WorldWideScience

Sample records for health facility management

  1. An Application of Business Process Management to Health Care Facilities.

    Science.gov (United States)

    Hassan, Mohsen M D

    The purpose of this article is to help health care facility managers and personnel identify significant elements of their facilities to address, and steps and actions to follow, when applying business process management to them. The ABPMP (Association of Business Process Management Professionals) life-cycle model of business process management is adopted, and steps from Lean, business process reengineering, and Six Sigma, and actions from operations management are presented to implement it. Managers of health care facilities can find in business process management a more comprehensive approach to improving their facilities than Lean, Six Sigma, business process reengineering, and ad hoc approaches that does not conflict with them because many of their elements can be included under its umbrella. Furthermore, the suggested application of business process management can guide and relieve them from selecting among these approaches, as well as provide them with specific steps and actions that they can follow. This article fills a gap in the literature by presenting a much needed comprehensive application of business process management to health care facilities that has specific steps and actions for implementation.

  2. Guidelines for Management Information Systems in Canadian Health Care Facilities

    Science.gov (United States)

    Thompson, Larry E.

    1987-01-01

    The MIS Guidelines are a comprehensive set of standards for health care facilities for the recording of staffing, financial, workload, patient care and other management information. The Guidelines enable health care facilities to develop management information systems which identify resources, costs and products to more effectively forecast and control costs and utilize resources to their maximum potential as well as provide improved comparability of operations. The MIS Guidelines were produced by the Management Information Systems (MIS) Project, a cooperative effort of the federal and provincial governments, provincial hospital/health associations, under the authority of the Canadian Federal/Provincial Advisory Committee on Institutional and Medical Services. The Guidelines are currently being implemented on a “test” basis in ten health care facilities across Canada and portions integrated in government reporting as finalized.

  3. Health Facilities

    Science.gov (United States)

    Health facilities are places that provide health care. They include hospitals, clinics, outpatient care centers, and specialized care centers, ... psychiatric care centers. When you choose a health facility, you might want to consider How close it ...

  4. National ignition facility environment, safety, and health management plan

    International Nuclear Information System (INIS)

    1995-11-01

    The ES ampersand H Management Plan describes all of the environmental, safety, and health evaluations and reviews that must be carried out in support of the implementation of the National Ignition Facility (NIF) Project. It describes the policy, organizational responsibilities and interfaces, activities, and ES ampersand H documents that will be prepared by the Laboratory Project Office for the DOE. The only activity not described is the preparation of the NIF Project Specific Assessment (PSA), which is to be incorporated into the Programmatic Environmental Impact Statement for Stockpile Stewardship and Management (PEIS). This PSA is being prepared by Argonne National Laboratory (ANL) with input from the Laboratory participants. As the independent NEPA document preparers ANL is directly contracted by the DOE, and its deliverables and schedule are agreed to separately with DOE/OAK

  5. American Health Information Management Association. Position statement. Issue: managing health information in facility mergers and acquisitions.

    Science.gov (United States)

    1994-04-01

    Healthcare facility mergers and acquisitions are becoming more common as the industry consolidates. Many critical issues must be considered in mergers and acquisitions, including the management of patient health information. In addition to operational issues, licensure, regulatory, and accreditation requirements must be addressed. To ensure availability of health information to all legitimate users, patient records should be consolidated or linked in the master patient index. A record retention policy should be developed and implemented to meet user needs and assure compliance with legal, regulatory, and accreditation requirements. If health information from closed facilities will be stored for a period of time, its integrity and confidentiality must be preserved, and it must be readily accessible for patient care. The compatibility and functionality of existing information systems should be assessed, and a plan should be formulated for integration of the systems to the extent possible. Such integration may be essential for the organization to successfully meet the demands of integrated delivery systems. Existing databases should be maintained in an accessible form to meet anticipated future needs.

  6. Health facility committees and facility management - exploring the nature and depth of their roles in Coast Province, Kenya

    Directory of Open Access Journals (Sweden)

    Kabare Margaret

    2011-09-01

    Full Text Available Abstract Background Community participation has been emphasized internationally as a way of enhancing accountability, as well as a means to enhance health goals in terms of coverage, access and effective utilization. In rural health facilities in Kenya, initiatives to increase community accountability have focused on Health Facility Committees (HFCs. In Coast Province the role of HFCs has been expanded with the introduction of direct funding of rural facilities. We explored the nature and depth of managerial engagement of HFCs at the facility level in two rural districts in this Coastal setting, and how this has contributed to community accountability Methods We conducted structured interviews with the health worker in-charge and with patients in 30 health centres and dispensaries. These data were supplemented with in-depth interviews with district managers, and with health workers and HFC members in 12 health centres and dispensaries. In-depth interviews with health workers and HFC members included a participatory exercise to stimulate discussion of the nature and depth of their roles in facility management. Results HFCs were generally functioning well and played an important role in facility operations. The breadth and depth of engagement had reportedly increased after the introduction of direct funding of health facilities which allowed HFCs to manage their own budgets. Although relations with facility staff were generally good, some mistrust was expressed between HFC members and health workers, and between HFC members and the broader community, partially reflecting a lack of clarity in HFC roles. Moreover, over half of exit interviewees were not aware of the HFC's existence. Women and less well-educated respondents were particularly unlikely to know about the HFC. Conclusions There is potential for HFCs to play an active and important role in health facility management, particularly where they have control over some facility level resources

  7. Health facility committees and facility management - exploring the nature and depth of their roles in Coast Province, Kenya.

    Science.gov (United States)

    Goodman, Catherine; Opwora, Antony; Kabare, Margaret; Molyneux, Sassy

    2011-09-22

    Community participation has been emphasized internationally as a way of enhancing accountability, as well as a means to enhance health goals in terms of coverage, access and effective utilization. In rural health facilities in Kenya, initiatives to increase community accountability have focused on Health Facility Committees (HFCs). In Coast Province the role of HFCs has been expanded with the introduction of direct funding of rural facilities. We explored the nature and depth of managerial engagement of HFCs at the facility level in two rural districts in this Coastal setting, and how this has contributed to community accountability We conducted structured interviews with the health worker in-charge and with patients in 30 health centres and dispensaries. These data were supplemented with in-depth interviews with district managers, and with health workers and HFC members in 12 health centres and dispensaries. In-depth interviews with health workers and HFC members included a participatory exercise to stimulate discussion of the nature and depth of their roles in facility management. HFCs were generally functioning well and played an important role in facility operations. The breadth and depth of engagement had reportedly increased after the introduction of direct funding of health facilities which allowed HFCs to manage their own budgets. Although relations with facility staff were generally good, some mistrust was expressed between HFC members and health workers, and between HFC members and the broader community, partially reflecting a lack of clarity in HFC roles. Moreover, over half of exit interviewees were not aware of the HFC's existence. Women and less well-educated respondents were particularly unlikely to know about the HFC. There is potential for HFCs to play an active and important role in health facility management, particularly where they have control over some facility level resources. However, to optimise their contribution, efforts are needed to

  8. Health and Safety Management for Small-scale Methane Fermentation Facilities

    Science.gov (United States)

    Yamaoka, Masaru; Yuyama, Yoshito; Nakamura, Masato; Oritate, Fumiko

    In this study, we considered health and safety management for small-scale methane fermentation facilities that treat 2-5 ton of biomass daily based on several years operation experience with an approximate capacity of 5 t·d-1. We also took account of existing knowledge, related laws and regulations. There are no qualifications or licenses required for management and operation of small-scale methane fermentation facilities, even though rural sewerage facilities with a relative similar function are required to obtain a legitimate license. Therefore, there are wide variations in health and safety consciousness of the operators of small-scale methane fermentation facilities. The industrial safety and health laws are not applied to the operation of small-scale methane fermentation facilities. However, in order to safely operate a small-scale methane fermentation facility, the occupational safety and health management system that the law recommends should be applied. The aims of this paper are to clarify the risk factors in small-scale methane fermentation facilities and encourage planning, design and operation of facilities based on health and safety management.

  9. Approaches to the management of waste from health care facilities in Czech Republic and Kazakhstan

    OpenAIRE

    Kaireshev, Ruslan

    2015-01-01

    Waste from healthcare facilities or similar facilities includes components of various physical, chemical and biological character that require special approaches during the handling, specifically with regard to possible risks to human health and the environment. Nowadays a challenge for waste management system becomes waste produced in healthcare facilities and contributes too many reasons, such as population growth and rising life expectancy. The rate of waste production from healthcare faci...

  10. Environmental Management Waste Management Facility (EMWMF) Site-Specific Health and Safety Plan, Oak Ridge, Tennessee

    Energy Technology Data Exchange (ETDEWEB)

    Flynn, N.C. Bechtel Jacobs

    2008-04-21

    The Bechtel Jacobs Company LLC (BJC) policy is to provide a safe and healthy workplace for all employees and subcontractors. The implementation of this policy requires that operations of the Environmental Management Waste Management Facility (EMWMF), located one-half mile west of the U.S. Department of Energy (DOE) Y-12 National Security Complex, be guided by an overall plan and consistent proactive approach to environment, safety and health (ES&H) issues. The BJC governing document for worker safety and health, BJC/OR-1745, 'Worker Safety and Health Program', describes the key elements of the BJC Safety and Industrial Hygiene (IH) programs, which includes the requirement for development and implementation of a site-specific Health and Safety Plan (HASP) where required by regulation (refer also to BJC-EH-1012, 'Development and Approval of Safety and Health Plans'). BJC/OR-1745, 'Worker Safety and Health Program', implements the requirements for worker protection contained in Title 10 Code of Federal Regulations (CFR) Part 851. The EMWMF site-specific HASP requirements identifies safe operating procedures, work controls, personal protective equipment, roles and responsibilities, potential site hazards and control measures, site access requirements, frequency and types of monitoring, site work areas, decontamination procedures, and outlines emergency response actions. This HASP will be available on site for use by all workers, management and supervisors, oversight personnel and visitors. All EMWMF assigned personnel will be briefed on the contents of this HASP and will be required to follow the procedures and protocols as specified. The policies and procedures referenced in this HASP apply to all EMWMF operations activities. In addition the HASP establishes ES&H criteria for the day-to-day activities to prevent or minimize any adverse effect on the environment and personnel safety and health and to meet standards that define acceptable

  11. Quality of malaria case management in Malawi: results from a nationally representative health facility survey.

    Science.gov (United States)

    Steinhardt, Laura C; Chinkhumba, Jobiba; Wolkon, Adam; Luka, Madalitso; Luhanga, Misheck; Sande, John; Oyugi, Jessica; Ali, Doreen; Mathanga, Don; Skarbinski, Jacek

    2014-01-01

    Malaria is endemic throughout Malawi, but little is known about quality of malaria case management at publicly-funded health facilities, which are the major source of care for febrile patients. In April-May 2011, we conducted a nationwide, geographically-stratified health facility survey to assess the quality of outpatient malaria diagnosis and treatment. We enrolled patients presenting for care and conducted exit interviews and re-examinations, including reference blood smears. Moreover, we assessed health worker readiness (e.g., training, supervision) and health facility capacity (e.g. availability of diagnostics and antimalarials) to provide malaria case management. All analyses accounted for clustering and unequal selection probabilities. We also used survey weights to produce estimates of national caseloads. At the 107 facilities surveyed, most of the 136 health workers interviewed (83%) had received training on malaria case management. However, only 24% of facilities had functional microscopy, 15% lacked a thermometer, and 19% did not have the first-line artemisinin-based combination therapy (ACT), artemether-lumefantrine, in stock. Of 2,019 participating patients, 34% had clinical malaria (measured fever or self-reported history of fever plus a positive reference blood smear). Only 67% (95% confidence interval (CI): 59%, 76%) of patients with malaria were correctly prescribed an ACT, primarily due to missed malaria diagnosis. Among patients without clinical malaria, 31% (95% CI: 24%, 39%) were prescribed an ACT. By our estimates, 1.5 million of the 4.4 million malaria patients seen in public facilities annually did not receive correct treatment, and 2.7 million patients without clinical malaria were inappropriately given an ACT. Malawi has a high burden of uncomplicated malaria but nearly one-third of all patients receive incorrect malaria treatment, including under- and over-treatment. To improve malaria case management, facilities must at minimum have

  12. Rapid assessment of infrastructure of primary health care facilities - a relevant instrument for health care systems management.

    Science.gov (United States)

    Scholz, Stefan; Ngoli, Baltazar; Flessa, Steffen

    2015-05-01

    Health care infrastructure constitutes a major component of the structural quality of a health system. Infrastructural deficiencies of health services are reported in literature and research. A number of instruments exist for the assessment of infrastructure. However, no easy-to-use instruments to assess health facility infrastructure in developing countries are available. Present tools are not applicable for a rapid assessment by health facility staff. Therefore, health information systems lack data on facility infrastructure. A rapid assessment tool for the infrastructure of primary health care facilities was developed by the authors and pilot-tested in Tanzania. The tool measures the quality of all infrastructural components comprehensively and with high standardization. Ratings use a 2-1-0 scheme which is frequently used in Tanzanian health care services. Infrastructural indicators and indices are obtained from the assessment and serve for reporting and tracing of interventions. The tool was pilot-tested in Tanga Region (Tanzania). The pilot test covered seven primary care facilities in the range between dispensary and district hospital. The assessment encompassed the facilities as entities as well as 42 facility buildings and 80 pieces of technical medical equipment. A full assessment of facility infrastructure was undertaken by health care professionals while the rapid assessment was performed by facility staff. Serious infrastructural deficiencies were revealed. The rapid assessment tool proved a reliable instrument of routine data collection by health facility staff. The authors recommend integrating the rapid assessment tool in the health information systems of developing countries. Health authorities in a decentralized health system are thus enabled to detect infrastructural deficiencies and trace the effects of interventions. The tool can lay the data foundation for district facility infrastructure management.

  13. Facility Design and Health Management Program at the Sinnhuber Aquatic Research Laboratory.

    Science.gov (United States)

    Barton, Carrie L; Johnson, Eric W; Tanguay, Robert L

    2016-07-01

    The number of researchers and institutions moving to the utilization of zebrafish for biomedical research continues to increase because of the recognized advantages of this model. Numerous factors should be considered before building a new or retooling an existing facility. Design decisions will directly impact the management and maintenance costs. We and others have advocated for more rigorous approaches to zebrafish health management to support and protect an increasingly diverse portfolio of important research. The Sinnhuber Aquatic Research Laboratory (SARL) is located ∼3 miles from the main Oregon State University campus in Corvallis, Oregon. This facility supports several research programs that depend heavily on the use of adult, larval, and embryonic zebrafish. The new zebrafish facility of the SARL began operation in 2007 with a commitment to build and manage an efficient facility that diligently protects human and fish health. An important goal was to ensure that the facility was free of Pseudoloma neurophilia (Microsporidia), which is very common in zebrafish research facilities. We recognize that there are certain limitations in space, resources, and financial support that are institution dependent, but in this article, we describe the steps taken to build and manage an efficient specific pathogen-free facility.

  14. Are Health Facility Management Committees in Kenya ready to implement financial management tasks: findings from a nationally representative survey.

    Science.gov (United States)

    Waweru, Evelyn; Opwora, Antony; Toda, Mitsuru; Fegan, Greg; Edwards, Tansy; Goodman, Catherine; Molyneux, Sassy

    2013-10-10

    Community participation in peripheral public health facilities has in many countries focused on including community representatives in Health Facility Management Committees (HFMCs). In Kenya, HFMC roles are being expanded with the phased implementation of the Health Sector Services Fund (HSSF). Under HSSF, HFMCs manage facility funds which are dispersed directly from central level into facility bank accounts. We assessed how prepared HFMCs were to undertake this new role in advance of HSSF roll out, and considered the implications for Kenya and other similar settings. Data were collected through a nationally representative sample of 248 public health centres and dispensaries in 24 districts in 2010. Data collection included surveys with in-charges (n = 248), HFMC members (n = 464) and facility users (n = 698), and record reviews. These data were supplemented by semi-structured interviews with district health managers in each district. Some findings supported preparedness of HFMCs to take on their new roles. Most facilities had bank accounts and HFMCs which met regularly. HFMC members and in-charges generally reported positive relationships, and HFMC members expressed high levels of motivation and job satisfaction. Challenges included users' low awareness of HFMCs, lack of training and clarity in roles among HFMCs, and some indications of strained relations with in-charges. Such challenges are likely to be common to many similar settings, and are therefore important considerations for any health facility based initiatives involving HFMCs. Most HFMCs have the basic requirements to operate. However to manage their own budgets effectively and meet their allocated roles in HSSF implementation, greater emphasis is needed on financial management training, targeted supportive supervision, and greater community awareness and participation. Once new budget management roles are fully established, qualitative and quantitative research on how HFMCs are adapting to

  15. Laser programs facility management plan for environment, safety, and health

    International Nuclear Information System (INIS)

    Cruz, G.E.

    1996-01-01

    The Lawrence Livermore National Laboratory's (LLNL) Laser Programs ES ampersand H policy is established by the Associate Director for Laser Programs. This FMP is one component of that policy. Laser Programs personnel design, construct and operate research and development equipment located in various Livermore and Site 300 buildings. The Programs include a variety of activities, primarily laser research and development, inertial confinement fusion, isotope separation, and an increasing emphasis on materials processing, imaging systems, and signal analysis. This FMP is a formal statement of responsibilities and controls to assure operational activities are conducted without harm to employees, the general public, or the environment. This plan identifies the hazards associated with operating a large research and development facility and is a vehicle to control and mitigate those hazards. Hazards include, but are not limited to: laser beams, hazardous and radioactive materials, criticality, ionizing radiation or x rays, high-voltage electrical equipment, chemicals, and powered machinery

  16. Evaluating malaria case management at public health facilities in two provinces in Angola.

    Science.gov (United States)

    Plucinski, Mateusz M; Ferreira, Manzambi; Ferreira, Carolina Miguel; Burns, Jordan; Gaparayi, Patrick; João, Lubaki; da Costa, Olinda; Gill, Parambir; Samutondo, Claudete; Quivinja, Joltim; Mbounga, Eliane; de León, Gabriel Ponce; Halsey, Eric S; Dimbu, Pedro Rafael; Fortes, Filomeno

    2017-05-03

    Malaria accounts for the largest portion of healthcare demand in Angola. A pillar of malaria control in Angola is the appropriate management of malaria illness, including testing of suspect cases with rapid diagnostic tests (RDTs) and treatment of confirmed cases with artemisinin-based combination therapy (ACT). Periodic systematic evaluations of malaria case management are recommended to measure health facility readiness and adherence to national case management guidelines. Cross-sectional health facility surveys were performed in low-transmission Huambo and high-transmission Uíge Provinces in early 2016. In each province, 45 health facilities were randomly selected from among all public health facilities stratified by level of care. Survey teams performed inventories of malaria commodities and conducted exit interviews and re-examinations, including RDT testing, of a random selection of all patients completing outpatient consultations. Key health facility readiness and case management indicators were calculated adjusting for the cluster sampling design and utilization. Availability of RDTs or microscopy on the day of the survey was 71% (54-83) in Huambo and 85% (67-94) in Uíge. At least one unit dose pack of one formulation of an ACT (usually artemether-lumefantrine) was available in 83% (66-92) of health facilities in Huambo and 79% (61-90) of health facilities in Uíge. Testing rates of suspect malaria cases in Huambo were 30% (23-38) versus 69% (53-81) in Uíge. Overall, 28% (13-49) of patients with uncomplicated malaria, as determined during the re-examination, were appropriately treated with an ACT with the correct dose in Huambo, compared to 60% (42-75) in Uíge. Incorrect case management of suspect malaria cases was associated with lack of healthcare worker training in Huambo and ACT stock-outs in Uíge. The results reveal important differences between provinces. Despite similar availability of testing and ACT, testing and treatment rates were lower in

  17. Health physics and quality control management of a cyclotron-based PET facility

    International Nuclear Information System (INIS)

    Jerabek, P.A.

    1995-01-01

    This paper provides an overview of the operation and management of a Positron Emission Tomography (PET) facility at the University of Texas. The facility components are discussed from an operations perspective with an emphasis on devices, and on practices and procedures which are implemented to ensure that personnel exposures are as low as reasonably achievable. The cyclotron-based PET facility uses in-house production of PET radioisotopes for preparation of radiopharmaceuticals. A combination of specially designed cyclotron equipped devices, radiopharmaceutical preparation devices, and shielded devices along with health physics practices have helped to make PET operations become routine

  18. Patient-, health worker-, and health facility-level determinants of correct malaria case management at publicly funded health facilities in Malawi: results from a nationally representative health facility survey.

    Science.gov (United States)

    Steinhardt, Laura C; Chinkhumba, Jobiba; Wolkon, Adam; Luka, Madalitso; Luhanga, Misheck; Sande, John; Oyugi, Jessica; Ali, Doreen; Mathanga, Don; Skarbinski, Jacek

    2014-02-20

    Prompt and effective case management is needed to reduce malaria morbidity and mortality. However, malaria diagnosis and treatment is a multistep process that remains problematic in many settings, resulting in missed opportunities for effective treatment as well as overtreatment of patients without malaria. Prior to the widespread roll-out of malaria rapid diagnostic tests (RDTs) in late 2011, a national, cross-sectional, complex-sample, health facility survey was conducted in Malawi to assess patient-, health worker-, and health facility-level factors associated with malaria case management quality using multivariate Poisson regression models. Among the 2,019 patients surveyed, 34% had confirmed malaria defined as presence of fever and parasitaemia on a reference blood smear. Sixty-seven per cent of patients with confirmed malaria were correctly prescribed the first-line anti-malarial, with most cases of incorrect treatment due to missed diagnosis; 31% of patients without confirmed malaria were overtreated with an anti-malarial. More than one-quarter of patients were not assessed for fever or history of fever by health workers. The most important determinants of correct malaria case management were patient-level clinical symptoms, such as spontaneous complaint of fever to health workers, which increased both correct treatment and overtreatment by 72 and 210%, respectively (pfacility-level factors were significantly associated with case management quality. Introduction of RDTs holds potential to improve malaria case management in Malawi, but health workers must systematically assess all patients for fever, and then test and treat accordingly, otherwise, malaria control programmes might miss an opportunity to dramatically improve malaria case management, despite better diagnostic tools.

  19. The Oral Health Care Manager in a Patient-Centered Health Facility.

    Science.gov (United States)

    Theile, Cheryl Westphal; Strauss, Shiela M; Northridge, Mary Evelyn; Birenz, Shirley

    2016-06-01

    The dental hygienist team member has an opportunity to coordinate care within an interprofessional practice as an oral health care manager. Although dental hygienists are currently practicing within interprofessional teams in settings such as pediatric offices, hospitals, nursing homes, schools, and federally qualified health centers, they often still assume traditional responsibilities rather than practicing to the full extent of their training and licenses. This article explains the opportunity for the dental hygiene professional to embrace patient-centered care as an oral health care manager who can facilitate integration of oral and primary care in a variety of health care settings. Based on an innovative model of collaboration between a college of dentistry and a college of nursing, an idea emerged among several faculty members for a new management method for realizing continuity and coordination of comprehensive patient care. Involved faculty members began working on the development of an approach to interprofessional practice with the dental hygienist serving as an oral health care manager who would address both oral health care and a patient's related primary care issues through appropriate referrals and follow-up. This approach is explained in this article, along with the results of several pilot studies that begin to evaluate the feasibility of a dental hygienist as an oral health care manager. A health care provider with management skills and leadership qualities is required to coordinate the interprofessional provision of comprehensive health care. The dental hygienist has the opportunity to lead closer integration of oral and primary care as an oral health care manager, by coordinating the team of providers needed to implement comprehensive, patient-centered care. Copyright © 2016 Elsevier Inc. All rights reserved.

  20. Building capacity in health facility management: guiding principles for skills transfer in Liberia.

    Science.gov (United States)

    Rowe, Laura A; Brillant, Sister Barbara; Cleveland, Emily; Dahn, Bernice T; Ramanadhan, Shoba; Podesta, Mae; Bradley, Elizabeth H

    2010-03-18

    Management training is fundamental to developing human resources for health. Particularly as Liberia revives its health delivery system, facility and county health team managers are central to progress. Nevertheless, such management skills are rarely prioritized in health training, and sustained capacity building in this area is limited. We describe a health management delivery program in which a north and south institution collaborated to integrate classroom and field-based training in health management and to transfer the capacity for sustained management development in Liberia. We developed and implemented a 6-month training program in health management skills (i.e. strategic problem solving, financial management, human resource management and leadership) delivered by Yale University and Mother Patern College from Liberia, with support from the Clinton HIV/AIDS Initiative. Over three 6-month cycles, responsibility for course instruction was transferred from the north institution to the south institution. A self-administered survey was conducted of all participants completing the course to measure changes in self-rated management skills, the degree to which the course was helpful and met its stated objectives, and faculty members' responsiveness to participant needs as the transfer process occurred. Respondents (n=93, response rate 95.9%) reported substantial improvement in self-reported management skills, and rated the helpfulness of the course and the degree to which the course met its objectives highly. Levels of improvement and course ratings were similar over the three cohorts as the course was transferred to the south institution. We suggest a framework of five elements for implementing successful management training programs that can be transferred and sustained in resource-limited settings, including: 1) use a short-course format focusing on four key skill areas with practical tools; 2) include didactic training, on-site projects, and on-site mentoring; 3

  1. Building capacity in health facility management: guiding principles for skills transfer in Liberia

    Directory of Open Access Journals (Sweden)

    Dahn Bernice T

    2010-03-01

    Full Text Available Abstract Background Management training is fundamental to developing human resources for health. Particularly as Liberia revives its health delivery system, facility and county health team managers are central to progress. Nevertheless, such management skills are rarely prioritized in health training, and sustained capacity building in this area is limited. We describe a health management delivery program in which a north and south institution collaborated to integrate classroom and field-based training in health management and to transfer the capacity for sustained management development in Liberia. Methods We developed and implemented a 6-month training program in health management skills (i.e. strategic problem solving, financial management, human resource management and leadership delivered by Yale University and Mother Patern College from Liberia, with support from the Clinton HIV/AIDS Initiative. Over three 6-month cycles, responsibility for course instruction was transferred from the north institution to the south institution. A self-administered survey was conducted of all participants completing the course to measure changes in self-rated management skills, the degree to which the course was helpful and met its stated objectives, and faculty members' responsiveness to participant needs as the transfer process occurred. Results Respondents (n = 93, response rate 95.9% reported substantial improvement in self-reported management skills, and rated the helpfulness of the course and the degree to which the course met its objectives highly. Levels of improvement and course ratings were similar over the three cohorts as the course was transferred to the south institution. We suggest a framework of five elements for implementing successful management training programs that can be transferred and sustained in resource-limited settings, including: 1 use a short-course format focusing on four key skill areas with practical tools; 2 include

  2. Challenges to improving case management of childhood pneumonia at health facilities in resource-limited settings.

    Science.gov (United States)

    Graham, Stephen M; English, Mike; Hazir, Tabish; Enarson, Penny; Duke, Trevor

    2008-05-01

    Effective case management is an important strategy to reduce pneumonia-related morbidity and mortality in children. Guidelines based on sound evidence are available but are used variably. This review outlines current guidelines for childhood pneumonia management in the setting where most child pneumonia deaths occur and identifies challenges for improved management in a variety of settings and different "at-risk" groups. These include appropriate choice of antibiotic, clinical overlap with other conditions, prompt and appropriate referral for inpatient care, and management of treatment failure. Management of neonates, and of HIV-infected or severely malnourished children is more complicated. The influence of co-morbidities on pneumonia outcome means that pneumonia case management must be integrated within strategies to improve overall paediatric care. The greatest potential for reducing pneumonia-related deaths in health facilities is wider implementation of the current guidelines built around a few core activities: training, antibiotics and oxygen. This requires investment in human resources and in equipment for the optimal management of hypoxaemia. It is important to provide data from a variety of epidemiological settings for formal cost-effectiveness analyses. Improvements in the quality of case management of pneumonia can be a vehicle for overall improvements in child health-care practices.

  3. Service readiness, health facility management practices, and delivery care utilization in five states of Nigeria: a cross-sectional analysis.

    Science.gov (United States)

    Gage, Anastasia J; Ilombu, Onyebuchi; Akinyemi, Akanni Ibukun

    2016-10-06

    Existing studies of delivery care in Nigeria have identified socioeconomic and cultural factors as the primary determinants of health facility delivery. However, no study has investigated the association between supply-side factors and health facility delivery. Our study analyzed the role of supply-side factors, particularly health facility readiness and management practices for provision of quality maternal health services. Using linked data from the 2005 and 2009 health facility and household surveys in the five states in which the Community Participation for Action in the Social Sector (COMPASS) project was implemented, indices of health service readiness and management were developed based on World Health Organization guidelines. Multilevel logistic regression models were run to determine the association between these indices and health facility delivery among 2710 women aged 15-49 years whose last child was born within the five years preceding the surveys and who lived in 51 COMPASS LGAs. The health facility delivery rate increased from 25.4 % in 2005 to 44.1 % in 2009. Basic amenities for antenatal care provision, readiness to deliver basic emergency obstetric and newborn care, and management practices supportive of quality maternal health services were suboptimal in health facilities surveyed and did not change significantly between 2005 and 2009. The LGA mean index of basic amenities for antenatal care provision was more positively associated with the odds of health facility delivery in 2009 than in 2005, and in rural than in urban areas. The LGA mean index of management practices was associated with significantly lower odds of health facility delivery in rural than in urban areas. The LGA mean index of facility readiness to deliver basic emergency obstetric and neonatal care declined slightly from 5.16 in 2005 to 3.98 in 2009 and was unrelated to the odds of health facility delivery. Supply-side factors appeared to play a role in health facility delivery

  4. Lesotho - Health Facility Survey

    Data.gov (United States)

    Millennium Challenge Corporation — The main objective of the 2011 Health Facility Survey (HFS) was to establish a baseline for informing the Health Project performance indicators on health facilities,...

  5. The quality management journey: the progress of health facilities in Australia.

    Science.gov (United States)

    Carr, B J

    1994-12-01

    Many facilities in Australia have taken the Total Quality Management (TQM) step. The objective of this study was to examine progress of adopted formal quality systems in health. Sixty per cent of organizations surveyed have adopted formal systems. Of these, Deming adherents are the most common, followed by eclectic choices. Only 35% considered the quality transition as reasonably easy. There was no relationship between accreditation and formal quality systems identified. The most common improvement techniques were: flow charts, histograms, and cause and effect diagrams. Quality practitioners are happy to use several tools exceptionally well rather than have many tools at their disposal. The greatest impediment to the adoption of quality was the lack of top management support. This study did not support the view that clinicians are not readily actively supporting quality initiatives. Total Quality Management is not a mature concept; however, Chief Executive Officers are assured that rewards will be realized over time.

  6. Quality management standards for facility services in the Italian health care sector.

    Science.gov (United States)

    Cesarotti, Vittorio; Di Silvio, Bruna

    2006-01-01

    Health care, one of the most dynamic sectors in Italy, is studied with a particular focus on outsourcing non-core activities such as facility management (FM) services. The project's goals are to define national standards to balance and control facility service evolution, and to drive FM services towards organisational excellence. The authors, in cooperation with a pool of facility service providers and hospitals managers, studied cleaning services--one of the most critical areas. This article describes the research steps and findings following definition and publication of the Italian standard and its application to an international benchmarking process. The method chosen for developing the Italian standard was to merge technical, strategic and organisational aspects with the goal of standardising the contracting system, giving service providers the chance to improve efficiency and quality, while helping healthcare organisations gain from a better, more reliable and less expensive service. The Italian standard not only improved services but also provided adequate control systems for outsourcing organisations. In this win-win context, it is hoped to continually drive FM services towards organisational excellence. This study is specific to the Italian national healthcare system. However, the strategic dynamics described are common to many other contexts. A systematic method for improving hospital FM services is presented. The authors believe that lessons learned from their Italian case study can be used to better understand and drive similar services in other countries or in other FM service outsourcing sectors.

  7. Facility Environmental Management System

    Data.gov (United States)

    Federal Laboratory Consortium — This is the Web site of the Federal Highway Administration's (FHWA's) Turner-Fairbank Highway Research Center (TFHRC) facility Environmental Management System (EMS)....

  8. The influence of facility design and human resource management on health care professionals.

    Science.gov (United States)

    Sadatsafavi, Hessam; Walewski, John; Shepley, Mardelle M

    2015-01-01

    Cost control of health care services is a strategic concern for organizations. To lower costs, some organizations reduce staffing levels. However, this may not be worth the trade-off, as the quality of services will likely be reduced, morale among health care providers tends to suffer, and patient satisfaction is likely to decline. The potential synergy between human resource management and facility design and operation was investigated to achieve the goal of providing cost containment strategies without sacrificing the quality of services and the commitment of employees. About 700 health care professionals from 10 acute-care hospitals participated in this cross-sectional study. The authors used structural equation modeling to test whether employees' evaluations of their physical work environment and human resource practices were significantly associated with lower job-related anxiety, higher job satisfaction, and higher organizational commitment. The analysis found that employees' evaluations of their physical work environment and human resource practices influenced their job-related feelings and attitudes. Perceived organizational support mediated this relationship. The study also found a small but positive interaction effect between the physical work environment and human resource practices. The influence of physical work environment was small, mainly because of the high predictive value of human resource practices and strong confounding variables included in the analysis. This study specifically showed the role of facility design in reducing job-related anxiety among caregivers. Preliminary evidence is provided that facility design can be used as a managerial tool for improving job-related attitudes and feelings of employees and earning their commitment. Providing a healthy and safe work environment can be perceived by employees as an indication that the organization respects them and cares about their well-being, which might be reciprocated with higher levels

  9. Capacity of Health Facilities to Manage Hypertension in Mukono and Buikwe Districts in Uganda: Challenges and Recommendations.

    Science.gov (United States)

    Musinguzi, Geofrey; Bastiaens, Hilde; Wanyenze, Rhoda K; Mukose, Aggrey; Van Geertruyden, Jean-Pierre; Nuwaha, Fred

    2015-01-01

    The burden of chronic diseases is increasing in both low- and middle-income countries. However, healthcare systems in low-income countries are inadequately equipped to deal with the growing disease burden, which requires chronic care for patients. The aim of this study was to assess the capacity of health facilities to manage hypertension in two districts in Uganda. In a cross-sectional study conducted between June and October 2012, we surveyed 126 health facilities (6 hospitals, 4 Health Center IV (HCIV), 23 Health Center III (HCIII), 41 Health Center II (HCII) and 52 private clinics/dispensaries) in Mukono and Buikwe districts in Uganda. We assessed records, conducted structured interviews with heads of facilities, and administered questionnaires to 271 health workers. The study assessed service provision for hypertension, availability of supplies such as medicines, guidelines and equipment, in-service training for hypertension, knowledge of hypertension management, challenges and recommendations. Of the 126 health facilities, 92.9% reported managing (diagnosing/treating) patients with hypertension, and most (80.2%) were run by non-medical doctors or non-physician health workers (NPHW). Less than half (46%) of the facilities had guidelines for managing hypertension. A 10th of the facilities lacked functioning blood pressure devices and 28% did not have stethoscopes. No facilities ever calibrated their BP devices except one. About a half of the facilities had anti-hypertensive medicines in stock; mainly thiazide diuretics (46%), beta blockers (56%) and calcium channel blockers (48.4%). Alpha blockers, mixed alpha & beta blockers and angiotensin II receptor antagonists were only stocked by private clinics/dispensaries. Most HCIIs lacked anti-hypertensive medicines, including the first line thiazide diuretics. Significant knowledge gaps in classification of patients as hypertensive were noted among respondents. All health workers (except 5, 1.9%) indicated that they

  10. Samarbejdsformer og Facilities Management

    DEFF Research Database (Denmark)

    Storgaard, Kresten

    Resultater fra en surveyundersøgelse om fordele og ulemper ved forskellige samarbejdsformer indenfor Facilities Management fremlægges.......Resultater fra en surveyundersøgelse om fordele og ulemper ved forskellige samarbejdsformer indenfor Facilities Management fremlægges....

  11. Sustainable Facilities Management

    DEFF Research Database (Denmark)

    Nielsen, Susanne Balslev; Elle, Morten; Hoffmann, Birgitte

    2004-01-01

    The Danish public housing sector has more than 20 years of experience with sustainable facilities management based on user involvement. The paper outlines this development in a historical perspective and gives an analysis of different approaches to sustainable facilities management. The focus...... is on the housing departments and strateies for the management of the use of resources. The research methods used are case studies based on interviews in addition to literature studies. The paper explores lessons to be learned about sustainable facilities management in general, and points to a need for new...

  12. [Road map for health and safety management systems in healthcare facilities, according to the OHSAS 18001:2007 standard].

    Science.gov (United States)

    Pugliese, F; Albini, E; Serio, O; Apostoli, P

    2011-01-01

    The 81/2008 Act has defined a model of a health and safety management system that can contribute to prevent the occupational health and safety risks. We have developed the structure of a health and safety management system model and the necessary tools for its implementation in health care facilities. The realization of a model is structured in various phases: initial review, safety policy, planning, implementation, monitoring, management review and continuous improvement. Such a model, in continuous evolution, is based on the responsibilities of the different corporate characters and on an accurate analysis of risks and involved norms.

  13. Evaluation of case management of uncomplicated malaria in Haiti: a national health facility survey, 2012.

    Science.gov (United States)

    Landman, Keren Z; Jean, Samuel E; Existe, Alexandre; Akom, Eniko E; Chang, Michelle A; Lemoine, Jean Frantz; Mace, Kimberly E

    2015-10-09

    Malaria is a public health concern in Haiti, although there are limited data on its burden and case management. National malaria guidelines updated in 2012 recommend treatment with chloroquine and primaquine. In December 2012, a nationally-representative cross-sectional survey of health facilities (HFs) was conducted to determine malaria prevalence among febrile outpatients and malaria case management quality at baseline before scale-up of diagnostics and case management training. Among all 833 HFs nationwide, 30 were selected randomly, in proportion to total HFs per region, for 2-day evaluations. Survey teams inventoried HF material and human resources. Outpatients of all ages were screened for temperature >37.5 °C or history of fever; those without severe symptoms were consented and enrolled. Providers evaluated and treated enrolled patients according to HF standards; the survey teams documented provider-ordered diagnostic tests and treatment decisions. Facility-based test results [microscopy and malaria rapid diagnostic tests (RDTs)] were collected from HF laboratories. Blood smears for gold-standard microscopy, and dried blood spots for polymerase chain reaction (PCR) were obtained. Malaria diagnostic capacity, defined as completing a test for an enrolled patient or having adequate resources for RDTs or microscopy, was present in 11 (37 %) HFs. Among 459 outpatients screened, 257 (56 %) were febrile, of which 193 (75 %) were eligible, and 153 (80 %) were enrolled. Among 39 patients with facility-level malaria test results available on the survey day, 11 (28 %) were positive, of whom 6 (55 %) were treated with an anti-malarial. Twenty-seven (95 %) of the 28 patients testing negative were not treated with an anti-malarial. Of 114 patients without test results available, 35 (31 %) were presumptively treated for malaria. Altogether, 42 patients were treated with an anti-malarial, one (2 %) according to Haiti's 2012 guidelines. Of 140 gold-standard smears, none

  14. Surplus Facilities Management Program

    International Nuclear Information System (INIS)

    Coobs, J.H.

    1983-01-01

    This is the second of two programs that are concerned with the management of surplus facilities. The facilities in this program are those related to commercial activities, which include the three surplus experimental and test reactors [(MSRE, HRE-2, and the Low Intensity Test Reactor (LITR)] and seven experimental loops at the ORR. The program is an integral part of the Surplus Facilities Management Program, which is a national program administered for DOE by the Richland Operations Office. Very briefly reported here are routine surveillance and maintenance of surplus radioactively contaminated DOE facilities awaiting decommissioning

  15. Piloting laboratory quality system management in six health facilities in Nigeria.

    Directory of Open Access Journals (Sweden)

    Henry Mbah

    Full Text Available Achieving accreditation in laboratories is a challenge in Nigeria like in most African countries. Nigeria adopted the World Health Organization Regional Office for Africa Stepwise Laboratory (Quality Improvement Process Towards Accreditation (WHO/AFRO- SLIPTA in 2010. We report on FHI360 effort and progress in piloting WHO-AFRO recognition and accreditation preparedness in six health facility laboratories in five different states of Nigeria.Laboratory assessments were conducted at baseline, follow up and exit using the WHO/AFRO- SLIPTA checklist. From the total percentage score obtained, the quality status of laboratories were classified using a zero to five star rating, based on the WHO/AFRO quality improvement stepwise approach. Major interventions include advocacy, capacity building, mentorship and quality improvement projects.At baseline audit, two of the laboratories attained 1- star while the remaining four were at 0- star. At follow up audit one lab was at 1- star, two at 3-star and three at 4-star. At exit audit, four labs were at 4- star, one at 3-star and one at 2-star rating. One laboratory dropped a 'star' at exit audit, while others consistently improved. The two weakest elements at baseline; internal audit (4% and occurrence/incidence management (15% improved significantly, with an exit score of 76% and 81% respectively. The elements facility and safety was the major strength across board throughout the audit exercise.This effort resulted in measurable and positive impact on the laboratories. We recommend further improvement towards a formal international accreditation status and scale up of WHO/AFRO- SLIPTA implementation in Nigeria.

  16. FACILITIES MANAGEMENT AT CERN

    CERN Multimedia

    2002-01-01

    Recently we have been confronted with difficulties concerning services which are part of a new contract for facilities management. Please see below for some information about this contract. Following competitive tendering and the Finance Committee decision, the contract was awarded to the Swiss firm 'Facilities Management Network (FMN)'. The owners of FMN are two companies 'M+W Zander' and 'Avireal', both very experienced in this field of facilities management. The contract entered into force on 1st July 2002. CERN has grouped together around 20 different activities into this one contract, which was previously covered by separate contracts. The new contract includes the management and execution of many activities, in particular: Guards and access control; cleaning; operation and maintenance of heating plants, cooling and ventilation equipment for buildings not related to the tunnel or the LHC; plumbing; sanitation; lifts; green areas and roads; waste disposal; and includes a centralised helpdesk for these act...

  17. Monitoring System for Storm Readiness and Recovery of Test Facilities: Integrated System Health Management (ISHM) Approach

    Science.gov (United States)

    Figueroa, Fernando; Morris, Jon; Turowski, Mark; Franzl, Richard; Walker, Mark; Kapadia, Ravi; Venkatesh, Meera; Schmalzel, John

    2010-01-01

    Severe weather events are likely occurrences on the Mississippi Gulf Coast. It is important to rapidly diagnose and mitigate the effects of storms on Stennis Space Center's rocket engine test complex to avoid delays to critical test article programs, reduce costs, and maintain safety. An Integrated Systems Health Management (ISHM) approach and technologies are employed to integrate environmental (weather) monitoring, structural modeling, and the suite of available facility instrumentation to provide information for readiness before storms, rapid initial damage assessment to guide mitigation planning, and then support on-going assurance as repairs are effected and finally support recertification. The system is denominated Katrina Storm Monitoring System (KStorMS). Integrated Systems Health Management (ISHM) describes a comprehensive set of capabilities that provide insight into the behavior the health of a system. Knowing the status of a system allows decision makers to effectively plan and execute their mission. For example, early insight into component degradation and impending failures provides more time to develop work around strategies and more effectively plan for maintenance. Failures of system elements generally occur over time. Information extracted from sensor data, combined with system-wide knowledge bases and methods for information extraction and fusion, inference, and decision making, can be used to detect incipient failures. If failures do occur, it is critical to detect and isolate them, and suggest an appropriate course of action. ISHM enables determining the condition (health) of every element in a complex system-of-systems or SoS (detect anomalies, diagnose causes, predict future anomalies), and provide data, information, and knowledge (DIaK) to control systems for safe and effective operation. ISHM capability is achieved by using a wide range of technologies that enable anomaly detection, diagnostics, prognostics, and advise for control: (1

  18. Facility Management Innovation (FMI)

    NARCIS (Netherlands)

    Mobach, Mark P.; Nardelli, Giulia; Kok, Herman; Konkol, Jennifer; Alexander, Keith; Alexander, Keith

    2014-01-01

    This current green paper deals with innovation in facility management (FM), a subject which is at the heart of Working Group 3, in benefit of the EuroFM Research Network. It aims to stimulate discussion and further collaborative work, and to generate new knowledge for the European FM community. We

  19. Health facility management and access: a qualitative analysis of challenges to seeking healthcare for children under five in Uganda.

    Science.gov (United States)

    Allen, Elizabeth Palchik; Muhwezi, Wilson Winstons; Henriksson, Dorcus Kiwanuka; Mbonye, Anthony Kabanza

    2017-09-01

    While several studies have documented the various barriers that caretakers of children under five routinely confront when seeking healthcare in Uganda, few have sought to capture the ways in which caretakers themselves prioritize their own barriers to seeking services. To that end, we asked focus groups of caretakers to list their five greatest challenges to seeking care on behalf of children under five. Using qualitative content analysis, we grouped responses according to four categories: (1) geographical access barriers; (2) facility supplies, staffing, and infrastructural barriers; (3) facility management and administration barriers (e.g. health worker professionalism, absenteeism and customer care); and (4) household barriers related to financial circumstances, domestic conflicts with male partners and a stated lack of knowledge about health-related issues. Among all focus groups, caretakers mentioned supplies, staffing and infrastructure barriers most often and facility management and administration barriers the least. Caretakers living furthest from public facilities (8-10 km) more commonly mentioned geographical barriers to care and barriers related to financial and other personal circumstances. Caretakers who lived closest to health facilities mentioned facility management and administration barriers twice as often as those who lived further away. While targeting managerial barriers is vitally important-and increasingly popular among national planners and donors-it should be done while recognizing that alleviating such barriers may have a more muted effect on caretakers who are geographically harder to reach - and by extension, those whose children have an increased risk of mortality. In light of calls for greater equity in child survival programming - and given the limited resource envelopes that policymakers often have at their disposal - attention to the barriers considered most vital among caretakers in different settings should be weighed. © The

  20. World Class Facilities Management

    DEFF Research Database (Denmark)

    Malmstrøm, Ole Emil; Jensen, Per Anker

    2013-01-01

    Alle der med entusiasme arbejder med Facilities Management drømmer om at levere World Class. DFM drømmer om at skabe rammer og baggrund for, at vi i Danmark kan bryste os at være blandt de førende på verdensplan. Her samles op på, hvor tæt vi er på at nå drømmemålet.......Alle der med entusiasme arbejder med Facilities Management drømmer om at levere World Class. DFM drømmer om at skabe rammer og baggrund for, at vi i Danmark kan bryste os at være blandt de førende på verdensplan. Her samles op på, hvor tæt vi er på at nå drømmemålet....

  1. Cryogenic Fluid Management Facility

    Science.gov (United States)

    Eberhardt, R. N.; Bailey, W. J.

    1985-01-01

    The Cryogenic Fluid Management Facility is a reusable test bed which is designed to be carried within the Shuttle cargo bay to investigate the systems and technologies associated with the efficient management of cryogens in space. Cryogenic fluid management consists of the systems and technologies for: (1) liquid storage and supply, including capillary acquisition/expulsion systems which provide single-phase liquid to the user system, (2) both passive and active thermal control systems, and (3) fluid transfer/resupply systems, including transfer lines and receiver tanks. The facility contains a storage and supply tank, a transfer line and a receiver tank, configured to provide low-g verification of fluid and thermal models of cryogenic storage and transfer processes. The facility will provide design data and criteria for future subcritical cryogenic storage and transfer system applications, such as Space Station life support, attitude control, power and fuel depot supply, resupply tankers, external tank (ET) propellant scavenging, and ground-based and space-based orbit transfer vehicles (OTV).

  2. Assessment of laboratory logistics management information system practice for HIV/AIDS and tuberculosis laboratory commodities in selected public health facilities in Addis Ababa, Ethiopia

    OpenAIRE

    Desale, Adino; Taye, Bineyam; Belay, Getachew; Nigatu, Alemayehu

    2013-01-01

    Introduction Logistics management information system for health commodities remained poorly implemented in most of developing countries. To assess the status of laboratory logistics management information system for HIV/AIDS and tuberculosis laboratory commodities in public health facilities in Addis Ababa. Methods A cross-sectional descriptive study was conducted from September 2010-January 2011 at selected public health facilities. A stratified random sampling method was used to include a t...

  3. New Ideas on Facilities Management.

    Science.gov (United States)

    Grimm, James C.

    1986-01-01

    Examines trends in facilities management relating to products and people. Reviews new trends in products, including processes, techniques, and programs that are being expounded by business and industry. Discusses the "people factors" involved in facilities management. (ABB)

  4. 75 FR 54627 - Best Management Practices for Unused Pharmaceuticals at Health Care Facilities

    Science.gov (United States)

    2010-09-08

    ... at very low concentrations. EPA has been studying unused pharmaceutical disposal practices at health... avoiding pharmaceutical waste; Practices for identifying and managing types of unused pharmaceuticals; and...: September 1, 2010. Ephraim S. King, Director, Office of Science and Technology. [FR Doc. 2010-22325 Filed 9...

  5. User involvement in structured violence risk management within forensic mental health facilities -- a systematic literature review.

    Science.gov (United States)

    Eidhammer, Gunnar; Fluttert, Frans A J; Bjørkly, Stål

    2014-10-01

    To examine empirical literature on user involvement in collaboration between patients and nurses. The scope of the review was limited to structured violence risk management interventions in forensic mental health settings. Violence in forensic mental health settings represents a significant problem for patients and staff. Structured violence risk management interventions in forensic mental health have been reported to ignore patient participation, despite the growing attention on user involvement in clinical practice. A systematic review. Searches were conducted in six databases: the Cochrane Systematic Reviews, MEDLINE, CINAHL, ProQuest, ScienceDirect and PsycINFO. Papers were assessed according to a predetermined set of inclusion and exclusion criteria. After searches of the reference lists of retrieved articles were conducted, only three papers met the inclusion criteria. This review has shown that empirical research on the topic of risk management interventions in which patients are involved is scarce. There is barely any research evidence of the clinical effect of user involvement approaches on violence risk management in forensic mental health practice. Therefore, we suggest that clinicians may learn from positive experiences concerning user involvement in general psychiatry and carefully adapt and test them out in the forensic treatment context. © 2014 John Wiley & Sons Ltd.

  6. Facility location of organ procurement organisations in Indian health care supply chain management

    OpenAIRE

    Rajmohan, M.; Theophilus, C.; Sumalatha, M.R.; Saravanakumar, S.

    2017-01-01

    In health care supply chain management, particularly in the area of organ transplantation, organ procurement and the transplantation network play an important role. The organ procurement organisation (OPO) should coordinate so that organs are prepared and transported to the recipients when donors become available. The scarcity of organ supply leads to life-challenging issues for the organ recipient. In this research, the importance of the location of OPOs to coordinate with the transplant cen...

  7. The effects of crew resource management on teamwork and safety climate at Veterans Health Administration facilities.

    Science.gov (United States)

    Schwartz, Miriam E; Welsh, Deborah E; Paull, Douglas E; Knowles, Regina S; DeLeeuw, Lori D; Hemphill, Robin R; Essen, Keith E; Sculli, Gary L

    2017-11-09

    Communication failure is a significant source of adverse events in health care and a leading root cause of sentinel events reported to the Joint Commission. The Veterans Health Administration National Center for Patient Safety established Clinical Team Training (CTT) as a comprehensive program to enhance patient safety and to improve communication and teamwork among health care professionals. CTT is based on techniques used in aviation's Crew Resource Management (CRM) training. The aviation industry has reached a significant safety record in large part related to the culture change generated by CRM and sustained by its recurrent implementation. This article focuses on the improvement of communication, teamwork, and patient safety by utilizing a standardized, CRM-based, interprofessional, immersive training in diverse clinical areas. The Teamwork and Safety Climate Questionnaire was used to evaluate safety climate before and after CTT. The scores for all of the 27 questions on the questionnaire showed an increase from baseline to 12 months, and 11 of those increases were statistically significant. A recurrent training is recommended to maintain the positive outcomes. CTT enhances patient safety and reduces risk of patient harm by improving teamwork and facilitating clear, concise, specific and timely communication among health care professionals. © 2017 American Society for Healthcare Risk Management of the American Hospital Association.

