Byeonghwa; Oh, Kyeung Mi

2015-04-01

Serious medication errors continue to exist in hospitals, even though there is technology that could potentially eliminate them such as bar code medication administration. Little is known about the degree to which the culture of patient safety is associated with behavioral intention to use bar code medication administration. Based on the Technology Acceptance Model, this study evaluated the relationships among patient safety culture and perceived usefulness and perceived ease of use, and behavioral intention to use bar code medication administration technology among nurses in hospitals. Cross-sectional surveys with a convenience sample of 163 nurses using bar code medication administration were conducted. Feedback and communication about errors had a positive impact in predicting perceived usefulness (β=.26, P<.01) and perceived ease of use (β=.22, P<.05). In a multiple regression model predicting for behavioral intention, age had a negative impact (β=-.17, P<.05); however, teamwork within hospital units (β=.20, P<.05) and perceived usefulness (β=.35, P<.01) both had a positive impact on behavioral intention. The overall bar code medication administration behavioral intention model explained 24% (P<.001) of the variance. Identified factors influencing bar code medication administration behavioral intention can help inform hospitals to develop tailored interventions for RNs to reduce medication administration errors and increase patient safety by using this technology.

Coding of obesity in administrative hospital discharge abstract data: accuracy and impact for future research studies.

PubMed

Martin, Billie-Jean; Chen, Guanmin; Graham, Michelle; Quan, Hude

2014-02-13

Obesity is a pervasive problem and a popular subject of academic assessment. The ability to take advantage of existing data, such as administrative databases, to study obesity is appealing. The objective of our study was to assess the validity of obesity coding in an administrative database and compare the association between obesity and outcomes in an administrative database versus registry. This study was conducted using a coronary catheterization registry and an administrative database (Discharge Abstract Database (DAD)). A Body Mass Index (BMI) ≥30 kg/m2 within the registry defined obesity. In the DAD obesity was defined by diagnosis codes E65-E68 (ICD-10). The sensitivity, specificity, negative predictive value (NPV) and positive predictive value (PPV) of an obesity diagnosis in the DAD was determined using obesity diagnosis in the registry as the referent. The association between obesity and outcomes was assessed. The study population of 17380 subjects was largely male (68.8%) with a mean BMI of 27.0 kg/m2. Obesity prevalence was lower in the DAD than registry (2.4% vs. 20.3%). A diagnosis of obesity in the DAD had a sensitivity 7.75%, specificity 98.98%, NPV 80.84% and PPV 65.94%. Obesity was associated with decreased risk of death or re-hospitalization, though non-significantly within the DAD. Obesity was significantly associated with an increased risk of cardiac procedure in both databases. Overall, obesity was poorly coded in the DAD. However, when coded, it was coded accurately. Administrative databases are not an optimal datasource for obesity prevalence and incidence surveillance but could be used to define obese cohorts for follow-up.

Accuracy of Administrative Codes for Distinguishing Positive Pressure Ventilation from High-Flow Nasal Cannula.

PubMed

Good, Ryan J; Leroue, Matthew K; Czaja, Angela S

2018-06-07

Noninvasive positive pressure ventilation (NIPPV) is increasingly used in critically ill pediatric patients, despite limited data on safety and efficacy. Administrative data may be a good resource for observational studies. Therefore, we sought to assess the performance of the International Classification of Diseases, Ninth Revision procedure code for NIPPV. Patients admitted to the PICU requiring NIPPV or heated high-flow nasal cannula (HHFNC) over the 11-month study period were identified from the Virtual PICU System database. The gold standard was manual review of the electronic health record to verify the use of NIPPV or HHFNC among the cohort. The presence or absence of a NIPPV procedure code was determined by using administrative data. Test characteristics with 95% confidence intervals (CIs) were generated, comparing administrative data with the gold standard. Among the cohort ( n = 562), the majority were younger than 5 years, and the most common primary diagnosis was bronchiolitis. Most (82%) required NIPPV, whereas 18% required only HHFNC. The NIPPV code had a sensitivity of 91.1% (95% CI: 88.2%-93.6%) and a specificity of 57.6% (95% CI: 47.2%-67.5%), with a positive likelihood ratio of 2.15 (95% CI: 1.70-2.71) and negative likelihood ratio of 0.15 (95% CI: 0.11-0.22). Among our critically ill pediatric cohort, NIPPV procedure codes had high sensitivity but only moderate specificity. On the basis of our study results, there is a risk of misclassification, specifically failure to identify children who require NIPPV, when using administrative data to study the use of NIPPV in this population. Copyright © 2018 by the American Academy of Pediatrics.

Patient safety with blood products administration using wireless and bar-code technology.

PubMed

Porcella, Aleta; Walker, Kristy

2005-01-01

Supported by a grant from the Agency for Healthcare Research and Quality, a University of Iowa Hospitals and Clinics interdisciplinary research team created an online data-capture-response tool utilizing wireless mobile devices and bar code technology to track and improve blood products administration process. The tool captures 1) sample collection, 2) sample arrival in the blood bank, 3) blood product dispense from blood bank, and 4) administration. At each step, the scanned patient wristband ID bar code is automatically compared to scanned identification barcode on requisition, sample, and/or product, and the system presents either a confirmation or an error message to the user. Following an eight-month, 5 unit, staged pilot, a 'big bang,' hospital-wide implementation occurred on February 7, 2005. Preliminary results from pilot data indicate that the new barcode process captures errors 3 to 10 times better than the old manual process.

Forrester Blanchard Washington and His Advocacy for African Americans in the New Deal

ERIC Educational Resources Information Center

Barrow, Frederica H.

2007-01-01

Forrester Blanchard Washington (1887-1963) was an African American social work pioneer recruited to the first New Deal administration of Franklin Delano Roosevelt as director of Negro Work in the Federal Emergency Relief Administration. This role gave Washington a platform from which to object strenuously to the development of social policies that…

78 FR 21494 - Union Pacific Railroad Company-Abandonment Exemption-in Washington County, Idaho

Federal Register 2010, 2011, 2012, 2013, 2014

2013-04-10

... Pacific Railroad Company--Abandonment Exemption--in Washington County, Idaho Union Pacific Railroad... at Weiser, in Washington County, Idaho. The line traverses United States Postal Service Zip Code... Bingham & Bonneville Counties, Idaho, 360 I.C.C. 91 (1979). To address whether this condition adequately...

Disease-Specific Trends of Comorbidity Coding and Implications for Risk Adjustment in Hospital Administrative Data.

PubMed

Nimptsch, Ulrike

2016-06-01

To investigate changes in comorbidity coding after the introduction of diagnosis related groups (DRGs) based prospective payment and whether trends differ regarding specific comorbidities. Nationwide administrative data (DRG statistics) from German acute care hospitals from 2005 to 2012. Observational study to analyze trends in comorbidity coding in patients hospitalized for common primary diseases and the effects on comorbidity-related risk of in-hospital death. Comorbidity coding was operationalized by Elixhauser diagnosis groups. The analyses focused on adult patients hospitalized for the primary diseases of heart failure, stroke, and pneumonia, as well as hip fracture. When focusing the total frequency of diagnosis groups per record, an increase in depth of coding was observed. Between-hospital variations in depth of coding were present throughout the observation period. Specific comorbidity increases were observed in 15 of the 31 diagnosis groups, and decreases in comorbidity were observed for 11 groups. In patients hospitalized for heart failure, shifts of comorbidity-related risk of in-hospital death occurred in nine diagnosis groups, in which eight groups were directed toward the null. Comorbidity-adjusted outcomes in longitudinal administrative data analyses may be biased by nonconstant risk over time, changes in completeness of coding, and between-hospital variations in coding. Accounting for such issues is important when the respective observation period coincides with changes in the reimbursement system or other conditions that are likely to alter clinical coding practice. © Health Research and Educational Trust.

Validity of Diagnostic Codes for Acute Stroke in Administrative Databases: A Systematic Review

PubMed Central

McCormick, Natalie; Bhole, Vidula; Lacaille, Diane; Avina-Zubieta, J. Antonio

2015-01-01

Objective To conduct a systematic review of studies reporting on the validity of International Classification of Diseases (ICD) codes for identifying stroke in administrative data. Methods MEDLINE and EMBASE were searched (inception to February 2015) for studies: (a) Using administrative data to identify stroke; or (b) Evaluating the validity of stroke codes in administrative data; and (c) Reporting validation statistics (sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), or Kappa scores) for stroke, or data sufficient for their calculation. Additional articles were located by hand search (up to February 2015) of original papers. Studies solely evaluating codes for transient ischaemic attack were excluded. Data were extracted by two independent reviewers; article quality was assessed using the Quality Assessment of Diagnostic Accuracy Studies tool. Results Seventy-seven studies published from 1976–2015 were included. The sensitivity of ICD-9 430-438/ICD-10 I60-I69 for any cerebrovascular disease was ≥ 82% in most [≥ 50%] studies, and specificity and NPV were both ≥ 95%. The PPV of these codes for any cerebrovascular disease was ≥ 81% in most studies, while the PPV specifically for acute stroke was ≤ 68%. In at least 50% of studies, PPVs were ≥ 93% for subarachnoid haemorrhage (ICD-9 430/ICD-10 I60), 89% for intracerebral haemorrhage (ICD-9 431/ICD-10 I61), and 82% for ischaemic stroke (ICD-9 434/ICD-10 I63 or ICD-9 434&436). For in-hospital deaths, sensitivity was 55%. For cerebrovascular disease or acute stroke as a cause-of-death on death certificates, sensitivity was ≤ 71% in most studies while PPV was ≥ 87%. Conclusions While most cases of prevalent cerebrovascular disease can be detected using 430-438/I60-I69 collectively, acute stroke must be defined using more specific codes. Most in-hospital deaths and death certificates with stroke as a cause-of-death correspond to true stroke deaths. Linking vital

Washington State Board of Education Strategic Plan, 2010-2011

ERIC Educational Resources Information Center

Washington State Board of Education, 2011

2011-01-01

In 2005, the Washington State Legislature significantly changed the role of the State Board of Education (SBE). While the Board retains some administrative duties, SBE is now mandated to play a broad leadership role in strategic oversight and policy for K-12 education in the state. This paper presents the strategic plan of Washington State Board…

Validity of administrative database code algorithms to identify vascular access placement, surgical revisions, and secondary patency.

PubMed

Al-Jaishi, Ahmed A; Moist, Louise M; Oliver, Matthew J; Nash, Danielle M; Fleet, Jamie L; Garg, Amit X; Lok, Charmaine E

2018-03-01

We assessed the validity of physician billing codes and hospital admission using International Classification of Diseases 10th revision codes to identify vascular access placement, secondary patency, and surgical revisions in administrative data. We included adults (≥18 years) with a vascular access placed between 1 April 2004 and 31 March 2013 at the University Health Network, Toronto. Our reference standard was a prospective vascular access database (VASPRO) that contains information on vascular access type and dates of placement, dates for failure, and any revisions. We used VASPRO to assess the validity of different administrative coding algorithms by calculating the sensitivity, specificity, and positive predictive values of vascular access events. The sensitivity (95% confidence interval) of the best performing algorithm to identify arteriovenous access placement was 86% (83%, 89%) and specificity was 92% (89%, 93%). The corresponding numbers to identify catheter insertion were 84% (82%, 86%) and 84% (80%, 87%), respectively. The sensitivity of the best performing coding algorithm to identify arteriovenous access surgical revisions was 81% (67%, 90%) and specificity was 89% (87%, 90%). The algorithm capturing arteriovenous access placement and catheter insertion had a positive predictive value greater than 90% and arteriovenous access surgical revisions had a positive predictive value of 20%. The duration of arteriovenous access secondary patency was on average 578 (553, 603) days in VASPRO and 555 (530, 580) days in administrative databases. Administrative data algorithms have fair to good operating characteristics to identify vascular access placement and arteriovenous access secondary patency. Low positive predictive values for surgical revisions algorithm suggest that administrative data should only be used to rule out the occurrence of an event.

76 FR 81011 - Notice of Final Federal Agency Actions on Proposed Light Rail Project in Washington

Federal Register 2010, 2011, 2012, 2013, 2014

2011-12-27

... on Proposed Light Rail Project in Washington AGENCY: Federal Highway Administration (FHWA... Light Rail Transit Project in King County Washington. These actions grant licenses, permits, and... Light Rail Transit Project, King County, WA. Federal Lead Agency: Federal Transit Administration (FTA...

ICD-10 codes used to identify adverse drug events in administrative data: a systematic review.

PubMed

Hohl, Corinne M; Karpov, Andrei; Reddekopp, Lisa; Doyle-Waters, Mimi; Stausberg, Jürgen

2014-01-01

Adverse drug events, the unintended and harmful effects of medications, are important outcome measures in health services research. Yet no universally accepted set of International Classification of Diseases (ICD) revision 10 codes or coding algorithms exists to ensure their consistent identification in administrative data. Our objective was to synthesize a comprehensive set of ICD-10 codes used to identify adverse drug events. We developed a systematic search strategy and applied it to five electronic reference databases. We searched relevant medical journals, conference proceedings, electronic grey literature and bibliographies of relevant studies, and contacted content experts for unpublished studies. One author reviewed the titles and abstracts for inclusion and exclusion criteria. Two authors reviewed eligible full-text articles and abstracted data in duplicate. Data were synthesized in a qualitative manner. Of 4241 titles identified, 41 were included. We found a total of 827 ICD-10 codes that have been used in the medical literature to identify adverse drug events. The median number of codes used to search for adverse drug events was 190 (IQR 156-289) with a large degree of variability between studies in the numbers and types of codes used. Authors commonly used external injury (Y40.0-59.9) and disease manifestation codes. Only two papers reported on the sensitivity of their code set. Substantial variability exists in the methods used to identify adverse drug events in administrative data. Our work may serve as a point of reference for future research and consensus building in this area.

ICD-10 codes used to identify adverse drug events in administrative data: a systematic review

PubMed Central

Hohl, Corinne M; Karpov, Andrei; Reddekopp, Lisa; Stausberg, Jürgen

2014-01-01

Background Adverse drug events, the unintended and harmful effects of medications, are important outcome measures in health services research. Yet no universally accepted set of International Classification of Diseases (ICD) revision 10 codes or coding algorithms exists to ensure their consistent identification in administrative data. Our objective was to synthesize a comprehensive set of ICD-10 codes used to identify adverse drug events. Methods We developed a systematic search strategy and applied it to five electronic reference databases. We searched relevant medical journals, conference proceedings, electronic grey literature and bibliographies of relevant studies, and contacted content experts for unpublished studies. One author reviewed the titles and abstracts for inclusion and exclusion criteria. Two authors reviewed eligible full-text articles and abstracted data in duplicate. Data were synthesized in a qualitative manner. Results Of 4241 titles identified, 41 were included. We found a total of 827 ICD-10 codes that have been used in the medical literature to identify adverse drug events. The median number of codes used to search for adverse drug events was 190 (IQR 156–289) with a large degree of variability between studies in the numbers and types of codes used. Authors commonly used external injury (Y40.0–59.9) and disease manifestation codes. Only two papers reported on the sensitivity of their code set. Conclusions Substantial variability exists in the methods used to identify adverse drug events in administrative data. Our work may serve as a point of reference for future research and consensus building in this area. PMID:24222671

Incidence and trends of central line associated pneumothorax using radiograph report text search versus administrative database codes.

PubMed

Reeson, Marc; Forster, Alan; van Walraven, Carl

2018-05-25

Central line associated pneumothorax (CLAP) could be a good quality of care indicator because they are objectively measured, clearly undesirable and possibly avoidable. We measured the incidence and trends of CLAP using radiograph report text search with manual review and compared them with measures using routinely collected health administrative data. For each hospitalisation to a tertiary care teaching hospital between 2002 and 2015, we searched all chest radiography reports for a central line with a sensitive computer algorithm. Screen positive reports were manually reviewed to confirm central lines. The index and subsequent chest radiography reports were screened for pneumothorax followed by manual confirmation. Diagnostic and procedural codes were used to identify CLAP in administrative data. In 685 044 hospitalisations, 10 819 underwent central line insertion (1.6%) with CLAP occurring 181 times (1.7%). CLAP risk did not change over time. Codes for CLAP were inaccurate (sensitivity 13.8%, positive predictive value 6.6%). However, overall code-based CLAP risk (1.8%) was almost identical to actual values possibly because patient strata with inflated CLAP risk were balanced by more common strata having underestimated CLAP risk. Code-based methods inflated central line incidence 2.2 times and erroneously concluded that CLAP risk decreased significantly over time. Using valid methods, CLAP incidence was similar to those in the literature but has not changed over time. Although administrative database codes for CLAP were very inaccurate, they generated CLAP risks very similar to actual values because of offsetting errors. In contrast to those from radiograph report text search with manual review, CLAP trends decreased significantly using administrative data. Hospital CLAP risk should not be measured using administrative data. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial

Coding algorithms for identifying patients with cirrhosis and hepatitis B or C virus using administrative data.

PubMed

Niu, Bolin; Forde, Kimberly A; Goldberg, David S

2015-01-01

Despite the use of administrative data to perform epidemiological and cost-effectiveness research on patients with hepatitis B or C virus (HBV, HCV), there are no data outside of the Veterans Health Administration validating whether International Classification of Disease, Ninth Revision, Clinical Modification (ICD-9-CM) codes can accurately identify cirrhotic patients with HBV or HCV. The validation of such algorithms is necessary for future epidemiological studies. We evaluated the positive predictive value (PPV) of ICD-9-CM codes for identifying chronic HBV or HCV among cirrhotic patients within the University of Pennsylvania Health System, a large network that includes a tertiary care referral center, a community-based hospital, and multiple outpatient practices across southeastern Pennsylvania and southern New Jersey. We reviewed a random sample of 200 cirrhotic patients with ICD-9-CM codes for HCV and 150 cirrhotic patients with ICD-9-CM codes for HBV. The PPV of 1 inpatient or 2 outpatient HCV codes was 88.0% (168/191, 95% CI: 82.5-92.2%), while the PPV of 1 inpatient or 2 outpatient HBV codes was 81.3% (113/139, 95% CI: 73.8-87.4%). Several variations of the primary coding algorithm were evaluated to determine if different combinations of inpatient and/or outpatient ICD-9-CM codes could increase the PPV of the coding algorithm. ICD-9-CM codes can identify chronic HBV or HCV in cirrhotic patients with a high PPV and can be used in future epidemiologic studies to examine disease burden and the proper allocation of resources. Copyright © 2014 John Wiley & Sons, Ltd.

18 CFR 410.1 - Basin regulations-Water Code and Administrative Manual-Part III Water Quality Regulations.

Code of Federal Regulations, 2011 CFR

2011-04-01

... 18 Conservation of Power and Water Resources 2 2011-04-01 2011-04-01 false Basin regulations-Water Code and Administrative Manual-Part III Water Quality Regulations. 410.1 Section 410.1 Conservation of Power and Water Resources DELAWARE RIVER BASIN COMMISSION ADMINISTRATIVE MANUAL BASIN REGULATIONS; WATER...

Evaluation of the first year of the Washington nighttime seat belt enforcement program.

DOT National Transportation Integrated Search

2010-12-01

The Washington Traffic Safety Commission (WTSC) received funding from the National Highway Traffic Safety Administration to conduct a high-visibility nighttime seat belt enforcement (NTSBE) program in Washington State. The two-year program is followi...

Administrative database code accuracy did not vary notably with changes in disease prevalence.

PubMed

van Walraven, Carl; English, Shane; Austin, Peter C

2016-11-01

Previous mathematical analyses of diagnostic tests based on the categorization of a continuous measure have found that test sensitivity and specificity varies significantly by disease prevalence. This study determined if the accuracy of diagnostic codes varied by disease prevalence. We used data from two previous studies in which the true status of renal disease and primary subarachnoid hemorrhage, respectively, had been determined. In multiple stratified random samples from the two previous studies having varying disease prevalence, we measured the accuracy of diagnostic codes for each disease using sensitivity, specificity, and positive and negative predictive value. Diagnostic code sensitivity and specificity did not change notably within clinically sensible disease prevalence. In contrast, positive and negative predictive values changed significantly with disease prevalence. Disease prevalence had no important influence on the sensitivity and specificity of diagnostic codes in administrative databases. Copyright © 2016 Elsevier Inc. All rights reserved.

Barriers to data quality resulting from the process of coding health information to administrative data: a qualitative study.

PubMed

Lucyk, Kelsey; Tang, Karen; Quan, Hude

2017-11-22

Administrative health data are increasingly used for research and surveillance to inform decision-making because of its large sample sizes, geographic coverage, comprehensivity, and possibility for longitudinal follow-up. Within Canadian provinces, individuals are assigned unique personal health numbers that allow for linkage of administrative health records in that jurisdiction. It is therefore necessary to ensure that these data are of high quality, and that chart information is accurately coded to meet this end. Our objective is to explore the potential barriers that exist for high quality data coding through qualitative inquiry into the roles and responsibilities of medical chart coders. We conducted semi-structured interviews with 28 medical chart coders from Alberta, Canada. We used thematic analysis and open-coded each transcript to understand the process of administrative health data generation and identify barriers to its quality. The process of generating administrative health data is highly complex and involves a diverse workforce. As such, there are multiple points in this process that introduce challenges for high quality data. For coders, the main barriers to data quality occurred around chart documentation, variability in the interpretation of chart information, and high quota expectations. This study illustrates the complex nature of barriers to high quality coding, in the context of administrative data generation. The findings from this study may be of use to data users, researchers, and decision-makers who wish to better understand the limitations of their data or pursue interventions to improve data quality.

Coding algorithms for identifying patients with cirrhosis and hepatitis B or C virus using administrative data

PubMed Central

Niu, Bolin; Forde, Kimberly A; Goldberg, David S.

2014-01-01

Background & Aims Despite the use of administrative data to perform epidemiological and cost-effectiveness research on patients with hepatitis B or C virus (HBV, HCV), there are no data outside of the Veterans Health Administration validating whether International Classification of Disease, Ninth Revision, Clinical Modification (ICD-9-CM) codes can accurately identify cirrhotic patients with HBV or HCV. The validation of such algorithms is necessary for future epidemiological studies. Methods We evaluated the positive predictive value (PPV) of ICD-9-CM codes for identifying chronic HBV or HCV among cirrhotic patients within the University of Pennsylvania Health System, a large network that includes a tertiary care referral center, a community-based hospital, and multiple outpatient practices across southeastern Pennsylvania and southern New Jersey. We reviewed a random sample of 200 cirrhotic patients with ICD-9-CM codes for HCV and 150 cirrhotic patients with ICD-9-CM codes for HBV. Results The PPV of 1 inpatient or 2 outpatient HCV codes was 88.0% (168/191, 95% CI: 82.5–92.2%), while the PPV of 1 inpatient or 2 outpatient HBV codes was 81.3% (113/139, 95% CI: 73.8–87.4%). Several variations of the primary coding algorithm were evaluated to determine if different combinations of inpatient and/or outpatient ICD-9-CM codes could increase the PPV of the coding algorithm. Conclusions ICD-9-CM codes can identify chronic HBV or HCV in cirrhotic patients with a high PPV, and can be used in future epidemiologic studies to examine disease burden and the proper allocation of resources. PMID:25335773

Minimum Standards for Student Conduct and Discipline, Including Suggested Guidelines and Model Codes. Oregon Administrative Rules 21-050 -- 21-085.

ERIC Educational Resources Information Center

Parnell, Dale

The guidelines and codes in this booklet were written to assist teachers and administrators strengthen their positions in times of legal and social confusion and in the face of challenges to administrative and staff authority. Model codes are provided for student (1) assembly, (2) dress and grooming, (3) motor vehicles, (4) search and seizure, (5)…

Results from the Veterans Health Administration ICD-10-CM/PCS Coding Pilot Study.

PubMed

Weems, Shelley; Heller, Pamela; Fenton, Susan H

2015-01-01

The Veterans Health Administration (VHA) of the US Department of Veterans Affairs has been preparing for the October 1, 2015, conversion to the International Classification of Diseases, Tenth Revision, Clinical Modification and Procedural Coding System (ICD-10-CM/PCS) for more than four years. The VHA's Office of Informatics and Analytics ICD-10 Program Management Office established an ICD-10 Learning Lab to explore expected operational challenges. This study was conducted to determine the effects of the classification system conversion on coding productivity. ICD codes are integral to VHA business processes and are used for purposes such as clinical studies, performance measurement, workload capture, cost determination, Veterans Equitable Resource Allocation (VERA) determination, morbidity and mortality classification, indexing of hospital records by disease and operations, data storage and retrieval, research purposes, and reimbursement. The data collection for this study occurred in multiple VHA sites across several months using standardized methods. It is commonly accepted that coding productivity will decrease with the implementation of ICD-10-CM/PCS. The findings of this study suggest that the decrease will be more significant for inpatient coding productivity (64.5 percent productivity decrease) than for ambulatory care coding productivity (6.7 percent productivity decrease). This study reveals the following important points regarding ICD-10-CM/PCS coding productivity: 1. Ambulatory care ICD-10-CM coding productivity is not expected to decrease as significantly as inpatient ICD-10-CM/PCS coding productivity. 2. Coder training and type of record (inpatient versus outpatient) affect coding productivity. 3. Inpatient coding productivity is decreased when a procedure requiring ICD-10-PCS coding is present. It is highly recommended that organizations perform their own analyses to determine the effects of ICD-10-CM/PCS implementation on coding productivity.

Results from the Veterans Health Administration ICD-10-CM/PCS Coding Pilot Study

PubMed Central

Weems, Shelley; Heller, Pamela; Fenton, Susan H.

2015-01-01

The Veterans Health Administration (VHA) of the US Department of Veterans Affairs has been preparing for the October 1, 2015, conversion to the International Classification of Diseases, Tenth Revision, Clinical Modification and Procedural Coding System (ICD-10-CM/PCS) for more than four years. The VHA's Office of Informatics and Analytics ICD-10 Program Management Office established an ICD-10 Learning Lab to explore expected operational challenges. This study was conducted to determine the effects of the classification system conversion on coding productivity. ICD codes are integral to VHA business processes and are used for purposes such as clinical studies, performance measurement, workload capture, cost determination, Veterans Equitable Resource Allocation (VERA) determination, morbidity and mortality classification, indexing of hospital records by disease and operations, data storage and retrieval, research purposes, and reimbursement. The data collection for this study occurred in multiple VHA sites across several months using standardized methods. It is commonly accepted that coding productivity will decrease with the implementation of ICD-10-CM/PCS. The findings of this study suggest that the decrease will be more significant for inpatient coding productivity (64.5 percent productivity decrease) than for ambulatory care coding productivity (6.7 percent productivity decrease). This study reveals the following important points regarding ICD-10-CM/PCS coding productivity: Ambulatory care ICD-10-CM coding productivity is not expected to decrease as significantly as inpatient ICD-10-CM/PCS coding productivity.Coder training and type of record (inpatient versus outpatient) affect coding productivity.Inpatient coding productivity is decreased when a procedure requiring ICD-10-PCS coding is present. It is highly recommended that organizations perform their own analyses to determine the effects of ICD-10-CM/PCS implementation on coding productivity. PMID:26396553

Washington Tsunami Hazard Mitigation Program

NASA Astrophysics Data System (ADS)

Walsh, T. J.; Schelling, J.

2012-12-01

Washington State has participated in the National Tsunami Hazard Mitigation Program (NTHMP) since its inception in 1995. We have participated in the tsunami inundation hazard mapping, evacuation planning, education, and outreach efforts that generally characterize the NTHMP efforts. We have also investigated hazards of significant interest to the Pacific Northwest. The hazard from locally generated earthquakes on the Cascadia subduction zone, which threatens tsunami inundation in less than hour following a magnitude 9 earthquake, creates special problems for low-lying accretionary shoreforms in Washington, such as the spits of Long Beach and Ocean Shores, where high ground is not accessible within the limited time available for evacuation. To ameliorate this problem, we convened a panel of the Applied Technology Council to develop guidelines for construction of facilities for vertical evacuation from tsunamis, published as FEMA 646, now incorporated in the International Building Code as Appendix M. We followed this with a program called Project Safe Haven (http://www.facebook.com/ProjectSafeHaven) to site such facilities along the Washington coast in appropriate locations and appropriate designs to blend with the local communities, as chosen by the citizens. This has now been completed for the entire outer coast of Washington. In conjunction with this effort, we have evaluated the potential for earthquake-induced ground failures in and near tsunami hazard zones to help develop cost estimates for these structures and to establish appropriate tsunami evacuation routes and evacuation assembly areas that are likely to to be available after a major subduction zone earthquake. We intend to continue these geotechnical evaluations for all tsunami hazard zones in Washington.

STS-128 Administrator Visit

NASA Image and Video Library

2009-11-03

NASA Administrator Charles F. Bolden, left, Deputy Administrator Lori Garver, along with Assistant Administrator for Legislative and Intergovernmental Affairs L. Seth Statler, meet with STS-128 astronauts Patrick Forrester, Jose Hernandez and Christer Fugelsang, of the European Space Agency, at NASA Headquarters, Tuesday, Nov. 3, 2009, in Washington. Photo Credit: (NASA/Paul E. Alers)

Charles Bolden First Day As Administrator

NASA Image and Video Library

2009-07-16

Charles F. Bolden, Jr. enters the NASA Administrator's office to start his first day as the 12th administrator of the National Aeronautics and Space Administration, Friday, July 17, 2009 in Washington. Photo Credit: (NASA/Bill Ingalls)

STS-128 Administrator Visit

NASA Image and Video Library

2009-11-03

NASA Administrator Charles F. Bolden, left, and Deputy Administrator Lori Garver along with Assistant Administrator for Legislative and Intergovernmental Affairs L. Seth Statler, seated right, meet with STS-128 astronauts Patrick Forrester, Jose Hernandez and Christer Fugelsang, of the European Space Agency, at NASA Headquarters, Tuesday, Nov. 3, 2009, in Washington. Photo Credit: (NASA/Paul E. Alers)

Administrative database concerns: accuracy of International Classification of Diseases, Ninth Revision coding is poor for preoperative anemia in patients undergoing spinal fusion.

PubMed

Golinvaux, Nicholas S; Bohl, Daniel D; Basques, Bryce A; Grauer, Jonathan N

2014-11-15

Cross-sectional study. To objectively evaluate the ability of International Classification of Diseases, Ninth Revision (ICD-9) codes, which are used as the foundation for administratively coded national databases, to identify preoperative anemia in patients undergoing spinal fusion. National database research in spine surgery continues to rise. However, the validity of studies based on administratively coded data, such as the Nationwide Inpatient Sample, are dependent on the accuracy of ICD-9 coding. Such coding has previously been found to have poor sensitivity to conditions such as obesity and infection. A cross-sectional study was performed at an academic medical center. Hospital-reported anemia ICD-9 codes (those used for administratively coded databases) were directly compared with the chart-documented preoperative hematocrits (true laboratory values). A patient was deemed to have preoperative anemia if the preoperative hematocrit was less than the lower end of the normal range (36.0% for females and 41.0% for males). The study included 260 patients. Of these, 37 patients (14.2%) were anemic; however, only 10 patients (3.8%) received an "anemia" ICD-9 code. Of the 10 patients coded as anemic, 7 were anemic by definition, whereas 3 were not, and thus were miscoded. This equates to an ICD-9 code sensitivity of 0.19, with a specificity of 0.99, and positive and negative predictive values of 0.70 and 0.88, respectively. This study uses preoperative anemia to demonstrate the potential inaccuracies of ICD-9 coding. These results have implications for publications using databases that are compiled from ICD-9 coding data. Furthermore, the findings of the current investigation raise concerns regarding the accuracy of additional comorbidities. Although administrative databases are powerful resources that provide large sample sizes, it is crucial that we further consider the quality of the data source relative to its intended purpose.

STS-128 Administrator Visit

NASA Image and Video Library

2009-11-03

NASA Administrator Charles F. Bolden, seated left, smiles as Deputy Administrator Lori Garver greets STS-128 astronauts Patrick Forrester, Jose Hernandez and Christer Fugelsang, of the European Space Agency, during a meeting at NASA Headquarters, Tuesday, Nov. 3, 2009, in Washington. Photo Credit: (NASA/Paul E. Alers)

Accuracy of diagnosis codes to identify febrile young infants using administrative data.

PubMed

Aronson, Paul L; Williams, Derek J; Thurm, Cary; Tieder, Joel S; Alpern, Elizabeth R; Nigrovic, Lise E; Schondelmeyer, Amanda C; Balamuth, Fran; Myers, Angela L; McCulloh, Russell J; Alessandrini, Evaline A; Shah, Samir S; Browning, Whitney L; Hayes, Katie L; Feldman, Elana A; Neuman, Mark I

2015-12-01

Administrative data can be used to determine optimal management of febrile infants and aid clinical practice guideline development. Determine the most accurate International Classification of Diseases, Ninth Revision (ICD-9) diagnosis coding strategies for identification of febrile infants. Retrospective cross-sectional study. Eight emergency departments in the Pediatric Health Information System. Infants aged <90 days evaluated between July 1, 2012 and June 30, 2013 were randomly selected for medical record review from 1 of 4 ICD-9 diagnosis code groups: (1) discharge diagnosis of fever, (2) admission diagnosis of fever without discharge diagnosis of fever, (3) discharge diagnosis of serious infection without diagnosis of fever, and (4) no diagnosis of fever or serious infection. The ICD-9 diagnosis code groups were compared in 4 case-identification algorithms to a reference standard of fever ≥100.4°F documented in the medical record. Algorithm predictive accuracy was measured using sensitivity, specificity, and negative and positive predictive values. Among 1790 medical records reviewed, 766 (42.8%) infants had fever. Discharge diagnosis of fever demonstrated high specificity (98.2%, 95% confidence interval [CI]: 97.8-98.6) but low sensitivity (53.2%, 95% CI: 50.0-56.4). A case-identification algorithm of admission or discharge diagnosis of fever exhibited higher sensitivity (71.1%, 95% CI: 68.2-74.0), similar specificity (97.7%, 95% CI: 97.3-98.1), and the highest positive predictive value (86.9%, 95% CI: 84.5-89.3). A case-identification strategy that includes admission or discharge diagnosis of fever should be considered for febrile infant studies using administrative data, though underclassification of patients is a potential limitation. © 2015 Society of Hospital Medicine.

Using Procedure Codes to Define Radiation Toxicity in Administrative Data: The Devil is in the Details.

PubMed

Meyer, Anne-Marie; Kuo, Tzy-Mey; Chang, YunKyung; Carpenter, William R; Chen, Ronald C; Sturmer, Til

2017-05-01

Systematic coding systems are used to define clinically meaningful outcomes when leveraging administrative claims data for research. How and when these codes are applied within a research study can have implications for the study validity and their specificity can vary significantly depending on treatment received. Data are from the Surveillance, Epidemiology, and End Results-Medicare linked dataset. We use propensity score methods in a retrospective cohort of prostate cancer patients first examined in a recently published radiation oncology comparative effectiveness study. With the narrowly defined outcome definition, the toxicity event outcome rate ratio was 0.88 per 100 person-years (95% confidence interval, 0.71-1.08). With the broadly defined outcome, the rate ratio was comparable, with 0.89 per 100 person-years (95% confidence interval, 0.76-1.04), although individual event rates were doubled. Some evidence of surveillance bias was suggested by a higher rate of endoscopic procedures the first year of follow-up in patients who received proton therapy compared with those receiving intensity-modulated radiation treatment (11.15 vs. 8.90, respectively). This study demonstrates the risk of introducing bias through subjective application of procedure codes. Careful consideration is required when using procedure codes to define outcomes in administrative data.

An examination of Washington State's vehicle impoundment law for motorcycle endorsements.

DOT National Transportation Integrated Search

2013-01-01

In July 2007, Washington State modified its vehicle code to expressly allow law enforcement officers : to impound motorcycles of motorcyclists operating without a proper motorcycle endorsement on their : licenses. The objective for this study was to ...

STS-128 Administrator Visit

NASA Image and Video Library

2009-11-03

NASA Deputy Administrator Lori Garver, right, along with Assistant Administrator for Legislative and Intergovernmental Affairs L. Seth Statler, meets with STS-128 astronauts Patrick Forrester, left, Jose Hernandez and Christer Fugelsang, of the European Space Agency, at NASA Headquarters, Tuesday, Nov. 3, 2009, in Washington. Photo Credit: (NASA/Paul E. Alers)

78 FR 74163 - Harrison Medical Center, a Subsidiary of Franciscan Health System Bremerton, Washington; Notice...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-12-10

... DEPARTMENT OF LABOR Employment and Training Administration [TA-W-83,070] Harrison Medical Center, a Subsidiary of Franciscan Health System Bremerton, Washington; Notice of Negative Determination... workers of Harrison Medical Center, a subsidiary of Franciscan Health System, Bremerton, Washington...

Identifying Falls Risk Screenings Not Documented with Administrative Codes Using Natural Language Processing

PubMed Central

Zhu, Vivienne J; Walker, Tina D; Warren, Robert W; Jenny, Peggy B; Meystre, Stephane; Lenert, Leslie A

2017-01-01

Quality reporting that relies on coded administrative data alone may not completely and accurately depict providers’ performance. To assess this concern with a test case, we developed and evaluated a natural language processing (NLP) approach to identify falls risk screenings documented in clinical notes of patients without coded falls risk screening data. Extracting information from 1,558 clinical notes (mainly progress notes) from 144 eligible patients, we generated a lexicon of 38 keywords relevant to falls risk screening, 26 terms for pre-negation, and 35 terms for post-negation. The NLP algorithm identified 62 (out of the 144) patients who falls risk screening documented only in clinical notes and not coded. Manual review confirmed 59 patients as true positives and 77 patients as true negatives. Our NLP approach scored 0.92 for precision, 0.95 for recall, and 0.93 for F-measure. These results support the concept of utilizing NLP to enhance healthcare quality reporting. PMID:29854264

78 FR 40819 - Washington Disaster # WA-00038 Declaration of Economic Injury

Federal Register 2010, 2011, 2012, 2013, 2014

2013-07-08

... Declaration of Economic Injury AGENCY: U.S. Small Business Administration. ACTION: Notice. SUMMARY: This is a notice of an Economic Injury Disaster Loan (EIDL) declaration for the State of Washington, dated 06/27... given that as a result of the Administrator's EIDL declaration, applications for economic injury...

Garen Goebel, Washington County, KS - Public Notice Document

EPA Pesticide Factsheets

Environmental Protection Agency (“EPA”) is providing notice of a proposed Administrative Penalty Assessment against Garen Goebel for alleged violations of Section 301of the Clean Water Act, 33 U.S.C. § 1311 at a site located in Washington County, Kansas.