  8. Applicability of the 5S management method for quality improvement in health-care facilities: a review.

    Science.gov (United States)

    Kanamori, Shogo; Shibanuma, Akira; Jimba, Masamine

    2016-01-01

    The 5S management method (where 5S stands for sort, set in order, shine, standardize, and sustain) was originally implemented by manufacturing enterprises in Japan. It was then introduced to the manufacturing sector in the West and eventually applied to the health sector for organizing and standardizing the workplace. 5S has recently received attention as a potential solution for improving government health-care services in low- and middle-income countries. We conducted a narrative literature review to explore its applicability to health-care facilities globally, with a focus on three aspects: (a) the context of its application, (b) its impacts, and (c) its adoption as part of government initiatives. To identify relevant research articles, we researched public health databases in English, including CINAHL, PubMed, ScienceDirect, and Web of Science. We found 15 of the 114 articles obtained from the search results to be relevant for full-text analysis of the context and impacts of the 5S application. To identify additional information particularly on its adoption as part of government initiatives, we also examined other types of resources including reference books, reports, didactic materials, government documents, and websites. The 15 empirical studies highlighted its application in primary health-care facilities and a wide range of hospital areas in Brazil, India, Jordan, Senegal, Sri Lanka, Tanzania, the UK, and the USA. The review also found that 5S was considered to be the starting point for health-care quality improvement. Ten studies presented its impacts on quality improvements; the changes resulting from the 5S application were classified into the three dimensions of safety, efficiency, and patient-centeredness. Furthermore, 5S was adopted as part of government quality improvement strategies in India, Senegal, Sri Lanka, and Tanzania. 5S could be applied to health-care facilities regardless of locations. It could be not only a tool for health workers and

  9. Capital Ideas for Facilities Management.

    Science.gov (United States)

    Golding, Stephen T.; Gordon, Janet; Gravina, Arthur

    2001-01-01

    Asserting that just like chief financial officers, higher education facilities specialists must maximize the long-term performance of assets under their care, describes strategies for strategic facilities management. Discusses three main approaches to facilities management (insourcing, cosourcing, and outsourcing) and where boards of trustees fit…

  10. Assessing potential health hazards from radiation generated at the tailings management facilities of the Prydniprovsky chemical plant

    International Nuclear Information System (INIS)

    Kovalenko, G.; Durasova, N.

    2015-01-01

    The study has involved the assessment of the tailings management facilities operated at the Prydniprovsky Chemical Plant. The authors have estimated individual and collective exposure doses that may be caused by the emissions of radon, radon decay products and radioactive dust, for each human settlement located within the area of impact of the tailings management facilities. These tailings management facilities have been ranked to describe their relative hazard based on their estimated contribution to the collective exposure dose levels and associated risks

  11. It is possible: availability of lymphedema case management in each health facility in Togo. Program description, evaluation, and lessons learned.

    Science.gov (United States)

    Mathieu, Els; Dorkenoo, Ameyo M; Datagni, Michael; Cantey, Paul T; Morgah, Kodjo; Harvey, Kira; Ziperstein, Joshua; Drexler, Naomi; Chapleau, Gina; Sodahlon, Yao

    2013-07-01

    Lymphatic filariasis (LF) is a vector-borne parasitic disease that can clinically manifest as disabling lymphedema. Although the LF elimination program aims to reduce disability and to interrupt transmission, there has been a scarcity of disease morbidity management programs, particularly on a national scale. This report describes the implementation of the first nationwide LF lymphedema management program. The program, which was initiated in Togo in 2007, focuses on patient behavioral change. Its goal is two-fold: to achieve a sustainable program on a national-scale, and to serve as a model for other countries. The program has five major components: 1) train at least one health staff in lymphedema care in each health facility in Togo; 2) inform people with a swollen leg that care is available at their dispensary; 3) train patients on self-care; 4) provide a support system to motivate patients to continue self-care by training community health workers or family members and providing in home follow-up; and 5) integrate lymphedema management into the curriculum for medical staff. The program achieved the inclusion of lymphedema management in the routine healthcare package. The evaluation after three years estimated that 79% of persons with a swollen leg in Togo were enrolled in the program. The adherence rate to the proposed World Health Organization treatment of washing, exercise, and leg elevation was more than 70% after three years of the program, resulting in a stabilization of the lymphedema stage and a slight decrease in reported acute attacks among program participants. Health staff and patients consider the program successful in reaching and educating the patients. After the external funding ended, the morbidity management program is maintained through routine Ministry of Health activities.

  12. Health risks for the population living in the vicinity of an Integrated Waste Management Facility: Screening environmental pollutants

    International Nuclear Information System (INIS)

    Domingo, José L.; Rovira, Joaquim; Vilavert, Lolita; Nadal, Martí; Figueras, María J.; Schuhmacher, Marta

    2015-01-01

    We performed a screening investigation to assess the human health risks of the Integrated Waste Management Facility (IWMF: mechanical–biological treatment (MBT) plant plus municipal solid waste incinerator (MSWI); Ecoparc-3) of Barcelona (Spain). Air concentrations of pollutants potentially released by the MBT plant (VOCs and bioaerosols) and the MSWI (trace elements, PCDD/Fs and PCBs) were determined. Trace elements, PCDD/Fs and PCBs were also analyzed in soil samples. The concentrations of trace elements and bioaerosols were similar to those previously reported in other areas of similar characteristics, while formaldehyde was the predominant VOC. Interestingly, PCDD/F concentrations in soil and air were the highest ever reported near a MSWI in Catalonia, being maximum concentrations 10.8 ng WHO-TEQ/kg and 41.3 fg WHO-TEQ/m 3 , respectively. In addition, there has not been any reduction in soils, even after the closure of a power plant located adjacently. Human health risks of PCDD/F exposure in the closest urban nucleus located downwind the MSWI are up to 10-times higher than those nearby other MSWIs in Catalonia. Although results must be considered as very preliminary, they are a serious warning for local authorities. We strongly recommend to conduct additional studies to confirm these findings and, if necessary, to implement measures to urgently mitigate the impact of the MSWI on the surrounding environment. We must also state the tremendous importance of an individual evaluation of MSWIs, rather than generalizing their environmental and health risks. - Highlights: • Health risks of an Integrated Waste Management Facility in Catalonia are assessed. • PCDD/F exposure near this facility is up to 10-times higher than that near others. • Environmental monitoring of incineration plants should be performed case-by-case. • Since results are very preliminary, confirmatory studies should be conducted

  13. Health risks for the population living in the vicinity of an Integrated Waste Management Facility: Screening environmental pollutants

    Energy Technology Data Exchange (ETDEWEB)

    Domingo, José L., E-mail: joseluis.domingo@urv.cat [Laboratory of Toxicology and Environmental Health, School of Medicine, IISPV, Universitat Rovira i Virgili, Sant Llorenç 21, 43201 Reus, Catalonia (Spain); Rovira, Joaquim [Laboratory of Toxicology and Environmental Health, School of Medicine, IISPV, Universitat Rovira i Virgili, Sant Llorenç 21, 43201 Reus, Catalonia (Spain); Departament d' Enginyeria Quimica, Universitat Rovira i Virgili, Av. Països Catalans 26, 43007 Tarragona, Catalonia (Spain); Vilavert, Lolita; Nadal, Martí [Laboratory of Toxicology and Environmental Health, School of Medicine, IISPV, Universitat Rovira i Virgili, Sant Llorenç 21, 43201 Reus, Catalonia (Spain); Figueras, María J. [Microbiology Unit, School of Medicine, Universitat Rovira i Virgili, Sant Llorenç 21, 43201 Reus, Catalonia (Spain); Schuhmacher, Marta [Laboratory of Toxicology and Environmental Health, School of Medicine, IISPV, Universitat Rovira i Virgili, Sant Llorenç 21, 43201 Reus, Catalonia (Spain); Departament d' Enginyeria Quimica, Universitat Rovira i Virgili, Av. Països Catalans 26, 43007 Tarragona, Catalonia (Spain)

    2015-06-15

    We performed a screening investigation to assess the human health risks of the Integrated Waste Management Facility (IWMF: mechanical–biological treatment (MBT) plant plus municipal solid waste incinerator (MSWI); Ecoparc-3) of Barcelona (Spain). Air concentrations of pollutants potentially released by the MBT plant (VOCs and bioaerosols) and the MSWI (trace elements, PCDD/Fs and PCBs) were determined. Trace elements, PCDD/Fs and PCBs were also analyzed in soil samples. The concentrations of trace elements and bioaerosols were similar to those previously reported in other areas of similar characteristics, while formaldehyde was the predominant VOC. Interestingly, PCDD/F concentrations in soil and air were the highest ever reported near a MSWI in Catalonia, being maximum concentrations 10.8 ng WHO-TEQ/kg and 41.3 fg WHO-TEQ/m{sup 3}, respectively. In addition, there has not been any reduction in soils, even after the closure of a power plant located adjacently. Human health risks of PCDD/F exposure in the closest urban nucleus located downwind the MSWI are up to 10-times higher than those nearby other MSWIs in Catalonia. Although results must be considered as very preliminary, they are a serious warning for local authorities. We strongly recommend to conduct additional studies to confirm these findings and, if necessary, to implement measures to urgently mitigate the impact of the MSWI on the surrounding environment. We must also state the tremendous importance of an individual evaluation of MSWIs, rather than generalizing their environmental and health risks. - Highlights: • Health risks of an Integrated Waste Management Facility in Catalonia are assessed. • PCDD/F exposure near this facility is up to 10-times higher than that near others. • Environmental monitoring of incineration plants should be performed case-by-case. • Since results are very preliminary, confirmatory studies should be conducted.

  14. Mixed Waste Management Facility

    International Nuclear Information System (INIS)

    Brummond, W.; Celeste, J.; Steenhoven, J.

    1993-08-01

    The DOE has developed a National Mixed Waste Strategic Plan which calls for the construction of 2 to 9 mixed waste treatment centers in the Complex in the near future. LLNL is working to establish an integrated mixed waste technology development and demonstration system facility, the Mixed Waste Management Facility (MWMF), to support the DOE National Mixed Waste Strategic Plan. The MWMF will develop, demonstrate, test, and evaluate incinerator-alternatives which will comply with regulations governing the treatment and disposal of organic mixed wastes. LLNL will provide the DOE with engineering data for design and operation of new technologies which can be implemented in their mixed waste treatment centers. MWMF will operate under real production plant conditions and process samples of real LLNL mixed waste. In addition to the destruction of organic mixed wastes, the development and demonstration will include waste feed preparation, material transport systems, aqueous treatment, off-gas treatment, and final forms, thus making it an integrated ''cradle to grave'' demonstration. Technologies from offsite as well as LLNL's will be tested and evaluated when they are ready for a pilot scale demonstration, according to the needs of the DOE

  15. Perceived barriers to utilizing maternal and neonatal health services in contracted-out versus government-managed health facilities in the rural districts of Pakistan.

    Science.gov (United States)

    Riaz, Atif; Zaidi, Shehla; Khowaja, Asif Raza

    2015-03-06

    A number of developing countries have contracted out public health facilities to the Non-Government Organizations (NGOs) in order to improve service utilization. However, there is a paucity of in-depth qualitative information on barriers to access services as a result of contracting from service users' perspective. The objective of this study was to explore perceived barriers to utilizing Maternal and Neonatal Health (MNH) services, in health facilities contracted out by government to NGO for service provision versus in those which are managed by government (non-contracted). A community-based qualitative exploratory study was conducted between April to September 2012 at two contracted-out and four matched non-contracted primary healthcare facilities in Thatta and Chitral, rural districts of Pakistan. Using semi-structured guide, the data were collected through thirty-six Focus Group Discussions (FGDs) conducted with mothers and their spouses in the catchment areas of selected facilities. Thematic analysis was performed using NVivo version 10.0 in which themes and sub-themes emerged. Key barriers reported in contracted sites included physical distance, user charges and familial influences. Whereas, poor functionality of health centres was the main barrier for non-contracted sites with other issues being comparatively less salient. Decision-making patterns for participants of both catchments were largely similar. Spouses and mother-in-laws particularly influenced the decision to utilize health facilities. Contracting out of health facility reduces supply side barriers to MNH services for the community served but distance, user charges and low awareness remain significant barriers. Contracting needs to be accompanied by measures for transportation in remote settings, oversight on user fee charges by contractor, and strong community-based behavior change strategies. © 2015 by Kerman University of Medical Sciences.

  16. Perceived Barriers to Utilizing Maternal and Neonatal Health Services in Contracted-Out Versus Government-Managed Health Facilities in the Rural Districts of Pakistan

    Directory of Open Access Journals (Sweden)

    Atif Riaz

    2015-05-01

    Full Text Available Background A number of developing countries have contracted out public health facilities to the Non-Government Organizations (NGOs in order to improve service utilization. However, there is a paucity of in-depth qualitative information on barriers to access services as a result of contracting from service users’ perspective. The objective of this study was to explore perceived barriers to utilizing Maternal and Neonatal Health (MNH services, in health facilities contracted out by government to NGO for service provision versus in those which are managed by government (non-contracted. Methods A community-based qualitative exploratory study was conducted between April to September 2012 at two contracted-out and four matched non-contracted primary healthcare facilities in Thatta and Chitral, rural districts of Pakistan. Using semi-structured guide, the data were collected through thirty-six Focus Group Discussions (FGDs conducted with mothers and their spouses in the catchment areas of selected facilities. Thematic analysis was performed using NVivo version 10.0 in which themes and sub-themes emerged. Results Key barriers reported in contracted sites included physical distance, user charges and familial influences. Whereas, poor functionality of health centres was the main barrier for non-contracted sites with other issues being comparatively less salient. Decision-making patterns for participants of both catchments were largely similar. Spouses and mother-in-laws particularly influenced the decision to utilize health facilities. Conclusion Contracting out of health facility reduces supply side barriers to MNH services for the community served but distance, user charges and low awareness remain significant barriers. Contracting needs to be accompanied by measures for transportation in remote settings, oversight on user fee charges by contractor, and strong communitybased behavior change strategies.

  17. Assessing cow-calf welfare. Part 1: Benchmarking beef cow health and behavior, handling; and management, facilities, and producer perspectives.

    Science.gov (United States)

    Simon, G E; Hoar, B R; Tucker, C B

    2016-08-01

    Assessment programs are one way beef producers communicate information about animal welfare to retailers and the public. Programs that monitor cattle through the production cycle (e.g., the Global Animal Partnership) or at individual stages (e.g., slaughter; the North American Meat Institute) exist, but to date, there is no assessment program addressing welfare specifically in the cow-calf sector. The objectives of this study were to measure cow-calf health and handling welfare outcomes and gather management, facility, and producer perspective information to 1) describe current practices and 2) inform assessment design. A welfare assessment, designed using features of similar beef and dairy programs, was conducted on 30 California ranches that varied in size (mean 1,051 cows [SD 1,849], range 28 to 10,000 cows) and location within the state. Cattle health and behavior and stockperson handling were measured during a routine procedure (e.g., pregnancy checks) on breeding females ( = 3,065). Management and producer perspectives were evaluated through an interview, and facility features were recorded at the chute and water access points. Cattle health problems were rare and seen only on specific ranches (e.g., prevalence of lame cattle: mean 1.3% [SD 1.5], range 0 to 7.1%). Cattle behavior and stockperson handling varied between ranches (e.g., cattle balking: mean 22.0% [SD 21.9], range 1.6 to 78.3%; electric prod use: mean 23.5 [SD 21.5], range 0 to 73.0%). Although some management and facility characteristics were shared by most (e.g., all ranches castrated bull calves; 86% used alleyways with an anti-back gate), other aspects varied (e.g., weaning age: mean 8.2 mo [SD 1.4], range 6 to 11 mo; 43% used shade cover over chute). Most producers shared similar perspectives toward their herd health management plan, but their responses varied when asked to evaluate an animal's pain experience. In terms of assessment design, there were challenges with feasibility (e

  18. Determinants of Integrated Management of Childhood Illness (IMCI) non-severe pneumonia classification and care in Malawi health facilities: Analysis of a national facility census.

    Science.gov (United States)

    Johansson, Emily White; Nsona, Humphreys; Carvajal-Aguirre, Liliana; Amouzou, Agbessi; Hildenwall, Helena

    2017-12-01

    Research shows inadequate Integrated Management of Childhood Illness (IMCI)-pneumonia care in various low-income settings but evidence is largely from small-scale studies with limited evidence of patient-, provider- and facility-levels determinants of IMCI non-severe pneumonia classification and its management. The Malawi Service Provision Assessment 2013-2014 included 3149 outpatients aged 2-59 months with completed observations, interviews and re-examinations. Mixed-effects logistic regression models quantified the influence of patient-, provider and facility-level determinants on having IMCI non-severe pneumonia and its management in observed consultations. Among 3149 eligible outpatients, 590 (18.7%) had IMCI non-severe pneumonia classification in re-examination. 228 (38.7%) classified cases received first-line antibiotics and 159 (26.9%) received no antibiotics. 18.6% with cough or difficult breathing had 60-second respiratory rates counted during consultations, and conducting this assessment was significantly associated with IMCI training ever received (odds ratio (OR) = 2.37, 95% confidence interval (CI): 1.29-4.31) and negative rapid diagnostic test results (OR = 3.21, 95% CI: 1.45-7.13). Older children had lower odds of assessments than infants (OR = 48-59 months: 0.35, 95% CI: 0.16-0.75). Children presenting with any of the following complaints also had reduced odds of assessment: fever, diarrhea, skin problem or any danger sign. First-line antibiotic treatment for classified cases was significantly associated with high temperatures (OR = 3.26, 95% CI: 1.24-8.55) while older children had reduced odds of first-line treatment compared to infants (OR = 48-59 months: 0.29, 95% CI: 0.10-0.83). RDT-confirmed malaria was a significant predictor of no antibiotic receipt for IMCI non-severe pneumonia (OR = 10.65, 95% CI: 2.39-47.36). IMCI non-severe pneumonia care was sub-optimal in Malawi health facilities in 2013-2014 with inadequate

  19. Comparison of the capacity between public and private health facilities to manage under-five children with febrile illnesses in Uganda

    DEFF Research Database (Denmark)

    Buregyeya, Esther; Rutebemberwa, Elizeus; LaRussa, Phillip

    2017-01-01

    on drug stocks, availability of treatment guidelines, diagnostic equipment, and knowledge in management of malaria, pneumonia and diarrhoea, using a structured questionnaire. Results: A total of 53 public and 241 private health facilities participated in the study. While similar proportions of private...... and public health facilities stocked Coartem, the first-line anti-malarial drug, (98 vs 95%, p = 0.22), significantly more private than public health facilities stocked quinine (85 vs 53%, p chloroquine, were reported in few public and private...

  20. Landfill gas management facilities design guidelines

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2010-03-15

    In British Columbia, municipal solid waste landfills generate over 1000 tonnes of methane per year; landfill gas management facilities are required to improve the environmental performance of solid waste landfills. The aim of this document, developed by the British Columbia Ministry of the Environment, is to provide guidance for the design, installation, and operation of landfill gas management facilities to address odor and pollutant emissions issues and also address health and safety issues. A review of technical experience and best practices in landfill gas management facilities was carried out, as was as a review of existing regulations related to landfill gas management all over the world. This paper provides useful information to landfill owners, operators, and other professionals for the design of landfill gas management facilities which meet the requirements of landfill gas management regulations.

  1. Health facility-based Active Management of the Third Stage of Labor: findings from a national survey in Tanzania

    Directory of Open Access Journals (Sweden)

    Mfinanga Godfrey S

    2009-04-01

    Full Text Available Abstract Background Hemorrhage is the leading cause of obstetric mortality. Studies show that Active Management of Third Stage of Labor (AMTSL reduces Post Partum Hemorrhage (PPH. This study describes the practice of AMTSL and barriers to its effective use in Tanzania. Methods A nationally-representative sample of 251 facility-based vaginal deliveries was observed for the AMTSL practice. Standard Treatment Guidelines (STG, the Essential Drug List and medical and midwifery school curricula were reviewed. Drug availability and storage conditions were reviewed at the central pharmaceutical storage site and pharmacies in the selected facilities. Interviews were conducted with hospital directors, pharmacists and 106 health care providers in 29 hospitals visited. Data were collected between November 10 and December 15, 2005. Results Correct practice of AMTSL according to the ICM/FIGO definition was observed in 7% of 251 deliveries. When the definition of AMTSL was relaxed to allow administration of the uterotonic drug within three minutes of fetus delivery, the proportion of AMTSL use increased to 17%. The most significant factor contributing to the low rate of AMTSL use was provision of the uterotonic drug after delivery of the placenta. The study also observed potentially-harmful practices in approximately 1/3 of deliveries. Only 9% out of 106 health care providers made correct statements regarding the all three components of AMTSL. The national formulary recommends ergometrine (0.5 mg/IM or oxytocin (5 IU/IM on delivery of the anterior shoulder or immediately after the baby is delivered. Most of facilities had satisfactory stores of drugs and supplies. Uterotonic drugs were stored at room temperature in 28% of the facilities. Conclusion The knowledge and practice of AMTSL is very low and STGs are not updated on correct AMTSL practice. The drugs for AMTSL are available and stored at the right conditions in nearly all facilities. All providers used

  2. Facilities management and industrial safety

    International Nuclear Information System (INIS)

    2003-06-01

    This book lists occupation safety and health acts with purpose, definition and management system of safety and health, enforcement ordinance of occupation safety and health acts and enforcement regulations such as general rules, safety and health cover, system of management on safety and health, regulation of management on safety and health, regulations of harmfulness and protection of danger, heath management for workers, supervisor and command and inspection of machine and equipment.

  3. A Program Management Framework for Facilities Managers

    Science.gov (United States)

    King, Dan

    2012-01-01

    The challenge faced by senior facility leaders is not how to execute a single project, but rather, how to successfully execute a large program consisting of hundreds of projects. Senior facilities officers at universities, school districts, hospitals, airports, and other organizations with extensive facility inventories, typically manage project…

  4. Facility location of organ procurement organisations in Indian health care supply chain management

    Directory of Open Access Journals (Sweden)

    Rajmohan, M.

    2017-05-01

    Full Text Available In health care supply chain management, particularly in the area of organ transplantation, organ procurement and the transplantation network play an important role. The organ procurement organisation (OPO should coordinate so that organs are prepared and transported to the recipients when donors become available. The scarcity of organ supply leads to life-challenging issues for the organ recipient. In this research, the importance of the location of OPOs to coordinate with the transplant centres in India is considered, and a solution is provided by facilitating the identification of locations where organs can be procured and distributed to the nearest transplant location. The location of the distribution centres of organs are identified, based on the p-median model. This model minimises the weighted distance of the organ recipients. Initially, the demand or the population density of organ recipients with respect to particular location is recognised. Then, based on the p-median model, the location of OPOs is effectively identified. Experimental analysis proves that the proposed model performs well in facilitating the location of OPOs. The robustness of the proposed work is validated using a sensitivity analysis of the differences in the selection of OPOs when the estimated demand for organs varies.

  5. End-of-Life Care and Discussions in Japanese Geriatric Health Service Facilities: A Nationwide Survey of Managing Directors' Viewpoints.

    Science.gov (United States)

    Kanoh, Asako; Kizawa, Yoshiyuki; Tsuneto, Satoru; Yokoya, Shoji

    2018-01-01

    Geriatric health service facilities (GHSFs) play important roles as intermediate care facilities for elderly individuals temporarily when they need rehabilitation before returning home. However, the number of residents spending their end-of-life (EOL) period in such facilities is increasing. To improve the quality of EOL care, end-of-life discussions (EOLDs) are recommended by some guidelines and studies. This study aimed to clarify the current practice of EOL care and EOLDs in GHSFs in Japan. We conducted a nationwide cross-sectional survey by mailing questionnaires about EOL care and EOLDs to 3437 GHSF managing directors. The questionnaire was developed through a literature review and discussion among the researchers and experts. Descriptive statistics summarized the data. We also analyzed the factors related to GHSFs conducting EOLDs using Fisher exact tests. The response rate was 20.7% (713 of 3437). Among the respondents, 75.2% (536 of 713) of GHSFs provided EOL care and 73.1% (521 of 713) conducted EOLDs. The most common reasons for difficulties in providing EOL care included the lack of EOL education for nurses and care workers, and their fear about caring for dying residents. End-of-life discussions were mostly initiated after the deterioration of a resident's condition and were conducted with families by physicians. Statistically significant factors of GHSFs conducting EOLDs included providing EOL education for nurses and care workers, availability of private room for critically ill residents, emergency on-call doctors, and EOL care. Adequate practical staff education programs for EOL care including EOLDs may be crucial for quality of end-of-life care in aged care facilities.

  6. 48 CFR 970.3770 - Facilities management.

    Science.gov (United States)

    2010-10-01

    ... 48 Federal Acquisition Regulations System 5 2010-10-01 2010-10-01 false Facilities management. 970... REGULATIONS DOE MANAGEMENT AND OPERATING CONTRACTS Facilities Management Contracting 970.3770 Facilities management. ...

  7. Systems management of facilities agreements

    International Nuclear Information System (INIS)

    Blundell, A.

    1998-01-01

    The various types of facilities agreements, the historical obstacles to implementation of agreement management systems and the new opportunities emerging as industry is beginning to make an effort to overcome these obstacles, are reviewed. Barriers to computerized agreement management systems (lack of consistency, lack of standards, scarcity of appropriate computer software) are discussed. Characteristic features of a model facilities agreement management system and the forces driving the changing attitudes towards such systems (e.g. mergers) are also described

  8. Hepatitis B virus infection in US correctional facilities: a review of diagnosis, management, and public health implications.

    Science.gov (United States)

    Gupta, Shaili; Altice, Frederick L

    2009-03-01

    Among the blood-borne chronic viral infections, hepatitis B virus (HBV) infection is one that is not only treatable but also preventable by provision of vaccination. Despite the availability of HBV vaccine for the last 15 years, more than 1.25 million individuals in the USA have chronic HBV infection, and about 5,000 die each year from HBV-related complications. From a societal perspective, access to treatment of chronic viral infections, like HIV and viral hepatitis, is highly cost-effective and has lasting benefits by reducing risk behaviors, morbidity, mortality, as well as disease transmission in the community. Individuals in correctional facilities are specially predisposed to such chronic viral infections because of their high-risk behaviors. The explosion of incarceration in the USA over the last few decades and the disproportionate burden of morbidity and mortality from chronic infections among the incarcerated have put incredible strains on an overcrowded system that was not originally designed to provide comprehensive medical care for chronic illnesses. Recently, there has been a call to address medical care for individuals with chronic medical conditions in correctional settings, including those with infectious diseases. The economic and public health burden of chronic hepatitis B and its sequelae, including cirrhosis and hepatocellular carcinoma, is felt most prominently in managed care settings with limited budgets, like correctional facilities. Prevalence of HBV infection among the incarcerated in the USA is fivefold that of the general population. We present a review of diagnosis, prevention, and the recently streamlined treatment guidelines for management of HBV infection in correctional settings, and discuss the implications and public health impact of these measures.

  9. Structural health monitoring and lifecycle-management for civil engineering constructions in power plants and industrial facilities; Zustandsueberwachung und Lebensdauermanagement von baulichen Einrichtungen in Kraftwerken und Industrieanlagen

    Energy Technology Data Exchange (ETDEWEB)

    Lehnen, Dieter; Demmer, Martin; Pfister, Tobias [ZERNA Planen und Pruefen GmbH, Bochum (Germany)

    2013-09-01

    In contrast to other fields of engineering, structural health monitoring and lifecycle management for civil engineering constructions in power plants and industrial facilities have to be developed yet. The necessity of this development immediately arises from the building regulations law with its extensive set of regulations as well as from economic constraints. Approaches and methods of structural health monitoring and lifecycle management for civil engineering constructions in power plants and industrial facilities could be improved intensively during recent years. The paper focuses on practical examples that show the necessity of comprehensive and strategic structural health monitoring in conjunction with lifecycle management for civil engineering constructions in power plants and industrial facilities unambiguously und clear. (orig.)

  10. Role of ultrasound in the diagnosis and management of gestational trophoblastic disease in Rural health facilities- A case report

    International Nuclear Information System (INIS)

    Bach, J.F.H.

    2015-01-01

    Gestational trophoblastic disease (GTD) is a rare kind of proliferative disorder of trophoblastic cells which develops from the placenta in early pregnancy. It can be benign, premalignant or malignant. Molar pregnancy, also known as Hydatidiform Mole, is a form of benign GTD. The complete hydatidiform mole (CHM) sub-type which limited to endometrium is most common. It has excellent prognosis if early appropriate diagnosis and management are done. A well performed ultrasound(US) play a primordial role in the diagnosis of maternal health disorders during routine prenatal care. This helps in avoiding complications and consequently aids in achieving the objectives of the Millennium Development Goals (MDGs) in Rwanda. To understand the definition of Gestational trophoblastic disease(GTD) and to recognize key diagnostic findings of complete molar pregnancy on ultrasound and appropriate management in maternal follow up. Review the differential diagnosis for ultrasound findings seen with GTD and other modalities Ultrasound is the first modality to be used in all rural health facilities for diagnosis of suspected Gestational trophoblastic disease (GTD) for better results. It is available and free of radiation

  11. CLAIMS OF SUSTAINABLE FACILITIES MANAGEMENT

    DEFF Research Database (Denmark)

    Nielsen, Susanne Balslev

    Purpose: The purpose of the paper is to provide an overview of current practices within the emergent management discipline: Sustainable Facilities Management (SFM). Background: To develop a sustainable society, facilities managers must become change agents for sustainability in the built...... environment. Facilities Management (FM) is contributing to the environmental, social and economical problems, but can at the same time also be a part of the solution. However, to integrate sustainability in FM is still an emergent niche within FM, and the examples of SFM so far seems to come out of very......-creating of new socio-technical services and technologies These SFM understandings are concluded to be coexisting claims of SFM definitions. Practical Implications: Facilities managers will be able to identify the mindset behind different services and technologies that are promoted as SFM. But maybe just...

  12. Technical Merits and Leadership in Facility Management

    National Research Council Canada - National Science Library

    Shoemaker, Jerry

    1997-01-01

    .... The document is divided into six chapters; the introduction, facility management and leadership, building systems, facility operations, facility maintenance strategies, and the conclusion and final analysis...

  13. Facility management in kinderschoenen : Facility management in de kinderopvang

    NARCIS (Netherlands)

    Ronald Beckers

    2008-01-01

    Begin dit jaar heft Academie Diedenoort FM aan de Hogeschool van Arnhem en Nijmegen, tijdens een studiemiddag een toelichting gegeven op het vakgebied facility management aan een aantal financiële managers van organisaties die zich bezighouden met kinderopvang. In die branche staat het fm-vakgebid

  14. Safe waste management practices in beryllium facilities

    International Nuclear Information System (INIS)

    Bhat, P.N.; Soundararajan, S.; Sharma, D.N.

    2012-01-01

    Beryllium, an element with the atomic symbol Be, atomic number 4, has very high stiffness to weight ratio and low density. It has good electrical conductive properties with low coefficient of thermal expansion. These properties make the metal beryllium very useful in varied technological endeavours, However, beryllium is recognised as one of the most toxic metals. Revelation of toxic effects of beryllium resulted in institution of stringent health and safety practices in beryllium handling facilities. The waste generated in such facilities may contain traces of beryllium. Any such waste should be treated as toxic waste and suitable safe waste management practices should be adopted. By instituting appropriate waste management practice and through a meticulously incorporated safety measures and continuous surveillance exercised in such facilities, total safety can be ensured. This paper broadly discusses health hazards posed by beryllium and safe methods of management of beryllium bearing wastes. (author)

  15. Assessment of laboratory logistics management information system practice for HIV/AIDS and tuberculosis laboratory commodities in selected public health facilities in Addis Ababa, Ethiopia.

    Science.gov (United States)

    Desale, Adino; Taye, Bineyam; Belay, Getachew; Nigatu, Alemayehu

    2013-01-01

    Logistics management information system for health commodities remained poorly implemented in most of developing countries. To assess the status of laboratory logistics management information system for HIV/AIDS and tuberculosis laboratory commodities in public health facilities in Addis Ababa. A cross-sectional descriptive study was conducted from September 2010-January 2011 at selected public health facilities. A stratified random sampling method was used to include a total of 43 facilities which, were investigated through quantitative methods using structured questionnaires interviews. Focus group discussion with the designated supply chain managers and key informant interviews were conducted for the qualitative method. There exists a well-designed logistics system for laboratory commodities with trained pharmacy personnel, distributed standard LMIS formats and established inventory control procedures. However, majority of laboratory professionals were not trained in LMIS. Majority of the facilities (60.5%) were stocked out for at least one ART monitoring and TB laboratory reagents and the highest stock out rate was for chemistry reagents. Expired ART monitoring laboratory commodities were found in 25 (73.5%) of facilities. Fifty percent (50%) of the assessed hospitals and 54% of health centers were currently using stock/bin cards for all HIV/AIDS and TB laboratory commodities in main pharmacy store, among these only 25% and 20.8% of them were updated with accurate information matching with the physical count done at the time of visit for hospitals and health centers respectively. Even though there exists a well designed laboratory LMIS, keeping quality stock/bin cards and LMIS reports were very low. Key ART monitoring laboratory commodities were stock out at many facilities at the day of visit and during the past six months. Based on findings, training of laboratory personnel's managing laboratory commodities and keeping accurate inventory control procedures

  16. Assessment of laboratory logistics management information system practice for HIV/AIDS and tuberculosis laboratory commodities in selected public health facilities in Addis Ababa, Ethiopia

    Science.gov (United States)

    Desale, Adino; Taye, Bineyam; Belay, Getachew; Nigatu, Alemayehu

    2013-01-01

    Introduction Logistics management information system for health commodities remained poorly implemented in most of developing countries. To assess the status of laboratory logistics management information system for HIV/AIDS and tuberculosis laboratory commodities in public health facilities in Addis Ababa. Methods A cross-sectional descriptive study was conducted from September 2010-January 2011 at selected public health facilities. A stratified random sampling method was used to include a total of 43 facilities which, were investigated through quantitative methods using structured questionnaires interviews. Focus group discussion with the designated supply chain managers and key informant interviews were conducted for the qualitative method. Results There exists a well-designed logistics system for laboratory commodities with trained pharmacy personnel, distributed standard LMIS formats and established inventory control procedures. However, majority of laboratory professionals were not trained in LMIS. Majority of the facilities (60.5%) were stocked out for at least one ART monitoring and TB laboratory reagents and the highest stock out rate was for chemistry reagents. Expired ART monitoring laboratory commodities were found in 25 (73.5%) of facilities. Fifty percent (50%) of the assessed hospitals and 54% of health centers were currently using stock/bin cards for all HIV/AIDS and TB laboratory commodities in main pharmacy store, among these only 25% and 20.8% of them were updated with accurate information matching with the physical count done at the time of visit for hospitals and health centers respectively. Conclusion Even though there exists a well designed laboratory LMIS, keeping quality stock/bin cards and LMIS reports were very low. Key ART monitoring laboratory commodities were stock out at many facilities at the day of visit and during the past six months. Based on findings, training of laboratory personnel's managing laboratory commodities and keeping

  17. Crises and Resilience at the Frontline-Public Health Facility Managers under Devolution in a Sub-County on the Kenyan Coast.

    Directory of Open Access Journals (Sweden)

    Mary Nyikuri

    Full Text Available Public primary health care (PHC facilities are for many individuals the first point of contact with the formal health care system. These facilities are managed by professional nurses or clinical officers who are recognised to play a key role in implementing health sector reforms and facilitating initiatives aimed at strengthening community involvement. Little in-depth research exists about the dimensions and challenges of these managers' jobs, or on the impact of decentralisation on their roles and responsibilities. In this paper, we describe the roles and responsibilities of PHC managers-or 'in-charges' in Kenya, and their challenges and coping strategies, under accelerated devolution.The data presented in this paper is part of a wider set of activities aimed at understanding governance changes under devolution in Kenya, under the umbrella of a 'learning site'. A learning site is a long term process of collaboration between health managers and researchers deciding together on key health system questions and interventions. Data were collected through seven formal in depth interviews and observations at four PHC facilities as well as eight in depth interviews and informal interactions with sub-county managers from June 2013 to July 2014. Drawing on the Aragon framework of organisation capacity we discuss the multiple accountabilities, daily routines, challenges and coping strategies among PHC facility managers.PHC in-charges perform complex and diverse roles in a difficult environment with relatively little formal preparation. Their key concerns are lack of job clarity and preparedness, the difficulty of balancing multidirectional accountability responsibilities amidst significant resource shortages, and remuneration anxieties. We show that day-to-day management in an environment of resource constraints and uncertainty requires PHC in-charges who are resilient, reflective, and continuously able to learn and adapt. We highlight the importance of

  18. Technical merits and leadership in facility management

    OpenAIRE

    Shoemaker, Jerry J

    1997-01-01

    After almost ten years of experience and formal education in design, construction, and facility operations and maintenance, the challenges and complexity of facility management still seem overwhelming and intangible. This document explores those complexities and challenges, and presents several philosophies and strategies practiced in facility management. The document is divided into six chapters; the introduction, facility management and leadership, building systems, facility operations, fac...

  19. COGEMA's UMF [Uranium Management Facility

    International Nuclear Information System (INIS)

    Lamorlette, G.; Bertrand, J.P.

    1988-01-01

    The French government-owned corporation, COGEMA, is responsible for the nuclear fuel cycle. This paper describes the activities at COGEMA's Pierrelatte facility, especially its Uranium Management Facility. UF6 handling and storage is described for natural, enriched, depleted, and reprocessed uranium. UF6 quality control specifications, sampling, and analysis (halocarbon and volatile fluorides, isotopic analysis, uranium assay, and impurities) are described. In addition, the paper discusses the filling and cleaning of containers and security at UMF

  20. Europe sees mixed results from public-private partnerships for building and managing health care facilities and services.

    Science.gov (United States)

    Barlow, James; Roehrich, Jens; Wright, Steve

    2013-01-01

    Prompted in part by constrained national budgets, European governments are increasingly partnering with the private sector to underwrite the costs of constructing and operating public hospitals and other health care facilities and delivering services. Through such public-private partnerships, governments hope to avoid up-front capital expenditure and to harness private-sector efficiencies, while private-sector partners aim for a return on investment. Our research indicates that to date, experience with these partnerships has been mixed. Early models of these partnerships-for example, in which a private firm builds a hospital and carries out building maintenance, which we term an "accommodation-only" model-arguably have not met expectations for achieving greater efficiencies at lower costs. Newer models described in this article offer greater opportunities for efficiency gains but are administratively harder to set up and manage. Given the shortages in public capital for new infrastructure, it seems likely that the attractiveness of these partnerships to European governments will grow.

  1. Environmental Management Guide for Educational Facilities

    Science.gov (United States)

    APPA: Association of Higher Education Facilities Officers, 2017

    2017-01-01

    Since 1996, APPA and CSHEMA, the Campus Safety Health and Environmental Management Association, have collaborated to produce guidance documents to help educational facilities get ahead of the moving target that is environmental compliance. This new 2017 edition will help you identify which regulations pertain to your institution, and assist in…

  2. Drug use in the management of uncomplicated malaria in public health facilities in the Democratic Republic of the Congo.

    Science.gov (United States)

    Ntamabyaliro, Nsengi Y; Burri, Christian; Nzolo, Didier B; Engo, Aline B; Lula, Yves N; Mampunza, Samuel M; Nsibu, Célestin N; Mesia, Gauthier K; Kayembe, Jean-Marie N; Likwela, Joris L; Kintaudi, Leon M; Tona, Gaston L

    2018-05-03

    Malaria the first causes of death from parasitic infection worldwide. Interventions to reduce the burden of malaria have produced a tremendous drop in malaria morbidity and mortality. However, progress is slower in DRC, which shares with Nigeria 39% of deaths related to malaria globally. Inappropriate use of drugs may be one of the factors of this below-average performance. The aim of this study was to describe the use of drugs in the management of uncomplicated malaria in public health facilities in DRC. A drug use study was carried out in DRC from January to March 2014. In each of the former 11 provinces of DRC, one Rural Health Centre, one Urban Health Centre and one General Hospital were selected. In each of them, 100 patient's files containing prescription of anti-malarials from January to December 2013 were randomly selected. Among them, all of the files with diagnosis of uncomplicated malaria were included in this study. Prescribed anti-malarials, co-prescribed drugs and their indications were collected. Descriptive analyses were performed. A total of 2300 files out of 3300 (69.7%) concerned uncomplicated malaria and were included in analysis. Malaria treatment was initiated after a positive RDT or microscopy in 51.5% of cases, upon suspicion without requesting biological confirmation in 37% and despite negative results in 11%. Twenty-nine (29) different treatment regimens were used. The drugs recommended by the National Malaria Control Programme were used in 54.3% of cases (artesunate-amodiaquine 37.4% or artemether-lumefantrine 16.9%). The second most used anti-malarial was quinine (32.4%). Apart from anti-malarials, an average of 3.1 drugs per patient were prescribed, among which antibiotics (67.9%), analgesics and non-steroidal anti-inflammatory (NSAIDs) (all abbreviations to be explicated on first use) (70.6%), vitamins (29.1%), anaemia drugs, including blood transfusion (9.1%) and corticosteroids (5.7%), In 51.4% of cases there was no indication for

  3. Facility management i fremtidens bankdrift

    OpenAIRE

    Vollan, Silje Steen

    2015-01-01

    Facility Management (FM) er et relativt ungt fagområde som er i sterk utvikling. Bank og finansbransjen har hatt en tradisjon med å eie og forvalte egne bygninger, noe som har gitt et underbevisst fokus på FM. Økt digitalisering fører til at bankene står overfor nye utfordringer og muligheter. Nye produkter og tjenester dukker opp og dette fører til at FM enheten utfordres med høyere krav til profesjonalitet og effektivitet. Internasjonale trender i markedet viser at flere facility management...

  4. Quality management in nuclear facilities decommissioning

    International Nuclear Information System (INIS)

    Garonis, Omar H.

    2002-01-01

    Internationally, the decommissioning organizations of nuclear facilities carry out the decommissioning according to the safety requirements established for the regulatory bodies. Some of them perform their activities in compliance with a quality assurance system. This work establishes standardization through a Specifications Requirement Document, for the management system of the nuclear facilities decommissioning organizations. It integrates with aspects of the quality, environmental, occupational safety and health management systems, and also makes these aspects compatible with all the requirements of the nuclear industry recommended for the International Atomic Energy Agency (IAEA). (author)

  5. Health Systems Readiness to Manage the Hypertension Epidemic in Primary Health Care Facilities in the Western Cape, South Africa: A Study Protocol.

    Science.gov (United States)

    Deuboué Tchialeu, Rodrigue Innocent; Yaya, Sanni; Labonté, Ronald

    2016-02-29

    (IDRC). The study is currently in the data analysis phase and results are expected during the first half of 2016. This investigation will highlight the detailed processes in place for the care of hypertensive patients in primary health care facilities, and thus also identify the challenges. It will also describe the drug supply chain management systems in place and identify their strengths and weaknesses. The findings, along with the estimates from modeling and simulation, will inform the health system minimum requirements to scale-up interventions to manage and control the hypertension epidemic in the Western Cape province of South Africa.

  6. Utilizing Interns in Facilities Management

    Science.gov (United States)

    Judkins, Clarissa; Morris, John P.; Molocznik, Chuck

    2011-01-01

    Facilities management is rapidly changing and developing from a position an individual stumbles into--or work one's way up through--to a discipline and vocation all of its own. There is a need for a collaborative strategy among leaders in practice, education, and research to share knowledge and experience and to establish professional and ethical…

  7. Health Facilities - Multiple Languages

    Science.gov (United States)

    ... Well-Being 10 - Medical Appointments - Amarɨñña / አማርኛ (Amharic) MP3 Siloam Family Health Center Arabic (العربية) Expand Section ... Well-Being 10 - Medical Appointments - myanma bhasa (Burmese) MP3 Siloam Family Health Center Dari (دری) Expand Section ...

  8. Facility Management's Role in Organizational Sustainability

    Science.gov (United States)

    Adams, Gregory K.

    2013-01-01

    Facility managers have questions about sustainability. How do an organization's physical facilities--its built environment--and the management of them, influence the sustainability of the organization or institution as a whole? How important is Facility Management (FM) to the overall sustainability profile of an organization? Facility managers…

  9. Knowledge Map of Facilities Management

    DEFF Research Database (Denmark)

    Nenonen, Suvi; Jensen, Per Anker; Lindahl, Göran

    2014-01-01

    both the research community and FM-practitioners can develop new models for identifying knowledge needs and gaps and to improve knowledge sharing and knowledge flow and thus the fulfilment of their mission and goals. Knowledge maps can also help in organizing research activities and analysing......Purpose This paper aims to draft a knowledge map of the fragmented and multidisciplinary research of and relevant to FM. Facilities management knowledge map is a tool for presenting what relevant data and knowledge, a.k.a. knowledge, resides in different disciplines. Knowledge mapping is a step...... in creating an inventory of knowledge (i.e. the knowledge base) and developing/improving the processes of knowledge sharing in research, education and practice. Theory Knowledge mapping is discussed in terms of knowledge management. The research is connected to knowledge mapping in the facilities management...

  10. DKIST facility management system integration

    Science.gov (United States)

    White, Charles R.; Phelps, LeEllen

    2016-07-01

    The Daniel K. Inouye Solar Telescope (DKIST) Observatory is under construction at Haleakalā, Maui, Hawai'i. When complete, the DKIST will be the largest solar telescope in the world. The Facility Management System (FMS) is a subsystem of the high-level Facility Control System (FCS) and directly controls the Facility Thermal System (FTS). The FMS receives operational mode information from the FCS while making process data available to the FCS and includes hardware and software to integrate and control all aspects of the FTS including the Carousel Cooling System, the Telescope Chamber Environmental Control Systems, and the Temperature Monitoring System. In addition it will integrate the Power Energy Management System and several service systems such as heating, ventilation, and air conditioning (HVAC), the Domestic Water Distribution System, and the Vacuum System. All of these subsystems must operate in coordination to provide the best possible observing conditions and overall building management. Further, the FMS must actively react to varying weather conditions and observational requirements. The physical impact of the facility must not interfere with neighboring installations while operating in a very environmentally and culturally sensitive area. The FMS system will be comprised of five Programmable Automation Controllers (PACs). We present a pre-build overview of the functional plan to integrate all of the FMS subsystems.

  11. Educational Needs of Health Care Providers Working in Long-Term Care Facilities with Regard to Pain Management

    Directory of Open Access Journals (Sweden)

    Yannick Tousignant-Laflamme

    2012-01-01

    Full Text Available BACKGROUND: The prevalence of chronic pain ranges from 40% to 80% in long-term care facilities (LTCF, with the highest proportion being found among older adults and residents with dementia. Unfortunately, pain in older adults is underdiagnosed, undertreated, inadequately treated or not treated at all. A solution to this problem would be to provide effective and innovative interdisciplinary continuing education to health care providers (HCPs.

  12. The future of facility management in Finland

    OpenAIRE

    Boateng, Ernest

    2011-01-01

    The objective of this study was to investigate the feasible future of facility management in Finland in order to provide an overview of the future of facility management. This is intended to serve as a guideline for the educational sector, facility management service companies, and the Facility management association in Finland (FIFMA) for future development. Qualitative method, precisely semi-structured/unstructured interview was adopted to address the problems in this study. The study c...

  13. 7 CFR 210.13 - Facilities management.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 4 2010-01-01 2010-01-01 false Facilities management. 210.13 Section 210.13... Participation § 210.13 Facilities management. Link to an amendment published at 74 FR 66216, Dec. 15, 2009. (a..., the added text is set forth as follows: § 210.13 Facilities management. (c) Food safety program. The...

  14. Computer-Aided Facilities Management Systems (CAFM).

    Science.gov (United States)

    Cyros, Kreon L.

    Computer-aided facilities management (CAFM) refers to a collection of software used with increasing frequency by facilities managers. The six major CAFM components are discussed with respect to their usefulness and popularity in facilities management applications: (1) computer-aided design; (2) computer-aided engineering; (3) decision support…

  15. The prevention of mother-to-child transmission of HIV cascade analysis tool: supporting health managers to improve facility-level service delivery.

    Science.gov (United States)

    Gimbel, Sarah; Voss, Joachim; Mercer, Mary Anne; Zierler, Brenda; Gloyd, Stephen; Coutinho, Maria de Joana; Floriano, Florencia; Cuembelo, Maria de Fatima; Einberg, Jennifer; Sherr, Kenneth

    2014-10-21

    The objective of the prevention of Mother-to-Child Transmission (pMTCT) cascade analysis tool is to provide frontline health managers at the facility level with the means to rapidly, independently and quantitatively track patient flows through the pMTCT cascade, and readily identify priority areas for clinic-level improvement interventions. Over a period of six months, five experienced maternal-child health managers and researchers iteratively adapted and tested this systems analysis tool for pMTCT services. They prioritized components of the pMTCT cascade for inclusion, disseminated multiple versions to 27 health managers and piloted it in five facilities. Process mapping techniques were used to chart PMTCT cascade steps in these five facilities, to document antenatal care attendance, HIV testing and counseling, provision of prophylactic anti-retrovirals, safe delivery, safe infant feeding, infant follow-up including HIV testing, and family planning, in order to obtain site-specific knowledge of service delivery. Seven pMTCT cascade steps were included in the Excel-based final tool. Prevalence calculations were incorporated as sub-headings under relevant steps. Cells not requiring data inputs were locked, wording was simplified and stepwise drop-offs and maximization functions were included at key steps along the cascade. While the drop off function allows health workers to rapidly assess how many patients were lost at each step, the maximization function details the additional people served if only one step improves to 100% capacity while others stay constant. Our experience suggests that adaptation of a cascade analysis tool for facility-level pMTCT services is feasible and appropriate as a starting point for discussions of where to implement improvement strategies. The resulting tool facilitates the engagement of frontline health workers and managers who fill out, interpret, apply the tool, and then follow up with quality improvement activities. Research on

  16. The mixed waste management facility

    International Nuclear Information System (INIS)

    Streit, R.D.

    1995-10-01

    During FY96, the Mixed Waste Management Facility (MWMF) Project has the following major objectives: (1) Complete Project Preliminary Design Review (PDR). (2) Complete final design (Title II) of MWMF major systems. (3) Coordinate all final interfaces with the Decontamination and Waste Treatment Facility (DWTF) for facility utilities and facility integration. (4) Begin long-lead procurements. (5) Issue Project Baseline Revision 2-Preliminary Design (PB2), modifying previous baselines per DOE-requested budget profiles and cost reduction. Delete Mediated Electrochemical Oxidation (MEO) as a treatment process for initial demonstration. (6) Complete submittal of, and ongoing support for, applications for air permit. (7) Begin detailed planning for start-up, activation, and operational interfaces with the Laboratory's Hazardous Waste Management Division (HWM). In achieving these objectives during FY96, the Project will incorporate and implement recent DOE directives to maximize the cost savings associated with the DWTF/MWMF integration (initiated in PB1.2); to reduce FY96 new Budget Authority to ∼$10M (reduced from FY97 Validation of $15.3M); and to keep Project fiscal year funding requirements largely uniform at ∼$10M/yr. A revised Project Baseline (i.e., PB2), to be issued during the second quarter of FY96, will address the implementation and impact of this guidance from an overall Project viewpoint. For FY96, the impact of this guidance is that completion of final design has been delayed relative to previous baselines (resulting from the delay in the completion of preliminary design); ramp-up in staffing has been essentially eliminated; and procurements have been balanced through the Project to help balance budget needs to funding availability

  17. Screening criteria for siting waste management facilities: Regional Management Plan

    International Nuclear Information System (INIS)

    1986-01-01

    The Midwest Interstate Low-Level Radioactive Waste Commission (Midwest Compact) seeks to define and place into operation a system for low-level waste management that will protect the public health and safety and the environment from the time the waste leaves its point of origin. Once the system is defined it will be necessary to find suitable sites for the components of that waste management system. The procedure for siting waste management facilities that have been chosen by the compact is one in which a host state is chosen for each facility. The host state is then given the freedom to select the site. Sites will be needed of low-level waste disposal facilities. Depending on the nature of the waste management system chosen by the host state, sites may also be needed for regional waste treatment facilities, such as compactors or incinerators. This report provides example criteria for use in selecting sites for low-level radioactive waste treatment and disposal facilities. 14 refs

  18. Facilities Management and Added Value

    DEFF Research Database (Denmark)

    Jensen, Per Anker

    2010-01-01

    Aim: This paper aims to present different models of the concept of the added value of Facilities Management (FM), including the FM Value Map, which forms the basis of research group in EuroFM, and to present some of the results of this research collaboration. Approach and methodology: The paper...... is based on literature reviews of the most influential journals within the academic fields of FM, Corporate Real Estate Management and Business to Business Marketing and discussions between participants of the research group working on a further exploration and testing of the FM Value Map. Conclusions......: The research shows a number of different definitions and focus points of Added Value of FM, dependent on the academic field and the area of application. The different research perspectives explored a holistic view on the added value of FM by the integration of an external market based view (with a focus...

  19. HIV/AIDS related commodities supply chain management in public health facilities of Addis Ababa, Ethiopia: a cross-sectional survey.