FAA Administrator Babbitt Speaks at Conference

NASA Image and Video Library

2011-02-09

Randy Babbitt, Administrator of the Federal Aviation Administration gives opening remarks at the 14th Annual FAA Commercial Space Transportation Conference at the Washington Convention Center on Wednesday, Feb. 9, 2001. Photo Credit: (NASA/Carla Cioffi)

Bridenstine Sworn In As NASA Administrator

NASA Image and Video Library

2018-04-23

NASA Administrator Jim Bridenstine speaks after being sworn-in as they agency's 13th administrator as Vice President Mike Pence looks on, Monday, April 23, 2018 at NASA Headquarters in Washington. Photo Credit: (NASA/Joel Kowsky)

Bridenstine Sworn In As NASA Administrator

NASA Image and Video Library

2018-04-23

NASA Administrator Jim Bridenstine shakes hands with Vice President Mike Pence after after being sworn-in as they agency's 13th administrator, Monday, April 23, 2018 at NASA Headquarters in Washington. Photo Credit: (NASA/Joel Kowsky)

Bar Code Medication Administration Technology: Characterization of High-Alert Medication Triggers and Clinician Workarounds.

PubMed

Miller, Daniel F; Fortier, Christopher R; Garrison, Kelli L

2011-02-01

Bar code medication administration (BCMA) technology is gaining acceptance for its ability to prevent medication administration errors. However, studies suggest that improper use of BCMA technology can yield unsatisfactory error prevention and introduction of new potential medication errors. To evaluate the incidence of high-alert medication BCMA triggers and alert types and discuss the type of nursing and pharmacy workarounds occurring with the use of BCMA technology and the electronic medication administration record (eMAR). Medication scanning and override reports from January 1, 2008, through November 30, 2008, for all adult medical/surgical units were retrospectively evaluated for high-alert medication system triggers, alert types, and override reason documentation. An observational study of nursing workarounds on an adult medicine step-down unit was performed and an analysis of potential pharmacy workarounds affecting BCMA and the eMAR was also conducted. Seventeen percent of scanned medications triggered an error alert of which 55% were for high-alert medications. Insulin aspart, NPH insulin, hydromorphone, potassium chloride, and morphine were the top 5 high-alert medications that generated alert messages. Clinician override reasons for alerts were documented in only 23% of administrations. Observational studies assessing for nursing workarounds revealed a median of 3 clinician workarounds per administration. Specific nursing workarounds included a failure to scan medications/patient armband and scanning the bar code once the dosage has been removed from the unit-dose packaging. Analysis of pharmacy order entry process workarounds revealed the potential for missed doses, duplicate doses, and doses being scheduled at the wrong time. BCMA has the potential to prevent high-alert medication errors by alerting clinicians through alert messages. Nursing and pharmacy workarounds can limit the recognition of optimal safety outcomes and therefore workflow processes

Accuracy of Diagnosis Codes to Identify Febrile Young Infants Using Administrative Data

PubMed Central

Aronson, Paul L.; Williams, Derek J.; Thurm, Cary; Tieder, Joel S.; Alpern, Elizabeth R.; Nigrovic, Lise E.; Schondelmeyer, Amanda C.; Balamuth, Fran; Myers, Angela L.; McCulloh, Russell J.; Alessandrini, Evaline A.; Shah, Samir S.; Browning, Whitney L.; Hayes, Katie L.; Feldman, Elana A.; Neuman, Mark I.

2015-01-01

Background Administrative data can be used to determine optimal management of febrile infants and aid clinical practice guideline development. Objective Determine the most accurate International Classification of Diseases, 9th revision (ICD-9) diagnosis coding strategies for identification of febrile infants. Design Retrospective cross-sectional study. Setting Eight emergency departments in the Pediatric Health Information System. Patients Infants age < 90 days evaluated between July 1, 2012 and June 30, 2013 were randomly selected for medical record review from one of four ICD-9 diagnosis code groups: 1) discharge diagnosis of fever, 2) admission diagnosis of fever without discharge diagnosis of fever, 3) discharge diagnosis of serious infection without diagnosis of fever, and 4) no diagnosis of fever or serious infection. Exposure The ICD-9 diagnosis code groups were compared in four case-identification algorithms to a reference standard of fever ≥ 100.4°F documented in the medical record. Measurements Algorithm predictive accuracy was measured using sensitivity, specificity, negative and positive predictive values. Results Among 1790 medical records reviewed, 766 (42.8%) infants had fever. Discharge diagnosis of fever demonstrated high specificity (98.2%, 95% confidence interval [CI]: 97.8-98.6) but low sensitivity (53.2%, 95% CI: 50.0-56.4). A case-identification algorithm of admission or discharge diagnosis of fever exhibited higher sensitivity (71.1%, 95% CI: 68.2-74.0), similar specificity (97.7%, 95% CI: 97.3-98.1), and the highest positive predictive value (86.9%, 95% CI: 84.5-89.3). Conclusions A case-identification strategy that includes admission or discharge diagnosis of fever should be considered for febrile infant studies using administrative data, though under-classification of patients is a potential limitation. PMID:26248691

Southwest Washington, Urban Renewal Area, Bounded by Independence Avenue, Washington ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Southwest Washington, Urban Renewal Area, Bounded by Independence Avenue, Washington Avenue, South Capitol Street, Canal Street, P Street, Maine Avenue & Washington Channel, Fourteenth Street, D Street, & Twelfth Street, Washington, District of Columbia, DC

Summary of Federal Aviation Administration Responses to National Transportation Safety Board Safety Recommendations

DTIC Science & Technology

1980-05-01

Langhorne M. Bond Administrator Federal Aviation Administration ) SAFETY RECOMMENDATICN(S) Washington, D. C. 20591, A-79-73 and -74... Langhorne M. Bond -2- Therefore, the National Transportation Safety Board recommends that the Federal Aviation Administration: Prescribe an appropriate method...TRANSPORTATION SAFETY BOARD WASHINGTON, D.C. ISSUED: October 17,.1979 i ----------- ----------------------- Forwarded to: Honorable Langhorne M. Bond

Bridenstine Sworn In As NASA Administrator

NASA Image and Video Library

2018-04-23

NASA Associate Administrator for the Office of Communications Jen Rae Wang introduces Jim Bridenstine prior to his swearing-in as the 13th NASA Administrator, Monday, April 23, 2018 at NASA Headquarters in Washington. Photo Credit: (NASA/Joel Kowsky)

Administrator Bridenstine Speaks at Humans to Mars Summit

NASA Image and Video Library

2018-05-09

NASA Administrator Jim Bridenstine delivered the keynote address at the Humans to Mars Summit 2018, on Wednesday, May 9 at The George Washington University, in Washington. The annual event addresses the technical, scientific and policy challenges of making human exploration of Mars a reality.

Accuracy of ICD-10 Coding System for Identifying Comorbidities and Infectious Conditions Using Data from a Thai University Hospital Administrative Database.

PubMed

Rattanaumpawan, Pinyo; Wongkamhla, Thanyarak; Thamlikitkul, Visanu

2016-04-01

To determine the accuracy of International Statistical Classification of Disease and Related Health Problems, 10th Revision (ICD-10) coding system in identifying comorbidities and infectious conditions using data from a Thai university hospital administrative database. A retrospective cross-sectional study was conducted among patients hospitalized in six general medicine wards at Siriraj Hospital. ICD-10 code data was identified and retrieved directly from the hospital administrative database. Patient comorbidities were captured using the ICD-10 coding algorithm for the Charlson comorbidity index. Infectious conditions were captured using the groups of ICD-10 diagnostic codes that were carefully prepared by two independent infectious disease specialists. Accuracy of ICD-10 codes combined with microbiological dataf or diagnosis of urinary tract infection (UTI) and bloodstream infection (BSI) was evaluated. Clinical data gathered from chart review was considered the gold standard in this study. Between February 1 and May 31, 2013, a chart review of 546 hospitalization records was conducted. The mean age of hospitalized patients was 62.8 ± 17.8 years and 65.9% of patients were female. Median length of stay [range] was 10.0 [1.0-353.0] days and hospital mortality was 21.8%. Conditions with ICD-10 codes that had good sensitivity (90% or higher) were diabetes mellitus and HIV infection. Conditions with ICD-10 codes that had good specificity (90% or higher) were cerebrovascular disease, chronic lung disease, diabetes mellitus, cancer HIV infection, and all infectious conditions. By combining ICD-10 codes with microbiological results, sensitivity increased from 49.5 to 66%for UTI and from 78.3 to 92.8%for BS. The ICD-10 coding algorithm is reliable only in some selected conditions, including underlying diabetes mellitus and HIV infection. Combining microbiological results with ICD-10 codes increased sensitivity of ICD-10 codes for identifying BSI. Future research is

Deriving ICD-10 Codes for Patient Safety Indicators for Large-scale Surveillance Using Administrative Hospital Data.

PubMed

Southern, Danielle A; Burnand, Bernard; Droesler, Saskia E; Flemons, Ward; Forster, Alan J; Gurevich, Yana; Harrison, James; Quan, Hude; Pincus, Harold A; Romano, Patrick S; Sundararajan, Vijaya; Kostanjsek, Nenad; Ghali, William A

2017-03-01

Existing administrative data patient safety indicators (PSIs) have been limited by uncertainty around the timing of onset of included diagnoses. We undertook de novo PSI development through a data-driven approach that drew upon "diagnosis timing" information available in some countries' administrative hospital data. Administrative database analysis and modified Delphi rating process. All hospitalized adults in Canada in 2009. We queried all hospitalizations for ICD-10-CA diagnosis codes arising during hospital stay. We then undertook a modified Delphi panel process to rate the extent to which each of the identified diagnoses has a potential link to suboptimal quality of care. We grouped the identified quality/safety-related diagnoses into relevant clinical categories. Lastly, we queried Alberta hospital discharge data to assess the frequency of the newly defined PSI events. Among 2,416,413 national hospitalizations, we found 2590 unique ICD-10-CA codes flagged as having arisen after admission. Seven panelists evaluated these in a 2-round review process, and identified a listing of 640 ICD-10-CA diagnosis codes judged to be linked to suboptimal quality of care and thus appropriate for inclusion in PSIs. These were then grouped by patient safety experts into 18 clinically relevant PSI categories. We then analyzed data on 2,381,652 Alberta hospital discharges from 2005 through 2012, and found that 134,299 (5.2%) hospitalizations had at least 1 PSI diagnosis. The resulting work creates a foundation for a new set of PSIs for routine large-scale surveillance of hospital and health system performance.

Final Regulatory Evaluation: Metropolitan Washington Airports Policy,

DTIC Science & Technology

1981-10-01

Sponsoring Agency Code APO-220 15. Supplementary Notes None 16 . Abstract This final regulatory evaluation examines the potential impacts of rules to...to recover combined direct and allocated maintenance and operation, depreciation and interest charges on the landing field areas of Washington National...931,197 t13,462,003 10.92 16 Revenues increased 6.5 percent in 1980 totaling $25.3 million, which equates to $1.73 per passenger handled. At the same

Military Professional Ethics, Code of Conduct, and Military Academies’ Honor Codes,

DTIC Science & Technology

1985-04-01

1981. Mathews, Jay. Ex-POW teaches that a mind can always be free. Washington Post 1:1+, 10 January 1983. 16 Meade, Henry J. Commitment to integrity. Air...to honor code’s review. Air Force Times 45:7, 4 February 1985. Glab , John E. Honor at West Point. (Letter) New York Times 26:5, 13 September 1976

Bridenstine Sworn In As NASA Administrator

NASA Image and Video Library

2018-04-23

NASA Associate Administrator for the Office of Communications Jen Rae Wang introduces Jim Bridenstine and Vice President Mike Pence ahead of Bridenstine being sworn in as the 13th NASA Administrator, Monday, April 23, 2018 at NASA Headquarters in Washington. Photo Credit: (NASA/Bill Ingalls)

Characteristics of construction firms at risk for future workers' compensation claims using administrative data systems, Washington State.

PubMed

Marcum, Jennifer L; Foley, Michael; Adams, Darrin; Bonauto, Dave

2018-06-01

Construction is high-hazard industry, and continually ranks among those with the highest workers' compensation (WC) claim rates in Washington State (WA). However, not all construction firms are at equal risk. We tested the ability to identify those construction firms most at risk for future claims using only administrative WC and unemployment insurance data. We collected information on construction firms with 10-50 average full time equivalent (FTE) employees from the WA unemployment insurance and WC data systems (n=1228). Negative binomial regression was used to test the ability of firm characteristics measured during 2011-2013 to predict time-loss claim rates in the following year, 2014. Claim rates in 2014 varied by construction industry groups, ranging from 0.7 (Land Subdivision) to 4.6 (Foundation, Structure, and Building Construction) claims per 100 FTE. Construction firms with higher average WC premium rates, a history of WC claims, increasing number of quarterly FTE, and lower average wage rates during 2011-2013 were predicted to have higher WC claim rates in 2014. We demonstrate the ability to leverage administrative data to identify construction firms predicted to have future WC claims. This study should be repeated to determine if these results are applicable to other high-hazard industries. Practical Applications: This study identified characteristics that may be used to further refine targeted outreach and prevention to construction firms at risk. Published by Elsevier Ltd.

Bridenstine Sworn In As NASA Administrator

NASA Image and Video Library

2018-04-23

NASA Associate Administrator for the Office of Communications Jen Rae Wang greets Vice President Mike Pence after introducing him prior to the swearing-in of Jim Bridenstine as the 13th NASA Administrator, Monday, April 23, 2018 at NASA Headquarters in Washington. Photo Credit: (NASA/Joel Kowsky)

Coding in Muscle Disease.

PubMed

Jones, Lyell K; Ney, John P

2016-12-01

Accurate coding is critically important for clinical practice and research. Ongoing changes to diagnostic and billing codes require the clinician to stay abreast of coding updates. Payment for health care services, data sets for health services research, and reporting for medical quality improvement all require accurate administrative coding. This article provides an overview of administrative coding for patients with muscle disease and includes a case-based review of diagnostic and Evaluation and Management (E/M) coding principles in patients with myopathy. Procedural coding for electrodiagnostic studies and neuromuscular ultrasound is also reviewed.

Financial Review: Member Jurisdictions of the Washington Metropolitan Area Transit Authority

DOT National Transportation Integrated Search

1987-02-01

This Financial Review was commissioned by the Urban Mass Transportation Administration ("UMTA") and contains pertinent credit information for the jurisdictions who contribute funds to the Washington Metropolitan Area Transit Authority ("WMATA") for t...

33 CFR 162.225 - Columbia and Willamette Rivers, Washington and Oregon; administration and navigation.

Code of Federal Regulations, 2010 CFR

2010-07-01

... temporary speed regulations as he may deem necessary for the public safety. During critical periods of... stages (usually 25 feet or more on the Vancouver, Washington, gage) when lives, floating plant or major...

An examination of Washington state’s vehicle impoundment law for motorcycle endorsements : traffic tech.

DOT National Transportation Integrated Search

2013-01-01

In July 2007, Washington State modified its vehicle code : to clarify that its existing impoundment law for unlicensed : drivers also applies to operators without specially : endorsed licenses, including motorcycle riders, and : expressly allows law ...

7 CFR 782.3 - Administration.

Code of Federal Regulations, 2011 CFR

2011-01-01

... Administrator for Commodity Operations (DACO), FSA, Washington, D.C., and the Kansas City Commodity Office (KCCO), FSA, Kansas City, MO, in coordination with the Commissioner of Customs pursuant to a Memorandum of...

Administration: Gifts and Donations

DTIC Science & Technology

1983-11-15

Army Regulation 1–100 Administration Gifts and Donations Headquarters Department of the Army Washington, DC 15 November 1983 Unclassified Report...Documentation Page Report Date 15 Nov 1983 Report Type N/A Dates Covered (from... to) - Title and Subtitle Administration: Gifts and Donations...Abstract unclassified Limitation of Abstract UU Number of Pages 11 SUMMARY of CHANGE AR 1–100 Gifts and Donations This is a transitional reprint of

Using Administrative Mental Health Indicators in Heart Failure Outcomes Research: Comparison of Clinical Records and International Classification of Disease Coding.

PubMed

Bender, Miriam; Smith, Tyler C

2016-01-01

Use of mental indication in health outcomes research is of growing interest to researchers. This study, as part of a larger research program, quantified agreement between administrative International Classification of Disease (ICD-9) coding for, and "gold standard" clinician documentation of, mental health issues (MHIs) in hospitalized heart failure (HF) patients to determine the validity of mental health administrative data for use in HF outcomes research. A 13% random sample (n = 504) was selected from all unique patients (n = 3,769) hospitalized with a primary HF diagnosis at 4 San Diego County community hospitals during 2009-2012. MHI was defined as ICD-9 discharge diagnostic coding 290-319. Records were audited for clinician documentation of MHI. A total of 43% (n = 216) had mental health clinician documentation; 33% (n = 164) had ICD-9 coding for MHI. ICD-9 code bundle 290-319 had 0.70 sensitivity, 0.97 specificity, and kappa 0.69 (95% confidence interval 0.61-0.79). More specific ICD-9 MHI code bundles had kappas ranging from 0.44 to 0.82 and sensitivities ranging from 42% to 82%. Agreement between ICD-9 coding and clinician documentation for a broadly defined MHI is substantial, and can validly "rule in" MHI for hospitalized patients with heart failure. More specific MHI code bundles had fair to almost perfect agreement, with a wide range of sensitivities for identifying patients with an MHI. Copyright © 2016 Elsevier Inc. All rights reserved.

Mining Properties in Washington that were involved in the DMA, DMEA, OME Mineral Exploration Programs, 1950-1974

USGS Publications Warehouse

Kiilsgaard, Thor H.

1998-01-01

Introduction This report and accompanying map (Plate 1) presents information on the Defense Minerals Administration (DMA), Defense Minerals Exploration Administration (DMEA), and Office of Minerals Exploration (OME) mineral exploration programs in Washington. Under these programs, the federal government participated in the exploration costs for certain strategic and critical minerals. Federal funds for mineral exploration under the programs were available from 1950 to 1974, although limited funds for OME administrative work were continued until 1979. The report reviews the three programs, associated regulations, administrative procedures, and operational techniques. It also describes the various types of informative reports generated by the programs, lists mining properties in Washington that were involved in the exploration programs, and advises on location of compiled exploration information that resulted from the work.

5 CFR 831.203 - Continuation of coverage for employees of the Metropolitan Washington Airports Authority.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false Continuation of coverage for employees of the Metropolitan Washington Airports Authority. 831.203 Section 831.203 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) RETIREMENT Coverage...

5 CFR 831.203 - Continuation of coverage for employees of the Metropolitan Washington Airports Authority.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 5 Administrative Personnel 2 2011-01-01 2011-01-01 false Continuation of coverage for employees of the Metropolitan Washington Airports Authority. 831.203 Section 831.203 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) RETIREMENT Coverage...

Biases in detection of apparent "weekend effect" on outcome with administrative coding data: population based study of stroke.

PubMed

Li, Linxin; Rothwell, Peter M

2016-05-16

 To determine the accuracy of coding of admissions for stroke on weekdays versus weekends and any impact on apparent outcome.  Prospective population based stroke incidence study and a scoping review of previous studies of weekend effects in stroke.  Primary and secondary care of all individuals registered with nine general practices in Oxfordshire, United Kingdom (OXVASC, the Oxford Vascular Study).  All patients with clinically confirmed acute stroke in OXVASC identified with multiple overlapping methods of ascertainment in 2002-14 versus all acute stroke admissions identified by hospital diagnostic and mortality coding alone during the same period.  Accuracy of administrative coding data for all patients with confirmed stroke admitted to hospital in OXVASC. Difference between rates of "false positive" or "false negative" coding for weekday and weekend admissions. Impact of inaccurate coding on apparent case fatality at 30 days in weekday versus weekend admissions. Weekend effects on outcomes in patients with confirmed stroke admitted to hospital in OXVASC and impacts of other potential biases compared with those in the scoping review.  Among 92 728 study population, 2373 episodes of acute stroke were ascertained in OXVASC, of which 826 (34.8%) mainly minor events were managed without hospital admission, 60 (2.5%) occurred out of the area or abroad, and 195 (8.2%) occurred in hospital during an admission for a different reason. Of 1292 local hospital admissions for acute stroke, 973 (75.3%) were correctly identified by administrative coding. There was no bias in distribution of weekend versus weekday admission of the 319 strokes missed by coding. Of 1693 admissions for stroke identified by coding, 1055 (62.3%) were confirmed to be acute strokes after case adjudication. Among the 638 false positive coded cases, patients were more likely to be admitted on weekdays than at weekends (536 (41.0%) v 102 (26.5%); P<0.001), partly because of weekday elective

A low emission vehicle procurement approach for Washington state

NASA Astrophysics Data System (ADS)

McCoy, G. A.; Lyons, J. K.; Ware, G.

1992-06-01

The Clean Air Washington Act of 1991 directs the Department of Ecology to establish a clean-fuel vehicle standard. The Department of General Administration shall purchase vehicles based on this standard beginning in the Fall of 1992. The following summarizes the major issues effecting vehicle emissions and their regulation, and present a methodology for procuring clean-fuel vehicles for the State of Washington. Washington State's air quality problems are much less severe than in other parts of the country such as California, the East Coast and parts of the Mid West. Ozone, which is arguably the dominant air quality problem in the US, is a recent and relatively minor issue in Washington. Carbon monoxide (CO) represents a more immediate problem in Washington, with most of the state's urban areas exceeding national CO air quality standards. Since the mid-1960's, vehicle tailpipe hydrocarbon and carbon monoxide emissions have been reduced by 96 percent relative to precontrol vehicles. Nitrogen oxide emissions have been reduced by 76 percent. Emissions from currently available vehicles are quite low with respect to in-place exhaust emission standards. Cold-start emissions constitute about 75 percent of the total emissions measured with the Federal Test Procedure used to certify motor vehicles. There is no currently available 'inherently clean burning fuel'. In 1991, 3052 vehicles were purchased under Washington State contract. Provided that the same number are acquired in 1993, the state will need to purchase 915 vehicles which meet the definition of a 'clean-fueled vehicle'.

Bridenstine Sworn In As NASA Administrator

NASA Image and Video Library

2018-04-23

Jen Rae Wang, NASA Associate Administrator for NASA’s Office of Communications, left, NASA Administrator Jim Bridenstine, and Vice President Mike Pence, talk with NASA astronauts Scott Tingle, Andrew Feustel, and Ricky Arnold who are onboard the International Space Station, Monday, April 23, 2018 at NASA Headquarters in Washington. Bridenstine was just sworn in by the Vice President as NASA's 13th Administrator. Photo Credit: (NASA/Joel Kowsky)

Bridenstine Sworn In As NASA Administrator

NASA Image and Video Library

2018-04-23

Vice President Mike Pence and NASA Administrator Jim Bridenstine talk with NASA astronauts Andrew Feustel, Scott Tingle, and Ricky Arnold who are onboard the International Space Station, Monday, April 23, 2018 at NASA Headquarters in Washington. Bridenstine was just sworn in by the Vice President as NASA's 13th Administrator. Photo Credit: (NASA/Joel Kowsky)

Bridenstine Sworn In As NASA Administrator

NASA Image and Video Library

2018-04-23

Vice President Mike Pence, and NASA Administrator Jim Bridenstine talk with NASA astronauts Scott Tingle, Andrew Feustel, and Ricky Arnold who are onboard the International Space Station, Monday, April 23, 2018 at NASA Headquarters in Washington. Bridenstine was just sworn in by the Vice President as NASA's 13th Administrator. Photo Credit: (NASA/Bill Ingalls)

Bridenstine Sworn In As NASA Administrator

NASA Image and Video Library

2018-04-23

NASA Administrator Jim Bridenstine speaks shortly after being sworn into office by Vice President Mike Pence, Monday, April 23, 2018 at NASA Headquarters in Washington. Photo Credit: (NASA/Bill Ingalls)

Hazardous Waste State Authorization Tracking System (StATS) Report for Washington as of March 31, 2018

EPA Pesticide Factsheets

State Authorization Tracking System (StATS) data for Washington listing checklist code, Federal Register Reference, promulgation date, rule description, state adopted/effective date, date of Federal Register Notice, and effective date.

Hazardous Waste State Authorization Tracking System (StATS) Report for Washington as of June 30, 2017

EPA Pesticide Factsheets

State Authorization Tracking System (StATS) data for Washington listing checklist code, Federal Register Reference, promulgation date, rule description, state adopted/effective date, date of Federal Register Notice, and effective date.

Washington State Nursing Home Administrator Model Curriculum. Final Report.

ERIC Educational Resources Information Center

Cowan, Florence Kelly

The course outlines presented in this final report comprise a proposed Fort Steilacoom Community College curriculum to be used as a statewide model two-year associate degree curriculum for nursing home administrators. The eight courses described are introduction to nursing, home administration, financial management of nursing homes, nursing home…

Bridenstine Sworn In As NASA Administrator

NASA Image and Video Library

2018-04-23

Vice President Mike Pence, and NASA Administrator Jim Bridenstine, right, talk with NASA astronauts Scott Tingle, Andrew Feustel, and Ricky Arnold who are onboard the International Space Station, Monday, April 23, 2018 at NASA Headquarters in Washington. Bridenstine was just sworn in by the Vice President as NASA's 13th Administrator. Photo Credit: (NASA/Bill Ingalls)

Validation and optimisation of an ICD-10-coded case definition for sepsis using administrative health data

PubMed Central

Jolley, Rachel J; Jetté, Nathalie; Sawka, Keri Jo; Diep, Lucy; Goliath, Jade; Roberts, Derek J; Yipp, Bryan G; Doig, Christopher J

2015-01-01

Objective Administrative health data are important for health services and outcomes research. We optimised and validated in intensive care unit (ICU) patients an International Classification of Disease (ICD)-coded case definition for sepsis, and compared this with an existing definition. We also assessed the definition's performance in non-ICU (ward) patients. Setting and participants All adults (aged ≥18 years) admitted to a multisystem ICU with general medicosurgical ICU care from one of three tertiary care centres in the Calgary region in Alberta, Canada, between 1 January 2009 and 31 December 2012 were included. Research design Patient medical records were randomly selected and linked to the discharge abstract database. In ICU patients, we validated the Canadian Institute for Health Information (CIHI) ICD-10-CA (Canadian Revision)-coded definition for sepsis and severe sepsis against a reference standard medical chart review, and optimised this algorithm through examination of other conditions apparent in sepsis. Measures Sensitivity (Sn), specificity (Sp), positive predictive value (PPV) and negative predictive value (NPV) were calculated. Results Sepsis was present in 604 of 1001 ICU patients (60.4%). The CIHI ICD-10-CA-coded definition for sepsis had Sn (46.4%), Sp (98.7%), PPV (98.2%) and NPV (54.7%); and for severe sepsis had Sn (47.2%), Sp (97.5%), PPV (95.3%) and NPV (63.2%). The optimised ICD-coded algorithm for sepsis increased Sn by 25.5% and NPV by 11.9% with slightly lowered Sp (85.4%) and PPV (88.2%). For severe sepsis both Sn (65.1%) and NPV (70.1%) increased, while Sp (88.2%) and PPV (85.6%) decreased slightly. Conclusions This study demonstrates that sepsis is highly undercoded in administrative data, thus under-ascertaining the true incidence of sepsis. The optimised ICD-coded definition has a higher validity with higher Sn and should be preferentially considered if used for surveillance purposes. PMID:26700284

Validation and optimisation of an ICD-10-coded case definition for sepsis using administrative health data.

PubMed

Jolley, Rachel J; Quan, Hude; Jetté, Nathalie; Sawka, Keri Jo; Diep, Lucy; Goliath, Jade; Roberts, Derek J; Yipp, Bryan G; Doig, Christopher J

2015-12-23

Administrative health data are important for health services and outcomes research. We optimised and validated in intensive care unit (ICU) patients an International Classification of Disease (ICD)-coded case definition for sepsis, and compared this with an existing definition. We also assessed the definition's performance in non-ICU (ward) patients. All adults (aged ≥ 18 years) admitted to a multisystem ICU with general medicosurgical ICU care from one of three tertiary care centres in the Calgary region in Alberta, Canada, between 1 January 2009 and 31 December 2012 were included. Patient medical records were randomly selected and linked to the discharge abstract database. In ICU patients, we validated the Canadian Institute for Health Information (CIHI) ICD-10-CA (Canadian Revision)-coded definition for sepsis and severe sepsis against a reference standard medical chart review, and optimised this algorithm through examination of other conditions apparent in sepsis. Sensitivity (Sn), specificity (Sp), positive predictive value (PPV) and negative predictive value (NPV) were calculated. Sepsis was present in 604 of 1001 ICU patients (60.4%). The CIHI ICD-10-CA-coded definition for sepsis had Sn (46.4%), Sp (98.7%), PPV (98.2%) and NPV (54.7%); and for severe sepsis had Sn (47.2%), Sp (97.5%), PPV (95.3%) and NPV (63.2%). The optimised ICD-coded algorithm for sepsis increased Sn by 25.5% and NPV by 11.9% with slightly lowered Sp (85.4%) and PPV (88.2%). For severe sepsis both Sn (65.1%) and NPV (70.1%) increased, while Sp (88.2%) and PPV (85.6%) decreased slightly. This study demonstrates that sepsis is highly undercoded in administrative data, thus under-ascertaining the true incidence of sepsis. The optimised ICD-coded definition has a higher validity with higher Sn and should be preferentially considered if used for surveillance purposes. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go

T-38 Aircraft Fly Over Washington

NASA Image and Video Library

2012-04-05

Two NASA T-38 training jets are seen as they fly over Washington, DC, Thursday, April 5, 2012. NASA, in cooperation with the Federal Aviation Administration, conducted training and photographic flights over the DC metropolitan area. T-38 aircraft have been used for astronaut training for more than 30 years as they allow pilots and mission specialists to think quickly in changing situations, mental experiences the astronauts say are critical to practicing for the rigors of spaceflight. Photo Credit: (NASA/Bill Ingalls)

Exploration of association rule mining for coding consistency and completeness assessment in inpatient administrative health data.

PubMed

Peng, Mingkai; Sundararajan, Vijaya; Williamson, Tyler; Minty, Evan P; Smith, Tony C; Doktorchik, Chelsea T A; Quan, Hude

2018-03-01

Data quality assessment is a challenging facet for research using coded administrative health data. Current assessment approaches are time and resource intensive. We explored whether association rule mining (ARM) can be used to develop rules for assessing data quality. We extracted 2013 and 2014 records from the hospital discharge abstract database (DAD) for patients between the ages of 55 and 65 from five acute care hospitals in Alberta, Canada. The ARM was conducted using the 2013 DAD to extract rules with support ≥0.0019 and confidence ≥0.5 using the bootstrap technique, and tested in the 2014 DAD. The rules were compared against the method of coding frequency and assessed for their ability to detect error introduced by two kinds of data manipulation: random permutation and random deletion. The association rules generally had clear clinical meanings. Comparing 2014 data to 2013 data (both original), there were 3 rules with a confidence difference >0.1, while coding frequency difference of codes in the right hand of rules was less than 0.004. After random permutation of 50% of codes in the 2014 data, average rule confidence dropped from 0.72 to 0.27 while coding frequency remained unchanged. Rule confidence decreased with the increase of coding deletion, as expected. Rule confidence was more sensitive to code deletion compared to coding frequency, with slope of change ranging from 1.7 to 184.9 with a median of 9.1. The ARM is a promising technique to assess data quality. It offers a systematic way to derive coding association rules hidden in data, and potentially provides a sensitive and efficient method of assessing data quality compared to standard methods. Copyright © 2018 Elsevier Inc. All rights reserved.

Bridenstine Sworn In As NASA Administrator

NASA Image and Video Library

2018-04-23

Vice President Mike Pence speaks prior to the swearing-in of Jim Bridenstine as the 13th NASA Administrator, Monday, April 23, 2018 at NASA Headquarters in Washington. Photo Credit: (NASA/Joel Kowsky)

Bridenstine Sworn In As NASA Administrator

NASA Image and Video Library

2018-04-23

Vice President Mike Pence, left, swears in Jim Bridenstine as the 13th NASA Administrator as Bridenstine's family watch, Monday, April 23, 2018 at NASA Headquarters in Washington. Photo Credit: (NASA/Bill Ingalls)

75 FR 28757 - Security Zone; Potomac River, Washington Channel, Washington, DC

Federal Register 2010, 2011, 2012, 2013, 2014

2010-05-24

...-AA87 Security Zone; Potomac River, Washington Channel, Washington, DC AGENCY: Coast Guard, DHS. ACTION: Temporary final rule. SUMMARY: The Coast Guard is establishing a temporary security zone in certain waters of Washington Channel on the Potomac River. The security zone is necessary to provide for the...

76 FR 26336 - Notice of Final Federal Agency Actions on the Proposed Klingle Valley Trail in Washington, DC

Federal Register 2010, 2011, 2012, 2013, 2014

2011-05-06

... on the Proposed Klingle Valley Trail in Washington, DC AGENCY: Federal Highway Administration (FHWA... final within the meaning of 23 U.S.C. 139(l)(1). The actions relate to the proposed Klingle Valley Trail... approvals for the following project in Northwest Washington, DC: The Klingle Valley Trail project. The...

Evaluation of rural ITS information systems along U.S. 395, Spokane, Washington

DOT National Transportation Integrated Search

2004-01-08

As part of the Intelligent Transportation Systems (ITS) Integration Program as authorized in the Transportation Equity Act for the 21st Century (TEA-21), the U.S. Federal Highway Administration (FHWA) funded the Washington State Department of Transpo...

High School CPR/AED Training in Washington State.

PubMed

Salvatierra, Gail G; Palazzo, Steven J; Emery, Allison

2017-05-01

Describe the rates of CPR/AED training in high schools in the state of Washington after passage of legislation mandating CPR/AED training. A web-based survey was sent to administrators at 660 public and private high schools in the state of Washington. The survey was completed by 148 schools (22%); 64% reported providing CPR training and 54% provided AED training. Reported barriers to implementation included instructor availability, cost, and a lack of equipment. Descriptive statistics were used to describe the sample characteristics and implementation rates. Mandates without resources and support do not ensure implementation of CPR/AED training in high schools. Full public health benefits of a CPR mandate will not be realized until barriers to implementation are identified and eliminated through use of available, accessible public health resources. © 2016 Wiley Periodicals, Inc.

NASA Administrator Welcomes Minister of Economy

NASA Image and Video Library

2014-02-18

NASA Administrator Charles Bolden, left, welcomes Lithuania's Minister of Economy Evaldas Gustas to NASA Headquarters to discuss potential collaborative space activities between NASA and the Republic of Lithuania, Tuesday, Feb. 18, 2014 in Washington.

Bridenstine Sworn In As NASA Administrator

NASA Image and Video Library

2018-04-23

Vice President Mike Pence shakes hands with Jim Bridenstine prior to his swearing-in as the 13th NASA Administrator, Monday, April 23, 2018 at NASA Headquarters in Washington. Photo Credit: (NASA/Joel Kowsky)

Bridenstine Sworn In As NASA Administrator

NASA Image and Video Library

2018-04-23

Vice President Mike Pence speaks during an event where Jim Bridenstine is sworn in as the 13th NASA Administrator, Monday, April 23, 2018 at NASA Headquarters in Washington. Photo Credit: (NASA/Bill Ingalls)

Health and Safety Guide for K-12 Schools in Washington.

ERIC Educational Resources Information Center

Kerns, James T.; Ellis, Richard E.

This guide's primary focus is to recommend good health and safety practices to helpensure safer schools in Washington state. Some of the safety practices that are recommended affect school operationand maintenance, repairs and minor construction, as well as the school's administrative organization and lines of communication. The guide also focuses…

Bridenstine Sworn In As NASA Administrator

NASA Image and Video Library

2018-04-23

Vice President Mike Pence, left, and NASA Administrator Jim Bridenstine are seen as they talk with NASA astronauts Scott Tingle, Andrew Feustel, and Ricky Arnold who are onboard the International Space Station, Monday, April 23, 2018 at NASA Headquarters in Washington. Bridenstine was just sworn in by the Vice President as NASA's 13th Administrator. Photo Credit: (NASA/Bill Ingalls)

Biases in detection of apparent “weekend effect” on outcome with administrative coding data: population based study of stroke

PubMed Central

Li, Linxin

2016-01-01

Objectives To determine the accuracy of coding of admissions for stroke on weekdays versus weekends and any impact on apparent outcome. Design Prospective population based stroke incidence study and a scoping review of previous studies of weekend effects in stroke. Setting Primary and secondary care of all individuals registered with nine general practices in Oxfordshire, United Kingdom (OXVASC, the Oxford Vascular Study). Participants All patients with clinically confirmed acute stroke in OXVASC identified with multiple overlapping methods of ascertainment in 2002-14 versus all acute stroke admissions identified by hospital diagnostic and mortality coding alone during the same period. Main outcomes measures Accuracy of administrative coding data for all patients with confirmed stroke admitted to hospital in OXVASC. Difference between rates of “false positive” or “false negative” coding for weekday and weekend admissions. Impact of inaccurate coding on apparent case fatality at 30 days in weekday versus weekend admissions. Weekend effects on outcomes in patients with confirmed stroke admitted to hospital in OXVASC and impacts of other potential biases compared with those in the scoping review. Results Among 92 728 study population, 2373 episodes of acute stroke were ascertained in OXVASC, of which 826 (34.8%) mainly minor events were managed without hospital admission, 60 (2.5%) occurred out of the area or abroad, and 195 (8.2%) occurred in hospital during an admission for a different reason. Of 1292 local hospital admissions for acute stroke, 973 (75.3%) were correctly identified by administrative coding. There was no bias in distribution of weekend versus weekday admission of the 319 strokes missed by coding. Of 1693 admissions for stroke identified by coding, 1055 (62.3%) were confirmed to be acute strokes after case adjudication. Among the 638 false positive coded cases, patients were more likely to be admitted on weekdays than at weekends (536

Bridenstine Sworn In As NASA Administrator

NASA Image and Video Library

2018-04-23

Jim Bridenstine, right, is sworn in as the 13th NASA Administrator by Vice President Mike Pence as Bridenstine's family watch, Monday, April 23, 2018 at NASA Headquarters in Washington. Photo Credit: (NASA/Joel Kowsky)

Bridenstine Sworn In As NASA Administrator

NASA Image and Video Library

2018-04-23

Vice President Mike Pence speaks during an event where Jim Bridenstine, right, is sworn in as the 13th NASA Administrator, Monday, April 23, 2018 at NASA Headquarters in Washington. Photo Credit: (NASA/Bill Ingalls)

Validation of coding algorithms for the identification of patients hospitalized for alcoholic hepatitis using administrative data.

PubMed

Pang, Jack X Q; Ross, Erin; Borman, Meredith A; Zimmer, Scott; Kaplan, Gilaad G; Heitman, Steven J; Swain, Mark G; Burak, Kelly W; Quan, Hude; Myers, Robert P

2015-09-11

Epidemiologic studies of alcoholic hepatitis (AH) have been hindered by the lack of a validated International Classification of Disease (ICD) coding algorithm for use with administrative data. Our objective was to validate coding algorithms for AH using a hospitalization database. The Hospital Discharge Abstract Database (DAD) was used to identify consecutive adults (≥18 years) hospitalized in the Calgary region with a diagnosis code for AH (ICD-10, K70.1) between 01/2008 and 08/2012. Medical records were reviewed to confirm the diagnosis of AH, defined as a history of heavy alcohol consumption, elevated AST and/or ALT (<300 U/L), serum bilirubin >34 μmol/L, and elevated INR. Subgroup analyses were performed according to the diagnosis field in which the code was recorded (primary vs. secondary) and AH severity. Algorithms that incorporated ICD-10 codes for cirrhosis and its complications were also examined. Of 228 potential AH cases, 122 patients had confirmed AH, corresponding to a positive predictive value (PPV) of 54% (95% CI 47-60%). PPV improved when AH was the primary versus a secondary diagnosis (67% vs. 21%; P < 0.001). Algorithms that included diagnosis codes for ascites (PPV 75%; 95% CI 63-86%), cirrhosis (PPV 60%; 47-73%), and gastrointestinal hemorrhage (PPV 62%; 51-73%) had improved performance, however, the prevalence of these diagnoses in confirmed AH cases was low (29-39%). In conclusion the low PPV of the diagnosis code for AH suggests that caution is necessary if this hospitalization database is used in large-scale epidemiologic studies of this condition.

T-38 Aircraft Fly Over Washington

NASA Image and Video Library

2012-04-05

A NASA T-38 training jet is seen as it flies at 1500 feet over Washington, DC, Thursday, April 5, 2012. NASA, in cooperation with the Federal Aviation Administration, conducted training and photographic flights over the DC metropolitan area. T-38 aircraft have been used for astronaut training for more than 30 years as they allow pilots and mission specialists to think quickly in changing situations, mental experiences the astronauts say are critical to practicing for the rigors of spaceflight. Photo Credit: (NASA/Carla Cioffi)

CHMWTR: A Plasma Chemistry Code for Water Vapor

DTIC Science & Technology

2012-02-01

Naval Research Laboratory Washington, DC 20375-5320 NRL/MR/6790--12-9383 CHMWTR: A Plasma Chemistry Code for Water Vapor Daniel F. GorDon Michael...NUMBER OF PAGES 17. LIMITATION OF ABSTRACT CHMWTR: A Plasma Chemistry Code for Water Vapor Daniel F. Gordon, Michael H. Helle, Theodore G. Jones, and K...October 2011 NRL *Directed Energy Scholar, Directed Energy Professional Society Plasma chemistry Breakdown field Conductivity 67-4270-02 CHMWTR: a Plasma

Bootstrap imputation with a disease probability model minimized bias from misclassification due to administrative database codes.

PubMed

van Walraven, Carl

2017-04-01

Diagnostic codes used in administrative databases cause bias due to misclassification of patient disease status. It is unclear which methods minimize this bias. Serum creatinine measures were used to determine severe renal failure status in 50,074 hospitalized patients. The true prevalence of severe renal failure and its association with covariates were measured. These were compared to results for which renal failure status was determined using surrogate measures including the following: (1) diagnostic codes; (2) categorization of probability estimates of renal failure determined from a previously validated model; or (3) bootstrap methods imputation of disease status using model-derived probability estimates. Bias in estimates of severe renal failure prevalence and its association with covariates were minimal when bootstrap methods were used to impute renal failure status from model-based probability estimates. In contrast, biases were extensive when renal failure status was determined using codes or methods in which model-based condition probability was categorized. Bias due to misclassification from inaccurate diagnostic codes can be minimized using bootstrap methods to impute condition status using multivariable model-derived probability estimates. Copyright © 2017 Elsevier Inc. All rights reserved.

1971 Washington timber harvest.

Treesearch

Brian R. Wall

1972-01-01

Washington's 1971 timber harvest of 6.45 billion board feet was nearly the same as the 1970 harvest level. The total timber harvest on public lands increased nearly 4 percent with a 30-percent increase in eastern Washington more than offsetting a 5-percent decline in western Washington. Part of the increase in eastern Washington reflects salvage of a large volume...

Retirement Planning Handbook: Washington State Faculty Association of Community Colleges.

ERIC Educational Resources Information Center

Silverstein, Roberta

Designed for faculty and exempt administrators at Washington's community colleges, this handbook explains available retirement plans, deductions, and options. First, a glossary of terms and an index to sections of the handbook dealing with the concepts are provided. The bulk of the handbook uses a question/answer format to present information on…

Genetic variation in steelhead (Salmo gairdneri) from the north coast of Washington

USGS Publications Warehouse

Reisenbichler, R.R.; Phelps, S.R.

1989-01-01

Steelhead (Salmo gairdneri) collected from various sites in nine drainages in northwestern Washington were genetically characterized at 65 protein-coding loci by starch-gel electrophoresis. Genetic differentiation within and among drainages was not significant, and genetic variation among drainages was much less than that reported in British Columbia; these results may be the consequence of gene flow from hatchery stocks that have been released in Washington since the 1940's. Allele frequencies varied significantly among year-classes (hence, genetic characterization studies must include data from several year-classes), and also between hatchery fish (including a stock developed with local wild fish) and wild fish, indicating that few wild fish have been successfully and routinely included in hatchery brood stocks. Conservation of genetic diversity along the north coast of Washington should be facilitated by reducing the numbers of hatchery fish that spawn in streams and by including wild fish in hatchery brood stocks.

Creating a Culture of Safety Around Bar-Code Medication Administration: An Evidence-Based Evaluation Framework.

PubMed

Kelly, Kandace; Harrington, Linda; Matos, Pat; Turner, Barbara; Johnson, Constance

2016-01-01

Bar-code medication administration (BCMA) effectiveness is contingent upon compliance with best-practice protocols. We developed a 4-phased BCMA evaluation program to evaluate the degree of integration of current evidence into BCMA policies, procedures, and practices; identify barriers to best-practice BCMA use; and modify BCMA practice in concert with changes to the practice environment. This program provides an infrastructure for frontline nurses to partner with hospital leaders to continually evaluate and improve BCMA using a systematic process.

Effect of change in coding rules on recording diabetes in hospital administrative datasets.

PubMed

Assareh, Hassan; Achat, Helen M; Guevarra, Veth M; Stubbs, Joanne M

2016-10-01

During 2008-2011 Australian Coding Standards mandated a causal relationship between diabetes and inpatient care as a criterion for recording diabetes as a comorbidity in hospital administrative datasets. We aim to measure the effect of the causality mandate on recorded diabetes and associated inter-hospital variations. For patients with diabetes, all admissions between 2004 and 2013 to all New South Wales acute public hospitals were investigated. Poisson mixed models were employed to derive adjusted rates and variations. The non-recorded diabetes incidence rate was 20.7%. The causality mandate increased the incidence rate four fold during the change period, 2008-2011, compared to the pre- or post-change periods (32.5% vs 8.4% and 6.9%). The inter-hospital variation was also higher, with twice the difference in the non-recorded rate between hospitals with the highest and lowest rates (50% vs 24% and 27% risk gap). The variation decreased during the change period (29%), while the rate continued to rise (53%). Admission characteristics accounted for over 44% of the variation compared with at most two per cent attributable to patient or hospital characteristics. Contributing characteristics explained less of the variation within the change period compared to pre- or post-change (46% vs 58% and 53%). Hospital relative performance was not constant over time. The causality mandate substantially increased the non-recorded diabetes rate and associated inter-hospital variation. Longitudinal accumulation of clinical information at the patient level, and the development of appropriate adoption protocols to achieve comprehensive and timely implementation of coding changes are essential to supporting the integrity of hospital administrative datasets. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

48 CFR 204.7202-1 - CAGE codes.

Code of Federal Regulations, 2010 CFR

2010-10-01

....39-M, Federal Logistics Information System (FLIS) Procedures Manual, prescribe use of CAGE codes. (b..., Federal Center, 74 Washington Avenue, North, Battle Creek, MI 49017-3084. Their telephone number is: toll-free 1-888-352-9333); (B) The on-line access to the CAGE file through the Defense Logistics Information...

Teacher Evaluation Instruments: The Processes and Protocols in Washington State

ERIC Educational Resources Information Center

Webb, Andie Shane

2012-01-01

This study provides a descriptive analysis of teacher evaluation documents used in the state of Washington in 2010-2011. The purpose of the research was to understand what documents were used, differences and similarities from district to district, and the extent to which they conformed to state administrative rules and what the literature argues…

An Exploratory Study of Central Office Best Practices in Washington's Top 5% Performing School Districts

ERIC Educational Resources Information Center

Ansingh, Pamela Jean

2012-01-01

How prepared are central office administrators to lead school districts in the face of changing standards and changing student populations? The purpose of this mixed methods study was to examine the responses of central office administrators in the top 5% performing school districts in Washington State with the goal of identifying common attitudes…

45 CFR 162.1011 - Valid code sets.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 45 Public Welfare 1 2012-10-01 2012-10-01 false Valid code sets. 162.1011 Section 162.1011 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES ADMINISTRATIVE DATA STANDARDS AND RELATED REQUIREMENTS ADMINISTRATIVE REQUIREMENTS Code Sets § 162.1011 Valid code sets. Each code set is valid within the dates...

45 CFR 162.1011 - Valid code sets.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 45 Public Welfare 1 2013-10-01 2013-10-01 false Valid code sets. 162.1011 Section 162.1011 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES ADMINISTRATIVE DATA STANDARDS AND RELATED REQUIREMENTS ADMINISTRATIVE REQUIREMENTS Code Sets § 162.1011 Valid code sets. Each code set is valid within the dates...

45 CFR 162.1011 - Valid code sets.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 45 Public Welfare 1 2010-10-01 2010-10-01 false Valid code sets. 162.1011 Section 162.1011 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES ADMINISTRATIVE DATA STANDARDS AND RELATED REQUIREMENTS ADMINISTRATIVE REQUIREMENTS Code Sets § 162.1011 Valid code sets. Each code set is valid within the dates...

45 CFR 162.1011 - Valid code sets.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 45 Public Welfare 1 2014-10-01 2014-10-01 false Valid code sets. 162.1011 Section 162.1011 Public Welfare Department of Health and Human Services ADMINISTRATIVE DATA STANDARDS AND RELATED REQUIREMENTS ADMINISTRATIVE REQUIREMENTS Code Sets § 162.1011 Valid code sets. Each code set is valid within the dates...

45 CFR 162.1011 - Valid code sets.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 45 Public Welfare 1 2011-10-01 2011-10-01 false Valid code sets. 162.1011 Section 162.1011 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES ADMINISTRATIVE DATA STANDARDS AND RELATED REQUIREMENTS ADMINISTRATIVE REQUIREMENTS Code Sets § 162.1011 Valid code sets. Each code set is valid within the dates...

Evaluation of Computational Codes for Underwater Hull Analysis Model Applications

DTIC Science & Technology

2014-02-05

desirable that the code can be run on a Windows operating system on the laptop, desktop, or workstation. The focus on Windows machines allows for...transition to such systems as operated on the Navy-Marine Corp Internet (NMCI). For each code the initial cost and yearly maintenance are identified...suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports

Minimizing human error in radiopharmaceutical preparation and administration via a bar code-enhanced nuclear pharmacy management system.

PubMed

Hakala, John L; Hung, Joseph C; Mosman, Elton A

2012-09-01

The objective of this project was to ensure correct radiopharmaceutical administration through the use of a bar code system that links patient and drug profiles with on-site information management systems. This new combined system would minimize the amount of manual human manipulation, which has proven to be a primary source of error. The most common reason for dosing errors is improper patient identification when a dose is obtained from the nuclear pharmacy or when a dose is administered. A standardized electronic transfer of information from radiopharmaceutical preparation to injection will further reduce the risk of misadministration. Value stream maps showing the flow of the patient dose information, as well as potential points of human error, were developed. Next, a future-state map was created that included proposed corrections for the most common critical sites of error. Transitioning the current process to the future state will require solutions that address these sites. To optimize the future-state process, a bar code system that links the on-site radiology management system with the nuclear pharmacy management system was proposed. A bar-coded wristband connects the patient directly to the electronic information systems. The bar code-enhanced process linking the patient dose with the electronic information reduces the number of crucial points for human error and provides a framework to ensure that the prepared dose reaches the correct patient. Although the proposed flowchart is designed for a site with an in-house central nuclear pharmacy, much of the framework could be applied by nuclear medicine facilities using unit doses. An electronic connection between information management systems to allow the tracking of a radiopharmaceutical from preparation to administration can be a useful tool in preventing the mistakes that are an unfortunate reality for any facility.

48 CFR 204.7005 - Assignment of order codes.

Code of Federal Regulations, 2010 CFR

2010-10-01

... Identification Numbers 204.7005 Assignment of order codes. (a) The Defense Logistics Agency, Acquisition Policy...-1000 Air Force: SAF/AQCI, 1060 Air Force Pentagon, Washington, DC 20330-1060 Defense Logistics Agency: Defense Logistics Agency, Acquisition Policy Branch (J-3311), John J. Kingman Road, Fort Belvoir, VA 22060...

Washington State Community College Capital Master Plan, 1985-91. Management Summary.

ERIC Educational Resources Information Center

Washington State Board for Community Coll. Education, Olympia.

Designed for Washington State's decision makers and the trustees and administrators of the community college system, this report extracts information from the community college system's 1985-87 capital budget request and 1985-91 capital master plan to provide a brief description of the budget and plan. Introductory material discusses the…

Administration: Gifts for Distribution to Individuals

DTIC Science & Technology

1981-05-01

Army Regulation 1–101 Administration Gifts for Distribution to Individuals Headquarters Department of the Army Washington, DC 1 May 1981 UNCLASSIFIED...Report Documentation Page Report Date 01 May 1981 Report Type N/A Dates Covered (from... to) - Title and Subtitle Administration: Gifts for...unclassified Classification of Abstract unclassified Limitation of Abstract UU Number of Pages 7 SUMMARY of CHANGE AR 1–101 Gifts for Distribution to

NASA Administrator Swearing In All Hands

NASA Image and Video Library

2018-04-23

In the Training Auditorium at NASA's Kennedy Space Center in Florida, employees attend a viewing of the swearing in of the agency's new administrator, Jim Bridenstine. He officially took office as the 13th administrator of NASA on April 23, 2018, after being given the oath of office by Vice President Mike Pence at the agency’s headquarters in Washington. Bridenstine was confirmed by the U.S. Senate on April 19.

NASA Administrator Swearing In All Hands

NASA Image and Video Library

2018-04-23

In the Training Auditorium at NASA's Kennedy Space Center in Florida, employees watch the swearing in of the agency's new administrator Jim Bridenstine. He was sworn in as the 13th administrator of NASA on April 23, 2018, after he was given the oath of office by Vice President Mike Pence at the agency’s headquarters in Washington. Bridenstine was confirmed by the U.S. Senate on April 19.

29 CFR 15.4 - Administrative claim; where to file.

Code of Federal Regulations, 2011 CFR

2011-07-01

... Labor Office of the Secretary of Labor ADMINISTRATIVE CLAIMS UNDER THE FEDERAL TORT CLAIMS ACT AND RELATED STATUTES Claims Against the Government Under the Federal Tort Claims Act § 15.4 Administrative..., U.S. Department of Labor, 200 Constitution Avenue, NW., Suite S4325, Washington, DC 20210. (c) In...

GOES satellite time code dissemination

NASA Technical Reports Server (NTRS)

Beehler, R. E.

1983-01-01

The GOES time code system, the performance achieved to date, and some potential improvements in the future are discussed. The disseminated time code is originated from a triply redundant set of atomic standards, time code generators and related equipment maintained by NBS at NOAA's Wallops Island, VA satellite control facility. It is relayed by two GOES satellites located at 75 W and 135 W longitude on a continuous basis to users within North and South America (with overlapping coverage) and well out into the Atlantic and Pacific ocean areas. Downlink frequencies are near 468 MHz. The signals from both satellites are monitored and controlled from the NBS labs at Boulder, CO with additional monitoring input from geographically separated receivers in Washington, D.C. and Hawaii. Performance experience with the received time codes for periods ranging from several years to one day is discussed. Results are also presented for simultaneous, common-view reception by co-located receivers and by receivers separated by several thousand kilometers.

50 CFR 660.77 - EFH Conservation Areas off the Coast of Washington.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 50 Wildlife and Fisheries 13 2014-10-01 2014-10-01 false EFH Conservation Areas off the Coast of Washington. 660.77 Section 660.77 Wildlife and Fisheries FISHERY CONSERVATION AND MANAGEMENT, NATIONAL OCEANIC AND ATMOSPHERIC ADMINISTRATION, DEPARTMENT OF COMMERCE (CONTINUED) FISHERIES OFF WEST COAST STATES...

78 FR 15053 - Simpson Lumber Company, LLC, Shelton, Washington; Simpson Lumber Company, LLC, Tacoma, Washington...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-03-08

...,372B] Simpson Lumber Company, LLC, Shelton, Washington; Simpson Lumber Company, LLC, Tacoma, Washington; Simpson Lumber Company, LLC, Longview, Washington; Notice of Revised Determination on Reconsideration On... Reconsideration for the workers and former workers of Simpson Lumber Company, LLC, Shelton, Washington (TA-W-81...

Washington Correlator

NASA Technical Reports Server (NTRS)

Hall, David M.; Boboltz, David

2013-01-01

This report summarizes the activities of the Washington Correlator for 2012. The Washington Correlator provides up to 80 hours of attended processing per week plus up to 40 hours of unattended operation, primarily supporting Earth Orientation and astrometric observations. In 2012, the major programs supported include the IVS-R4, IVS-INT, APSG, and CRF observing sessions.

76 FR 18301 - Requested Administrative Waiver of the Coastwise Trade Laws

Federal Register 2010, 2011, 2012, 2013, 2014

2011-04-01

... for the vessel RED GYPSY. SUMMARY: As authorized by 46 U.S.C. 12121, the Secretary of Transportation... Building Ground Floor, Room W12-140, 1200 New Jersey Avenue, SE., Washington, DC 20590. You may also send... Administration, 1200 New Jersey Avenue, SE., Room W21-203, Washington, DC 20590. Telephone 202-366-5979, E-mail...

STATE OF WASHINGTON, STATE PLAN FOR TITLE 1, HIGHER EDUCATION ACT OF 1965. REVISED, JULY 1967.

ERIC Educational Resources Information Center

Washington State Planning and Community Affairs Agency, Olympia.

THE STATE OF WASHINGTON PLAN FOR PARTICIPATION IN THE FEDERAL GRANT PROGRAM UNDER TITLE 1 OF THE HIGHER EDUCATION ACT OF 1965 OUTLINES THE ORGANIZATION AND THE ADMINISTRATIVE PROVISIONS OF THE PLANNING AND COMMUNITY AFFAIRS AGENCY (INTENDED AS THE SOLE TITLE 1 ADMINISTRATIVE BODY IN THE STATE), GUIDELINES FOR SELECTING COMMUNITY PROBLEMS OR…

Students and Faculty--Administrators Together.

ERIC Educational Resources Information Center

Frazier, Peter; Keller, Robert

1992-01-01

A course taught at Western Washington University's Fairhaven College brings together all 13 faculty and a third of the student population in an interdisciplinary effort to address the theme of conflict. The course is administered by a student and a faculty member and exemplifies the difficulties of collaborative administration. (MSE)

77 FR 13238 - Partial Approval and Promulgation of Implementation Plans; Washington: Infrastructure...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-03-06

... from the Washington State Department of Ecology (Ecology) to demonstrate that the SIP meets the...; Chapter 43.21 RCW Department of Ecology; Chapter 34.05 RCW Administrative Procedure Act; Chapter 42.30 RCW...) which requires Ecology to provide for or conduct surveillance program that: monitors the quality of the...

Psychiatric diagnoses after hospitalization with work-related burn injuries in Washington State.

PubMed

Anderson, Naomi J; Bonauto, David K; Adams, Darrin

2011-01-01

This study aims to describe workers who were hospitalized with work-related burn injuries and their psychiatric sequelae in Washington State. Psychiatric sequelae of interest were depression, posttraumatic stress disorder, and other anxiety disorders. Workers' compensation claims meeting a definition for a hospitalized burn patient from Washington State from January 2001 through April 2008 were analyzed. The resulting claims were searched for the presence of certain psychiatric diagnoses or treatment codes, and descriptive analyses performed. In Washington State during the time period, the prevalence of claims with psychiatric diagnoses after hospitalization with burn injury was 19%. Claims with psychiatric diagnoses had higher medical costs and more days of time loss than those without these diagnoses. Workers with electrical burns in the construction industry and in construction and extraction occupations had a higher proportion of psychiatric sequelae. Burns are devastating yet preventable injuries. Workers who were hospitalized with work-related burn injuries, particularly those in certain industries and occupations and those with electrical burns, are at high risk for developing serious psychiatric sequelae with major costs to both the individual and the society.

Bridenstine Sworn In As NASA Administrator

NASA Image and Video Library

2018-04-23

Sen. Ted Cruz, R-Texas, takes a picture of Vice President Mike Pence as he speaks prior to the swearing-in of Jim Bridenstine as the 13th NASA Administrator, Monday, April 23, 2018 at NASA Headquarters in Washington. Photo Credit: (NASA/Joel Kowsky)

1975 Washington timber harvest.

Treesearch

J.D. Jr. Lloyd

1977-01-01

In 1975, the Washington timber harvest declined for the 2d year to 6.2 billion board feet, 10 percent below 1974, and the lowest level in 8 years. The decrease, which occurred on almost all ownerships, amounted to 561 million board feet in western Washington and 130 million board feet in eastern Washington.

NASA Administrator Welcomes Secretary of the Interior

NASA Image and Video Library

2014-01-15

NASA Administrator Charles Bolden, left, welcomes Secretary of the Interior Sally Jewell to NASA Headquarters to discuss continued partnerships between NASA and the Department of the Interior, Wednesday, Jan. 15, 2014 in Washington. Photo Credit: (NASA/Bill Ingalls)

Survey of Medicaid child dental services in Washington state: preparation for a marketing program.

PubMed

Milgrom, P; Riedy, C

1998-06-01

The authors surveyed Washington state dentists to gain an understanding of their participation in the Medicaid dental program, their willingness to learn more about the program and the degree of importance they attached to preventive care for preschool-aged children. They found that concerns about fees and administrative aspects predominated and concerns about client behaviors were expressed less often. Many dentists indicated a willingness to learn more about the program. These findings will be used to develop a plan to market the Medicaid program to Washington state dentists.

Wind Powering America State Outreach. Final Technical Report: Washington State

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

Stearns, Tim

2013-09-30

The Washington Department of Commerce, via a U.S. Department of Energy grant, supported research into siting and permitting processes for wind projects by Skagit County, Washington. The goal was to help a local government understand key issues, consider how other areas have addressed wind siting, and establish a basis for enacting permitting and zoning ordinances that provided a more predictable permitting path and process for landowners, citizens, government and developers of small and community wind projects. The County?s contractor developed a report that looked at various approaches to wind siting, interviewed stakeholders, and examined technology options. The contractor outlined keymore » issues and recommended the adoption of a siting process. The Skagit County Commission considered the report and directed the Skagit County Planning & Development Services Department to add development of wind guidelines to its work plan for potential changes to development codes.« less

36 CFR 703.3 - Administration responsibilities.

Code of Federal Regulations, 2014 CFR

2014-07-01

... responsibilities. 703.3 Section 703.3 Parks, Forests, and Public Property LIBRARY OF CONGRESS DISCLOSURE OR PRODUCTION OF RECORDS OR INFORMATION Availability of Library of Congress Records § 703.3 Administration... (OSS), Library of Congress, 101 Independence Avenue, SE., Washington, DC 20540-9440, and to that end...

36 CFR 703.3 - Administration responsibilities.

Code of Federal Regulations, 2011 CFR

2011-07-01

... responsibilities. 703.3 Section 703.3 Parks, Forests, and Public Property LIBRARY OF CONGRESS DISCLOSURE OR PRODUCTION OF RECORDS OR INFORMATION Availability of Library of Congress Records § 703.3 Administration... (OSS), Library of Congress, 101 Independence Avenue, SE., Washington, DC 20540-9440, and to that end...

36 CFR 703.3 - Administration responsibilities.

Code of Federal Regulations, 2010 CFR

2010-07-01

... responsibilities. 703.3 Section 703.3 Parks, Forests, and Public Property LIBRARY OF CONGRESS DISCLOSURE OR PRODUCTION OF RECORDS OR INFORMATION Availability of Library of Congress Records § 703.3 Administration... (OSS), Library of Congress, 101 Independence Avenue, SE., Washington, DC 20540-9440, and to that end...

36 CFR 703.3 - Administration responsibilities.

Code of Federal Regulations, 2012 CFR

2012-07-01

... responsibilities. 703.3 Section 703.3 Parks, Forests, and Public Property LIBRARY OF CONGRESS DISCLOSURE OR PRODUCTION OF RECORDS OR INFORMATION Availability of Library of Congress Records § 703.3 Administration... (OSS), Library of Congress, 101 Independence Avenue, SE., Washington, DC 20540-9440, and to that end...

41 CFR 60-1.2 - Administrative responsibility.

Code of Federal Regulations, 2012 CFR

2012-07-01

... Public Contracts OFFICE OF FEDERAL CONTRACT COMPLIANCE PROGRAMS, EQUAL EMPLOYMENT OPPORTUNITY, DEPARTMENT... the Deputy Assistant Secretary, Office of Federal Contract Compliance Programs, Employment Standards Administration, U.S. Department of Labor, 200 Constitution Avenue NW., Washington, DC 20210. [43 FR 49240, Oct...

41 CFR 60-1.2 - Administrative responsibility.

Code of Federal Regulations, 2014 CFR

2014-07-01

... Public Contracts OFFICE OF FEDERAL CONTRACT COMPLIANCE PROGRAMS, EQUAL EMPLOYMENT OPPORTUNITY, DEPARTMENT... the Deputy Assistant Secretary, Office of Federal Contract Compliance Programs, Employment Standards Administration, U.S. Department of Labor, 200 Constitution Avenue NW., Washington, DC 20210. [43 FR 49240, Oct...

41 CFR 60-1.2 - Administrative responsibility.

Code of Federal Regulations, 2013 CFR

2013-07-01

... Public Contracts OFFICE OF FEDERAL CONTRACT COMPLIANCE PROGRAMS, EQUAL EMPLOYMENT OPPORTUNITY, DEPARTMENT... the Deputy Assistant Secretary, Office of Federal Contract Compliance Programs, Employment Standards Administration, U.S. Department of Labor, 200 Constitution Avenue NW., Washington, DC 20210. [43 FR 49240, Oct...

Volatile substance misuse deaths in Washington State, 2003-2012.

PubMed

Ossiander, Eric M

2015-01-01

Volatile substance misuse (VSM - also known as huffing or sniffing) causes some deaths, but because there are no specific cause-of-death codes for VSM, these deaths are rarely tabulated. Count and describe VSM deaths occurring in Washington State during 2003-2012. We used the textual cause-of-death information on death certificates to count VSM-associated deaths that occurred in Washington State during 2003-2012. We extracted records that contained words suggesting either a method of inhalation or a substance commonly used for VSM, and reviewed those records to identify deaths on which the inhalation of a volatile substance was mentioned. We conducted a descriptive analysis of those deaths. Fifty-six deaths involving VSM occurred in Washington State during 2003-2012. VSM deaths occurred primarily among adults age 20 and over (91%), males (88%), and whites (93%). Twelve different chemicals were associated with deaths, but 1 of them, difluoroethane, was named on 30 death certificates (54%), and its involvement increased during the study period. Gas duster products were named as the source of difluoroethane for 12 deaths; no source was named for the other 18 difluoroethane deaths. Most VSM deaths occurred among white male adults, and gas duster products containing difluoroethane were the primary source of inhalants. Approaches to deter VSM, such as the addition of bitterants to gas dusters, should be explored.

International Trade Curriculum. A Joint Vocational Education Curriculum Project of Alaska, Oregon & Washington.

ERIC Educational Resources Information Center

Oregon State Dept. of Education, Salem. Div. of Vocational Technical Education.

This document is intended to help instructors and administrators develop secondary and postsecondary instructional programs on international trade that are based on competencies identified as those needed in international business by companies in Alaska, Oregon, and Washington. The first section introduces competency-based curriculum and includes…

Indications for spine surgery: validation of an administrative coding algorithm to classify degenerative diagnoses

PubMed Central

Lurie, Jon D.; Tosteson, Anna N.A.; Deyo, Richard A.; Tosteson, Tor; Weinstein, James; Mirza, Sohail K.

2014-01-01

Study Design Retrospective analysis of Medicare claims linked to a multi-center clinical trial. Objective The Spine Patient Outcomes Research Trial (SPORT) provided a unique opportunity to examine the validity of a claims-based algorithm for grouping patients by surgical indication. SPORT enrolled patients for lumbar disc herniation, spinal stenosis, and degenerative spondylolisthesis. We compared the surgical indication derived from Medicare claims to that provided by SPORT surgeons, the “gold standard”. Summary of Background Data Administrative data are frequently used to report procedure rates, surgical safety outcomes, and costs in the management of spinal surgery. However, the accuracy of using diagnosis codes to classify patients by surgical indication has not been examined. Methods Medicare claims were link to beneficiaries enrolled in SPORT. The sensitivity and specificity of three claims-based approaches to group patients based on surgical indications were examined: 1) using the first listed diagnosis; 2) using all diagnoses independently; and 3) using a diagnosis hierarchy based on the support for fusion surgery. Results Medicare claims were obtained from 376 SPORT participants, including 21 with disc herniation, 183 with spinal stenosis, and 172 with degenerative spondylolisthesis. The hierarchical coding algorithm was the most accurate approach for classifying patients by surgical indication, with sensitivities of 76.2%, 88.1%, and 84.3% for disc herniation, spinal stenosis, and degenerative spondylolisthesis cohorts, respectively. The specificity was 98.3% for disc herniation, 83.2% for spinal stenosis, and 90.7% for degenerative spondylolisthesis. Misclassifications were primarily due to codes attributing more complex pathology to the case. Conclusion Standardized approaches for using claims data to accurately group patients by surgical indications has widespread interest. We found that a hierarchical coding approach correctly classified over 90

1967 Washington timber harvest.

Treesearch

Brian R. Wall

1968-01-01

Washington's 1967 timber harvest declined to 5.9 billion board feet, 2.3 percent below the 1966 harvest. The cut on public lands remained about the same as in 1966 with a 6.7-percent increase in public cut in eastern Washington, offsetting a 2.2-percent decrease in western Washington. The Indian lands had the greatest increase in harvest, up 35 million board feet...

1970 Washington timber harvest.

Treesearch

Brian R. Wall

1971-01-01

Washington's 1970 timber harvest of 6.46 billion board feet was 7.8 percent below the near record harvest of 7 billion board feet established in 1969. Timber harvests on all public lands declined 13 percent with a 9.0-percent reduction in western Washington and a 22.9-percent drop in eastern Washington. State lands led the decline in public production with a 142-...

22 CFR 214.52 - Administrative review of other alleged non-compliance.

Code of Federal Regulations, 2010 CFR

2010-04-01

...-compliance. 214.52 Section 214.52 Foreign Relations AGENCY FOR INTERNATIONAL DEVELOPMENT ADVISORY COMMITTEE MANAGEMENT Administrative Remedies § 214.52 Administrative review of other alleged non-compliance. With... International Development, 21st and Virginia Avenue, NW., Washington, DC 20523. (c) The complaint must be filed...

The Impact of Personal, Professional and Organizational Characteristics on Administrator Burnout.

ERIC Educational Resources Information Center

Gates, Gordon; Gmelch, Walter H.

1998-01-01

Summarizes a study to identify major personal, professional, and organizational characteristics contributing to administrator burnout; to determine salient correlational relationships; and to assess how social support affects job satisfaction, burnout, and performance. The Administrator Work Inventory was given to 1,000 Washington State principals…

Association between workarounds and medication administration errors in bar-code-assisted medication administration in hospitals.

PubMed

van der Veen, Willem; van den Bemt, Patricia M L A; Wouters, Hans; Bates, David W; Twisk, Jos W R; de Gier, Johan J; Taxis, Katja; Duyvendak, Michiel; Luttikhuis, Karen Oude; Ros, Johannes J W; Vasbinder, Erwin C; Atrafi, Maryam; Brasse, Bjorn; Mangelaars, Iris

2018-04-01

To study the association of workarounds with medication administration errors using barcode-assisted medication administration (BCMA), and to determine the frequency and types of workarounds and medication administration errors. A prospective observational study in Dutch hospitals using BCMA to administer medication. Direct observation was used to collect data. Primary outcome measure was the proportion of medication administrations with one or more medication administration errors. Secondary outcome was the frequency and types of workarounds and medication administration errors. Univariate and multivariate multilevel logistic regression analysis were used to assess the association between workarounds and medication administration errors. Descriptive statistics were used for the secondary outcomes. We included 5793 medication administrations for 1230 inpatients. Workarounds were associated with medication administration errors (adjusted odds ratio 3.06 [95% CI: 2.49-3.78]). Most commonly, procedural workarounds were observed, such as not scanning at all (36%), not scanning patients because they did not wear a wristband (28%), incorrect medication scanning, multiple medication scanning, and ignoring alert signals (11%). Common types of medication administration errors were omissions (78%), administration of non-ordered drugs (8.0%), and wrong doses given (6.0%). Workarounds are associated with medication administration errors in hospitals using BCMA. These data suggest that BCMA needs more post-implementation evaluation if it is to achieve the intended benefits for medication safety. In hospitals using barcode-assisted medication administration, workarounds occurred in 66% of medication administrations and were associated with large numbers of medication administration errors.

The cost of implementing inpatient bar code medication administration.

PubMed

Sakowski, Julie Ann; Ketchel, Alan

2013-02-01

To calculate the costs associated with implementing and operating an inpatient bar-code medication administration (BCMA) system in the community hospital setting and to estimate the cost per harmful error prevented. This is a retrospective, observational study. Costs were calculated from the hospital perspective and a cost-consequence analysis was performed to estimate the cost per preventable adverse drug event averted. Costs were collected from financial records and key informant interviews at 4 not-for profit community hospitals. Costs included direct expenditures on capital, infrastructure, additional personnel, and the opportunity costs of time for existing personnel working on the project. The number of adverse drug events prevented using BCMA was estimated by multiplying the number of doses administered using BCMA by the rate of harmful errors prevented by interventions in response to system warnings. Our previous work found that BCMA identified and intercepted medication errors in 1.1% of doses administered, 9% of which potentially could have resulted in lasting harm. The cost of implementing and operating BCMA including electronic pharmacy management and drug repackaging over 5 years is $40,000 (range: $35,600 to $54,600) per BCMA-enabled bed and $2000 (range: $1800 to $2600) per harmful error prevented. BCMA can be an effective and potentially cost-saving tool for preventing the harm and costs associated with medication errors.

The Multi-College Concept; Organization and Administration of the Community College in the State of Washington.

ERIC Educational Resources Information Center

Mills, Boyd

This study, by Eastern Washington State College, is an attempt to describe the "ideal" organizational structure of a community college in either a single- or multi-college district. It includes organizational charts, position descriptions, and decision-making responsibilities. State and federal law, existing collegiate and corporate…

Medicinal Cannabis: A Survey Among Health Care Providers in Washington State

PubMed

Carlini, Beatriz H; Garrett, Sharon B; Carter, Gregory T

2017-02-01

Washington State allows marijuana use for medical (since 1998) and recreational (since 2012) purposes. The benefits of medicinal cannabis (MC) can be maximized if clinicians educate patients about dosing, routes of administration, side effects, and plant composition. However, little is known about clinicians' knowledge and practices in Washington State. An anonymous online survey assessed providers' MC knowledge, beliefs, clinical practices, and training needs. The survey was disseminated through health care providers' professional organizations in Washington State. Descriptive analysis compared providers who had and had not authorized MC for patients. Survey results informed the approach and content of an online training on best clinical practices of MC. Four hundred ninety-four health care providers responded to the survey. Approximately two-third were women, aged 30 to 60 years, and working in family or internal medicine. More than half of the respondents were legally allowed to write MC authorizations per Washington State law, and 27% of those had issued written MC authorizations. Overall, respondents reported low knowledge and comfort level related to recommending MC. Respondents rated MC knowledge as important and supported inclusion of MC training in medical/health provider curriculum. Most Washington State providers have not received education on scientific basis of MC or training on best clinical practices of MC. Clinicians who had issued MC authorizations were more likely to have received MC training than those who had not issued MC authorization. The potential of MCs to benefit some patients is hindered by the lack of comfort of clinicians to recommend it. Training opportunities are badly needed to address these issues.

A Study of Clinical Coding Accuracy in Surgery: Implications for the Use of Administrative Big Data for Outcomes Management.

PubMed

Nouraei, S A R; Hudovsky, A; Frampton, A E; Mufti, U; White, N B; Wathen, C G; Sandhu, G S; Darzi, A

2015-06-01

Clinical coding is the translation of clinical activity into a coded language. Coded data drive hospital reimbursement and are used for audit and research, and benchmarking and outcomes management purposes. We undertook a 2-center audit of coding accuracy across surgery. Clinician-auditor multidisciplinary teams reviewed the coding of 30,127 patients and assessed accuracy at primary and secondary diagnosis and procedure levels, morbidity level, complications assignment, and financial variance. Postaudit data of a randomly selected sample of 400 cases were reaudited by an independent team. At least 1 coding change occurred in 15,402 patients (51%). There were 3911 (13%) and 3620 (12%) changes to primary diagnoses and procedures, respectively. In 5183 (17%) patients, the Health Resource Grouping changed, resulting in income variance of £3,974,544 (+6.2%). The morbidity level changed in 2116 (7%) patients (P < 0.001). The number of assigned complications rose from 2597 (8.6%) to 2979 (9.9%) (P < 0.001). Reaudit resulted in further primary diagnosis and procedure changes in 8.7% and 4.8% of patients, respectively. The coded data are a key engine for knowledge-driven health care provision. They are used, increasingly at individual surgeon level, to benchmark performance. Surgical clinical coding is prone to subjectivity, variability, and error (SVE). Having a specialty-by-specialty understanding of the nature and clinical significance of informatics variability and adopting strategies to reduce it, are necessary to allow accurate assumptions and informed decisions to be made concerning the scope and clinical applicability of administrative data in surgical outcomes improvement.