    Science.gov (United States)

    Berhanemeskel, Eyerusalem; Beedemariam, Gebremedhin; Fenta, Teferi Gedif

    2016-01-01

    A wide range of pharmaceutical products are needed for diagnosis, treatment, and prevention of HIV/AIDS. However, interrupted supplies and stock-outs are the major challenges in the supply chain of ARV medicines and related commodities. The aim of this study was to assess the supply chain management of HIV/AIDS related commodities in public health facilities of Addis Ababa, Ethiopia. A descriptive cross-sectional survey complemented by qualitative method was conducted in 24 public health facilities (4 hospitals and 20 health centers). A semi-structured questionnaire and observation check list were used to collect data on HIV/AIDS related service, reporting and ordering; receiving, transportation and storage condition of ARV medicines and test kits; and supportive supervision and logistics management information system. In addition, in-depth interview with flexible probing techniques was used to complement the quantitative data with emphasis to the storage condition of ARV medicines and test kits. Quantitative data was analyzed using SPSS version-20. Analysis of qualitative data involved rigorous reading of transcripts in order to identify key themes and data was analyzed using thematic approach. The study revealed that 16 health centers and one hospital had recorded and reported patient medication record. Six months prior to the study, 14 health centers and 2 hospitals had stopped VCT services for one time or more. Three hospitals and 18 health centers claimed to have been able to submit the requisition and report concerning ARV medicines to Pharmaceutical Fund and Supply Agency according to the specific reporting period. More than three-fourth of the health centers had one or more emergency order of ARV medicines on the day of visit, while all of hospitals had emergency order more than 3 times within 6 months prior to the study. All of the hospitals and nearly half of the health centers had an emergency order of test kits more than 3 times in the past 6

  20. New Trends in Facility Asset Management.

    Science.gov (United States)

    Adams, Matt

    2000-01-01

    Explains new, positive trends in facility asset management that encompasses greater acceptance and involvement of facility managers in the financial planning process, greater awareness of the need for maintenance, and facility administrators taking a greater role with business officers. The new climate for alternative renewal financing proposals…

  1. Technical Merits and Leadership in Facility Management

    National Research Council Canada - National Science Library

    Shoemaker, Jerry

    1997-01-01

    After almost ten years of experience and formal education in design, construction, and facility operations and maintenance, the challenges and complexity of facility management still seem overwhelming and intangible...

  2. OPG Western Waste Management Facility

    Energy Technology Data Exchange (ETDEWEB)

    Julian, J. [Ontario Power Generation, Western Waste Management Facility, Tiverton, ON (Canada)

    2011-07-01

    The Ontario Power Generation (OPG) Western Waste Management Facility (WWMF) uses a computer based Supervisory Control and Data Acquisition (SCADA) system to monitor its facility, and control essential equipment. In 2007 the WWMF Low and Intermediate Level Waste (L&ILW) technical support section conducted a review of outstanding corrective maintenance work. Technical support divided all work on a system by system basis. One system under review was the Waste Volume Reduction Building (WVRB) control room SCADA system. Technical support worked with control maintenance staff to assess all outstanding work orders on the SCADA system. The assessment identified several deficiencies in the SCADA system. Technical support developed a corrective action plan for the SCADA system deficiencies, and in February of 2008 developed an engineering change package to correct the observed deficiencies. OPG Nuclear Waste Engineering approved the change package and the WVRB Control Room Upgrades construction project started in January of 2009. The WVRB control room upgrades construction work was completed in February of 2009. This paper provides the following information regarding the WWMF SCADA system and the 2009 WVRB Control Room Upgrades Project: A high-level explanation of SCADA system technology, and the various SCADA system components installed in the WVRB; A description of the state of the WVRB SCADA system during the work order assessment, identifying all deficiencies; A description of the new design package; A description of the construction project; and, A list of lessons learned during construction and commissioning, and a path forward for future upgrades. (author)

  3. OPG Western Waste Management Facility

    International Nuclear Information System (INIS)

    Julian, J.

    2011-01-01

    The Ontario Power Generation (OPG) Western Waste Management Facility (WWMF) uses a computer based Supervisory Control and Data Acquisition (SCADA) system to monitor its facility, and control essential equipment. In 2007 the WWMF Low and Intermediate Level Waste (L&ILW) technical support section conducted a review of outstanding corrective maintenance work. Technical support divided all work on a system by system basis. One system under review was the Waste Volume Reduction Building (WVRB) control room SCADA system. Technical support worked with control maintenance staff to assess all outstanding work orders on the SCADA system. The assessment identified several deficiencies in the SCADA system. Technical support developed a corrective action plan for the SCADA system deficiencies, and in February of 2008 developed an engineering change package to correct the observed deficiencies. OPG Nuclear Waste Engineering approved the change package and the WVRB Control Room Upgrades construction project started in January of 2009. The WVRB control room upgrades construction work was completed in February of 2009. This paper provides the following information regarding the WWMF SCADA system and the 2009 WVRB Control Room Upgrades Project: A high-level explanation of SCADA system technology, and the various SCADA system components installed in the WVRB; A description of the state of the WVRB SCADA system during the work order assessment, identifying all deficiencies; A description of the new design package; A description of the construction project; and, A list of lessons learned during construction and commissioning, and a path forward for future upgrades. (author)

  4. Design Integration of Facilities Management

    DEFF Research Database (Denmark)

    Jensen, Per Anker

    2009-01-01

    One of the problems in the building industry is a limited degree of learning from experiences of use and operation of existing buildings. Development of professional facilities management (FM) can be seen as the missing link to bridge the gap between building operation and building design....... Strategies, methods and barriers for the transfer and integration of operational knowledge into the design process are discussed. Multiple strategies are needed to improve the integration of FM in design. Building clients must take on a leading role in defining and setting up requirements and procedures...... on literature studies and case studies from the Nordic countries in Europe, including research reflections on experiences from a main case study, where the author, before becoming a university researcher, was engaged in the client organization as deputy project director with responsibility for the integration...

  5. Mitigating risks related to facilities management.

    Science.gov (United States)

    O'Neill, Daniel P; Scarborough, Sydney

    2013-07-01

    By looking at metrics focusing on the functionality, age, capital investment, transparency, and sustainability (FACTS) of their organizations' facilities, facilities management teams can build potential business cases to justify upgrading the facilities. A FACTS analysis can ensure that capital spent on facilities will produce a higher or more certain ROI than alternatives. A consistent process for managing spending helps to avoid unexpected spikes that cost the enterprise more in the long run.

  6. The impact of a human resource management intervention on the capacity of supervisors to support and supervise their staff at health facility level.

    Science.gov (United States)

    Uduma, Ogenna; Galligan, Marie; Mollel, Henry; Masanja, Honorati; Bradley, Susan; McAuliffe, Eilish

    2017-08-30

    A systematic and structured approach to the support and supervision of health workers can strengthen the human resource management function at the district and health facility levels and may help address the current crisis in human resources for health in sub-Saharan Africa by improving health workers' motivation and retention. A supportive supervision programme including (a) a workshop, (b) intensive training and (c) action learning sets was designed to improve human resource management in districts and health facilities in Tanzania. We conducted a randomised experimental design to evaluate the impact of the intervention. Data on the same measures were collected pre and post the intervention in order to identify any changes that occurred (between baseline and end of project) in the capacity of supervisors in intervention a + b and intervention a + b + c to support and supervise their staff. These were compared to supervisors in a control group in each of Tanga, Iringa and Tabora regions (n = 9). A quantitative survey of 95 and 108 supervisors and 196 and 187 health workers sampled at baseline and end-line, respectively, also contained open-ended responses which were analysed separately. Supervisors assessed their own competency levels pre- and post-intervention. End-line samples generally scored higher compared to the corresponding baseline in both intervention groups for competence activities. Significant differences between baseline and end-line were observed in the total scores on 'maintaining high levels of performance', 'dealing with performance problems', 'counselling a troubled employee' and 'time management' in intervention a + b. In contrast, for intervention a + b + c, a significant difference in distribution of scores was only found on 'counselling a troubled employee', although the end-line mean scores were higher than their corresponding baseline mean scores in all cases. Similar trends to those in the supervisors' reports are seen in

  7. Healthcare waste management: current practices in selected healthcare facilities, Botswana.

    Science.gov (United States)

    Mbongwe, Bontle; Mmereki, Baagi T; Magashula, Andrew

    2008-01-01

    Healthcare waste management continues to present an array of challenges for developing countries, and Botswana is no exception. The possible impact of healthcare waste on public health and the environment has received a lot of attention such that Waste Management dedicated a special issue to the management of healthcare waste (Healthcare Wastes Management, 2005. Waste Management 25(6) 567-665). As the demand for more healthcare facilities increases, there is also an increase on waste generation from these facilities. This situation requires an organised system of healthcare waste management to curb public health risks as well as occupational hazards among healthcare workers as a result of poor waste management. This paper reviews current waste management practices at the healthcare facility level and proposes possible options for improvement in Botswana.

  8. [Survey of general practioners in the management of diabetes in primary health facilities of Casablanca city, Morocco: opportunities and constraints].

    Science.gov (United States)

    Nani, S; Hassoune, S; Chinab, N; Boumdi, Z; Maaroufi, A

    2013-06-01

    Diabetes is a global health problem in full expansion, because of its increasing frequency, it frightening complications and the costs of its medical covering. In this study, we tried to make the current situation of the diabetes management in first-line public structures of the city of Casablanca. The survey of transverse observation to descriptive aiming was conducted using a pre questionnaire tested and selfadministered. It shows that 46.7 % of the questioned general practitioner judged that the quantity and the quality of average therapeutic existing in the center were insufficient to meet the needs for their diabetic patients. The weak socio-economic statute of the patients (78.8% of the cases), the lack of personnel (76.6%), the low educational level of patients (75.2%) and the problem of access to hospital (73.3%) constituted major problems of the correct diabetic medical covering. However, the majority of the doctors (98.1%) estimated to need training on diabetes management. The most required topics requested are: The control of the insulin treatment (97%), the diabetic education (91%) and the follow-up of diabetic (89%). The training of general practitioners particularly motivated and interested in diabetes could be the solution to improve the management of diabetes especially because of the lack of specialists in our country.

  9. Waste management considerations in nuclear facility decommissioning

    International Nuclear Information System (INIS)

    Elder, H.K.; Murphy, E.S.

    1981-01-01

    Decommissioning of nuclear facilities involves the management of significant quantities of radioactive waste. This paper summarizes information on volumes of waste requiring disposal and waste management costs developed in a series of decommissioning studies performed for the U.S. Nuclear Regulatory Commission by the Pacific Northwest Laboratory. These studies indicate that waste management is an important cost factor in the decommissioning of nuclear facilities. Alternatives for managing decommissioning wastes are defined and recommendations are made for improvements in waste management practices

  10. ICT Adoption in Facilities Management Supply Chain

    DEFF Research Database (Denmark)

    Scupola, Ada

    2012-01-01

    This article involves a qualitative study of factors impacting the adoption of ICT solutions in the Danish facility management supply chain. The results show that there are a number of drivers and barriers that influence the adoption of ICT solutions in this service sector. These have been grouped...... concerned with ICT adoption, operations and service management (especially facilities management) as well as operation managers and ICT managers....

  11. MANAGING CUSTOMER RELATIONSHIPS IN PRIVATE HEALTH CARE FACILITIES - A STUDY WITH REFERENCE TO GREATER NOIDA CITY OF UTTAR PRADESH

    Directory of Open Access Journals (Sweden)

    Arun Kumar Panda

    2011-03-01

    Full Text Available Customer relationship management (CRM which has overriding significance for any business isno less significant for hospital services. Hospitals are most important elements in any health caredelivery system. A hospital plays a major role in maintaining and restoring the health of the people.Care of the sick and injured, preventive health care, health research, and training of medical andparamedical staff are general broad functions of a hospital. It involves to the outpatient and inpatienthospital services and on many occasions emergency medical services. An important resource in ahospital is a human resource. This should be particularly emphasized. This should be particularlyemphasized in the content of a hospital since relationship of medical staff plays important role intreating patients - the hospital customers. In health care, CRM practices are essentially patient -focused strategies that involve effective management of hospital interface and interaction withpatients. Effective CRM practices in a hospital may mean providing services related information toa patient very quickly. Responding to the patent appointment and an admission requests promptly,dealing with patient queries and complaints expeditiously, exercising all kinds of flexibilities inserving patients to the patients. This research paper made an attempt to analyze the factorsinfluencing the customers to select the hospital and to suggest better ways and means to retain thecustomers. For the study, the researcher has collected data from 200 respondents of 10 privatehospitals located in Greater Noida city. For this purpose stratified random sampling method was usedto select the samples. The present study highlights the extent of utilization of the hospital services bythe selected sample respondents. It also shed light on the common problems faced by therespondents. The major features of the service sectors especially on hospital performance is projectedin order to utilize the

  12. Integrated Facilities Management and Fixed Asset Accounting.

    Science.gov (United States)

    Golz, W. C., Jr.

    1984-01-01

    A record of a school district's assets--land, buildings, machinery, and equipment--can be a useful management tool that meets accounting requirements and provides appropriate information for budgeting, forecasting, and facilities management. (MLF)

  13. WASH and gender in health care facilities: The uncharted territory.

    Science.gov (United States)

    Kohler, Petra; Renggli, Samuel; Lüthi, Christoph

    2017-11-08

    Health care facilities in low- and middle-income countries are high-risk settings, and face special challenges to achieving sustainable water, sanitation, and hygiene (WASH) services. Our applied interdisciplinary research conducted in India and Uganda analyzed six dimensions of WASH services in selected health care facilities, including menstrual hygiene management. To be effective, WASH monitoring strategies in health care facilities must include gender sensitive measures. We present a novel strategy, showing that applied gender sensitive multitool assessments are highly productive in assessments of WASH services and facilities from user and provider perspectives. We discuss its potential for applications at scale and as an area of future research.

  14. Does PDC Belong in Facilities Management?

    Science.gov (United States)

    Dessoff, Alan

    2012-01-01

    Whether planning, design, and construction (PDC) of buildings should be part of facilities management, with its traditional operations and maintenance functions, or separated from it, has been a divisive question on many campuses for a long time. Now, although it is not happening everywhere, facilities managers at a number of institutions, public…

  15. Facility management research in the Netherlands

    NARCIS (Netherlands)

    Thijssen, Thomas; van der Voordt, Theo; Mobach, Mark P.

    This article provides a brief overview of the history and development of facility management research in the Netherlands and indicates future directions. Facility management as a profession has developed from single service to multi-services and integral services over the past 15 years.

  16. Health Care Facilities Resilient to Climate Change Impacts

    Directory of Open Access Journals (Sweden)

    Jaclyn Paterson

    2014-12-01

    Full Text Available Climate change will increase the frequency and magnitude of extreme weather events and create risks that will impact health care facilities. Health care facilities will need to assess climate change risks and adopt adaptive management strategies to be resilient, but guidance tools are lacking. In this study, a toolkit was developed for health care facility officials to assess the resiliency of their facility to climate change impacts. A mixed methods approach was used to develop climate change resiliency indicators to inform the development of the toolkit. The toolkit consists of a checklist for officials who work in areas of emergency management, facilities management and health care services and supply chain management, a facilitator’s guide for administering the checklist, and a resource guidebook to inform adaptation. Six health care facilities representing three provinces in Canada piloted the checklist. Senior level officials with expertise in the aforementioned areas were invited to review the checklist, provide feedback during qualitative interviews and review the final toolkit at a stakeholder workshop. The toolkit helps health care facility officials identify gaps in climate change preparedness, direct allocation of adaptation resources and inform strategic planning to increase resiliency to climate change.

  17. Sport Facility Planning and Management. Sport Management Library.

    Science.gov (United States)

    Farmer, Peter J.; Mulrooney, Aaron L.; Ammon, Rob, Jr.

    Students of sports facilities management will need to acquire a wide variety of managerial skills and knowledge in order to be adequately prepared to plan and manage these facilities. This textbook offers students a mix of practical examples and recognized theory to help them in the planning, constructing, promoting, and managing of sports…

  18. Regulatory measures for occupational health monitoring in BARC facilities

    International Nuclear Information System (INIS)

    Rajdeep; Chattopadhyay, S.

    2017-01-01

    Bhabha Atomic Research Centre (BARC) is the premier organization actively engaged in the research and developmental activities related to nuclear science and technology for the benefit of society and the nation. BARC has various facilities like nuclear fuel fabrication facilities, research reactors, spent fuel storage facilities, nuclear fuel re-cycling facilities, radioactive waste management facilities, machining workshops and various Physics, Chemistry and Biological laboratories. In BARC, aspects related to Occupational Safety and Health (OSH) are given paramount importance. The issues related OSH are subjected to multi-tier review process. BARC Safety Council (BSC) is the apex committee in the three-tier safety and security review framework of BARC. BSC functions as regulatory body for BARC facilities. BSC is responsible for occupational safety and health of employees in BARC facilities

  19. Strategies for healthcare facilities, construction, and real estate management.

    Science.gov (United States)

    Lee, James G

    2012-05-01

    Adventist HealthCare offers the following lessons learned in improving the value of healthcare facilities, construction, and real estate management: Use an integrated approach. Ensure that the objectives of the approach align the hospital or health system's mission and values. Embrace innovation. Develop a plan that applies to the whole organization, rather than specific business units. Ensure commitment of senior leaders.

  20. Knowledge of hypertension and its management among hypertensive patients on chronic medicines at primary health care public sector facilities in South Africa; findings and implications.

    Science.gov (United States)

    Rampamba, Enos M; Meyer, Johanna C; Helberg, Elvera; Godman, Brian

    2017-08-01

    There are high growing prevalence rates of hypertension in South Africa. Consequently, there is a need to assess knowledge and management among hypertensive patients receiving chronic medication from primary health care (PHC) facilities in South Africa as a basis for improving future management. This is important as South Africa seeks to improve its management of chronic diseases. Descriptive, quantitative study amongst chronic hypertensive patients in the chronic disease programme. Patients were interviewed face-to-face by trained pharmacists using a structured questionnaire. Data analysis included descriptive and inferential statistics. Half (53.7%) of the patients had uncontrolled blood pressure (BP). Less than a third of patients (27.7%) knew what hypertension is, the meaning of recorded BP numbers (4.5%), and what normal BP should be (19.9%). All patients who knew the meaning of BP numbers had formal education (p = 0.047). Only 15.6% of the 56.0% patients, who received hypertension information, received it on antihypertensive medicines specifically. The majority of the patients lacked hypertension specific knowledge and only half had controlled BP. Interventions to improve the control of high BP should be targeted at closing knowledge gaps as part of the current chronic treatment initiatives in South Africa to ensure the benefits of increased access to care are realized.

  1. The Management System for Facilities and Activities. Safety Requirements

    International Nuclear Information System (INIS)

    2011-01-01

    This publication establishes requirements for management systems that integrate safety, health, security, quality assurance and environmental objectives. A successful management system ensures that nuclear safety matters are not dealt with in isolation but are considered within the context of all these objectives. The aim of this publication is to assist Member States in establishing and implementing effective management systems that integrate all aspects of managing nuclear facilities and activities in a coherent manner. It details the planned and systematic actions necessary to provide adequate confidence that all these requirements are satisfied. Contents: 1. Introduction; 2. Management system; 3. Management responsibility; 4. Resource management; 5. Process implementation; 6. Measurement, assessment and improvement.

  2. Health seeking behaviour and challenges in utilising health facilities ...

    African Journals Online (AJOL)

    ... and long distance to health facilities. Conclusions: There is potential to increase access to health care in rural areas by increasing the frequency of mobile clinic services and strengthening the community health worker strategy. Key words: Health seeking behaviour, Rural community, Health facilities, Challenges, Uganda ...

  3. Location - Managed Facility - St. Paul District (MVP)

    Data.gov (United States)

    Army Corps of Engineers, Department of the Army, Department of Defense — St. Paul District - US Army Corps of Engineers Managed Facility locations. District headquarters, Natural Resource, Recreation, Lock and Dam, and Regulatory offices...

  4. Managing Educational Facilities and Students' Enrolment in ...

    African Journals Online (AJOL)

    DR Nneka

    Indexed African Journals Online: www.ajol.info. An International ... Key Words: Students Enrolment, Managing, Educational Facilities, Nigeria ... positive relationship with standard and quality of educational system (Nwagwu, 1978: Adesina ...

  5. Service quality for facilities management in hospitals

    CERN Document Server

    Sui Pheng, Low

    2016-01-01

    This book examines the Facilities Management (FM) of hospitals and healthcare facilities, which are among the most complex, costly and challenging kind of buildings to manage. It presents and evaluates the FM service quality standards in Singapore’s hospitals from the patient’s perspective, and provides recommendations on how to successfully improve FM service quality and achieve higher patient satisfaction. The book also features valuable supplementary materials, including a checklist of 32 key factors for successful facilities management and another checklist of 24 service attributes for hospitals to achieve desirable service quality in connection with facilities management. The book adopts a unique approach of combining service quality and quality theory to provide a more holistic view of how FM service quality can be achieved in hospitals. It also integrates three instruments, namely the SERVQUAL model, the Kano model and the QFD model to yield empirical results from surveys for implementation in hosp...

  6. Exploring how different modes of governance act across health system levels to influence primary healthcare facility managers' use of information in decision-making: experience from Cape Town, South Africa.

    Science.gov (United States)

    Scott, Vera; Gilson, Lucy

    2017-09-15

    Governance, which includes decision-making at all levels of the health system, and information have been identified as key, interacting levers of health system strengthening. However there is an extensive literature detailing the challenges of supporting health managers to use formal information from health information systems (HISs) in their decision-making. While health information needs differ across levels of the health system there has been surprisingly little empirical work considering what information is actually used by primary healthcare facility managers in managing, and making decisions about, service delivery. This paper, therefore, specifically examines experience from Cape Town, South Africa, asking the question: How is primary healthcare facility managers' use of information for decision-making influenced by governance across levels of the health system? The research is novel in that it both explores what information these facility managers actually use in decision-making, and considers how wider governance processes influence this information use. An academic researcher and four facility managers worked as co-researchers in a multi-case study in which three areas of management were served as the cases. There were iterative cycles of data collection and collaborative analysis with individual and peer reflective learning over a period of three years. Central governance shaped what information and knowledge was valued - and, therefore, generated and used at lower system levels. The central level valued formal health information generated in the district-based HIS which therefore attracted management attention across the levels of the health system in terms of design, funding and implementation. This information was useful in the top-down practices of planning and management of the public health system. However, in facilities at the frontline of service delivery, there was a strong requirement for local, disaggregated information and experiential

  7. Data management facility for JT-60

    International Nuclear Information System (INIS)

    Ohasa, K.; Kurimoto, K.; Mochizuki, O.

    1983-01-01

    This study considers the Data Management Facility which is provided for unified management of various diagnostics data with JT-60 experiments. This facility is designed for the purpose of data access. There are about 30 kinds of diagnostic devices that are classified by diagnostic objects equipped for JT-60 facility. It gathers the diagnostic date about 10 Mega Byte per each discharge. Those diagnostic data are varied qualitatively and quantitatively by experimental purpose. Other fundamental information like discharge condition, adjustive value for diagnostic devices is required to process those gathered data

  8. [Organization of workplace first aid in health care facilities].

    Science.gov (United States)

    Ciavarella, M; Sacco, A; Bosco, Maria Giuseppina; Chinni, V; De Santis, A; Pagnanelli, A

    2007-01-01

    Laws D.Lgs. 626/94 and D.I. 388/03 attach particular importance to the organization of first aid in the workplace. Like every other enterprise, also hospitals and health care facilities have the obligation, as foreseen by the relevant legislation, to organize and manage first aid in the workplace. To discuss the topic in the light of the guidelines contained in the literature. We used the references contained in the relevant literature and in the regulations concerning organization of first aid in health care facilities. The regulations require the general manager of health care facilities to organize the primary intervention in case of emergencies in all health care facilities (health care or administrative, territorial and hospitals). In health care facilities the particular occupational risks, the general access of the public and the presence of patients who are already assumed to have altered states of health, should be the reason for particular care in guaranteeing the best possible management of a health emergency in the shortest time possible.

  9. ECOLOGICAL AND ECONOMICALLY OPTIMAL MANAGEMENT OF WASTE FROM HEALTHCARE FACILITIES

    OpenAIRE

    Halina Marczak

    2013-01-01

    Modern healthcare facilities generate more and more waste, and their management is a significant constitutes a significant cost of their functioning. The undertakings aimed at lowering the costs of expenses in waste management may have a positive influence on budgetary accounts in the institutions rendering health care services. On the example of a hospital in Lublin the costs of waste management and the possibilities to lower these costs by intensifying segregation procedures were presented....

  10. Legal regime of water management facilities

    Directory of Open Access Journals (Sweden)

    Salma Jožef

    2013-01-01

    Full Text Available The paper analyzes the legal regime of water management facilities in the light of Serbian, foreign and European law. Different divisions of water management facilities are carried out (to public and private ones, natural and artificial ones, etc., with determination of their legal relevance. Account is taken of the issue of protection from harmful effects of waters to such facilities, as well. The paper points also to rules on the water management facilities, from acts of planning, to individual administrative acts and measures for maintenance of required qualitative and quantitative condition of waters, depending on their purpose (general use or special, commercial use o waters. Albeit special rules on water management facilities exist, due to the natural interlocking between all the components of the environment (water, air and soil, a comprehensive approach is required. A reference is made to other basic principles of protection of water management facilities as well, such as the principle of prevention, principle of sustainable development and the principle "polluter pays". The last one represents the achievement of contemporary law, which deviates from the idea accepted in the second half of 20th century that supported the socialization of risk from harmful effects of waters.

  11. Improvement of management systems for nuclear facilities

    International Nuclear Information System (INIS)

    2005-01-01

    The area of Quality Management/ Quality Assurance has been changed dramatically over the past years. The nuclear facilities moved from the 'traditional' Quality Assurance approach towards Quality Management Systems, and later a new concept of Integrated Management Systems was introduced. The IAEA is developing a new set of Standards on Integrated Management Systems, which will replace the current 50-C-Q/SG-Q1-Q14 Code. The new set of document will require the integration of all management areas into one coherent management system. The new set of standards on Management Systems promotes the concept of the Integrated Management Systems. Based on new set a big number of documents are under preparation. These documents will address the current issues in the management systems area, e.g. Management of Change, Continuous Improvement, Self-assessment, and Attributes of effective management, etc. Currently NPES is providing a number of TC projects and Extra Budgetary Programmes to assist Member States in this area. The new Standards on Management Systems will be published in 2006. A number of Regulatory bodies already indicated that they would take the new Management System Standards as a basis for the national regulation. This fact will motivate a considerable change in the management of nuclear utilities, requiring a new approach. This activity is suitable for all IAEA Members States with large or limited nuclear capabilities. The service is directed to provide assistance for the management of all organizations carrying on or regulating nuclear activities and facilities

  12. Best Practices in Facility Management

    National Research Council Canada - National Science Library

    Neve, Trevor

    1999-01-01

    .... While the Logistics Management Institute's benchmark database has served as a cornerstone in helping to initiate change, data and metrics go only so far in implementing better ways of doing business...

  13. Daily storage management of hydroelectric facilities

    NARCIS (Netherlands)

    Chappin, E.J.L.; Ferrero, M.; Lazzeroni, P.; Lukszo, Z.; Olivero, M.; Repetto, M.

    2012-01-01

    This work presents a management procedure for hydroelectric facilities with daily storage. The water storage gives an additional degree of freedom allowing to shift in time power production when it is more convenient and to work at the maximum efficiency of hydraulic turbine. The management is

  14. Managing facilities in a Scandinavian manner:

    DEFF Research Database (Denmark)

    Elle, Morten; Engelmark, Jesper; Jørgensen, Bo

    2004-01-01

    Presents the aims and needs of research in facilities management (FM) at the section of Planning and Management of Building Processes at BYG*DTU. As the building stock in Denmark is rapidly increasing, socio-demographic developments implies profound changes in both the needs of inhabitants and th...

  15. How can facility managers add value?

    DEFF Research Database (Denmark)

    Jensen, Per Anker; van der Voordt, Theo

    2015-01-01

    Recent years have seen a growing interest in the concept of added value of facilities management (FM) and corporate real estate management (CREM), and how to attain and measure it. There is a wide variety of definitions in use, and recognition of different types of added value, such as user value...

  16. Epistaxis and its Management in a Tertiary Health Facility in Nigeria:A need for thorough Evaluation.

    Science.gov (United States)

    Adedeji, T O; Bande, S A

    2014-01-01

    Epistaxis is one of the most common acute otorhinolaryngologic emergency disorders To review the aetiological profile, management and outcome of epistaxis in a resource challenged environment in Nigeria Methods: A retrospective review of patients that were managed for epistaxis over a five year period A total of 88 patients with an incidence of 18/1000 consisting of 53 males M:F ratio 1.5:1. The age ranged from 2- 68 years and age group 0-10 years was the most affected 29 (33%). Majority 73.9% presented during hot, dry season. Larger proportion (60.2%) was due to Idiopathic cause followed by trauma (11.4%). Over 47% has systemic illnesses that were incidentally discovered. Anterior nasal packing was the most common treatment modality in 46 (52.3%) patients. Thirty three (37.5%) patients were admitted either due to severe anaemia necessitating blood transfusion or due to underline medical condition. Eight (9.1%) patients had blood transfusion. Epistaxis is a common otorhinolaryngologic emergency among the children and the young adult in Africa with highest prevalence during the dry season. A deliberate effort to find the cause of epistaxis is hereby advocated as poverty and ignorance usually prevent most of our patients with underlying medical condition to present until they are in critical emergency situation.

  17. Availability of essential drugs for managing HIV-related pain and symptoms within 120 PEPFAR-funded health facilities in East Africa: a cross-sectional survey with onsite verification.

    Science.gov (United States)

    Harding, Richard; Simms, Victoria; Penfold, Suzanne; Downing, Julia; Powell, Richard A; Mwangi-Powell, Faith; Namisango, Eve; Moreland, Scott; Gikaara, Nancy; Atieno, Mackuline; Kataike, Jennifer; Nsubuga, Clare; Munene, Grace; Banga, Geoffrey; Higginson, Irene J

    2014-04-01

    World Health Organization's essential drugs list can control the highly prevalent HIV-related pain and symptoms. Availability of essential medicines directly influences clinicians' ability to effectively manage distressing manifestations of HIV. To determine the availability of pain and symptom controlling drugs in East Africa within President's Emergency Plan for AIDS Relief-funded HIV health care facilities. Directly observed quantitative health facilities' pharmacy stock review. We measured availability, expiration and stock-outs of specified drugs required for routine HIV management, including the World Health Organization pain ladder. A stratified random sample in 120 President's Emergency Plan for AIDS Relief-funded HIV care facilities (referral and district hospitals, health posts/centres and home-based care providers) in Kenya and Uganda. Non-opioid analgesics (73%) and co-trimoxazole (64%) were the most commonly available drugs and morphine (7%) the least. Drug availability was higher in hospitals and lower in health centres, health posts and home-based care facilities. Facilities generally did not use minimum stock levels, and stock-outs were frequently reported. The most common drugs had each been out of stock in the past 6 months in 47% of facilities stocking them. When a minimum stock level was defined, probability of a stock-out in the previous 6 months was 32.6%, compared to 45.5% when there was no defined minimum stock level (χ (2) = 5.07, p = 0.024). The data demonstrate poor essential drug availability, particularly analgesia, limited by facility type. The lack of strong opioids, isoniazid and paediatric formulations is concerning. Inadequate drug availability prevents implementation of simple clinical pain and symptom control protocols, causing unnecessary distress. Research is needed to identify supply chain mechanisms that lead to these problems.

  18. Use of an integrated human health/ecological risk assessment to develop a long-term groundwater/site management plan for a sour gas facility

    International Nuclear Information System (INIS)

    Swanson, S.M.; Shaw, R.D.; McClymont, G.; Nadeau, S.

    1995-01-01

    An integrated human health and ecological risk assessment was used to quantify the level of risk associated with the off-site movement of contaminants via groundwater and soils at a medium-sized gas processing facility in southern Alberta. The study incorporated three key aspects: (1) integration; (2) consultation; and, (3) pro-active remedial actions. Integration was complete, beginning with the Problem Formulation stage and progressing through Risk Characterization and Risk Management. This integration was reflected in a multidisciplinary team of hydrogeologists, biologists and human health specialists. Several lessons emerged from the integrated approach: (1) spending 2/3 of the time and resources on Problem Formulation prevented later problems; (2) the different perspectives provided by the various specialists helped reveal the relative importance of pathways and ecological receptors (3) clear, consistent screening procedures for contaminants of concern and receptors were very effective with stakeholders; (4) exposure scenarios that incorporated common-sense situations (although still conservative) contributed to the credibility of the risk analysis; and, (5) an innovative combination of toxicity testing and chemical analysis helped delineate the boundaries of the potentially contaminated area for both human and ecological receptors in a cost effective manner. Consultation included directly affected parties, regulatory personnel and community members. The consultation extended through the project, with key ''buy-in'' points during Problem Formulation and Risk Characterization/Management. Pro-active remedial action included the removal of contaminant sources in the 1980's, a pump-and-treat system and extensive monitoring. These actions showed commitment and set the stage for credible risk-based mitigation and long-term monitoring

  19. Los Alamos Plutonium Facility Waste Management System

    International Nuclear Information System (INIS)

    Smith, K.; Montoya, A.; Wieneke, R.; Wulff, D.; Smith, C.; Gruetzmacher, K.

    1997-01-01

    This paper describes the new computer-based transuranic (TRU) Waste Management System (WMS) being implemented at the Plutonium Facility at Los Alamos National Laboratory (LANL). The Waste Management System is a distributed computer processing system stored in a Sybase database and accessed by a graphical user interface (GUI) written in Omnis7. It resides on the local area network at the Plutonium Facility and is accessible by authorized TRU waste originators, count room personnel, radiation protection technicians (RPTs), quality assurance personnel, and waste management personnel for data input and verification. Future goals include bringing outside groups like the LANL Waste Management Facility on-line to participate in this streamlined system. The WMS is changing the TRU paper trail into a computer trail, saving time and eliminating errors and inconsistencies in the process

  20. XML Based Scientific Data Management Facility

    Science.gov (United States)

    Mehrotra, P.; Zubair, M.; Bushnell, Dennis M. (Technical Monitor)

    2002-01-01

    The World Wide Web consortium has developed an Extensible Markup Language (XML) to support the building of better information management infrastructures. The scientific computing community realizing the benefits of XML has designed markup languages for scientific data. In this paper, we propose a XML based scientific data management ,facility, XDMF. The project is motivated by the fact that even though a lot of scientific data is being generated, it is not being shared because of lack of standards and infrastructure support for discovering and transforming the data. The proposed data management facility can be used to discover the scientific data itself, the transformation functions, and also for applying the required transformations. We have built a prototype system of the proposed data management facility that can work on different platforms. We have implemented the system using Java, and Apache XSLT engine Xalan. To support remote data and transformation functions, we had to extend the XSLT specification and the Xalan package.

  1. ‘Feedback: Where data finally get thrilling’ – tools for facility managers to use data for improved health outcomes in the prevention of mother-to-child transmission of HIV and antiretroviral therapy

    Directory of Open Access Journals (Sweden)

    J Murphy

    2013-09-01

    Full Text Available Data use and data quality continue to be a challenge for government sector health facilities and districts across South Africa. Led by the National Department of Health, key stakeholders, such as the Anova Health Institute and district health management teams, are aligning efforts to address these gaps. Coverage and correct implementation of existing tools – including TIER.net, routine data collection forms and the South African District Health Information System – must be ensured. This conference report provides an overview of such tools and summarises suggestions for quality improvement, data use and systematic evaluation of data-related interventions.

  2. Potential of Computerized Maintenance Management System in Facilities Management

    Directory of Open Access Journals (Sweden)

    Noor Farisya Azahar

    2014-07-01

    Full Text Available For some time it has been clear that managing buildings or estates has been carried out in the context of what has become known as facilities management. British Institute of Facilities Management defined facilities management is the integration of multi-disciplinary activities within the built environment and the management of their impact upon people and the workplace. Effective facilities management is vital to the success of an organisation by contributing to the delivery of its strategic and operational objectives. Maintenance of buildings should be given serious attention before (stage design, during and after a building is completed. But total involvement in building maintenance is after the building is completed and during its operations. Residents of and property owners require their building to look attractive, durable and have a peaceful indoor environment and efficient. The objective of the maintenance management system is to stream line the vast maintenance information system to improve the productivity of an industrial plant. a good maintenance management system makes equipment and facilities available. This paper will discuss the fundamental steps of maintenance management program and Computerized Maintenance Management System (CMMS

  3. Håndbog i Facilities Management

    DEFF Research Database (Denmark)

    Jensen, Per Anker

    Facilities Management (FM) er et nyt nøgleord som mange nu anvender i forskellige forbindelser og sammenhænge. Dette hænger i høj grad sammen med manglen på en fælles dansk referenceramme for FM, der har givet frit spillerum for de mange forskellige definitioner af det engelske ord. Dansk...... Facilities Management netværk (DFM netværk) har i mange år arbejdet for en fælles definition af begrebet sammen med arbejdet for udbredelsen af kendskabet til FM, herunder uddannelse, erfaringsudveksling m.v. DFM netværk har udgivet en Håndbog i Facilities Management i samarbejde med bogens forfatter Per...

  4. When the management of nurse absenteeism becomes a cause of absenteeism: a study based on a comparison of two health care facilities.

    Science.gov (United States)

    Damart, Sébastien; Kletz, Frédéric

    2016-01-01

    The study aims to explore perceptions of the causes of nurse absenteeism. Nurse absenteeism is rising in many countries. However, there is little evidence as to how strategies adopted in order to cushion the effects of absenteeism on workload influence absenteeism itself. The study used a 'qualitative' method based on cognitive mapping techniques in order to represent perceptions about absenteeism graphically. The study was conducted in two health-care facilities with a sample of 55 interviewees. Absenteeism is due in part to strategies adopted in order to cushion the effects of absenteeism on organisations. Furthermore, the strategies are self-legitimising. The more they are used, the more they are regarded as normal and useful. A plan to reduce absenteeism among nurses must explicitly take into account the strategies used to cushion its impact. To cushion the effects of absenteeism among caregivers, managers must make trade-offs that take into account, for example, the workload or disruption linked to the substitution of personnel. © 2014 John Wiley & Sons Ltd.

  5. communicable diseases at health facilities in Ethiopia

    African Journals Online (AJOL)

    user

    unsatisfactory and it varied between urban (34%) and rural (5%) health facilities. In general, cervical ... data for planning and monitoring scale-up intervention ... authority, Ethiopia, 2016. Regions. Number of facilities Percentage. Tigray. 42. 8. Afar. 38. 7. Amhara. 61. 11. Oromiya. 99. 18. Somali. 43. 8. Beni. Gumuz. 30. 5.

  6. 20 CFR 638.303 - Site selection and facilities management.

    Science.gov (United States)

    2010-04-01

    ... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false Site selection and facilities management. 638... Facilities Management § 638.303 Site selection and facilities management. (a) The Job Corps Director shall... center, facilities engineering and real estate management will be conducted by the Job Corps Director or...

  7. Application of Facility Management in Brownfield Conversion

    Directory of Open Access Journals (Sweden)

    Wernerová Eva

    2016-12-01

    Full Text Available The subject of this paper covers two issues, namely the issue of brownfields and their conversion and the issue of Facility Management, which offers the possibility of applying its principles and tools for extending the benefit of the construction works as a tool for active access to care for the property. This paper aims to link these two topics and to identify the possibility of applying Facility Management in the conversation process of revitalization of brownfields so that subsequent commissioning eliminates the risk of future costly operation and relapse of the revitalized building into the category of brownfields.

  8. Value Adding Management: A New Facilities Management Concept

    DEFF Research Database (Denmark)

    Jensen, Per Anker; Katchamart, Akarapong

    2011-01-01

    Purpose: To investigate how Facilities Management (FM) can add value and develop a management concept that can assist facilities managers in implementing value adding strategies and practices. Theory: The study is based on the management model for FM included in the European FM standards, recent...... is investigated, tested and discussed based on a case study of an international corporation. Findings: The study shows that the management model for FM creates a relevant starting point but also that stakeholder and relationship management is an essential aspect of Value Adding Management. The case study confirms...... the relevance of the basic concept and provides an important example of how Value Adding Management can be implemented and added value measured. Originality/value: The study develops a concept of Value Adding Management, which is new in FM literature. It is expected to increase the awareness of the impacts...

  9. Sustainability and the facilities management in Malaysia

    Directory of Open Access Journals (Sweden)

    Asbollah Asra Zaliza

    2016-01-01

    Full Text Available Facilities Management (FM in the industry of environment involves numerous expertise, especially from the management side. Other than that, technology and finance are the other factors involved as well. One essential aspect of FM, other than the emphasis on technical operation, is its performance. In parallel, the performance does impact occupant behaviour and, at the same time, this performance does affect the environment. In short, this indicates that FM is in a key position to participate in delivering a sustainable environment for the industry of built environment. Sustainable facilities Management (SFM is crucial because buildings consume more resources which will, in consequence, negatively impact the environment and generate large amounts of waste. This justifies the importance of sustainability under the umbrella of facilities management. However, FM is quite new in Malaysia’s environment. Government agencies, such as JKR, have adopted and are practicing FM at the moment. Fortunately, there has been an increasing trend and awareness of SFM adoption. Therefore, this paper aims to understand and identify the contribution and practices of Sustainable Facilities Management (SFM in Malaysia; focusing on the development taken in regards to SFM.

  10. Facility management and energy efficiency -- analysis and recommendations; Facility Management und Energieeffizienz: Analyse und Handlungsempfehlungen

    Energy Technology Data Exchange (ETDEWEB)

    Staub, P.; Weibel, K.; Zaugg, T. [Pom and Consulting Ltd., Zuerich (Switzerland); Lang, R. [Gruenberg and Partner Ltd., Zuerich (Switzerland); Frei, Ch. [Herzog Kull Group, Aarau (Switzerland)

    2001-07-01

    This final report presents the results of a study made on how facility management (FM) is positioned in enterprises and on how energy management can be integrated into the facility management process. Also, recommendations are made on the actions that are considered necessary to improve the understanding of facility management and energy management. The findings of an analysis made of the results of a survey among 200 enterprises, 20 interviews and 5 case studies are presented. The authors state that, in spite of the relatively small sample taken - mostly larger enterprises - trends in facility management and energy management could be shown. The findings of the survey, such as the relative importance of the integration of energy topics in facility management and the need for standardised indicators and benchmarking, are discussed in detail. Also, it is noted that the success of FM is in part due to delegation of responsibility to smaller business units or even to individual employees. The market potential for FM services is examined, with yearly growth rates of up to 20%. The importance of anchoring FM strategies at the top level of management is stressed, as is the need for promotion of the idea of facility management and training concepts for those responsible for its implementation.

  11. Decommissioning of nuclear facilities: Decontamination, disassembly and waste management

    International Nuclear Information System (INIS)

    1983-01-01

    The term 'decommissioning', as used within the nuclear industry, means the actions taken at the end of a facility's useful life to retire the facility from service in a manner that provides adequate protection for the health and safety of the decommissioning workers, the general public, and for the environment. These actions can range from merely closing down the facility and a minimal removal of radioactive material coupled with continuing maintenance and surveillance, to a complete removal of residual radioactivity in excess of levels acceptable for unrestricted use of the facility and its site. This latter condition, unrestricted use, is the ultimate goal of all decommissioning actions at retired nuclear facilities. The purpose of this report is to provide an information base on the considerations important to decommissioning, the methods available for decontamination and disassembly of a nuclear facility, the management of the resulting radioactive wastes, and the areas of decommissioning methodology where improvements might be made. Specific sections are devoted to each of these topics, and conclusions are presented concerning the present status of each topic. A summary of past decommissioning experience in Member States is presented in the Appendix. The report, with its discussions of necessary considerations, available operational methods, and waste management practices, together with supporting references, provides an appreciation of the activities that comprise decommissioning of nuclear facilities. It is anticipated that the information presented in the report should prove useful to persons concerned with the development of plans for the decommissioning of retired nuclear facilities

  12. SLIMarray: Lightweight software for microarray facility management

    Directory of Open Access Journals (Sweden)

    Marzolf Bruz

    2006-10-01

    Full Text Available Abstract Background Microarray core facilities are commonplace in biological research organizations, and need systems for accurately tracking various logistical aspects of their operation. Although these different needs could be handled separately, an integrated management system provides benefits in organization, automation and reduction in errors. Results We present SLIMarray (System for Lab Information Management of Microarrays, an open source, modular database web application capable of managing microarray inventories, sample processing and usage charges. The software allows modular configuration and is well suited for further development, providing users the flexibility to adapt it to their needs. SLIMarray Lite, a version of the software that is especially easy to install and run, is also available. Conclusion SLIMarray addresses the previously unmet need for free and open source software for managing the logistics of a microarray core facility.

  13. Waste Management Facilities Cost Information Report

    Energy Technology Data Exchange (ETDEWEB)

    Feizollahi, F.; Shropshire, D.

    1992-10-01

    The Waste Management Facility Cost Information (WMFCI) Report, commissioned by the US Department of Energy (DOE), develops planning life-cycle cost (PLCC) estimates for treatment, storage, and disposal facilities. This report contains PLCC estimates versus capacity for 26 different facility cost modules. A procedure to guide DOE and its contractor personnel in the use of estimating data is also provided. Estimates in the report apply to five distinctive waste streams: low-level waste, low-level mixed waste, alpha contaminated low-level waste, alpha contaminated low-level mixed waste, and transuranic waste. The report addresses five different treatment types: incineration, metal/melting and recovery, shredder/compaction, solidification, and vitrification. Data in this report allows the user to develop PLCC estimates for various waste management options.

  14. Waste Management Facilities Cost Information Report

    International Nuclear Information System (INIS)

    Feizollahi, F.; Shropshire, D.

    1992-10-01

    The Waste Management Facility Cost Information (WMFCI) Report, commissioned by the US Department of Energy (DOE), develops planning life-cycle cost (PLCC) estimates for treatment, storage, and disposal facilities. This report contains PLCC estimates versus capacity for 26 different facility cost modules. A procedure to guide DOE and its contractor personnel in the use of estimating data is also provided. Estimates in the report apply to five distinctive waste streams: low-level waste, low-level mixed waste, alpha contaminated low-level waste, alpha contaminated low-level mixed waste, and transuranic waste. The report addresses five different treatment types: incineration, metal/melting and recovery, shredder/compaction, solidification, and vitrification. Data in this report allows the user to develop PLCC estimates for various waste management options

  15. ECOLOGICAL AND ECONOMICALLY OPTIMAL MANAGEMENT OF WASTE FROM HEALTHCARE FACILITIES

    Directory of Open Access Journals (Sweden)

    Halina Marczak

    2013-04-01

    Full Text Available Modern healthcare facilities generate more and more waste, and their management is a significant constitutes a significant cost of their functioning. The undertakings aimed at lowering the costs of expenses in waste management may have a positive influence on budgetary accounts in the institutions rendering health care services. On the example of a hospital in Lublin the costs of waste management and the possibilities to lower these costs by intensifying segregation procedures were presented. Moreover, the article presents the influence of specific waste neutralisation on the costs of waste management.

  16. Waste management practices in decommissioning nuclear facilities

    International Nuclear Information System (INIS)

    Dickson, H.W.

    1979-01-01

    Several thousand sites exist in the United States where nuclear activities have been conducted over the past 30 to 40 years. Questions regarding potential public health hazards due to residual radioactivity and radiation fields at abandoned and inactive sites have prompted careful ongoing review of these sites by federal agencies including the Department of Energy (DOE) and the Nuclear Regulatory Commission (NRC). In some instances, these reviews are serving to point out poor low-level waste management practices of the past. Many of the sites in question lack adequate documentation on the radiological conditions at the time of release for unrestricted use or were released without appropriate restrictions. Recent investigations have identified residual contamination and radiation levels on some sites which exceed present-day standards and guidelines. The NRC, DOE, and Environmental Protection Agency are all involved in developing decontamination and decommissioning (D and D) procedures and guidelines which will assure that nuclear facilities are decommissioned in a manner that will be acceptable to the nuclear industry, various regulatory agencies, other stakeholders, and the general public

  17. Facilities Management research in the Nordic Countries

    DEFF Research Database (Denmark)

    Jensen, Per Anker

    2011-01-01

    to the establishment of the Centre for Facilities Management – Realdania Research (CFM), and updated information from keynote contributions to CFM’s Nordic FM Conference on 22-23 August 2011 by Suvi Nenonen (Finland), Jan Bröchner (Sweden), Geir K Hansen (Norway) and Per Anker Jensen (Denmark)....

  18. The strategic facilities management organisation in housing

    DEFF Research Database (Denmark)

    Nielsen, Susanne Balslev; Jensen, Per Anker; Jensen, Jesper Ole

    2012-01-01

    implementation of sustainable facilities management in housing administration. The concept provides a frame for understanding the roles and relations of tenants, owners, administrators and operators. The paper is based on a Danish research project on environmentally sound building operation including literature...

  19. Estimating the cost of referral and willingness to pay for referral to higher-level health facilities: a case series study from an integrated community case management programme in Uganda.

    Science.gov (United States)

    Nanyonjo, Agnes; Bagorogoza, Benson; Kasteng, Frida; Ayebale, Godfrey; Makumbi, Fredrick; Tomson, Göran; Källander, Karin

    2015-08-28

    Integrated community case management (iCCM) relies on community health workers (CHWs) managing children with malaria, pneumonia, diarrhoea, and referring children when management is not possible. This study sought to establish the cost per sick child referred to seek care from a higher-level health facility by a CHW and to estimate caregivers' willingness to pay (WTP) for referral. Caregivers of 203 randomly selected children referred to higher-level health facilities by CHWs were interviewed in four Midwestern Uganda districts. Questionnaires and document reviews were used to capture direct, indirect and opportunity costs incurred by caregivers, CHWs and health facilities managing referred children. WTP for referral was assessed through the 'bidding game' approach followed by an open-ended question on maximum WTP. Descriptive analysis was conducted for factors associated with referral completion and WTP using logistic and linear regression methods, respectively. The cost per case referred to higher-level health facilities was computed from a societal perspective. Reasons for referral included having fever with a negative malaria test (46.8%), danger signs (29.6%) and drug shortage (37.4%). Among the referred, less than half completed referral (45.8%). Referral completion was 2.8 times higher among children with danger signs (p = 0.004) relative to those without danger signs, and 0.27 times lower among children who received pre-referral treatment (p average cost per case referred was US$ 4.89 and US$7.35 per case completing referral. For each unit cost per case referred, caregiver out of pocket expenditure contributed 33.7%, caregivers' and CHWs' opportunity costs contributed 29.2% and 5.1% respectively and health facility costs contributed 39.6%. The mean (SD) out of pocket expenditure was US$1.65 (3.25). The mean WTP for referral was US$8.25 (14.70) and was positively associated with having received pre-referral treatment, completing referral and increasing

  20. High-risk facilities. Emergency management in nuclear, chemical and hazardous waste facilities

    International Nuclear Information System (INIS)

    Kloepfer, Michael

    2012-01-01

    The book on emergency management in high-risk facilities covers the following topics: Change in the nuclear policy, risk management of high-risk facilities as a constitutional problem - emergency management in nuclear facilities, operational mechanisms of risk control in nuclear facilities, regulatory surveillance responsibilities for nuclear facilities, operational mechanism of the risk control in chemical plants, regulatory surveillance responsibilities for chemical facilities, operational mechanisms of the risk control in hazardous waste facilities, regulatory surveillance responsibilities for hazardous waste facilities, civil law consequences in case of accidents in high-risk facilities, criminal prosecution in case of accidents in high-risk facilities, safety margins as site risk for emission protection facilities, national emergency management - strategic emergency management structures, warning and self-protection of the public in case of CBRN hazards including aspects of the psych-social emergency management.

  1. Ectopic pregnancy experience in a tertiary health facility in South ...

    African Journals Online (AJOL)

    Background: Ectopic pregnancy is a life-threatening gynecological emergency, and a significant cause of maternal morbidity and mortality in Nigeria. Objective: To determine the incidence, clinical presentation, risk factors and management outcomes of ectopic pregnancies in a tertiary health facility. Methods: A retrospective ...

  2. FFTF [Fast Flux Test Facility] management

    International Nuclear Information System (INIS)

    Bennett, C.L.

    1986-11-01

    Fuel Management at the Fast Flux Test Facility (FFTF) involves more than just the usual ex-core and in-core management of standard fuel and non-fuel components between storage locations and within the core since it is primarily an irradiation test facility. This mission involves testing an ever increasing variety of fueled and non-fueled experiments, each having unique requirements on the reactor core as well as having its own individual impact on the reload design. This paper describes the fuel management process used by the Westinghouse Hanford Company Core Engineering group that has led to the successful reload design of nine operating cycles and the irradiation of over 120 tests

  3. Health care engineering management.

    Science.gov (United States)

    Jarzembski, W B

    1980-01-01

    Today, health care engineering management is merely a concept of dreamers, with most engineering decisions in health care being made by nonengineers. It is the purpose of this paper to present a rationale for an integrated hospital engineering group, and to acquaint the clinical engineer with some of the salient features of management concepts. Included are general management concepts, organization, personnel management, and hospital engineering systems.

  4. Video Surveillance in Mental Health Facilities: Is it Ethical?

    Science.gov (United States)

    Stolovy, Tali; Melamed, Yuval; Afek, Arnon

    2015-05-01

    Video surveillance is a tool for managing safety and security within public spaces. In mental health facilities, the major benefit of video surveillance is that it enables 24 hour monitoring of patients, which has the potential to reduce violent and aggressive behavior. The major disadvantage is that such observation is by nature intrusive. It diminishes privacy, a factor of huge importance for psychiatric inpatients. Thus, an ongoing debate has developed following the increasing use of cameras in this setting. This article presents the experience of a medium-large academic state hospital that uses video surveillance, and explores the various ethical and administrative aspects of video surveillance in mental health facilities.

  5. Legionnaires' Disease: a Problem for Health Care Facilities

    Science.gov (United States)

    ... Clips Legionnaires’ Disease A problem for health care facilities Language: English (US) Español (Spanish) Recommend on Facebook ... drinking. Many people being treated at health care facilities, including long-term care facilities and hospitals, have ...