NASA Administrator Bolden Volunteers with the DC Cares Program

NASA Image and Video Library

2009-12-14

NASA Administrator Charles Bolden spent time volunteering with DC Cares at the Park View Recreation Center in Washington, DC for their Santa's Workshop program, Monday, Dec. 14, 2009. Mr. Bolden spoke with students about his experience as a former NASA astronaut and current NASA Administrator, encouraging them to study math and science and to stay in school. Photo Credit: (NASA/Bill Ingalls)

NASA Administrator Swearing In All Hands

NASA Image and Video Library

2018-04-23

In the Training Auditorium at NASA's Kennedy Space Center in Florida, employees watch as Vice President Mike Pence, left, swears in Jim Bridenstine as the 13th NASA Administrator as Bridenstine's family watches on April 23, 2018, at NASA Headquarters in Washington. Bridenstine was confirmed by the U.S. Senate on April 19.

12 CFR 4.4 - Washington office.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 12 Banks and Banking 1 2010-01-01 2010-01-01 false Washington office. 4.4 Section 4.4 Banks and... EXAMINERS Organization and Functions § 4.4 Washington office. The Washington office of the OCC is the main office and headquarters of the OCC. The Washington office directs OCC policy, oversees OCC operations...

Grand Coulee Dam Wildlife Mitigation Program : Pygmy Rabbit Programmatic Management Plan, Douglas County, Washington.

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

Ashley, Paul

1992-06-01

The Northwest Power Planning Council and the Bonneville Power Administration approved the pygmy rabbit project as partial mitigation for impacts caused by the construction of Grand Coulee Dam. The focus of this project is the protection and enhancement of shrub-steppe/pygmy rabbit habitat in northeastern Washington.

Historical changes to Lake Washington and route of the Lake Washington Ship Canal, King County, Washington

USGS Publications Warehouse

Chrzastowski, Michael J.

1983-01-01

Lake Washington, in the midst of the greater Seattle metropolitan area of the Puget Sound region (fig. 1), is an exceptional commercial, recreational, and esthetic resource for the region . In the past 130 years, Lake Washington has been changed from a " wild " lake in a wilderness setting to a regulated lake surrounded by a growing metropolis--a transformation that provides an unusual opportunity to study changes to a lake's shoreline and hydrologic characteristics -resulting from urbanization.

Acting Administrator Welcomes New CFO

NASA Image and Video Library

2018-04-03

Acting NASA Administrator Robert Lightfoot, left, and newly appointed NASA Chief Financial Officer Jeff DeWit, meet on DeWit's first day in office, Tuesday, April 3, 2018 at NASA Headquarters in Washington. As NASA CFO, DeWit ensures the financial health of the agency, which includes effectively employing agency resources toward the achievement of NASA's strategic plan. Photo Credit: (NASA/Bill Ingalls)

Analysis of Media Coverage on Breastfeeding Policy in Washington State.

PubMed

DeMarchis, Alessandra; Ritter, Gaelen; Otten, Jennifer; Johnson, Donna

2018-02-01

Media coverage and message framing about breastfeeding polices can influence important policy decisions in institutional and governmental settings. Research aim: This study aimed to describe the media coverage of breastfeeding policies and the message frames that are found in print newspapers and web-only news publications in Washington State between 2000 and 2014. For this retrospective media analysis study, 131 news articles published from January 2000 through June 2014 in Washington State that specifically discussed breastfeeding policy were identified, coded, and analyzed to explore the content of the sample and examine how arguments supporting or opposing breastfeeding policy were framed. The coding scheme was developed cooperatively and found to be reliable across coders. The number of articles published each year about breastfeeding policy grew overall between 2000 and 2014 and peaked during periods of specific policy development. Seventy-four articles had a neutral tone, 49 supported breastfeeding policy, and 4 were in opposition. Nine distinct supporting frames and six distinct opposing frames were identified. Common supporting frames were health benefits of breastfeeding and the need for policies because of challenges of breastfeeding in public. The most common opposing frame was indecency of breastfeeding in public. There is limited but growing media coverage of breastfeeding policies. For the most part, coverage is supportive of the need for policies. Breastfeeding advocates can apply information about media message frames to craft effective policy development strategies that counteract negative perceptions and promote the benefits of breastfeeding policies.

47 CFR 52.15 - Central office code administration.

Code of Federal Regulations, 2011 CFR

2011-10-01

... assignment databases; (3) Conducting the Numbering Resource Utilization and Forecast (NRUF) data collection... telecommunications carrier that receives numbering resources from the NANPA, a Pooling Administrator or another... Administrator. (2) State commissions may investigate and determine whether service providers have activated...

47 CFR 52.15 - Central office code administration.

Code of Federal Regulations, 2014 CFR

2014-10-01

... assignment databases; (3) Conducting the Numbering Resource Utilization and Forecast (NRUF) data collection... telecommunications carrier that receives numbering resources from the NANPA, a Pooling Administrator or another... Administrator. (2) State commissions may investigate and determine whether service providers have activated...

47 CFR 52.15 - Central office code administration.

Code of Federal Regulations, 2013 CFR

2013-10-01

... assignment databases; (3) Conducting the Numbering Resource Utilization and Forecast (NRUF) data collection... telecommunications carrier that receives numbering resources from the NANPA, a Pooling Administrator or another... Administrator. (2) State commissions may investigate and determine whether service providers have activated...

Coding of Barrett's oesophagus with high-grade dysplasia in national administrative databases: a population-based cohort study.

PubMed

Chadwick, Georgina; Varagunam, Mira; Brand, Christian; Riley, Stuart A; Maynard, Nick; Crosby, Tom; Michalowski, Julie; Cromwell, David A

2017-06-09

The International Classification of Diseases 10th Revision (ICD-10) system used in the English hospital administrative database (Hospital Episode Statistics (HES)) does not contain a specific code for oesophageal high-grade dysplasia (HGD). The aim of this paper was to examine how patients with HGD were coded in HES and whether it was done consistently. National population-based cohort study of patients with newly diagnosed with HGD in England. The study used data collected prospectively as part of the National Oesophago-Gastric Cancer Audit (NOGCA). These records were linked to HES to investigate the pattern of ICD-10 codes recorded for these patients at the time of diagnosis. All patients with a new diagnosis of HGD between 1 April 2013 and 31 March 2014 in England, who had data submitted to the NOGCA. The main outcome assessed was the pattern of primary and secondary ICD-10 diagnostic codes recorded in the HES records at endoscopy at the time of diagnosis of HGD. Among 452 patients with a new diagnosis of HGD between 1 April 2013 and 31 March 2014, Barrett's oesophagus was the only condition coded in 200 (44.2%) HES records. Records for 59 patients (13.1%) contained no oesophageal conditions. The remaining 193 patients had various diagnostic codes recorded, 93 included a diagnosis of Barrett's oesophagus and 57 included a diagnosis of oesophageal/gastric cardia cancer. HES is not suitable to support national studies looking at the management of HGD. This is one reason for the UK to adopt an extended ICD system (akin to ICD-10-CM). © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Forest industries of eastern Washington.

Treesearch

Brian R. Wall; Donald R. Gedney; Robert B. Forster

1966-01-01

A sawmill, built in 1872, marked the beginning of the forest industry in eastern Washington -- almost half a century after the emergence of the lumber industry in western Washington. Since then, this industry has increased in importance to eastern Washington's economy, now furnishing about one-fifth of the total manufacturing employment and wages paid—in...

Defense Technology Security Administration Strategic Plan 2009-2010

DTIC Science & Technology

2008-12-22

NUMBER 7. PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) Defense Technology Security Administration ( DTSA ),Washington,DC 8. PERFORMING ORGANIZATION...Security Administration This document is unclassifi ed in its entirety. Photography courtesy of Defense Link and DTSA . Document printed 2009. DTSA ...STRATEGIC PLAN 2009-2010 C O N T E N T S Message from the Director 2 Envisioning 2010 3 Our Way Ahead 5 We Are DTSA 18 Metrics Matrix 24 DTSA

Annual Coded Wire Tag Program; Oregon Missing Production Groups, 1995 Annual Report.

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

Garrison, Robert L.; Mallette, Christine; Lewis, Mark A.

1995-12-01

Bonneville Power Administration is the funding source for the Oregon Department of Fish and Wildlife`s Annual Coded Wire Tag Program - Oregon Missing Production Groups Project. Tule brood fall chinook were caught primarily in the British Columbia, Washington and northern Oregon ocean commercial fisheries. The up-river bright fall chinook contributed primarily to the Alaska and British Columbia ocean commercial fisheries and the Columbia River gillnet fishery. Contribution of Rogue fall chinook released in the lower Columbia River system occurred primarily in the Oregon ocean commercial and Columbia river gillnet fisheries Willamette spring chinook salmon contributed primarily to the Alaska andmore » British Columbia ocean commercial, Oregon freshwater sport and Columbia River gillnet fisheries. Restricted ocean sport and commercial fisheries limited contribution of the Columbia coho released in the Umatilla River that survived at an average rate of 1.05% and contributed primarily to the Washington, Oregon and California ocean sport and commercial fisheries and the Columbia River gillnet fishery. The 1987 to 1991 brood years of coho released in the Yakima River survived at an average rate of 0.64% and contributed primarily to the Washington, Oregon and California ocean sport and commercial fisheries and the Columbia River gillnet fishery. Survival rates of salmon and steelhead are influenced, not only by factors in the hatchery, disease, density, diet and size and time of release, but also by environmental factors in the river and ocean. These environmental factors are controlled by large scale weather patterns such as El Nino over which man has no influence. Man could have some influence over river flow conditions, but political and economic pressures generally out weigh the biological needs of the fish.« less

Proceedings of the Federal Transit Administration's Urban Maglev Workshop

DOT National Transportation Integrated Search

2005-09-01

The Federal Transit Administrations (FTA) Urban Maglev Workshop was held at FTA Headquarters in Washington, DC, on September 8-9, 2005. The key workshop goals were to review progress, share lessons learned among the grantees, and discuss future di...

Better Jobs, Brighter Futures, a Stronger Washington. Washington's Community and Technical Colleges

ERIC Educational Resources Information Center

Washington State Board for Community and Technical Colleges, 2015

2015-01-01

The world is changing rapidly. With changes in technology, demographics, and workforce trends, Washington needs colleges to not only keep pace, but lead the way. Washington's 34 community and technical colleges answer that call. The community and technical colleges have proven uniquely positioned to adapt to, embrace, and ignite change. Community…

Hanford Site Groundwater Monitoring for Fiscal Year 2002

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

Hartman, Mary J.; Morasch, Launa F.; Webber, William D.

2003-02-28

This report presents the results of groundwater and vadose zone monitoring and remediation for fiscal year 2002 on the U.S. Department of Energy's Hanford Site in Washington State. This report is written to meet the requirements in CERCLA, RCRA, the Atomic Energy Act of 1954, and Washington State Administrative Code.

40 CFR 52.2470 - Identification of plan.

Code of Federal Regulations, 2012 CFR

2012-07-01

...) as in effect 10/18/90; Washington Administrative Code Chapter 173-433 (Solid Fuel Burning Device... supplements to include the VMT Tracking Report data required for the Puget Sound CO Nonattainment Areas, dated... its I/M program in the two Washington ozone nonattainment areas classified as “marginal” and in the...

40 CFR 52.2477 - .Original identification of plan section.

Code of Federal Regulations, 2014 CFR

2014-07-01

...) as in effect 10/18/90; Washington Administrative Code Chapter 173-433 (Solid Fuel Burning Device... supplements to include the VMT Tracking Report data required for the Puget Sound CO Nonattainment Areas, dated... its I/M program in the two Washington ozone nonattainment areas classified as “marginal” and in the...

40 CFR 52.2477 - .Original identification of plan section.

Code of Federal Regulations, 2013 CFR

2013-07-01

...) as in effect 10/18/90; Washington Administrative Code Chapter 173-433 (Solid Fuel Burning Device... supplements to include the VMT Tracking Report data required for the Puget Sound CO Nonattainment Areas, dated... its I/M program in the two Washington ozone nonattainment areas classified as “marginal” and in the...

Data-based Organizational Change: The Use of Administrative Data To Improve Child Welfare Programs and Policy.

ERIC Educational Resources Information Center

English, Diana J.; Brandford, Carol C.; Coghlan, Laura

2000-01-01

Discusses the strengths and weaknesses of administrative databases, issues with their implementation and data analysis, and effective presentation of their data at different levels in child welfare organizations. Focuses on the development and implementation of Washington state's Children's Administration's administrative database, the Case and…

Security, Violent Events, and Anticipated Surge Capabilities of Emergency Departments in Washington State

PubMed Central

Weyand, Jonathan S.; Junck, Emily; Kang, Christopher S.; Heiner, Jason D.

2017-01-01

Introduction Over the past 15 years, violent threats and acts against hospital patients, staff, and providers have increased and escalated. The leading area for violence is the emergency department (ED) given its 24/7 operations, role in patient care, admissions gateway, and center for influxes during acute surge events. This investigation had three objectives: to assess the current security of Washington State EDs; to estimate the prevalence of and response to threats and violence in Washington State EDs; and to appraise the Washington State ED security capability to respond to acute influxes of patients, bystanders, and media during acute surge events. Methods A voluntary, blinded, 28-question Web-based survey developed by emergency physicians was electronically delivered to all 87 Washington State ED directors in January 2013. We evaluated responses by descriptive statistical analyses. Results Analyses occurred after 90% (78/87) of ED directors responded. Annual censuses of the EDs ranged from < 20,000 to 100,000 patients and represented the entire spectrum of practice environments, including critical access hospitals and a regional quaternary referral medical center. Thirty-four of 75 (45%) reported the current level of security was inadequate, based on the general consensus of their ED staff. Nearly two-thirds (63%) of EDs had 24-hour security personnel coverage, while 28% reported no assigned security personnel. Security personnel training was provided by 45% of hospitals or healthcare systems. Sixty-nine of 78 (88%) respondents witnessed or heard about violent threats or acts occurring in their ED. Of these, 93% were directed towards nursing staff, 90% towards physicians, 74% towards security personnel, and 51% towards administrative personnel. Nearly half (48%) noted incidents directed towards another patient, and 50% towards a patient’s family or friend. These events were variably reported to the hospital administration. After an acute surge event, 35

Security, Violent Events, and Anticipated Surge Capabilities of Emergency Departments in Washington State.

PubMed

Weyand, Jonathan S; Junck, Emily; Kang, Christopher S; Heiner, Jason D

2017-04-01

Over the past 15 years, violent threats and acts against hospital patients, staff, and providers have increased and escalated. The leading area for violence is the emergency department (ED) given its 24/7 operations, role in patient care, admissions gateway, and center for influxes during acute surge events. This investigation had three objectives: to assess the current security of Washington State EDs; to estimate the prevalence of and response to threats and violence in Washington State EDs; and to appraise the Washington State ED security capability to respond to acute influxes of patients, bystanders, and media during acute surge events. A voluntary, blinded, 28-question Web-based survey developed by emergency physicians was electronically delivered to all 87 Washington State ED directors in January 2013. We evaluated responses by descriptive statistical analyses. Analyses occurred after 90% (78/87) of ED directors responded. Annual censuses of the EDs ranged from < 20,000 to 100,000 patients and represented the entire spectrum of practice environments, including critical access hospitals and a regional quaternary referral medical center. Thirty-four of 75 (45%) reported the current level of security was inadequate, based on the general consensus of their ED staff. Nearly two-thirds (63%) of EDs had 24-hour security personnel coverage, while 28% reported no assigned security personnel. Security personnel training was provided by 45% of hospitals or healthcare systems. Sixty-nine of 78 (88%) respondents witnessed or heard about violent threats or acts occurring in their ED. Of these, 93% were directed towards nursing staff, 90% towards physicians, 74% towards security personnel, and 51% towards administrative personnel. Nearly half (48%) noted incidents directed towards another patient, and 50% towards a patient's family or friend. These events were variably reported to the hospital administration. After an acute surge event, 35% believed the initial additional

36 CFR § 703.3 - Administration responsibilities.

Code of Federal Regulations, 2013 CFR

2013-07-01

... responsibilities. § 703.3 Section § 703.3 Parks, Forests, and Public Property LIBRARY OF CONGRESS DISCLOSURE OR PRODUCTION OF RECORDS OR INFORMATION Availability of Library of Congress Records § 703.3 Administration... (OSS), Library of Congress, 101 Independence Avenue, SE., Washington, DC 20540-9440, and to that end...

Pregnancy Outcomes Among Deaf Women in Washington State, 1987-2012.

PubMed

Schiff, Melissa A; Doody, David R; Crane, Deborah A; Mueller, Beth A

2017-11-01

To evaluate pregnancy and neonatal outcomes among deaf women using population-based vital records data in Washington State from 1987 to 2012. We performed a retrospective cohort study using the Washington State birth and fetal death records linked to state hospital discharge records to identify women with diagnosis codes for deafness indicated at their delivery hospitalization and compared them with randomly selected women without these codes. Pregnancy conditions and outcomes evaluated included gestational diabetes, preeclampsia, placental abruption, labor induction, and cesarean delivery. Neonatal outcomes evaluated included preterm gestational age (less than 28, 28 to less than 37 weeks) at delivery and low birth weight. We also assessed length of maternal and neonatal delivery hospitalization. We performed Poisson regression to estimate relative risks (RRs) and 95% CIs for each outcome, adjusting for birth year, maternal age, and parity. Most adverse pregnancy and neonatal outcomes were similar for deaf and comparison women. Among women who underwent vaginal delivery, deaf women were more than twofold (RR 2.15, 95% CI 1.43-3.22) more likely to have a delivery hospitalization of 4 or more days (6.0% compared with 2.8%). We found a modestly increased risk of cesarean delivery (RR 1.15, 95% CI 1.01-1.30), with 29.9% of deaf compared with 25.6% of nondeaf women having a cesarean delivery. Deaf women are not at increased risk of the majority of adverse pregnancy and neonatal outcomes. Obstetric care providers may use our findings in counseling this special population of prenatal patients.

Washington, D.C. - Local Information | NREL

Science.gov Websites

International Airport (IAD), and Baltimore/Washington International Thurgood Marshall Airport (BWI). DCA is the additional information. Reagan National Airport - DCA Dulles International Airport - IAD Baltimore/Washington International Thurgood Marshall Airport - BWI Public Transportation The Washington Metropolitan Area Transit

Bridenstine Sworn In As NASA Administrator

NASA Image and Video Library

2018-04-23

Counselor to the President of the United States Kellyanne Conway, left, Sen. Ted Cruz, R-Texas, and NASA Chief Financial Officer Jeff DeWit are seen in the audience during the swearing in of Jim Bridenstine as the 13th NASA Administrator by Vice President Mike Pence, Monday, April 23, 2018 at NASA Headquarters in Washington. Photo Credit: (NASA/Bill Ingalls)

Administrator Bolden Delivers Speech at AAS

NASA Image and Video Library

2010-01-05

NASA Administrator Charles Bolden speaks at the 215th meeting of the American Astronomical Society (AAS) in Washington on Tuesday, Jan. 5, 2009. Throughout the meeting, NASA research and mission highlights will be presented from missions that include Kepler, the Spitzer Space Telescope, the Hubble Space Telescope, and the newly launched Wide-field Infrared Survey Explorer, or WISE. Photo Credit: (NASA/Bill Ingalls)

24 CFR 200.925c - Model codes.

Code of Federal Regulations, 2011 CFR

2011-04-01

... DEVELOPMENT GENERAL INTRODUCTION TO FHA PROGRAMS Minimum Property Standards § 200.925c Model codes. (a... Plumbing Code, 1993 Edition, and the BOCA National Mechanical Code, 1993 Edition, excluding Chapter I, Administration, for the Building, Plumbing and Mechanical Codes and the references to fire retardant treated wood...

24 CFR 200.925c - Model codes.

Code of Federal Regulations, 2010 CFR

2010-04-01

... DEVELOPMENT GENERAL INTRODUCTION TO FHA PROGRAMS Minimum Property Standards § 200.925c Model codes. (a... Plumbing Code, 1993 Edition, and the BOCA National Mechanical Code, 1993 Edition, excluding Chapter I, Administration, for the Building, Plumbing and Mechanical Codes and the references to fire retardant treated wood...

22 CFR 139.4 - Responsibilities of the Program Administrator.

Code of Federal Regulations, 2010 CFR

2010-04-01

... of living, support infrastructure, and other relevant factors. The Program Administrator, from time... program regulations, including rules of the Program Administrator and the code of code of conduct; or the...

Booker T. Washington Rediscovered

ERIC Educational Resources Information Center

Bieze, Michael Scott, Ed.; Gasman, Marybeth, Ed.

2012-01-01

Booker T. Washington, a founding father of African American education in the United States, has long been studied, revered, and reviled by scholars and students. Born into slavery, freed and raised in the Reconstruction South, and active in educational reform through the late nineteenth and early twentieth centuries, Washington sought to use…

24 CFR 200.925c - Model codes.

Code of Federal Regulations, 2012 CFR

2012-04-01

... below. (1) Model Building Codes—(i) The BOCA National Building Code, 1993 Edition, The BOCA National..., Administration, for the Building, Plumbing and Mechanical Codes and the references to fire retardant treated wood... number 2 (Chapter 7) of the Building Code, but including the Appendices of the Code. Available from...

24 CFR 200.925c - Model codes.

Code of Federal Regulations, 2013 CFR

2013-04-01

... below. (1) Model Building Codes—(i) The BOCA National Building Code, 1993 Edition, The BOCA National..., Administration, for the Building, Plumbing and Mechanical Codes and the references to fire retardant treated wood... number 2 (Chapter 7) of the Building Code, but including the Appendices of the Code. Available from...

24 CFR 200.925c - Model codes.

Code of Federal Regulations, 2014 CFR

2014-04-01

... below. (1) Model Building Codes—(i) The BOCA National Building Code, 1993 Edition, The BOCA National..., Administration, for the Building, Plumbing and Mechanical Codes and the references to fire retardant treated wood... number 2 (Chapter 7) of the Building Code, but including the Appendices of the Code. Available from...

Automated external defibrillators in Washington State high schools

PubMed Central

Rothmier, Justin D; Drezner, Jonathan A; Harmon, Kimberly G

2007-01-01

Background The placement of automated external defibrillators (AEDs) in schools and public sporting venues is a growing national trend. Objective To determine the prevalence and use of AEDs in Washington State high schools and to examine the existing emergency preparedness for sudden cardiac arrest (SCA). Design Cross‐sectional survey. Setting High schools in Washington State. Participants The principal at each high school in the Washington Interscholastic Activities Association (n = 407) was invited to complete a web‐based questionnaire using the National Registry for AED Use in Sports (http://www.AEDSPORTS.com). Main outcome measurements The primary outcome measures studied included AED prevalence and location, funding for AEDs, AED training of school personnel, coordination of AED placement with local emergency response agencies, and prior AED use. Results 118 schools completed the survey (29% response rate). 64 (54%) of the schools have at least one AED on school grounds (mean 1.6, range 1–4). The likelihood of AED placement increased with larger school size (p = 0.044). 60% of AEDs were funded by donations, 27% by the school district and 11% by the school or athletic department itself. Coaches (78%) were the most likely to receive AED training, followed by administrators (72%), school nurses (70%) and teachers (48%). Only 25% of schools coordinated the implementation of AEDs with an outside medical agency and only 6% of schools coordinated with the local emergency medical system. One school reported having used an AED previously to treat SCA in a basketball official who survived after a single shock. The estimated probability of AED use to treat SCA was 1 in 154 schools per year. Conclusions Over half of Washington State high schools have an AED on school grounds. AED use occurred in <1% of schools annually and was effective in the treatment of SCA. Funding of AED programmes was mostly through private donations, with little coordination with

Bar-code medication administration system for anesthetics: effects on documentation and billing.

PubMed

Nolen, Agatha L; Rodes, W Dyer

2008-04-01

The effects of using a new bar-code medication administration (BCMA) system for anesthetics to automate documentation of drug administration by anesthesiologists were studied. From October 1, 2004, to September 15, 2005, all medications administered to patients undergoing cardiac surgery were documented with a BCMA system at a large acute care facility. Drug claims data for 12 targeted anesthetics in diagnosis-related groups (DRGs) 104-111 were analyzed to determine the quantity of drugs charged and the revenue generated. Those data were compared with claims data for a historical case-control group (October 1, 2003, to September 15, 2004, for the same DRGs) for which medication use was documented manually. From October 1, 2005, to October 1, 2006, anesthesiologists for cardiac surgeries either voluntarily used the automated system or completed anesthesia records manually. A total of 870 cardiac surgery cases for which the BCMA system was used were evaluated. There were 961 cardiac surgery cases in the historical control group. The BCMA system increased the quantity of drugs documented per case by 21.7% and drug revenue captured per case by 18.8%. The time needed by operating-room pharmacy staff to process an anesthesia record for billing decreased by eight minutes per case. After two years, anesthesiologists voluntarily used the new technology on 100% of cardiac surgery patients. Implementation of a BCMA system for anesthetic use in cardiac surgery increased the quantity of drugs charged by 21.7% per case and drug revenue per case by 18.8%. Anesthesiologists continued to use the automated system on a voluntary basis after conclusion of the initial study.

Evaluating the benefits of commercial building energy codes and improving federal incentives for code adoption.

PubMed

Gilbraith, Nathaniel; Azevedo, Inês L; Jaramillo, Paulina

2014-12-16

The federal government has the goal of decreasing commercial building energy consumption and pollutant emissions by incentivizing the adoption of commercial building energy codes. Quantitative estimates of code benefits at the state level that can inform the size and allocation of these incentives are not available. We estimate the state-level climate, environmental, and health benefits (i.e., social benefits) and reductions in energy bills (private benefits) of a more stringent code (ASHRAE 90.1-2010) relative to a baseline code (ASHRAE 90.1-2007). We find that reductions in site energy use intensity range from 93 MJ/m(2) of new construction per year (California) to 270 MJ/m(2) of new construction per year (North Dakota). Total annual benefits from more stringent codes total $506 million for all states, where $372 million are from reductions in energy bills, and $134 million are from social benefits. These total benefits range from $0.6 million in Wyoming to $49 million in Texas. Private benefits range from $0.38 per square meter in Washington State to $1.06 per square meter in New Hampshire. Social benefits range from $0.2 per square meter annually in California to $2.5 per square meter in Ohio. Reductions in human/environmental damages and future climate damages account for nearly equal shares of social benefits.

1969 Washington timber harvest.

Treesearch

Brian R. Wall

1970-01-01

Washington's timber harvest increased slightly in 1969 to a 40-year high of 7 billion board feet. This is slightly below the record timber harvest of 7.38 billion board feet established in 1829. Private timberland owners in western Washington increased their production 10.9 percent, accounting for most of the increase in the 1969 total harvest. In eastern...

75 FR 33736 - Tart Cherries Grown in the States of Michigan, New York, Pennsylvania, Oregon, Utah, Washington...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-06-15

... 9, 2010. Rayne Pegg, Administrator, Agricultural Marketing Service. [FR Doc. 2010-14287 Filed 6-14... DEPARTMENT OF AGRICULTURE Agricultural Marketing Service 7 CFR Part 930 [Doc. No. AO-370-A8; AMS..., Oregon, Utah, Washington, and Wisconsin; Withdrawal of Proposed Rule AGENCY: Agricultural Marketing...

77 FR 38388 - Notice of Decision to Grant Buy America Waiver to Washington Department of Transportation to...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-06-27

... DEPARTMENT OF TRANSPORTATION Federal Railroad Administration Notice of Decision to Grant Buy America Waiver to Washington Department of Transportation to Purchase Vossloh 101-LV Concrete Rail Ties...: Notice of decision to grant Buy America waiver. SUMMARY: FRA is issuing this notice to advise the public...

Detecting chronic kidney disease in population-based administrative databases using an algorithm of hospital encounter and physician claim codes.

PubMed

Fleet, Jamie L; Dixon, Stephanie N; Shariff, Salimah Z; Quinn, Robert R; Nash, Danielle M; Harel, Ziv; Garg, Amit X

2013-04-05

Large, population-based administrative healthcare databases can be used to identify patients with chronic kidney disease (CKD) when serum creatinine laboratory results are unavailable. We examined the validity of algorithms that used combined hospital encounter and physician claims database codes for the detection of CKD in Ontario, Canada. We accrued 123,499 patients over the age of 65 from 2007 to 2010. All patients had a baseline serum creatinine value to estimate glomerular filtration rate (eGFR). We developed an algorithm of physician claims and hospital encounter codes to search administrative databases for the presence of CKD. We determined the sensitivity, specificity, positive and negative predictive values of this algorithm to detect our primary threshold of CKD, an eGFR <45 mL/min per 1.73 m² (15.4% of patients). We also assessed serum creatinine and eGFR values in patients with and without CKD codes (algorithm positive and negative, respectively). Our algorithm required evidence of at least one of eleven CKD codes and 7.7% of patients were algorithm positive. The sensitivity was 32.7% [95% confidence interval: (95% CI): 32.0 to 33.3%]. Sensitivity was lower in women compared to men (25.7 vs. 43.7%; p <0.001) and in the oldest age category (over 80 vs. 66 to 80; 28.4 vs. 37.6 %; p < 0.001). All specificities were over 94%. The positive and negative predictive values were 65.4% (95% CI: 64.4 to 66.3%) and 88.8% (95% CI: 88.6 to 89.0%), respectively. In algorithm positive patients, the median [interquartile range (IQR)] baseline serum creatinine value was 135 μmol/L (106 to 179 μmol/L) compared to 82 μmol/L (69 to 98 μmol/L) for algorithm negative patients. Corresponding eGFR values were 38 mL/min per 1.73 m² (26 to 51 mL/min per 1.73 m²) vs. 69 mL/min per 1.73 m² (56 to 82 mL/min per 1.73 m²), respectively. Patients with CKD as identified by our database algorithm had distinctly higher baseline serum creatinine values and lower eGFR values

Detecting chronic kidney disease in population-based administrative databases using an algorithm of hospital encounter and physician claim codes

PubMed Central

2013-01-01

Background Large, population-based administrative healthcare databases can be used to identify patients with chronic kidney disease (CKD) when serum creatinine laboratory results are unavailable. We examined the validity of algorithms that used combined hospital encounter and physician claims database codes for the detection of CKD in Ontario, Canada. Methods We accrued 123,499 patients over the age of 65 from 2007 to 2010. All patients had a baseline serum creatinine value to estimate glomerular filtration rate (eGFR). We developed an algorithm of physician claims and hospital encounter codes to search administrative databases for the presence of CKD. We determined the sensitivity, specificity, positive and negative predictive values of this algorithm to detect our primary threshold of CKD, an eGFR <45 mL/min per 1.73 m2 (15.4% of patients). We also assessed serum creatinine and eGFR values in patients with and without CKD codes (algorithm positive and negative, respectively). Results Our algorithm required evidence of at least one of eleven CKD codes and 7.7% of patients were algorithm positive. The sensitivity was 32.7% [95% confidence interval: (95% CI): 32.0 to 33.3%]. Sensitivity was lower in women compared to men (25.7 vs. 43.7%; p <0.001) and in the oldest age category (over 80 vs. 66 to 80; 28.4 vs. 37.6 %; p < 0.001). All specificities were over 94%. The positive and negative predictive values were 65.4% (95% CI: 64.4 to 66.3%) and 88.8% (95% CI: 88.6 to 89.0%), respectively. In algorithm positive patients, the median [interquartile range (IQR)] baseline serum creatinine value was 135 μmol/L (106 to 179 μmol/L) compared to 82 μmol/L (69 to 98 μmol/L) for algorithm negative patients. Corresponding eGFR values were 38 mL/min per 1.73 m2 (26 to 51 mL/min per 1.73 m2) vs. 69 mL/min per 1.73 m2 (56 to 82 mL/min per 1.73 m2), respectively. Conclusions Patients with CKD as identified by our database algorithm had distinctly higher baseline serum

Miscellaneous streamflow measurements in the State of Washington, January 1961 to September 1985

USGS Publications Warehouse

Williams, John R.; Riis, S.A.

1989-01-01

This report is a compilation of previously published miscellaneous streamflow measurements made in Washington State by the U.S. Geological Survey between January 1961 and September 1985. It is a supplement to a volume of similar data for the period 1890 to January 1961. The data include stream name and stream to which it is tributary, latitude and longitude, county code, hydrologic unit code, land-line location, drainage area, and measurement dates and discharges. In general, the data sites are not at gaging stations; however, some data are given for gaging station sites during periods when the stations were not in operation. All data in this report have been entered into a computerized data base that includes the data for the period 1890 to January 1961. The data can be retrieved in a variety of ways, such as by county, by hydrologic unit code, by river basin , or by size of drainage area. (USGS)

Validity of ICD-9-CM codes for breast, lung and colorectal cancers in three Italian administrative healthcare databases: a diagnostic accuracy study protocol.

PubMed

Abraha, Iosief; Serraino, Diego; Giovannini, Gianni; Stracci, Fabrizio; Casucci, Paola; Alessandrini, Giuliana; Bidoli, Ettore; Chiari, Rita; Cirocchi, Roberto; De Giorgi, Marcello; Franchini, David; Vitale, Maria Francesca; Fusco, Mario; Montedori, Alessandro

2016-03-25

Administrative healthcare databases are useful tools to study healthcare outcomes and to monitor the health status of a population. Patients with cancer can be identified through disease-specific codes, prescriptions and physician claims, but prior validation is required to achieve an accurate case definition. The objective of this protocol is to assess the accuracy of International Classification of Diseases Ninth Revision-Clinical Modification (ICD-9-CM) codes for breast, lung and colorectal cancers in identifying patients diagnosed with the relative disease in three Italian administrative databases. Data from the administrative databases of Umbria Region (910,000 residents), Local Health Unit 3 of Napoli (1,170,000 residents) and Friuli--Venezia Giulia Region (1,227,000 residents) will be considered. In each administrative database, patients with the first occurrence of diagnosis of breast, lung or colorectal cancer between 2012 and 2014 will be identified using the following groups of ICD-9-CM codes in primary position: (1) 233.0 and (2) 174.x for breast cancer; (3) 162.x for lung cancer; (4) 153.x for colon cancer and (5) 154.0-154.1 and 154.8 for rectal cancer. Only incident cases will be considered, that is, excluding cases that have the same diagnosis in the 5 years (2007-2011) before the period of interest. A random sample of cases and non-cases will be selected from each administrative database and the corresponding medical charts will be assessed for validation by pairs of trained, independent reviewers. Case ascertainment within the medical charts will be based on (1) the presence of a primary nodular lesion in the breast, lung or colon-rectum, documented with imaging or endoscopy and (2) a cytological or histological documentation of cancer from a primary or metastatic site. Sensitivity and specificity with 95% CIs will be calculated. Study results will be disseminated widely through peer-reviewed publications and presentations at national and

28 CFR 36.608 - Guidance concerning model codes.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 28 Judicial Administration 1 2010-07-01 2010-07-01 false Guidance concerning model codes. 36.608... Codes § 36.608 Guidance concerning model codes. Upon application by an authorized representative of a... relevant model code and issue guidance concerning whether and in what respects the model code is consistent...

Index of FAA Office of Aviation Medicine Reports: 1961 through 1993

DTIC Science & Technology

1994-01-01

DOT/F~~J~94 11 Index of FAA Office of Office Of Aviation Medicine Aviation M edicine Reports: Washington, D.C. 20591 1961 through 1993 AD-A275 913 lI...and SubMle 5. Report Dab Index to FAA Office of Aviation Medicine Reports: January 1994 1961 through 1993 6. Pwe ng Organization Code 7. Autho(s) 6...Covered Office of Aviation Medicine Federal Aviation Administration 800 Independence Avenue, S.W. Washington, DC 20591 14. Sponsorg Agency Code 1S. &Su

Kombucha brewing under the Food and Drug Administration model Food Code: risk analysis and processing guidance.

PubMed

Nummer, Brian A

2013-11-01

Kombucha is a fermented beverage made from brewed tea and sugar. The taste is slightly sweet and acidic and it may have residual carbon dioxide. Kombucha is consumed in many countries as a health beverage and it is gaining in popularity in the U.S. Consequently, many retailers and food service operators are seeking to brew this beverage on site. As a fermented beverage, kombucha would be categorized in the Food and Drug Administration model Food Code as a specialized process and would require a variance with submission of a food safety plan. This special report was created to assist both operators and regulators in preparing or reviewing a kombucha food safety plan.

77 FR 64837 - Federal Aviation Administration

Federal Register 2010, 2011, 2012, 2013, 2014

2012-10-23

... DEPARTMENT OF TRANSPORTATION Federal Aviation Administration Fourth Meeting: RTCA Special Committee 227, Standards of Navigation Performance AGENCY: Federal Aviation Administration (FAA), U.S... Operations Group, Federal Aviation Administration. [FR Doc. 2012-26034 Filed 10-22-12; 8:45 am] BILLING CODE...

78 FR 41183 - Federal Aviation Administration

Federal Register 2010, 2011, 2012, 2013, 2014

2013-07-09

... DEPARTMENT OF TRANSPORTATION Federal Aviation Administration Meeting: RTCA Program Management Committee AGENCY: Federal Aviation Administration (FAA), U.S. Department of Transportation (DOT). ACTION... Operations Group, Federal Aviation Administration. [FR Doc. 2013-16464 Filed 7-8-13; 8:45 am] BILLING CODE...

75 FR 56528 - EPA's Role in Advancing Sustainable Products

Federal Register 2010, 2011, 2012, 2013, 2014

2010-09-16

... services (NAICS code 72). Other services, except public administration (NAICS code 81). Public... Rm. 3334, EPA West Bldg., 1301 Constitution Ave., NW., Washington, DC. The EPA/DC Public Reading Room... holidays. The telephone number of the EPA/DC Public Reading Room is (202) 566-1744, and the telephone...

Practical guide to bar coding for patient medication safety.