  6. Organization and management for decommissioning of large nuclear facilities

    International Nuclear Information System (INIS)

    2000-01-01

    For nuclear facilities, decommissioning is the final phase in the life-cycle after siting, design, construction, commissioning and operation. It is a complex process involving operations such as detailed surveys, decontamination and dismantling of plant equipment and facilities, demolition of buildings and structures, and management of resulting waste and other materials, whilst taking into account aspects of health and safety of the operating personnel and the general public, and protection of the environment. Careful planning and management is essential to ensure that decommissioning is accomplished in a safe and cost effective manner. Guidance on organizational aspects may lead to better decision making, reductions in time and resources, lower doses to the workers and reduced impact on public health and the environment. The objective of this report is to provide information and guidance on the organization and management aspects for the decommissioning of large nuclear facilities which will be useful for licensees responsible for discharging these responsibilities. The information contained in the report may also be useful to policy makers, regulatory bodies and other organizations interested in the planning and management of decommissioning. In this report, the term 'decommissioning' refers to those actions that are taken at the end of the useful life of a nuclear facility in withdrawing it from service with adequate regard for the health and safety of workers and members of the public and for the protection of the environment. The term 'large nuclear facilities' involves nuclear power plants, large nuclear research reactors and other fuel cycle facilities such as reprocessing plants, fuel conversion, fabrication and enrichment plants, as well as spent fuel storage and waste management plants. Information on the planning and management for decommissioning of smaller research reactors or other small nuclear facilities can be found elsewhere. The report covers

  7. Waste management facility acceptance - some findings

    International Nuclear Information System (INIS)

    Sigmon, B.

    1987-01-01

    Acceptance of waste management facilities remains a significant problem, despite years of efforts to reassure potential host communities. The tangible economic benefits from jobs, taxes, and expenditures are generally small, while the intangible risks of environmental or other impacts are difficult to evaluate and understand. No magic formula for winning local acceptance has yet been found. Limited case study and survey work does suggest some pitfalls to be avoided and some directions to be pursued. Among the most significant is the importance that communities place on controlling their own destiny. Finding a meaningful role for communities in the planning and operation of waste management facilities is a challenge that would-be developers should approach with the same creativity that characterizes their technical efforts

  8. Criticality management of Tokai reprocessing facility

    Energy Technology Data Exchange (ETDEWEB)

    Nojiri, Ichiro [Japan Nuclear Cycle Development Inst., Tokai, Ibaraki (Japan)

    2001-01-01

    In fuel cycle centers a number of equipment and vessels of various types and of complex design are used in several processes, i.e. dissolution of spent fuels, separation and storage of uranium and plutonium from fission products and transuranium elements. For each processes, Monte Carlo codes are frequently applied to manage the fuel criticality. Safety design depends largely on specific features of each facilities. The present report describes status of criticality management for main processes in Tokai Reprocessing Facility, JNC, and the criticality conditions specifically existing there. The guiding principle throughout consists of mass control, volume control, design (form) control, concentration control, and control due to employment of neutron poisons. (S. Ohno)

  9. National Ignition Facility Configuration Management Plan

    International Nuclear Information System (INIS)

    Cabral, S G; Moore, T L

    2002-01-01

    This Configuration Management Plan (CMP) describes the technical and administrative management process for controlling the National Ignition Facility (NIF) Project configuration. The complexity of the NIF Project (i.e., participation by multiple national laboratories and subcontractors involved in the development, fabrication, installation, and testing of NIF hardware and software, as well as construction and testing of Project facilities) requires implementation of the comprehensive configuration management program defined in this plan. A logical schematic illustrating how the plan functions is provided in Figure 1. A summary of the process is provided in Section 4.0, Configuration Change Control. Detailed procedures that make up the overall process are referenced. This CMP is consistent with guidance for managing a project's configuration provided in Department of Energy (DOE) Order 430.1, Guide PMG 10, ''Project Execution and Engineering Management Planning''. Configuration management is a formal discipline comprised of the following four elements: (1) Identification--defines the functional and physical characteristics of a Project and uniquely identifies the defining requirements. This includes selection of components of the end product(s) subject to control and selection of the documents that define the project and components. (2) Change management--provides a systematic method for managing changes to the project and its physical and functional configuration to ensure that all changes are properly identified, assessed, reviewed, approved, implemented, tested, and documented. (3) Data management--ensures that necessary information on the project and its end product(s) is systematically recorded and disseminated for decision-making and other uses. Identifies, stores and controls, tracks status, retrieves, and distributes documents. (4) Assessments and validation--ensures that the planned configuration requirements match actual physical configurations and

  10. Innovative Procurement and Partnerships in Facilities Management

    DEFF Research Database (Denmark)

    Jensen, Per Anker

    2010-01-01

    strong requirements on the management style and company culture. Limitations of the research: The research is only based on two case studies, which obviously limits the possibility to generalize the results. Practical applications: The research presents two specific examples of innovative procurement......Aim: The aim of the paper is to present, analyse and identify learning from two case studies of innovative procurement in Facilities Management (FM) concerning the establishments of partnerships between clients and providers. Approach and methodology: A major study of FM best practice covering 36...

  11. Life Management and Safety of Nuclear Facilities

    Energy Technology Data Exchange (ETDEWEB)

    Fabbri, S.; Diluch, A.; Vega, G., E-mail: fabbri@cnea.gov.ar [Comisión Nacional de Energía Atómica, Buenos Aires (Argentina)

    2014-10-15

    The nuclear programme in Argentina includes: nuclear power and related supplies, medical and industrial applications, waste management, research and development and human training. Nuclear facilities require life management programs that allow a safe operation. Safety is the first priority for designers and operators. This can be attained with defence in depth: regular inspections and maintenance procedures to minimize failure risks. CNEA objectives in this area are to possess the necessary capability to give safe and fast technical support. Within this scheme, one of the main activities undertaken by CNEA is to provide technological assistance to the nuclear plants and research reactors. As a consequence of an increasing concern about safety and ageing a Life Management Department for safe operation was created to take care of these subjects. The goal is to elaborate a Safety Evaluation Process for the critical components of nuclear plants and other facilities. The overall objectives of a safety process are to ensure a continuous safe, reliable and effective operation of nuclear facilities and it means the implementation of the defence in deep concept to enhance safety for the protection of the public, the workers and the environment. (author)

  12. Health at risk in immigration detention facilities

    Directory of Open Access Journals (Sweden)

    Ioanna Kotsioni

    2013-09-01

    Full Text Available Since 2004 Médecins Sans Frontières (MSF has provided medical and psychosocial support for asylum seekers and migrants held in different immigration detention facilities across Europe (in Greece, Malta, Italy and Belgium where the life, health and human dignity of vulnerable people are being put at risk.

  13. Federal facilities compliance act waste management

    International Nuclear Information System (INIS)

    Bowers, J.; Gates-Anderson, D.; Hollister, R.; Painter, S.

    1999-01-01

    Site Treatment Plans (STPs) developed through the Federal Facilities Compliance Act pose many technical and administrative challenges. Legacy wastes managed under these plans require Land Disposal Restriction (LDR) compliance through treatment and ultimate disposal. Although capacity has been defined for most of the Department of Energy wastes, many waste streams require further characterization and many need additional treatment and handling beyond LDR criteria to be able to dispose of the waste. At Lawrence Livermore National Laboratory (LLNL), the Hazardous Waste Management Division has developed a comprehensive Legacy Waste Program. The program directs work to manage low level and mixed wastes to ensure compliance with nuclear facility rules and its STP. This paper provides a survey of work conducted on these wastes at LLNL. They include commercial waste treatment and disposal, diverse forms of characterization, inventory maintenance and reporting, on-site treatment, and treatability studies. These activities are conducted in an integrated fashion to meet schedules defined in the STP. The processes managing wastes are dynamic due to required integration of administrative, regulatory, and technical concerns spanning the gamut to insure safe proper disposal

  14. Integration of Biosafety into Core Facility Management

    Science.gov (United States)

    Fontes, Benjamin

    2013-01-01

    This presentation will discuss the implementation of biosafety policies for small, medium and large core laboratories with primary shared objectives of ensuring the control of biohazards to protect core facility operators and assure conformity with applicable state and federal policies, standards and guidelines. Of paramount importance is the educational process to inform core laboratories of biosafety principles and policies and to illustrate the technology and process pathways of the core laboratory for biosafety professionals. Elevating awareness of biohazards and the biosafety regulatory landscape among core facility operators is essential for the establishment of a framework for both project and material risk assessment. The goal of the biohazard risk assessment process is to identify the biohazard risk management parameters to conduct the procedure safely and in compliance with applicable regulations. An evaluation of the containment, protective equipment and work practices for the procedure for the level of risk identified is facilitated by the establishment of a core facility registration form for work with biohazards and other biological materials with potential risk. The final step in the biocontainment process is the assumption of Principal Investigator role with full responsibility for the structure of the site-specific biosafety program plan by core facility leadership. The presentation will provide example biohazard protocol reviews and accompanying containment measures for core laboratories at Yale University.

  15. Management challenges faced by managers of New Zealand long-term care facilities.

    Science.gov (United States)

    Madas, E; North, N

    2000-01-01

    This article reports on a postal survey of 78 long-term care managers in one region of New Zealand, of whom 45 (58%) responded. Most long-term care managers (73.2%) were middle-aged females holding nursing but not management qualifications. Most long-term care facilities (69%) tended to be stand-alone facilities providing a single type of care (rest home or continuing care hospital). The most prominent issues facing managers were considered to be inadequate funding to match the growing costs of providing long-term care and occupancy levels. Managers believed that political/regulatory, economic and social factors influenced these issues. Despite a turbulent health care environment and the challenges facing managers, long-term care managers reported they were coping well and valued networking.

  16. 7 CFR 205.271 - Facility pest management practice standard.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 3 2010-01-01 2010-01-01 false Facility pest management practice standard. 205.271... Requirements § 205.271 Facility pest management practice standard. (a) The producer or handler of an organic facility must use management practices to prevent pests, including but not limited to: (1) Removal of pest...

  17. 40 CFR 160.31 - Testing facility management.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 23 2010-07-01 2010-07-01 false Testing facility management. 160.31... GOOD LABORATORY PRACTICE STANDARDS Organization and Personnel § 160.31 Testing facility management. For each study, testing facility management shall: (a) Designate a study director as described in § 160.33...

  18. 40 CFR 792.31 - Testing facility management.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 31 2010-07-01 2010-07-01 true Testing facility management. 792.31... facility management. For each study, testing facility management shall: (a) Designate a study director as... appropriately tested for identity, strength, purity, stability, and uniformity, as applicable. (e) Assure that...

  19. Health care operations management

    NARCIS (Netherlands)

    Carter, M.W.; Hans, Elias W.; Kolisch, R.

    2012-01-01

    Health care operations management has become a major topic for health care service providers and society. Operations research already has and further will make considerable contributions for the effective and efficient delivery of health care services. This special issue collects seven carefully

  20. Successes and failures of using the cell phone as a main mode of communication between participants and facilitators from a distance: an innovative method of training rural health facility managers in Papua New Guinea.

    Science.gov (United States)

    Au, Lucy

    2012-01-01

    Rural Health Facility Management Training is a training program developed by the National Department of Health in collaboration with AUSAID through the office of the Capacity Building Service Centre. The purpose of the training is to train officers-in-charge who did not acquire knowledge and skills of managing a health facility. As part of this study, it is essential to assess whether the cell phone is a better mode of communication between the participants and the facilitators compared with other modes of communication from a distance. The study used the cross-sectional method to collect 160 samples from 12 provinces and the statistical software Stata (version 8) was used to analyse the data. The results showed that mobile coverage is not very effective in most rural areas, though, it is efficient and accessible. Furthermore, it is expensive to make a call compared with sending text massages. In spite of the high cost involved, most health managers prefer to use the cell phone compared to normal post, email, or fax. This clearly shows that the mobile phone is a better device for distant learning in rural Papua New Guinea compared to other modes of communication.

  1. Usability: managing facilities for social outcomes

    DEFF Research Database (Denmark)

    Alexander, Keith; Blakstad, Siri; Hansen, Geir

    2013-01-01

    The paper argues for the development of usability concepts, methodologies and tools, in considering the effects of the built environment from a user, organisational and community perspective, in order to have a positive influence on social outcomes. Since it was formed over ten years ago, the CIB W......111 on Usability has been exploring concepts, methods and tools, developed in the evaluation of all kinds of consumer products, applied to the built environment. In the most recent phase of this work, conducted over the past three years, an international network of partners has collaborated to focus...... properties of a workplace, they could better manage and design the facilities for improved social outcomes. Interpretation and analysis of the built environment (and support services) based on how it is socially constructed will enable integration of organisational use and the facilities provided to arrive...

  2. Innovative Procurement and Partnerships in Facilities Management

    DEFF Research Database (Denmark)

    Jensen, Per Anker

    2011-01-01

    A major study of facilities management best practice covering 36 cases from the Nordic countries in Europe shows, that the most outstanding examples of innovation in FM are initiated from the demand side and involves new forms of procurement with long term contracts. This paper considers in depth......-called operational partnerships with private providers concerning all municipal buildings and sports facilities in parts of a city. Each of the case studies has involved both the client and the provider side of the collaboration. The cases show that an essential element in a successful procurement and partnership...... is that the client allows the providers freedom to plan their activities. Thereby the providers can optimize the use of their productive capacity and utilize their competences with incentives to profit from such improvements. A major challenge is to balance the risks between the client and provider and to create...

  3. Radioactive waste management from nuclear facilities

    International Nuclear Information System (INIS)

    2005-06-01

    This report has been published as a NSA (Nuclear Systems Association, Japan) commentary series, No. 13, and documents the present status on management of radioactive wastes produced from nuclear facilities in Japan and other countries as well. Risks for radiation accidents coming from radioactive waste disposal and storage together with risks for reactor accidents from nuclear power plants are now causing public anxiety. This commentary concerns among all high-level radioactive waste management from nuclear fuel cycle facilities, with including radioactive wastes from research institutes or hospitals. Also included is wastes produced from reactor decommissioning. For low-level radioactive wastes, the wastes is reduced in volume, solidified, and removed to the sites of storage depending on their radioactivities. For high-level radioactive wastes, some ten thousand years must be necessary before the radioactivity decays to the natural level and protection against seismic or volcanic activities, and terrorist attacks is unavoidable for final disposals. This inevitably results in underground disposal at least 300 m below the ground. Various proposals for the disposal and management for this and their evaluation techniques are described in the present document. (S. Ohno)

  4. National Ignition Facility Site Management Plan

    Energy Technology Data Exchange (ETDEWEB)

    Roberts, V.

    1997-09-01

    The purpose of the NIF Site Management Plan is to describe the roles, responsibilities, and interfaces for the major NIF Project organizations involved in construction of the facility, installation and acceptance testing of special equipment, and the NIF activation. The plan also describes the resolution of priorities and conflicts. The period covered is from Critical Decision 3 (CD3) through the completion of the Project. The plan is to be applied in a stepped manner. The steps are dependent on different elements of the project being passed from the Conventional Facilities (CF) Construction Manager (CM), to the Special Equipment (SE) CMs, and finally to the Activation/ Start-Up (AS) CM. These steps are defined as follows: The site will be coordinated by CF through Project Milestone 310, end of conventional construction. The site is defined as the fenced area surrounding the facility and the CF laydown and storage areas. The building utilities that are installed by CF will be coordinated by CF through the completion of Project Milestone 310, end of conventional construction. The building utilities are defined as electricity, compressed air, de-ionized water, etc. Upon completion of the CF work, the Optics Assembly Building/Laser and Target Area Building (OAB/LTAB) will be fully operational. At that time, an Inertial Confinement Fusion (ICF) Program building coordinator will become responsible for utilities and site activities. * Step 1. Mid-commissioning (temperature stable, +1{degree}C) of an area (e.g., Laser Bay 2, OAB) will precipitate the turnover of that area (within the four walls) from CF to SE. * Step 2. Interior to the turned-over space, SE will manage all interactions, including those necessary by CF. * Step 3. As the SE acceptance testing procedures (ATPS) are completed, AS will take over the management of the area and coordinate all interactions necessary by CF and SE. For each step, the corresponding CMs for CF, SE, or AS will be placed in charge of

  5. National Ignition Facility Site Management Plan

    International Nuclear Information System (INIS)

    Roberts, V.

    1997-01-01

    The purpose of the NIF Site Management Plan is to describe the roles, responsibilities, and interfaces for the major NIF Project organizations involved in construction of the facility, installation and acceptance testing of special equipment, and the NIF activation. The plan also describes the resolution of priorities and conflicts. The period covered is from Critical Decision 3 (CD3) through the completion of the Project. The plan is to be applied in a stepped manner. The steps are dependent on different elements of the project being passed from the Conventional Facilities (CF) Construction Manager (CM), to the Special Equipment (SE) CMs, and finally to the Activation/ Start-Up (AS) CM. These steps are defined as follows: The site will be coordinated by CF through Project Milestone 310, end of conventional construction. The site is defined as the fenced area surrounding the facility and the CF laydown and storage areas. The building utilities that are installed by CF will be coordinated by CF through the completion of Project Milestone 310, end of conventional construction. The building utilities are defined as electricity, compressed air, de-ionized water, etc. Upon completion of the CF work, the Optics Assembly Building/Laser and Target Area Building (OAB/LTAB) will be fully operational. At that time, an Inertial Confinement Fusion (ICF) Program building coordinator will become responsible for utilities and site activities. * Step 1. Mid-commissioning (temperature stable, +1 degree C) of an area (e.g., Laser Bay 2, OAB) will precipitate the turnover of that area (within the four walls) from CF to SE. * Step 2. Interior to the turned-over space, SE will manage all interactions, including those necessary by CF. * Step 3. As the SE acceptance testing procedures (ATPS) are completed, AS will take over the management of the area and coordinate all interactions necessary by CF and SE. For each step, the corresponding CMs for CF, SE, or AS will be placed in charge of

  6. Fast flux test facility noise data management

    International Nuclear Information System (INIS)

    Thie, J.A.

    1988-01-01

    An extensive collection of spectra from an automated data collection system at the Fast Flux Facility has features from neutron data extracted and managed by database software. Inquiry techniques, including screening, applied to database results show the influences of control rods on wideband noise and, more generally, abilities to detect diverse types of off-normal noise. Uncovering a temporary 0.1-Hz resonance shift gave additional diagnostic information on a 13-Hz mechanical motion characterized by the interference of two resonances. The latter phenomenon is discussed generically for possible application to other reactor types. (author)

  7. The notion of strategy in facility management

    DEFF Research Database (Denmark)

    Holzweber, Markus

    2013-01-01

    and components of strategy in Facility Management (FM). Since strategy refers to a complex network of thoughts, insights, experiences, expertise, and expectations that provide general guidance for management action, organizations must keep pace with the changing environment to increase market shares and business......Strategy implementation is critical for any type of organization. Strategy implementation is complex despite previous research describing mechanisms related to the construction of strategy and strategy use of organizations. In this article I attempt to fill this vacuity by examining strategy...... success. Based on a literature review, the findings of the study report a service-strategy classification grid. Such a service-strategy grid provides for a better understanding of the business environment. The study findings are intended to enhance business managers’ understandings of the issues behind FM...

  8. The facilities management market in Denmark

    DEFF Research Database (Denmark)

    Jensen, Per Anker

    2010-01-01

    for researching the market but particular the definition of space including acquisition as well as development, administration, operation, maintenance and utilities in the same main product is problematic. Research limitations/implications: The market research is limited to the Danish market, but the results......Purpose: To present the results of market surveys in Denmark, which have been based on and used to test a proposal for a new European standard for a taxonomy of Facilities Management (FM). Design/methodology: The market research included surveys of both the client side and the provider side...... and was carried out by a management consultant company by telephone interviews based on definitions developed from drafts for the European FM taxonomy standard by a university researcher, who is a member of the standardisation work group. Findings: The proposed taxonomy for FM is in general a good basis...

  9. Integrated Building Health Management

    Data.gov (United States)

    National Aeronautics and Space Administration — Abstract: Building health management is an important part in running an efficient and cost-effective building. Many problems in a building’s system can go undetected...

  10. Integrated Health Management Definitions

    Data.gov (United States)

    National Aeronautics and Space Administration — The Joint Army Navy NASA Air Force Modeling and Simulation Subcommittee's Integrated Health Management panel was started about 6 years ago to help foster...

  11. The Behavioral Health Role in Nursing Facility Social Work.

    Science.gov (United States)

    Myers, Dennis R; Rogers, Robin K; LeCrone, Harold H; Kelley, Katherine

    2017-09-01

    Types of compromised resident behaviors licensed nursing facility social workers encounter, the behavioral health role they enact, and effective practices they apply have not been the subject of systematic investigation. Analyses of 20 in-depth interviews with Bachelor of Social Work (BSW)/Master of Social Work (MSW) social workers averaging 8.8 years of experience identified frequently occurring resident behaviors: physical and verbal aggression/disruption, passive disruption, socially and sexually inappropriateness. Six functions of the behavioral health role were care management, educating, investigating, preventing, mediating, and advocating. Skills most frequently applied were attention/affirmation/active listening, assessment, behavior management, building relationship, teamwork, and redirection. Narratives revealed role rewards as well as knowledge deficits, organizational barriers, personal maltreatment, and frustrations. Respondents offered perspectives and prescriptions for behavioral health practice in this setting. The findings expand understanding of the behavioral health role and provide an empirical basis for more research in this area. Recommendations, including educational competencies, are offered.

  12. Risk management activities at the DOE Class A reactor facilities

    International Nuclear Information System (INIS)

    Sharp, D.A.; Hill, D.J.; Linn, M.A.; Atkinson, S.A.; Hu, J.P.

    1993-01-01

    The probabilistic risk assessment (PRA) and risk management group of the Association for Excellence in Reactor Operation (AERO) develops risk management initiatives and standards to improve operation and increase safety of the DOE Class A reactor facilities. Principal risk management applications that have been implemented at each facility are reviewed. The status of a program to develop guidelines for risk management programs at reactor facilities is presented

  13. Effectiveness of counseling at primary health facilities: Level of ...

    African Journals Online (AJOL)

    Effectiveness of counseling at primary health facilities: Level of knowledge of antenatal attendee and their ... Objectives: To determine the effectiveness of counseling on HIV done in primary health facilities ... AJOL African Journals Online.

  14. MAPPING OF HEALTH FACILITIES IN JIMETA METROPOLIS: A ...

    African Journals Online (AJOL)

    PROF EKWUEME

    one of the major problems hindering the proper planning and monitoring of the various health facilities ... A digital map, showing the spatial distribution of health facilities in Jimeta metropolis .... mapping process to quicken map production.

  15. ATF [Advanced Toroidal Facility] data management

    International Nuclear Information System (INIS)

    Kannan, K.L.; Baylor, L.R.

    1988-01-01

    Data management for the Advanced Toroidal Facility (ATF), a stellarator located at Oak Ridge National Laboratory (ORNL), is provided by DMG, a locally developed, VAX-based software system. DMG is a data storage and retrieval software system that provides the user interface to ATF raw and analyzed data. Data are described in terms of data models and data types and are organized as signals into files, which are internally documented. The system was designed with user accessibility, software maintainability, and extensibility as primary goals. Extensibility features include compatibility with ATF as it moves from pulsed to steady-state operation and capability for use of the DMG system with experiments other than ATF. DMG is implemented as a run-time library of routines available as a shareable image. General-purpose and specialized data acquisition and analysis applications have been developed using the DMG system. This paper describes the DMG system and the interfaces to it. 4 refs., 2 figs

  16. Technical Facilities Management, Loan Pool, and Calibration

    Science.gov (United States)

    Smith, Jacob

    2011-01-01

    My work at JPL for the SURF program began on June 11, 2012 with the Technical Facilities Management group (TFM). As well as TFM, I worked with Loan Pool and Metrology to help them out with various tasks. Unlike a lot of other interns, I did not have a specific project rather many different tasks to be completed over the course of the 10 weeks.The first task to be completed was to sort through old certification reports in 6 different boxes to locate reports that needed to be archived into a digital database. There were no reports within these boxes that needed to be archived but rather were to be shredded. The reports went back to the early 1980's and up to the early 2000's. I was looking for reports dated from 2002 to 2012

  17. 21 CFR 58.31 - Testing facility management.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 1 2010-04-01 2010-04-01 false Testing facility management. 58.31 Section 58.31... management. For each nonclinical laboratory study, testing facility management shall: (a) Designate a study... appropriately tested for identity, strength, purity, stability, and uniformity, as applicable. (e) Assure that...

  18. Analysis of environment, safety, and health (ES{ampersand}H) management systems for Department of Energy (DOE) Defense Programs (DP) facilities

    Energy Technology Data Exchange (ETDEWEB)

    Neglia, A. V., LLNL

    1998-03-01

    The purpose of this paper is to provide a summary analysis and comparison of various environment, safety, and health (ES&H) management systems required of, or suggested for use by, the Departrnent of Energy Defense Programs` sites. The summary analysis is provided by means of a comparison matrix, a set of Vean diagrams that highlights the focus of the systems, and an `End Gate` filter diagram that integrates the three Vean diagrams. It is intended that this paper will act as a starting point for implementing a particular system or in establishing a comprehensive site-wide integrated ES&H management system. Obviously, the source documents for each system would need to be reviewed to assure proper implementation of a particular system. The matrix compares nine ES&H management systems against a list of elements generated by identifying the unique elements of all the systems. To simplify the matrix, the elements are listed by means of a brief title. An explanation of the matrix elements is provided in Attachment 2 entitled, `Description of System Elements.` The elements are categorized under the Total Quality Management (TQM) `Plan, Do, Check, Act` framework with the added category of `Policy`. (The TQM concept is explained in the `DOE Quality Management implementation Guidelines,` July 1997 (DOE/QM- 0008)). The matrix provides a series of columns and rows to compare the unique elements found in each of the management systems. A `V` is marked if the element is explicitly identified as part of the particular ES&H management system. An `X` is marked if the element is not found in the particular ES&H management system, or if it is considered to be inadequately addressed. A `?` is marked if incorporation of the element is not clear. Attachment I provides additional background information which explains the justification for the marks in the matrix cells. Through the Vean diagrams and the `End Gate` filter in Section 3, the paper attempts to pictorially display the focus of

  19. Factors affecting medical waste management in lowlevel health ...

    African Journals Online (AJOL)

    African Journal of Environmental Science and Technology ... evaluation of medical waste management systems was conducted in the low-level health ... In Ilala, 70% of the health facilities burn wastes in poorly designed incinerators, open pit ...

  20. Metering management at the plutonium research and development facilities

    International Nuclear Information System (INIS)

    Hirata, Masaru; Miyamoto, Fujio; Kurosawa, Makoto; Abe, Jiro; Sakai, Haruyuki; Suzuki, Tsuneo.

    1996-01-01

    Nuclear fuel research laboratory of the Oarai Research Laboratory of the Japan Atomic Energy Research Institute is an R and D facility to treat with plutonium and processes various and versatile type samples in chemical and physical form for use of various experimental researches even though on much small amount. Furthermore, wasted and plutonium samples are often transported to other KMP and MBA such as radioactive waste management facility, nuclear reactor facility and so forth. As this facility is a place to treat plutonium important on the safeguards, it is a facility necessary for detection and allowance actions and for detail managements on the metering management data to report to government and IAEA in each small amount sample and different configuration. In this paper, metering management of internationally regulated matters and metering management system using a work station newly produced in such small scale facility were introduced. (G.K.)

  1. A guide to the management of tailings facilities

    International Nuclear Information System (INIS)

    Bedard, C.; Ferguson, K.; Gladwin, D.; Lang, D.; Maltby, J.; McCann, M.; Poirier, P.; Schwenger, R.; Vezina, S.; West, S.; Duval, J.; Gardiner, E.; Jansons, K.; Lewis, B.; Matthews, J.; Mchaina, D.; Puro, M.; Siwik, R.; Welch, D.

    1998-01-01

    The 'Guide to the Management of Tailings Facilities' has been developed by the Mining Association of Canada in an effort to provide guidance to its member companies on sound practices for the safe and environmentally responsible management of tailings facilities. The guide is a reference tool to help companies ensure that they are managing their tailings facilities responsibly, integrating environmental and safety considerations in a consistent manner, with continuous improvement in the operation of tailings facilities. The key to managing tailings responsibly is consistent application of engineering capabilities through the full life cycle. The guide provides a basis for the development of customized tailings management systems to address specific needs at individual operations, and deals with environmental impacts, mill tailing characteristics, tailings facility studies and plans, dam and related structure design, and control and monitoring. Aspects relating to tailings facility siting, design, construction, operation, decommissioning and closure are also fully treated. 1 tab., 3 figs

  2. Vehicle Thermal Management Facilities | Transportation Research | NREL

    Science.gov (United States)

    Integration Facility The Vehicle Testing and Integration Facility features a pad to conduct vehicle thermal station next to the pad provides a continuous data stream on temperature, humidity, wind speed, and solar

  3. A Framework for Managing Core Facilities within the Research Enterprise

    OpenAIRE

    Haley, Rand

    2009-01-01

    Core facilities represent increasingly important operational and strategic components of institutions' research enterprises, especially in biomolecular science and engineering disciplines. With this realization, many research institutions are placing more attention on effectively managing core facilities within the research enterprise. A framework is presented for organizing the questions, challenges, and opportunities facing core facilities and the academic units and institutions in which th...

  4. Community health facility preparedness for a cholera surge in Haiti.

    Science.gov (United States)

    Mobula, Linda Meta; Jacquet, Gabrielle A; Weinhauer, Kristin; Alcidas, Gladys; Thomas, Hans-Muller; Burnham, Gilbert

    2013-01-01

    With increasing population displacement and worsening water insecurity after the 2010 earthquake, Haiti experienced a large cholera outbreak. Our goal was to evaluate the strengths and weaknesses of seven community health facilities' ability to respond to a surge in cholera cases. Since 2010, Catholic Relief Services (CRS) with a number of public and private donors has been working with seven health facilities in an effort to reduce morbidity and mortality from cholera infection. In November 2012, CRS through the Centers for Disease Control and Prevention (CDC)'s support, asked the Johns Hopkins Center for Refugee and Disaster Response to conduct a cholera surge simulation tabletop exercise at these health facilities to improve each facility's response in the event of a cholera surge. Using simulation development guidelines from the Pan American Health Organization and others, a simulation scenario script was produced that included situations of differing severity, supply chain, as well as a surge of patients. A total of 119 hospital staff from seven sites participated in the simulation exercise including community health workers, clinicians, managers, pharmacists, cleaners, and security guards. Clinics that had challenges during the simulated clinical care of patients were those that did not appropriately treat all cholera patients according to protocol, particularly those that were vulnerable, those that would need additional staff to properly treat patients during a surge of cholera, and those that required a better inventory of supplies. Simulation-based activities have the potential to identify healthcare delivery system vulnerabilities that are amenable to intervention prior to a cholera surge.

  5. Quality of antenatal care service provision in health facilities across sub-Saharan Africa: Evidence from nationally representative health facility assessments.

    Science.gov (United States)

    Kanyangarara, Mufaro; Munos, Melinda K; Walker, Neff

    2017-12-01

    Utilization of antenatal care (ANC) services has increased over the past two decades. Continued gains in maternal and newborn health will require an understanding of both access and quality of ANC services. We linked health facility and household survey data to examine the quality of service provision for five ANC interventions across health facilities in sub-Saharan Africa. Using data from 20 nationally representative health facility assessments - the Service Provision Assessment (SPA) and the Service Availability and Readiness Assessment (SARA), we estimated facility level readiness to deliver five ANC interventions: tetanus toxoid vaccine for pregnant women, intermittent preventive treatment for malaria in pregnancy (IPTp), syphilis detection and treatment in pregnancy, iron supplementation and hypertensive disease case management. Facility level indicators were stratified by health facility type, managing authority and location, then linked to estimates of ANC utilization in that stratum from the corresponding Demographic and Health Surveys (DHS) to generate population level estimates of the 'likelihood of appropriate care'. Finally, the association between estimates of the 'likelihood of appropriate care' from the linking approach and estimates of coverage levels from the DHS were assessed. A total of 10 534 health facilities were surveyed in the 20 health facility assessments, of which 8742 reported offering ANC services and were included in the analysis. Health facility readiness to deliver IPTp, iron supplementation, and tetanus toxoid vaccination was higher (median: 84.1%, 84.9% and 82.8% respectively) than readiness to deliver hypertensive disease case management and syphilis detection and treatment (median: 23.0% and 19.9% respectively). Coverage of at least 4 ANC visits ranged from 24.8% to 75.8%. Estimates of the likelihood of appropriate care derived from linking health facility and household survey data showed marked gaps for all interventions

  6. Spatial Distribution and Accessibility of Health Facilities in Akwa ...

    African Journals Online (AJOL)

    This paper therefore analyzed the spatial patterns of healthcare facilities in Akwa ... Data on six health indicator variables were obtained and analyzed to assess ... of healthcare facilities and thus hinders good access to high quality healthcare ...

  7. Does identity shape leadership and management practice? Experiences of PHC facility managers in Cape Town, South Africa

    Science.gov (United States)

    Daire, Judith; Gilson, Lucy

    2014-01-01

    In South Africa, as elsewhere, Primary Health Care (PHC) facilities are managed by professional nurses. Little is known about the dimensions and challenges of their job, or what influences their managerial practice. Drawing on leadership and organizational theory, this study explored what the job of being a PHC manager entails, and what factors influence their managerial practice. We specifically considered whether the appointment of professional nurses as facility managers leads to an identity transition, from nurse to manager. The overall intention was to generate ideas about how to support leadership development among PHC facility managers. Adopting case study methodology, the primary researcher facilitated in-depth discussions (about their personal history and managerial experiences) with eight participating facility managers from one geographical area. Other data were collected through in-depth interviews with key informants, document review and researcher field notes/journaling. Analysis involved data triangulation, respondent and peer review and cross-case analysis. The experiences show that the PHC facility manager’s job is dominated by a range of tasks and procedures focused on clinical service management, but is expected to encompass action to address the population and public health needs of the surrounding community. Managing with and through others, and in a complex system, requiring self-management, are critical aspects of the job. A range of personal, professional and contextual factors influence managerial practice, including professional identity. The current largely facility-focused management practice reflects the strong nursing identity of managers and broader organizational influences. However, three of the eight managers appear to self-identify an emerging leadership identity and demonstrate related managerial practices. Nonetheless, there is currently limited support for an identity transition towards leadership in this context. Better

  8. Management of Decommissioning on a Multi-Facility Site

    International Nuclear Information System (INIS)

    Laraia, Michele; McIntyre, Peter; Visagie, Abrie

    2008-01-01

    The management of the decommissioning of multi-facility sites may be inadequate or inappropriate if based on approaches and strategies developed for sites consisting of only a single facility. The varied nature of activities undertaken, their interfaces and their interdependencies are likely to complicate the management of decommissioning. These issues can be exacerbated where some facilities are entering the decommissioning phase while others are still operational or even new facilities are being built. Multi-facility sites are not uncommon worldwide but perhaps insufficient attention has been paid to optimizing the overall site decommissioning in the context of the entire life cycle of facilities. Decommissioning management arrangements need to be established taking a view across the whole site. A site-wide decommissioning management system is required. This should include a project evaluation and approval process and specific arrangements to manage identified interfaces and interdependencies. A group should be created to manage decommissioning across the site, ensuring adequate and consistent practices in accordance with the management system. Decommissioning management should be aimed at the entire life cycle of facilities. In the case of multi facility sites, the process becomes more complex and decommissioning management arrangements need to be established with a view to the whole site. A site decommissioning management system, a group that is responsible for decommissioning on site, a site project evaluation and approval process and specific arrangements to manage the identified interfaces are key areas of a site decommissioning management structure that need to be addressed to ensure adequate and consistent decommissioning practices. A decommissioning strategy based on single facilities in a sequential manner is deemed inadequate

  9. Simulation modeling for the health care manager.

    Science.gov (United States)

    Kennedy, Michael H

    2009-01-01

    This article addresses the use of simulation software to solve administrative problems faced by health care managers. Spreadsheet add-ins, process simulation software, and discrete event simulation software are available at a range of costs and complexity. All use the Monte Carlo method to realistically integrate probability distributions into models of the health care environment. Problems typically addressed by health care simulation modeling are facility planning, resource allocation, staffing, patient flow and wait time, routing and transportation, supply chain management, and process improvement.

  10. Health physics information management

    International Nuclear Information System (INIS)

    Schauss, R.D.

    1982-01-01

    The records that men have kept over the centuries have made the civilizations of man possible. Recorded history shows that our progress is closely correlated to man's ability to communicate recorded facts to others, and to effectively use knowledge gained by others. During the past few decades our ability to store and use information, and to reach larger audiences has grown dramatically. The advent of computers is discussed and their evolution to the state-of-the-art is described. Data bases, batch and on-line processing, centralized and distributed processing as well as other computer jargon are generally explained and examples are given as they apply specifically to health physics programs. It is proposed that systems designed to manage information cannot be adapted to health physics problems without extensive involvement of the HP who must use the computerized program. Specific problems which arise during the development of a computerized health physics program are explained

  11. Distribution and Utilization of Health Facilities in Calabar Metropolis ...

    African Journals Online (AJOL)

    The level of accessibility increases with increasing utilization. Distance was a barrier to the utilization of health facilities due to the uneven distribution of health facilities and the inability of patients to overcome economic distance. Greater investment by government in the health sector would guarantee more equitable access ...

  12. ESCO as Innovative Facilities Management in Danish Municipalities

    DEFF Research Database (Denmark)

    Jensen, Jesper Ole; Oesten, Pimmie; Nielsen, Susanne Balslev

    2010-01-01

     Purpose:  Increasing energy efficiency of existing buildings is high on the Facility Management (FM) agenda, therefore building owners and FM Managers need insight into a variety of organizational possibilities for energy renovation projects. This paper explores how ESCO can foster innovative....... It is the first publication from the project "Energy Service Concepts" carried out at the Danish Centre for Facilities Management (www.cfm.dtu.dk). Results have not been published before....

  13. Elimination of mercury in health care facilities.

    Science.gov (United States)

    2000-03-01

    Mercury is a persistent, bioaccumulative toxin that has been linked to numerous health effects in humans and wildlife. It is a potent neurotoxin that may also harm the brain, kidneys, and lungs. Unborn children and young infants are at particular risk for brain damage from mercury exposure. Hospitals' use of mercury in chemical solutions, thermometers, blood pressure gauges, batteries, and fluorescent lamps makes these facilities large contributors to the overall emission of mercury into the environment. Most hospitals recognize the dangers of mercury. In a recent survey, four out of five hospitals stated that they have policies in place to eliminate the use of mercury-containing products. Sixty-two percent of them require vendors to disclose the presence of mercury in chemicals that the hospitals purchase. Only 12 percent distribute mercury-containing thermometers to new parents. Ninety-two percent teach their employees about the health and environmental effects of mercury, and 46 percent teach all employees how to clean up mercury spills. However, the same study showed that many hospitals have not implemented their policies. Forty-two percent were not aware whether they still purchased items containing mercury. In addition, 49 percent still purchase mercury thermometers, 44 percent purchase mercury gastrointestinal diagnostic equipment, and 64 percent still purchase mercury lab thermometers.

  14. Fast Flux Test Facility, Sodium Storage Facility project-specific project management plan

    International Nuclear Information System (INIS)

    Shank, D.R.

    1994-01-01

    This Project-Specific Project Management Plan describes the project management methods and controls used by the WHC Projects Department to manage Project 03-F-031. The Sodium Storage Facility provides for storage of the 260,000 gallons of sodium presently in the FFTF Plant. The facility will accept the molten sodium transferred from the FFTF sodium systems, and store the sodium in a solid state under an inert cover gas until such time as a Sodium Reaction Facility is available for final disposal of the sodium

  15. Fast Flux Test Facility, Sodium Storage Facility project-specific project management plan

    Energy Technology Data Exchange (ETDEWEB)

    Shank, D.R.

    1994-12-29

    This Project-Specific Project Management Plan describes the project management methods and controls used by the WHC Projects Department to manage Project 03-F-031. The Sodium Storage Facility provides for storage of the 260,000 gallons of sodium presently in the FFTF Plant. The facility will accept the molten sodium transferred from the FFTF sodium systems, and store the sodium in a solid state under an inert cover gas until such time as a Sodium Reaction Facility is available for final disposal of the sodium.

  16. Implementation of tuberculosis infection control in health facilities in Mukono and Wakiso districts, Uganda.

    Science.gov (United States)

    Buregyeya, Esther; Nuwaha, Fred; Verver, Suzanne; Criel, Bart; Colebunders, Robert; Wanyenze, Rhoda; Kalyango, Joan N; Katamba, Achilles; Mitchell, Ellen Mh

    2013-08-01

    Tuberculosis infection control (TBIC) is rarely implemented in the health facilities in resource limited settings. Understanding the reasons for low level of implementation is critical. The study aim was to assess TBIC practices and barriers to implementation in two districts in Uganda. We conducted a cross-sectional study in 51 health facilities in districts of Mukono and Wakiso. The study included: a facility survey, observations of practices and eight focus group discussions with health workers. Quantitative: Only 16 facilities (31%) had a TBIC plan. Five facilities (10%) were screening patients for cough. Two facilities (4%) reported providing masks to patients with cough. Ventilation in the waiting areas was inadequate for TBIC in 43% (22/51) of the facilities. No facility possessed N95 particulate respirators. Qualitative: Barriers that hamper implementation of TBIC elicited included: under-staffing, lack of space for patient separation, lack of funds to purchase masks, and health workers not appreciating the importance of TBIC. TBIC measures were not implemented in health facilities in the two Ugandan districts where the survey was done. Health system factors like lack of staff, space and funds are barriers to implement TBIC. Effective implementation of TBIC measures occurs when the fundamental health system building blocks--governance and stewardship, financing, infrastructure, procurement and supply chain management are in place and functioning appropriately.

  17. Application of the Management System for Facilities and Activities. Safety Guide (Spanish Edition)

    International Nuclear Information System (INIS)

    2016-01-01

    This publication provides guidance for following the requirements for management systems that integrate safety, health, security, quality assurance and environmental objectives. A successful management system ensures that nuclear safety matters are not dealt with in isolation but are considered within the context of all these objectives. The aim of this publication is to assist Member States to establish and implement effective management systems that coherently integrate all aspects of managing nuclear facilities and activities.

  18. State Wildlife Management Area Public Facilities - points

    Data.gov (United States)

    Minnesota Department of Natural Resources — This point theme contains facilities and features for WMAs that are best represented as points. WMAs are part of the Minnesota state recreation system created to...

  19. State Wildlife Management Area Public Facilities - lines

    Data.gov (United States)

    Minnesota Department of Natural Resources — This line theme contains facilities and features for WMAs that are best represented as lines. WMAs are part of the Minnesota state recreation system created to...

  20. National Ignition Facility Cryogenic Target Systems Interim Management Plan

    International Nuclear Information System (INIS)

    Warner, B

    2002-01-01

    Restricted availability of funding has had an adverse impact, unforeseen at the time of the original decision to projectize the National Ignition Facility (NIF) Cryogenic Target Handling Systems (NCTS) Program, on the planning and initiation of these efforts. The purpose of this document is to provide an interim project management plan describing the organizational structure and management processes currently in place for NCTS. Preparation of a Program Execution Plan (PEP) for NCTS has been initiated, and a current draft is provided as Attachment 1 to this document. The National Ignition Facility is a multi-megajoule laser facility being constructed at Lawrence Livermore National Laboratory (LLNL) by the National Nuclear Security Administration (NNSA) in the Department of Energy (DOE). Its primary mission is to support the Stockpile Stewardship Program (SSP) by performing experiments studying weapons physics, including fusion ignition. NIF also supports the missions of weapons effects, inertial fusion energy, and basic science in high-energy-density physics. NIF will be operated by LLNL under contract to the University of California (UC) as a national user facility. NIF is a low-hazard, radiological facility, and its operation will meet all applicable federal, state, and local Environmental Safety and Health (ES and H) requirements. The NCTS Interim Management Plan provides a summary of primary design criteria and functional requirements, current organizational structure, tracking and reporting procedures, and current planning estimates of project scope, cost, and schedule. The NIF Director controls the NIF Cryogenic Target Systems Interim Management Plan. Overall scope content and execution schedules for the High Energy Density Physics Campaign (SSP Campaign 10) are currently undergoing rebaselining and will be brought into alignment with resources expected to be available throughout the NNSA Future Years National Security Plan (FYNSP). The revised schedule for

  1. Study on archive management for nuclear facility decommissioning projects

    International Nuclear Information System (INIS)

    Huang Ling; Gong Jing; Luo Ning; Liao Bing; Zhou Hao

    2011-01-01

    This paper introduces the main features and status of the archive management for nuclear facility decommissioning projects, and explores and discusses the countermeasures in its archive management. Taking the practice of the archive management system of a reactor decommissioning project as an example, the paper illustrates the establishment of archive management system for the nuclear facility decommissioning projects. The results show that the development of a systematic archive management principle and system for nuclear decommissioning projects and the construction of project archives for the whole process from the design to the decommissioning by digitalized archive management system are one effective route to improve the complete, accurate and systematic archiving of project documents, to promote the standardization and effectiveness of the archive management and to ensure the traceability of the nuclear facility decommissioning projects. (authors)

  2. Public Facilities Management and Action Research for Sustainability

    DEFF Research Database (Denmark)

    Galamba, Kirsten Ramskov

    Current work is the main product of a PhD study with the initial working title ‘Sustainable Facilities Management’ at Centre for Facilities Management – Realdania Research, DTU Management 1. December 2008 – 30. November 2011. Here the notion of Public Sustainable Facilities Management (FM......) is analysed in the light of a change process in a Danish Municipal Department of Public Property. Three years of Action Research has given a unique insight in the reality in a Municipal Department of Public Property, and as to how a facilitated change process can lead to a more holistic and sustainable...

  3. Risk management plan for the National Ignition Facility

    International Nuclear Information System (INIS)

    Brereton, S.; Lane, M.; Smith, C.; Yatabe, J.

    1998-01-01

    The National Ignition Facility (NIF) is a U.S. Department of Energy inertial confinement laser fusion facility, currently under construction at the Lawrence Livermore National Laboratory (LLNL). NIF is a critical tool for the Department of Energy (DOE) science- based Stockpile Stewardship and Management Program. In addition, it represents a major step towards realizing inertial confinement fusion as a source of energy. The NIF will focus 192 laser beams onto spherical targets containing a mixture of deuterium and tritium, causing them to implode. This will create the high temperatures and pressures necessary for these targets to undergo fusion. The plan is for NIF to achieve ignition (i.e., self-heating of the fuel) and energy gain (i.e., more fusion energy produced than laser energy deposited) in the laboratory for the first time. A Risk Management Plan was prepared for the NIF design and construction Project. The plan was prepared in accordance with the DOE Life Cycle Asset Management Good Practice Guide. The objectives of the plan were to: (1) identify the risks to the completion of the Project in terms of meeting technical and regulatory requirements, cost, and schedule, (2) assess the risks in terms of likelihood of occurrence and their impact potential relative to technical performance, ES ampersand H (environment, safety and health), costs, and schedule, and (3) address each risk in terms of suitable risk management measures. Major risk elements were identified for the NIF Project. A risk assessment methodology was developed, which was utilized to rank the Project risks with respect to one another. Those elements presenting greater risk were readily identified by this process. This paper describes that methodology and the results

  4. Intelligent Vehicle Health Management

    Science.gov (United States)

    Paris, Deidre E.; Trevino, Luis; Watson, Michael D.

    2005-01-01

    As a part of the overall goal of developing Integrated Vehicle Health Management systems for aerospace vehicles, the NASA Faculty Fellowship Program (NFFP) at Marshall Space Flight Center has performed a pilot study on IVHM principals which integrates researched IVHM technologies in support of Integrated Intelligent Vehicle Management (IIVM). IVHM is the process of assessing, preserving, and restoring system functionality across flight and ground systems (NASA NGLT 2004). The framework presented in this paper integrates advanced computational techniques with sensor and communication technologies for spacecraft that can generate responses through detection, diagnosis, reasoning, and adapt to system faults in support of INM. These real-time responses allow the IIVM to modify the affected vehicle subsystem(s) prior to a catastrophic event. Furthermore, the objective of this pilot program is to develop and integrate technologies which can provide a continuous, intelligent, and adaptive health state of a vehicle and use this information to improve safety and reduce costs of operations. Recent investments in avionics, health management, and controls have been directed towards IIVM. As this concept has matured, it has become clear the INM requires the same sensors and processing capabilities as the real-time avionics functions to support diagnosis of subsystem problems. New sensors have been proposed, in addition, to augment the avionics sensors to support better system monitoring and diagnostics. As the designs have been considered, a synergy has been realized where the real-time avionics can utilize sensors proposed for diagnostics and prognostics to make better real-time decisions in response to detected failures. IIVM provides for a single system allowing modularity of functions and hardware across the vehicle. The framework that supports IIVM consists of 11 major on-board functions necessary to fully manage a space vehicle maintaining crew safety and mission

  5. Health infrastructural challenges to health management information ...

    African Journals Online (AJOL)

    Aim: This study aims to assess health management information systems at the ... workers' ability to practice and use the health data generated at their Primary Health ... Only 2 (5.7%) of the health centres surveyed were capable of operating the ... The government at all levels should ensure collective effort and political will to ...

  6. Operational performance management of priced facilities

    Science.gov (United States)

    2011-03-01

    The Texas Department of Transportation and its agency partners have implemented various forms of lane management and pricing over the past three decades, including HOV lanes, managed lanes, and toll roads. As more of these complex transportation faci...

  7. Information security management system planning for CBRN facilities

    International Nuclear Information System (INIS)

    Lenaeu, Joseph D.; O'Neil, Lori Ross; Leitch, Rosalyn M.; Glantz, Clifford S.; Landine, Guy P.; Bryant, Janet L.; Lewis, John; Mathers, Gemma; Rodger, Robert; Johnson, Christopher

    2015-01-01

    The focus of this document is to provide guidance for the development of information security management system planning documents at chemical, biological, radiological, or nuclear (CBRN) facilities. It describes a risk-based approach for planning information security programs based on the sensitivity of the data developed, processed, communicated, and stored on facility information systems.

  8. The added value of Facility management in the educational environment

    NARCIS (Netherlands)

    Kok, H.B.; Mobach, M.; Omta, S.W.F.

    2011-01-01

    Purpose – The purpose of this paper is to define the added value of facility management (FM) in general and to develop a typology of facility services based on their added value in the educational environment. Design/methodology/approach – This paper is based on a literature review and first

  9. Information security management system planning for CBRN facilities

    Energy Technology Data Exchange (ETDEWEB)

    Lenaeu, Joseph D. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); O' Neil, Lori Ross [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Leitch, Rosalyn M. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Glantz, Clifford S. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Landine, Guy P. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Bryant, Janet L. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Lewis, John [National Nuclear Lab., Workington (United Kingdom); Mathers, Gemma [National Nuclear Lab., Workington (United Kingdom); Rodger, Robert [National Nuclear Lab., Workington (United Kingdom); Johnson, Christopher [National Nuclear Lab., Workington (United Kingdom)

    2015-12-01

    The focus of this document is to provide guidance for the development of information security management system planning documents at chemical, biological, radiological, or nuclear (CBRN) facilities. It describes a risk-based approach for planning information security programs based on the sensitivity of the data developed, processed, communicated, and stored on facility information systems.

  10. Institutional Management of Core Facilities during Challenging Financial Times

    OpenAIRE

    Haley, Rand

    2011-01-01

    The economic downturn is likely to have lasting effects on institutions of higher education, prioritizing proactive institutional leadership and planning. Although by design, core research facilities are more efficient and effective than supporting individual pieces of research equipment, cores can have significant underlying financial requirements and challenges. This paper explores several possible institutional approaches to managing core facilities during challenging financial times.

  11. Institutional management of core facilities during challenging financial times.

    Science.gov (United States)

    Haley, Rand

    2011-12-01

    The economic downturn is likely to have lasting effects on institutions of higher education, prioritizing proactive institutional leadership and planning. Although by design, core research facilities are more efficient and effective than supporting individual pieces of research equipment, cores can have significant underlying financial requirements and challenges. This paper explores several possible institutional approaches to managing core facilities during challenging financial times.

  12. Drainage facility management system : final report, June 2009.

    Science.gov (United States)

    2009-06-01

    This research project identified requirements for a drainage facility management system for the Oregon Department of Transportation. It also estimated the personnel resources needed to collect the inventory to populate such a system with data. A tota...

  13. Grout Treatment Facility Land Disposal Restriction Management Plan

    International Nuclear Information System (INIS)

    Hendrickson, D.W.

    1991-01-01

    This document establishes management plans directed to result in the land disposal of grouted wastes at the Hanford Grout Facilities in compliance with Federal, State of Washington, and Department of Energy land disposal restrictions. 9 refs., 1 fig

  14. Effective and Innovative Practices for Stronger Facilities Management.

    Science.gov (United States)

    Banick, Sarah

    2002-01-01

    Describes the five winners of the APPA's Effective & Innovative Practices Award. These facilities management programs and processes were recognized for enhancing service delivery, lowering costs, increasing productivity, improving customer service, generating revenue, or otherwise benefiting the educational institution. (EV)

  15. Can facility management contribute to study success?

    NARCIS (Netherlands)

    Kok, H.B; Mobach, Mark P.; Omta, S.W.F.; Alexander, K.

    2013-01-01

    Purpose– The present paper aims to explore to what extent the quality of facility services can be related to the differences in educational achievements in higher education. Design/methodology/approach - This paper is based on the first preliminary analyses of a national online survey among 1,752

  16. [Managing the cold chain in healthcare facilities].

    Science.gov (United States)

    Royer, Mathilde; Breton Marchand, Justine; Pons, David

    2017-11-01

    The storage of temperature-sensitive healthcare products requires control of the cold chain. Healthcare facilities must have the appropriate equipment at their disposal and ensure the traceability and monitoring of temperatures. Copyright © 2017 Elsevier Masson SAS. All rights reserved.

  17. Planning and Managing School Facilities for Agriculture

    Science.gov (United States)

    Staller, Bernie

    1976-01-01

    The Agribusiness Department at Janesville Parker Senior High in Wisconsin involves 360 students and three instructors in three different buildings. Facilities were provided through a variety of methods with major emphasis on utilizing the urban setting. Future Farmers of America students operate projects in orchards, greenhouse, gardens, and…

  18. NIF conventional facilities construction health and safety plan

    International Nuclear Information System (INIS)

    Benjamin, D W

    1998-01-01

    The purpose of this Plan is to outline the minimum health and safety requirements to which all participating Lawrence Livermore National Laboratory (LLNL) and non-LLNL employees (excluding National Ignition Facility [NIF] specific contractors and subcontractors covered under the construction subcontract packages (e.g., CSP-9)-see Construction Safety Program for the National Ignition Facility [CSP] Section I.B. ''NIF Construction Contractors and Subcontractors'' for specifics) shall adhere to for preventing job-related injuries and illnesses during Conventional Facilities construction activities at the NIF Project. For the purpose of this Plan, the term ''LLNL and non-LLNL employees'' includes LLNL employees, LLNL Plant Operations staff and their contractors, supplemental labor, contract labor, labor-only contractors, vendors, DOE representatives, personnel matrixed/assigned from other National Laboratories, participating guests, and others such as visitors, students, consultants etc., performing on-site work or services in support of the NIF Project. Based upon an activity level determination explained in Section 1.2.18, in this document, these organizations or individuals may be required by site management to prepare their own NIF site-specific safety plan. LLNL employees will normally not be expected to prepare a site-specific safety plan. This Plan also outlines job-specific exposures and construction site safety activities with which LLNL and non-LLNL employees shall comply

  19. A review of sustainable facilities management knowledge and practice

    Directory of Open Access Journals (Sweden)

    Baaki Timothy Kurannen

    2016-01-01

    Full Text Available Sustainability is seen as a far-reaching issue now, and one which the facilities management [FM] profession cannot overlook. This paper explores current sustainable facilities management [SFM] knowledge and practice with specific focus on performance as part of a research focus toward proposing a sustainable FM performance management framework for sustainable healthcare waste management in Malaysia. This paper utilized a review of extant literature on the subject of SFM, FM performance and FM development in Malaysia as source of information. Findings reflect the increasing recognition of the need for the strategic FM function, and how facilities managers are best positioned to drive organizations’ sustainability agendas. In Malaysian context, this recognition is barely evident as findings show FM practice is still immature and predominantly operational. Unlike developed FM markets, FM relevance in Malaysia is being driven by the public sector. Also findings show a disharmony between organizations’ sustainability priority areas and the responsibilities for facilities managers to execute them where the sustainability policy of organizations prioritize one FM service and the facilities managers’ responsibilities prioritize another. As most of SFM implementation is driven by legislation this seems to strengthen the position that, organizations continue to view support services as non-value-adding, as unavoidable liabilities. The implication of this is the pressure on the FM function to continually express its strategic relevance to organizations by tangible value-adding performance output. This creates a new perspective to measuring and managing facilities performance. This paper therefore elevates the importance of FM performance management in SFM context taking into account the peculiar position of the facilities manager. This is seen as a way forward for FM to better express its value to the organization

  20. National Ignition Facility risk management plan, rev. 1

    International Nuclear Information System (INIS)

    Brereton, S J; Lane, M A

    1998-01-01

    The initial release of the National Ignition Facility (AUF) Risk Management Plan (LLNL, 1997a) was prepared in accordance with the DOE Life Cycle Asset Management Good Practice Guide (DOE, 1996a) and supported Critical Decision 3 (CD3), Approval to Initiate Construction (DOE, 1997a). The objectives of the plan were to: (1) Identify the risks to the completion of the Project in terms of meeting technical and regulatory requirements, cost, and schedule. (2) Assess the risks in terms of likelihood of occurrence and their impact potential relative to technical performance, ES and H (environmental, safety and health), costs, and schedule. (3) Address suitable risk mitigation measures for each identified risk. This revision of the Risk Management Plan considers project risks and vulnerabilities after CD3 (DOE, 1997a) was approved by the Secretary of Energy. During the one-year period since the initial release, the vulnerabilities of greatest concern have been the litigation of the Programmatic Environmental Impact Statement (PEIS) (DOE, 1996b) by a group of environmental organizations led by the Natural Resources Defense Council; the finding and successful clean-up of polychlorinated biphenyl (PCB)-filled electrical capacitors at the NIF site excavation; the FY98 congressional budget authorization and request for the FY99 budget authorization; funding for Inertial Confinement Fusion (ICF)/NIF programmatic activities (including French and other sources of funding); and finally, progress in the core science and technology, and optics program that form the basis for the NIF design

  1. Westinghouse Hanford Company risk management strategy for retired surplus facilities

    International Nuclear Information System (INIS)

    Taylor, W.E.; Coles, G.A.; Shultz, M.V.; Egge, R.G.

    1993-09-01

    This paper describes an approach that facilitates management of personnel safety and environmental release risk from retired, surplus Westinghouse Hanford Company-managed facilities during the predemolition time frame. These facilities are located in the 100 and 200 Areas of the 1,450-km 2 (570-mi 2 ) Hanford Site in Richland, Washington. The production reactors are located in the 100 Area and the chemical separation facilities are located in the 200 Area. This paper also includes a description of the risk evaluation process, shows applicable results, and includes a description of comparison costs for different risk reduction options

  2. Biosafety and biosecurity measures: management of biosafety level 3 facilities.

    Science.gov (United States)

    Zaki, Adel N

    2010-11-01

    With the increasing biological threat from emerging infectious diseases and bioterrorism, it has become essential for governments around the globe to increase awareness and preparedness for identifying and containing those agents. This article introduces the basic concepts of laboratory management, laboratory biosafety and laboratory biosecurity. Assessment criteria for laboratories' biorisk should include both biosafety and biosecurity measures. The assessment requires setting specific goals and selecting management approaches. In order to implement technologies at the laboratory working level, a management team should be created whose role is to implement biorisk policies, rules and regulations appropriate for that facility. Rules and regulations required by government authorities are presented, with special emphasis on methods for air control, and liquid and solid waste management. Management and biorisk measures and appropriate physical facilities must keep pace, ensuring efficient facilities that protect workers, the environment, the product (research, diagnostic and/or vaccine) and the biological pathogen. Published by Elsevier B.V.

  3. Integration of Biosafety into Core Facility Management

    OpenAIRE

    Fontes, Benjamin

    2013-01-01

    This presentation will discuss the implementation of biosafety policies for small, medium and large core laboratories with primary shared objectives of ensuring the control of biohazards to protect core facility operators and assure conformity with applicable state and federal policies, standards and guidelines. Of paramount importance is the educational process to inform core laboratories of biosafety principles and policies and to illustrate the technology and process pathways of the core l...

  4. Risk management study for the retired Hanford Site facilities

    International Nuclear Information System (INIS)

    Coles, G.A.; Shultz, M.V.; Taylor, W.E.

    1993-04-01

    Risk from retired surplus facilities has always been assumed to be low at the Hanford Site as the facilities are inactive and have few potentials for causing an offsite hazardous material release. However,the fatal accident that occurred in the spring of 1992 in which an employee fell through a deteriorated roof at the 105-F Reactor Building has raised the possibility that retired facilities represent a greater risk than was originally assumed. Therefore, Westinghouse Hanford Company and the US Department of Energy management have determined that facility risk management strategies and programmatic plans should be reevaluated to assure risks are identified and appropriate corrective action plans are developed. To evaluate risk management strategies, accurate risk information about the current and projected condition of the facilities must be developed. This work procedure has been created to address the development of accurate and timely risk information. By using the evaluation results in this procedure, it will be possible to create a prioritized baseline for managing facility risk until all retired surplus facilities are demolished

  5. Health Facility Utilisation Changes during the Introduction of Community Case Management of Malaria in South Western Uganda: An Interrupted Time Series Approach.

    Directory of Open Access Journals (Sweden)

    Sham Lal

    Full Text Available Malaria endemic countries have scaled-up community health worker (CHW interventions, to diagnose and treat malaria in communities with limited access to public health systems. The evaluations of these programmes have centred on CHW's compliance to guidelines, but the broader changes at public health centres including utilisation and diagnoses made, has received limited attention.This analysis was conducted during a CHW-intervention for malaria in Rukungiri District, Western Uganda. Outpatient department (OPD visit data were collected for children under-5 attending three health centres one year before the CHW-intervention started (pre-intervention period and for 20 months during the intervention (intervention-period. An interrupted time series analysis with segmented regression models was used to compare the trends in malaria, non-malaria and overall OPD visits during the pre-intervention and intervention-period.The introduction of a CHW-intervention suggested the frequency of diagnoses of diarrhoeal diseases, pneumonia and helminths increased, whilst the frequency of malaria diagnoses declined at health centres. In May 2010 when the intervention began, overall health centre utilisation decreased by 63% compared to the pre-intervention period and the health centres saw 32 fewer overall visits per month compared to the pre-intervention period (p<0.001. Malaria visits also declined shortly after the intervention began and there were 27 fewer visits per month during the intervention-period compared with the pre-intervention period (p<0.05. The declines in overall and malaria visits were sustained for the entire intervention-period. In contrast, there were no observable changes in trends of non-malarial visits between the pre-intervention and intervention-period.This analysis suggests introducing a CHW-intervention can reduce the number of child malaria visits and change the profile of cases presenting at health centres. The reduction in workload of

  6. Facilities Management Practices in Malaysia: A Literature Review

    Directory of Open Access Journals (Sweden)

    Isa Nordiana Mohd

    2016-01-01

    Full Text Available Facilities management in Malaysia has been practiced for decades. The development of its formal practice parallels the improvement of the built environment in the nation. Involvement of the public and private sectors teaming up in arranging the National Asset and Facilities Management (NAFAM in demonstrates the vital collaboration in the facilities management area in Malaysia. Facilities management is seen distinctively as indicated by diverse geographical locations, interests and schools of thought. Facilities management is delegated a service-based industry which gives proficient counsel and administration of clients’ building facilities including residential, commercial, industrial, airports terminals and offices. The aim of this paper is to review the gaps that exist, especially on how FM is being practice in comparison with the published FM body of knowledge. Very relying upon literature, this paper discovered a gap that is an unclear description of current FM applications. This research aims to give new bits of knowledge to upgrade comprehension of FM execution in Malaysia.

  7. Improving Quality of Care in Primary Health-Care Facilities in Rural Nigeria: Successes and Challenges.

    Science.gov (United States)

    Ugo, Okoli; Ezinne, Eze-Ajoku; Modupe, Oludipe; Nicole, Spieker; Winifred, Ekezie; Kelechi, Ohiri

    2016-01-01

    Nigeria has a high population density but a weak health-care system. To improve the quality of care, 3 organizations carried out a quality improvement pilot intervention at the primary health-care level in selected rural areas. To assess the change in quality of care in primary health-care facilities in rural Nigeria following the provision of technical governance support and to document the successes and challenges encountered. A total of 6 states were selected across the 6 geopolitical zones of the country. However, assessments were carried out in 40 facilities in only 5 states. Selection was based on location, coverage, and minimum services offered. The facilities were divided randomly into 2 groups. The treatment group received quality-of-care assessment, continuous feedback, and improvement support, whereas the control group received quality assessment and no other support. Data were collected using the SafeCare Healthcare Standards and managed on the SafeCare Data Management System-AfriDB. Eight core areas were assessed at baseline and end line, and compliance to quality health-care standards was compared. Outcomes from 40 facilities were accepted and analyzed. Overall scores increased in the treatment facilities compared to the control facilities, with strong evidence of improvement ( t = 5.28, P = .0004) and 11% average improvement, but no clear pattern of improvement emerged in the control group. The study demonstrated governance support and active community involvement offered potential for quality improvement in primary health-care facilities.

  8. Dismantlement and Radioactive Waste Management of DPRK Nuclear Facilities

    International Nuclear Information System (INIS)

    Jooho, W.; Baldwin, G.T.

    2005-01-01

    One critical aspect of any denuclearization of the Democratic People's Republic of Korea (DPRK) involves dismantlement of its nuclear facilities and management of their associated radioactive wastes. The decommissioning problem for its two principal operational plutonium facilities at Yongbyun, the 5MWe nuclear reactor and the Radiochemical Laboratory reprocessing facility, alone present a formidable challenge. Dismantling those facilities will create radioactive waste in addition to existing inventories of spent fuel and reprocessing wastes. Negotiations with the DPRK, such as the Six Party Talks, need to appreciate the enormous scale of the radioactive waste management problem resulting from dismantlement. The two operating plutonium facilities, along with their legacy wastes, will result in anywhere from 50 to 100 metric tons of uranium spent fuel, as much as 500,000 liters of liquid high-level waste, as well as miscellaneous high-level waste sources from the Radiochemical Laboratory. A substantial quantity of intermediate-level waste will result from disposing 600 metric tons of graphite from the reactor, an undetermined quantity of chemical decladding liquid waste from reprocessing, and hundreds of tons of contaminated concrete and metal from facility dismantlement. Various facilities for dismantlement, decontamination, waste treatment and packaging, and storage will be needed. The shipment of spent fuel and liquid high level waste out of the DPRK is also likely to be required. Nuclear facility dismantlement and radioactive waste management in the DPRK are all the more difficult because of nuclear nonproliferation constraints, including the call by the United States for 'complete, verifiable and irreversible dismantlement,' or 'CVID.' It is desirable to accomplish dismantlement quickly, but many aspects of the radioactive waste management cannot be achieved without careful assessment, planning and preparation, sustained commitment, and long completion times

  9. Transuranic waste management program and facilities

    International Nuclear Information System (INIS)

    Clements, T.L. Jr.; Cook, L.A.; Stallman, R.M.; Hunter, E.K.

    1986-01-01

    Since 1954, defense-generated transuranic (TRU) waste has been received at the Radioactive Waste Management Complex (RWMC) at the Idaho National Engineering Laboratory (INEL). Prior to 1970, approximately 2.2 million cubic feet of transuranic waste were buried in shallow-land trenches and pits at the RWMC. Since 1970, an additional 2.1 million cubic feet of waste have been retrievably stored in aboveground engineered confinement. A major objective of the Department of Energy (DOE) Nuclear Waste Management Program is the proper management of defense-generated transuranic waste. Strategies have been developed for managing INEL stored and buried transuranic waste. These strategies have been incorporated in the Defense Waste Management Plan and are currently being implemented with logistical coordination of transportation systems and schedules for the Waste Isolation Pilot Plant (WIPP). The Stored Waste Examination Pilot Plant (SWEPP) is providing nondestructive examination and assay of retrievably stored, contact-handled TRU waste. Construction of the Process Experimental Pilot Plant (PREPP) was recently completed, and PREPP is currently undergoing system checkout. The PRFPP will provide processing capabilities for contact-handled waste not meeting WIPP-Waste Acceptance Criteria (WAC). In addition, ongoing studies and technology development efforts for managing the TRU waste such as remote-handled and buried TRU waste, are being conducted

  10. Transuranic Waste Management Program and Facilities

    International Nuclear Information System (INIS)

    Clements, T.L. Jr.; Cook, L.A.; Stallman, R.M.; Hunter, E.K.

    1986-02-01

    Since 1954, defense-generated transuranic (TRU) waste has been received at the Radioactive Waste Management Complex (RWMC) at the Idaho National Engineering Laboratory (INEL). Prior to 1970, approximately 2.2 million cubic feet of transuranic waste were buried in shallow-land trenches and pits at the RWMC. Since 1970, an additional 2.1 million cubic feet of waste have been retrievably stored in aboveground engineered confinement. A major objective of the Department of Energy (DOE) Nuclear Waste Management Program is the proper management of defense-generated transuranic waste. Strategies have been developed for managing INEL stored and buried transuranic waste. These strategies have been incorporated in the Defense Waste Management Plan and are currently being implemented with logistical coordination of transportation systems and schedules for the Waste Isolation Pilot Plant (WIPP). The Stored Waste Examination Pilot Plant (SWEPP) is providing nondestructive examination and assay of retrievably stored, contact-handled TRU waste. Construction of the Process Experimental Pilot Plant (PREPP) was recently completed, and PREPP is currently undergoing system checkout. The PREPP will provide processing capabilities for contact-handled waste not meeting WIPP-Waste Acceptance Criteria (WAC). In addition, ongoing studies and technology development efforts for managing the TRU waste such as remote-handled and buried TRU waste, are being conducted

  11. Management of tritium at nuclear facilities

    International Nuclear Information System (INIS)

    1984-01-01

    This report presents extending summaries of the works of the participants to an IAEA co-ordinated research programme, ''Handling Tritium - bearing effluents and wastes''. The subjects covered include production of tritium in nuclear power plants (mainly heavy water and light water reactors), as well as at reprocessing plants; removal and enrichment of tritium at nuclear facilities; conditioning methods and characteristics of immobilized tritium of low and high concentration; some potential methods of storage and disposal of tritium. In addition to the conclusions of this three-years work, possible activities in the field are recommended

  12. 41 CFR 102-74.15 - What are the facility management responsibilities of occupant agencies?

    Science.gov (United States)

    2010-07-01

    ... 41 Public Contracts and Property Management 3 2010-07-01 2010-07-01 false What are the facility management responsibilities of occupant agencies? 102-74.15 Section 102-74.15 Public Contracts and Property... PROPERTY 74-FACILITY MANAGEMENT Facility Management § 102-74.15 What are the facility management...

  13. Stress Managment and Health Promotion

    Directory of Open Access Journals (Sweden)

    Asghar Dadkhah

    2004-09-01

    Full Text Available Health promotion approach is utilized to address the prevention, management and early intervention for stress management and also to promote positive mental and psychological health. Stress affects everyone and must be managed effectively to reduce its chronic and deleterious effects this study consists of two sections: in first section the principals of health promotion in different human existence levels, prevention of disease related to stress, the effect of stress on human well-being, and stress management were discussed. In second section the role of rehabilitation specialists (Medical technologist, nurses, occupational therapists, physiotherapists, respiratory therapists, and social workers in stress management were counted.

  14. The Added Value of Facilities Management: Concepts, Findings and Perspectives

    DEFF Research Database (Denmark)

    expertise, the involvement in the process leading to this the book including a number of workshops, and a literature review of the development of their disciplinary fields: Facilities Management (FM), Corporate Real Estate Management (CREM) and Business to Business (B2B) Marketing. Findings: The difference...... by their particular theories and conceptual analyses, data, tools, and best practices, with a focus on respectively costs and benefits of facilities and services, alignment of corporate and public real estate to organizational objectives and organisational performance, and relationship management in market...

  15. Best practices for managing large CryoEM facilities.

    Science.gov (United States)

    Alewijnse, Bart; Ashton, Alun W; Chambers, Melissa G; Chen, Songye; Cheng, Anchi; Ebrahim, Mark; Eng, Edward T; Hagen, Wim J H; Koster, Abraham J; López, Claudia S; Lukoyanova, Natalya; Ortega, Joaquin; Renault, Ludovic; Reyntjens, Steve; Rice, William J; Scapin, Giovanna; Schrijver, Raymond; Siebert, Alistair; Stagg, Scott M; Grum-Tokars, Valerie; Wright, Elizabeth R; Wu, Shenping; Yu, Zhiheng; Zhou, Z Hong; Carragher, Bridget; Potter, Clinton S

    2017-09-01

    This paper provides an overview of the discussion and presentations from the Workshop on the Management of Large CryoEM Facilities held at the New York Structural Biology Center, New York, NY on February 6-7, 2017. A major objective of the workshop was to discuss best practices for managing cryoEM facilities. The discussions were largely focused on supporting single-particle methods for cryoEM and topics included: user access, assessing projects, workflow, sample handling, microscopy, data management and processing, and user training. Crown Copyright © 2017. Published by Elsevier Inc. All rights reserved.

  16. Development and use of a master health facility list: Haiti's experience during the 2010 earthquake response.

    Science.gov (United States)

    Rose-Wood, Alyson; Heard, Nathan; Thermidor, Roody; Chan, Jessica; Joseph, Fanor; Lerebours, Gerald; Zugaldia, Antonio; Konkel, Kimberly; Edwards, Michael; Lang, Bill; Torres, Carmen-Rosa

    2014-08-01

    Master health facility lists (MHFLs) are gaining attention as a standards-based means to uniquely identify health facilities and to link facility-level data. The ability to reliably communicate information about specific health facilities can support an array of health system functions, such as routine reporting and emergency response operations. MHFLs support the alignment of donor-supported health information systems with county-owned systems. Recent World Health Organization draft guidance promotes the utility of MHFLs and outlines a process for list development and governance. Although the potential benefits of MHFLs are numerous and may seem obvious, there are few documented cases of MHFL construction and use. The international response to the 2010 Haiti earthquake provides an example of how governments, nongovernmental organizations, and others can collaborate within a framework of standards to build a more complete and accurate list of health facilities. Prior to the earthquake, the Haitian Ministry of Health (Ministère de la Santé Publique et de la Population [MSPP]) maintained a list of public-sector health facilities but lacked information on privately managed facilities. Following the earthquake, the MSPP worked with a multinational group to expand the completeness and accuracy of the list of health facilities, including information on post-quake operational status. This list later proved useful in the response to the cholera epidemic and is now incorporated into the MSPP's routine health information system. Haiti's experience demonstrates the utility of MHFL formation and use in crisis as well as in the routine function of the health information system.

  17. Facility information management system; Shisetsu joho kanri system

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2000-01-10

    A facility management system (FMS) was developed as a tool for efficiently operating and managing building facilities and related equipment. The maintenance management data is designed to be collected through automatic formation of data base by using a work flow function and releasing the daily business from paper work. The data base thus formed can be retrieved and displayed by utilizing a network system. The plan view for construction facilities is made a minute plan comparable to the ground plan by taking in DXF type drawing data such as a completion drawing, making it a colored display for example to create an intuitive expression understandable at first sight. The plan is controlled by the level including equipment classification and is capable of superimposed display. Detailed management data is displayed by mouse clicking of registered icons, allowing required information to be readily taken out. (translated by NEDO)

  18. Case management redesign in an urban facility.

    Science.gov (United States)

    Almaden, Stefany; Freshman, Brenda; Quaye, Beverly

    2011-01-01

    To explore strategies for improving patient throughput and to redesign case management processes to facilitate level of care transitions and safe discharges. Large Urban Medical Center in South Los Angeles County, with 384 licensed beds that services poor, underserved communities. Both qualitative and quantitative methods were applied. Combined theoretical frameworks were used for needs assessment, intervention strategies, and change management. Observations, interviews, surveys, and database extraction methods were used. The sample consisted of case management staff members and several other staff from nursing, social work, and emergency department staff. Postintervention measures indicated improvement in reimbursements for services, reduction in length of stay, increased productivity, improved patients' access to care, and avoiding unnecessary readmission or emergency department visits. Effective change management strategies must consider multiple factors that influence daily operations and service delivery. Creating accountability by using performance measures associated with patient transitions is highlighted by the case study results. The authors developed a process model to assist in identifying and tracking outcome measures related to patient throughput, front-end assessments, and effective patient care transitions. This model can be used in future research to further investigate best case management practices.

  19. Managing Human Performance to Improve Nuclear Facility Operation

    International Nuclear Information System (INIS)

    2013-01-01

    One of the IAEA's statutory objectives is to 'seek to accelerate and enlarge the contribution of atomic energy to peace, health and prosperity throughout the world.' One way this objective is achieved is through the publication of a range of technical series. Two of these are the IAEA Nuclear Energy Series and the IAEA Safety Standards Series. According to Article III.A.6 of the IAEA Statute, the safety standards establish 'standards of safety for protection of health and minimization of danger to life and property'. The safety standards include the Safety Fundamentals, Safety Requirements and Safety Guides. These standards are written primarily in a regulatory style, and are binding on the IAEA for its own programmes. The principal users are the regulatory bodies in Member States and other national authorities. The IAEA Nuclear Energy Series comprises reports designed to encourage and assist R and D on, and application of, nuclear energy for peaceful uses. This includes practical examples to be used by owners and operators of utilities in Member States, implementing organizations, academia, and government officials, among others. This information is presented in guides, reports on technology status and advances, and best practices for peaceful uses of nuclear energy based on inputs from international experts. The IAEA Nuclear Energy Series complements the IAEA Safety Standards Series. IAEA Nuclear Energy Series No. NG-G-2.1, Managing Human Resources in the Field of Nuclear Energy, was published in 2009. In that publication, four interrelated objectives of the management of human resources were identified and discussed: ensuring that nuclear industry personnel have the necessary competence for their jobs; effectively organizing work activities; anticipating human resource needs; and monitoring and continually improving performance. This publication addresses the fourth objective and, in particular, summarizes good practices in the area of managing human performance

  20. Radiation risk management at DOE accelerator facilities

    International Nuclear Information System (INIS)

    Dyck, O.B. van.

    1997-01-01

    The DOE accelerator contractors have been discussing among themselves and with the Department how to improve radiation safety risk management. This activity-how to assure prevention of unplanned high exposures-is separate from normal exposure management, which historically has been quite successful. The ad-hoc Committee on the Accelerator Safety Order and Guidance [CASOG], formed by the Accelerator Section of the HPS, has proposed a risk- based approach, which will be discussed. Concepts involved are risk quantification and comparison (including with non-radiation risk), passive and active (reacting) protection systems, and probabilistic analysis. Different models of risk management will be presented, and the changing regulatory environment will also be discussed

  1. Treatment compliance and challenges among tuberculosis patients across selected health facilities in Osun State Nigeria.

    Science.gov (United States)

    Ajao, K O; Ogundun, O A; Afolabi, O T; Ojo, T O; Atiba, B P; Oguntunase, D O

    2014-12-01

    Tuberculosis (TB) is a major public health problem in the world and Africa has approximately one quarter of the world's cases. One of the greatest challenges facing most TB programmes is the non-compliance to TB treatment among TB patients. This study aimed at determining the challenges of management of tuberculosis (TB) across selected Osun State health facilities. The study employed a descriptive cross-sectional design. A semi-structured questionnaire was used to collect data from 102 TB patients in the health facilities. The instrument measured socio-demographic variables, patient related factors, socio-economic variables, health care system related factors to TB disease and treatment. Data were analysed and summarized using descriptive and inferential statistics. Statistical significance was placed at p facilities (χ2 = 21.761, p facility and patient-related factors were largely responsible.

  2. Radiation safety management system in a radioactive facility

    International Nuclear Information System (INIS)

    Amador, Zayda H.

    2008-01-01

    Full text: This paper illustrates the Cuban experience in implementing and promoting an effective radiation safety system for the Centre of Isotopes, the biggest radioactive facility of our country. Current management practice demands that an organization inculcate culture of safety in preventing radiation hazard. The aforementioned objectives of radiation protection can only be met when it is implemented and evaluated continuously. Commitment from the workforce to treat safety as a priority and the ability to turn a requirement into a practical language is also important to implement radiation safety policy efficiently. Maintaining and improving safety culture is a continuous process. There is a need to establish a program to measure, review and audit health and safety performance against predetermined standards. All those areas of the radiation protection program are considered (e.g. licensing and training of the staff, occupational exposure, authorization of the practices, control of the radioactive material, radiological occurrences, monitoring equipment, radioactive waste management, public exposure due to airborne effluents, audits and safety costs). A set of indicators designed to monitor key aspects of operational safety performance are used. Their trends over a period of time are analyzed with the modern information technologies, because this can provide an early warning to plant management for searching causes behind the observed changes. In addition to analyze the changes and trends, these indicators are compared against identified targets and goals to evaluate performance strengths and weaknesses. A structured and proper radiation self-auditing system is seen as a basic requirement to meet the current and future needs in sustainability of radiation safety. The integrated safety management system establishment has been identified as a goal and way for the continuous improvement. (author)

  3. 305 Building Cold Test Facility Management Plan

    International Nuclear Information System (INIS)

    Whitehurst, R.

    1994-01-01

    This document provides direction for the conduct of business in Building 305 for cold testing tools and equipment. The Cold Test Facility represents a small portion of the overall building, and as such, the work instructions already implemented in the 305 Building will be utilized. Specific to the Cold Test there are three phases for the tools and equipment as follows: 1. Development and feature tests of sludge/fuel characterization equipment, fuel containerization equipment, and sludge containerization equipment to be used in K-Basin. 2. Functional and acceptance tests of all like equipment to be installed and operated in K-Basin. 3. Training and qualification of K-Basin Operators on equipment to be installed and operated in the Basin

  4. STORMWATER BEST MANAGEMENT PRACTICES TEST FACILITY - SWALES

    Science.gov (United States)

    The NRMRL swale evaluation is part of a larger collection of long-term research projects that evaluates many Best Management Practices. EPA has ongoing research examining the performance of constructed wet lands, and detention and retention ponds. Other projects will evaluate ra...

  5. Saving Energy. Managing School Facilities, Guide 3.

    Science.gov (United States)

    Department for Education and Employment, London (England). Architects and Building Branch.

    This guide offers information on how schools can implement an energy saving action plan to reduce their energy costs. Various low-cost energy-saving measures are recommended covering heating levels and heating systems, electricity demand reduction and lighting, ventilation, hot water usage, and swimming pool energy management. Additional…

  6. Fire Safety. Managing School Facilities, Guide 6.

    Science.gov (United States)

    Department for Education and Employment, London (England). Architects and Building Branch.

    This booklet discusses how United Kingdom schools can manage fire safety and minimize the risk of fire. The guide examines what legislation school buildings must comply with and covers the major risks. It also describes training and evacuation procedures and provides guidance on fire precautions, alarm systems, fire fighting equipment, and escape…

  7. Design and Testing of BACRA, a Web-Based Tool for Middle Managers at Health Care Facilities to Lead the Search for Solutions to Patient Safety Incidents

    Science.gov (United States)

    Mira, José Joaquín; Vicente, Maria Asuncion; Fernandez, Cesar; Guilabert, Mercedes; Ferrús, Lena; Zavala, Elena; Silvestre, Carmen; Pérez-Pérez, Pastora

    2016-01-01

    Background Lack of time, lack of familiarity with root cause analysis, or suspicion that the reporting may result in negative consequences hinder involvement in the analysis of safety incidents and the search for preventive actions that can improve patient safety. Objective The aim was develop a tool that enables hospitals and primary care professionals to immediately analyze the causes of incidents and to propose and implement measures intended to prevent their recurrence. Methods The design of the Web-based tool (BACRA) considered research on the barriers for reporting, review of incident analysis tools, and the experience of eight managers from the field of patient safety. BACRA’s design was improved in successive versions (BACRA v1.1 and BACRA v1.2) based on feedback from 86 middle managers. BACRA v1.1 was used by 13 frontline professionals to analyze incidents of safety; 59 professionals used BACRA v1.2 and assessed the respective usefulness and ease of use of both versions. Results BACRA contains seven tabs that guide the user through the process of analyzing a safety incident and proposing preventive actions for similar future incidents. BACRA does not identify the person completing each analysis since the password introduced to hide said analysis only is linked to the information concerning the incident and not to any personal data. The tool was used by 72 professionals from hospitals and primary care centers. BACRA v1.2 was assessed more favorably than BACRA v1.1, both in terms of its usefulness (z=2.2, P=.03) and its ease of use (z=3.0, P=.003). Conclusions BACRA helps to analyze incidents of safety and to propose preventive actions. BACRA guarantees anonymity of the analysis and reduces the reluctance of professionals to carry out this task. BACRA is useful and easy to use. PMID:27678308

  8. Design and Testing of BACRA, a Web-Based Tool for Middle Managers at Health Care Facilities to Lead the Search for Solutions to Patient Safety Incidents.

    Science.gov (United States)

    Carrillo, Irene; Mira, José Joaquín; Vicente, Maria Asuncion; Fernandez, Cesar; Guilabert, Mercedes; Ferrús, Lena; Zavala, Elena; Silvestre, Carmen; Pérez-Pérez, Pastora

    2016-09-27

    Lack of time, lack of familiarity with root cause analysis, or suspicion that the reporting may result in negative consequences hinder involvement in the analysis of safety incidents and the search for preventive actions that can improve patient safety. The aim was develop a tool that enables hospitals and primary care professionals to immediately analyze the causes of incidents and to propose and implement measures intended to prevent their recurrence. The design of the Web-based tool (BACRA) considered research on the barriers for reporting, review of incident analysis tools, and the experience of eight managers from the field of patient safety. BACRA's design was improved in successive versions (BACRA v1.1 and BACRA v1.2) based on feedback from 86 middle managers. BACRA v1.1 was used by 13 frontline professionals to analyze incidents of safety; 59 professionals used BACRA v1.2 and assessed the respective usefulness and ease of use of both versions. BACRA contains seven tabs that guide the user through the process of analyzing a safety incident and proposing preventive actions for similar future incidents. BACRA does not identify the person completing each analysis since the password introduced to hide said analysis only is linked to the information concerning the incident and not to any personal data. The tool was used by 72 professionals from hospitals and primary care centers. BACRA v1.2 was assessed more favorably than BACRA v1.1, both in terms of its usefulness (z=2.2, P=.03) and its ease of use (z=3.0, P=.003). BACRA helps to analyze incidents of safety and to propose preventive actions. BACRA guarantees anonymity of the analysis and reduces the reluctance of professionals to carry out this task. BACRA is useful and easy to use.

  9. Implementing an environmental management system in a irradiation facility

    International Nuclear Information System (INIS)

    O'Doherty, James

    1998-01-01

    Environmental management is at different stages in the countries where there are commercial irradiation facilities. There are therefore differing perspectives on the role of an Environmental Management System, ranging from compliance with the Regulatory framework to a desire to be proactive. An effective Environmental Management System (EMS) facilitates compliance, while also providing the framework for assessment and improvement of a company's environmental impact and overall performance

  10. Managing LLRW from decommissioning of nuclear facilities - a Canadian perspective

    Energy Technology Data Exchange (ETDEWEB)

    Donders, R E [Atomic Energy of Canada Ltd., Chalk River, ON (Canada). Chalk River Nuclear Labs.; Hardy, D G [Frontenac Consulting Services, Deep River, ON (Canada); De, P L [Low-Level Radioactive Waste Management Office, Gloucester, ON (Canada)

    1994-03-01

    In Canada, considerable experience has been gained recently in decommissioning nuclear facilities and managing the resulting waste. This experience has raised important issues from both the decommissioning and waste management perspectives. This paper focuses on the waste management aspects of decommissioning. Past experience is reviewed, preliminary estimates of waste volumes and characteristics are provided, and the major technical and regulatory issues are discussed. (author). 5 refs., 1 tab., 2 figs.

  11. Operations management in health care.

    Science.gov (United States)

    Henderson, M D

    1995-01-01

    Health care operations encompass the totality of those health care functions that allow those who practice health care delivery to do so. As the health care industry undergoes dramatic reform, so will the jobs of those who manage health care delivery systems. Although health care operations managers play one of the most vital and substantial roles in the new delivery system, the criteria for their success (or failure) are being defined now. Yet, the new and vital role of the operations manager has been stunted in its development, which is primarily because of old and outdated antipathy between hospital administrators and physicians. This article defines the skills and characteristics of today's health care operations managers.

  12. Using Tools of Strategic Management in Medical Facilities of Lublin Region

    Directory of Open Access Journals (Sweden)

    Jaworzynska Magdalena

    2017-06-01

    Full Text Available The purpose of this article is to evaluate the use of tools of strategic management in hospitals in Lublin region. The study was conducted among 14 medical entities from the area of Lublin Voivodeship. The survey was addressed to economic directors or chief accountants of health care facilities and sent by post. The questionnaire was also helpful in conducting an in-depth interview as it provided a required structure. As part of the interviews with managers of health care facilities, information beyond the questionnaire was acquired, e.g. about the mission. According to studies, most health care facilities develop strategic plans (71.4%. For 21.4% of the studied facilities, the strategic plan is known mainly to management. In contrast, 28.6% of entities do not have a strategic plan. The presented results of the research can increase the effectiveness of activities in each area of the health care facility, continuous process improvement and rapid response to changes in the environment.

  13. Facility accident considerations in the US Department of Energy Waste Management Program

    International Nuclear Information System (INIS)

    Mueller, C.

    1994-01-01

    A principal consideration in developing waste management strategies is the relative importance of Potential radiological and hazardous releases to the environment during postulated facility accidents with respect to protection of human health and the environment. The Office of Environmental Management (EM) within the US Department of Energy (DOE) is currently formulating an integrated national program to manage the treatment, storage, and disposal of existing and future wastes at DOE sites. As part of this process, a Programmatic Environmental impact Statement (PEIS) is being prepared to evaluate different waste management alternatives. This paper reviews analyses that have been Performed to characterize, screen, and develop source terms for accidents that may occur in facilities used to store and treat the waste streams considered in these alternatives. Preliminary results of these analyses are discussed with respect to the comparative potential for significant releases due to accidents affecting various treatment processes and facility configurations. Key assumptions and sensitivities are described

  14. Does identity shape leadership and management practice? Experiences of PHC facility managers in Cape Town, South Africa.

    Science.gov (United States)

    Daire, Judith; Gilson, Lucy

    2014-09-01

    In South Africa, as elsewhere, Primary Health Care (PHC) facilities are managed by professional nurses. Little is known about the dimensions and challenges of their job, or what influences their managerial practice. Drawing on leadership and organizational theory, this study explored what the job of being a PHC manager entails, and what factors influence their managerial practice. We specifically considered whether the appointment of professional nurses as facility managers leads to an identity transition, from nurse to manager. The overall intention was to generate ideas about how to support leadership development among PHC facility managers. Adopting case study methodology, the primary researcher facilitated in-depth discussions (about their personal history and managerial experiences) with eight participating facility managers from one geographical area. Other data were collected through in-depth interviews with key informants, document review and researcher field notes/journaling. Analysis involved data triangulation, respondent and peer review and cross-case analysis. The experiences show that the PHC facility manager's job is dominated by a range of tasks and procedures focused on clinical service management, but is expected to encompass action to address the population and public health needs of the surrounding community. Managing with and through others, and in a complex system, requiring self-management, are critical aspects of the job. A range of personal, professional and contextual factors influence managerial practice, including professional identity. The current largely facility-focused management practice reflects the strong nursing identity of managers and broader organizational influences. However, three of the eight managers appear to self-identify an emerging leadership identity and demonstrate related managerial practices. Nonetheless, there is currently limited support for an identity transition towards leadership in this context. Better

  15. Facilities Management and Value Adding - The LEGO case

    DEFF Research Database (Denmark)

    Jensen, Per Anker; Katchamart, Akarapong

    on the management model for FM included in the European FM standards, recent theories on added value of FM and real estate and the related concept of Value Management from building projects. The paper outlines a preliminary theoretical based management concept, which is investigated, tested and discussed based...... on a case study of LEGO. Results: The study shows that the management model for FM creates a relevant starting point but also that stakeholder and relationship management is an essential aspect of Value Adding Management. The case study confirms the relevance of the basic concept and provides an important...... example of how Value Adding Management can be implemented and added value measured. Practical Implications: The concept of Value Adding Management is expected to increase the awareness of the impacts and strategic importance of FM for organisations and can be a practical tool for facilities managers...

  16. Process Evaluation of Communitisation Programme in Public Sector Health Facilities, Mokokchung District, Nagaland, 2015.

    Science.gov (United States)

    Tushi, Aonungdok; Kaur, Prabhdeep

    2017-01-01

    Public sector health facilities were poorly managed due to a history of conflict in Nagaland, India. Government of Nagaland introduced "Nagaland Communitisation of Public Institutions and Services Act" in 2002. Main objectives of the evaluation were to review the functioning of Health Center Managing Committees (HCMCs), deliver health services in the institutions managed by HCMC, identify strengths as well as challenges perceived by HCMC members in the rural areas of Mokokchung district, Nagaland. The evaluation was made using input, process and output indicators. A doctor, the HCMC Chairman and one member from each of the three community health centers (CHC) and four primary health centers (PHC) were surveyed using a semi-structured questionnaire and an in-depth interview guide. Proportions for quantitative data were computed and key themes from the same were identified. Overall; the infrastructure, equipment and outpatient/inpatient service availability was satisfactory. There was a lack of funds and shortage of doctors, drugs as well as laboratory facilities. HCMCs were in place and carried out administrative activities. HCMCs felt ownership, mobilized community contributions and managed human resources. HCMC members had inadequate funds for their transport and training. They faced challenges in service delivery due to political interference and lack of adequate human, material, financial resources. Communitisation program was operational in the district. HCMC members felt the ownership of health facilities. Administrative, political support and adequate funds from the government are needed for effective functioning of HCMCs and optimal service delivery in public sector facilities.

  17. Primary health care facility infrastructure and services and the ...

    African Journals Online (AJOL)

    ... Research Council ae Currently from Cape Peninsula University of Technology ... Keywords: primary health care facilities; nutritional status; children; caregivers' rural; South Africa ... underlying causes of malnutrition in children, while poor food quality, .... Information on PHC facility infrastructure and services was obtained.

  18. The Mixed Waste Management Facility. Preliminary design review

    International Nuclear Information System (INIS)

    1995-01-01

    This document presents information about the Mixed Waste Management Facility. Topics discussed include: cost and schedule baseline for the completion of the project; evaluation of alternative options; transportation of radioactive wastes to the facility; capital risk associated with incineration; radioactive waste processing; scaling of the pilot-scale system; waste streams to be processed; molten salt oxidation; feed preparation; initial operation to demonstrate selected technologies; floorplans; baseline revisions; preliminary design baseline; cost reduction; and project mission and milestones

  19. Knowledge management and information tools for building maintenance and facility management

    CERN Document Server

    Talamo, Cinzia

    2015-01-01

    This book describes the latest methods and tools for the management of information within facility management services and explains how it is possible to collect, organize, and use information over the life cycle of a building in order to optimize the integration of these services and improve the efficiency of processes. The coverage includes presentation and analysis of basic concepts, procedures, and international standards in the development and management of real estate inventories, building registries, and information systems for facility management. Models of strategic management are discussed and the functions and roles of the strategic management center, explained.  Detailed attention is also devoted to building information modeling (BIM) for facility management and potential interactions between information systems and BIM applications. Criteria for evaluating information system performance are identified, and guidelines of value in developing technical specifications for facility management service...

  20. Health physics manual of good practices for accelerator facilities

    International Nuclear Information System (INIS)

    Casey, W.R.; Miller, A.J.; McCaslin, J.B.; Coulson, L.V.

    1988-04-01

    It is hoped that this manual will serve both as a teaching aid as well as a useful adjunct for program development. In the context of application, this manual addresses good practices that should be observed by management, staff, and designers since the achievement of a good radiation program indeed involves a combined effort. Ultimately, radiation safety and good work practices become the personal responsibility of the individual. The practices presented in this manual are not to be construed as mandatory rather they are to be used as appropriate for the specific case in the interest of radiation safety. As experience is accrued and new data obtained in the application of this document, ONS will update the guidance to assure that at any given time the guidance reflects optimum performance consistent with current technology and practice.The intent of this guide therefore is to: define common health physics problems at accelerators; recommend suitable methods of identifying, evaluating, and managing accelerator health physics problems; set out the established safety practices at DOE accelerators that have been arrived at by consensus and, where consensus has not yet been reached, give examples of safe practices; introduce the technical literature in the accelerator health physics field; and supplement the regulatory documents listed in Appendix D. Many accelerator health physics problems are no different than those at other kinds of facilities, e.g., ALARA philosophy, instrument calibration, etc. These problems are touched on very lightly or not at all. Similarly, this document does not cover other hazards such as electrical shock, toxic materials, etc. This does not in any way imply that these problems are not serious. 160 refs

  1. Mixed Waste Management Facility closure at the Savannah River Site

    International Nuclear Information System (INIS)

    Bittner, M.F.

    1991-08-01

    The Mixed Waste Management Facility of the Savannah River Plant received hazardous and solid low level radioactive wastes from 1972 until 1986. Because this facility did not have a permit to receive hazardous wastes, a Resource Conservation and Recovery Act closure was performed between 1987 and 1990. This closure consisted of dynamic compaction of the waste trenches and placement of a 3-foot clay cap, a 2-foot soil cover, and a vegetative layer. Operations of the waste disposal facility, tests performed to complete the closure design, and the construction of the closure cap are discussed herein

  2. ART Attrition across Health Facilities Implementing Option B+ in Haiti.

    Science.gov (United States)

    Myrtil, Martine Pamphile; Puttkammer, Nancy; Gloyd, Stephen; Robinson, Julia; Yuhas, Krista; Domercant, Jean Wysler; Honoré, Jean Guy; Francois, Kesner

    2018-01-01

    Describing factors related to high attrition is important in order to improve the implementation of the Option B+ strategy in Haiti. We conducted a retrospective cohort study to describe the variability of antiretroviral therapy (ART) retention across health facilities among pregnant and lactating women and assess for differences in ART retention between Option B+ clients and other ART patients. There were 1989 Option B+ clients who initiated ART in 45 health facilities. The percentage of attrition varied from 9% to 81% across the facilities. The largest health facilities had 38% higher risk of attrition (relative risk [RR]: 1.38, 95% confidence interval [CI]: 1.08-1.77, P = .009). Private institutions had 18% less risk of attrition (RR: 0.82, 95% CI: 0.70-0.96, P = .020). Health facilities located in the West department and the South region had lower risk of attrition. Being on treatment in a large or public health facility or a facility located in the North region was a significant risk factor associated with high attrition among Option B+ clients. The implementation of the Option B+ strategy must be reevaluated in order to effectively eliminate mother-to-child HIV transmission.

  3. Software application for a total management of a radioactive facility

    International Nuclear Information System (INIS)

    Mirpuri, E.; Escudero, R.; Macias, M.T.; Perez, J.; Sanchez, A.; Usera, F.

    2008-01-01

    The use of radiological material and/or equipment that generate ionizing radiation is widely extended in biological research. In every laboratory there are a large variety of methods, operations, techniques, equipment, radioisotopes and users related to the work with ionizing radiation. In order to control the radioactive material, users and the whole facility a large number of documents, databases and information is necessary to be created by the manager of the Radioactivity Facility. This kind of information is characterized by a constant and persistent manipulation and includes information of great importance such as the general management of the radioactive material and waste management, exposed workers vigilance, controlled areas access, laboratory and equipment reservations, radiological inspections, etc. These activities are often complicated by the fact that the main manager of the radioactive facility is also in charge of bio-safety and working prevention issues so the documents to generate and manipulate and the procedures to develop are multiplied. A procedure to access and manage all these files is highly recommended in order to optimize the general management of the facility, avoiding loss of information, automating all the activities and allowing data necessary for control easily accessible. In this work we present a software application for a total management of the facility. This software has been developed by the collaboration of six of the most important research centers from Spain in coordination with the company 'Appize soluciones'. This is a flexible and versatile application that adapts to any specific need of every research center, providing the appropriate reports and checklist that speed up to general management and increase the ease of writing the official documents, including the Operations Book. (author)

  4. 41 CFR 102-74.10 - What is the basic facility management policy?

    Science.gov (United States)

    2010-07-01

    ... facility management policy? 102-74.10 Section 102-74.10 Public Contracts and Property Management Federal Property Management Regulations System (Continued) FEDERAL MANAGEMENT REGULATION REAL PROPERTY 74-FACILITY MANAGEMENT General Provisions § 102-74.10 What is the basic facility management policy? Executive agencies...

  5. Construction Management for Conventional Facilities of Proton Accelerator

    International Nuclear Information System (INIS)

    Kim, Jun Yeon; Cho, Jang Hyung; Cho, Sung Won

    2013-01-01

    Proton Engineering Frontier Project, puts its aim to building 100MeV 20mA linear proton accelerator which is national facility for NT, BT, IT, and future technologies, expected to boost up the national industry competitiveness. This R and D, Construction Management is in charge of the supportive works such as site selection, architecture and engineering of conventional facilities, and overall construction management. The major goals of this work are as follows: At first, architecture and engineering of conventional facilities. Second, construction management, supervision and inspection on construction of conventional facilities. Lastly, cooperation with the project host organization, Gyeongju city, for adjusting technically interrelated work during construction. In this research, We completed the basic, detail, and field changed design of conventional facilities. Acquisition of necessary construction and atomic license, radiation safety analysis, site improvement, access road construction were successfully done as well. Also, we participated in the project host related work as follows: Project host organization and site selection, construction technical work for project host organization and procedure management, etc. Consequently, we so fulfilled all of the own goals which were set up in the beginning of this construction project that we could made contribution for installing and running PEFP's developed 100MeV 20mA linear accelerator

  6. Construction Management for Conventional Facilities of Proton Accelerator

    International Nuclear Information System (INIS)

    Kim, Jun Yeon; Cho, Jin Sam; Lee, Jae Sang

    2008-05-01

    Proton Engineering Frontier Project, puts its aim to building 100MeV 20mA linear proton accelerator which is national facility for NT, BT, IT, and future technologies, expected to boost up the national industry competitiveness. This R and D, Construction Management is in charge of the supportive works as site selection, architecture and engineering of conventional facilities, and overall construction management. The major goals of this work are as follows: At first, architecture and engineering of conventional facilities. Second, construction management, audit and inspection on construction of conventional facilities. Lastly, cooperation with the project host organization for adjusting technical issues of overall construction. In this research, We reviewed the basic design and made a detail design of conventional facilities. Preparation for construction license, site improvement and access road construction is fulfilled. Also, we made the technical support for project host as follows : selection of project host organization and host site selection, construction technical work for project host organization and procedure management

  7. 10 CFR Appendix F to Part 50 - Policy Relating to the Siting of Fuel Reprocessing Plants and Related Waste Management Facilities

    Science.gov (United States)

    2010-01-01

    ... and Related Waste Management Facilities F Appendix F to Part 50 Energy NUCLEAR REGULATORY COMMISSION... Relating to the Siting of Fuel Reprocessing Plants and Related Waste Management Facilities 1. Public health... facilities for the temporary storage of highlevel radioactive wastes, may be located on privately owned...

  8. Public Health Risks from Mismanagement of Healthcare Wastes in Shinyanga Municipality Health Facilities, Tanzania

    Directory of Open Access Journals (Sweden)

    Kizito Kuchibanda

    2015-01-01

    Full Text Available The increase of healthcare facilities in Shinyanga municipality has resulted in an increase of healthcare wastes, which poses serious threats to the environment, health workers, and the general public. This research was conducted to investigate management practices of healthcare wastes in Shinyanga municipality with a view of assessing health risks to health workers and the general public. The study, which was carried out in three hospitals, involved the use of questionnaires, in-depth interview, and observation checklist. The results revealed that healthcare wastes are not quantified or segregated in all the three hospitals. Healthcare wastes at the Shinyanga Regional Referral Hospital are disposed of by on-site incineration and burning and some wastes are disposed off-site. At Kolandoto DDH only on-site burning and land disposal are practiced, while at Kambarage UHC healthcare solid wastes are incinerated, disposed of on land disposal, and burned. Waste management workers do not have formal training in waste management techniques and the hospital administrations pay very little attention to appropriate management of healthcare wastes. In light of this, it is evident that management of healthcare solid wastes is not practiced in accordance with the national and WHO’s recommended standards.

  9. Længerevarende samarbejder inden for Facilities Management

    DEFF Research Database (Denmark)

    Storgaard, Kresten; Friis, Freja

    Længerevarende strategiske samarbejde er interessant, fordi det anses for en måde at fremme produktivitet og forretning for både kunder og leverandører. I rapportenfremlægges resultaterne fra en caseanalyse blandt leverandører og købere af Facilities Management.......Længerevarende strategiske samarbejde er interessant, fordi det anses for en måde at fremme produktivitet og forretning for både kunder og leverandører. I rapportenfremlægges resultaterne fra en caseanalyse blandt leverandører og købere af Facilities Management....

  10. Facilities Management a new strategy at CERN

    CERN Document Server

    Nonis, M; CERN. Geneva. ST Division

    2002-01-01

    Starting from 2002, the management of all the tertiary infrastructure of CERN in charge of ST Division shall be carried out through a single Contractor; this includes both maintenance activities on the buildings and their technical installations, and general services such as security, cleaning, gardening, and waste disposal. At present, all these activities are carried out by external contractors via several different contracts. The major purposes of the unification in one single contract is to transfer the coordination tasks of the contracts thus reducing the direct control operation costs, release internal resources in order to be better focused on the core business of the Division and the reduction of the costs of each activity by taking profit of the synergies among the different services. The authors will thoroughly report on the main aspects related to this new contract, focusing their attention in particular to the result oriented strategy through a Service Level Agreement, the key performance indicato...