PubMed

Neuenschwander, Mark; Cohen, Michael R; Vaida, Allen J; Patchett, Jeffrey A; Kelly, Jamie; Trohimovich, Barbara

2003-04-15

Bar coding for the medication administration step of the drug-use process is discussed. FDA will propose a rule in 2003 that would require bar-code labels on all human drugs and biologicals. Even with an FDA mandate, manufacturer procrastination and possible shifts in product availability are likely to slow progress. Such delays should not preclude health systems from adopting bar-code-enabled point-of-care (BPOC) systems to achieve gains in patient safety. Bar-code technology is a replacement for traditional keyboard data entry. The elements of bar coding are content, which determines the meaning; data format, which refers to the embedded data and symbology, which describes the "font" in which the machine-readable code is written. For a BPOC system to deliver an acceptable level of patient protection, the hospital must first establish reliable processes for a patient identification band, caregiver badge, and medication bar coding. Medications can have either drug-specific or patient-specific bar codes. Both varieties result in the desired code that supports patient's five rights of drug administration. When medications are not available from the manufacturer in immediate-container bar-coded packaging, other means of applying the bar code must be devised, including the use of repackaging equipment, overwrapping, manual bar coding, and outsourcing. Virtually all medications should be bar coded, the bar code on the label should be easily readable, and appropriate policies, procedures, and checks should be in place. Bar coding has the potential to be not only cost-effective but to produce a return on investment. By bar coding patient identification tags, caregiver badges, and immediate-container medications, health systems can substantially increase patient safety during medication administration.

Uniform Policy/Dress Codes: School Staff and Parent Perceptions of Need and Impact.

ERIC Educational Resources Information Center

Stevenson, Zollie, Jr.; Chunn, Eva Wells

This study examines the impact of uniform/dress codes and practices on school climate, educational attainment, and student affective and cognitive domains in Washington (District of Columbia) schools. Information was drawn from surveys of 301 principals and teachers and 268 parents. The following findings are presented: (1) reasons cited for…

George Washington: A Hero for American Students?

ERIC Educational Resources Information Center

Jordan, Ervin L., Jr.; Bennett, Clifford T.

1997-01-01

Discusses the career of George Washington with specific emphasis on his racial views and his role as a slaveholder. Describes Washington as a man bound by racial and political mores of his time. Although troubled by certain aspects of slavery, Washington directly benefited from the operation of this system. (MJP)

Anonymization of Administrative Billing Codes with Repeated Diagnoses Through Censoring

PubMed Central

Tamersoy, Acar; Loukides, Grigorios; Denny, Joshua C.; Malin, Bradley

2010-01-01

Patient-specific data from electronic medical records (EMRs) is increasingly shared in a de-identified form to support research. However, EMRs are susceptible to noise, error, and variation, which can limit their utility for reuse. One way to enhance the utility of EMRs is to record the number of times diagnosis codes are assigned to a patient when this data is shared. This is, however, challenging because releasing such data may be leveraged to compromise patients’ identity. In this paper, we present an approach that, to the best of our knowledge, is the first that can prevent re-identification through repeated diagnosis codes. Our method transforms records to preserve privacy while retaining much of their utility. Experiments conducted using 2676 patients from the EMR system of the Vanderbilt University Medical Center verify that our method is able to retain an average of 95.4% of the diagnosis codes in a common data sharing scenario. PMID:21347085

USGS Water Data for Washington

USGS Publications Warehouse

,

2009-01-01

The U.S. Geological Survey (USGS) has been investigating the water resources of Washington State since the latter part of the 19th century. During this time, demand for water has evolved from primarily domestic and stock needs to the current complex requirements for public-water supplies, irrigation, power generation, navigation, ecological needs, and numerous other uses. Water-resource data collected by the USGS in Washington have been, or soon will be, published by the USGS Washington Water Science Center (WAWSC) in numerous data and interpretive reports. Most of these reports are available online at the WAWSC web page http://wa.water.usgs.gov/pubs/

Washington, D.C. USA

NASA Image and Video Library

1984-10-13

41G-40-071 (5-13 Oct. 1984) --- Washington, D.C. -- the nation's capital -- is at right center in this phtograph from the Earth-orbiting space shuttle Challenger. J.F. Dulles Airport at lower left. Andrews Air Force Base is at right center edge. The Potomac River enters at left center, flows past Washington and as a tidal estuary at lower right. Also visible are the Great Falls of the Potomac. Photo credit: NASA

Coding in Stroke and Other Cerebrovascular Diseases.

PubMed

Korb, Pearce J; Jones, William

2017-02-01

Accurate coding is critical for clinical practice and research. Ongoing changes to diagnostic and billing codes require the clinician to stay abreast of coding updates. Payment for health care services, data sets for health services research, and reporting for medical quality improvement all require accurate administrative coding. This article provides an overview of coding principles for patients with strokes and other cerebrovascular diseases and includes an illustrative case as a review of coding principles in a patient with acute stroke.

How Do Business and Government Interact? Combining Perspectives from Economics, Political Science, Public Administration, and Practitioners

ERIC Educational Resources Information Center

O'Neill, Patrick B.; Harsell, Dana Michael

2015-01-01

The authors describe the theoretical preparation provided to students in advance of a limited-duration experiential learning experience in Washington DC in a Master's level course for students in Business or Public Administration. The students consider theoretical perspectives from economics, political science, and public administration with…

Validating malignant melanoma ICD-9-CM codes in Umbria, ASL Napoli 3 Sud and Friuli Venezia Giulia administrative healthcare databases: a diagnostic accuracy study

PubMed Central

Orso, Massimiliano; Serraino, Diego; Fusco, Mario; Giovannini, Gianni; Casucci, Paola; Cozzolino, Francesco; Granata, Annalisa; Gobbato, Michele; Stracci, Fabrizio; Ciullo, Valerio; Vitale, Maria Francesca; Orlandi, Walter; Montedori, Alessandro; Bidoli, Ettore

2018-01-01

Objectives To assess the accuracy of International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) codes in identifying subjects with melanoma. Design A diagnostic accuracy study comparing melanoma ICD-9-CM codes (index test) with medical chart (reference standard). Case ascertainment was based on neoplastic lesion of the skin and a histological diagnosis from a primary or metastatic site positive for melanoma. Setting Administrative databases from Umbria Region, Azienda Sanitaria Locale (ASL) Napoli 3 Sud (NA) and Friuli Venezia Giulia (FVG) Region. Participants 112, 130 and 130 cases (subjects with melanoma) were randomly selected from Umbria, NA and FVG, respectively; 94 non-cases (subjects without melanoma) were randomly selected from each unit. Outcome measures Sensitivity and specificity for ICD-9-CM code 172.x located in primary position. Results The most common melanoma subtype was malignant melanoma of skin of trunk, except scrotum (ICD-9-CM code: 172.5), followed by malignant melanoma of skin of lower limb, including hip (ICD-9-CM code: 172.7). The mean age of the patients ranged from 60 to 61 years. Most of the diagnoses were performed in surgical departments. The sensitivities were 100% (95% CI 96% to 100%) for Umbria, 99% (95% CI 94% to 100%) for NA and 98% (95% CI 93% to 100%) for FVG. The specificities were 88% (95% CI 80% to 93%) for Umbria, 77% (95% CI 69% to 85%) for NA and 79% (95% CI 71% to 86%) for FVG. Conclusions The case definition for melanoma based on clinical or instrumental diagnosis, confirmed by histological examination, showed excellent sensitivities and good specificities in the three operative units. Administrative databases from the three operative units can be used for epidemiological and outcome research of melanoma. PMID:29678984

Validating malignant melanoma ICD-9-CM codes in Umbria, ASL Napoli 3 Sud and Friuli Venezia Giulia administrative healthcare databases: a diagnostic accuracy study.

PubMed

Orso, Massimiliano; Serraino, Diego; Abraha, Iosief; Fusco, Mario; Giovannini, Gianni; Casucci, Paola; Cozzolino, Francesco; Granata, Annalisa; Gobbato, Michele; Stracci, Fabrizio; Ciullo, Valerio; Vitale, Maria Francesca; Eusebi, Paolo; Orlandi, Walter; Montedori, Alessandro; Bidoli, Ettore

2018-04-20

To assess the accuracy of International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) codes in identifying subjects with melanoma. A diagnostic accuracy study comparing melanoma ICD-9-CM codes (index test) with medical chart (reference standard). Case ascertainment was based on neoplastic lesion of the skin and a histological diagnosis from a primary or metastatic site positive for melanoma. Administrative databases from Umbria Region, Azienda Sanitaria Locale (ASL) Napoli 3 Sud (NA) and Friuli Venezia Giulia (FVG) Region. 112, 130 and 130 cases (subjects with melanoma) were randomly selected from Umbria, NA and FVG, respectively; 94 non-cases (subjects without melanoma) were randomly selected from each unit. Sensitivity and specificity for ICD-9-CM code 172.x located in primary position. The most common melanoma subtype was malignant melanoma of skin of trunk, except scrotum (ICD-9-CM code: 172.5), followed by malignant melanoma of skin of lower limb, including hip (ICD-9-CM code: 172.7). The mean age of the patients ranged from 60 to 61 years. Most of the diagnoses were performed in surgical departments.The sensitivities were 100% (95% CI 96% to 100%) for Umbria, 99% (95% CI 94% to 100%) for NA and 98% (95% CI 93% to 100%) for FVG. The specificities were 88% (95% CI 80% to 93%) for Umbria, 77% (95% CI 69% to 85%) for NA and 79% (95% CI 71% to 86%) for FVG. The case definition for melanoma based on clinical or instrumental diagnosis, confirmed by histological examination, showed excellent sensitivities and good specificities in the three operative units. Administrative databases from the three operative units can be used for epidemiological and outcome research of melanoma. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Phase II evaluation of clinical coding schemes: completeness, taxonomy, mapping, definitions, and clarity. CPRI Work Group on Codes and Structures.

PubMed

Campbell, J R; Carpenter, P; Sneiderman, C; Cohn, S; Chute, C G; Warren, J

1997-01-01

To compare three potential sources of controlled clinical terminology (READ codes version 3.1, SNOMED International, and Unified Medical Language System (UMLS) version 1.6) relative to attributes of completeness, clinical taxonomy, administrative mapping, term definitions and clarity (duplicate coding rate). The authors assembled 1929 source concept records from a variety of clinical information taken from four medical centers across the United States. The source data included medical as well as ample nursing terminology. The source records were coded in each scheme by an investigator and checked by the coding scheme owner. The codings were then scored by an independent panel of clinicians for acceptability. Codes were checked for definitions provided with the scheme. Codes for a random sample of source records were analyzed by an investigator for "parent" and "child" codes within the scheme. Parent and child pairs were scored by an independent panel of medical informatics specialists for clinical acceptability. Administrative and billing code mapping from the published scheme were reviewed for all coded records and analyzed by independent reviewers for accuracy. The investigator for each scheme exhaustively searched a sample of coded records for duplications. SNOMED was judged to be significantly more complete in coding the source material than the other schemes (SNOMED* 70%; READ 57%; UMLS 50%; *p < .00001). SNOMED also had a richer clinical taxonomy judged by the number of acceptable first-degree relatives per coded concept (SNOMED* 4.56, UMLS 3.17; READ 2.14, *p < .005). Only the UMLS provided any definitions; these were found for 49% of records which had a coding assignment. READ and UMLS had better administrative mappings (composite score: READ* 40.6%; UMLS* 36.1%; SNOMED 20.7%, *p < .00001), and SNOMED had substantially more duplications of coding assignments (duplication rate: READ 0%; UMLS 4.2%; SNOMED* 13.9%, *p < .004) associated with a loss of clarity

Summary Proceedings of the Future Navigation Systems Planning Conference, held 3-4 August 1982, Washington, DC.

DTIC Science & Technology

1982-09-01

U.S. civil system managed by the civil administration, but it would be even easier if it were a system agreed to and Jointly financed by ICAO or some... Unicorns Park Drive 955 L’Enfant Plaza Woburn, MA 01801 Washington, D.C. 20024 84 r. C. Dennis Wright Aircraft Owners & Pilots Association P.O. Box 5800

Problems with the Small Business Administration’s Merit Appraisal and Compensation System.

DTIC Science & Technology

1981-09-21

TAD-AI07 181 GENERAL ACCOUNTING OFFICE WASHINGTON DC FEDERAL PERS-ETC F/6 5/9 PROBLEMS WITH THE SMALL BUSINESS ADMINISTRATION’S MERIT APPRAIS--ETC(U...Adninistrator, Small Business Administration Dear Mr. Car D Subjec::/ Problems with the Small Business Administra- tjon’s Merit Appraisal and Compensation...System, (rLP68 8i 71). We reviewed the Small Business Administration’s (SBA’s) performance appraisal/merit pay program as part of our review of

Phase II Evaluation of Clinical Coding Schemes

PubMed Central

Campbell, James R.; Carpenter, Paul; Sneiderman, Charles; Cohn, Simon; Chute, Christopher G.; Warren, Judith

1997-01-01

Abstract Objective: To compare three potential sources of controlled clinical terminology (READ codes version 3.1, SNOMED International, and Unified Medical Language System (UMLS) version 1.6) relative to attributes of completeness, clinical taxonomy, administrative mapping, term definitions and clarity (duplicate coding rate). Methods: The authors assembled 1929 source concept records from a variety of clinical information taken from four medical centers across the United States. The source data included medical as well as ample nursing terminology. The source records were coded in each scheme by an investigator and checked by the coding scheme owner. The codings were then scored by an independent panel of clinicians for acceptability. Codes were checked for definitions provided with the scheme. Codes for a random sample of source records were analyzed by an investigator for “parent” and “child” codes within the scheme. Parent and child pairs were scored by an independent panel of medical informatics specialists for clinical acceptability. Administrative and billing code mapping from the published scheme were reviewed for all coded records and analyzed by independent reviewers for accuracy. The investigator for each scheme exhaustively searched a sample of coded records for duplications. Results: SNOMED was judged to be significantly more complete in coding the source material than the other schemes (SNOMED* 70%; READ 57%; UMLS 50%; *p <.00001). SNOMED also had a richer clinical taxonomy judged by the number of acceptable first-degree relatives per coded concept (SNOMED* 4.56; UMLS 3.17; READ 2.14, *p <.005). Only the UMLS provided any definitions; these were found for 49% of records which had a coding assignment. READ and UMLS had better administrative mappings (composite score: READ* 40.6%; UMLS* 36.1%; SNOMED 20.7%, *p <. 00001), and SNOMED had substantially more duplications of coding assignments (duplication rate: READ 0%; UMLS 4.2%; SNOMED* 13.9%, *p

Pretest aerosol code comparisons for LWR aerosol containment tests LA1 and LA2

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

Wright, A.L.; Wilson, J.H.; Arwood, P.C.

The Light-Water-Reactor (LWR) Aerosol Containment Experiments (LACE) are being performed in Richland, Washington, at the Hanford Engineering Development Laboratory (HEDL) under the leadership of an international project board and the Electric Power Research Institute. These tests have two objectives: (1) to investigate, at large scale, the inherent aerosol retention behavior in LWR containments under simulated severe accident conditions, and (2) to provide an experimental data base for validating aerosol behavior and thermal-hydraulic computer codes. Aerosol computer-code comparison activities are being coordinated at the Oak Ridge National Laboratory. For each of the six LACE tests, ''pretest'' calculations (for code-to-code comparisons) andmore » ''posttest'' calculations (for code-to-test data comparisons) are being performed. The overall goals of the comparison effort are (1) to provide code users with experience in applying their codes to LWR accident-sequence conditions and (2) to evaluate and improve the code models.« less

Dubois and Washington -- Opposite or Similar: An Evaluation of the Philosophies of Washington and Dubois.

ERIC Educational Resources Information Center

Reedom, John Anthony

Although comparative analysis of the philosophies of Booker T. Washington and W.E.B. DuBois reveals significant differences in preferred solutions to problems of blacks in the United States, the philosophies of the two men are not as diametrically opposed as scholars have generally maintained. Washington's philosophy was one of conciliation…

Validation of Living Donor Nephrectomy Codes

PubMed Central

Lam, Ngan N.; Lentine, Krista L.; Klarenbach, Scott; Sood, Manish M.; Kuwornu, Paul J.; Naylor, Kyla L.; Knoll, Gregory A.; Kim, S. Joseph; Young, Ann; Garg, Amit X.

2018-01-01

Background: Use of administrative data for outcomes assessment in living kidney donors is increasing given the rarity of complications and challenges with loss to follow-up. Objective: To assess the validity of living donor nephrectomy in health care administrative databases compared with the reference standard of manual chart review. Design: Retrospective cohort study. Setting: 5 major transplant centers in Ontario, Canada. Patients: Living kidney donors between 2003 and 2010. Measurements: Sensitivity and positive predictive value (PPV). Methods: Using administrative databases, we conducted a retrospective study to determine the validity of diagnostic and procedural codes for living donor nephrectomies. The reference standard was living donor nephrectomies identified through the province’s tissue and organ procurement agency, with verification by manual chart review. Operating characteristics (sensitivity and PPV) of various algorithms using diagnostic, procedural, and physician billing codes were calculated. Results: During the study period, there were a total of 1199 living donor nephrectomies. Overall, the best algorithm for identifying living kidney donors was the presence of 1 diagnostic code for kidney donor (ICD-10 Z52.4) and 1 procedural code for kidney procurement/excision (1PC58, 1PC89, 1PC91). Compared with the reference standard, this algorithm had a sensitivity of 97% and a PPV of 90%. The diagnostic and procedural codes performed better than the physician billing codes (sensitivity 60%, PPV 78%). Limitations: The donor chart review and validation study was performed in Ontario and may not be generalizable to other regions. Conclusions: An algorithm consisting of 1 diagnostic and 1 procedural code can be reliably used to conduct health services research that requires the accurate determination of living kidney donors at the population level. PMID:29662679

Administrator Bridenstine - returning Astronauts to the Moon

NASA Image and Video Library

2018-06-18

NASA Administrator Jim Bridenstine delivers remarks during a meeting of the National Space Council in the East Room of the White House, Monday, June 18, 2018, in Washington. News release: https://www.nasa.gov/press-release/na... Chaired by the Vice President, the council's role is to advise President Donald J. Trump regarding national space policy and strategy, and review the nation's long-range goals for space activities.

Preserving Envelope Efficiency in Performance Based Code Compliance

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

Thornton, Brian A.; Sullivan, Greg P.; Rosenberg, Michael I.

2015-06-20

The City of Seattle 2012 Energy Code (Seattle 2014), one of the most progressive in the country, is under revision for its 2015 edition. Additionally, city personnel participate in the development of the next generation of the Washington State Energy Code and the International Energy Code. Seattle has pledged carbon neutrality by 2050 including buildings, transportation and other sectors. The United States Department of Energy (DOE), through Pacific Northwest National Laboratory (PNNL) provided technical assistance to Seattle in order to understand the implications of one potential direction for its code development, limiting trade-offs of long-lived building envelope components less stringentmore » than the prescriptive code envelope requirements by using better-than-code but shorter-lived lighting and heating, ventilation, and air-conditioning (HVAC) components through the total building performance modeled energy compliance path. Weaker building envelopes can permanently limit building energy performance even as lighting and HVAC components are upgraded over time, because retrofitting the envelope is less likely and more expensive. Weaker building envelopes may also increase the required size, cost and complexity of HVAC systems and may adversely affect occupant comfort. This report presents the results of this technical assistance. The use of modeled energy code compliance to trade-off envelope components with shorter-lived building components is not unique to Seattle and the lessons and possible solutions described in this report have implications for other jurisdictions and energy codes.« less

A Study of Water Wave Wakes of Washington State Ferries

NASA Astrophysics Data System (ADS)

Perfect, Bradley; Riley, James; Thomson, Jim; Fay, Endicott

2015-11-01

Washington State Ferries (WSF) operates a ferry route that travels through a 600m-wide channel called Rich Passage. Concerns of shoreline erosion in Rich Passage have prompted this study of the generation and propagation of surface wave wakes caused by WSF vessels. The problem was addressed in three ways: analytically, using an extension of the Kelvin wake model by Darmon et al. (J. Fluid Mech., 738, 2014); computationally, employing a RANS Navier-Stokes model in the CFD code OpenFOAM which uses the Volume of Fluid method to treat the free surface; and with field data taken in Sept-Nov, 2014, using a suite of surface wave measuring buoys. This study represents one of the first times that model predictions of ferry boat-generated wakes can be tested against measurements in open waters. The results of the models and the field data are evaluated using direct comparison of predicted and measured surface wave height as well as other metrics. Furthermore, the model predictions and field measurements suggest differences in wake amplitudes for different class vessels. Finally, the relative strengths and weaknesses of each prediction method as well as of the field measurements will be discussed. Washington State Department of Transportation.

28 CFR 36.607 - Guidance concerning model codes.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 28 Judicial Administration 1 2013-07-01 2013-07-01 false Guidance concerning model codes. 36.607... BY PUBLIC ACCOMMODATIONS AND IN COMMERCIAL FACILITIES Certification of State Laws or Local Building Codes § 36.607 Guidance concerning model codes. Upon application by an authorized representative of a...

28 CFR 36.607 - Guidance concerning model codes.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 28 Judicial Administration 1 2014-07-01 2014-07-01 false Guidance concerning model codes. 36.607... BY PUBLIC ACCOMMODATIONS AND IN COMMERCIAL FACILITIES Certification of State Laws or Local Building Codes § 36.607 Guidance concerning model codes. Upon application by an authorized representative of a...

28 CFR 36.607 - Guidance concerning model codes.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 28 Judicial Administration 1 2012-07-01 2012-07-01 false Guidance concerning model codes. 36.607... BY PUBLIC ACCOMMODATIONS AND IN COMMERCIAL FACILITIES Certification of State Laws or Local Building Codes § 36.607 Guidance concerning model codes. Upon application by an authorized representative of a...

28 CFR 36.607 - Guidance concerning model codes.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 28 Judicial Administration 1 2011-07-01 2011-07-01 false Guidance concerning model codes. 36.607... BY PUBLIC ACCOMMODATIONS AND IN COMMERCIAL FACILITIES Certification of State Laws or Local Building Codes § 36.607 Guidance concerning model codes. Upon application by an authorized representative of a...

Key Facts about Higher Education in Washington. 2012

ERIC Educational Resources Information Center

Washington Higher Education Coordinating Board, 2012

2012-01-01

"Key Facts about Higher Education in Washington" provides vital data to chart higher education's progress and challenges. First published in 2002 by the Washington Higher Education Coordinating Board, this annual report highlights "Key Facts" about Washington's postsecondary institutions--including faculty, students, budgets,…

Regionalization of the Washington State University Extension 4-H Youth Development Program: Employee Awareness, Buy-In, and Communication

ERIC Educational Resources Information Center

White, Alison J.; Teuteberg, Dan

2015-01-01

Washington's 4-H program is transitioning from a predominately single-county faculty model to a regional system. This article highlights survey results regarding the level of awareness and buy-in that Extension administration, faculty, and staff have concerning the regional model and how communication about the model took place. While most…

A methodology for delineating planning-level channel migration zones.

DOT National Transportation Integrated Search

2014-07-01

The Washington State administrative codes that implement the Shoreline Management Act (SMA) require communities to identify the general location of channel migration zones (CMZs), and regulate development within these areas on shoreline streams. Shor...

Washington State Biofuels Industry Development

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

Gustafson, Richard

2017-04-09

The funding from this research grant enabled us to design, renovate, and equip laboratories to support University of Washington biofuels research program. The research that is being done with the equipment from this grant will facilitate the establishment of a biofuels industry in the Pacific Northwest and enable the University of Washington to launch a substantial biofuels and bio-based product research program.

33 CFR 117.1051 - Lake Washington Ship Canal.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 33 Navigation and Navigable Waters 1 2011-07-01 2011-07-01 false Lake Washington Ship Canal. 117.1051 Section 117.1051 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY BRIDGES DRAWBRIDGE OPERATION REGULATIONS Specific Requirements Washington § 117.1051 Lake Washington Ship...

33 CFR 117.1051 - Lake Washington Ship Canal.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 33 Navigation and Navigable Waters 1 2010-07-01 2010-07-01 false Lake Washington Ship Canal. 117.1051 Section 117.1051 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY BRIDGES DRAWBRIDGE OPERATION REGULATIONS Specific Requirements Washington § 117.1051 Lake Washington Ship...

33 CFR 117.1051 - Lake Washington Ship Canal.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 33 Navigation and Navigable Waters 1 2012-07-01 2012-07-01 false Lake Washington Ship Canal. 117.1051 Section 117.1051 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY BRIDGES DRAWBRIDGE OPERATION REGULATIONS Specific Requirements Washington § 117.1051 Lake Washington Ship...

33 CFR 117.1051 - Lake Washington Ship Canal.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 33 Navigation and Navigable Waters 1 2013-07-01 2013-07-01 false Lake Washington Ship Canal. 117.1051 Section 117.1051 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY BRIDGES DRAWBRIDGE OPERATION REGULATIONS Specific Requirements Washington § 117.1051 Lake Washington Ship...

33 CFR 117.1051 - Lake Washington Ship Canal.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 33 Navigation and Navigable Waters 1 2014-07-01 2014-07-01 false Lake Washington Ship Canal. 117.1051 Section 117.1051 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY BRIDGES DRAWBRIDGE OPERATION REGULATIONS Specific Requirements Washington § 117.1051 Lake Washington Ship...

2007 Washington State collision data summary

DOT National Transportation Integrated Search

2008-10-13

In 2007, Washingtons traffic fatality rate decreased to 1.00 per 100 million vehicle miles traveled (VMT), the lowest fatality rate in state history. : Washington State is 27% below the 2007 U.S. fatality rate of 1.37 fatalities per 100 VMT. : Bet...

2009 Washington State collision data summary

DOT National Transportation Integrated Search

2010-07-02

In 2009, Washingtons traffic fatality rate decreased to 0.87 per 100 million vehicle miles traveled (VMT), the lowest fatality rate in state history. : Washington State is 33% below the 2009 U.S. preliminary fatality rate of 1.16 fatalities per 10...

2008 Washington State collision data summary

DOT National Transportation Integrated Search

2009-07-28

In 2008, Washingtons traffic fatality rate decreased to 0.94 per 100 million vehicle miles traveled (VMT), the lowest fatality rate in state history. : Washington State is 35% below the 2008 U.S. fatality rate of 1.27 fatalities per 100 VMT. : Bet...

Exercise Administrator Administrative Instructions for Age Classes 1, 2 & 3. Year 11, October 1979-May 1980.

ERIC Educational Resources Information Center

Research Triangle Inst., Durham, NC.

This manual for Exercise Administrators of the National Assessment of Educational Progress; Second Literature Third Reading Assessment, consists of administrative instructions for use immediately preceding, during and after assessment sessions in schools. Definitions of racial/ethnic categories, associated codes, and guidelines for solicting…

1979-1980 Geothermal Resource Assessment Program in Washington

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

Korosec, M.A.; Schuster, J.E.

1980-01-01

Separate abstracts were prepared for seven papers. Also included are a bibliography of geothermal resource information for the State of Washington, well temperature information and locations in the State of Washington, and a map of the geology of the White Pass-Tumac Mountain Area, Washington. (MHR)

188. BUILDING 7 (ADMINISTRATION BUILDING), 194041. ALBERT KAHN, INC., ARCHITECTS. ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

188. BUILDING 7 (ADMINISTRATION BUILDING), 1940-41. ALBERT KAHN, INC., ARCHITECTS. GENERAL VIEW FROM EAST SHOWING SOUTH (REAR) ELEVATION AND EAST END WITH STEPPED ENTRANCE CANOPY (AN ADDITION). A PORTION OF BUILDING 8 (HOSPITAL) VISIBLE IN THE BACKGROUND ON RIGHT. - Quonset Point Naval Air Station, Roger Williams Way, North Kingstown, Washington County, RI

Accuracy of Administrative Billing Codes to Detect Urinary Tract Infection Hospitalizations

PubMed Central

Hall, Matthew; Auger, Katherine A.; Hain, Paul D.; Jerardi, Karen E.; Myers, Angela L.; Rahman, Suraiya S.; Williams, Derek J.; Shah, Samir S.

2011-01-01

BACKGROUND: Hospital billing data are frequently used for quality measures and research, but the accuracy of the use of discharge codes to identify urinary tract infections (UTIs) is unknown. OBJECTIVE: To determine the accuracy of International Classification of Diseases, 9th revision (ICD-9) discharge codes to identify children hospitalized with UTIs. METHODS: This multicenter study conducted in 5 children's hospitals included children aged 3 days to 18 years who had been admitted to the hospital, undergone a urinalysis or urine culture, and discharged from the hospital. Data were obtained from the pediatric health information system database and medical record review. With the use of 2 gold-standard methods, the positive predictive value (PPV) was calculated for individual and combined UTI codes and for common UTI identification strategies. PPV was measured for all groupings for which the UTI code was the principal discharge diagnosis. RESULTS: There were 833 patients in the study. The PPV was 50.3% with the use of the gold standard of laboratory-confirmed UTIs but increased to 85% with provider confirmation. Restriction of the study cohort to patients with a principle diagnosis of UTI improved the PPV for laboratory-confirmed UTI (61.2%) and provider-confirmed UTI (93.2%), as well as the ability to benchmark performance. Other common identification strategies did not markedly affect the PPV. CONCLUSIONS: ICD-9 codes can be used to identify patients with UTIs but are most accurate when UTI is the principal discharge diagnosis. The identification strategies reported in this study can be used to improve the accuracy and applicability of benchmarking measures. PMID:21768320

45 CFR 162.1002 - Medical data code sets.

Code of Federal Regulations, 2012 CFR

2012-10-01

... Terminology, Fourth Edition (CPT-4), as maintained and distributed by the American Medical Association, for... 45 Public Welfare 1 2012-10-01 2012-10-01 false Medical data code sets. 162.1002 Section 162.1002... REQUIREMENTS ADMINISTRATIVE REQUIREMENTS Code Sets § 162.1002 Medical data code sets. The Secretary adopts the...

45 CFR 162.1002 - Medical data code sets.

Code of Federal Regulations, 2014 CFR

2014-10-01

... Terminology, Fourth Edition (CPT-4), as maintained and distributed by the American Medical Association, for... 45 Public Welfare 1 2014-10-01 2014-10-01 false Medical data code sets. 162.1002 Section 162.1002... REQUIREMENTS ADMINISTRATIVE REQUIREMENTS Code Sets § 162.1002 Medical data code sets. The Secretary adopts the...

45 CFR 162.1002 - Medical data code sets.

Code of Federal Regulations, 2013 CFR

2013-10-01

... Terminology, Fourth Edition (CPT-4), as maintained and distributed by the American Medical Association, for... 45 Public Welfare 1 2013-10-01 2013-10-01 false Medical data code sets. 162.1002 Section 162.1002... REQUIREMENTS ADMINISTRATIVE REQUIREMENTS Code Sets § 162.1002 Medical data code sets. The Secretary adopts the...

45 CFR 162.1002 - Medical data code sets.

Code of Federal Regulations, 2011 CFR

2011-10-01

... Terminology, Fourth Edition (CPT-4), as maintained and distributed by the American Medical Association, for... 45 Public Welfare 1 2011-10-01 2011-10-01 false Medical data code sets. 162.1002 Section 162.1002... REQUIREMENTS ADMINISTRATIVE REQUIREMENTS Code Sets § 162.1002 Medical data code sets. The Secretary adopts the...

45 CFR 162.1002 - Medical data code sets.

Code of Federal Regulations, 2010 CFR

2010-10-01

... Terminology, Fourth Edition (CPT-4), as maintained and distributed by the American Medical Association, for... 45 Public Welfare 1 2010-10-01 2010-10-01 false Medical data code sets. 162.1002 Section 162.1002... REQUIREMENTS ADMINISTRATIVE REQUIREMENTS Code Sets § 162.1002 Medical data code sets. The Secretary adopts the...

Acting Administrator Robert Lightfoot Discusses NASAs FY2018 NASA Budget Request

NASA Image and Video Library

2017-05-23

Acting NASA Administrator Robert Lightfoot discussed the agency’s Fiscal Year 2018 budget request on May 23, during an agencywide town hall State of NASA address at NASA Headquarters in Washington. The address also was broadcast on NASA Television and streamed on the agency’s homepage and mobile apps.

Under-coding of secondary conditions in coded hospital health data: Impact of co-existing conditions, death status and number of codes in a record.

PubMed

Peng, Mingkai; Southern, Danielle A; Williamson, Tyler; Quan, Hude

2017-12-01

This study examined the coding validity of hypertension, diabetes, obesity and depression related to the presence of their co-existing conditions, death status and the number of diagnosis codes in hospital discharge abstract database. We randomly selected 4007 discharge abstract database records from four teaching hospitals in Alberta, Canada and reviewed their charts to extract 31 conditions listed in Charlson and Elixhauser comorbidity indices. Conditions associated with the four study conditions were identified through multivariable logistic regression. Coding validity (i.e. sensitivity, positive predictive value) of the four conditions was related to the presence of their associated conditions. Sensitivity increased with increasing number of diagnosis code. Impact of death on coding validity is minimal. Coding validity of conditions is closely related to its clinical importance and complexity of patients' case mix. We recommend mandatory coding of certain secondary diagnosis to meet the need of health research based on administrative health data.

Oregon Washington Coastal Ocean Forecast System: Real-time Modeling and Data Assimilation

NASA Astrophysics Data System (ADS)

Erofeeva, S.; Kurapov, A. L.; Pasmans, I.

2016-02-01

Three-day forecasts of ocean currents, temperature and salinity along the Oregon and Washington coasts are produced daily by a numerical ROMS-based ocean circulation model. NAM is used to derive atmospheric forcing for the model. Fresh water discharge from Columbia River, Fraser River, and small rivers in Puget Sound are included. The forecast is constrained by open boundary conditions derived from the global Navy HYCOM model and once in 3 days assimilation of recent data, including HF radar surface currents, sea surface temperature from the GOES satellite, and SSH from several satellite altimetry missions. 4-dimensional variational data assimilation is implemented in 3-day time windows using the tangent linear and adjoint codes developed at OSU. The system is semi-autonomous - all the data, including NAM and HYCOM fields are automatically updated, and daily operational forecast is automatically initiated. The pre-assimilation data quality control and post-assimilation forecast quality control require the operator's involvement. The daily forecast and 60 days of hindcast fields are available for public on opendap. As part of the system model validation plots to various satellites and SEAGLIDER are also automatically updated and available on the web (http://ingria.coas.oregonstate.edu/rtdavow/). Lessons learned in this pilot real-time coastal ocean forecasting project help develop and test metrics for forecast skill assessment for the West Coast Operational Forecast System (WCOFS), currently at testing and development phase at the National Oceanic and Atmospheric Administration (NOAA).

30 CFR 947.700 - Washington Federal program.

Code of Federal Regulations, 2013 CFR

2013-07-01

... PROGRAMS FOR THE CONDUCT OF SURFACE MINING OPERATIONS WITHIN EACH STATE WASHINGTON § 947.700 Washington... necessary because of the nature of the terrain, climate, biological, chemical, or other relevant physical...

30 CFR 947.700 - Washington Federal program.

Code of Federal Regulations, 2014 CFR

2014-07-01

... PROGRAMS FOR THE CONDUCT OF SURFACE MINING OPERATIONS WITHIN EACH STATE WASHINGTON § 947.700 Washington... necessary because of the nature of the terrain, climate, biological, chemical, or other relevant physical...

30 CFR 947.700 - Washington Federal program.

Code of Federal Regulations, 2012 CFR

2012-07-01

... PROGRAMS FOR THE CONDUCT OF SURFACE MINING OPERATIONS WITHIN EACH STATE WASHINGTON § 947.700 Washington... necessary because of the nature of the terrain, climate, biological, chemical, or other relevant physical...

30 CFR 947.700 - Washington Federal program.

Code of Federal Regulations, 2011 CFR

2011-07-01

... PROGRAMS FOR THE CONDUCT OF SURFACE MINING OPERATIONS WITHIN EACH STATE WASHINGTON § 947.700 Washington... necessary because of the nature of the terrain, climate, biological, chemical, or other relevant physical...

Hydrogeology and history of Washington, D.C.

NASA Astrophysics Data System (ADS)

For Washington, D.C., inhabitants or anyone planning a trip to the area, interesting information on the hydrology, geology, and natural and cultural history is available.To provide geographic and historical background for field trips in the area, a book was published for the 28th International Geological Congress, held in Washington in July 1989. Geology, Hydrology, and History of the Washington, D.C. Area, edited by John E. Moore of the U.S. Geological Survey, Reston, Va., and Julia A. Jackson of the American Geological Institute, Alexandria, Va., describes such interesting items as the Washington Canal, which ran from the Potomac River to the Capitol and is now Constitution Avenue, and the Cabin John Aqueduct, where a 297-foot granite arch was the longest masonry arch in the world for 40 years. The aqueduct has carried water to Washington since 1863. The 114-page book contains many historic photographs and maps and can be purchased from the American Geological Institute, 4220 King Street, Alexandria, VA 22302-1507, tel. 703-379-2480.

75 FR 65511 - Employee Benefits Security Administration; Submission for OMB Review

Federal Register 2010, 2011, 2012, 2013, 2014

2010-10-25

... Management and Budget (OMB) for review and approval in accordance with the Paperwork Reduction Act of 1995... estimated total burden may be obtained from the RegInfo.gov Web site at http://www.reginfo.gov/public/do...--Employee Benefits Security Administration (EBSA), Office of Management and Budget, Room 10235, Washington...

76 FR 24562 - Requested Administrative Waiver of the Coastwise Trade Laws

Federal Register 2010, 2011, 2012, 2013, 2014

2011-05-02

... p.m., E.T., Monday through Friday, except federal holidays. An electronic version of this document... Administration, 1200 New Jersey Avenue, SE., Room W21-203, Washington, DC 20590. Telephone 202-366-5979, E-mail... the vessel BELISARIUS is: INTENDED COMMERCIAL USE OF VESSEL: ``6 pack charter and sport fishing...

76 FR 11560 - Requested Administrative Waiver of the Coastwise Trade Laws

Federal Register 2010, 2011, 2012, 2013, 2014

2011-03-02

... p.m., E.T., Monday through Friday, except Federal holidays. An electronic version of this document... Administration, 1200 New Jersey Avenue, SE., Room W21-203, Washington, DC 20590. Telephone 202-366-5979, E-mail... some sport fishing only for fun NOT sales of fish.'' Geographic Region: ``California.'' Privacy Act...

Washington: "...By Ability, Politeness, and Attention."