  11. History of health studies around nuclear facilities: a methodologival consideration

    International Nuclear Information System (INIS)

    Tokuhata, G.K.; Smith, M.W.

    1981-01-01

    A brief historical review was made of low-level radiation studies for general populations living around nuclear facilities. In addition, technical and methodological problems were identified and discussed which often arise in all epidemiological studies designed to determine the possible health effects of low-level radiation released from nuclear facilities. Need for extremely large populations for prospective cancer studies was discussed, but accompanying ascertainment difficulties were also emphasized. More epidemiological studies are needed to provide adequate assessment of the potential health hazards of nuclear facilities

  12. Application of the Management System for Facilities and Activities. Safety Guide

    International Nuclear Information System (INIS)

    2009-01-01

    This publication provides guidance for following the requirements for management systems that integrate safety, health, security, quality assurance and environmental objectives. A successful management system ensures that nuclear safety matters are not dealt with in isolation but are considered within the context of all these objectives. The aim of this publication is to assist Member States to establish and implement effective management systems that coherently integrate all aspects of managing nuclear facilities and activities. Contents: 1. Introduction; 2. Management system; 3. Management responsibility; 4. Resource management; 5. Process implementation; 6. Measurement, assessment and improvement; Appendix I: Transition to an integrated management system; Appendix II: Activities in the document control process; Appendix III: Activities in the procurement process; Appendix IV: Performance of independent assessments; Annex I: Electronic document management system; Annex II: Media for record storage; Annex III: Record retention and storage; Glossary.

  13. Operational experiences and upgradation of waste management facilities Trombay, India

    International Nuclear Information System (INIS)

    Chander, Mahesh; Bodke, S.B.; Bansal, N.K.

    2001-01-01

    Full text: Waste Management Facilities Trombay provide services for the safe management of radioactive wastes generated from the operation of non power sources at Bhabha Atomic Research Centre, India. The paper describes in detail the current operational experience and facility upgradation by way of revamping of existing processes equipment and systems and augmentation of the facility by way of introducing latest processes and technologies to enhance the safety. Radioactive wastes are generated from the operation of research reactors, fuel fabrication, spent fuel reprocessing, research labs. manufacture of sealed sources and labeled compounds. Use of radiation sources in the field of medical, agriculture and industry also leads to generation of assorted solid waste and spent sealed radiation sources which require proper waste management. Waste Management Facilities Trombay comprise of Effluent Treatment Plant (ETP), Decontamination Centre (DC) and Radioactive Solid Waste Management Site (RSMS). Low level radioactive liquid effluents are received at ETP. Plant has 100 M 3 /day treatment capacity. Decontamination of liquid effluents is effected by chemical treatment method using co- precipitation as a process. Plant has 1800 M 3 of storage capacity. Chemical treatment system comprises of clarifloculator, static mixer and chemical feed tanks. Plant has concentrate management facility where chemical sludge is centrifuged to effect volume reduction of more that 15. Thickened sludge is immobilized in cement matrix. Decontamination Centre caters to the need of equipment decontamination from research reactors. Process used is ultrasonic chemical decontamination. Besides this DC provides services for decontamination of protective wears. Radioactive Solid Waste Management Site is responsible for the safe management of solid waste generated at various research reactors, plants, laboratories in Bhabha Atomic Research Centre. Spent sealed radiation sources are also stored

  14. Improving primary health care facility performance in Ghana: efficiency analysis and fiscal space implications.

    Science.gov (United States)

    Novignon, Jacob; Nonvignon, Justice

    2017-06-12

    and public facilities. There is need for primary health facility managers to improve productivity via effective and efficient resource use. Efforts to improve efficiency should focus on training health workers and improving facility environment alongside effective monitoring and evaluation exercises.

  15. Can contracted out health facilities improve access, equity, and quality of maternal and newborn health services? Evidence from Pakistan.

    Science.gov (United States)

    Zaidi, Shehla; Riaz, Atif; Rabbani, Fauziah; Azam, Syed Iqbal; Imran, Syeda Nida; Pradhan, Nouhseen Akber; Khan, Gul Nawaz

    2015-11-25

    The case of contracting out government health services to non-governmental organizations (NGOs) has been weak for maternal, newborn, and child health (MNCH) services, with documented gains being mainly in curative services. We present an in-depth assessment of the comparative advantages of contracting out on MNCH access, quality, and equity, using a case study from Pakistan. An end-line, cross-sectional assessment was conducted of government facilities contracted out to a large national NGO and government-managed centres serving as controls, in two remote rural districts of Pakistan. Contracting out was specific for augmenting MNCH services but without contractual performance incentives. A household survey, a health facility survey, and focus group discussions with client and spouses were used for assessment. Contracted out facilities had a significantly higher utilization as compared to control facilities for antenatal care, delivery, postnatal care, emergency obstetric care, and neonatal illness. Contracted facilities had comparatively better quality of MNCH services but not in all aspects. Better household practices were also seen in the district where contracting involved administrative control over outreach programs. Contracting was also faced with certain drawbacks. Facility utilization was inequitably higher amongst more educated and affluent clients. Contracted out catchments had higher out-of-pocket expenses on MNCH services, driven by steeper transport costs and user charges for additional diagnostics. Contracting out did not influence higher MNCH service coverage rates across the catchment. Physical distances, inadequate transport, and low demand for facility-based care in non-emergency settings were key client-reported barriers. Contracting out MNCH services at government health facilities can improve facility utilization and bring some improvement in  quality of services. However, contracting out of health facilities is insufficient to increase

  16. Health Applications for Corporate Health Management.

    Science.gov (United States)

    Steigner, Guido; Doarn, Charles R; Schütte, Michael; Matusiewicz, David; Thielscher, Christian

    2017-05-01

    Many corporate organizations around the world are looking at new ways to improve the health and well-being of their employees. Many have begun to use m-health approaches and unique applications (apps) to provide assistance. In Germany, both m-health and occupational health management (OHM) are growing quickly. Therefore, we hypothesized that the combination-apps usage in OHM-is growing as well. We studied the usage of health apps in large corporations for health management of employed individuals. To understand the environment in Germany, a two-part study was conducted. First, an extensive literature search was done and second, interviews were conducted with 12 of the 20 biggest companies' health management representatives. Using key search terms, 5,445 peer-reviewed journal articles traced with German databases and on PubMed were reviewed. Interestingly and somewhat surprising to the authors, none of them covered our specific topic. Interviews were conducted with 60% of the companies indicated. Only 3 out of 12 companies use apps. Four companies are piloting apps. With one exception, apps cover well-known areas such as food coaching, physical motion, smoking cessation, stress prevention, and other health-related subjects. One app used sensors in work clothing to prevent unhealthy motion. With a few exceptions, there has been no evaluation of the utility and utilization of apps. Current app usage in corporate health management in Germany is surprisingly low. Apps need to be better evaluated. Main obstacles-which could be resolved in the future-are legal restrictions (especially on data security), the lack of company-owned smart phones, misfit of apps and corporate health strategy, a lack of app evaluation, and high app prices.

  17. INFRASTRUCTURE FACILITIES FOR MONITORING AND INTELLECTUAL ROAD TRAFFIC MANAGEMENT

    Directory of Open Access Journals (Sweden)

    G. Belov

    2014-10-01

    Full Text Available Review of automatic management of road traffic technologies in major cities of Ukraine is carried out in the given article. Priority directions of studies are determined for producing modern and perspective technologies in the given area. The facilities for monitoring and intelligence management of the road traffic on the basis of the programmed logical controller, using the device of fuzzy logic are considered.

  18. Biosecurity measures in 48 isolation facilities managing highly infectious diseases.

    Science.gov (United States)

    Puro, Vincenzo; Fusco, Francesco M; Schilling, Stefan; Thomson, Gail; De Iaco, Giuseppina; Brouqui, Philippe; Maltezou, Helena C; Bannister, Barbara; Gottschalk, René; Brodt, Hans-Rheinhard; Ippolito, Giuseppe

    2012-06-01

    Biosecurity measures are traditionally applied to laboratories, but they may also be usefully applied in highly specialized clinical settings, such as the isolation facilities for the management of patients with highly infectious diseases (eg, viral hemorrhagic fevers, SARS, smallpox, potentially severe pandemic flu, and MDR- and XDR-tuberculosis). In 2009 the European Network for Highly Infectious Diseases conducted a survey in 48 isolation facilities in 16 European countries to determine biosecurity measures for access control to the facility. Security personnel are present in 39 facilities (81%). In 35 facilities (73%), entrance to the isolation area is restricted; control methods include electronic keys, a PIN system, closed-circuit TV, and guards at the doors. In 25 facilities (52%), identification and registration of all staff entering and exiting the isolation area are required. Access control is used in most surveyed centers, but specific lacks exist in some facilities. Further data are needed to assess other biosecurity aspects, such as the security measures during the transportation of potentially contaminated materials and measures to address the risk of an "insider attack."

  19. Dismantlement and Radioactive Waste Management of DPRK Nuclear Facilities

    Energy Technology Data Exchange (ETDEWEB)

    Jooho, W.; Baldwin, G. T.

    2005-04-01

    One critical aspect of any denuclearization of the Democratic People’s Republic of Korea (DPRK) involves dismantlement of its nuclear facilities and management of their associated radioactive wastes. The decommissioning problem for its two principal operational plutonium facilities at Yongbyun, the 5MWe nuclear reactor and the Radiochemical Laboratory reprocessing facility, alone present a formidable challenge. Dismantling those facilities will create radioactive waste in addition to existing inventories of spent fuel and reprocessing wastes. Negotiations with the DPRK, such as the Six Party Talks, need to appreciate the enormous scale of the radioactive waste management problem resulting from dismantlement. The two operating plutonium facilities, along with their legacy wastes, will result in anywhere from 50 to 100 metric tons of uranium spent fuel, as much as 500,000 liters of liquid high-level waste, as well as miscellaneous high-level waste sources from the Radiochemical Laboratory. A substantial quantity of intermediate-level waste will result from disposing 600 metric tons of graphite from the reactor, an undetermined quantity of chemical decladding liquid waste from reprocessing, and hundreds of tons of contaminated concrete and metal from facility dismantlement. Various facilities for dismantlement, decontamination, waste treatment and packaging, and storage will be needed. The shipment of spent fuel and liquid high level waste out of the DPRK is also likely to be required. Nuclear facility dismantlement and radioactive waste management in the DPRK are all the more difficult because of nuclear nonproliferation constraints, including the call by the United States for “complete, verifiable and irreversible dismantlement,” or “CVID.” It is desirable to accomplish dismantlement quickly, but many aspects of the radioactive waste management cannot be achieved without careful assessment, planning and preparation, sustained commitment, and long

  20. Facility management progettare, misurare, gestire e remunerare i servizi

    CERN Document Server

    Tronconi, Oliviero

    2014-01-01

    Il valore aggiunto del Facility Management consiste in una nuova dimensione e importanza dell'organizzazione: quella del fornitore che si affianca all'azienda/cliente per supportarla e risolvere qualsiasi problema inerente ai suoi diversi servizi/bisogni. Questo valore deriva da una maggior capacità di coordinamento e gestione del fornitore/partner e da una più elevata motivazione e qualità professionale delle risorse impiegate. Ma il contributo più significativo risiede della capacità di incrementare la qualità delle informazioni e, quindi, la conoscenza sui processi attuati e sui risultati raggiunti. Il Facility Management è, nella sua accezione più evoluta, il passaggio dal "fare artigianale" alla "gestione delle informazioni che sono causa ed effetto del fare". Una gestione sistematica che deve originare un più alto livello di conoscenza dei processi e che costituisce l'essenza, il nucleo fondamentale del Facility Management. Nella chiave di lettura proposta dal volume, il Facility Management è ...

  1. Information Technology in Facilities Management - A Literature Review

    DEFF Research Database (Denmark)

    Ebbesen, Poul

    2015-01-01

    Purpose : The aim of this paper is to present the state of the art of research in Information Technology (IT) in Facilities Management (FM). Background : Initial studies indicate that investments into IT in FM often do not add the expected value, neither to the FM department itself nor...

  2. Innovation process and innovativeness of facility management organizations

    NARCIS (Netherlands)

    Mudrak, T.; Wagenberg, van A.F.; Wubben, E.F.M.

    2005-01-01

    Purpose - The innovation patterns and processes in facility management (FM) organizations are crucial for the development of FM as a discipline, but they are not yet fully explored and understood. This paper aims to clarify FM innovation from the perspective of innovation processes and the

  3. Stocking the Toolbox: Ideas for Successful Facility Management

    Science.gov (United States)

    Gadzikowski, Ann

    2005-01-01

    From snow removal to dishwasher repair, from pest control to playground renovations, there are countless demands on a child care director's time and attention. A child care director is required to juggle a wide variety of roles and expectations related to facility management, often with very little training or expertise in this area. Some child…

  4. Nye udbudsformer og partnerskaber inden for Facilities Management

    DEFF Research Database (Denmark)

    Jensen, Per Anker

    2010-01-01

    I de senere år er der sket en stærk udvikling af nye udbuds- og samarbejdsformer inden for Facilities Management (FM). Velkendte eksempler er Offentlig-Private Partnerskaber (OPP ), hvor der sammen med FM-ydelser over typisk 30 år også indgår levering og finansiering af en bygning og ESCO (Energy...

  5. De ontwikkeling van bedrijfskundige kennis in het vakgebied facility management

    NARCIS (Netherlands)

    Keizer, J.A.; Vosselman, E.G.J.

    1994-01-01

    Afgezien van een onlangs gestarte postdoctorale opleiding voor Facility Management in Eindhoven blijft het wetenschappelijk onderwijs in deze sector tot op heden ver achter. In dit artikel wordt een aantal ideeën uitgewerkt voor het intensiveren van de onderzoeksinspanningen op het terrein van

  6. Adding Value to Facilities Management with Information Technology

    DEFF Research Database (Denmark)

    Ebbesen, Poul

    2016-01-01

    This PhD project investigates implementation and use of Information Systems (IS) and Information Technologies (IT) in the Facilities management (FM) business domain. This investigation is relevant because implementation and use of IS/IT in FM has potentials for improvements which can provide...

  7. Community management and sustainability of rural water facilities in Tanzania

    NARCIS (Netherlands)

    Mandara, C.G.; Butijn, C.A.A.; Niehof, Anke

    2013-01-01

    This paper addresses the question of whether community management in water service delivery affects the sustainability of rural water facilities (RWFs) at village level, in terms of their technical and managerial aspects, and what role capacity building of users and providers plays in this process.

  8. Using Executive Information Systems to Manage Capital Projects and Facilities.

    Science.gov (United States)

    Kaynor, Robert

    1993-01-01

    In higher education, facilities data are essential for long-term capital and financial planning and for testing assumptions underlying anticipated policy change. Executive information systems should incorporate life-cycle considerations (planning, construction, renovation, and management) and resource linkages (describing interrelationships of…

  9. Ureterolithiasis: Management in an environment with limited facilities

    African Journals Online (AJOL)

    Background: In the past 2–3 decades, there has been a dramatic development in the techniques of stone removal. This study highlights the management of symptomatic ureteral stones in an environment without such facilities. Materials and Methods: Sixty‑nine patients, comprising 53 (76.8%) males and 16 (23.2%) females ...

  10. The ATF [Advanced Toroidal Facility] Data Management System: [Final report

    International Nuclear Information System (INIS)

    Kannan, K.L.; Baylor, L.R.

    1987-01-01

    The Advanced Toroidal Facility (ATF) Data Management System (DMG) is a VAX-based software system that provides unified data access for ATF data acquisition and analysis. The system was designed with user accessibility, software maintainability, and extensibility as primary goals. This paper describes the layered architecture of the system design, the system implementation, use, and the data file structure. 3 refs., 1 fig

  11. 41 CFR 102-72.40 - What are facility management delegations?

    Science.gov (United States)

    2010-07-01

    ... 41 Public Contracts and Property Management 3 2010-07-01 2010-07-01 false What are facility management delegations? 102-72.40 Section 102-72.40 Public Contracts and Property Management Federal Property... AUTHORITY Delegation of Authority § 102-72.40 What are facility management delegations? Facility management...

  12. 41 CFR 102-192.135 - Must we have a mail center manager at our facility?

    Science.gov (United States)

    2010-07-01

    ... center manager at our facility? 102-192.135 Section 102-192.135 Public Contracts and Property Management... PROGRAMS 192-MAIL MANAGEMENT Mail Center Manager Requirements § 102-192.135 Must we have a mail center manager at our facility? Yes, every facility that has more than two full time people dedicated to...

  13. prevalence and correlates of utilization of health facilities in ...

    African Journals Online (AJOL)

    Musumali

    2007-10-11

    Oct 11, 2007 ... of the expectant women did not deliver at a health facility ... health service utilization for childbirth such as education5-8, maternal age 3,6, parity6,8, economic status7, cultural factors and beliefs, lack of skilled staff at primary.

  14. 42 CFR 476.78 - Responsibilities of health care facilities.

    Science.gov (United States)

    2010-10-01

    ... SERVICES (CONTINUED) QUALITY IMPROVEMENT ORGANIZATIONS UTILIZATION AND QUALITY CONTROL REVIEW Review Responsibilities of Utilization and Quality Control Quality Improvement Organizations (QIOs) General Provisions... 42 Public Health 4 2010-10-01 2010-10-01 false Responsibilities of health care facilities. 476.78...

  15. 42 CFR 476.76 - Cooperation with health care facilities.

    Science.gov (United States)

    2010-10-01

    ... SERVICES (CONTINUED) QUALITY IMPROVEMENT ORGANIZATIONS UTILIZATION AND QUALITY CONTROL REVIEW Review Responsibilities of Utilization and Quality Control Quality Improvement Organizations (QIOs) General Provisions... 42 Public Health 4 2010-10-01 2010-10-01 false Cooperation with health care facilities. 476.76...

  16. Conceptual development of a test facility for spent fuel management

    Energy Technology Data Exchange (ETDEWEB)

    Park, S.W.; Lee, H.H.; Lee, J.Y.; Lee, J.S.; Ro, S.G. [Korea Atomic Energy Research Institute, Taejon (Korea, Republic of)

    1997-12-31

    Spent fuel management is an important issue for nuclear power program, requiring careful planning and implementation. With the wait-and-see policy on spent fuel management in Korea, research efforts are directed at KAERI to develop advanced technologies for safer and more efficient management of the accumulating spent fuels. In support of these research perspectives, a test facility of pilot scale is being developed with provisions for integral demonstration of a multitude of technical functions required for spent fuel management. The facility, baptized SMART (Spent fuel MAnagement technology Research and Test facility), is to be capable of handling full size assembly of spent PWR fuel (as well as CANDU fuel) with a maximum capacity of 10 MTU/y (about 24 assemblies of PWR type). Major functions of the facility are consolidation of spent PWR fuel assembly into a half-volume package and optionally transformation of the fuel rod into a fuel of CANDU type (called DUPIC). Objectives of these functions are to demonstrate volume reduction of spent fuel (for either longer-term dry storage or direct disposal ) in the former case and direct refabrication of the spent PWR fuel into CANDU-type DUPIC fuel for reuse in CANDU reactors in the latter case, respectively. In addition to these major functions, there are other associated technologies to be demonstrated : such as waste treatment, remote maintenance, safeguards, etc. As the facility is to demonstrate not only the functional processes but also the safety and efficiency of the test operations, engineering criteria equivalent to industrial standards are incorporated in the design concept. The hot cell structure enclosing the radioactive materials is configured in such way to maximize costs within the given functional and operational requirements. (author). 3 tabs., 4 figs.

  17. Conceptual development of a test facility for spent fuel management

    International Nuclear Information System (INIS)

    Park, S.W.; Lee, H.H.; Lee, J.Y.; Lee, J.S.; Ro, S.G.

    1997-01-01

    Spent fuel management is an important issue for nuclear power program, requiring careful planning and implementation. With the wait-and-see policy on spent fuel management in Korea, research efforts are directed at KAERI to develop advanced technologies for safer and more efficient management of the accumulating spent fuels. In support of these research perspectives, a test facility of pilot scale is being developed with provisions for integral demonstration of a multitude of technical functions required for spent fuel management. The facility, baptized SMART (Spent fuel MAnagement technology Research and Test facility), is to be capable of handling full size assembly of spent PWR fuel (as well as CANDU fuel) with a maximum capacity of 10 MTU/y (about 24 assemblies of PWR type). Major functions of the facility are consolidation of spent PWR fuel assembly into a half-volume package and optionally transformation of the fuel rod into a fuel of CANDU type (called DUPIC). Objectives of these functions are to demonstrate volume reduction of spent fuel (for either longer-term dry storage or direct disposal ) in the former case and direct refabrication of the spent PWR fuel into CANDU-type DUPIC fuel for reuse in CANDU reactors in the latter case, respectively. In addition to these major functions, there are other associated technologies to be demonstrated : such as waste treatment, remote maintenance, safeguards, etc. As the facility is to demonstrate not only the functional processes but also the safety and efficiency of the test operations, engineering criteria equivalent to industrial standards are incorporated in the design concept. The hot cell structure enclosing the radioactive materials is configured in such way to maximize costs within the given functional and operational requirements. (author). 3 tabs., 4 figs

  18. Public health financial management competencies.

    Science.gov (United States)

    Honoré, Peggy A; Costich, Julia F

    2009-01-01

    The absence of appropriate financial management competencies has impeded progress in advancing the field of public health finance. It also inhibits the ability to professionalize this sector of the workforce. Financial managers should play a critical role by providing information relevant to decision making. The lack of fundamental financial management knowledge and skills is a barrier to fulfilling this role. A national expert committee was convened to examine this issue. The committee reviewed standards related to financial and business management practices within public health and closely related areas. Alignments were made with national standards such as those established for government chief financial officers. On the basis of this analysis, a comprehensive set of public health financial management competencies was identified and examined further by a review panel. At a minimum, the competencies can be used to define job descriptions, assess job performance, identify critical gaps in financial analysis, create career paths, and design educational programs.

  19. Guidelines for operator competence - Optimising facility management processes; Leitfaden Betreiberkompetenz. Schritt fuer Schritt Facility Management Prozesse optimieren

    Energy Technology Data Exchange (ETDEWEB)

    Moser, R

    2005-06-15

    This brochure issued by IFMA (International Facility Management Association) Switzerland and the Swiss Federal Office of Energy (SFOE) presents interactive guidelines for energy management in the area of facility management. These guidelines are based on the results of a project carried out by the International Energy Agency's Annex 40 'Operator competence'. The guidelines provide a step-by-step guide from initial analysis through to successful project completion and answer many questions that may crop up during the process. The focus is placed on energy aspects. Tools and 14 sample process descriptions are provided along with practical examples. Theoretical aspects are also presented and discussed, including models for operator roles and the processes involved. Also, change, risk and knowledge management are examined. Notes and information on possibilities for further education are presented.

  20. Guidelines for operator competence - Optimising facility management processes; Leitfaden Betreiberkompetenz. Schritt fuer Schritt Facility Management Prozesse optimieren

    Energy Technology Data Exchange (ETDEWEB)

    Moser, R.

    2005-06-15

    This brochure issued by IFMA (International Facility Management Association) Switzerland and the Swiss Federal Office of Energy (SFOE) presents interactive guidelines for energy management in the area of facility management. These guidelines are based on the results of a project carried out by the International Energy Agency's Annex 40 'Operator competence'. The guidelines provide a step-by-step guide from initial analysis through to successful project completion and answer many questions that may crop up during the process. The focus is placed on energy aspects. Tools and 14 sample process descriptions are provided along with practical examples. Theoretical aspects are also presented and discussed, including models for operator roles and the processes involved. Also, change, risk and knowledge management are examined. Notes and information on possibilities for further education are presented.

  1. Adaptive management: a paradigm for remediation of public facilities

    Energy Technology Data Exchange (ETDEWEB)

    Janecky, David R [Los Alamos National Laboratory; Whicker, Jeffrey J [Los Alamos National Laboratory; Doerr, Ted B [NON LANL

    2009-01-01

    Public facility restoration planning traditionally focused on response to natural disasters and hazardous materials accidental releases. These plans now need to integrate response to terrorist actions. Therefore, plans must address a wide range of potential vulnerabilities. Similar types of broad remediation planning are needed for restoration of waste and hazardous material handling areas and facilities. There are strong similarities in damage results and remediation activities between unintentional and terrorist actions; however, the uncertainties associated with terrorist actions result in a re-evaluation of approaches to planning. Restoration of public facilities following a release of a hazardous material is inherently far more complex than in confined industrial settings and has many unique technical, economic, social, and political challenges. Therefore, they arguably involve a superset of drivers, concerns and public agencies compared to other restoration efforts. This superset of conditions increases complexity of interactions, reduces our knowledge of the initial conditions, and even condenses the timeline for restoration response. Therefore, evaluations of alternative restoration management approaches developed for responding to terrorist actions provide useful knowledge for large, complex waste management projects. Whereas present planning documents have substantial linearity in their organization, the 'adaptive management' paradigm provides a constructive parallel operations paradigm for restoration of facilities that anticipates and plans for uncertainty, multiple/simUltaneous public agency actions, and stakeholder participation. Adaptive management grew out of the need to manage and restore natural resources in highly complex and changing environments with limited knowledge about causal relationships and responses to restoration actions. Similarities between natural resource management and restoration of a facility and surrounding area

  2. Adaptive Management: A Paradigm for Remediation of Public Facilities

    International Nuclear Information System (INIS)

    Janecky, D.R.; Whicker, J.J.; Doerr, T.B.

    2009-01-01

    Public facility restoration planning traditionally focused on response to natural disasters and hazardous materials accidental releases. These plans now need to integrate response to terrorist actions. Therefore, plans must address a wide range of potential vulnerabilities. Similar types of broad remediation planning are needed for restoration of waste and hazardous material handling areas and facilities. There are strong similarities in damage results and remediation activities between unintentional and terrorist actions; however, the uncertainties associated with terrorist actions result in a re-evaluation of approaches to planning. Restoration of public facilities following a release of a hazardous material is inherently far more complex than in confined industrial settings and has many unique technical, economic, social, and political challenges. Therefore, they arguably involve a superset of drivers, concerns and public agencies compared to other restoration efforts. This superset of conditions increases complexity of interactions, reduces our knowledge of the initial conditions, and even condenses the timeline for restoration response. Therefore, evaluations of alternative restoration management approaches developed for responding to terrorist actions provide useful knowledge for large, complex waste management projects. Whereas present planning documents have substantial linearity in their organization, the 'adaptive management' paradigm provides a constructive parallel operations paradigm for restoration of facilities that anticipates and plans for uncertainty, multiple/simultaneous public agency actions, and stakeholder participation. Adaptive management grew out of the need to manage and restore natural resources in highly complex and changing environments with limited knowledge about causal relationships and responses to restoration actions. Similarities between natural resource management and restoration of a facility and surrounding area(s) after a

  3. Management support and perceived consumer satisfaction in skilled nursing facilities.

    Science.gov (United States)

    Metlen, Scott; Eveleth, Daniel; Bailey, Jeffrey J

    2005-08-01

    How managers 'manage' employees influences important firm outcomes. Heskett, Sasser, and Schlesinger contend that the level of internal support for service workers will influence consumer satisfaction. This study empirically explores how skilled nursing facility (SNF) managers affect consumer satisfaction by encouraging employee effectiveness and listening to employees to determine how to improve employee effectiveness. We extend previous research by proposing management as a form of internal support and demonstrating its relationship to service process integration, as a distinct form of internal support. The results of our individual-level investigation of 630 nursing assistants from 45 SNFs provide support for our two-part hypothesis. First, active management support and process integration, as elements of internal support, do lead to increased employee satisfaction and employee effectiveness. Second, the increased employee satisfaction and effectiveness was positively related to consumer satisfaction, as evaluated by the service workers. Thus, there is a positive influence of management's internal support of nursing assistants on perceived consumer satisfaction.

  4. SNL/CA Facilities Management Design Standards Manual

    Energy Technology Data Exchange (ETDEWEB)

    Rabb, David [Sandia National Lab. (SNL-CA), Livermore, CA (United States); Clark, Eva [Sandia National Lab. (SNL-CA), Livermore, CA (United States)

    2014-12-01

    At Sandia National Laboratories in California (SNL/CA), the design, construction, operation, and maintenance of facilities is guided by industry standards, a graded approach, and the systematic analysis of life cycle benefits received for costs incurred. The design of the physical plant must ensure that the facilities are "fit for use," and provide conditions that effectively, efficiently, and safely support current and future mission needs. In addition, SNL/CA applies sustainable design principles, using an integrated whole-building design approach, from site planning to facility design, construction, and operation to ensure building resource efficiency and the health and productivity of occupants. The safety and health of the workforce and the public, any possible effects on the environment, and compliance with building codes take precedence over project issues, such as performance, cost, and schedule.

  5. Development of a Commonwealth Radioactive Waste Management Facility in Australia

    International Nuclear Information System (INIS)

    Hesterman, R.

    2006-01-01

    Full text: The Australian Government has commenced a process to build a Commonwealth Radioactive Waste Management Facility in the Northern Territory for management of radioactive wastes produced by Australian Government agencies. The Government is committed to safely managing its relatively small volume of low level radioactive waste (approximately 3800 cubic metres) and even smaller volume of intermediate level waste (around 400 cubic metres) that have been generated since the early 1950s from the research, medical and industrial use of radioactive materials. Australia has no high level radioactive waste as it does not have any nuclear power reactors. Australian states and territories are responsible for the safe and secure management of low level and intermediate level waste generated within their jurisdictions. They have jointly generated approximately 200 cubic metres of low level radioactive waste and under 100 cubic metres of intermediate level for the same period. In July 2004, the Prime Minister announced that the Australian Government would examine the suitability of Commonwealth land holdings, both onshore and offshore, for establishing the Facility. An initial assessment of offshore territories by the Department of Education, Science and Training (DEST) did not find any sufficiently suitable sites for hosting the Facility. This was due to the low elevation of most territories, inadequate infrastructure and incompatibility with existing land uses. In July 2005, Dr Nelson, then the Minister for Education, Science and Training, announced that three Department of Defence properties in the Northern Territory would be investigated for siting the Facility. The three properties are Fishers Ridge, about 43 kilometres southeast of Katherine; Harts Range, 100 kilometres directly northeast of Alice Springs; and Mt Everard, about 27 kilometres directly northwest of Alice Springs. In addition, the Commonwealth Radioactive Waste Management Act 2005, enacted in December

  6. Hydrologic management at the Hanford nuclear waste facility

    International Nuclear Information System (INIS)

    Deju, R.A.; Gephart, R.E.

    1975-05-01

    Since 1944 the Hanford Reservation, located in south-central Washington, has been a site for radioactive waste storage and disposal. Many Hanford research programs are directed toward minimizing and managing the release of radionuclides into the environment. Hydrologic management of the Hanford facility involves such activities as regional and local geohydrologic characterization studies, environmental monitoring, groundwater management, and specific hydrologic research programs. This paper briefly examines each of these activities and reviews the progress to date in understanding the hydrologic flow regime existing beneath the Reservation. (U.S.)

  7. An evaluation related to the effect of strategic facility management on choice of medical tourism destination

    Directory of Open Access Journals (Sweden)

    Tarcan Ertugrul

    2015-01-01

    Full Text Available This study based on literature review aims to evaluate and emphasize the affect of the strategic facility management (SFM on choice of medical tourism destination. Medical Tourism, which ranges from the health care services involving a cure to the wellness services involving no specific health trouble to pleasure and amusement services, is one of the most growing sectors in the world. Cost and quality of medical services are among the main reasons for the choice of destination. Strategic facility management has a positive correlation on the levels of quality, cost and customer satisfaction. Thus medical tourism and destination managers should take into account of the potential advantages of value creation offered through SFM in order to be chosen by customers (stakeholders.

  8. Sound & Vibration 20 Design Guidelines for Health Care Facilities

    CERN Document Server

    Tocci, Gregory; Cavanaugh, William

    2013-01-01

    Sound, vibration, noise and privacy have significant impacts on health and performance. As a result, they are recognized as essential components of effective health care environments. However, acoustics has only recently become a prominent consideration in the design, construction, and operation of healthcare facilities owing to the absence, prior to 2010, of clear and objective guidance based on research and best practices. Sound & Vibration 2.0 is the first publication to comprehensively address this need. Sound & Vibration 2.0 is the sole reference standard for acoustics in health care facilities and is recognized by: the 2010 FGI Guidelines for the Design and Construction of Health Care Facilities (used in 60 countries); the US Green Building Council’s LEED for Health Care (used in 87 countries); The Green Guide for Health Care V2.2; and the International Code Council (2011). Sound & Vibration 2.0 was commissioned by the Facility Guidelines Institute in 2005, written by the Health Care Acous...

  9. Computerized health physics record system at a Canadian fabrication facility

    International Nuclear Information System (INIS)

    Thind, K.S.

    1984-01-01

    This poster session will describe the types of Health Physics data input into a Hewlett-Packard 3000 computer. The Health Physics data base at this facility includes the following: employee hours data, airborne uranium concentrations, external dosemetry (badge readings), internal dosemetry (bioassay) and environmental health physics (stack sample results) data. It will describe the types of outputs achievable in the form of various reports, such as: individual employee health physics report for a given period, a general health physics summary report for a given period, individual urinalysis report, local air concentration report and graphs. The use of this computerized health physics record system in the overall radiation protection program at this facility is discussed

  10. Implementing an Open Source Electronic Health Record System in Kenyan Health Care Facilities: Case Study.

    Science.gov (United States)

    Muinga, Naomi; Magare, Steve; Monda, Jonathan; Kamau, Onesmus; Houston, Stuart; Fraser, Hamish; Powell, John; English, Mike; Paton, Chris

    2018-04-18

    The Kenyan government, working with international partners and local organizations, has developed an eHealth strategy, specified standards, and guidelines for electronic health record adoption in public hospitals and implemented two major health information technology projects: District Health Information Software Version 2, for collating national health care indicators and a rollout of the KenyaEMR and International Quality Care Health Management Information Systems, for managing 600 HIV clinics across the country. Following these projects, a modified version of the Open Medical Record System electronic health record was specified and developed to fulfill the clinical and administrative requirements of health care facilities operated by devolved counties in Kenya and to automate the process of collating health care indicators and entering them into the District Health Information Software Version 2 system. We aimed to present a descriptive case study of the implementation of an open source electronic health record system in public health care facilities in Kenya. We conducted a landscape review of existing literature concerning eHealth policies and electronic health record development in Kenya. Following initial discussions with the Ministry of Health, the World Health Organization, and implementing partners, we conducted a series of visits to implementing sites to conduct semistructured individual interviews and group discussions with stakeholders to produce a historical case study of the implementation. This case study describes how consultants based in Kenya, working with developers in India and project stakeholders, implemented the new system into several public hospitals in a county in rural Kenya. The implementation process included upgrading the hospital information technology infrastructure, training users, and attempting to garner administrative and clinical buy-in for adoption of the system. The initial deployment was ultimately scaled back due to a

  11. Development of Experimental Facilities for Advanced Spent Fuel Management Technology

    Energy Technology Data Exchange (ETDEWEB)

    You, G. S.; Jung, W. M.; Ku, J. H. [and others

    2004-07-01

    The advanced spent fuel management process(ACP), proposed to reduce the overall volume of the PWR spent fuel and improve safety and economy of the long-term storage of spent fuel, is under research and development. This technology convert spent fuels into pure metal-base uranium with removing the highly heat generating materials(Cs, Sr) efficiently and reducing of the decay heat, volume, and radioactivity from spent fuel by 1/4. In the next phase(2004{approx}2006), the demonstration of this technology will be carried out for verification of the ACP in a laboratory scale. For this demonstration, the hot cell facilities of {alpha}-{gamma} type and auxiliary facilities are required essentially for safe handling of high radioactive materials. As the hot cell facilities for demonstration of the ACP, a existing hot cell of {beta}-{gamma} type will be refurbished to minimize construction expenditures of hot cell facility. In this study, the design requirements are established, and the process detail work flow was analysed for the optimum arrangement to ensure effective process operation in hot cell. And also, the basic and detail design of hot cell facility and process, and safety analysis was performed to secure conservative safety of hot cell facility and process.

  12. High level radioactive waste management facility design criteria

    International Nuclear Information System (INIS)

    Sheikh, N.A.; Salaymeh, S.R.

    1993-01-01

    This paper discusses the engineering systems for the structural design of the Defense Waste Processing Facility (DWPF) at the Savannah River Site (SRS). At the DWPF, high level radioactive liquids will be mixed with glass particles and heated in a melter. This molten glass will then be poured into stainless steel canisters where it will harden. This process will transform the high level waste into a more stable, manageable substance. This paper discuss the structural design requirements for this unique one of a kind facility. A special emphasis will be concentrated on the design criteria pertaining to earthquake, wind and tornado, and flooding

  13. Radiological risks of transports to central waste management facilities

    International Nuclear Information System (INIS)

    Lange, F.

    1997-01-01

    Transports of radioactive waste from nuclear facilities have been a matter of frequent public concern in the recent past. News reports, protests and questions concerning the radiological risk tended to concentrate on transports to and from central waste management facilities, e.g. transports of spent fuel elements to reprocessing plants abroad (France, England), transports to intermediate storage sites (Ahaus, Gorleben), transports to operative (Morsleben) and projected (Konrad) final storage sites, and transports of vitrified high-activity waste from reprocessing plants to the intermediate storage site (Gorleben). (orig.) [de

  14. Disaster Management: Mental Health Perspective.

    Science.gov (United States)

    Math, Suresh Bada; Nirmala, Maria Christine; Moirangthem, Sydney; Kumar, Naveen C

    2015-01-01

    Disaster mental health is based on the principles of 'preventive medicine' This principle has necessitated a paradigm shift from relief centered post-disaster management to a holistic, multi-dimensional integrated community approach of health promotion, disaster prevention, preparedness and mitigation. This has ignited the paradigm shift from curative to preventive aspects of disaster management. This can be understood on the basis of six 'R's such as Readiness (Preparedness), Response (Immediate action), Relief (Sustained rescue work), Rehabilitation (Long term remedial measures using community resources), Recovery (Returning to normalcy) and Resilience (Fostering). Prevalence of mental health problems in disaster affected population is found to be higher by two to three times than that of the general population. Along with the diagnosable mental disorders, affected community also harbours large number of sub-syndromal symptoms. Majority of the acute phase reactions and disorders are self-limiting, whereas long-term phase disorders require assistance from mental health professionals. Role of psychotropic medication is very limited in preventing mental health morbidity. The role of cognitive behaviour therapy (CBT) in mitigating the mental health morbidity appears to be promising. Role of Psychological First Aid (PFA) and debriefing is not well-established. Disaster management is a continuous and integrated cyclical process of planning, organising, coordinating and implementing measures to prevent and to manage disaster effectively. Thus, now it is time to integrate public health principles into disaster mental health.

  15. Intelligent Integrated System Health Management

    Science.gov (United States)

    Figueroa, Fernando

    2012-01-01

    Intelligent Integrated System Health Management (ISHM) is the management of data, information, and knowledge (DIaK) with the purposeful objective of determining the health of a system (Management: storage, distribution, sharing, maintenance, processing, reasoning, and presentation). Presentation discusses: (1) ISHM Capability Development. (1a) ISHM Knowledge Model. (1b) Standards for ISHM Implementation. (1c) ISHM Domain Models (ISHM-DM's). (1d) Intelligent Sensors and Components. (2) ISHM in Systems Design, Engineering, and Integration. (3) Intelligent Control for ISHM-Enabled Systems

  16. Managed consumerism in health care.

    Science.gov (United States)

    Robinson, James C

    2005-01-01

    The future of market-oriented health policy and practice lies in "managed consumerism," a blend of the patient-centric focus of consumer-driven health care and the provider-centric focus of managed competition. The optimal locus of incentives will vary among health services according to the nature of the illness, the clinical technology, and the extent of discretion in utilization. A competitive market will manifest a variety of comprehensive and limited benefit designs, broad and narrow contractual networks, and single-and multispecialty provider organizations.

  17. A Supply Chain Design Problem Integrated Facility Unavailabilities Management

    Directory of Open Access Journals (Sweden)

    Fouad Maliki

    2016-08-01

    Full Text Available A supply chain is a set of facilities connected together in order to provide products to customers. The supply chain is subject to random failures caused by different factors which cause the unavailability of some sites. Given the current economic context, the management of these unavailabilities is becoming a strategic choice to ensure the desired reliability and availability levels of the different supply chain facilities. In this work, we treat two problems related to the field of supply chain, namely the design and unavailabilities management of logistics facilities. Specifically, we consider a stochastic distribution network with consideration of suppliers' selection, distribution centres location (DCs decisions and DCs’ unavailabilities management. Two resolution approaches are proposed. The first approach called non-integrated consists on define the optimal supply chain structure using an optimization approach based on genetic algorithms (GA, then to simulate the supply chain performance with the presence of DCs failures. The second approach called integrated approach is to consider the design of the supply chain problem and unavailabilities management of DCs in the same model. Note that, we replace each unavailable DC by performing a reallocation using GA in the two approaches. The obtained results of the two approaches are detailed and compared showing their effectiveness.

  18. Strategic aspects on waste management in decommissioning of nuclear facilities

    International Nuclear Information System (INIS)

    Rannemalm, T.; Eliasson, S.; Larsson, A.; Lidar, P.; Bergh, N.; Hedin, G.

    2017-01-01

    A team composed of experts from the facility owner OKG, Westinghouse and Studsvik (today Cyclife Sweden and Studsvik Consulting) was asked to develop a basis for decision on an overall strategy for the management of the material and waste arising from the decommissioning of two BWR NPPs at the Oskarshamn site in Sweden. To be able to provide a good basis for decision the full waste management chain from generation to disposition, i.e. clearance or disposal had to be assessed, categorised, quantified and analysed with regards to costs, environmental impact and risks. A systematic approach was applied taking benefit of the decommissioning studies made previously for the two facilities, the decommissioning concepts developed by Ndcon (the partnership in decommissioning between Studsvik and Westinghouse) and the combined knowledge and experience in the project team. In total 4 different waste management concepts were compared individually and in combinations. The four concepts evaluated were based on: direct disposal in the national geological repository; treatment of the waste for volume reduction and where applicable clearance in an external waste treatment facility; decontamination and clearance in an on-site waste treatment facility; direct disposal in a near surface repository at the NPP site. It was important to be able to compare the different options in a quantifiable way. Therefore the project team set up a matrix with parameters for the different options gained from the utility, the national waste management company, external vendors and the experience of the team. In this way a quantitative analysis could be done with the four different waste management options. In addition to the quantitative analysis the team summarised decades of experience in radioactive waste management and decommissioning recommendations and risk analyses. Special attention was given to risk mitigation and redundancy in the waste management chain. The development of an overall waste

  19. Crisis Management training at nuclear facilities: Simulations in bomb threats

    International Nuclear Information System (INIS)

    Barton, L.

    1993-01-01

    Substantial enhancements to the study of the theoretical and applied foundations of crisis management have been achieved in recent years. Whereas risk managers study 'the probability that a harmful consequence of a particular event will occur during a given time,' crisis management explores unexpected, potentially negative events with short or long-term implications involving injury to life or property. In this regard, crisis management focuses on the mitigation of organizational after-shock; risk management is preventative in scope. While the risk management function of nuclear facilities has been addressed widely in the literature, comparatively little has been written that addresses the myriad, interdisciplinary challenges associated with managing organizational disarray. The issue of crisis management has assumed paramount importance in recent years due to unexpected geopolitical events (e.g., Persian Gulf War), rampant violence facing organizations (e.g., mass shootings in Killeen, Texas and several U.S. Post Offices) and an acceleration of serious crisis impacting large organizations (e.g., Three Mile Island, Chernobyl, Exxon Valdez, NASA Challenger disaster). Without question, the public is increasingly demanding that organizational managers possess a fundamental understanding of crisis management and its principal underpinnings: effective public communication regarding the event and a return to normalcy, employee and public safety and evacuation measures, and other mitigation measures will protect life and property

  20. Risk management program for the 283-W water treatment facility

    International Nuclear Information System (INIS)

    Green, W.E.

    1999-01-01

    This Risk Management (RM) Program covers the 283-W Water Treatment Facility (283W Facility), located in the 200 West Area of the Hanford Site. A RM Program is necessary for this facility because it stores chlorine, a listed substance, in excess of or has the potential to exceed the threshold quantities defined in Title 40 of the Code of Federal Regulations (CFR) Part 68 (EPA, 1998). The RM Program contains data that will be used to prepare a RM Plan, which is required by 40 CFR 68. The RM Plan is a summary of the RM Program information, contained within this document, and will be submitted to the U.S. Environmental Protection Agency (EPA) ultimately for distribution to the public. The RM Plan will be prepared and submitted separately from this document

  1. The grand challenge of managing the petascale facility.

    Energy Technology Data Exchange (ETDEWEB)

    Aiken, R. J.; Mathematics and Computer Science

    2007-02-28

    This report is the result of a study of networks and how they may need to evolve to support petascale leadership computing and science. As Dr. Ray Orbach, director of the Department of Energy's Office of Science, says in the spring 2006 issue of SciDAC Review, 'One remarkable example of growth in unexpected directions has been in high-end computation'. In the same article Dr. Michael Strayer states, 'Moore's law suggests that before the end of the next cycle of SciDAC, we shall see petaflop computers'. Given the Office of Science's strong leadership and support for petascale computing and facilities, we should expect to see petaflop computers in operation in support of science before the end of the decade, and DOE/SC Advanced Scientific Computing Research programs are focused on making this a reality. This study took its lead from this strong focus on petascale computing and the networks required to support such facilities, but it grew to include almost all aspects of the DOE/SC petascale computational and experimental science facilities, all of which will face daunting challenges in managing and analyzing the voluminous amounts of data expected. In addition, trends indicate the increased coupling of unique experimental facilities with computational facilities, along with the integration of multidisciplinary datasets and high-end computing with data-intensive computing; and we can expect these trends to continue at the petascale level and beyond. Coupled with recent technology trends, they clearly indicate the need for including capability petascale storage, networks, and experiments, as well as collaboration tools and programming environments, as integral components of the Office of Science's petascale capability metafacility. The objective of this report is to recommend a new cross-cutting program to support the management of petascale science and infrastructure. The appendices of the report document current and projected

  2. Improving Quality of Care in Primary Health-Care Facilities in Rural Nigeria

    Science.gov (United States)

    Ugo, Okoli; Ezinne, Eze-Ajoku; Modupe, Oludipe; Nicole, Spieker; Kelechi, Ohiri

    2016-01-01

    Background: Nigeria has a high population density but a weak health-care system. To improve the quality of care, 3 organizations carried out a quality improvement pilot intervention at the primary health-care level in selected rural areas. Objective: To assess the change in quality of care in primary health-care facilities in rural Nigeria following the provision of technical governance support and to document the successes and challenges encountered. Method: A total of 6 states were selected across the 6 geopolitical zones of the country. However, assessments were carried out in 40 facilities in only 5 states. Selection was based on location, coverage, and minimum services offered. The facilities were divided randomly into 2 groups. The treatment group received quality-of-care assessment, continuous feedback, and improvement support, whereas the control group received quality assessment and no other support. Data were collected using the SafeCare Healthcare Standards and managed on the SafeCare Data Management System—AfriDB. Eight core areas were assessed at baseline and end line, and compliance to quality health-care standards was compared. Result: Outcomes from 40 facilities were accepted and analyzed. Overall scores increased in the treatment facilities compared to the control facilities, with strong evidence of improvement (t = 5.28, P = .0004) and 11% average improvement, but no clear pattern of improvement emerged in the control group. Conclusion: The study demonstrated governance support and active community involvement offered potential for quality improvement in primary health-care facilities. PMID:28462280

  3. [Anesthesia practice in Catalan hospitals and other health care facilities].

    Science.gov (United States)

    Villalonga, Antonio; Sabaté, Sergi; Campos, Juan Manuel; Fornaguera, Joan; Hernández, Carmen; Sistac, José María

    2006-05-24

    The aim of this arm of the ANESCAT study was to characterize anesthesia practice in the various types of health care facilities of Catalonia, Spain, in 2003. We analyzed data from the survey according to a) source of a facility's funding: public hospitals financed by the Catalan Public Health Authority (ICS), the network of subsidized hospitals for public use (XHUP), or private hospitals; b) size: facilities without hospital beds, hospitals with fewer than 250 beds, those with 251 to 500, and those with over 500; and c) training accreditation status: whether or not a facility gave medical resident training. A total of 131 facilities participated (11 under the ICS, 47 from the XHUP, and 73 private hospitals). Twenty-six clinics had no hospital beds, 78 facilities had fewer than 250, 21 had 251 to 500, and 6 had more than 500. Seventeen hospitals trained medical residents. XHUP hospitals performed 44.3% of all anesthetic procedures, private hospitals 36.7%, and ICS facilities 18.5%. Five percent of procedures were performed in clinics without beds, 42.9% in facilities with fewer than 250 beds, 35% in hospitals with 251 to 500, and 17.1% in hospitals with over 500. Anesthetists in teaching hospitals performed 35.5% of all procedures. The mean age of patients was lower in private hospitals, facilities with fewer than 250 beds, and hospitals that did not train medical residents. The physical status of patients was worse in ICS hospitals, in facilities with over 500 beds, and in teaching hospitals. It was noteworthy that 25% of anesthetic procedures were performed on an emergency basis in XHUP and ICS hospitals, in facilities with more than 250 beds, and in teaching hospitals. Anesthesia for outpatient procedures accounted for 40% of the total in private hospitals and 31% of the practice in ICS and XHUP hospitals. The duration of anesthesia and postanesthetic recovery was longer in ICS hospitals, in facilities with over 500 beds, and in those with medical resident

  4. Prevalence and predictors of giving birth in health facilities in Bugesera District, Rwanda

    Directory of Open Access Journals (Sweden)

    Joharifard Shahrzad

    2012-12-01

    Full Text Available Abstract Background The proportion of births attended by skilled health personnel is one of two indicators used to measure progress towards Millennium Development Goal 5, which aims for a 75% reduction in global maternal mortality ratios by 2015. Rwanda has one of the highest maternal mortality ratios in the world, estimated between 249–584 maternal deaths per 100,000 live births. The objectives of this study were to quantify secular trends in health facility delivery and to identify factors that affect the uptake of intrapartum healthcare services among women living in rural villages in Bugesera District, Eastern Province, Rwanda. Methods Using census data and probability proportional to size cluster sampling methodology, 30 villages were selected for community-based, cross-sectional surveys of women aged 18–50 who had given birth in the previous three years. Complete obstetric histories and detailed demographic data were elicited from respondents using iPad technology. Geospatial coordinates were used to calculate the path distances between each village and its designated health center and district hospital. Bivariate and multivariate logistic regressions were used to identify factors associated with delivery in health facilities. Results Analysis of 3106 lifetime deliveries from 859 respondents shows a sharp increase in the percentage of health facility deliveries in recent years. Delivering a penultimate baby at a health facility (OR = 4.681 [3.204 - 6.839], possessing health insurance (OR = 3.812 [1.795 - 8.097], managing household finances (OR = 1.897 [1.046 - 3.439], attending more antenatal care visits (OR = 1.567 [1.163 - 2.112], delivering more recently (OR = 1.438 [1.120 - 1.847] annually, and living closer to a health center (OR = 0.909 [0.846 - 0.976] per km were independently associated with facility delivery. Conclusions The strongest correlates of facility-based delivery in Bugesera District include previous delivery at a

  5. Preventing Airborne Disease Transmission: Review of Methods for Ventilation Design in Health Care Facilities

    Science.gov (United States)

    Aliabadi, Amir A.; Rogak, Steven N.; Bartlett, Karen H.; Green, Sheldon I.

    2011-01-01

    Health care facility ventilation design greatly affects disease transmission by aerosols. The desire to control infection in hospitals and at the same time to reduce their carbon footprint motivates the use of unconventional solutions for building design and associated control measures. This paper considers indoor sources and types of infectious aerosols, and pathogen viability and infectivity behaviors in response to environmental conditions. Aerosol dispersion, heat and mass transfer, deposition in the respiratory tract, and infection mechanisms are discussed, with an emphasis on experimental and modeling approaches. Key building design parameters are described that include types of ventilation systems (mixing, displacement, natural and hybrid), air exchange rate, temperature and relative humidity, air flow distribution structure, occupancy, engineered disinfection of air (filtration and UV radiation), and architectural programming (source and activity management) for health care facilities. The paper describes major findings and suggests future research needs in methods for ventilation design of health care facilities to prevent airborne infection risk. PMID:22162813

  6. Graphics-based nuclear facility modeling and management

    International Nuclear Information System (INIS)

    Rod, S.R.

    1991-07-01

    Nuclear waste management facilities are characterized by their complexity, many unprecedented features, and numerous competing design requirements. This paper describes the development of comprehensive descriptive databases and three-dimensional models of nuclear waste management facilities and applies the database/model to an example facility. The important features of the facility database/model are its abilities to (1) process large volumes of site data, plant data, and nuclear material inventory data in an efficient, integrated manner; (2) produce many different representations of the data to fulfill information needs as they arise; (3) create a complete three-dimensional solid model of the plant with all related information readily accessible; and (4) support complete, consistent inventory control and plant configuration control. While the substantive heart of the system is the database, graphic visualization of the data vastly improves the clarity of the information presented. Graphic representations are a convenient framework for the presentation of plant and inventory data, allowing all types of information to be readily located and presented in a manner that is easily understood. 2 refs., 5 figs., 1 tab

  7. Gamification and geospatial health management

    Science.gov (United States)

    Wortley, David

    2014-06-01

    Sensor and Measurement technologies are rapidly developing for many consumer applications which have the potential to make a major impact on business and society. One of the most important areas for building a sustainable future is in health management. This opportunity arises because of the growing popularity of lifestyle monitoring devices such as the Jawbone UP bracelet, Nike Fuelband and Samsung Galaxy GEAR. These devices measure physical activity and calorie consumption and, when visualised on mobile and portable devices, enable users to take more responsibility for their personal health. This presentation looks at how the process of gamification can be applied to develop important geospatial health management applications that could not only improve the health of nations but also significantly address some of the issues in global health such as the ageing society and obesity.

  8. Gamification and geospatial health management

    International Nuclear Information System (INIS)

    Wortley, David

    2014-01-01

    Sensor and Measurement technologies are rapidly developing for many consumer applications which have the potential to make a major impact on business and society. One of the most important areas for building a sustainable future is in health management. This opportunity arises because of the growing popularity of lifestyle monitoring devices such as the Jawbone UP bracelet, Nike Fuelband and Samsung Galaxy GEAR. These devices measure physical activity and calorie consumption and, when visualised on mobile and portable devices, enable users to take more responsibility for their personal health. This presentation looks at how the process of gamification can be applied to develop important geospatial health management applications that could not only improve the health of nations but also significantly address some of the issues in global health such as the ageing society and obesity

  9. OPP og indkøb af Facilities Management ydelser

    DEFF Research Database (Denmark)

    Kristiansen, Kristian

    Dette er den 3. og sidste rapport i forskningsprojektet om OPP og indkøb af Facilities Management ydelser. Fokus er denne gang rettet mod bestræbelserne på at skabe større integration i byggeprocessen. Det vil blive undersøgt, hvorvidt sådanne bestræbelser – som der kan findes eksempler på både i...... UK og i Danmark – vil kunne fremme en inddragelse af Facilities Management viden i planlægning, projektering og udførelse. Denne problemstilling skal ses i forlængelse af det forudgående arbejde i forskningsprojektet....

  10. ETHEL's systems and facilities for safe management of tritiated wastes

    International Nuclear Information System (INIS)

    Mannone, F.; Dworschak, H.; Vassallo, G.

    1992-01-01

    The European Tritium Handling Experimental Laboratory (ETHEL) is a new tritium facility at the Commission of the European Community's Joint Research Centre, Ispra Site. The laboratory, destined to handle multigram amounts of tritium for safety related R and D purposes, is foreseen to start radioactive operations in late 1992. The general operation and maintenance of laboratory systems and future experiments will generate tritiated wastes in gaseous, liquid and solid forms. The management of such wastes under safe working conditions is a stringent laboratory requirement aimed at minimizing the risk of unacceptable tritium exposures to workers and the general public. This paper describes the main systems and facilities installed in ETHEL for the safe management of tritiated wastes

  11. Realising the potential of shared space in facilities management

    DEFF Research Database (Denmark)

    Brinkø, Rikke

    individuals or groups from different organisational contexts, and this PhD investigates the intricate processes con-cerning shared space in a facilities management context. The overall aim is divided in a theoretical and a practical part, with the theoretical focused on contributing with new knowledge...... of shared space, building towards a new method for efficient and sustainable facilities management operation of buildings and properties. The practical part is focused on connecting this new knowledge to practical applications and developing tools that can be used to work with shared spaces in a practice...... categories according to degree of sharing, and lists a number of characteristics of shared spaces to provide a starting point for discussing, developing and working with shared space in both academia and practice. The guide on the other hand synthesises the theoretical knowledge resulting from the study...

  12. Management concepts and safety applications for nuclear fuel facilities

    International Nuclear Information System (INIS)

    Eisner, H.; Scotti, R.S.

    1995-05-01

    This report presents an overview of effectiveness of management control of safety. It reviews several modern management control theories as well as the general functions of management and relates them to safety issues at the corporate and at the process safety management (PSM) program level. Following these discussions, structured technique for assessing management of the safety function is suggested. Seven modern management control theories are summarized, including business process reengineering, the learning organization, capability maturity, total quality management, quality assurance and control, reliability centered maintenance, and industrial process safety. Each of these theories is examined for-its principal characteristics and implications for safety management. The five general management functions of planning, organizing, directing, monitoring, and integrating, which together provide control over all company operations, are discussed. Under the broad categories of Safety Culture, Leadership and Commitment, and Operating Excellence, key corporate safety elements and their subelements are examined. The three categories under which PSM program-level safety issues are described are Technology, Personnel, and Facilities

  13. Management concepts and safety applications for nuclear fuel facilities

    Energy Technology Data Exchange (ETDEWEB)

    Eisner, H.; Scotti, R.S. [George Washington Univ., Washington, DC (United States). School of Engineering and Applied Science; Delicate, W.S. [KEVRIC Co., Inc., Silver Spring, MD (United States)

    1995-05-01

    This report presents an overview of effectiveness of management control of safety. It reviews several modern management control theories as well as the general functions of management and relates them to safety issues at the corporate and at the process safety management (PSM) program level. Following these discussions, structured technique for assessing management of the safety function is suggested. Seven modern management control theories are summarized, including business process reengineering, the learning organization, capability maturity, total quality management, quality assurance and control, reliability centered maintenance, and industrial process safety. Each of these theories is examined for-its principal characteristics and implications for safety management. The five general management functions of planning, organizing, directing, monitoring, and integrating, which together provide control over all company operations, are discussed. Under the broad categories of Safety Culture, Leadership and Commitment, and Operating Excellence, key corporate safety elements and their subelements are examined. The three categories under which PSM program-level safety issues are described are Technology, Personnel, and Facilities.

  14. Study on Customer Satisfaction with Facilities Management Services in Lithuania

    Science.gov (United States)

    Lepkova, Natalija; Žūkaitė-Jefimovienė, Giedrė

    2012-12-01

    The article introduces the concept and content of facilities management (FM) services. The paper presents the concept of customer satisfaction and discusses the key factors which influence the opinions of customers and their satisfaction or dissatisfaction with the services provided. The article presents two studies: a brief survey of several FM service providers and a survey of customer satisfaction with FM services in Lithuania. The conclusions are given at the end of the article.

  15. Supervision of radiation environment management of nuclear facilities

    International Nuclear Information System (INIS)

    Luo Mingyan

    2013-01-01

    Through literature and documents, the basis, content and implementation of the supervision of radiation environment management of nuclear facilities were defined. Such supervision was extensive and complicated with various tasks and overlapping duties, and had large social impact. Therefore, it was recommend to make further research on this supervision should be done, clarify and specify responsibilities of the executor of the supervision so as to achieve institutionalization, standardization and routinization of the supervision. (author)

  16. Software Manages Documentation in a Large Test Facility

    Science.gov (United States)

    Gurneck, Joseph M.

    2001-01-01

    The 3MCS computer program assists and instrumentation engineer in performing the 3 essential functions of design, documentation, and configuration management of measurement and control systems in a large test facility. Services provided by 3MCS are acceptance of input from multiple engineers and technicians working at multiple locations;standardization of drawings;automated cross-referencing; identification of errors;listing of components and resources; downloading of test settings; and provision of information to customers.

  17. Delivering Sustainable Facilities Management in Danish Housing Estates

    DEFF Research Database (Denmark)

    Nielsen, Susanne Balslev; Jensen, Jesper Ole; Jensen, Per Anker

    2009-01-01

    Housing plays a central role in sustainable development due to large resource consumption and as transition agent towards sustainable lifestyles. The aim is to evaluate current practice of housing administration in Denmark in order to evaluate if and how sustainable facilities management is suppo......Housing plays a central role in sustainable development due to large resource consumption and as transition agent towards sustainable lifestyles. The aim is to evaluate current practice of housing administration in Denmark in order to evaluate if and how sustainable facilities management...... is supporting social, economical and environmental sustainable development. Sustainable facility management (SFM) is as an 'umbrella' for various ways of reducing flows of energy, water and waste in the daily operation of the buildings, for instance by regular monitoring the consumption, by using 'green......-setting including the ownership of the building, the organisation of daily operation, the roles and relation between stakeholders are equally important in order to utilise the monitoring as a mean for transformation towards sustainable buildings and lifestyles....

  18. Management plan -- Multi-Function Waste Tank Facility. Revision 1

    International Nuclear Information System (INIS)

    Fritz, R.L.

    1995-01-01

    This Westinghouse Hanford Company (WHC) Multi-Function Waste Tank Facility (MWTF) Management Plan provides guidance for execution WHC MWTF Project activities related to design, procurement, construction, testing, and turnover. This Management Plan provides a discussion of organizational responsibilities, work planning, project management systems, quality assurance (QA), regulatory compliance, personnel qualifications and training, and testing and evaluations. Classified by the US Department of Energy (DOE) as a major systems acquisition (MSA), the MWTF mission is to provide a safe, cost-effective, and environmentally sound method for interim storage of Hanford Site high-level wastes. This Management Plan provides policy guidance and direction to the Project Office for execution of the project activities

  19. Management plan -- Multi-Function Waste Tank Facility. Revision 1

    Energy Technology Data Exchange (ETDEWEB)

    Fritz, R.L.

    1995-01-11

    This Westinghouse Hanford Company (WHC) Multi-Function Waste Tank Facility (MWTF) Management Plan provides guidance for execution WHC MWTF Project activities related to design, procurement, construction, testing, and turnover. This Management Plan provides a discussion of organizational responsibilities, work planning, project management systems, quality assurance (QA), regulatory compliance, personnel qualifications and training, and testing and evaluations. Classified by the US Department of Energy (DOE) as a major systems acquisition (MSA), the MWTF mission is to provide a safe, cost-effective, and environmentally sound method for interim storage of Hanford Site high-level wastes. This Management Plan provides policy guidance and direction to the Project Office for execution of the project activities.

  20. Health workers' perceptions of private-not-for-profit health facilities' organizational culture and its influence on retention in Uganda.

    Science.gov (United States)

    Shumba, Constance Sibongile; Kielmann, Karina; Witter, Sophie

    2017-12-06

    An in-depth understanding of how organizational culture is experienced by health workers (HWs), and influences their decisions to leave their jobs is a fundamental, yet under-examined, basis for forming effective retention strategies. This research examined HWs' working experiences and perceptions of organisational culture within private-not-for-profit, largely mission-based hospitals, and how this influenced retention. Thirty-two HWs, including managers, in 19 health facilities in Uganda were interviewed using a semi-structured topic guide. Interview transcripts were analysed using thematic content analysis. Interviews showed that the organizational culture was predominantly hierarchical, with non-participative management styles which emphasized control and efficiency. HWs and managers held different perceptions of the organizational culture. While the managers valued results and performance, HWs valued team work, recognition and participative management. The findings of this study indicate that organizational culture influences retention of HWs in health facilities and provide a useful context to inform health care managers in the PNFP sub-sector in Uganda and similar contexts. To improve retention of HWs, a gradual shift in organizational culture will be necessary, focussing on the values, beliefs and perceptions which have the greatest influence on observable behaviour.

  1. Use of information technology for medication management in residential care facilities: correlates of facility characteristics.

    Science.gov (United States)

    Bhuyan, Soumitra S; Chandak, Aastha; Powell, M Paige; Kim, Jungyoon; Shiyanbola, Olayinka; Zhu, He; Shiyanbola, Oyewale

    2015-06-01

    The effectiveness of information technology in resolving medication problems has been well documented. Long-term care settings such as residential care facilities (RCFs) may see the benefits of using such technologies in addressing the problem of medication errors among their resident population, who are usually older and have numerous chronic conditions. The aim of this study was two-fold: to examine the extent of use of Electronic Medication Management (EMM) in RCFs and to analyze the organizational factors associated with the use of EMM functionalities in RCFs. Data on RCFs were obtained from the 2010 National Survey of Residential Care Facilities. The association between facility, director and staff, and resident characteristics of RCFs and adoption of four EMM functionalities was assessed through multivariate logistic regression. The four EMM functionalities included were maintaining lists of medications, ordering for prescriptions, maintaining active medication allergy lists, and warning of drug interactions or contraindications. About 12% of the RCFs adopted all four EMM functionalities. Additionally, maintaining lists of medications had the highest adoption rate (34.5%), followed by maintaining active medication allergy lists (31.6%), ordering for prescriptions (19.7%), and warning of drug interactions or contraindications (17.9%). Facility size and ownership status were significantly associated with adoption of all four EMM functionalities. Medicaid certification status, facility director's age, education and license status, and the use of personal care aides in the RCF were significantly associated with the adoption of some of the EMM functionalities. EMM is expected to improve the quality of care and patient safety in long-term care facilities including RCFs. The extent of adoption of the four EMM functionalities is relatively low in RCFs. Some RCFs may strategize to use these functionalities to cater to the increasing demands from the market and also to

  2. Project Management Plan for the Isotopes Facilities Deactivation Project at Oak Ridge National Laboratory

    International Nuclear Information System (INIS)

    1995-04-01

    The purpose of the Isotopes Facilities Deactivation Project (IFDP) is to place former isotopes production facilities at the Oak Ridge National Laboratory in a safe, stable, and environmentally sound condition suitable for an extended period of minimum surveillance and maintenance (S ampersand M) and as quickly and economically as possible. Implementation and completion of the deactivation project will further reduce the already small risks to the environment and to public safety and health. Furthermore, the project should result in significant S ampersand M cost savings in the future. The IFDP management plan has been prepared to document the project objectives, define organizational relationships and responsibilities, and outline the management control systems to be employed in the management of the project. The project has adopted a strategy to deactivate the simple facilities first, to reduce the scope of the project, and to gain experience before addressing more difficult facilities. A decision support system is being developed to identify those activities, that best promote the project mission and result in largest cost savings. The Work Plan for the Isotopes Facilities Deactivation Project at Oak Ridge National Laboratory (Energy Systems 1994) defines the project schedule, the cost estimate, and the technical approach for the project

  3. Management of Excess Material in the Navys Real Time Reutilization Asset Management Facilities Needs Improvement

    Science.gov (United States)

    2017-01-23

    Commands, that originally purchased the material from the command’s operational and maintenance fund. A flowchart of the RRAM material management process...streamlines business operations for financial and supply chain management . 22 SECNAVINST 4440.33A. The Navy retained excess material stored in 10 of...No. DODIG-2017-043 J A N U A R Y 2 3 , 2 0 1 7 Management of Excess Material in the Navy’s Real-Time Reutilization Asset Management Facilities

  4. Development of a web based GIS for health facilities mapping ...

    African Journals Online (AJOL)

    Around the world health professionals and authorities, in many cases, do not have the ability to visualize health related spatial information to make timely decisions. The high cost of deploying a desktop Geographical Information System (GIS) for Public Health management coupled with the need for specialised training in ...

  5. Management and Development of the RT Research Facilities and Infrastructures

    International Nuclear Information System (INIS)

    Kim, Won Ho; Nho, Young Chang; Kim, Jae Sung

    2009-01-01

    The purpose of this project are to operate the core facilities of the research for the Radiation Technology in stable and to assist the research activities efficiently in the industry, academic, and research laboratory. By developing the infrastructure of the national radio technology industry, we can activate the researching area of the RT and the related industry, and obtain the primary and original technology. The key point in the study of the RT and the assistance of the industry, academic, and research laboratory for the RT area smoothly, is managing the various of unique radiation facilities in our country. The gamma Phytotron and Gene Bank are essential in the agribiology because these facilities are used to preserve and utilize the genes and to provide an experimental field for the environment and biotechnology. The Radiation Fusion Technology research supporting facilities are the core support facilities, and are used to develop the high-tech fusion areas. In addition, the most advanced analytical instruments, whose costs are very high, should be managed in stable and be utilized in supporting works, and the experimental animal supporting laboratory and Gamma Cell have to be maintained in high level and managed in stable also. The ARTI have been developed the 30MeV cyclotron during 2005∼2006, aimed to produce radioisotopes and to research the beam applications as a result of the project, 'Establishment of the Infrastructure for the Atomic Energy Research Expansion', collaborated with the Korea Institute of Radiological and Medical Sciences. In addition, the ARTI is in the progress of establishing cyclotron integrated complex as a core research facility, using a proton beam to produce radioisotopes and to support a various research areas. The measurement and evaluation of the irradiation dose, and irradiation supporting technology of the Good Irradiation Practice(GIP) are essential in various researching areas. One thing to remember is that the publicity

  6. Application of probabilistic methods to accident analysis at waste management facilities

    International Nuclear Information System (INIS)

    Banz, I.

    1986-01-01

    Probabilistic risk assessment is a technique used to systematically analyze complex technical systems, such as nuclear waste management facilities, in order to identify and measure their public health, environmental, and economic risks. Probabilistic techniques have been utilized at the Waste Isolation Pilot Plant (WIPP) near Carlsbad, New Mexico, to evaluate the probability of a catastrophic waste hoist accident. A probability model was developed to represent the hoisting system, and fault trees were constructed to identify potential sequences of events that could result in a hoist accident. Quantification of the fault trees using statistics compiled by the Mine Safety and Health Administration (MSHA) indicated that the annual probability of a catastrophic hoist accident at WIPP is less than one in 60 million. This result allowed classification of a catastrophic hoist accident as ''not credible'' at WIPP per DOE definition. Potential uses of probabilistic techniques at other waste management facilities are discussed

  7. Health facility service availability and readiness for intrapartum and immediate postpartum care in Malawi: A cross-sectional survey.

    Directory of Open Access Journals (Sweden)

    Naoko Kozuki

    Full Text Available This analysis seeks to identify strengths and gaps in the existing facility capacity for intrapartum and immediate postpartum fetal and neonatal care, using data collected as a part of Malawi's Helping Babies Breath program evaluation. From August to September 2012, the Maternal and Child Health Integrated Program (MCHIP conducted a cross-sectional survey in 84 Malawian health facilities to capture current health facility service availability and readiness and health worker capacity and practice pertaining to labor, delivery, and immediate postpartum care. The survey collected data on availability of equipment, supplies, and medications, and health worker knowledge and performance scores on intrapartum care simulation and actual management of real clients at a subset of facilities. We ran linear regression models to identify predictors of high simulation performance of routine delivery care and management of asphyxiated newborns across all facilities surveyed. Key supplies for infection prevention and thermal care of the newborn were found to be missing in many of the surveyed facilities. At the health center level, 75% had no clinician trained in basic emergency obstetric care or newborn care and 39% had no midwife trained in the same. We observed that there were no proportional increases in available transport and staff at a facility as catchment population increased. In simulations of management of newborns with breathing problems, health workers were able to complete a median of 10 out of 16 tasks for a full-term birth case scenario and 20 out of 30 tasks for a preterm birth case scenario. Health workers who had more years of experience appeared to perform worse. Our study provides a benchmark and highlights gaps for future evaluations and studies as Malawi continues to make strides in improving facility-based care. Further progress in reducing the burden of neonatal and fetal death in Malawi will be partly predicated on guaranteeing

  8. Health facility service availability and readiness for intrapartum and immediate postpartum care in Malawi: A cross-sectional survey.

    Science.gov (United States)

    Kozuki, Naoko; Oseni, Lolade; Mtimuni, Angella; Sethi, Reena; Rashidi, Tambudzai; Kachale, Fannie; Rawlins, Barbara; Gupta, Shivam

    2017-01-01

    This analysis seeks to identify strengths and gaps in the existing facility capacity for intrapartum and immediate postpartum fetal and neonatal care, using data collected as a part of Malawi's Helping Babies Breath program evaluation. From August to September 2012, the Maternal and Child Health Integrated Program (MCHIP) conducted a cross-sectional survey in 84 Malawian health facilities to capture current health facility service availability and readiness and health worker capacity and practice pertaining to labor, delivery, and immediate postpartum care. The survey collected data on availability of equipment, supplies, and medications, and health worker knowledge and performance scores on intrapartum care simulation and actual management of real clients at a subset of facilities. We ran linear regression models to identify predictors of high simulation performance of routine delivery care and management of asphyxiated newborns across all facilities surveyed. Key supplies for infection prevention and thermal care of the newborn were found to be missing in many of the surveyed facilities. At the health center level, 75% had no clinician trained in basic emergency obstetric care or newborn care and 39% had no midwife trained in the same. We observed that there were no proportional increases in available transport and staff at a facility as catchment population increased. In simulations of management of newborns with breathing problems, health workers were able to complete a median of 10 out of 16 tasks for a full-term birth case scenario and 20 out of 30 tasks for a preterm birth case scenario. Health workers who had more years of experience appeared to perform worse. Our study provides a benchmark and highlights gaps for future evaluations and studies as Malawi continues to make strides in improving facility-based care. Further progress in reducing the burden of neonatal and fetal death in Malawi will be partly predicated on guaranteeing properly equipped and

  9. Mapping of health facilities in Jimeta Metropolis: a digital approach ...

    African Journals Online (AJOL)

    In planning for any suitable development in any field, the primary requirement is the relevant data and maps. This is one of the major problems hindering the proper planning and monitoring of the various health facilities located in Jimeta metropolis. Survey techniques -were employed for the acquisition of data, GPS was ...

  10. A spatial decision support system for special health facility location ...

    African Journals Online (AJOL)

    Access to healthcare is a determinant of the wellbeing of the people. Planning the location and distribution of health facilities to ensure efficiency and equity in the face of limited resources can be challenging, especially where the type of care requires expensive equipments and specialists. This study attempts to provide a ...

  11. Missed vaccination opportunities at a secondary health facility in ...

    African Journals Online (AJOL)

    The study aimed to identify missed vaccination visits and the associated factors in children presenting at the general out-patient clinic of a secondary health facility in Ilorin, Nigeria. Method: Through a descriptive cross-sectional study, the vaccination data of all children seen at the out-patient clinic were critically reviewed ...

  12. Reengineering health care materials management.

    Science.gov (United States)

    Connor, L R

    1998-01-01

    Health care executives across the country, faced with intense competition, are being forced to consider drastic cost cutting measures as a matter of survival. The entire health care industry is under siege from boards of directors, management and others who encourage health care systems to take actions ranging from strategic acquisitions and mergers to simple "downsizing" or "rightsizing," to improve their perceived competitive positions in terms of costs, revenues and market share. In some cases, management is poorly prepared to work within this new competitive paradigm and turns to consultants who promise that following their methodologies can result in competitive advantage. One favored methodology is reengineering. Frequently, cost cutting attention is focused on the materials management budget because it is relatively large and is viewed as being comprised mostly of controllable expenses. Also, materials management is seldom considered a core competency for the health care system and the organization performing these activities does not occupy a strongly defensible position. This paper focuses on the application of a reengineering methodology to healthcare materials management.

  13. Process evaluation of communitisation programme in public sector health facilities, Mokokchung district, Nagaland, 2015

    Directory of Open Access Journals (Sweden)

    Aonungdok Tushi

    2017-01-01

    Full Text Available Background: Public sector health facilities were poorly managed due to a history of conflict in Nagaland, India. Government of Nagaland introduced “Nagaland Communitisation of Public Institutions and Services Act” in 2002. Main objectives of the evaluation were to review the functioning of Health Center Managing Committees (HCMCs, deliver health services in the institutions managed by HCMC, identify strengths as well as challenges perceived by HCMC members in the rural areas of Mokokchung district, Nagaland. Materials and Methods: The evaluation was made using input, process and output indicators. A doctor, the HCMC Chairman and one member from each of the three community health centers (CHC and four primary health centers (PHC were surveyed using a semi-structured questionnaire and an in-depth interview guide. Proportions for quantitative data were computed and key themes from the same were identified. Results: Overall; the infrastructure, equipment and outpatient/inpatient service availability was satisfactory. There was a lack of funds and shortage of doctors, drugs as well as laboratory facilities. HCMCs were in place and carried out administrative activities. HCMCs felt ownership, mobilized community contributions and managed human resources. HCMC members had inadequate funds for their transport and training. They faced challenges in service delivery due to political interference and lack of adequate human, material, financial resources. Conclusions: Communitisation program was operational in the district. HCMC members felt the ownership of health facilities. Administrative, political support and adequate funds from the government are needed for effective functioning of HCMCs and optimal service delivery in public sector facilities.

  14. WIPP Facility Work Plan for Solid Waste Management Units

    Energy Technology Data Exchange (ETDEWEB)

    Washington TRU Solutions LLC

    2001-02-25

    This 2001 Facility Work Plan (FWP) has been prepared as required by Module VII, Section VII.M.1 of the Waste Isolation Pilot Plant (WIPP) Hazardous Waste Facility Permit, NM4890139088-TSDF (the Permit); (NMED, 1999a), and incorporates comments from the New Mexico Environment Department (NMED) received on December 6, 2000 (NMED, 2000a). This February 2001 FWP describes the programmatic facility-wide approach to future investigations at Solid Waste Management Units (SWMUs) and Areas of Concern (AOCs) specified in the Permit. The permittees are evaluating data from previous investigations of the SWMUs and AOCs against the newest guidance proposed by the NMED. Based on these data, the permittees expect that no further sampling will be required and that a request for No Further Action (NFA) at the SWMUs and AOCs will be submitted to the NMED. This FWP addresses the current Permit requirements. It uses the results of previous investigations performed at WIPP and expands the investigations as required by the Permit. As an alternative to the Resource Conservation and Recovery Act (RCRA) Facility Investigation (RFI) specified in Module VII of the Permit, current NMED guidance identifies an Accelerated Corrective Action Approach (ACAA) that may be used for any SWMU or AOC (NMED, 1998). This accelerated approach is used to replace the standard RFI Work Plan and Report sequence with a more flexible decision-making approach. The ACAA process allows a Facility to exit the schedule of compliance contained in the Facility’s Hazardous and Solid Waste Amendments (HSWA) permit module and proceed on an accelerated time frame. Thus, the ACAA process can be entered either before or after an RFI Work Plan. According to the NMED's guidance, a facility can prepare an RFI Work Plan or Sampling and Analysis Plan (SAP) for any SWMU or AOC (NMED, 1998). Based on this guidance, a SAP constitutes an acceptable alternative to the RFI Work Plan specified in the Permit.

  15. [Quality Indicators of Primary Health Care Facilities in Austria].

    Science.gov (United States)

    Semlitsch, Thomas; Abuzahra, Muna; Stigler, Florian; Jeitler, Klaus; Posch, Nicole; Siebenhofer, Andrea

    2017-07-11

    Background The strengthening of primary health care is one major goal of the current national health reform in Austria. In this context, a new interdisciplinary concept was developed in 2014 that defines structures and requirements for future primary health care facilities. Objective The aim of this project was the development of quality indicators for the evaluation of the scheduled primary health care facilities in Austria, which are in accordance with the new Austrian concept. Methods We used the RAND/NPCRDC method for the development and selection of the quality indicators. We conducted systematic literature searches for existing measures in international databases for quality indicators as well as in bibliographic databases. All retrieved measures were evaluated and rated by an expert panel in a 2-step process regarding relevance and feasibility. Results Overall, the literature searches yielded 281 potentially relevant quality indicators, which were summarized to 65 different quality measures for primary health care. Out of these, the panel rated and accepted 30 measures as relevant and feasible for use in Austria. Five of these indicators were structure measures, 14 were process measures and the remaining 11 were outcome measures. Based on the Austrian primary health care concept, the final set of quality indicators was grouped in the 5 following domains: Access to primary health care (5), quality of care (15), continuity of care (5), coordination of care (4), and safety (1). Conclusion This set of quality measures largely covers the four defined functions of primary health care. It enables standardized evaluation of primary health care facilities in Austria regarding the implementation of the Austrian primary health care concept as well as improvement in healthcare of the population. © Georg Thieme Verlag KG Stuttgart · New York.

  16. Health seeking behaviour and challenges in utilising health facilities in Wakiso district, Uganda.

    Science.gov (United States)

    Musoke, David; Boynton, Petra; Butler, Ceri; Musoke, Miph Boses

    2014-12-01

    The health seeking behaviour of a community determines how they use health services. Utilisation of health facilities can be influenced by the cost of services, distance to health facilities, cultural beliefs, level of education and health facility inadequacies such as stock-out of drugs. To assess the health seeking practices and challenges in utilising health facilities in a rural community in Wakiso district, Uganda. The study was a cross sectional survey that used a structured questionnaire to collect quantitative data among 234 participants. The sample size was obtained using the formula by Leslie Kish. While 89% of the participants were aware that mobile clinics existed in their community, only 28% had received such services in the past month. The majority of participants (84%) did not know whether community health workers existed in their community. The participants' health seeking behaviour the last time they were sick was associated with age (p = 0.028) and occupation (p = 0.009). The most significant challenges in utilising health services were regular stock-out of drugs, high cost of services and long distance to health facilities. There is potential to increase access to health care in rural areas by increasing the frequency of mobile clinic services and strengthening the community health worker strategy.

  17. Environment, Safety, Health and Waste Management Plan

    International Nuclear Information System (INIS)

    1988-01-01

    The mission of the Feed Materials Production Center (FMPC) is the production of high qaulity uranium metal for use by the US Department of Energy (DOE) in Defense Programs. In order to accomplish this mission and to maintain the FMPC as a viable facility in the DOE production complex, the facility must be brought into full compliance with all federal and state regulations and industry standards for environmental protection and worker safety. Where past practices have resulted in environmental insult, a comprehensive program of remediation must be implemented. The purpose of this combined Environment, Safety, Health and Waste Management Plan is to provide a road map for achieving needed improvements. The plan is structured to provide a comprehensive projection from the current fiscal year (FY) through FY 1994 of the programs, projects and funding required to achieve compliance. To do this, the plan is subdivided into chapters which discuss the applicable regulations;project schedules and funding requirements;details of the various programs for environment, safety, health and waste management;details of the ongoing National Environmental Policy Act (NEPA);the quality assurance program and the environmental monitoring program. 14 refs., 30 figs., 29 tabs

  18. A proactive method for safety management in nuclear facilities

    International Nuclear Information System (INIS)

    Grecco, Claudio Henrique dos Santos; Carvalho, Paulo Victor Rodrigues de; Santos, Isaac Antonio Luquetti dos

    2014-01-01

    Due to the modern approach to address the safety of nuclear facilities which highlights that these organizations must be able to assess and proactively manage their activities becomes increasingly important the need for instruments to evaluate working conditions. In this context, this work presents a proactive method of managing organizational safety, which has three innovative features: 1) the use of predictive indicators that provide current information on the performance of activities, allowing preventive actions and not just reactive in safety management, different from safety indicators traditionally used (reactive indicators) that are obtained after the occurrence of undesired events; 2) the adoption of resilience engineering approach in the development of indicators - indicators are based on six principles of resilience engineering: top management commitment, learning, flexibility, awareness, culture of justice and preparation for the problems; 3) the adoption of the concepts and properties of fuzzy set theory to deal with subjectivity and consistency of human trials in the evaluation of the indicators. The fuzzy theory is used primarily to map qualitative models of decision-making, and inaccurate representation methods. The results of this study aim an improvement in performance and safety in organizations. The method was applied in a radiopharmaceutical shipping sector of a nuclear facility. The results showed that the method is a good monitoring tool objectively and proactively of the working conditions of an organizational domain

  19. Severe accident analysis and management in nuclear fuel cycle facilities

    International Nuclear Information System (INIS)

    Golshan, Mina

    2013-01-01

    Within the UK regulatory regime, assessment of risks arising from licensee's activities are expected to cover both normal operations and fault conditions. In order to establish the safety case for fault conditions, fault analysis is expected to cover three forms of analysis: design basis analysis (DBA), probabilistic safety assessment (PSA) and severe accident analysis (SAA). DBA should provide a robust demonstration of the fault tolerance of the engineering design and the effectiveness of the safety measures on a conservative basis. PSA looks at a wider range of fault sequences (on a best estimate basis) including those excluded from the DBA. SAA considers significant but unlikely accidents and provides information on their progression and consequences, within the facility, on the site and off site. The assessment of severe accidents is not limited to nuclear power plants and is expected to be carried out for all plant states where the identified dose targets could be exceeded. This paper sets out the UK nuclear regulatory expectation on what constitutes a severe accident, irrespective of the type of facility, and describes characteristics of severe accidents focusing on nuclear fuel cycle facilities. Key rules in assessment of severe accidents as well as the relationship to other fault analysis techniques are discussed. The role of SAA in informing accident management strategies and offsite emergency plans is covered. The paper also presents generic examples of scenarios that could lead to severe accidents in a range of nuclear fuel cycle facilities. (authors)

  20. Facilities management and corporate real estate management : FM/CREM or FREM?

    NARCIS (Netherlands)

    van der Voordt, Theo

    2017-01-01

    Purpose: This paper aims to explore similarities and dissimilarities between facilities management (FM) and corporate real estate management (CREM) regarding its history and key issues, and whether the similarities may result in a further integration of FM and CREM. Design/methodology/approach:

  1. Risk communication on the siting of radioactive waste management facility

    International Nuclear Information System (INIS)

    Okoshi, Minoru; Torii, Hiroyuki; Fujii, Yasuhiko

    2007-01-01

    Siting of radioactive waste management facilities frequently raise arguments among stakeholders such as a municipal government and the residents. Risk communication is one of the useful methods of promoting mutual understanding on related risks among stakeholders. In Finland and Sweden, siting selection procedures of repositories for spent nuclear fuels have been carried out successfully with risk communication. The success reasons are analyzed based on the interviews with those who belong to the regulatory authorities and nuclear industries in both countries. Also, in this paper, risk communication among the Japan Radioisotope Association (JRIA), a local government and the general public, which was carried out during the establishment process of additional radioactive waste treatment facilities in Takizawa Village, Iwate Prefecture, is analyzed based on articles in newspapers and interviews with persons concerned. The analysis results showed that good risk communication was not carried out because of the lack of confidence on the JRIA, decision making rules, enough communication chances and economic benefits. In order to make good use of these experiences for the future establishment of radioactive waste management facilities, the lessons learned from these cases are summarized and proposals for good risk communication (establishment of exploratory committee and technical support system for decision making, and measurements to increase familiarity of radioactive waste) are discussed. (author)

  2. Solid Waste Management Facilities with Permits by the Iowa DNR

    Data.gov (United States)

    Iowa State University GIS Support and Research Facility — All types of facilities that handle solid waste, including: sanitary landfills, appliance demanufacturing facilities, transfer stations, land application sites,...

  3. Identifying Factors for Worker Motivation in Zambia's Rural Health Facilities.

    Science.gov (United States)

    Cross, Samuel S; Baernholdt, Dr Marianne

    2017-01-01

    Within Zambia there is a shortage of health workers in rural areas. This study aims to identify motivating factors for retaining rural health workers. Sixty rural health workers completed surveys and 46 were interviewed. They rated the importance of six motivating factors and discussed these and other factors in interviews. An interview was conducted with a Government Human Resources Manager (HR Manager) to elicit contextual information. All six factors were identified as being very important motivators, as were two additional factors. Additional career training was identified by many as the most important factor. Comparison of results and the HR Manager interview revealed that workers lacked knowledge about opportunities and that the HR manager was aware of barriers to career development. The Zambian government might better motivate and retain rural health workers by offering them any combination of identified factors, and by addressing the barriers to career development.

  4. Comprehensive safety cases for radioactive waste management facilities

    International Nuclear Information System (INIS)

    Woollam, P.B.

    1993-01-01

    Probabilistic safety assessment methodology is being applied by Nuclear Electric plc (NE) to the development of comprehensive safety cases for the radioactive waste management processing and accumulation facilities associated with its 26 reactor systems. This paper describes the methodology and the safety case assessment criteria employed by NE. An overview of the results from facilities used by the first 16 reactors is presented, together with more detail of a specific safety analysis: storage of fuel element debris. No risk to the public greater than 10 -6 /y has been identified and the more significant risks arise from the potential for radioactive waste fires. There are no unacceptable risks from external hazards such as flooding, aircrash or seismic events. Some operations previously expected to have significant risks in fact have negligible risks, while the few faults with risks exceeding the assessment criteria were only identified as a result of this study

  5. Socio-economic aspects of waste management facilities

    International Nuclear Information System (INIS)

    Ruetter, H.

    2008-01-01

    Besides technical aspects and those of safety, it is the economic and social environment of a future underground geologic repository which plays a major role. Compared to other large scale technical plants, facilities for radioactive waste management must overcome incomparably greater obstacles. All the more care must be taken in clarifying the issues affecting the public and the economy in the region of a potential site. On behalf of the Swiss Federal Office for Energy (BFE), Ruetter + Partner conducted a basic study which, in a number of case studies, dealt with the socio-economic aspects of experiences with existing and planned facilities in Switzerland and abroad. The study focused on these main points, which are outlined briefly in the article: - Socio-economic issues in the site selection procedure. - Methodological approach. - Findings made in the case studies. - Factors influencing the acceptance of a repository. (orig.)

  6. CHANGE OF CONTRACTOR FOR THE FACILITIES MANAGEMENT ACTIVITIES AT CERN

    CERN Document Server

    2003-01-01

    The Facilities Management contract at CERN, under the responsibility of ST Division, Group FM, is in charge of the maintenance and minor works on tertiary installations (i.e. all structures and installations that have no direct relation to the running of the accelerators) for the following trades: - Technical: heating, ventilation, air conditioning, plumbing, electricity, civil engineering (painting, roofing, glazing, blinds, fencing, masonry etc.), cleansing, passenger and goods lifts, automatic and powered doors, kitchen equipment, roads, signs, keys and locks, office furniture, - Services: waste collection, security, green areas, cleaning and sanitary supplies, disinfection, rodent control and insect control. Starting from the 1st June the present contractor will stop some activities that will be taken under its responsibility by the new one, INGEST Facility. Others activities will be moved on the 1st July. Minor perturbation in the service might occur. The contact number will not change and will be opera...

  7. CHANGE OF CONTRACTOR FOR THE FACILITIES MANAGEMENT ACTIVITIES AT CERN

    CERN Document Server

    2003-01-01

    The Facilities Management contract at CERN, under the responsibility of ST Division, Group FM, is in charge of the maintenance and minor works on tertiary installations (i.e. all structures and installations that have no direct relation to the running of the accelerators) for the following trades: - Technical: heating, ventilation, air conditioning, plumbing, electricity, civil engineering (painting, roofing, glazing, blinds, fencing, masonry etc.), cleansing, passenger and goods lifts, automatic and powered doors, kitchen equipment, roads, signs, keys and locks, office furniture, - Services: waste collection, security, green areas, cleaning and sanitary supplies, disinfection, rodent control and insect control. Starting from the 1st June the present contractor will stop some activities that will be taken under its responsibility by the new one, INGEST Facility. The remaining activities (including cleaning) will be moved on the 1st July. Minor perturbation in the service might occur. The contact number will ...

  8. Cost recovery of NGO primary health care facilities: a case study in Bangladesh

    OpenAIRE

    Alam, Khurshid; Ahmed, Shakil

    2010-01-01

    Abstract Background Little is known about the cost recovery of primary health care facilities in Bangladesh. This study estimated the cost recovery of a primary health care facility run by Building Resources Across Community (BRAC), a large NGO in Bangladesh, for the period of July 2004 - June 2005. This health facility is one of the seven upgraded BRAC facilities providing emergency obstetric care and is typical of the government and private primary health care facilities in Bangladesh. Give...

  9. Air pollution - health and management

    Energy Technology Data Exchange (ETDEWEB)

    Klug, W; Runca, E; Suess, M J [eds.

    1984-01-01

    The proceedings of a joint workshop of the World Health Organization and the International Institute for Applied Systems Analysis are presented. The workshop was to review the interaction between man's industrial and urban activities and the environment, and the relationship between ambient air quality and human health, and to examine the effectiveness of proper management on the control and abatement of air pollution. The discussion topics included atmospheric processes and respective modelling, air pollution impact on human health, effects of air pollutants on aquatic and terrestrial ecosystems, air pollution episode cycles and management of control. A selected list of 11ASA and WHO/EURO publications related to air pollution is included. Separate abstracts were prepared for 15 papers in this book.

  10. Impact of Electronic Health Records on Long-Term Care Facilities: Systematic Review.

    Science.gov (United States)

    Kruse, Clemens Scott; Mileski, Michael; Vijaykumar, Alekhya Ganta; Viswanathan, Sneha Vishnampet; Suskandla, Ujwala; Chidambaram, Yazhini

    2017-09-29

    Long-term care (LTC) facilities are an important part of the health care industry, providing care to the fastest-growing group of the population. However, the adoption of electronic health records (EHRs) in LTC facilities lags behind other areas of the health care industry. One of the reasons for the lack of widespread adoption in the United States is that LTC facilities are not eligible for incentives under the Meaningful Use program. Implementation of an EHR system in an LTC facility can potentially enhance the quality of care, provided it is appropriately implemented, used, and maintained. Unfortunately, the lag in adoption of the EHR in LTC creates a paucity of literature on the benefits of EHR implementation in LTC facilities. The objective of this systematic review was to identify the potential benefits of implementing an EHR system in LTC facilities. The study also aims to identify the common conditions and EHR features that received favorable remarks from providers and the discrepancies that needed improvement to build up momentum across LTC settings in adopting this technology. The authors conducted a systematic search of PubMed, Cumulative Index of Nursing and Allied Health (CINAHL), and MEDLINE databases. Papers were analyzed by multiple referees to filter out studies not germane to our research objective. A final sample of 28 papers was selected to be included in the systematic review. Results of this systematic review conclude that EHRs show significant improvement in the management of documentation in LTC facilities and enhanced quality outcomes. Approximately 43% (12/28) of the papers reported a mixed impact of EHRs on the management of documentation, and 33% (9/28) of papers reported positive quality outcomes using EHRs. Surprisingly, very few papers demonstrated an impact on patient satisfaction, physician satisfaction, the length of stay, and productivity using EHRs. Overall, implementation of EHRs has been found to be effective in the few LTC

  11. THE COMBINED USE OF BUSINESS MANAGEMENT WITH FACILITY MANAGEMENT AS AN OPTION FOR INTELLIGENT BUILDING

    Directory of Open Access Journals (Sweden)

    Andreas Dittmar Weise

    2014-01-01

    Full Text Available Words like Business Management (BM and Facility Management (FM are well known as separate management methods. FM offers transparency about their property costs and exploitation, starting from the planning phase until its demolition. The investor sees this in the property invested capital and its recoverable yield. This means they also want a profit with their real estates. Besides this, changes in the social and environmental requirements become necessary to adapt the properties. The solution is called Intelligent Building. Its primary aim is to collect and select previous knowledge and information about Facility Management and Business Management. It is an application, mainly with sight to characterize and describe the possibilities of use of intelligent buildings as a combination of Facility and Business Management. This paper is an indirect survey carried out through a documental procedure in the form of a bibliographic research and theoretician study. Intelligent Building as combination of FM and BM is new, but in our times necessary to satisfy the needs of the demand. This type of building needs to be flexible in its structure and services, open for changes in environmental requirements, e.g. saving energy, and needs a lot of technology to realize their functions. Consequently, it will be sustainable for a value enhancement. With a Computer Aided Facilities Management system this is possible and the company will be more flexible in relation to the competitors and future changes.

  12. The combined use of business management with facility management as an option for intelligent building

    OpenAIRE

    Weise, Andreas Dittmar; Schultz, Charles Albino; Trierweiller, Andréa Cristina; Rocha, Rudimar Antunes da; Peixe, Blênio Cesar Severo

    2014-01-01

    Words like Business Management (BM) and Facility Management (FM) are well known as separate management methods. FM offers transparency about their property costs and exploitation, starting from the planning phase until its demolition. The investor sees this in the property invested capital and its recoverable yield. This means they also want a profit with their real estates. Besides this, changes in the social and environmental requirements become necessary to adapt the properties. The soluti...

  13. WIPP Facility Work Plan for Solid Waste Management Units

    International Nuclear Information System (INIS)

    2000-01-01

    This Facility Work Plan (FWP) has been prepared as required by Module VII,Section VII.M.1 of the Waste Isolation Pilot Plant (WIPP) Hazardous Waste Permit, NM4890139088-TSDF (the Permit); (NMED, 1999a). This work plan describes the programmatic facility-wide approach to future investigations at Solid Waste Management Units (SWMUs) and Areas of Concern (AOCs) specified in the Permit. This FWP addresses the current Permit requirements. It uses the results of previous investigations performed at WIPP and expands the investigations as required by the Permit. As an alternative to the Resource Conservation and Recovery Act (RCRA) Facility Investigation (RFI) specified in Module VII of the Permit, current New Mexico Environment Department (NMED) guidance identifies an Accelerated Corrective Action Approach (ACAA) that may be used for any SWMU or AOC (NMED, 1998). This accelerated approach is used to replace the standard RFI Work Plan and Report sequence with a more flexible decision-making approach. The ACAA process allows a Facility to exit the schedule of compliance contained in the Facility's's Hazardous and Solid Waste Amendments (HSWA) permit module and proceed on an accelerated time frame. Thus, the ACAA process can be entered either before or after an RFI Work Plan. According to NMED's guidance, a facility can prepare an RFI Work Plan or Sampling and Analysis Plan (SAP) for any SWMU or AOC (NMED, 1998). Based on this guidance, a SAP constitutes an acceptable alternative to the RFI Work Plan specified in the Permit. The scope of work for the RFI Work Plan or SAP is being developed by the Permittees. The final content of the RFI Work Plan or SAP will be coordinated with the NMED for submittal on May 24, 2000. Specific project-related planning information will be included in the RFI Work Plan or SAP. The SWMU program at WIPP began in 1994 under U.S. Environmental Protection Agency (EPA) regulatory authority. NMED subsequently received regulatory authority from EPA. A

  14. Identifying health facilities outside the enterprise: challenges and strategies for supporting health reform and meaningful use.

    Science.gov (United States)

    Dixon, Brian E; Colvard, Cyril; Tierney, William M

    2014-06-24

    Objective: To support collation of data for disability determination, we sought to accurately identify facilities where care was delivered across multiple, independent hospitals and clinics. Methods: Data from various institutions' electronic health records were merged and delivered as continuity of care documents to the United States Social Security Administration (SSA). Results: Electronic records for nearly 8000 disability claimants were exchanged with SSA. Due to the lack of standard nomenclature for identifying the facilities in which patients received the care documented in the electronic records, SSA could not match the information received with information provided by disability claimants. Facility identifiers were generated arbitrarily by health care systems and therefore could not be mapped to the existing international standards. Discussion: We propose strategies for improving facility identification in electronic health records to support improved tracking of a patient's care between providers to better serve clinical care delivery, disability determination, health reform and meaningful use. Conclusion: Accurately identifying the facilities where health care is delivered to patients is important to a number of major health reform and improvement efforts underway in many nations. A standardized nomenclature for identifying health care facilities is needed to improve tracking of care and linking of electronic health records.

  15. X-33/RLV System Health Management/Vehicle Health Management

    Science.gov (United States)

    Mouyos, William; Wangu, Srimal

    1998-01-01

    To reduce operations costs, Reusable Launch Vehicles (RLVS) must include highly reliable robust subsystems which are designed for simple repair access with a simplified servicing infrastructure, and which incorporate expedited decision-making about faults and anomalies. A key component for the Single Stage To Orbit (SSTO) RLV system used to meet these objectives is System Health Management (SHM). SHM incorporates Vehicle Health Management (VHM), ground processing associated with the vehicle fleet (GVHM), and Ground Infrastructure Health Management (GIHM). The primary objective of SHM is to provide an automated and paperless health decision, maintenance, and logistics system. Sanders, a Lockheed Martin Company, is leading the design, development, and integration of the SHM system for RLV and for X-33 (a sub-scale, sub-orbit Advanced Technology Demonstrator). Many critical technologies are necessary to make SHM (and more specifically VHM) practical, reliable, and cost effective. This paper will present the X-33 SHM design which forms the baseline for the RLV SHM, and it will discuss applications of advanced technologies to future RLVs. In addition, this paper will describe a Virtual Design Environment (VDE) which is being developed for RLV. This VDE will allow for system design engineering, as well as program management teams, to accurately and efficiently evaluate system designs, analyze the behavior of current systems, and predict the feasibility of making smooth and cost-efficient transitions from older technologies to newer ones. The RLV SHM design methodology will reduce program costs, decrease total program life-cycle time, and ultimately increase mission success.

  16. Health facilities safety in natural disasters: experiences and challenges from South East Europe.

    Science.gov (United States)

    Radovic, Vesela; Vitale, Ksenija; Tchounwou, Paul B

    2012-05-01

    The United Nations named 2010 as a year of natural disasters, and launched a worldwide campaign to improve the safety of schools and hospitals from natural disasters. In the region of South East Europe, Croatia and Serbia have suffered the greatest impacts of natural disasters on their communities and health facilities. In this paper the disaster management approaches of the two countries are compared, with a special emphasis on the existing technological and legislative systems for safety and protection of health facilities and people. Strategic measures that should be taken in future to provide better safety for health facilities and populations, based on the best practices and positive experiences in other countries are recommended. Due to the expected consequences of global climate change in the region and the increased different environmental risks both countries need to refine their disaster preparedness strategies. Also, in the South East Europe, the effects of a natural disaster are amplified in the health sector due to its critical medical infrastructure. Therefore, the principles of environmental security should be implemented in public health policies in the described region, along with principles of disaster management through regional collaborations.

  17. Health Facilities Safety in Natural Disasters: Experiences and Challenges from South East Europe

    Directory of Open Access Journals (Sweden)

    Vesela Radovic

    2012-05-01

    Full Text Available The United Nations named 2010 as a year of natural disasters, and launched a worldwide campaign to improve the safety of schools and hospitals from natural disasters. In the region of South East Europe, Croatia and Serbia have suffered the greatest impacts of natural disasters on their communities and health facilities. In this paper the disaster management approaches of the two countries are compared, with a special emphasis on the existing technological and legislative systems for safety and protection of health facilities and people. Strategic measures that should be taken in future to provide better safety for health facilities and populations, based on the best practices and positive experiences in other countries are recommended. Due to the expected consequences of global climate change in the region and the increased different environmental risks both countries need to refine their disaster preparedness strategies. Also, in the South East Europe, the effects of a natural disaster are amplified in the health sector due to its critical medical infrastructure. Therefore, the principles of environmental security should be implemented in public health policies in the described region, along with principles of disaster management through regional collaborations.

  18. Nuclear Security Management for Research Reactors and Related Facilities

    International Nuclear Information System (INIS)

    2016-03-01

    This publication provides a single source guidance to assist those responsible for the implementation of nuclear security measures at research reactors and associated facilities in developing and maintaining an effective and comprehensive programme covering all aspects of nuclear security on the site. It is based on national experience and practices as well as on publications in the field of nuclear management and security. The scope includes security operations, security processes, and security forces and their relationship with the State’s nuclear security regime. The guidance is provided for consideration by States, competent authorities and operators

  19. Sectoral innovation system foresight in practice: Nordic facilities management foresight

    DEFF Research Database (Denmark)

    Andersen, Per Dannemand; Dahl Andersen, Allan; Jensen, Per Anker

    2014-01-01

    a proposal for a common Nordic facilities management research agenda. The paper finds that three elements of the innovation system literature are of particular interest for the practice of foresight: innovation systems and context dependency, learning and user-producer interactions, and the role of knowledge...... and knowledge production. These elements are embedded into a simple sectoral innovation system model (including actors, knowledge flows, and the strategic environment).......A number of studies have explored the interconnection between the foresight literature and the innovation system literature. This paper adds to these studies by investigating how theoretical elements of the innovation system approach can contribute to the design and practice of foresight processes...

  20. Management of the high-level nuclear power facilities

    International Nuclear Information System (INIS)

    Preda, Marin

    2003-05-01

    This thesis approaches current issues in the management of the high power nuclear facilities and as such it appears to be important particularly for nuclear power plant operation topics. Of special interest are the failure events entailing possible catastrophic situations. The contents is structured onto ten chapters. The first chapter describes the operation regimes of the nuclear high power facilities. Highlighted here are the thesis scope and the original features of the work. The second chapter deals with operational policies developed in order to ensure the preventive maintenance of the nuclear installations. Also managing structures are described devoted to practical warranting the equipment safety function of non-classical power stations. In the third chapter cases of nuclear accidents are analyzed especially stressing the probabilistic risk and the operation regimes having in view the elimination of catastrophic events. In the fourth and fifth chapters the control of nuclear radiation emission is treated focusing the quality issue of nuclear installations required to avoid hazardous effects at level of nuclear reactor operation stage. At the same time set of operational measures is given here for preventing risks, catastrophes and chaotic situations. The chapter five presents both theoretical and practical approaches of the nuclear reactor core management concerning particularly the fuel testing, the water primary system and the quality of the involved equipment. In the sixth and seventh chapters issues of risk-quality correlations are approached as well as the structure of expert systems for monitoring the operational regimes of nuclear facilities. The efficiency of the power systems with nuclear injection is discussed and some original ideas developed in this work are evidenced in the eighth and ninth chapters. Presented are here both the operational principles and models of raising the efficiency of the interconnected nuclear stations and prices' policy

  1. Review of occupational exposure patterns in Indian Health Care Facilities

    International Nuclear Information System (INIS)

    Senthilkumar, M.; Nehru, R.M.; Sonawane, A.U.