ERIC Educational Resources Information Center

Bingham, Marjorie Wall

1997-01-01

Examines the career of George Washington, particularly emphasizing his skills as a mediator and negotiator. Postulates that the origins of these skills are in Washington's upbringing and his role as the leader of a large extended family. Argues that, as a national leader, he effectively employed these same skills. (MJP)

76 FR 24855 - Initiation of Antidumping and Countervailing Duty Administrative Reviews; Correction

Federal Register 2010, 2011, 2012, 2013, 2014

2011-05-03

... Constitution Avenue, NW., Washington, DC 20230, telephone: (202) 482- 4697. Background In the Federal Register... notice in the Federal Register on March 31, 2011, concerning the initiation of administrative reviews of... than 30 calendar days after publication of this Federal Register notice. This was a typographical error...

75 FR 61552 - Federal Railroad Administration

Federal Register 2010, 2011, 2012, 2013, 2014

2010-10-05

... DEPARTMENT OF TRANSPORTATION Federal Railroad Administration Notice of Informational Filing In accordance with Section 236.913 of Title 49 of the Code of Federal Regulations (CFR), notice is hereby given that the Federal Railroad Administration (FRA) has received an informational filing from the Northeast...

Obituary: Arthur Dodd Code (1923-2009)

NASA Astrophysics Data System (ADS)

Marché, Jordan D., II

2009-12-01

Former AAS president Arthur Dodd Code, age 85, passed away at Meriter Hospital in Madison, Wisconsin on 11 March 2009, from complications involving a long-standing pulmonary condition. Code was born in Brooklyn, New York on 13 August 1923, as the only child of former Canadian businessman Lorne Arthur Code and Jesse (Dodd) Code. An experienced ham radio operator, he entered the University of Chicago in 1940, but then enlisted in the U.S. Navy (1943-45) and was later stationed as an instructor at the Naval Research Laboratory, Washington, D.C. During the war, he gained extensive practical experience with the design and construction of technical equipment that served him well in years ahead. Concurrently, he took physics courses at George Washington University (some under the tutelage of George Gamow). In 1945, he was admitted to the graduate school of the University of Chicago, without having received his formal bachelor's degree. In 1950, he was awarded his Ph.D. for a theoretical study of radiative transfer in O- and B-type stars, directed by Subrahmanyan Chandrasekhar. hired onto the faculty of the Department of Astronomy at the University of Wisconsin-Madison (1951-56). He then accepted a tenured appointment at the California Institute of Technology and the Mount Wilson and Palomar Observatories (1956-58). But following the launch of Sputnik, Code returned to Wisconsin in 1958 as full professor of astronomy, director of the Washburn Observatory, and department chairman so that he could more readily pursue his interest in space astronomy. That same year, he was chosen a member of the Space Science Board of the National Academy of Sciences (created during the International Geophysical Year) and shortly became one of five principal investigators of the original NASA Space Science Working Group. In a cogent 1960 essay, Code argued that astrophysical investigations, when conducted from beyond the Earth's atmosphere, "cannot fail to have a tremendous impact on the

76 FR 65183 - National Oceanic and Atmospheric Administration

Federal Register 2010, 2011, 2012, 2013, 2014

2011-10-20

... DEPARTMENT OF COMMERCE National Oceanic and Atmospheric Administration National Climate Assessment... Oceanic and Atmospheric Administration (NOAA), Department of Commerce (DOC). ACTION: Notice of open..., National Oceanic and Atmospheric Administration. [FR Doc. 2011-27113 Filed 10-19-11; 8:45 am] BILLING CODE...

Selection of a computer code for Hanford low-level waste engineered-system performance assessment

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

McGrail, B.P.; Mahoney, L.A.

Planned performance assessments for the proposed disposal of low-level waste (LLW) glass produced from remediation of wastes stored in underground tanks at Hanford, Washington will require calculations of radionuclide release rates from the subsurface disposal facility. These calculations will be done with the aid of computer codes. Currently available computer codes were ranked in terms of the feature sets implemented in the code that match a set of physical, chemical, numerical, and functional capabilities needed to assess release rates from the engineered system. The needed capabilities were identified from an analysis of the important physical and chemical process expected tomore » affect LLW glass corrosion and the mobility of radionuclides. The highest ranked computer code was found to be the ARES-CT code developed at PNL for the US Department of Energy for evaluation of and land disposal sites.« less

Evaluation of the Washington State Target Zero teams project.

DOT National Transportation Integrated Search

2015-01-01

As part of its Target Zero strategic highway safety plan that has the goal to reduce traffic fatalities in Washington to zero by the year 2030, the State of Washington established three detachments of Washington State Patrol (WSP) troopers to f...

Administrator Talk at NASA Industry Day

NASA Image and Video Library

2018-05-08

NASA Administrator Jim Bridenstine asks commercial companies to help get the agency back to the Moon as quickly as possible during an ‘industry day', Tuesday, May 8, 2018 held at NASA Headquarters in Washington. NASA is calling for commercial proposals for delivering instruments, experiments, and other small payloads to the surface of the Moon as early as next year. This solicitation is part of a broader Exploration Campaign that will pave the way for a human return to the Moon. Photo Credit: (NASA/Bill Ingalls)

77 FR 14459 - Notice of Meeting of the Industry Trade Advisory Committee on Small and Minority Business (ITAC-11)

Federal Register 2010, 2011, 2012, 2013, 2014

2012-03-09

...., Washington, DC 20230. SUPPLEMENTARY INFORMATION: The Agenda topics to be discussed are: U.S. Small Business Administration State Trade and Export Promotion (STEP) Grants Process. Christine L. Turner, Assistant U.S. Trade...] BILLING CODE 3190-W2-P ...

The Lived Experience of Teachers and Administrators in Persistently Low Achieving Schools

ERIC Educational Resources Information Center

Bickenheuser, Charles William

2013-01-01

In 2010 Washington State's persistently lowest performing public schools were identified and published by the superintendent of public instruction. However, no research has described the lived experiences of teachers and administrators who work in those schools. Guided by the combined frameworks of Van Manen and Moustakas, this qualitative study…

Timber resource statistics for southwest Washington.

Treesearch

John W. Hazard

1965-01-01

This publication summarizes the results of the third reinventory of six counties in southwest Washington: Clark, Cowlitz, Lewis, Pacific, Skamania, and Wahkiakurn. This block of 6 counties is one of 10 such blocks set up in the States of Oregon and Washington by the Forest Survey to facilitate orderly reinventories of the timber resources. Each block will be...

Baltimore-Washington Parkway, Maryland : traffic safety plan

DOT National Transportation Integrated Search

2015-06-01

Over the past decade, a number of studies have documented the traffic safety issues on the National Park Services (NPS) portion of the Baltimore-Washington (B-W) Parkway. The Baltimore-Washington Parkway Traffic Safety Plan provides an action plan...

76 FR 15043 - Requested Administrative Waiver of the Coastwise Trade Laws

Federal Register 2010, 2011, 2012, 2013, 2014

2011-03-18

... p.m., E.T., Monday through Friday, except federal holidays. An electronic version of this document... Administration, 1200 New Jersey Avenue, SE., Room W21-203, Washington, DC 20590. Telephone 202-366-5979, E-mail... 6 passengers for hire for the intent of sport fishing. The fish will not be sold at any time...

State safety oversight program : audit of the tri-state oversight committee and the Washington metropolitan area transit authority, final audit report, March 4, 2010.

DOT National Transportation Integrated Search

2010-03-04

The Federal Transit Administration (FTA) conducted an on-site audit of the safety program implemented by the Washington Metropolitan Area Transit Authority (WMATA) and overseen by the Tri-State Oversight Committee (TOC) between December 14 and 17, 20...

A new era in science at Washington University, St. Louis: Viktor Hamburger's zoology department in the 1940's.

PubMed

Carson, H L

2001-04-01

In the early 1940s, the administration of the College of Arts and Sciences at Washington University, St. Louis was firmly in the hands of classical scholars who were not inclined to promote the development of modern research on scientific subjects. Funds supporting research in biology favored the School of Medicine and the Missouri Botanical Garden. Viktor Hamburger arrived at Washington University in 1935. At about the time he became the Acting Chairman of Zoology in 1942, research work in the biological departments began a dramatic surge that has continued to this day. For 65 years under his counsel and leadership, basic biology has thrived at this fine institution. As an early faculty recruit, I recount here a few personal recollections from those formative years.

Billing code algorithms to identify cases of peripheral artery disease from administrative data

PubMed Central

Fan, Jin; Arruda-Olson, Adelaide M; Leibson, Cynthia L; Smith, Carin; Liu, Guanghui; Bailey, Kent R; Kullo, Iftikhar J

2013-01-01

Objective To construct and validate billing code algorithms for identifying patients with peripheral arterial disease (PAD). Methods We extracted all encounters and line item details including PAD-related billing codes at Mayo Clinic Rochester, Minnesota, between July 1, 1997 and June 30, 2008; 22 712 patients evaluated in the vascular laboratory were divided into training and validation sets. Multiple logistic regression analysis was used to create an integer code score from the training dataset, and this was tested in the validation set. We applied a model-based code algorithm to patients evaluated in the vascular laboratory and compared this with a simpler algorithm (presence of at least one of the ICD-9 PAD codes 440.20–440.29). We also applied both algorithms to a community-based sample (n=4420), followed by a manual review. Results The logistic regression model performed well in both training and validation datasets (c statistic=0.91). In patients evaluated in the vascular laboratory, the model-based code algorithm provided better negative predictive value. The simpler algorithm was reasonably accurate for identification of PAD status, with lesser sensitivity and greater specificity. In the community-based sample, the sensitivity (38.7% vs 68.0%) of the simpler algorithm was much lower, whereas the specificity (92.0% vs 87.6%) was higher than the model-based algorithm. Conclusions A model-based billing code algorithm had reasonable accuracy in identifying PAD cases from the community, and in patients referred to the non-invasive vascular laboratory. The simpler algorithm had reasonable accuracy for identification of PAD in patients referred to the vascular laboratory but was significantly less sensitive in a community-based sample. PMID:24166724

Access Washington Home

Science.gov Websites

- state and local licensing and registration requirements. Watch - Find out what legal aid clients and Microsoft President Brad Smith have to say in this short video - Civil Legal Aid in Washington State. Health

4 CFR 5.4 - Pay administration.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 4 Accounts 1 2010-01-01 2010-01-01 false Pay administration. 5.4 Section 5.4 Accounts GOVERNMENT ACCOUNTABILITY OFFICE PERSONNEL SYSTEM COMPENSATION § 5.4 Pay administration. The provisions of chapter 55 of title 5, U.S. Code and the Office of Personnel Management implementing regulations apply to Government...

Workforce: Washington

ERIC Educational Resources Information Center

Western Interstate Commission for Higher Education, 2006

2006-01-01

In Washington, the demand for well-educated employees will only increase over the next several years. In the decade leading up to 2012, healthcare occupations will see growth of 20 percent. Teachers will be in demand: nearly 9,000 new elementary and middle-school educators will need to be hired. Computer fields will undergo growth of 24 percent,…

Current Campus Issues. Proceedings June 1969 Institutes on College and University Administration.

ERIC Educational Resources Information Center

University Consultants, Inc., Cambridge, MA.

The Institutes were held in Washington, D.C. and Ann Arbor, Mich. in June 1969, and were directed toward helping administrators develop greater senstivity and understanding of the critical issues facing them. This monograph contains a description of the 3-day "campus confrontation crisis" game played by the conference participants, and presents…

29 CFR 2.2 - Employees attached to Washington office.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 29 Labor 1 2013-07-01 2013-07-01 false Employees attached to Washington office. 2.2 Section 2.2 Labor Office of the Secretary of Labor GENERAL REGULATIONS General § 2.2 Employees attached to Washington office. No person who has been an employee of the Department and attached to the Washington office...

29 CFR 2.2 - Employees attached to Washington office.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 29 Labor 1 2014-07-01 2013-07-01 true Employees attached to Washington office. 2.2 Section 2.2 Labor Office of the Secretary of Labor GENERAL REGULATIONS General § 2.2 Employees attached to Washington office. No person who has been an employee of the Department and attached to the Washington office...

29 CFR 2.2 - Employees attached to Washington office.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 1 2010-07-01 2010-07-01 true Employees attached to Washington office. 2.2 Section 2.2 Labor Office of the Secretary of Labor GENERAL REGULATIONS General § 2.2 Employees attached to Washington office. No person who has been an employee of the Department and attached to the Washington office...

29 CFR 2.2 - Employees attached to Washington office.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 29 Labor 1 2011-07-01 2011-07-01 false Employees attached to Washington office. 2.2 Section 2.2 Labor Office of the Secretary of Labor GENERAL REGULATIONS General § 2.2 Employees attached to Washington office. No person who has been an employee of the Department and attached to the Washington office...

29 CFR 2.2 - Employees attached to Washington office.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 29 Labor 1 2012-07-01 2012-07-01 false Employees attached to Washington office. 2.2 Section 2.2 Labor Office of the Secretary of Labor GENERAL REGULATIONS General § 2.2 Employees attached to Washington office. No person who has been an employee of the Department and attached to the Washington office...

12 CFR 4.4 - Washington office and web site.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 12 Banks and Banking 1 2013-01-01 2013-01-01 false Washington office and web site. 4.4 Section 4.4... EXAMINERS Organization and Functions § 4.4 Washington office and web site. The Washington office of the OCC...'s Web site is at http://www.occ.gov. [76 FR 43561, July 21, 2011] ...

12 CFR 4.4 - Washington office and web site.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 12 Banks and Banking 1 2014-01-01 2014-01-01 false Washington office and web site. 4.4 Section 4.4... EXAMINERS Organization and Functions § 4.4 Washington office and web site. The Washington office of the OCC...'s Web site is at http://www.occ.gov. [76 FR 43561, July 21, 2011] ...

12 CFR 4.4 - Washington office and web site.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 12 Banks and Banking 1 2012-01-01 2012-01-01 false Washington office and web site. 4.4 Section 4.4... EXAMINERS Organization and Functions § 4.4 Washington office and web site. The Washington office of the OCC...'s Web site is at http://www.occ.gov. [76 FR 43561, July 21, 2011] ...

30 CFR 947.700 - Washington Federal program.

Code of Federal Regulations, 2010 CFR

2010-07-01

....700 Mineral Resources OFFICE OF SURFACE MINING RECLAMATION AND ENFORCEMENT, DEPARTMENT OF THE INTERIOR PROGRAMS FOR THE CONDUCT OF SURFACE MINING OPERATIONS WITHIN EACH STATE WASHINGTON § 947.700 Washington Federal program. (a) This part contains all rules that are applicable to surface coal mining operations in...

75 FR 13131 - General Services Administration Acquisition Regulation; Submission for OMB Review; GSA Advantage...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-03-18

... Services Administration Acquisition Regulation; Submission for OMB Review; GSA Advantage![reg] and... requirement regarding GSA Advantage![reg] and Electronic Commerce-FACNET. A request for public comments was..., Washington, DC 20405. Please cite OMB Control No. 3090-00XX, GSA Advantage![reg] and Electronic Commerce...

ASTER Washington, D.C.

NASA Image and Video Library

2000-10-06

The White House, the Jefferson Memorial, and the Washington Monument with its shadow are all visible in this image of Washington, D.C. With its 15-meter spatial resolution, ASTER can see individual buildings. Taken on June 1, 2000, this image covers an area 14 kilometers (8.5 miles) wide and 13.7 kilometers (8.2 miles) long in three bands of the reflected visible and infrared wavelength region. The combination of visible and near infrared bands displays vegetation in red and water in dark grays. The Potomac River flows from the middle left to the bottom center. The large red area west of the river is Arlington National Cemetery. http://photojournal.jpl.nasa.gov/catalog/PIA02655

40 CFR 52.2470 - Identification of plan.

Code of Federal Regulations, 2010 CFR

2010-07-01

...; Washington Administrative Code Chapter 173-430 (Burning of Field and Forage and Turf Grasses Grown for Seed...; Appendix G, Outline of Puget Sound Tropospheric Ozone Research Plan; and Appendix H, Prospective Vehicle... Households; Appendix H, Portland/Vancouver Carbon Monoxide Nonattainment Area Separation Documentation...

21 CFR 610.67 - Bar code label requirements.

Code of Federal Regulations, 2011 CFR

2011-04-01

... 21 Food and Drugs 7 2011-04-01 2010-04-01 true Bar code label requirements. 610.67 Section 610.67 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) BIOLOGICS GENERAL BIOLOGICAL PRODUCTS STANDARDS Labeling Standards § 610.67 Bar code label requirements...

21 CFR 610.67 - Bar code label requirements.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 21 Food and Drugs 7 2010-04-01 2010-04-01 false Bar code label requirements. 610.67 Section 610.67 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) BIOLOGICS GENERAL BIOLOGICAL PRODUCTS STANDARDS Labeling Standards § 610.67 Bar code label requirements...

Dress Codes. Legal Brief.

ERIC Educational Resources Information Center

Zirkel, Perry A.

2000-01-01

As illustrated by two recent decisions, the courts in the past decade have demarcated wide boundaries for school officials considering dress codes, whether in the form of selective prohibitions or required uniforms. Administrators must warn the community, provide legitimate justification and reasonable clarity, and comply with state law. (MLH)

An innovative program to address learning barriers in small schools: Washington State School Nurse Corps.

PubMed

Fast, Gail Ann; Gray, Lorali; Miles-Koehler, Mona

2013-01-01

While all schools in Washington State have had to deal with shrinking financial resources, small, rural school districts, with fewer than 2,000 students, face unique circumstances that further challenge their ability to meet rising student health needs. This article will explore how small districts utilize the services of the Washington State School Nurse Corps (SNC), an innovative program that supports student health and safety while reducing barriers to learning. Through direct registered nursing services and regional nurse administrative consultation and technical assistance, the SNC strengthens rural school districts' capacity to provide a safe and healthy learning environment. In addition, we will examine current research that links health and learning to discover how the SNC model is successful in addressing health risks as barriers to learning. Lastly, as resources continue to dwindle, partnerships between schools, the SNC, and state and local health and education organizations will be critical in maintaining health services and learning support to small, rural schools.

Father Secchi Goes to Washington

NASA Astrophysics Data System (ADS)

McCarthy, M. F.

1994-12-01

In 1848 a small group of Jesuit refugees arrived at Georgetown College near Washington, D.C. Among them was a young priest, Angelo Secchi, who had finished theology studies in Rome, but had not been able to complete his final examinations. This done successfully, Secchi turned to astronomy and the new facilities of the Georgetown College Observatory, directed by its founder, Fr. James Curley. During his two years in Washington, Secchi studied physics, wrote an article on Electrical Rheometry for the Smithsonian Institution, and formed a friendship with Matthew Fontaine Maury of the U.S. Navy, who headed the Chart Service and in 1844 was named superintendent of the National Observatory. This was later named the U.S. Naval Observatory. Secchi's friendships formed during the Washington visit proved most helpful for relations between European astronomers and U.S. colleagues. Secchi, after his return to Rome constructed the Observatory of the Collegio Romano atop the baroque Church of St. Ignatius in Rome and began his work in spectral classification of stars.

Aerospace Training. Washington's Community and Technical Colleges

ERIC Educational Resources Information Center

Washington State Board for Community and Technical Colleges, 2014

2014-01-01

Aerospace is an economic powerhouse that generates jobs and fuels our economy. Washington's community and technical colleges produce the world-class employees needed to keep it that way. With about 1,250 aerospace-related firms employing more than 94,000 workers, Washington has the largest concentration of aerospace expertise in the nation. To…

Corrections Education. Washington's Community and Technical Colleges

ERIC Educational Resources Information Center

Washington State Board for Community and Technical Colleges, 2015

2015-01-01

The Washington State Department of Corrections contracts with community colleges to provide basic education and job training at each of the state's 12 adult prisons so upon release, individuals are more likely to get jobs and less likely to return. Washington State community colleges build a bridge for offenders to successfully re-enter…

Community & Technical College Share of Washington's Educational Attainment Goals for 2023

ERIC Educational Resources Information Center

Washington State Board for Community and Technical Colleges, 2015

2015-01-01

In 2013, the Washington Student Achievement Council (WSAC) set a 10 year plan for improving the educational attainment of Washington residents. The Roadmap included two educational attainment goals for 2023: (1) All adults in Washington, ages 25-44, will have a high school diploma or equivalent; and (2) At least 70 percent of Washington adults,…

78 FR 46258 - Drawbridge Operation Regulation Lake Washington, Seattle, WA

Federal Register 2010, 2011, 2012, 2013, 2014

2013-07-31

... Operation Regulation Lake Washington, Seattle, WA AGENCY: Coast Guard, DHS. ACTION: Notice of deviation from... that governs the Evergreen Point Floating Bridge (State Route 520 across Lake Washington) at Seattle... Route 520 across Lake Washington) remain closed to vessel traffic to facilitate safe passage of...

State of Washington Population Trends, 1977. Washington State Information Report.

ERIC Educational Resources Information Center

Washington State Office of Program Planning and Fiscal Management, Olympia.

As of April 1, 1977, Washington's population was estimated at 3,661,975--an increase of 248,725 since 1970. Prepared yearly, this report presents data on the official April 1 population estimates for cities, towns, and counties; components of population change; planned population forecasting activities; procedures which help make the housing unit…

Second Report of the Washington State Advisory Council on Vocational Education: Part I, Findings, Conclusions, Recommendations, and Part II, Commentary and Detailed Survey Results.

ERIC Educational Resources Information Center

Washington State Advisory Council on Vocational Education, Olympia.

To determine the public's attitude relative to vocational education, the Washington State Advisory Council on Vocational Education distributed attitudinal opinionnaires to 2,200 individuals randomly selected from predefined users of vocational education services. The users included: (1) teachers, students, and administrators in public schools,…

75 FR 73073 - Washington Gas Light Company; Notice of Filing

Federal Register 2010, 2011, 2012, 2013, 2014

2010-11-29

... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Docket No. PR11-74-000] Washington Gas Light Company; Notice of Filing November 18, 2010. Take notice that on November 15, 2010, Washington Gas Light Company (Washington Gas) filed its annual actual lost and unaccounted for volumes (LAUF...

76 FR 26719 - Washington 10 Storage Corporation; Notice of Filing

Federal Register 2010, 2011, 2012, 2013, 2014

2011-05-09

... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Docket No. PR11-80-001] Washington 10 Storage Corporation; Notice of Filing Take notice that on April 29, 2011, Washington 10 Storage Corporation (Washington 10) filed a revised Statement of Operating Conditions (SOC) to comply with an April 25...

76 FR 78915 - Washington 10 Storage Corporation; Notice of Filing

Federal Register 2010, 2011, 2012, 2013, 2014

2011-12-20

... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Docket No. PR12-10-000] Washington 10 Storage Corporation; Notice of Filing Take notice that on December 13, 2011, Washington 10 Storage Corporation (Washington 10) filed a Statement of Operating Conditions to revise certain provisions of its Firm...

NNSA Administrator Thomas D'Agostino delivers remarks at DOE's Commemorative Veterans Day Program

ScienceCinema

Administrator D'Agostino

2017-12-09

Administrator D'Agostino, a Navy veteran, was part of a November 2009 program at DOE headquarters in Washington, D.C., celebrating Veterans Day and commemorating the 10th anniversary of the DOE Veterans Task Force. Veterans comprise nearly 30 percent of NNSA's workforce, and many NNSA employees are currently on active duty.

NNSA Administrator Thomas D'Agostino delivers remarks at DOE's Commemorative Veterans Day Program

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

Administrator D'Agostino

2009-12-02

Administrator D'Agostino, a Navy veteran, was part of a November 2009 program at DOE headquarters in Washington, D.C., celebrating Veterans Day and commemorating the 10th anniversary of the DOE Veterans Task Force. Veterans comprise nearly 30 percent of NNSA's workforce, and many NNSA employees are currently on active duty.

Best Practices for Onboarding New Nursing Faculty: The Role of the Nurse Administrator

ERIC Educational Resources Information Center

Lee, Antwinett O.

2017-01-01

This study explored best practices for onboarding new faculty in nursing programs in Washington State of the United States. The purpose of this study was to examine, (a) onboarding practices to orient new faculty currently used at nursing programs that provide an Associate Degree, (b) the perceived nurse administrator's role in providing…

75 FR 53964 - Washington Gas Light Company; Notice of Filing

Federal Register 2010, 2011, 2012, 2013, 2014

2010-09-02

... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Docket No. PR09-8-004] Washington Gas Light Company; Notice of Filing August 27, 2010. Take notice that on August 24, 2010, Washington Gas Light Company (Washington Gas) filed to revise the Statement of Interstate Service Rates of its Firm...

Administrator Bridenstine: ‘We Are Going the Moon’

NASA Image and Video Library

2018-05-08

NASA Administrator Jim Bridenstine asked commercial companies to help get the agency back to the Moon as quickly as possible during an ‘industry day', Tuesday, May 8, 2018 held at NASA Headquarters in Washington. NASA is calling for commercial proposals for delivering instruments, experiments, and other small payloads to the surface of the Moon as early as next year. This solicitation is part of a broader Exploration Campaign that will pave the way for a human return to the Moon.

Reshaping the Image of Booker T. Washington

ERIC Educational Resources Information Center

Norrell, Robert J.

2009-01-01

Booker T. Washington, founder of the Tuskegee Institute and the recognized leader of American black people from 1895 until his death in 1915, has been viewed as an accommodationist to segregation, an African-American leader who traded black equality and voting rights for his own influence among white bigots. Washington rose to national fame with a…

Early Childhood Injury Deaths in Washington State.

ERIC Educational Resources Information Center

Starzyk, Patricia M.

This paper discusses data on the deaths of children aged 1-4 years in Washington State. A two-fold approach was used in the analysis. First, Washington State death certificate data for 1979-85 were used to characterize the deaths and identify hazardous situations. Second, death certificates were linked to birth certificates of children born in…

Implementing a bar-code assisted medication administration system: effects on the dispensing process and user perceptions.

PubMed

Samaranayake, N R; Cheung, S T D; Cheng, K; Lai, K; Chui, W C M; Cheung, B M Y

2014-06-01

We assessed the effects of a bar-code assisted medication administration system used without the support of computerised prescribing (stand-alone BCMA), on the dispensing process and its users. The stand-alone BCMA system was implemented in one ward of a teaching hospital. The number of dispensing steps, dispensing time and potential dispensing errors (PDEs) were directly observed one month before and eight months after the intervention. Attitudes of pharmacy and nursing staff were assessed using a questionnaire (Likert scale) and interviews. Among 1291 and 471 drug items observed before and after the introduction of the technology respectively, the number of dispensing steps increased from five to eight and time (standard deviation) to dispense one drug item by one staff personnel increased from 0.8 (0.09) to 1.5 (0.12) min. Among 2828 and 471 drug items observed before and after the intervention respectively, the number of PDEs increased significantly (P<0.001). 'Procedural errors' and 'missing drug items' were the frequently observed PDEs in the after study. 'Perceived usefulness' and 'job relevance' of the technology decreased significantly (P=0.003 and P=0.004 respectively) among users who participated in the before (N=16) and after (N=16) questionnaires surveys. Among the interviewees, pharmacy staff felt that the system offered less benefit to the dispensing process (9/16). Nursing staff perceived the system as useful in improving the accuracy of drug administration (7/10). Implementing a stand-alone BCMA system may slow down and complicate the dispensing process. Nursing staff believe the stand-alone BCMA system could improve the drug administration process but pharmacy staff believes the technology would be more helpful if supported by computerised prescribing. However, periodical assessments are needed to identify weaknesses in the process after implementation, and all users should be educated on the benefits of using this technology. Copyright © 2014

Geologic map of the Richland 1:100,000 quadrangle, Washington

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

Reidel, S.P.; Fecht, K.R.

1993-09-01

This map of the Richland 1:100,000-scale quadrangle, Washington, shows the geology of one of fifteen complete or partial 1:100,000-scale quadrangles that cover the southeast quadrant of Washington. Geologic maps of these quadrangles have been compiled by geologists with the Washington Division of Geology and Earth Resources (DGER) and Washington State University and are the principal data sources for a 1:250,000-scale geologic map of the southeast quadrant of Washington, which is in preparation. Eleven of these quadrangles are being released as DGER open-file reports. The map of the Wenatchee quadrangle has been published by the US Geological Survey, and the Mosesmore » Lake, Ritzville quadrangles have already been released.« less

Requirements for a Washington State freight simulation model.

DOT National Transportation Integrated Search

2009-12-01

WSDOT and TransNow have already allocated $190,000 to researchers at the University of Washington and the : Washington State University to explore the flow of goods through the transportation system, the dynamics of that flow in : response to disrupt...

Alternative Fuels Data Center: E85 Codes and Standards

Science.gov Websites

Development Equipment Options Equipment Installation Codes, Standards, & Safety Vehicles Laws & ; Incentives Ethanol Codes, Standards, and Safety The U.S. Environmental Protection Agency's (EPA) Office of -Gasoline Blends. The Occupational Safety and Health Administration (OSHA) regulates some fuel-dispensing

76 FR 377 - Land Acquisitions; Cowlitz Indian Tribe of Washington

Federal Register 2010, 2011, 2012, 2013, 2014

2011-01-04

... State of Washington by Auditor's File Nos. G 450664 and G 147358. Parcel II That portion of the... thereof acquired by the State of Washington by deed recorded under Auditor's File Nos. G 140380 and D... recorded under Auditor's File No. F 38759, records of Clark County, Washington, described as follows...

Population trajectory of burrowing owls (Athene cunicularia) in eastern Washington

USGS Publications Warehouse

Conway, C.J.; Pardieck, K.L.

2006-01-01

Anecdotal evidence suggests that burrowing owls have declined in Washington. The Washington Department of Fish and Wildlife is currently conducting a status review for burrowing owls which will help determine whether they should be listed as threatened or endangered in the state. To provide insights into the current status of burrowing owls (Athene cunicularia), we analyzed data from the North American Breeding Bird Survey using two analytical approaches to determine their current population trajectory in eastern Washington. We used a one-sample t-test to examine whether trend estimates across all BBS routes in Washington differed from zero. We also used a mixed model analysis to estimate the rate of decline in number of burrowing owls detected between 1968 and 2005. The slope in number of burrowing owls detected was negative for 12 of the 16 BBS routes in Washington that have detected burrowing owls. Numbers of breeding burrowing owls detected in eastern Washington declined at a rate of 1.5% annually. We suggest that all BBS routes that have detected burrowing owls in past years in eastern Washington be surveyed annually and additional surveys conducted to track population trends of burrowing owls at finer spatial scales in eastern Washington. In the meantime, land management and regulatory agencies should ensure that publicly managed areas with breeding burrowing owls are not degraded and should implement education and outreach programs to promote protection of privately owned areas with breeding owls.

48 CFR 501.105-1 - Publication and code arrangement.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 48 Federal Acquisition Regulations System 4 2010-10-01 2010-10-01 false Publication and code arrangement. 501.105-1 Section 501.105-1 Federal Acquisition Regulations System GENERAL SERVICES ADMINISTRATION GENERAL GENERAL SERVICES ADMINISTRATION ACQUISITION REGULATION SYSTEM Purpose, Authority, Issuance...

21 CFR 201.25 - Bar code label requirements.

Code of Federal Regulations, 2010 CFR

2010-04-01

... Evaluation and Research, Food and Drug Administration, 5600 Fishers Lane, Rockville, MD 20857 (requests... Biologics Evaluation and Research, Food and Drug Administration, 1401 Rockville Pike, Rockville, MD 20852... 21 Food and Drugs 4 2010-04-01 2010-04-01 false Bar code label requirements. 201.25 Section 201.25...

How State and Federal Accountability Policies Have Influenced Curriculum and Instruction in Three States: Common Findings from Rhode Island, Illinois, and Washington

ERIC Educational Resources Information Center

Srikantaiah, Deepa

2009-01-01

This report takes an in-depth look at how classroom practices in Rhode Island, Illinois, and Washington State have been influenced by state accountability policies and the No Child Left Behind Act (NCLB). It examines how teachers and administrators have responded to increased accountability and pressure to meet state standards. Drawing from case…

44 CFR Appendix A to Part 62 - Federal Emergency Management Agency, Federal Insurance Administration, Financial Assistance...

Code of Federal Regulations, 2012 CFR

2012-10-01

... Insurance Administration, Washington, DC 20472. Article I—Findings, Purpose, and Authority Whereas, the... parties hereto mutually undertake the following: Article II—Undertaking of the Company A. Eligibility... cannot be mailed due to insufficient or erroneous information or insufficient funds, a request for...

44 CFR Appendix A to Part 62 - Federal Emergency Management Agency, Federal Insurance Administration, Financial Assistance...

Code of Federal Regulations, 2014 CFR

2014-10-01

... Insurance Administration, Washington, DC 20472. Article I—Findings, Purpose, and Authority Whereas, the... parties hereto mutually undertake the following: Article II—Undertaking of the Company A. Eligibility... cannot be mailed due to insufficient or erroneous information or insufficient funds, a request for...

44 CFR Appendix A to Part 62 - Federal Emergency Management Agency, Federal Insurance Administration, Financial Assistance...

Code of Federal Regulations, 2013 CFR

2013-10-01

... Insurance Administration, Washington, DC 20472. Article I—Findings, Purpose, and Authority Whereas, the... parties hereto mutually undertake the following: Article II—Undertaking of the Company A. Eligibility... cannot be mailed due to insufficient or erroneous information or insufficient funds, a request for...

44 CFR Appendix A to Part 62 - Federal Emergency Management Agency, Federal Insurance Administration, Financial Assistance...

Code of Federal Regulations, 2011 CFR

2011-10-01

... Insurance Administration, Washington, DC 20472. Article I—Findings, Purpose, and Authority Whereas, the... parties hereto mutually undertake the following: Article II—Undertaking of the Company A. Eligibility... cannot be mailed due to insufficient or erroneous information or insufficient funds, a request for...

State of Washington Population Trends, 1975. Washington State Information Report.

ERIC Educational Resources Information Center

Washington State Office of Program Planning and Fiscal Management, Olympia.

As of April 1, 1975, Washington's population was estimated at 3,494,124--an increase of 80,874 since 1970. Prepared yearly, this report presents tabular data pertaining to: (1) current April 1 estimates for cities, towns, and counties; (2) current decline in household size; (3) the use of postal vacancy surveys in estimating vacancy rates; and (4)…

1 CFR 11.3 - Code of Federal Regulations.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 1 General Provisions 1 2010-01-01 2010-01-01 false Code of Federal Regulations. 11.3 Section 11.3 General Provisions ADMINISTRATIVE COMMITTEE OF THE FEDERAL REGISTER AVAILABILITY OF OFFICE OF THE FEDERAL... complete set of the Code of Federal Regulations is $1,019 per year for the bound, paper edition, or $247...

1 CFR 11.3 - Code of Federal Regulations.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 1 General Provisions 1 2011-01-01 2011-01-01 false Code of Federal Regulations. 11.3 Section 11.3 General Provisions ADMINISTRATIVE COMMITTEE OF THE FEDERAL REGISTER AVAILABILITY OF OFFICE OF THE FEDERAL... complete set of the Code of Federal Regulations is $1,019 per year for the bound, paper edition, or $247...

1 CFR 11.3 - Code of Federal Regulations.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 1 General Provisions 1 2012-01-01 2012-01-01 false Code of Federal Regulations. 11.3 Section 11.3 General Provisions ADMINISTRATIVE COMMITTEE OF THE FEDERAL REGISTER AVAILABILITY OF OFFICE OF THE FEDERAL... complete set of the Code of Federal Regulations is $1,019 per year for the bound, paper edition, or $247...

NAICS Sector 92: Public Administration

EPA Pesticide Factsheets

Find the public administration industries EPA regulations affect, with their North American Industry Classification System (NAICS) code. On those pages you can find a list of laws and regulations that affect your industry as well as compliance information

Annual Coded Wire Tag Program; Oregon Missing Production Groups, 1997 Annual Report.

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

Lewis, Mark A.; Mallette, Christine; Murray, William M.

1998-03-01

This annual report is in fulfillment of contract obligations with Bonneville Power Administration which is the funding source for the Oregon Department of Fish and Wildlife's Annual Coded Wire Tag Program - Oregon Missing Production Groups Project. Tule stock fall chinook were caught primarily in British Columbia and Washington ocean, and Oregon freshwater fisheries. Up-river bright stock fall chinook contributed primarily to Alaska and British Columbia ocean commercial, and Columbia River gillnet and other freshwater fisheries. Contribution of Rogue stock fall chinook released in the lower Columbia River occurred primarily in Oregon ocean commercial and Columbia river gillnet fisheries. Willamettemore » stock spring chinook contributed primarily to Alaska and British Columbia ocean commercial, Oregon freshwater sport and Columbia River gillnet fisheries. Willamette stock spring chinook released by CEDC contributed to similar ocean fisheries, but had much higher catch in gillnet fisheries than the same stocks released in the Willamette system. Up-river stocks of spring chinook contributed almost exclusively to Columbia River sport fisheries and other freshwater recovery areas. The up-river stocks of Columbia River summer steelhead contributed primarily to the Columbia River gillnet and other freshwater fisheries. Coho ocean fisheries from Washington to California were closed or very limited from 1994 through 1997 (1991 through 1994 broods). This has resulted in a greater average percent of catch for other fishery areas. Coho stocks released by ODFW below Bonneville Dam contributed mainly to Oregon and Washington ocean, Columbia Gillnet and other freshwater fisheries. Coho stocks released in the Klaskanine River and Youngs Bay area had similar ocean catch, but much higher contribution to gillnet fisheries than the other coho releases. Coho stocks released above Bonneville Dam had similar contribution to ocean fisheries as other coho releases. However, they

21 CFR 201.25 - Bar code label requirements.

Code of Federal Regulations, 2011 CFR

2011-04-01

... and Research, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 51, Silver Spring, MD...-600), Center for Biologics Evaluation and Research, Food and Drug Administration, 1401 Rockville Pike... 21 Food and Drugs 4 2011-04-01 2011-04-01 false Bar code label requirements. 201.25 Section 201.25...

Accuracy of lung cancer ICD-9-CM codes in Umbria, Napoli 3 Sud and Friuli Venezia Giulia administrative healthcare databases: a diagnostic accuracy study

PubMed Central

Montedori, Alessandro; Bidoli, Ettore; Serraino, Diego; Fusco, Mario; Giovannini, Gianni; Casucci, Paola; Franchini, David; Granata, Annalisa; Ciullo, Valerio; Vitale, Maria Francesca; Gobbato, Michele; Chiari, Rita; Cozzolino, Francesco; Orso, Massimiliano; Orlandi, Walter

2018-01-01

Objectives To assess the accuracy of International Classification of Diseases 9th Revision–Clinical Modification (ICD-9-CM) codes in identifying subjects with lung cancer. Design A cross-sectional diagnostic accuracy study comparing ICD-9-CM 162.x code (index test) in primary position with medical chart (reference standard). Case ascertainment was based on the presence of a primary nodular lesion in the lung and cytological or histological documentation of cancer from a primary or metastatic site. Setting Three operative units: administrative databases from Umbria Region (890 000 residents), ASL Napoli 3 Sud (NA) (1 170 000 residents) and Friuli Venezia Giulia (FVG) Region (1 227 000 residents). Participants Incident subjects with lung cancer (n=386) diagnosed in primary position between 2012 and 2014 and a population of non-cases (n=280). Outcome measures Sensitivity, specificity and positive predictive value (PPV) for 162.x code. Results 130 cases and 94 non-cases were randomly selected from each database and the corresponding medical charts were reviewed. Most of the diagnoses for lung cancer were performed in medical departments. True positive rates were high for all the three units. Sensitivity was 99% (95% CI 95% to 100%) for Umbria, 97% (95% CI 91% to 100%) for NA, and 99% (95% CI 95% to 100%) for FVG. The false positive rates were 24%, 37% and 23% for Umbria, NA and FVG, respectively. PPVs were 79% (73% to 83%)%) for Umbria, 58% (53% to 63%)%) for NA and 79% (73% to 84%)%) for FVG. Conclusions Case ascertainment for lung cancer based on imaging or endoscopy associated with histological examination yielded an excellent sensitivity in all the three administrative databases. PPV was moderate for Umbria and FVG but lower for NA. PMID:29773701

Lightning Technology.

DTIC Science & Technology

1980-04-01

greatly intensify the thermoelectric effect by providing a source of warm particles in a freezing environment. The presence of contaminants can...Organization Code 7. Autor~s)8. Performing Organization Report No. F~ AA en2 L13666 9. Performing Organization Name and Address50 -4-30 NAS5A Langley...Publication National Aeronautics and Space Administration 14. Sponsoring Agency Code Washington, DC 20546 and Florida Institute of Technology Melbourne, FL

Getting Veterans Back to Work. Washington's Community and Technical Colleges

ERIC Educational Resources Information Center

Washington State Board for Community and Technical Colleges, 2015

2015-01-01

Each year about 13,000 military personnel leave the service and select Washington state as their home, bringing with them a wealth of experience and a wide range of skills. Washington ranks among the top five most popular states for military personnel separating from the service. Washington's 34 community and technical colleges are a perfect fit…

Washington Play Fairway Analysis Geothermal GIS Data

DOE Data Explorer

Corina Forson

2015-12-15

This file contains file geodatabases of the Mount St. Helens seismic zone (MSHSZ), Wind River valley (WRV) and Mount Baker (MB) geothermal play-fairway sites in the Washington Cascades. The geodatabases include input data (feature classes) and output rasters (generated from modeling and interpolation) from the geothermal play-fairway in Washington State, USA. These data were gathered and modeled to provide an estimate of the heat and permeability potential within the play-fairways based on: mapped volcanic vents, hot springs and fumaroles, geothermometry, intrusive rocks, temperature-gradient wells, slip tendency, dilation tendency, displacement, displacement gradient, max coulomb shear stress, sigma 3, maximum shear strain rate, and dilational strain rate at 200m and 3 km depth. In addition this file contains layer files for each of the output rasters. For details on the areas of interest please see the 'WA_State_Play_Fairway_Phase_1_Technical_Report' in the download package. This submission also includes a file with the geothermal favorability of the Washington Cascade Range based off of an earlier statewide assessment. Additionally, within this file there are the maximum shear and dilational strain rate rasters for all of Washington State.

75 FR 10414 - Researcher Identification Card

Federal Register 2010, 2011, 2012, 2013, 2014

2010-03-08

... capturing administrative information on the characteristics of our users. Other forms of identification are... use bar-codes on researcher identification cards in the Washington, DC, area. The plastic cards we... plastic researcher identification cards as part of their security systems, we issue a plastic card to...

Opportunities for addressing laminated root rot caused by Phellinus sulphuracens in Washington's forests: A Report from the Washington State Academy of Sciences in cooperation with the Washington State Department of Natural Resources

Treesearch

R. James Cook; Robert L. Edmonds; Ned B. Klopfenstein; Willis Littke; Geral McDonald; Daniel Omdahl; Karen Ripley; Charles G. Shaw; Rona Sturrock; Paul Zambino

2013-01-01

This report from the Washington State Academy of Sciences (WSAS) is in response to a request from the Washington State Department of Natural Resources (DNR) to "identify approaches and opportunities ripe for research on understanding and managing root diseases of Douglas-fir." Similar to the process used by the National Research Council, the WSAS upon...

36 CFR 1253.4 - Washington National Records Center.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 36 Parks, Forests, and Public Property 3 2014-07-01 2014-07-01 false Washington National Records Center. 1253.4 Section 1253.4 Parks, Forests, and Public Property NATIONAL ARCHIVES AND RECORDS... National Records Center. Washington National Records Center is located at 4205 Suitland Road, Suitland, MD...

36 CFR 1253.4 - Washington National Records Center.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 36 Parks, Forests, and Public Property 3 2012-07-01 2012-07-01 false Washington National Records Center. 1253.4 Section 1253.4 Parks, Forests, and Public Property NATIONAL ARCHIVES AND RECORDS... National Records Center. Washington National Records Center is located at 4205 Suitland Road, Suitland, MD...

36 CFR 1253.4 - Washington National Records Center.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 36 Parks, Forests, and Public Property 3 2011-07-01 2011-07-01 false Washington National Records Center. 1253.4 Section 1253.4 Parks, Forests, and Public Property NATIONAL ARCHIVES AND RECORDS... National Records Center. Washington National Records Center is located at 4205 Suitland Road, Suitland, MD...

25 CFR 11.705 - Removal of executor or administrator.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 25 Indians 1 2010-04-01 2010-04-01 false Removal of executor or administrator. 11.705 Section 11... OFFENSES AND LAW AND ORDER CODE Probate Proceedings § 11.705 Removal of executor or administrator. The Court of Indian Offenses may order the executor or administrator to show cause why he or she should not...

Washington's Bold Reformer

ERIC Educational Resources Information Center

Schachter, Ron

2008-01-01

For more than a year, the debate, press coverage, and buzz in Washington, D.C., have swirled over whether someone so different--and so relatively inexperienced--can deliver sweeping change. And presidential hopeful Barack Obama hasn't been the only one receiving that kind of unrelenting scrutiny. This article describes Michelle Rhee who became…

Evaluating Washington State's immunization information system as a research tool.

PubMed

Jackson, Michael L; Henrikson, Nora B; Grossman, David C

2014-01-01

Immunization information systems (IISs) are powerful public health tools for vaccination activities. To date, however, their use for public health research has been limited, in part as a result of insufficient understanding on accuracy and quality of IIS data. We evaluated the completeness and accuracy of Washington State IIS (WAIIS) data, with particular attention to data elements of research interest. We analyzed all WAIIS records on all children born between 2006 and 2010 with at least 1 vaccination recorded in WAIIS between 2006 and 2010. We assessed all variables for completeness and tested selected variables for internal validity. To assess external validity, we matched WAIIS data to records from Group Health, a large integrated health care organization in Washington State. On these children, we compared vaccination data in WAIIS with vaccination data from Group Health's immunization registry. The WAIIS data included 486,265 children and 8,670,234 unique vaccinations. Variables required by WAIIS (such as date of vaccination) were highly complete, but optional variables were often missing. For example, most records were missing data on route (80.7%) and anatomic site (81.7%) of vaccination. WAIIS data, when complete, were highly accurate relative to the Group Health immunization registry, with 96% to 99% agreement between fields such as vaccination code and anatomic site. Required data elements in WAIIS are highly complete and have both internal and external validity, suggesting that these variables are useful for research. Research requiring nonrequired variables should use additional validity checks before proceeding. Copyright © 2014 Academic Pediatric Association. Published by Elsevier Inc. All rights reserved.

Implementing a bar-coded bedside medication administration system.

PubMed

Yates, Cindy

2007-01-01

Hospitals across the nation are struggling with implementing electronic medication administration and reporting (eMAR) systems as part of patient safety programs. St Luke's Hospital in Chesterfield, Mo, initiated their eMAR initiative in June 2003, initiating program start-up in September 2004. This case study documents how the project was approached, its overall success, and what was learned along the way. Also included is a recent update highlighting the expansion of St Luke's patient safety initiative, adapting eMAR to two specialty units: dialysis and laboratory processes.

Washington Headquarters Services

Science.gov Websites

Status OPM Status: Open Open Main Navigation Home Our Services Our Customers Our People Our Leaders Our Organization Contact Us CAC Site Navigation Customers Employees Our Services Our Customers Our People Our facilities in the Washington, DC area. Read more about Our Customers Our People A picture with the left edge

Washington VAAC Homepage

Science.gov Websites

» OSPO Home » DOC » NOAA » NESDIS » OSPO NOAA Office of Satellite and Product Operations EMWIN GEONETCAST Americas GOES DCS LRIT NOAA Satellite Conferences NOAASIS SARSAT Products Atmosphere - Satellite Services Division - Office of Satellite Data Processing and Distribution Washington Volcanic Ash

75 FR 20776 - Security Zone; Potomac River, Washington Channel, Washington, DC

Federal Register 2010, 2011, 2012, 2013, 2014

2010-04-21

.... Coast Guard Commandant's Change of Command ceremony from 6 a.m. through 5 p.m. on May 25, 2010. Entry.... Basis and Purpose The Coast Guard will conduct a Change of Command ceremony at Fort McNair in Washington... the U.S. Coast Guard Commandant's Change of Command ceremony. Due to the catastrophic impact a...

Drivers' use of marijuana in Washington state : traffic tech.

DOT National Transportation Integrated Search

2016-08-01

In July 2014, Washington State allowed legal sales of : recreational marijuana. Working with the Washington : Traffic Safety Commission, NHTSA assisted the State in : conducting a roadside study to examine the prevalence : of marijuana use before and...

The Washington Library Network

ERIC Educational Resources Information Center

Franklin, Ralph W.; MacDonald, Clarice I.

1976-01-01

The objectives of the Washington Library Network (WLN) are 1) statewide sharing of resources among all types of libraries, 2) economically meeting the information demands of all citizens of the state, and 3) centralized computer-communication systems for bibliographic services. (Author)

78 FR 33149 - Requested Administrative Waiver of the Coastwise Trade Laws: Vessel CATTITUDE; Invitation for...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-06-03

... Administrative Waiver of the Coastwise Trade Laws: Vessel CATTITUDE; Invitation for Public Comments AGENCY... Floor, Room W12-140, 1200 New Jersey Avenue SE., Washington, DC 20590. You may also send comments electronically via the Internet at http://www.regulations.gov . All comments will become part of this docket and...

21 CFR 106.90 - Coding.

Code of Federal Regulations, 2013 CFR

2013-04-01

... 21 Food and Drugs 2 2013-04-01 2013-04-01 false Coding. 106.90 Section 106.90 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) FOOD FOR HUMAN CONSUMPTION INFANT FORMULA QUALITY CONTROL PROCEDURES Quality Control Procedures for Assuring Nutrient Content...

21 CFR 106.90 - Coding.

Code of Federal Regulations, 2011 CFR

2011-04-01

... 21 Food and Drugs 2 2011-04-01 2011-04-01 false Coding. 106.90 Section 106.90 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) FOOD FOR HUMAN CONSUMPTION INFANT FORMULA QUALITY CONTROL PROCEDURES Quality Control Procedures for Assuring Nutrient Content...

21 CFR 106.90 - Coding.

Code of Federal Regulations, 2012 CFR

2012-04-01

... 21 Food and Drugs 2 2012-04-01 2012-04-01 false Coding. 106.90 Section 106.90 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) FOOD FOR HUMAN CONSUMPTION INFANT FORMULA QUALITY CONTROL PROCEDURES Quality Control Procedures for Assuring Nutrient Content...

40 CFR 94.5 - Reference materials.

Code of Federal Regulations, 2011 CFR

2011-07-01

..., Washington, DC 20460 or at the National Archives and Records Administration (NARA). For information on the.../code_of_federal_regulations/ibr_locations.html. (a) ASTM material. Table 1 of § 94.5 lists material... internal combustion engines—Exhaust emission measurement—Part 1: Test-bed measurement of gaseous and...

Washington Monument Grounds, U.S. Reservation 2, Fiveacres, northeast section of ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Washington Monument Grounds, U.S. Reservation 2, Five-acres, northeast section of the 106-acre,Washington Monument Grounds. Bounded by Constitution Avenue to the north, Madison Drive to the south, 14th Street to the east, and 15th Street to the West, Washington, District of Columbia, DC

75 FR 10446 - Security Zone; Potomac River, Washington Channel, Washington, DC

Federal Register 2010, 2011, 2012, 2013, 2014

2010-03-08

... during the U.S. Coast Guard Commandant's Change of Command ceremony from 6 a.m. through 5 p.m. on May 25... Purpose The Coast Guard will conduct a Change of Command ceremony at Fort McNair in Washington, DC. To... the U.S. Coast Guard Commandant's Change of Command ceremony. Due to the catastrophic impact a...

Assessing the lumber manufacturing sector in western Washington

Treesearch

Jean M. Daniels

2010-01-01

The production structure of the lumber manufacturing sector in western Washington was investigated using a translog cost function with capital. labor, and sawlog inputs. Analyses were performed with a panel data set of biennial observations from 1972 to 2002 on a cross section of 16 western Washington counties. Production structure was examined using Allen and...

Washington: Hanford Nuclear Reservation

Atmospheric Science Data Center

2014-05-15

... is seen wending its way around the area, and the Snake River branches off to the right. According to Idaho's National Interagency Fire ... NASA's Jet Propulsion Laboratory, Pasadena, CA, for NASA's Science Mission Directorate, Washington, D.C. The Terra spacecraft is managed ...

Washington State School Finance, 1999: A Special Focus on Teacher Salaries.

ERIC Educational Resources Information Center

Plecki, Margaret L.

This paper provides current information about the funding of Washington's K-12 school finance system. Schools in Washington State derive most of their revenues from state sources. In response to a 1977 court ruling, 'Seattle v. State of Washington', the state assumed responsibility for funding "basic education" for a "uniform system…

EAARL topography: George Washington Birthplace National Monument

USGS Publications Warehouse

Brock, John C.; Wright, C. Wayne; Patterson, Matt; Nayegandhi, Amar; Patterson, Judd

2007-01-01

This Web site contains Lidar-derived topography (first return and bare earth) maps and GIS files for George Washington Birthplace National Monument in Virginia. These lidar-derived topography maps were produced as a collaborative effort between the U.S. Geological Survey (USGS) Coastal and Marine Geology Program, FISC St. Petersburg, the National Park Service (NPS), Northeast Coastal and Barrier Network, Inventory and Monitoring Program, and the National Aeronautics and Space Administration (NASA) Wallops Flight Facility. One objective of this research is to create techniques to survey coral reefs and barrier islands for the purposes of geomorphic change studies, habitat mapping, ecological monitoring, change detection, and event assessment. As part of this project, data from an innovative instrument under development at the NASA Wallops Flight Facility, the NASA Experimental Airborne Advanced Research Lidar (EAARL) are being used. This sensor has the potential to make significant contributions in this realm for measuring subaerial and submarine topography wthin cross-environment surveys. High spectral resolution, water-column correction, and low costs were found to be key factors in providing accurate and affordable imagery to coastal resource managers.

Identifying Pediatric Severe Sepsis and Septic Shock: Accuracy of Diagnosis Codes.

PubMed

Balamuth, Fran; Weiss, Scott L; Hall, Matt; Neuman, Mark I; Scott, Halden; Brady, Patrick W; Paul, Raina; Farris, Reid W D; McClead, Richard; Centkowski, Sierra; Baumer-Mouradian, Shannon; Weiser, Jason; Hayes, Katie; Shah, Samir S; Alpern, Elizabeth R

2015-12-01

To evaluate accuracy of 2 established administrative methods of identifying children with sepsis using a medical record review reference standard. Multicenter retrospective study at 6 US children's hospitals. Subjects were children >60 days to <19 years of age and identified in 4 groups based on International Classification of Diseases, Ninth Revision, Clinical Modification codes: (1) severe sepsis/septic shock (sepsis codes); (2) infection plus organ dysfunction (combination codes); (3) subjects without codes for infection, organ dysfunction, or severe sepsis; and (4) infection but not severe sepsis or organ dysfunction. Combination codes were allowed, but not required within the sepsis codes group. We determined the presence of reference standard severe sepsis according to consensus criteria. Logistic regression was performed to determine whether addition of codes for sepsis therapies improved case identification. A total of 130 out of 432 subjects met reference SD of severe sepsis. Sepsis codes had sensitivity 73% (95% CI 70-86), specificity 92% (95% CI 87-95), and positive predictive value 79% (95% CI 70-86). Combination codes had sensitivity 15% (95% CI 9-22), specificity 71% (95% CI 65-76), and positive predictive value 18% (95% CI 11-27). Slight improvements in model characteristics were observed when codes for vasoactive medications and endotracheal intubation were added to sepsis codes (c-statistic 0.83 vs 0.87, P = .008). Sepsis specific International Classification of Diseases, Ninth Revision, Clinical Modification codes identify pediatric patients with severe sepsis in administrative data more accurately than a combination of codes for infection plus organ dysfunction. Copyright © 2015 Elsevier Inc. All rights reserved.

Time trend of injection drug errors before and after implementation of bar-code verification system.

PubMed

Sakushima, Ken; Umeki, Reona; Endoh, Akira; Ito, Yoichi M; Nasuhara, Yasuyuki

2015-01-01

Bar-code technology, used for verification of patients and their medication, could prevent medication errors in clinical practice. Retrospective analysis of electronically stored medical error reports was conducted in a university hospital. The number of reported medication errors of injected drugs, including wrong drug administration and administration to the wrong patient, was compared before and after implementation of the bar-code verification system for inpatient care. A total of 2867 error reports associated with injection drugs were extracted. Wrong patient errors decreased significantly after implementation of the bar-code verification system (17.4/year vs. 4.5/year, p< 0.05), although wrong drug errors did not decrease sufficiently (24.2/year vs. 20.3/year). The source of medication errors due to wrong drugs was drug preparation in hospital wards. Bar-code medication administration is effective for prevention of wrong patient errors. However, ordinary bar-code verification systems are limited in their ability to prevent incorrect drug preparation in hospital wards.

VIEW OF NOS. 217 AND 219 WASHINGTON AVENUE LOOKING NORTHEAST, ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

VIEW OF NOS. 217 AND 219 WASHINGTON AVENUE LOOKING NORTHEAST, SHOWING WEST FACADES - Apollo Iron & Steel Works, Company Housing, West of Washington & Lincoln Avenues, Vandergrift, Westmoreland County, PA

The stink bugs (Hemiptera: Heteroptera: Pentatomidae) of Washington state

USDA-ARS?s Scientific Manuscript database

Froeschner (1988) records 23 species of stink bugs (Hemiptera: Heteroptera: Pentatomidae) as occurring in Washington state. Based onmaterial primarily housed in the M.T. James Entomological Collection at Washington State University, the number of species is increased to 47. Species recorded by Froes...

Habitat fragmentation and the persistence of lynx populations in Washington state

Treesearch

Gary M Koehler; Benjamin T. Maletzke; Jeff A. Von Kienast; Keith B. Aubry; Robert B. Wielgus; Robert H. Naney

2008-01-01

Lynx (Lynx canadensis) occur in the northern counties of Washington state, USA; however, current distribution and status of lynx in Washington are poorly understood. During winters 2002-2004 we snow-tracked lynx for 155 km within a 211-km2 area in northern Washington, to develop a model of lynx-habitat relationships that we...

49 CFR 571.216a - Standard No. 216a; Roof crush resistance; Upgraded standard.

Code of Federal Regulations, 2010 CFR

2010-10-01

..., 1200 New Jersey Avenue, Washington, DC 20590, or at the National Archives and Records Administration...://www.archives.gov/federal_register/code_of_federal_regulations/ibr_locations.html. S3.3Selection of... which also markets the vehicle, must be attributed to the manufacturer that markets the vehicle. S8.6.2...

Accuracy of external cause-of-injury coding in VA polytrauma patient discharge records.

PubMed

Carlson, Kathleen F; Nugent, Sean M; Grill, Joseph; Sayer, Nina A

2010-01-01

Valid and efficient methods of identifying the etiology of treated injuries are critical for characterizing patient populations and developing prevention and rehabilitation strategies. We examined the accuracy of external cause-of-injury codes (E-codes) in Veterans Health Administration (VHA) administrative data for a population of injured patients. Chart notes and E-codes were extracted for 566 patients treated at any one of four VHA Polytrauma Rehabilitation Center sites between 2001 and 2006. Two expert coders, blinded to VHA E-codes, used chart notes to assign "gold standard" E-codes to injured patients. The accuracy of VHA E-coding was examined based on these gold standard E-codes. Only 382 of 517 (74%) injured patients were assigned E-codes in VHA records. Sensitivity of VHA E-codes varied significantly by site (range: 59%-91%, p < 0.001). Sensitivity was highest for combat-related injuries (81%) and lowest for fall-related injuries (60%). Overall specificity of E-codes was high (92%). E-coding accuracy was markedly higher when we restricted analyses to records that had been assigned VHA E-codes. E-codes may not be valid for ascertaining source-of-injury data for all injuries among VHA rehabilitation inpatients at this time. Enhanced training and policies may ensure more widespread, standardized use and accuracy of E-codes for injured veterans treated in the VHA.

Greening America's Capitals - Washington, DC

EPA Pesticide Factsheets

This Greening America's Capitals report describes design options for the Anacostia Metro station in Washington, DC, that could help people feel safer and more comfortable walking to and from the station.

78 FR 664 - Establishment of Drug Codes for 26 Substances

Federal Register 2010, 2011, 2012, 2013, 2014

2013-01-04

... DEPARTMENT OF JUSTICE Drug Enforcement Administration 21 CFR Part 1308 [Docket No. DEA-368] Establishment of Drug Codes for 26 Substances AGENCY: Drug Enforcement Administration (DEA), Department of Justice. ACTION: Final rule. SUMMARY: On July 9, 2012, the President signed into law the Synthetic Drug...

View of inside second floor stairwell of George Washington Junior ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

View of inside second floor stairwell of George Washington Junior High School looking at double doors, facing north. - George Washington Junior High School, 707 Columbus Drive, Tampa, Hillsborough County, FL

Problems, solutions and recommendations for implementing CODES (Crash Outcome Data Evaluation System)

DOT National Transportation Integrated Search

2001-02-01

Problems, solutions and recommendations for implementation have been contributed by 16 of the 27 CODES states and organized as appropriate under the administrative, linkage and application requirements for a Crash Outcome Data Evaluation System (CODE...

Washington's Can Do Kids.

ERIC Educational Resources Information Center

Washington State Office of Community Development, Olympia.

Conceived as a state-supported community-sponsored program for families, strengthened by business and service organization support, and designed to work with local educational, child care, and social service agencies, Washington State's Early Childhood Education and Assistance Program (ECEAP, pronounced e-cap) provides a "whole child"…

173. WASHINGTON ST. ALEXANDRIA AND MEMORIAL FOR THE CONFEDERATE DEAD ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

173. WASHINGTON ST. ALEXANDRIA AND MEMORIAL FOR THE CONFEDERATE DEAD LOOKING NORTH. - George Washington Memorial Parkway, Along Potomac River from McLean to Mount Vernon, VA, Mount Vernon, Fairfax County, VA

An assessment of interstate safety investment properties in Washington state.

DOT National Transportation Integrated Search

2014-12-01

The Washington State Department of Transportation (WSDOT) commissioned the current study, targeting the entire interstate : mainline network in Washington State, to provide strategic direction to multi-biennial investment interstate locations that of...

Key Facts about Higher Education in Washington: 2009-10

ERIC Educational Resources Information Center

Washington Higher Education Coordinating Board, 2010

2010-01-01

First published in 2002, "Key Facts about Higher Education in Washington" provides valuable information on the ways higher education serves the state and its people. The most current data and information available is presented throughout this report to highlight the "Key Facts" about Washington's postsecondary institutions,…

Expanding Access and Opportunity: The Washington State Achievers Scholarship

ERIC Educational Resources Information Center

O'Brien, Colleen

2011-01-01

In 2001, the Bill & Melinda Gates Foundation launched the multi-year, multi-million dollar Washington State Achievers Scholarship program. Concerned about disparities in college participation for low-income students in the state of Washington versus their wealthier peers, the Gates Foundation partnered with the College Success Foundation…

Expanding Access and Opportunity: The Washington State Achievers Program

ERIC Educational Resources Information Center

Ramsey, Jennifer; Gorgol, Laura

2010-01-01

In 2001, the Bill & Melinda Gates Foundation launched a 10-year, multi-million dollar initiative, the Washington State Achievers Program (WSA), to increase opportunities for low-income students to attend postsecondary institutions in Washington State. The Bill & Melinda Gates Foundation granted funds to the College Success Foundation…

Forest fire weather in western Oregon and western Washington in 1957.

Treesearch

Owen P. Cramer

1957-01-01

Severity of 1957 fire weather west of the Cascade Range summit in Oregon and Washington was near the average of the previous 10 years. The season (April 1 through October 31) was slightly more severe than 1956 in western Oregon and about the same as 1956 in western Washington. Spring fire weather was near average severity in both western Washington and western Oregon....

Self-revegetation of disturbed ground in the deserts of Nevada and Washington

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

Rickard, W.H.; Sauer, R.H.

1982-01-01

Plant cover established without purposeful soil preparation or seeding was measured on ground disturbed by plowing in Washington and by aboveground nuclear explosions in Nevada. After a time lapse of three decades in Washington and two decades in Nevada, fewer species were self-established on the disturbed ground than the nearby undisturbed ground. Alien annual plants were the dominants on the disturbed ground. Cheatgrass (Bromus tectorum) dominated abandoned fields in Washington, and filaree (Erodium cicutarium) dominated disturbed ground in Nevada. Perennial grasses and shrubs appeared to be more successful as invaders in Nevada than in Washington. This distinction is attributed tomore » the superior competitive ability of cheatgrass in Washington.« less

Consolidated List of Debarred, Suspended, and Ineligible Contractors as of April 10, 1985.

DTIC Science & Technology

1985-04-01

Administration code 202, but Fdral officials calling lon distance Juan L . Smith should use the FTS (Federal "blecommunications 523-4873 Sterr) or AUTVN (Automatic...Washington, DC 20405 Belle N. Davis (Codes A and B) Attention: Mrs. Juan L . Smith 475-8025 FTS/(202) 523-4873 3 r, % .1 𔄀 ’ % Cause and Treatment Codes...for violation of1961, the I is effctve win 0O; It Imposed the Buy American Act (41 U.S.C. 10b(b)) 4 -k % =",W""-- l m. .°6 ."._. ’ t. ,+... W LML

Oil and gas field code master list 1994

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

Not Available

This is the thirteenth annual edition of the Energy Information Administration`s (EIA) Oil and Gas Field Code Master List. It reflects data collected through October 1994 and provides standardized field name spellings and codes for all identified oil and/or gas fields in the United States. The master field name spellings and codes are to be used by respondents when filing the following Department of Energy (DOE) forms: Form EIA-23, {open_quotes}Annual Survey of Domestic Oil and Gas Reserves,{close_quotes} filed by oil and gas well operators (field codes are required from larger operators only); Forms FERC 8 and EIA-191, {open_quotes}Underground Gas Storagemore » Report,{close_quotes} filed by natural gas producers and distributors who operate underground natural gas storage facilities. Other Federal and State government agencies, as well as industry, use the EIA Oil and Gas Field Code Master List as the standard for field identification. A machine-readable version of the Oil and Gas Field Code Master List is available from the National Technical Information Service, 5285 Port Royal Road, Springfield, Virginia 22161, (703) 487-4650. In order for the Master List to be useful, it must be accurate and remain current. To accomplish this, EIA constantly reviews and revises this list. The EIA welcomes all comments, corrections, and additions to the Master List. All such information should be given to the EIA Field Code Coordinator at (214) 953-1858. EIA gratefully acknowledges the assistance provides by numerous State organizations and trade associations in verifying the existence of fields and their official nomenclature.« less

Photocopy of original blackandwhite silver gelatin print, VIEW FROM WASHINGTON ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Photocopy of original black-and-white silver gelatin print, VIEW FROM WASHINGTON MONUMENT, October 3, 1929, photography Commercial Photo - Internal Revenue Service Headquarters Building, 1111 Constitution Avenue Northwest, Washington, District of Columbia, DC

PERSPECTIVE VIEW OF COMPANYBUILT HOUSING ON EAST SIDE OF WASHINGTON ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

PERSPECTIVE VIEW OF COMPANY-BUILT HOUSING ON EAST SIDE OF WASHINGTON AVENUE, VIEWED FROM FRANKLIN AVENUE LOOKING NORTH - Apollo Iron & Steel Works, Company Housing, West of Washington & Lincoln Avenues, Vandergrift, Westmoreland County, PA

Quality of data regarding diagnoses of spinal disorders in administrative databases. A multicenter study.

PubMed

Faciszewski, T; Broste, S K; Fardon, D

1997-10-01

The purpose of the present study was to evaluate the accuracy of data regarding diagnoses of spinal disorders in administrative databases at eight different institutions. The records of 189 patients who had been managed for a disorder of the lumbar spine were independently reviewed by a physician who assigned the appropriate diagnostic codes according to the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The age range of the 189 patients was seventeen to eighty-four years. The six major diagnostic categories studied were herniation of a lumbar disc, a previous operation on the lumbar spine, spinal stenosis, cauda equina syndrome, acquired spondylolisthesis, and congenital spondylolisthesis. The diagnostic codes assigned by the physician were compared with the codes that had been assigned during the ordinary course of events by personnel in the medical records department of each of the eight hospitals. The accuracy of coding was also compared among the eight hospitals, and it was found to vary depending on the diagnosis. Although there were both false-negative and false-positive codes at each institution, most errors were related to the low sensitivity of coding for previous spinal operations: only seventeen (28 per cent) of sixty-one such diagnoses were coded correctly. Other errors in coding were less frequent, but their implications for conclusions drawn from the information in administrative databases depend on the frequency of a diagnosis and its importance in an analysis. This study demonstrated that the accuracy of a diagnosis of a spinal disorder recorded in an administrative database varies according to the specific condition being evaluated. It is necessary to document the relative accuracy of specific ICD-9-CM diagnostic codes in order to improve the ability to validate the conclusions derived from investigations based on administrative databases.

Washington | Solar Research | NREL

Science.gov Websites

. Utilities offer varied loans and incentives to their renewable energy customers. Net Metering All customer is allowed for up to 100 kW per customer Interconnection Washington's adopted standardized Department of Revenue and local utilities Customer-owned renewable energy generation systems can receive

Building a Prosperous Economy. Washington's Community and Technical Colleges

ERIC Educational Resources Information Center

Washington State Board for Community and Technical Colleges, 2014

2014-01-01

Washington's community and technical colleges are a collective, powerful, unmatched resource for advancing prosperity through education. These 34 colleges not only connect with employers in the regions where they operate, but also with each other through common programs--like advanced manufacturing and allied health--that align with Washington's…

Too-Comfortable Strangers: Cultural Association among the Sephardim of Washington, D.C.

ERIC Educational Resources Information Center

Fredman, Ruth Gruber

The power of the symbol "Sephardic" to foster community association is extremely problematical in the Washington, D.C., context. Washington's Sephardic population is heterogeneous with respect to generation, self-definition, and culture. Complicating the situation is the nature of Washington itself, which in turn is inextricably linked…

12. VISTA SOUTHWEST ON NEW HAMPSHIRE AVENUE TO WASHINGTON CIRCLE ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

12. VISTA SOUTHWEST ON NEW HAMPSHIRE AVENUE TO WASHINGTON CIRCLE FROM RESERVATION NO. 140 AT THE INTERSECTION OF NEW HAMPSHIRE AVENUE, M, AND 21ST STREETS, NW. - New Hampshire Avenue, Washington, District of Columbia, DC

2. View of Mainline elevated structure, parallel to Washington Street, ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

2. View of Mainline elevated structure, parallel to Washington Street, crossing over the Massachusetts Turnpike and the B&A R.R. tracks - looking North. - Boston Elevated Railway, Elevated Mainline, Washington Street, Boston, Suffolk County, MA

Washington state freight system resiliency.

DOT National Transportation Integrated Search

2009-01-01

The economic viability and well-being of Washington State is significantly influenced by the freight : transportation system serving the region. An increased understanding of the vulnerability of this freight : system to natural disasters, weather, t...

Washington Community Colleges Factbook.

ERIC Educational Resources Information Center

Meier, Terre; Story, Sherie

Detailed information on the 27 state-supported community colleges in Washington is presented in six sections. The first section, containing general information, describes the state system organization, lists the individual colleges, and reviews the roles of state agencies and presents a history of the system. A section on student information…

75 FR 71139 - Land Acquisitions; Puyallup Tribe of Washington

Federal Register 2010, 2011, 2012, 2013, 2014

2010-11-22

... Auditor, in Pierce County, Washington. Except that portion of Lot 3 conveyed to the State of Washington by Deeds recorded under Auditor's file number 689865 and 689858. Together with the East half of the... amendment of Short Plat Nos. 8502210395 and 8403080186, filed with the Pierce County Auditor, in Pierce...

36 CFR § 1253.4 - Washington National Records Center.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 36 Parks, Forests, and Public Property 3 2013-07-01 2012-07-01 true Washington National Records Center. § 1253.4 Section § 1253.4 Parks, Forests, and Public Property NATIONAL ARCHIVES AND RECORDS... National Records Center. Washington National Records Center is located at 4205 Suitland Road, Suitland, MD...

National Leaders in Innovation. Washington's Community and Technical Colleges

ERIC Educational Resources Information Center

Washington State Board for Community and Technical Colleges, 2015

2015-01-01

Washington's community and technical colleges set a national example for innovative policies, practices and research for student success. Washington's community and technical college system ranks 12th in the nation for graduation rates, and 7th for certificates and degrees produced. Olympic College and Renton Technical College in March 2015 were…

36 CFR 910.13 - Urban design of Washington, DC.

Code of Federal Regulations, 2010 CFR

2010-07-01

... CORPORATION GENERAL GUIDELINES AND UNIFORM STANDARDS FOR URBAN PLANNING AND DESIGN OF DEVELOPMENT WITHIN THE PENNSYLVANIA AVENUE DEVELOPMENT AREA Urban Planning and Design Concerns § 910.13 Urban design of Washington, DC... 36 Parks, Forests, and Public Property 3 2010-07-01 2010-07-01 false Urban design of Washington...

36 CFR 910.13 - Urban design of Washington, DC.

Code of Federal Regulations, 2011 CFR

2011-07-01

... CORPORATION GENERAL GUIDELINES AND UNIFORM STANDARDS FOR URBAN PLANNING AND DESIGN OF DEVELOPMENT WITHIN THE PENNSYLVANIA AVENUE DEVELOPMENT AREA Urban Planning and Design Concerns § 910.13 Urban design of Washington, DC... 36 Parks, Forests, and Public Property 3 2011-07-01 2011-07-01 false Urban design of Washington...

11. Photocopy of photograph by Commission of Fine Arts, Washington, ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

11. Photocopy of photograph by Commission of Fine Arts, Washington, DC. Date and photographer unknown. CLOSE UP OF ARMILLARY SPHERE - Meridian Hill Park, Bounded by Fifteenth, Sixteenth, Euclid & W Streets, Northwest, Washington, District of Columbia, DC

76 FR 52566 - Drawbridge Operation Regulations; Anacostia River, Washington, DC

Federal Register 2010, 2011, 2012, 2013, 2014

2011-08-23

... Lift Bridge across the Anacostia River, mile 3.4, at Washington, DC. This deviation will test a change... regulations for the CSX Railroad Vertical Lift Bridge, across the Anacostia River, mile 3.4, at Washington, DC...

The National Aeronautics and Space Administration Semiannual Report to the Congress

DTIC Science & Technology

1959-03-31

Seawolf, Fleet Post Office.-Rew York, N . Y . Brig. Gen. Donald D. Flickinger, (MC) Surgeon and Assistant Deputy Commander for Research, Headquarters...University 8500 Culebra Road New York 27, N . Y . San Antonio 6, Texas Mr. John E. Stevens Professor Holt Ashley Assistant Chief of Structures Associate...195.8 -- March 31, 1959 \\%i 𔃾_ 11519 ’K The National Aeronautics and Space Administration 15Z0 H Street, N . W. Washington Z5, D. Co , 174 4 5 07

Establishment of a New Drug Code for Marihuana Extract. Final rule.

PubMed

2016-12-14

The Drug Enforcement Administration is creating a new Administration Controlled Substances Code Number for "Marihuana Extract." This code number will allow DEA and DEA-registered entities to track quantities of this material separately from quantities of marihuana. This, in turn, will aid in complying with relevant treaty provisions. Under international drug control treaties administered by the United Nations, some differences exist between the regulatory controls pertaining to marihuana extract versus those for marihuana and tetrahydrocannabinols. The DEA has previously established separate code numbers for marihuana and for tetrahydrocannabinols, but not for marihuana extract. To better track these materials and comply with treaty provisions, DEA is creating a separate code number for marihuana extract with the following definition: "Meaning an extract containing one or more cannabinoids that has been derived from any plant of the genus Cannabis, other than the separated resin (whether crude or purified) obtained from the plant." Extracts of marihuana will continue to be treated as Schedule I controlled substances.

Implementation agreement between the Washington State Department of Ecology and the Washington State Department of Transportation regarding the use of water quality modification general order

DOT National Transportation Integrated Search

1997-04-01

This implementation agreement was adopted by the Washington State Department of Ecology and the Washington State Department of Transportation. It requires that the agencies work together in dealing with short term modifications of water quality requi...

Logging residue in Washington, Oregon, California: volume and characteristics.

Treesearch

James O. Howard

1973-01-01

This report makes available data on the volume and characteristics of logging residue resulting from 1969 logging operations in Oregon, Washington, and California. The results indicate highest volumes of logging residue are found in the Douglas-fir region of western Oregon and western Washington. Average gross volume of residue in this region ranged...

77 FR 15787 - Washington; Major Disaster and Related Determinations

Federal Register 2010, 2011, 2012, 2013, 2014

2012-03-16

... declaration of a major disaster for the State of Washington (FEMA-4056-DR), dated March 5, 2012, and related determinations. DATES: Effective Date: March 5, 2012. FOR FURTHER INFORMATION CONTACT: Peggy Miller, Office of... determined that the damage in certain areas of the State of Washington resulting from a severe winter storm...

The Washington National Cathedral: A Place to Gather Together

ERIC Educational Resources Information Center

Groce, Eric; Groce, Robin

2011-01-01

Washington, D.C. is a city widely recognized for its monuments, memorials, and landmarks. Visitors are routinely drawn to the great sites that mark the nation's history such as the Vietnam Veterans Memorial, Arlington National Cemetery, the Lincoln Memorial, and the Washington Memorial, among others. One site that is often overlooked is the…

Educator Supply and Demand in Washington State. 2004 Report

ERIC Educational Resources Information Center

Lashway, Larry; Maloney, Rick; Hathaway, Randy; Bryant, B. J.

2005-01-01

This report describes the findings of the third Educator Supply and Demand Research study in the State of Washington. The intent of these Washington studies is to provide data to inform and shape decisions and activities in the following ways: (1) Provide useful information for educational policymakers, including the legislature, the State Board…

21 CFR 19.6 - Code of ethics for government service.

Code of Federal Regulations, 2011 CFR

2011-04-01

... 21 Food and Drugs 1 2011-04-01 2011-04-01 false Code of ethics for government service. 19.6 Section 19.6 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL STANDARDS OF CONDUCT AND CONFLICTS OF INTEREST General Provisions § 19.6 Code of ethics for government...

21 CFR 19.6 - Code of ethics for government service.

Code of Federal Regulations, 2012 CFR

2012-04-01

... 21 Food and Drugs 1 2012-04-01 2012-04-01 false Code of ethics for government service. 19.6 Section 19.6 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL STANDARDS OF CONDUCT AND CONFLICTS OF INTEREST General Provisions § 19.6 Code of ethics for government...

21 CFR 19.6 - Code of ethics for government service.

Code of Federal Regulations, 2014 CFR

2014-04-01

... 21 Food and Drugs 1 2014-04-01 2014-04-01 false Code of ethics for government service. 19.6 Section 19.6 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL STANDARDS OF CONDUCT AND CONFLICTS OF INTEREST General Provisions § 19.6 Code of ethics for government...

21 CFR 19.6 - Code of ethics for government service.

Code of Federal Regulations, 2013 CFR

2013-04-01

... 21 Food and Drugs 1 2013-04-01 2013-04-01 false Code of ethics for government service. 19.6 Section 19.6 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL STANDARDS OF CONDUCT AND CONFLICTS OF INTEREST General Provisions § 19.6 Code of ethics for government...

Trends and determinants of cycling in the Washington, DC region.

DOT National Transportation Integrated Search

2011-01-01

This report analyzes cycling trends, policies, and commuting in the Washington, DC area. The analysis is divided into two parts. : Part 1 focuses on cycling trends and policies in Washington (DC), Alexandria (VA), Arlington County (VA), Fairfax Count...

Washington Community Colleges Factbook.

ERIC Educational Resources Information Center

Meier, Terre

The 109 tables and graphs in this six-chapter factbook present a statistical profile of the Washington Community College System for Fall 1979. Chapter I presents background information on the history and organization of the 27 state-supported colleges. Chapter II outlines data on annual and quarterly enrollments from 1969 through 1979; student…

Alternative Fuels for Washington's School Buses: A Report to the Washington State Legislature.

ERIC Educational Resources Information Center

Lyons, John Kim; McCoy, Gilbert A.

This document presents findings of a study that evaluated the use of both propane and compressed natural gas as alternative fuels for Washington State school buses. It discusses air quality improvement actions by state- and federal-level regulators and summarizes vehicle design, development, and commercialization activities by all major engine,…

49 CFR Appendix C to Part 215 - FRA Freight Car Standards Defect Code

Code of Federal Regulations, 2013 CFR

2013-10-01

... 49 Transportation 4 2013-10-01 2013-10-01 false FRA Freight Car Standards Defect Code C Appendix C... ADMINISTRATION, DEPARTMENT OF TRANSPORTATION RAILROAD FREIGHT CAR SAFETY STANDARDS Pt. 215, App. C Appendix C to Part 215—FRA Freight Car Standards Defect Code The following defect code has been established for use...

49 CFR Appendix C to Part 215 - FRA Freight Car Standards Defect Code

Code of Federal Regulations, 2014 CFR

2014-10-01

... 49 Transportation 4 2014-10-01 2014-10-01 false FRA Freight Car Standards Defect Code C Appendix C... ADMINISTRATION, DEPARTMENT OF TRANSPORTATION RAILROAD FREIGHT CAR SAFETY STANDARDS Pt. 215, App. C Appendix C to Part 215—FRA Freight Car Standards Defect Code The following defect code has been established for use...

49 CFR Appendix C to Part 215 - FRA Freight Car Standards Defect Code

Code of Federal Regulations, 2012 CFR

2012-10-01

... 49 Transportation 4 2012-10-01 2012-10-01 false FRA Freight Car Standards Defect Code C Appendix C... ADMINISTRATION, DEPARTMENT OF TRANSPORTATION RAILROAD FREIGHT CAR SAFETY STANDARDS Pt. 215, App. C Appendix C to Part 215—FRA Freight Car Standards Defect Code The following defect code has been established for use...

49 CFR Appendix C to Part 215 - FRA Freight Car Standards Defect Code

Code of Federal Regulations, 2011 CFR

2011-10-01

... 49 Transportation 4 2011-10-01 2011-10-01 false FRA Freight Car Standards Defect Code C Appendix C... ADMINISTRATION, DEPARTMENT OF TRANSPORTATION RAILROAD FREIGHT CAR SAFETY STANDARDS Pt. 215, App. C Appendix C to Part 215—FRA Freight Car Standards Defect Code The following defect code has been established for use...

77 FR 33307 - Drawbridge Operation Regulation; Lake Washington Ship Canal, Seattle, WA

Federal Register 2010, 2011, 2012, 2013, 2014

2012-06-06

... Operation Regulation; Lake Washington Ship Canal, Seattle, WA AGENCY: Coast Guard, DHS. ACTION: Notice of... operating schedule that governs the Montlake Bridge across the Lake Washington Ship Canal, mile 5.2, at... crosses the Lake Washington Ship Canal at mile 5.2 and while in the closed position provides 30 feet of...

76 FR 69131 - Drawbridge Operation Regulation; Lake Washington Ship Canal, Seattle, WA

Federal Register 2010, 2011, 2012, 2013, 2014

2011-11-08

... Operation Regulation; Lake Washington Ship Canal, Seattle, WA AGENCY: Coast Guard, DHS. ACTION: Notice of... Bridge across the Lake Washington Ship Canal, mile 0.1, at Seattle, WA. The deviation is necessary to... Bascule Bridge across the Lake Washington Ship Canal, mile 0.1, for vessel traffic for a 14 day period to...

1. WASHINGTON SQUARE IN CENTER, LOOKING SOUTHWEST. CURTIS PUBLISHING COMPANY ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

1. WASHINGTON SQUARE IN CENTER, LOOKING SOUTHWEST. CURTIS PUBLISHING COMPANY IS AT RIGHT. THE BUILDING IN FRONT OF PHOTO IS THE PENN MUTUAL LIFE INSURANCE COMPANY - Washington Square Area Study, Sixth, Seventh, Walnut & Locust Streets, Philadelphia, Philadelphia County, PA

77 FR 11582 - Notice of Inventory Completion: Central Washington University Department of Anthropology...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-02-27

...: Central Washington University Department of Anthropology, Ellensburg, WA AGENCY: National Park Service, Interior. ACTION: Notice. SUMMARY: The Central Washington University Department of Anthropology has... Central Washington University Department of Anthropology. Repatriation of the human remains and associated...

Residential Energy Efficiency Potential: Washington

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

Wilson, Eric J

Energy used by Washington single-family homes that can be saved through cost-effective improvements. Prepared by Eric Wilson and Noel Merket, NREL, and Erin Boyd, U.S. Department of Energy Office of Energy Policy and Systems Analysis.

Financial Roadblocks to Renewing and Enhancing Washington's Public Schools.

ERIC Educational Resources Information Center

Theobald, Neil D.

Many states are trying to balance interests in school between taxpayers' concerns and providing students with a good education. Washington is trying to overcome these problems and renew and enhance its public schools. Three court decisions in the late 1970s and early 1980s set strict constraints within which Washington's school funding system must…

The Proving Grounds: School "Rheeform" in Washington, D.C.

ERIC Educational Resources Information Center

Dingerson, Leigh

2010-01-01

Washington, D.C., is leading the transformation of urban public education across the country--at least according to "Time" magazine, which featured D.C. Schools Chancellor Michelle Rhee on its cover, wearing black and holding a broom. But there is nothing remarkably visionary going on in Washington. The model of school reform that is…

78 FR 67295 - Amendment of Class E Airspace; Washington, KS

Federal Register 2010, 2011, 2012, 2013, 2014

2013-11-12

... Airport has made reconfiguration necessary for standard instrument approach procedures and for the safety and management of Instrument Flight Rule (IFR) operations at the airport. Geographic coordinates are... approach procedures at Washington County Memorial Airport, Washington, KS. Airspace configuration is...

The fifth International Geological Congress, Washington, 1891

USGS Publications Warehouse

Nelson, C.M.

2006-01-01

The 5th International Geological Congress (IGC), the initial meeting in North America, was the first of the three IGCs that have been held in the United States of America (USA). Of the 538 registrants alive when the 5th IGC convened in Washington, 251 persons, representing fifteen countries, actually attended the meeting. These participants included 173 people from the USA, of whom forty-two represented the US Geological Survey (USGS). Fourteen of the US State geological surveys sent representatives to Washington. Eight participants came from other countries in the Western Hemisphere - Canada (3), Chile (1), Mexico (3), and Peru (1). The sixty-six European geologists and naturalists at the 5th IGC represented Austro-Hungary (3), Belgium (3), Britain (12), France (7), Germany (23), Norway (1), Romania (3), Russia (8), Sweden (4), and Switzerland (2). The USGS and the Columbian College (now the George Washington University) acted as the principal hosts. The American Association for the Advancement of Science and then the Geological Society of America (GSA) met in the Capital immediately before the Congress convened (26 August-1 September 1891). The 5th IGC's formal discussions treated the genetic classification of Pleistocene rocks, the chronological correlation of clastic rocks, and the international standardization of colors, symbols, and names used on geologic maps. The third of those topics continued key debates at the 1st through 4th IGCs. The GSA, the Korean Embassy, the Smithsonian Institution's US National Museum, the USGS, and one of the two Secretaries-General hosted evening receptions. Field excursions examined Paleozoic exposures in New York (18-25 August), Cretaceous-Pleistocene localities along the Potomac River south of Washington (30 August), and classic Precambrian-Pleistocene sequences and structures in the Great Plains, Yellowstone, Rocky Mountains, and Great Basin (2-26 September), with optional trips to the Grand Canyon (19-28 September) and Lake

10. Photocopy of photograph by Commission of Fine Arts, Washington, ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

10. Photocopy of photograph by Commission of Fine Arts, Washington, DC. Date and photographer unknown. LOWER TERRACE POOL, CASCADE, LOOKING SOUTHWEST, SHOWS EXEDRA WITH ARMILLARY SPHERE - Meridian Hill Park, Bounded by Fifteenth, Sixteenth, Euclid & W Streets, Northwest, Washington, District of Columbia, DC

Nomination Hearing for Bridenstine to be NASA Administrator on This Week @NASA – November 3, 2017

NASA Image and Video Library

2017-11-03

On Nov. 1, Rep. Jim Bridenstine, the president’s nominee to be the next administrator of NASA, appeared before the Senate Committee on Commerce, Science, and Transportation. Bridenstine, a pilot in the U.S. Navy Reserve and former executive director of the Tulsa Air and Space Museum and Planetarium, was elected to the U.S. Congress in 2012 to represent Oklahoma’s First Congressional District. If confirmed, he would become NASA’s 13th Administrator. Also, Orion Launch Pad Emergency Exit Tests, Jack Fischer in Washington, and Next Mars Rover Will Have 23 “Eyes”!

75 FR 52023 - Notice of Inventory Completion: Thomas Burke Memorial Washington State Museum, University of...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-08-24

... DEPARTMENT OF THE INTERIOR National Park Service Notice of Inventory Completion: Thomas Burke Memorial Washington State Museum, University of Washington, Seattle, WA AGENCY: National Park Service... of the Thomas Burke Memorial Washington State Museum (Burke Museum), University of Washington...

Proposed center for advanced industrial processes. Washington State University, College of Engineering and Architecture

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

NONE

1995-03-01

The DOE proposes to authorize Washington State University (WSU) to proceed with the detailed design, construction, and equipping of the proposed Center for Advanced Industrial Processes (CAIP). The proposed project would involve construction of a three story building containing laboratories, classrooms, seminar rooms, and graduate student and administrative office space. Existing buildings would be demolished. The proposed facility would house research in thermal/fluid sciences, bioengineering, manufacturing processes, and materials processing. Under the {open_quotes}no-action{close_quotes} DOE would not authorize WSU to proceed with construction under the grant. WSU would then need to consider alternatives for proceeding without DOE funds. Such alternatives (includingmore » delaying or scaling back the project), would result in a postponement or slight reduction in the minor adverse environmental, safety and health Impacts of the project evaluated in this assessment. More importantly, these alternatives would affect the important environmental, safety, health, and programmatic benefits of the projects. The surrounding area is fully urbanized and the campus is intensely developed around the proposed site. The buildings scheduled for demolition do not meet State energy codes, are not air conditioned, and lack handicapped access. Sensitive resources (historical/archeological, protected species/critical habitats, wetlands/floodplains, national forests/parks/trails, prime farmland and special sources of water) would not be affected as they do not occur on or near the proposed site. Cumulative impacts would be small. The proposed action is not related to other actions being considered under other NEPA reviews. There is no conflict between the proposed action and any applicable Federal, State, regional or local land use plans and policies.« less

Hanford facility dangerous waste permit application, general information portion

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

Hays, C.B.

1998-05-19

The Hanford Facility Dangerous Waste Permit Application is considered to be a single application organized into a General Information Portion (document number DOE/RL-91-28) and a Unit-Specific Portion. Both the General Information and Unit-Specific portions of the Hanford Facility Dangerous Waste Permit Application address the content of the Part B permit application guidance prepared by the Washington State Department of Ecology (Ecology 1996) and the U.S. Environmental Protection Agency (40 Code of Federal Regulations 270), with additional information needed by the Hazardous and Solid Waste Amendments and revisions of Washington Administrative Code 173-303. Documentation contained in the General Information Portion ismore » broader in nature and could be used by multiple treatment, storage, and/or disposal units (e.g., the glossary provided in this report).« less

Forest statistics for northeast Washington.

Treesearch

John W. Hazard

1963-01-01

This publication summarizes the results of the third inventory of six northeast Washington counties: Ferry, Lincoln, Pend Oreille, Spokane, Stevens, and Whitman. The collection of field data was made during the years 1957 to 1961 in three separate inventory projects.

Impact of School Uniforms on Student Discipline and the Learning Climate: A Comparative Case Study of Two Middle Schools with Uniform Dress Codes and Two Middle Schools without Uniform Dress Codes

ERIC Educational Resources Information Center

Dulin, Charles Dewitt

2016-01-01

The purpose of this research is to evaluate the impact of uniform dress codes on a school's climate for student behavior and learning in four middle schools in North Carolina. The research will compare the perceptions of parents, teachers, and administrators in schools with uniform dress codes against schools without uniform dress codes. This…

Hydration and Cooling Practices Among Farmworkers in Oregon and Washington.

PubMed

Bethel, Jeffrey W; Spector, June T; Krenz, Jennifer

2017-01-01

Although recommendations for preventing occupational heat-related illness among farmworkers include hydration and cooling practices, the extent to which these recommendations are universally practiced is unknown. The objective of this analysis was to compare hydration and cooling practices between farmworkers in Oregon and Washington. A survey was administered to a purposive sample of Oregon and Washington farmworkers. Data collected included demographics, work history and current work practices, hydration practices, access and use of cooling measures, and headwear and clothing worn. Oregon farmworkers were more likely than those in Washington to consume beverages containing sugar and/or caffeine. Workers in Oregon more frequently reported using various cooling measures compared with workers in Washington. Availability of cooling measures also varied between the two states. These results highlight the large variability between workers in two states regarding access to and use of methods to stay cool while working in the heat.

1 CFR 5.5 - Supplement to the Code of Federal Regulations.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 1 General Provisions 1 2010-01-01 2010-01-01 false Supplement to the Code of Federal Regulations. 5.5 Section 5.5 General Provisions ADMINISTRATIVE COMMITTEE OF THE FEDERAL REGISTER THE FEDERAL REGISTER GENERAL § 5.5 Supplement to the Code of Federal Regulations. The Federal Register serves as a...

1 CFR 5.5 - Supplement to the Code of Federal Regulations.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 1 General Provisions 1 2011-01-01 2011-01-01 false Supplement to the Code of Federal Regulations. 5.5 Section 5.5 General Provisions ADMINISTRATIVE COMMITTEE OF THE FEDERAL REGISTER THE FEDERAL REGISTER GENERAL § 5.5 Supplement to the Code of Federal Regulations. The Federal Register serves as a...

21 CFR 20.115 - Product codes for manufacturing or sales dates.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 21 Food and Drugs 1 2010-04-01 2010-04-01 false Product codes for manufacturing or sales dates. 20.115 Section 20.115 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL PUBLIC INFORMATION Availability of Specific Categories of Records § 20.115 Product codes...

1 CFR 5.5 - Supplement to the Code of Federal Regulations.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 1 General Provisions 1 2014-01-01 2012-01-01 true Supplement to the Code of Federal Regulations. 5.5 Section 5.5 General Provisions ADMINISTRATIVE COMMITTEE OF THE FEDERAL REGISTER THE FEDERAL REGISTER GENERAL § 5.5 Supplement to the Code of Federal Regulations. The Federal Register serves as a...

1 CFR 5.5 - Supplement to the Code of Federal Regulations.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 1 General Provisions 1 2013-01-01 2012-01-01 true Supplement to the Code of Federal Regulations. 5.5 Section 5.5 General Provisions ADMINISTRATIVE COMMITTEE OF THE FEDERAL REGISTER THE FEDERAL REGISTER GENERAL § 5.5 Supplement to the Code of Federal Regulations. The Federal Register serves as a...

1 CFR 5.5 - Supplement to the Code of Federal Regulations.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 1 General Provisions 1 2012-01-01 2012-01-01 false Supplement to the Code of Federal Regulations. 5.5 Section 5.5 General Provisions ADMINISTRATIVE COMMITTEE OF THE FEDERAL REGISTER THE FEDERAL REGISTER GENERAL § 5.5 Supplement to the Code of Federal Regulations. The Federal Register serves as a...

Annual Coded Wire Tag Program; Oregon Missing Production Groups, 1996 Annual Report.

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

Lewis, Mark A.; Mallette, Christine; Murray, William M.

1998-03-01

This annual report is in fulfillment of contract obligations with Bonneville Power Administration which is the funding source for the Oregon Department of Fish and Wildlife's Annual Coded Wire Tag Program - Oregon Missing Production Groups Project. Tule stock fall chinook were caught primarily in British Columbia and Washington ocean, and Oregon freshwater fisheries. Up-river bright stock fall chinook contributed primarily to Alaska and British Columbia ocean commercial, and Columbia River gillnet and other freshwater fisheries. Contribution of Rogue stock fall chinook released in the lower Columbia River occurred primarily in Oregon ocean commercial and Columbia river gillnet fisheries. Willamettemore » stock spring chinook contributed primarily to Alaska and British Columbia ocean commercial, Oregon freshwater sport and Columbia River gillnet fisheries. Willamette stock spring chinook released by CEDC contributed to similar fisheries as the same stocks released in the Willamette system. Up-river stocks of spring chinook contributed almost exclusively to Columbia River sport fisheries and other freshwater recovery areas. The up-river stocks of Columbia River summer steelhead contributed primarily to the Columbia River gillnet and other freshwater fisheries. Coho ocean fisheries from Washington to California were closed or very limited in 1994 and 1995 (1991 and 1992 broods). This has resulted in a greater average percent of catch for other fishery areas. Coho stocks released by ODFW below Bonneville Dam contributed mainly to Oregon and Washington ocean, Columbia Gillnet and other freshwater fisheries. Coho stocks released in the Klaskanine River and Youngs Bay area had much higher contribution to gillnet fisheries than the other coho releases. Coho stocks released above Bonneville Dam contributed to the same fisheries as those released below Bonneville Dam. Survival rates of salmon and steelhead are influenced, not only by factors in the hatchery (disease

Oil and Gas field code master list 1995

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

NONE

This is the fourteenth annual edition of the Energy Information Administration`s (EIA) Oil and Gas Field Code Master List. It reflects data collected through October 1995 and provides standardized field name spellings and codes for all identified oil and/or gas fields in the US. The Field Code Index, a listing of all field names and the States in which they occur, ordered by field code, has been removed from this year`s publications to reduce printing and postage costs. Complete copies (including the Field Code Index) will be available on the EIA CD-ROM and the EIA World-Wide Web Site. Future editionsmore » of the complete Master List will be available on CD-ROM and other electronic media. There are 57,400 field records in this year`s Oil and Gas Field Code Master List. As it is maintained by EIA, the Master List includes the following: field records for each State and county in which a field resides; field records for each offshore area block in the Gulf of Mexico in which a field resides; field records for each alias field name (see definition of alias below); and fields crossing State boundaries that may be assigned different names by the respective State naming authorities. Taking into consideration the double-counting of fields under such circumstances, EIA identifies 46,312 distinct fields in the US as of October 1995. This count includes fields that no longer produce oil or gas, and 383 fields used in whole or in part for oil or gas Storage. 11 figs., 6 tabs.« less

University of Washington/ Northwest National Marine Renewable Energy Center Tidal Current Technology Test Protocol, Instrumentation, Design Code, and Oceanographic Modeling Collaboration: Cooperative Research and Development Final Report, CRADA Number CRD-11-452

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

Driscoll, Frederick R.

The University of Washington (UW) - Northwest National Marine Renewable Energy Center (UW-NNMREC) and the National Renewable Energy Laboratory (NREL) will collaborate to advance research and development (R&D) of Marine Hydrokinetic (MHK) renewable energy technology, specifically renewable energy captured from ocean tidal currents. UW-NNMREC is endeavoring to establish infrastructure, capabilities and tools to support in-water testing of marine energy technology. NREL is leveraging its experience and capabilities in field testing of wind systems to develop protocols and instrumentation to advance field testing of MHK systems. Under this work, UW-NNMREC and NREL will work together to develop a common instrumentation systemmore » and testing methodologies, standards and protocols. UW-NNMREC is also establishing simulation capabilities for MHK turbine and turbine arrays. NREL has extensive experience in wind turbine array modeling and is developing several computer based numerical simulation capabilities for MHK systems. Under this CRADA, UW-NNMREC and NREL will work together to augment single device and array modeling codes. As part of this effort UW NNMREC will also work with NREL to run simulations on NREL's high performance computer system.« less

Washington School Finance Primer.

ERIC Educational Resources Information Center

Washington Office of the State Superintendent of Public Instruction, Olympia.

The proportion of state funding for public schools in Washington is among the highest in the nation: about 75 percent of school-district General Fund revenue comes from the state. Almost 60 percent of all state General Fund expenditures are for education (about 46 percent for grades K-12 and 12 percent for higher education). The state…

75 FR 81560 - Buckhorn Exploration Project 2010, Okanogan-Wenatchee National Forest, Okanogan County, Washington

Federal Register 2010, 2011, 2012, 2013, 2014

2010-12-28

... of the Interior; and Department of Ecology, Washington State. On November 26, 2010, the Department of... (BLM), Washington State Department of Natural Resources (DNR), and Washington Department of Ecology...

75 FR 36672 - Notice of Inventory Completion: Thomas Burke Memorial Washington State Museum, University of...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-06-28

... made by the Burke Museum professional staff in consultation with representatives of the Lummi Tribe of... Memorial Washington State Museum, University of Washington, Seattle, WA AGENCY: National Park Service... of the Thomas Burke Memorial Washington State Museum (Burke Museum), University of Washington...

77 FR 26275 - Bonneville Power Administration; Montana-to-Washington Transmission System Upgrade Project EIS

Federal Register 2010, 2011, 2012, 2013, 2014

2012-05-03

... Upgrade Project EIS AGENCY: Bonneville Power Administration (BPA), Department of Energy (DOE). ACTION... involvement. SUMMARY: BPA intends to prepare an EIS in accordance with the National Environmental Policy Act... consist of a combination of reinforcements of five existing BPA substations, placement of new conductor on...

76 FR 4102 - Washington 10 Storage Corporation; Notice of Filing

Federal Register 2010, 2011, 2012, 2013, 2014

2011-01-24

... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Docket No. PR11-80-000] Washington 10 Storage Corporation; Notice of Filing January 13, 2011. Take notice that on January 12, 2011, Washington 10 Storage Corporation filed a revised Statement of Operating Conditions (SOC) to correct...

Geologic Map of the North Cascade Range, Washington

USGS Publications Warehouse

Haugerud, Ralph A.; Tabor, Rowland W.

2009-01-01

The North Cascade Range, commonly referred to as the North Cascades, is the northern part of the Cascade Range that stretches from northern California into British Columbia, where it merges with the Coast Mountains of British Columbia at the Fraser River. The North Cascades are generally characterized by exposure of plutonic and metamorphic rocks in contrast to the volcanic terrain to the south. The rocks of the North Cascades are more resistant to erosion, display greater relief, and show evidence of more pronounced uplift and recent glaciation. Although the total length of the North Cascade Range, extending north from Snoqualmie Pass in Washington, is about 200 mi (320 km), this compilation map at 1:200,000 scale covers only that part (~150 mi) in the United States. The compilation map is derived mostly from eight 1:100,000-scale quadrangle maps that include all of the North Cascade Range in Washington and a bit of the mostly volcanic part of the Cascade Range to the south (fig. 1, sheet 2). Overall, the area represented by this compilation is about 12,740 mi2 (33,000 km2). The superb alpine scenery of the North Cascade Range and its proximity to major population centers has led to designation of much of the area for recreational use or wilderness preservation. A major part of the map area is in North Cascade National Park. Other restricted use areas are the Alpine Lakes, Boulder River, Clearwater, Glacier Peak, Henry M. Jackson, Lake Chelan-Sawtooth, Mount Baker, Noisy-Diobsud, Norse Peak, and Pasayten Wildernesses and the Mount Baker, Lake Chelan, and Ross Lake National Recreation Areas. The valleys traversed by Washington State Highway 20 east of Ross Lake are preserved as North Cascades Scenic Highway. The map area is traversed by three major highways: U.S. Interstate 90, crossing Snoqualmie Pass; Washington State Highway 2, crossing Stevens Pass; and Washington State Highway 20, crossing Washington Pass. Major secondary roads, as well as a network of U

77 FR 50157 - Notice of Public Meeting, Eastern Washington Resource Advisory Council Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2012-08-20

...; HAG 12-0260] Notice of Public Meeting, Eastern Washington Resource Advisory Council Meeting AGENCY.... Department of the Interior, Bureau of Land Management (BLM) Eastern Washington Resource Advisory Council... Bureau of Land Management's Eastern Washington and San Juan Resource Management Plan and the U.S. Forest...

Identifying Neck and Back Pain in Administrative Data: Defining the right cohort

PubMed Central

Siroka, Andrew M.; Shane, Andrea C.; Trafton, Jodie A.; Wagner, Todd H.

2017-01-01

Structured Abstract Study design We reviewed existing methods for identifying patients with neck and back pain in administrative data. We compared these methods using data from the Department of Veterans Affairs. Objective To answer the following questions: 1) what diagnosis codes should be used to identify patients with neck and back pain in administrative data; 2) because the majority of complaints are characterized as non-specific or mechanical, what diagnosis codes should be used to identify patients with non-specific or mechanical problems in administrative data; and 3) what procedure and surgical codes should be used to identify patients who have undergone a surgical procedure on the neck or back. Summary of background data Musculoskeletal neck and back pain are pervasive problems, associated with chronic pain, disability, and high rates of healthcare utilization. Administrative data have been widely used in formative research which has largely relied on the original work of Volinn, Cherkin, Deyo and Einstadter and the Back Pain Patient Outcomes Assessment Team first published in 1992. Significant variation in reports of incidence, prevalence, and morbidity associated with these problems may be due to non standard or conflicting methods to define study cohorts. Methods A literature review produced seven methods for identifying neck and back pain in administrative data. These code lists were used to search VA data for patients with back and neck problems, and to further categorize each case by spinal segment involved, as non- specific/mechanical and as surgical or not. Results There is considerable overlap in most algorithms. However, gaps remain. Conclusions Gaps are evident in existing methods and a new framework to identify patients with neck and back pain in administrative data is proposed. PMID:22127268

21 CFR 201.2 - Drugs and devices; National Drug Code numbers.

Code of Federal Regulations, 2014 CFR

2014-04-01

... 21 Food and Drugs 4 2014-04-01 2014-04-01 false Drugs and devices; National Drug Code numbers. 201.2 Section 201.2 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) DRUGS: GENERAL LABELING General Labeling Provisions § 201.2 Drugs and devices; National Drug Code...

21 CFR 201.2 - Drugs and devices; National Drug Code numbers.

Code of Federal Regulations, 2012 CFR

2012-04-01

... 21 Food and Drugs 4 2012-04-01 2012-04-01 false Drugs and devices; National Drug Code numbers. 201.2 Section 201.2 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) DRUGS: GENERAL LABELING General Labeling Provisions § 201.2 Drugs and devices; National Drug Code...

21 CFR 201.2 - Drugs and devices; National Drug Code numbers.

Code of Federal Regulations, 2011 CFR

2011-04-01

... 21 Food and Drugs 4 2011-04-01 2011-04-01 false Drugs and devices; National Drug Code numbers. 201.2 Section 201.2 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) DRUGS: GENERAL LABELING General Labeling Provisions § 201.2 Drugs and devices; National Drug Code...

21 CFR 201.2 - Drugs and devices; National Drug Code numbers.

Code of Federal Regulations, 2013 CFR

2013-04-01

... 21 Food and Drugs 4 2013-04-01 2013-04-01 false Drugs and devices; National Drug Code numbers. 201.2 Section 201.2 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) DRUGS: GENERAL LABELING General Labeling Provisions § 201.2 Drugs and devices; National Drug Code...

21 CFR 201.2 - Drugs and devices; National Drug Code numbers.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 21 Food and Drugs 4 2010-04-01 2010-04-01 false Drugs and devices; National Drug Code numbers. 201.2 Section 201.2 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) DRUGS: GENERAL LABELING General Labeling Provisions § 201.2 Drugs and devices; National Drug Code...

77 FR 23495 - Notice of Public Meeting, Eastern Washington Resource Advisory Council Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2012-04-19

...; HAG 12-0164] Notice of Public Meeting, Eastern Washington Resource Advisory Council Meeting AGENCY... 1972, the U.S. Department of the Interior, Bureau of Land Management (BLM) Eastern Washington Resource... of Land Management's Eastern Washington and San Juan Resource Management Plan, and the U.S. Forest...

40 CFR 81.100 - Eastern Washington-Northern Idaho Interstate Air Quality Control Region.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 40 Protection of Environment 17 2010-07-01 2010-07-01 false Eastern Washington-Northern Idaho... Designation of Air Quality Control Regions § 81.100 Eastern Washington-Northern Idaho Interstate Air Quality Control Region. The Eastern Washington-Northern Idaho Interstate Air Quality Control Region consists of...

Hydration and Cooling Practices Among Farmworkers in Oregon and Washington

PubMed Central

Bethel, Jeffrey W.; Spector, June T.; Krenz, Jennifer

2018-01-01

Objectives Although recommendations for preventing occupational heat-related illness among farmworkers include hydration and cooling practices, the extent to which these recommendations are universally practiced is unknown. The objective of this analysis was to compare hydration and cooling practices between farmworkers in Oregon and Washington. Methods A survey was administered to a purposive sample of Oregon and Washington farmworkers. Data collected included demographics, work history and current work practices, hydration practices, access and use of cooling measures, and headwear and clothing worn. Results Oregon farmworkers were more likely than those in Washington to consume beverages containing sugar and/or caffeine. Workers in Oregon more frequently reported using various cooling measures compared with workers in Washington. Availability of cooling measures also varied between the two states. Conclusions These results highlight the large variability between workers in two states regarding access to and use of methods to stay cool while working in the heat. PMID:28402203

Heat-related illness in Washington State agriculture and forestry sectors.

PubMed

Spector, June T; Krenz, Jennifer; Rauser, Edmund; Bonauto, David K

2014-08-01

We sought to describe heat-related illness (HRI) in agriculture and forestry workers in Washington State. Demographic and clinical Washington State Fund workers' compensation agriculture and forestry HRI claims data (1995-2009) and Washington Agriculture Heat Rule citations (2009-2012) were accessed and described. Maximum daily temperature (Tmax) and Heat Index (HImax) were estimated by claim date and location using AgWeatherNet's weather station network. There were 84 Washington State Fund agriculture and forestry HRI claims and 60 Heat Rule citations during the study period. HRI claims and citations were most common in crop production and support subsectors. The mean Tmax (HImax) was 95°F (99°F) for outdoor HRI claims. Potential HRI risk factors and HRI-related injuries were documented for some claims. Agriculture and forestry HRI cases are characterized by potential work-related, environmental, and personal risk factors. Further work is needed to elucidate the relationship between heat exposure and occupational injuries. © 2014 Wiley Periodicals, Inc.

Heat-Related Illness in Washington State Agriculture and Forestry Sectors

PubMed Central

Spector, June T.; Krenz, Jennifer; Rauser, Edmund; Bonauto, David K.

2017-01-01

Background We sought to describe heat-related illness (HRI) in agriculture and forestry workers in Washington State. Methods Demographic and clinical Washington State Fund workers’ compensation agriculture and forestry HRI claims data (1995–2009) and Washington Agriculture Heat Rule citations (2009–2012) were accessed and described. Maximum daily temperature (Tmax) and Heat Index (HImax) were estimated by claim date and location using AgWeatherNet’s weather station network. Results There were 84 Washington State Fund agriculture and forestry HRI claims and 60 Heat Rule citations during the study period. HRI claims and citations were most common in crop production and support subsectors. The mean Tmax (HImax) was 95°F (99°F) for outdoor HRI claims. Potential HRI risk factors and HRI-related injuries were documented for some claims. Conclusions Agriculture and forestry HRI cases are characterized by potential work-related, environmental, and personal risk factors. Further work is needed to elucidate the relationship between heat exposure and occupational injuries. PMID:24953344

Validated methods for identifying tuberculosis patients in health administrative databases: systematic review.

PubMed

Ronald, L A; Ling, D I; FitzGerald, J M; Schwartzman, K; Bartlett-Esquilant, G; Boivin, J-F; Benedetti, A; Menzies, D

2017-05-01

An increasing number of studies are using health administrative databases for tuberculosis (TB) research. However, there are limitations to using such databases for identifying patients with TB. To summarise validated methods for identifying TB in health administrative databases. We conducted a systematic literature search in two databases (Ovid Medline and Embase, January 1980-January 2016). We limited the search to diagnostic accuracy studies assessing algorithms derived from drug prescription, International Classification of Diseases (ICD) diagnostic code and/or laboratory data for identifying patients with TB in health administrative databases. The search identified 2413 unique citations. Of the 40 full-text articles reviewed, we included 14 in our review. Algorithms and diagnostic accuracy outcomes to identify TB varied widely across studies, with positive predictive value ranging from 1.3% to 100% and sensitivity ranging from 20% to 100%. Diagnostic accuracy measures of algorithms using out-patient, in-patient and/or laboratory data to identify patients with TB in health administrative databases vary widely across studies. Use solely of ICD diagnostic codes to identify TB, particularly when using out-patient records, is likely to lead to incorrect estimates of case numbers, given the current limitations of ICD systems in coding TB.

29 CFR 1926.6 - Incorporation by reference.

Code of Federal Regulations, 2011 CFR

2011-07-01

...-mail: [email protected]; Web site: http://www.asme.org/: (1) ASME B30.2-2005, Overhead and Gantry....1501(a). (2) ANSI B30.2.0-1967, Safety Code for Overhead and Gantry Cranes, approved May 4, 1967, IBR..., Washington, DC 20210. (2) The Regional and Field Offices of the Occupational Safety and Health Administration...

Reaching Higher. A Parent's Guide to the Washington Assessment of Learning. Revised = Para llegar mas arriba. Una guia para padres sobre la evaluacion del aprendizaje de los estudiantes del estado de Washington (Washington Assessment of Student Learning). Revisado.

ERIC Educational Resources Information Center

Washington Office of the State Superintendent of Public Instruction, Olympia.

This guide in English and Spanish is designed to answer questions parents may have about the Washington Assessment of Student Learning (WASL), including how it will help improve their children's education, how it is scored, and how to use the information it provides. In Washington, clear educational goals for subject content, thinking skills, and…

Validating administrative records in post-traumatic stress disorder.

PubMed

Abrams, Thad E; Vaughan-Sarrazin, Mary; Keane, Terence M; Richardson, Kelly

2016-03-01

There is insufficient data on the accuracy of administrative coding data (ACD) for post-traumatic stress disorder (PTSD). Medical records were reviewed for (1) a diagnosis of PTSD; (2) treatment for PTSD. The records were compared against the Veterans Health Administration (VHA) data in order to determine the positive predictive value (PPV) and negative predictive value (NPV) of three commonly used approaches. The PPV and NPV varied according to the ACD approach. Relative to a medical records review, the ACD approach of one or two PTSD coded outpatient encounters had a PPV of 78% and an NPV of 91%; whereas the PPV was 97% and the NPV was 98% for three or more PTSD codes. For pharmacotherapy, the ACD approach with one or two codes for PTSD had a PPV of 33% (NPV = 93%), whereas three or more PTSD coded encounters improved the PPV to 85% (NPV = 100%). When using VHA data, we recommend tailoring the identification strategy according to the research aims. An ACD approach identifying one or more PTSD outpatient encounters should be considered sufficient for a diagnosis of PTSD. Assessments for PTSD associated pharmacotherapy require using an ACD approach that identifies veterans with the presence ≥ 3 outpatient PTSD encounters. Published 2015. This article is a U.S. Government work and is in the public domain in the USA. Published 2015. This article is a U.S. Government work and is in the public domain in the USA.

77 FR 27479 - Filing of Plats of Survey: Oregon/Washington