    2016-01-01

    Monitoring of individual radiation is a prime part of the radiation protection programme. The primary justification for monitoring helps achieve and demonstrate an appropriate level of protection and can demonstrate compliance with regulatory requirements, contribute to the control of operations and design of installations. Atomic Energy (Radiation Protection) Rules 2004 advocates that radiation surveillance is mandatory for all radiation workers. The largest group of individuals exposed occupationally to artificial radiation sources is that employed in health care facilities such as Diagnostic Radiology, Radiation Therapy and Nuclear Medicine. In this work, a comprehensive analysis was carried out on occupational exposure data for the period 2000 to 2014 to bring a measure of radiation protection infrastructure quality in health care facilities

  2. Uplatnění metody benchmarking v rámci Facility management

    OpenAIRE

    Jiroutová, Monika

    2009-01-01

    This bachelor study dissertates about the possibilities of benchmarking application in the field of Facility Management. Theoretical part describes basic characteristics and elementary terms and methods of benchmarking process in Facility Management. In the practical part ten companies providing facility services are compared on the basis of a number of indices. Every company is briefly described. On the results of performed analysis the evolution of the Facility Management in Czech Republic ...

  3. Tritium and ignition target management at the National Ignition Facility.

    Science.gov (United States)

    Draggoo, Vaughn

    2013-06-01

    Isotopic mixtures of hydrogen constitute the basic fuel for fusion targets of the National Ignition Facility (NIF). A typical NIF fusion target shot requires approximately 0.5 mmoles of hydrogen gas and as much as 750 GBq (20 Ci) of 3H. Isotopic mix ratios are specified according to the experimental shot/test plan and the associated test objectives. The hydrogen isotopic concentrations, absolute amounts, gas purity, configuration of the target, and the physical configuration of the NIF facility are all parameters and conditions that must be managed to ensure the quality and safety of operations. An essential and key step in the preparation of an ignition target is the formation of a ~60 μm thick hydrogen "ice" layer on the inner surface of the target capsule. The Cryogenic Target Positioning System (Cryo-Tarpos) provides gas handling, cyro-cooling, x-ray imaging systems, and related instrumentation to control the volumes and temperatures of the multiphase (solid, liquid, and gas) hydrogen as the gas is condensed to liquid, admitted to the capsule, and frozen as a single spherical crystal of hydrogen in the capsule. The hydrogen fuel gas is prepared in discrete 1.7 cc aliquots in the LLNL Tritium Facility for each ignition shot. Post-shot hydrogen gas is recovered in the NIF Tritium Processing System (TPS). Gas handling systems, instrumentation and analytic equipment, material accounting information systems, and the shot planning systems must work together to ensure that operational and safety requirements are met.

  4. Mixed Waste Management Facility (MWMF) groundwater monitoring report

    International Nuclear Information System (INIS)

    1993-03-01

    During fourth quarter 1992, nine constituents exceeded final Primary Drinking Water Standards (PDWS) in one or more groundwater samples from monitoring wells at the Mixed Waste Management Facility (MWMF) and adjacent facilities. As in previous quarters, tritium and trichloroethylene were the most widespread constituents. Fifty-seven (48%) of the 120 monitoring wells, contained elevated tritium activities, and 23 (19%) contained elevated trichloroethylene concentrations. Total alpha-emitting radium, tetrachloroethylene, chloroethene, cadmium, 1,1-dichloroethylene, lead, or nonvolatile beta levels exceeded standards in one or more wells. During 1992, elevated levels of 13 constituents were found in one or more of 80 of the 120 groundwater monitoring wells (67%) at the MWMF and adjacent facilities. Tritium and trichloroethylene exceeded their final PDWS more frequently and more consistently than did other constituents. Tritium activity exceeded its final PDWS m 67 wells and trichloroethylene was. elevated in 28 wells. Lead, tetrachloroethylene, total alpha-emitting radium, gross alpha, cadmium, chloroethene, 1,1-dichloroethylene 1,2-dichloroethane, mercury, or nitrate exceeded standards in one or more wells during the year. Nonvolatile beta exceeded its drinking water screening level in 3 wells during the year

  5. Environmental surveillance for EG ampersand G Idaho Waste Management facilities at the Idaho National Engineering Laboratory. 1993 annual report

    International Nuclear Information System (INIS)

    Wilhelmsen, R.N.; Wright, K.C.; McBride, D.W.; Borsella, B.W.

    1994-08-01

    This report describes calendar year 1993 environmental surveillance activities of Environmental Monitoring of EG ampersand G Idaho, Inc., performed at EG ampersand G Idaho operated Waste Management facilities at the Idaho National Engineering Laboratory (INEL). The major facilities monitored include the Radioactive Waste Management Complex, the Waste Experimental Reduction Facility, the Mixed Waste Storage Facility, and two surplus facilities. Included are results of the sampling performed by the Radiological and Environmental Sciences Laboratory and the United States Geological Survey. The primary purposes of monitoring are to evaluate environmental conditions, to provide and interpret data, to ensure compliance with applicable regulations or standards, and to ensure protection of human health and the environment. This report compares 1993 environmental surveillance data with US Department of Energy derived concentration guides and with data from previous years

  6. Annual report -- 1992: Environmental surveillance for EG ampersand G Idaho Waste Management Facilities at the Idaho National Engineering Laboratory

    International Nuclear Information System (INIS)

    Wilhelmsen, R.N.; Wright, K.C.; McBride, D.W.

    1993-08-01

    This report describes the 1992 environmental surveillance activities of the Environmental Monitoring Unit of EG ampersand G Idaho, Inc., at EG ampersand G Idaho-operated Waste Management facilities at the Idaho National Engineering Laboratory (INEL). The major facilities monitored include the Radioactive Waste Management Complex, the Waste Experimental Reduction Facility, the Mixed Waste Storage Facility, and two surplus facilities. Included are some results of the sampling performed by the Radiological and Environmental Sciences Laboratory and the United States Geological Survey. The primary purposes of monitoring are to evaluate environmental conditions, to provide and interpret data, to ensure compliance with applicable regulations or standards, and to ensure protection of human health and the environment. This report compares 1992 environmental surveillance data with DOE derived concentration guides, and with data from previous years

  7. Greening Federal Facilities: An Energy, Environmental, and Economic Resource Guide for Federal Facility Managers and Designers; Second Edition

    Energy Technology Data Exchange (ETDEWEB)

    Wilson, A.

    2001-05-16

    Greening Federal Facilities, Second Edition, is a nuts-and-bolts resource guide compiled to increase energy and resource efficiency, cut waste, and improve the performance of Federal buildings and facilities. The guide highlights practical actions that facility managers, design and construction staff, procurement officials, and facility planners can take to save energy and money, improve the comfort and productivity of employees, and benefit the environment. It supports a national effort to promote energy and environmental efficiency in the nation's 500,000 Federal buildings and facilities. Topics covered include current Federal regulations; environmental and energy decision-making; site and landscape issues; building design; energy systems; water and wastewater; materials; waste management, and recycling; indoor environmental quality; and managing buildings.

  8. Swedish spent fuel management systems, facilities and operating experiences

    International Nuclear Information System (INIS)

    Vogt, J.

    1998-01-01

    About 50% of the electricity in Sweden is generated by means of nuclear power from 12 LWR reactors located at four sites and with a total capacity of 10,000 MW. The four utilities have jointly created SKB, the Swedish Nuclear Fuel and Waste Management Company, which has been given the mandate to manage the spent fuel and radioactive waste from its origin at the reactors to the final disposal. SKB has developed a system for the safe handling of all kinds of radioactive waste from the Swedish nuclear power plants. The keystones now in operation of this system are a transport system, a central interim storage facility for spent nuclear fuel (CLAB), a final repository for short-lived, low and intermediate level waste (SFR). The remaining, system components being planned are an encapsulation plant for spent nuclear fuel and a deep repository for encapsulated spent fuel and other long-lived radioactive wastes. (author)

  9. Controlling changes - lessons learned from waste management facilities

    International Nuclear Information System (INIS)

    Johnson, B.M.; Koplow, A.S.; Stoll, F.E.; Waetje, W.D.

    1995-01-01

    This paper discusses lessons learned about change control at the Waste Reduction Operations Complex (WROC) and Waste Experimental Reduction Facility (WERF) of the Idaho National Engineering Laboratory (INEL). WROC and WERF have developed and implemented change control and an as-built drawing process and have identified structures, systems, and components (SSCS) for configuration management. The operations have also formed an Independent Review Committee to minimize costs and resources associated with changing documents. WROC and WERF perform waste management activities at the INEL. WROC activities include storage, treatment, and disposal of hazardous and mixed waste. WERF provides volume reduction of solid low-level waste through compaction, incineration, and sizing operations. WROC and WERF's efforts aim to improve change control processes that have worked inefficiently in the past

  10. Organisation of facilities management in relation to core business

    DEFF Research Database (Denmark)

    Jensen, Per Anker

    2011-01-01

    as mainly a specific customer orientation. It is concluded that a market relationship – internally or externally – is appropriate for non-strategic functions, while it is important to create a kind of coalition between strategic FM functions and the core business management. Originality/value: The paper......Purpose: The purpose of this article is to clarify the organisational relationships between Facilities Management (FM) and core business and how these relationships vary for strategic and operational support functions. Approach: The research takes a starting point in Michael Porter’s theory...... of value chains but also draws on theory of strategic FM, governance and forms of coordination. The value chains for core businesses and support functions are analysed and related to empirical data from a case study on a broadcasting corporation during a major relocation. Findings: A particular support...

  11. Impacts of building information modeling on facility maintenance management

    Energy Technology Data Exchange (ETDEWEB)

    Ahamed, Shafee; Neelamkavil, Joseph; Canas, Roberto [Centre for Computer-assisted Construction Technologies, National Research Council of Canada, London, Ontario (Canada)

    2010-07-01

    Building information modeling (BIM) is a digital representation of the physical and functional properties of a building; it has been used by construction professionals for a long time and stakeholders are now using it in different aspects of the building lifecycle. This paper intends to present how BIM impacts the construction industry and how it can be used for facility maintenance management. The maintenance and operations of buildings are in most cases still managed through the use of drawings and spreadsheets although life cycle costs of a building are significantly higher than initial investment costs; thus, the use of BIM could help in achieving a higher efficiency and so important benefits. This study is part of an ongoing research project, the nD modeling project, which aims at predicting building energy consumption with better accuracy.

  12. Health and environmental aspects of nuclear fuel cycle facilities

    International Nuclear Information System (INIS)

    1996-11-01

    The purpose of the present publication is to give a generic description of health and environmental aspects of nuclear fuel cycle facilities. Primarily the report is meant to stand alone; however, because of the content of the publication and in the context of the DECADES project, it may serve as a means of introducing specialists in other fuel cycles to the nuclear fuel cycle. Refs, figs, tabs

  13. Introducing Systematic Aging Management for Interim Storage Facilities in Germany

    International Nuclear Information System (INIS)

    Spieth-Achtnich, Angelika; Schmidt, Gerhard

    2014-01-01

    In Germany twelve at-reactor and three central (away from reactor) dry storage facilities are in operation, where the fuel is stored in combined transport-and-storage casks. The safety of the storage casks and facilities has been approved and is licensed for up to 40 years operating time. If the availability of a final disposal facility for the stored wastes (spent fuel and high-level wastes from reprocessing) will be further delayed the renewal of the licenses can become necessary in future. Since 2001 Germany had a regulatory guideline for at-reactor dry interim storage of spent fuel. In this guideline some elements of ageing were implemented, but no systematic approach was made for a state-of-the-art ageing management. Currently the guideline is updated to include all kind of storage facilities (central storages as well) and all kinds of high level waste (also waste from reprocessing). Draft versions of the update are under discussion. In these drafts a systematic ageing management is seen as an instrument to upgrade the available technical knowledge base for possible later regulatory decisions, should it be necessary to prolong storage periods to beyond the currently approved limits. It is further recognized as an instrument to prevent from possible and currently unrecognized ageing mechanisms. The generation of information on ageing can be an important basis for the necessary safety-relevant verifications for long term storage. For the first time, the demands for a systematic monitoring of ageing processes for all safety-related components of the storage system are described. In addition, for inaccessible container components such as the seal system, the neutron shielding, the baskets and the waste inventory, the development of a monitoring program is recommended. The working draft to the revised guideline also contains recommendations on non-technical ageing issues such as the long-term preservation of knowledge, long term personnel planning and long term

  14. Malaria prevalence and treatment of febrile patients at health facilities and medicine retailers in Cameroon.

    Science.gov (United States)

    Mangham, Lindsay J; Cundill, Bonnie; Achonduh, Olivia A; Ambebila, Joel N; Lele, Albertine K; Metoh, Theresia N; Ndive, Sarah N; Ndong, Ignatius C; Nguela, Rachel L; Nji, Akindeh M; Orang-Ojong, Barnabas; Wiseman, Virginia; Pamen-Ngako, Joelle; Mbacham, Wilfred F

    2012-03-01

    To investigate the quality of malaria case management in Cameroon 5 years after the adoption of artemisinin-based combination therapy (ACT). Treatment patterns were examined in different types of facility, and the factors associated with being prescribed or receiving an ACT were investigated. A cross-sectional cluster survey was conducted among individuals of all ages who left public and private health facilities and medicine retailers in Cameroon and who reported seeking treatment for a fever. Prevalence of malaria was determined by rapid diagnostic tests (RDTs) in consenting patients attending the facilities and medicine retailers. Among the patients, 73% were prescribed or received an antimalarial, and 51% were prescribed or received an ACT. Treatment provided to patients significantly differed by type of facility: 65% of patients at public facilities, 55% of patients at private facilities and 45% of patients at medicine retailers were prescribed or received an ACT (P = 0.023). The odds of a febrile patient being prescribed or receiving an ACT were significantly higher for patients who asked for an ACT (OR = 24.1, P < 0.001), were examined by the health worker (OR = 1.88, P = 0.021), had not previously sought an antimalarial for the illness (OR = 2.29, P = 0.001) and sought treatment at a public (OR = 3.55) or private facility (OR = 1.99, P = 0.003). Malaria was confirmed in 29% of patients and 70% of patients with a negative result were prescribed or received an antimalarial. Malaria case management could be improved. Symptomatic diagnosis is inefficient because two-thirds of febrile patients do not have malaria. Government plans to extend malaria testing should promote rational use of ACT; though, the introduction of rapid diagnostic testing needs to be accompanied by updated clinical guidelines that provide clear guidance for the treatment of patients with negative test results. © 2011 Blackwell Publishing Ltd.

  15. Analysis of fuel management in the KIPT neutron source facility

    Energy Technology Data Exchange (ETDEWEB)

    Zhong Zhaopeng, E-mail: zzhong@anl.gov [Nuclear Engineering Division, Argonne National Laboratory, 9700 South Cass Avenue, Argonne, IL 60439 (United States); Gohar, Yousry; Talamo, Alberto [Nuclear Engineering Division, Argonne National Laboratory, 9700 South Cass Avenue, Argonne, IL 60439 (United States)

    2011-05-15

    Research highlights: > Fuel management of KIPT ADS was analyzed. > Core arrangement was shuffled in stage wise. > New fuel assemblies was added into core periodically. > Beryllium reflector could also be utilized to increase the fuel life. - Abstract: Argonne National Laboratory (ANL) of USA and Kharkov Institute of Physics and Technology (KIPT) of Ukraine have been collaborating on the conceptual design development of an experimental neutron source facility consisting of an electron accelerator driven sub-critical assembly. The neutron source driving the sub-critical assembly is generated from the interaction of 100 KW electron beam with a natural uranium target. The sub-critical assembly surrounding the target is fueled with low enriched WWR-M2 type hexagonal fuel assemblies. The U-235 enrichment of the fuel material is <20%. The facility will be utilized for basic and applied research, producing medical isotopes, and training young specialists. With the 100 KW electron beam power, the total thermal power of the facility is {approx}360 kW including the fission power of {approx}260 kW. The burnup of the fissile materials and the buildup of fission products continuously reduce the system reactivity during the operation, decrease the neutron flux level, and consequently impact the facility performance. To preserve the neutron flux level during the operation, the fuel assemblies should be added and shuffled for compensating the lost reactivity caused by burnup. Beryllium reflector could also be utilized to increase the fuel life time in the sub-critical core. This paper studies the fuel cycles and shuffling schemes of the fuel assemblies of the sub-critical assembly to preserve the system reactivity and the neutron flux level during the operation.

  16. Analysis of fuel management in the KIPT neutron source facility

    International Nuclear Information System (INIS)

    Zhong Zhaopeng; Gohar, Yousry; Talamo, Alberto

    2011-01-01

    Research highlights: → Fuel management of KIPT ADS was analyzed. → Core arrangement was shuffled in stage wise. → New fuel assemblies was added into core periodically. → Beryllium reflector could also be utilized to increase the fuel life. - Abstract: Argonne National Laboratory (ANL) of USA and Kharkov Institute of Physics and Technology (KIPT) of Ukraine have been collaborating on the conceptual design development of an experimental neutron source facility consisting of an electron accelerator driven sub-critical assembly. The neutron source driving the sub-critical assembly is generated from the interaction of 100 KW electron beam with a natural uranium target. The sub-critical assembly surrounding the target is fueled with low enriched WWR-M2 type hexagonal fuel assemblies. The U-235 enrichment of the fuel material is <20%. The facility will be utilized for basic and applied research, producing medical isotopes, and training young specialists. With the 100 KW electron beam power, the total thermal power of the facility is ∼360 kW including the fission power of ∼260 kW. The burnup of the fissile materials and the buildup of fission products continuously reduce the system reactivity during the operation, decrease the neutron flux level, and consequently impact the facility performance. To preserve the neutron flux level during the operation, the fuel assemblies should be added and shuffled for compensating the lost reactivity caused by burnup. Beryllium reflector could also be utilized to increase the fuel life time in the sub-critical core. This paper studies the fuel cycles and shuffling schemes of the fuel assemblies of the sub-critical assembly to preserve the system reactivity and the neutron flux level during the operation.

  17. Conceptualizing ORGANIZATIONAL HEALTH - Public health management and leadership perspectives

    OpenAIRE

    Orvik, Arne

    2016-01-01

    The thesis introduces a new conceptual model of organizational health and discusses its implications for public health management and leadership. It is developed with reference to organizational theories and ideologies, including New Public Management, the use of which has coincided with increasing workplace health problems in health care organizations. The model is based on empirical research and theories in the fields of public health, health care organization and management, and institutio...

  18. Keeping health facilities safe: one way of strengthening the interaction between disease-specific programmes and health systems.

    Science.gov (United States)

    Harries, Anthony D; Zachariah, Rony; Tayler-Smith, Katie; Schouten, Erik J; Chimbwandira, Frank; Van Damme, Wim; El-Sadr, Wafaa M

    2010-12-01

    The debate on the interaction between disease-specific programmes and health system strengthening in the last few years has intensified as experts seek to tease out common ground and find solutions and synergies to bridge the divide. Unfortunately, the debate continues to be largely academic and devoid of specificity, resulting in the issues being irrelevant to health care workers on the ground. Taking the theme 'What would entice HIV- and tuberculosis (TB)-programme managers to sit around the table on a Monday morning with health system experts', this viewpoint focuses on infection control and health facility safety as an important and highly relevant practical topic for both disease-specific programmes and health system strengthening. Our attentions, and the examples and lessons we draw on, are largely aimed at sub-Saharan Africa where the great burden of TB and HIV ⁄ AIDS resides, although the principles we outline would apply to other parts of the world as well. Health care infections, caused for example by poor hand hygiene, inadequate testing of donated blood, unsafe disposal of needles and syringes, poorly sterilized medical and surgical equipment and lack of adequate airborne infection control procedures, are responsible for a considerable burden of illness amongst patients and health care personnel, especially in resource-poor countries. Effective infection control in a district hospital requires that all the components of a health system function well: governance and stewardship, financing,infrastructure, procurement and supply chain management, human resources, health information systems, service delivery and finally supervision. We argue in this article that proper attention to infection control and an emphasis on safe health facilities is a concrete first step towards strengthening the interaction between disease-specific programmes and health systems where it really matters – for patients who are sick and for the health care workforce who provide

  19. 41 CFR 102-74.155 - What energy conservation policy must Federal agencies follow in the management of facilities?

    Science.gov (United States)

    2010-07-01

    ... policy must Federal agencies follow in the management of facilities? 102-74.155 Section 102-74.155 Public... MANAGEMENT REGULATION REAL PROPERTY 74-FACILITY MANAGEMENT Facility Management Energy Conservation § 102-74.155 What energy conservation policy must Federal agencies follow in the management of facilities...

  20. Tracking implementation and (un)intended consequences: a process evaluation of an innovative peripheral health facility financing mechanism in Kenya.

    Science.gov (United States)

    Waweru, Evelyn; Goodman, Catherine; Kedenge, Sarah; Tsofa, Benjamin; Molyneux, Sassy

    2016-03-01

    In many African countries, user fees have failed to achieve intended access and quality of care improvements. Subsequent user fee reduction or elimination policies have often been poorly planned, without alternative sources of income for facilities. We describe early implementation of an innovative national health financing intervention in Kenya; the health sector services fund (HSSF). In HSSF, central funds are credited directly into a facility's bank account quarterly, and facility funds are managed by health facility management committees (HFMCs) including community representatives. HSSF is therefore a finance mechanism with potential to increase access to funds for peripheral facilities, support user fee reduction and improve equity in access. We conducted a process evaluation of HSSF implementation based on a theory of change underpinning the intervention. Methods included interviews at national, district and facility levels, facility record reviews, a structured exit survey and a document review. We found impressive achievements: HSSF funds were reaching facilities; funds were being overseen and used in a way that strengthened transparency and community involvement; and health workers' motivation and patient satisfaction improved. Challenges or unintended outcomes included: complex and centralized accounting requirements undermining efficiency; interactions between HSSF and user fees leading to difficulties in accessing crucial user fee funds; and some relationship problems between key players. Although user fees charged had not increased, national reduction policies were still not being adhered to. Finance mechanisms can have a strong positive impact on peripheral facilities, and HFMCs can play a valuable role in managing facilities. Although fiduciary oversight is essential, mechanisms should allow for local decision-making and ensure that unmanageable paperwork is avoided. There are also limits to what can be achieved with relatively small funds in

  1. 25 CFR 170.806 - What is an IRR Transportation Facilities Maintenance Management System?

    Science.gov (United States)

    2010-04-01

    ... AND WATER INDIAN RESERVATION ROADS PROGRAM BIA Road Maintenance § 170.806 What is an IRR Transportation Facilities Maintenance Management System? An IRR Transportation Facilities Maintenance Management... 25 Indians 1 2010-04-01 2010-04-01 false What is an IRR Transportation Facilities Maintenance...

  2. The mixed waste management facility: Cost-benefit for the Mixed Waste Management Facility at Lawrence Livermore National Laboratory

    International Nuclear Information System (INIS)

    Brinker, S.D.; Streit, R.D.

    1996-04-01

    The Mixed Waste Management Facility, or MWMF, has been proposed as a national testbed facility for the demonstration and evaluation of technologies that are alternatives to incineration for the treatment of mixed low-level waste. The facility design will enable evaluation of technologies at pilot scale, including all aspects of the processes, from receiving and feed preparation to the preparation of final forms for disposal. The MWMF will reduce the risk of deploying such technologies by addressing the following: (1) Engineering development and scale-up. (2) Process integration and activation of the treatment systems. (3) Permitting and stakeholder issues. In light of the severe financial constraints imposed on the DOE and federal programs, DOE/HQ requested a study to assess the cost benefit for the MWMF given other potential alternatives to meet waste treatment needs. The MVVMF Project was asked to consider alternatives specifically associated with commercialization and privatization of the DOE site waste treatment operations and the acceptability (or lack of acceptability) of incineration as a waste treatment process. The result of this study will be one of the key elements for a DOE decision on proceeding with the MWMF into Final Design (KD-2) vs. proceeding with other options

  3. Management Of Experiments And Data At The National Ignition Facility

    International Nuclear Information System (INIS)

    Azevedo, S.; Casey, A.; Beeler, R.; Bettenhausen, R.; Bond, E.; Chandrasekaran, H.; Foxworthy, C.; Hutton, M.; Krammen, J.; Liebman, J.; Marsh, A.; Pannell, T.; Rhodes, J.; Tappero, J.; Warrick, A.

    2011-01-01

    Experiments, or 'shots', conducted at the National Ignition Facility (NIF) are discrete events that occur over a very short time frame (tens of nanoseconds) separated by many hours. Each shot is part of a larger campaign of shots to advance scientific understanding in high-energy-density physics. In one campaign, scientists use energy from the 192-beam, 1.8-Megajoule pulsed laser in the NIF system to symmetrically implode a hydrogen-filled target, thereby creating conditions similar to the interior of stars in a demonstration of controlled fusion. Each NIF shot generates gigabytes of data from over 30 diagnostics that measure optical, x-ray, and nuclear phenomena from the imploding target. We have developed systems to manage all aspects of the shot cycle. Other papers will discuss the control of the lasers and targets, while this paper focuses on the setup and management of campaigns and diagnostics. Because of the low duty cycle of shots, and the thousands of adjustments for each shot (target type, composition, shape; laser beams used, their power profiles, pointing; diagnostic systems used, their configuration, calibration, settings) it is imperative that we accurately define all equipment prior to the shot. Following the shot, and capture of the data by the automatic control system, it is equally imperative that we archive, analyze and visualize the results within the required 30 minutes post-shot. Results must be securely archived, approved, web-visible and downloadable in order to facilitate subsequent publication. To-date NIF has successfully fired over 2,500 system shots, as well as thousands of test firings and dry-runs. We will present an overview of the highly-flexible and scalable campaign management systems and tools employed at NIF that control experiment configuration of the facility all the way through presentation of analyzed results.

  4. National Ignition Facility and managing location, component, and state

    Energy Technology Data Exchange (ETDEWEB)

    Foxworthy, Cemil, E-mail: foxworthy3@llnl.gov [Lawrence Livermore National Laboratory, Livermore, CA (United States); Fung, Tracy; Beeler, Rich; Li, Joyce; Dugorepec, Jasna; Chang, Cathy [Lawrence Livermore National Laboratory, Livermore, CA (United States)

    2012-12-15

    Highlights: Black-Right-Pointing-Pointer NIF in comprised of over 100k serialized parts that must be tracked and maintained. Black-Right-Pointing-Pointer We discuss a web-based integrated parts management system designed for NIF. Black-Right-Pointing-Pointer The parts database stores associated calibration data with effective dates. Black-Right-Pointing-Pointer The system interfaces with the NIF control system and performance models. Black-Right-Pointing-Pointer Work activity (Permits, Problem Logs, Work Orders) are managed by the system. - Abstract: The National Ignition Facility (NIF) at the Lawrence Livermore National Laboratory is a stadium-sized facility that contains a 192-beam, 1.8-MJ, 500-TW, ultraviolet laser system coupled with a 10-m diameter target chamber. There are over 6200 Line Replaceable Units (LRUs) comprised of more than 104,000 serialized parts that make up the NIF. Each LRU is a modular unit typically composed of a mechanical housing, laser optics (glass, lenses, or mirrors), and utilities. To date, there are more than 120,000 data sets created to characterize the attributes of these parts. Greater than 51,000 Work Permits have been issued to install, maintain, and troubleshoot the components. One integrated system is used to manage these data, and more. The Location Component and State (LoCoS) system is a web application built using Java Enterprise Edition technologies and is accessed by over 1200 users. It is either directly or indirectly involved with each aspect of NIF work activity, and interfaces with ten external systems including the Integrated Computer Control System (ICCS) and the Laser Performance Operations Model (LPOM). Besides providing business functionality, LoCoS also acts as the NIF enterprise service bus. In this role, numerous integration approaches had to be adopted including: file exchange, database sharing, queuing, and web services in order to accommodate various business, technical, and security requirements

  5. National Ignition Facility and managing location, component, and state

    International Nuclear Information System (INIS)

    Foxworthy, Cemil; Fung, Tracy; Beeler, Rich; Li, Joyce; Dugorepec, Jasna; Chang, Cathy

    2012-01-01

    Highlights: ► NIF in comprised of over 100k serialized parts that must be tracked and maintained. ► We discuss a web-based integrated parts management system designed for NIF. ► The parts database stores associated calibration data with effective dates. ► The system interfaces with the NIF control system and performance models. ► Work activity (Permits, Problem Logs, Work Orders) are managed by the system. - Abstract: The National Ignition Facility (NIF) at the Lawrence Livermore National Laboratory is a stadium-sized facility that contains a 192-beam, 1.8-MJ, 500-TW, ultraviolet laser system coupled with a 10-m diameter target chamber. There are over 6200 Line Replaceable Units (LRUs) comprised of more than 104,000 serialized parts that make up the NIF. Each LRU is a modular unit typically composed of a mechanical housing, laser optics (glass, lenses, or mirrors), and utilities. To date, there are more than 120,000 data sets created to characterize the attributes of these parts. Greater than 51,000 Work Permits have been issued to install, maintain, and troubleshoot the components. One integrated system is used to manage these data, and more. The Location Component and State (LoCoS) system is a web application built using Java Enterprise Edition technologies and is accessed by over 1200 users. It is either directly or indirectly involved with each aspect of NIF work activity, and interfaces with ten external systems including the Integrated Computer Control System (ICCS) and the Laser Performance Operations Model (LPOM). Besides providing business functionality, LoCoS also acts as the NIF enterprise service bus. In this role, numerous integration approaches had to be adopted including: file exchange, database sharing, queuing, and web services in order to accommodate various business, technical, and security requirements. Architecture and implementation decisions are discussed.

  6. WIPP Facility Work Plan for Solid Waste Management Units

    Energy Technology Data Exchange (ETDEWEB)

    Washington TRU Solutions LLC

    2000-02-25

    This Facility Work Plan (FWP) has been prepared as required by Module VII,Section VII.M.1 of the Waste Isolation Pilot Plant (WIPP) Hazardous Waste Permit, NM4890139088-TSDF (the Permit); (NMED, 1999a). This work plan describes the programmatic facility-wide approach to future investigations at Solid Waste Management Units (SWMUs) and Areas of Concern (AOCs) specified in the Permit. This FWP addresses the current Permit requirements. It uses the results of previous investigations performed at WIPP and expands the investigations as required by the Permit. As an alternative to the Resource Conservation and Recovery Act (RCRA) Facility Investigation (RFI) specified in Module VII of the Permit, current New Mexico Environment Department (NMED) guidance identifies an Accelerated Corrective Action Approach (ACAA) that may be used for any SWMU or AOC (NMED, 1998). This accelerated approach is used to replace the standard RFI Work Plan and Report sequence with a more flexible decision-making approach. The ACAA process allows a Facility to exit the schedule of compliance contained in the Facility’s Hazardous and Solid Waste Amendments (HSWA) permit module and proceed on an accelerated time frame. Thus, the ACAA process can be entered either before or after an RFI Work Plan. According to NMED’s guidance, a facility can prepare an RFI Work Plan or Sampling and Analysis Plan (SAP) for any SWMU or AOC (NMED, 1998). Based on this guidance, a SAP constitutes an acceptable alternative to the RFI Work Plan specified in the Permit. The scope of work for the RFI Work Plan or SAP is being developed by the Permittees. The final content of the RFI Work Plan or SAP will be coordinated with the NMED for submittal on May 24, 2000. Specific project-related planning information will be included in the RFI Work Plan or SAP. The SWMU program at WIPP began in 1994 under U.S. Environmental Protection Agency (EPA) regulatory authority. NMED subsequently received regulatory authority from EPA

  7. Monitoring plan for routine organic air emissions at the Radioactive Waste Management Complex Waste Storage Facilities

    International Nuclear Information System (INIS)

    Galloway, K.J.; Jolley, J.G.

    1994-06-01

    This monitoring plan provides the information necessary to perform routine organic air emissions monitoring at the Waste Storage Facilities located at the Transuranic Storage Area of the Radioactive Waste Management Complex at the Idaho National Engineering Laboratory. The Waste Storage Facilities include both the Type I and II Waste Storage Modules. The plan implements a dual method approach where two dissimilar analytical methodologies, Open-Path Fourier Transform Infrared Spectroscopy (OP-FTIR) and ancillary SUMMA reg-sign canister sampling, following the US Environmental Protection Agency (EPA) analytical method TO-14, will be used to provide qualitative and quantitative volatile organic concentration data. The Open-Path Fourier Transform Infrared Spectroscopy will provide in situ, real time monitoring of volatile organic compound concentrations in the ambient air of the Waste Storage Facilities. To supplement the OP-FTIR data, air samples will be collected using SUMMA reg-sign, passivated, stainless steel canisters, following the EPA Method TO-14. These samples will be analyzed for volatile organic compounds with gas chromatograph/mass spectrometry analysis. The sampling strategy, procedures, and schedules are included in this monitoring plan. The development of this monitoring plan is driven by regulatory compliance to the Resource Conservation and Recovery Act, State of Idaho Toxic Air Pollutant increments, Occupational Safety and Health Administration. The various state and federal regulations address the characterization of the volatile organic compounds and the resultant ambient air emissions that may originate from facilities involved in industrial production and/or waste management activities

  8. Facilities Management and Corporate Real Estate Management as Value Drivers: How to Manage and Measure Adding Value

    DEFF Research Database (Denmark)

    Facilities Management (FM) and Corporate Real Estate Management (CREM) are two closely related and relatively new management disciplines with developing international professions and increasing academic attention. Both disciplines have from the outset a strong focus on controlling and reducing cost...... for real estate, facilities and related services. In recent years there has been a change towards putting more focus on how FM/CREM can add value to the organisation. The book is research based with a focus on guidance to practice. It offers a transdisciplinary approach, integrating academic knowledge from...

  9. Health and radiation protection management

    International Nuclear Information System (INIS)

    Huhn, A.; Vargas, M.; Lorenzetti, J.; Lança, L.

    2017-01-01

    Quality management and continuous improvement systems are becoming part of daily health services, including radiodiagnostic services, which are designed to meet the needs of users, operating in an environment where the differential is due to the competence and quality of the services provided. The objective of this study is to show the scope of the management of health services, especially radiodiagnosis and radiological protection. Method: Exploratory and descriptive study, based on a review of the literature on the subject. Results: Radiodiagnosis has demonstrated the need for efficient management, especially because ionizing radiation is present in this environment and it is imperative that the professionals working in this area are aware of the need to perform adequate radiological protection for themselves and for users. Conclusion: Universal access to information has changed the attitude of the user and the user has become more demanding in his choices, wanting to understand, express, interact and choose the best quality service in view of the various options available in the market

  10. Perception and prevalence of work-related health hazards among health care workers in public health facilities in southern India.

    Science.gov (United States)

    Senthil, Arasi; Anandh, Balasubramanian; Jayachandran, Palsamy; Thangavel, Gurusamy; Josephin, Diana; Yamini, Ravindran; Kalpana, Balakrishnan

    2015-01-01

    Health care workers (HCWs) are exposed to occupational related health hazards. Measuring worker perception and the prevalence of these hazards can help facilitate better risk management for HCWs, as these workers are envisaged to be the first point of contact, especially in resource poor settings. To describe the perception of occupational health hazards and self-reported exposure prevalence among HCWs in Southern India. We used cross sectional design with stratified random sampling of HCWs from different levels of health facilities and categories in a randomly selected district in Southern India. Data on perception and exposure prevalence were collected using a structured interview schedule developed by occupational health experts and administered by trained investigators. A total of 482 HCWs participated. Thirty nine percent did not recognize work-related health hazards, but reported exposure to at least one hazard upon further probing. Among the 81·5% who reported exposure to biological hazard, 93·9% had direct skin contact with infectious materials. Among HCWs reporting needle stick injury, 70·5% had at least one in the previous three months. Ergonomic hazards included lifting heavy objects (42%) and standing for long hours (37%). Psychological hazards included negative feelings (20·3%) and verbal or physical abuse during work (20·5%). More than a third of HCWs failed to recognize work-related health hazards. Despite training in handling infectious materials, HCWs reported direct skin contact with infectious materials and needle stick injuries. RESULTS indicate the need for training oriented toward behavioral change and provision of occupational health services.

  11. Impact of Health Behaviors and Health Management on Employment After SCI: Psychological Health and Health Management.

    Science.gov (United States)

    Reed, Karla S; Meade, Michelle A; Krause, James S

    2016-01-01

    Objective: The purpose of this study was to examine the relationship between employment and psychological health and health management as described by individuals with spinal cord injury (SCI) who were employed at least once following injury. Methods: A qualitative approach used 6 focus groups at 2 sites with 44 participants who were at least 10 years post SCI. All had been employed at some point since injury. Heterogeneous and homogeneous groups were delineated based on specific characteristics, such as education, gender, or race. Group sessions followed a semi-structured interview format with questions about personal, environmental, and policy related factors influencing employment following SCI. All group sessions were recorded, transcribed, and coded into conceptual categories to identify topics, themes, and patterns. Inferences were drawn about their meaning. NVivo 10 software using the constant comparative method was used for data analysis. Results: Narratives discussed the relationship between employment and psychological and emotional health and health management. Four themes were identified: (1) adjustment and dealing with emotional reactions, (2) gaining self-confidence, (3) preventing burnout, and (4) attitudes and perspectives. Most themes reflected issues that varied based on severity of injury as well as stage of employment. Conclusions: Individuals with SCI who are successful in working following injury must determine how to perform the behaviors necessary to manage their health and prevent emotional or physical complications. The emotional consequences of SCI must be recognized and addressed and specific behaviors enacted in order to optimize employment outcomes.

  12. Health management of radiation workers

    International Nuclear Information System (INIS)

    Kunugita, Naoki; Igari, Kazuyuki

    2013-01-01

    People in Japan have expressed great anxiety about possible radiation and radioactivity after the accident at the Fukushima Daiichi Nuclear Power Plant of Tokyo Electric Power Company's (TEPCO), due to the great earthquake and tsunami in eastern Japan on 11 March 2011. A large number of workers were engaged in response and recovery operations, and they were possibly exposed to high doses of radiation as compared to the general population. In the accident at the Chernobyl Nuclear Power Plant in 1986, high doses of radiation to 134 plant staff and emergency personnel resulted in acute radiation syndrome (ARS), which proved fatal for 28 of them. In the Fukushima accident, six workers were exposed to more than 250 mSv of radiation during the initial response phase, but no one showed ARS. It is necessary to continue registration of radiation doses for all workers who were exposed to radiation to facilitate suitable healthcare management in the future. In addition to radiation exposure, a group of workers were also exposed to other health hazards. Frequent occurrence of heat disorders has been a concern for the workers wearing protective clothing with poor ventilation. A comprehensive program to prevent heat illness was implemented by TEPCO under the guidance of the Ministry of Health, Labour, and Welfare. It is important to provide effective systems not only for prevention of radiation exposure but also for general management of other health risks including heat disorders and infection. (author)

  13. National Ignition Facility and Managing Location, Component, and State

    Energy Technology Data Exchange (ETDEWEB)

    Foxworthy, C; Fung, T; Beeler, R; Li, J; Dugorepec, J; Chang, C

    2011-07-25

    The National Ignition Facility (NIF) at the Lawrence Livermore National Laboratory is a stadium-sized facility that contains a 192-beam, 1.8-Megajoule, 500-Terawatt, ultraviolet laser system coupled with a 10-meter diameter target chamber. There are over 6,200 Line Replaceable Units (LRUs) comprised of more than 104,000 serialized parts that make up the NIF. Each LRU is a modular unit typically composed of a mechanical housing, laser optics (glass, lenses, or mirrors), and utilities. To date, there are more than 120,000 data sets created to characterize the attributes of these parts. Greater than 51,000 Work Permits have been issued to install, maintain, and troubleshoot the components. One integrated system is used to manage these data, and more. The Location Component and State (LoCoS) system is a web application built using Java Enterprise Edition technologies and is accessed by over 1,200 users. It is either directly or indirectly involved with each aspect of NIF work activity, and interfaces with ten external systems including the Integrated Computer Control System (ICCS) and the Laser Performance Operations Model (LPOM). Besides providing business functionality, LoCoS also acts as the NIF enterprise service bus. In this role, numerous integration approaches had to be adopted including: file exchange, database sharing, queuing, and web services in order to accommodate various business, technical, and security requirements. Architecture and implementation decisions are discussed.

  14. National Ignition Facility and Managing Location, Component, and State

    International Nuclear Information System (INIS)

    Foxworthy, C.; Fung, T.; Beeler, R.; Li, J.; Dugorepec, J.; Chang, C.

    2011-01-01

    The National Ignition Facility (NIF) at the Lawrence Livermore National Laboratory is a stadium-sized facility that contains a 192-beam, 1.8-Megajoule, 500-Terawatt, ultraviolet laser system coupled with a 10-meter diameter target chamber. There are over 6,200 Line Replaceable Units (LRUs) comprised of more than 104,000 serialized parts that make up the NIF. Each LRU is a modular unit typically composed of a mechanical housing, laser optics (glass, lenses, or mirrors), and utilities. To date, there are more than 120,000 data sets created to characterize the attributes of these parts. Greater than 51,000 Work Permits have been issued to install, maintain, and troubleshoot the components. One integrated system is used to manage these data, and more. The Location Component and State (LoCoS) system is a web application built using Java Enterprise Edition technologies and is accessed by over 1,200 users. It is either directly or indirectly involved with each aspect of NIF work activity, and interfaces with ten external systems including the Integrated Computer Control System (ICCS) and the Laser Performance Operations Model (LPOM). Besides providing business functionality, LoCoS also acts as the NIF enterprise service bus. In this role, numerous integration approaches had to be adopted including: file exchange, database sharing, queuing, and web services in order to accommodate various business, technical, and security requirements. Architecture and implementation decisions are discussed.

  15. Comprehensive safety cases for radioactive waste management facilities

    International Nuclear Information System (INIS)

    Woollam, P.B.; Cameron, H.M.; Davies, A.R.; Hiscox, A.W.

    1995-01-01

    Probabilistic safety assessment methodology has been applied by Nuclear Electric plc (NE) to the development of comprehensive safety cases for the radioactive waste management processing and accumulation facilities associated with its 26 reactor systems. This paper describes the methodology and the safety case assessment criteria employed by NE. An overview of the results is presented, together with more detail of a specific safety analysis: storage of fuel element debris. No risk to the public greater than 10 -6 /y has been identified and the more significant risks arise from the potential for radioactive waste fires. There are no unacceptable risks from external hazards such as flooding, aircrash or seismic events. Some operations previously expected to have significant risks in fact have negligible risks, while the few faults with risks exceeding the assessment criteria were only identified as a result of this study

  16. The nature of innovation processes in Facility Management services

    DEFF Research Database (Denmark)

    Nardelli, Giulia

    Purpose: This work investigates the dynamics of interaction between stakeholders of Facilities Management (FM) innovation and improvement processes. The aim is to understand how the complex value chain of FM services influences innovation processes within this field. Theory: This study combines...... theories on innovation in services with research focused on the empirical field of FM. More specifically, the analytical framework for this study applies the differentiation between reactive and proactive innovation processes by Toivonen and Tuominen (2009) to the value chain identified by Coenen...... has a threefold impact on the nature of innovation processes within this field. Firstly, end-users of FM services are usually not involved in innovation processes, although they might sometimes play a role as initial drivers. Secondly, FM services are intangible but more easily reproducible than other...

  17. Waste Management Effluent Treatment Facility: Phase I. CAC basic data

    International Nuclear Information System (INIS)

    Gemar, D.W.; O'Leary, C.D.

    1984-01-01

    In order to expedite design and construction of the Waste Management Effluent Treatment Facility (WMETF), the project has been divided into two phases. Phase I consists of four storage basins and the associated transfer lines, diversion boxes, and control rooms. The design data pertaining to Phase I of the WMETF project are presented together with general background information and objectives for both phases. The project will provide means to store and decontaminate wastewater streams that are currently discharged to the seepage basins in F Area and H Area. This currently includes both routine process flows sent directly to the seepage basins and diversions of contaminated cooling water or storm water runoff that are stored in the retention basins before being pumped to the seepage basins

  18. Bus systems: Integrated facility management; Bus-Systeme: Gewerkeuebergreifende Gebaeudeautomation

    Energy Technology Data Exchange (ETDEWEB)

    Baumgarth, S.; Heiser, M. [Fachhochschule Braunschweig-Wolfenbuettel, Wolfenbuettel (Germany)

    2000-03-01

    Optimisation of facility management relies indispensably on uncomplicated interactive communication between different systems by different producers. An example is described: The system comprises two closed-cycle cooling towers, a cold water set and two different loads (ventilators). Each system can be controlled separately. The trend in automation is in the direction of intelligence even at field level. [German] Unverzichtbare Voraussetzung fuer das Ausschoepfen von Optimierungspotentialen in der Gebaeudeautomation ist die unkomplizierte, wechselseitige Kommunikation zwischen Anlagen und Automatisierungsstationen verschiedener Gewerke und Hersteller. Am Beispiel einer komplexen Anlage, die aus zwei Kuehltuermen mit geschlossenem Kreislauf, einem Kaltwasserersatz sowie unterschiedlichen Verbrauchern (Lueftungsanlagen) besteht, soll die Verknuepfung kaeltetechnischer Gewerke naeher dargestellt werden. Jeder der Teilbereiche ist ueber eine umfangreiche Strategie zu regeln und zu steuern. Dabei geht die Entwicklung in der Gebaeudeautomation hin zu einer Verlagerung der Intelligenz in die Feldebene. (orig./AKF)

  19. Strategic sourcing and procurement of facilities management services

    DEFF Research Database (Denmark)

    Jensen, Per Anker

    2017-01-01

    /methodology/approach: The paper investigates a strategic sourcing and procurement process in a large public organisation in Denmark based on participating in internal meetings, a workshop, document studies and interviews. The process is compared to a new ISO standard with guidance on strategic sourcing and development of FM......Purpose: The purpose it to provide insights into strategic sourcing concerning Facilities Management (FM) and how it can contribute to a sourcing decision that combines the benefits of internal and external provision with consideration of business risk and cost. Design...... agreements. Findings: A problem in the new ISO standard is that it is based on sequential model starting with detailing the demand and needs before investigating sourcing option. The case shows that the way needs are specified are depending on the chosen sourcing models. Based on a thorough analysis...

  20. An analytical model for computation of reliability of waste management facilities with intermediate storages

    International Nuclear Information System (INIS)

    Kallweit, A.; Schumacher, F.

    1977-01-01

    A high reliability is called for waste management facilities within the fuel cycle of nuclear power stations which can be fulfilled by providing intermediate storage facilities and reserve capacities. In this report a model based on the theory of Markov processes is described which allows computation of reliability characteristics of waste management facilities containing intermediate storage facilities. The application of the model is demonstrated by an example. (orig.) [de

  1. Risk assessment and optimization (ALARA) analysis for the environmental remediation of Brookhaven National Laboratory's hazardous waste management facility

    International Nuclear Information System (INIS)

    Dionne, B.J.; Morris, S. III; Baum, J.W.

    1998-03-01

    The Department of Energy's (DOE) Office of Environment, Safety, and Health (EH) sought examples of risk-based approaches to environmental restoration to include in their guidance for DOE nuclear facilities. Extensive measurements of radiological contamination in soil and ground water have been made at Brookhaven National Laboratory's Hazardous Waste Management Facility (HWMF) as part of a Comprehensive Environmental Response, Compensation and Liability Act (CERCLA) remediation process. This provided an ideal opportunity for a case study. This report provides a risk assessment and an open-quotes As Low as Reasonably Achievableclose quotes (ALARA) analysis for use at other DOE nuclear facilities as an example of a risk-based decision technique

  2. Managing Health Information System | Campbell | Nigerian ...

    African Journals Online (AJOL)

    The effective planning, management monitoring and evaluation of health services, health resources and indeed the health system requires a wealth of health information, with its simultaneous effective and efficient management. It is an instrument used to help policy-making, decision making and day to day actions in the ...

  3. Managing risks during the construction of a power generation facility

    International Nuclear Information System (INIS)

    Loulakis, M.C.

    1992-01-01

    The construction of a power generation facility is a substantial undertaking that involves considerable risks to all parties involved. While contractors are accustomed to dealing with risks, construction owners are typically more naive about not only the risks they are assuming in the construction of a project, but also about the role they play on the project itself. Owners and developers of power facilities must understand at the outset that their role during the construction of a project is as integral to the success of the project as that of the designer and contractor. In addition, owners should also understand that there are virtually no risks on a construction project that cannot be shifted among the contracting parties as part of the business deal. Consequently, an owner may contractually be assuming the risks of (1) unusually severe weather, (2) unexpected subsurface conditions, (3) strikes at the turbine supplier's plant or (4) changes in law - as well as the increases in price and delays to project completion associated with such risks. In light of this, a prudent owner will evaluate more than just whether there is sufficient financing to complete the construction of a contemplated project. Prudent owners will conduct a risk management review of the project structure and the contracting terms, with the primary focus being (1) the identification and analysis of the most significant risks faced, (2) a determination of how such risks can be either mitigated or eliminated, and (3) the assessment of the financial exposure to the owner should the potential risk become a reality. This paper will present the framework that owners and developers of power generation projects can use in undertaking such a risk management review

  4. When More is Less: The Case of Disconnected Information Systems in Indonesian Public Health Facilities

    Science.gov (United States)

    Wahid, Fathul; Teduh Dirgahayu, Raden; Hamzah, Almed; Setiaji, Hari

    2018-03-01

    The clear majority of previous studies have found that the absence of information systems to properly manage data is one of the main challenges in improving public health management. The present study offers an alternate perspective, revealing other emerging problems in cases where there are many information systems in place but without sufficient orchestration. The national government of Indonesia has been coercive in its implementation of various information systems without involving users at public health facilities, which has created many problems on the ground. The problems identified relate to the quality of the disconnected information systems currently in use, the lack of human resource development, unclear procedures, uncoordinated reports and the absence of an incentive scheme. The present study also highlights some practical implications, including the use of a more holistic perspective in designing and developing an integrated public health information infrastructure.

  5. Design, placement, and sampling of groundwater monitoring wells for the management of hazardous waste disposal facilities

    International Nuclear Information System (INIS)

    Tsai, S.Y.

    1988-01-01

    Groundwater monitoring is an important technical requirement in managing hazardous waste disposal facilities. The purpose of monitoring is to assess whether and how a disposal facility is affecting the underlying groundwater system. This paper focuses on the regulatory and technical aspects of the design, placement, and sampling of groundwater monitoring wells for hazardous waste disposal facilities. Such facilities include surface impoundments, landfills, waste piles, and land treatment facilities. 8 refs., 4 figs

  6. Cost of delivering health care services at primary health facilities in Ghana

    Directory of Open Access Journals (Sweden)

    Maxwell Ayindenaba Dalaba

    2017-11-01

    Full Text Available Abstract Background There is limited knowledge on the cost of delivering health services at primary health care facilities in Ghana which is posing a challenge in resource allocations. This study therefore estimated the cost of providing health care in primary health care facilities such as Health Centres (HCs and Community-based Health Planning and Services (CHPS in Ghana. Methods The study was cross-sectional and quantitative data was collected from the health provider perspective. Data was collected between July and August, 2016 at nine primary health facilities (six CHPS and three HCs from the Upper West region of Ghana. All health related costs for the year 2015 and revenue generated for the period were collected. Data were captured and analysed using Microsoft excel. Costs of delivery health services were estimated. In addition, unit costs such as cost per Outpatient Department (OPD attendance were estimated. Results The average annual cost of delivering health services through CHPS and HCs was US$10,923 and US$44,638 respectively. Personnel cost accounted for the largest proportion of cost (61% for CHPS and 59% for HC. The cost per OPD attendance was higher at CHPS (US$8.79 than at HCs (US$5.16. The average Internally Generated Funds (IGF recorded for the period at CHPS and HCs were US$2327 and US$ 15,795 respectively. At all the facilities, IGFs were greatly lower than costs of running the health facilities. Also, at both the CHPS and HCs, the National Health Insurance Scheme (NHIS reimbursement was the main source of revenue accounting for over 90% total IGF. Conclusions The average annual cost of delivering primary health services through CHPS and HCs is US$10,923 and US$44,638 respectively and personnel cost accounts for the major cost. The government should be guided by these findings in their financial planning, decision making and resource allocation in order to improve primary health care in the country. However, more similar

  7. Risk management study for the retired Hanford Site facilities: Risk management executive summary

    International Nuclear Information System (INIS)

    Coles, G.A.; Shultz, M.V.; Taylor, W.E.

    1994-02-01

    This document provides a cost-comparison evaluation for implementing certain risk-reduction measures and their effect on the overall risk of the 100 and 200 Area retired, surplus facilities. The evaluation is based on conditions that existed at the time the risk evaluation team performed facility investigations, and does not acknowledge risk-reduction measures that occurred soon after risk identification. This evaluation is one part of an overall risk management study for these facilities. The retired facilities investigated for this evaluation are located in the 100 and 200 Areas of the 1450-km 2 Hanford Site. The Hanford Site is a semiarid tract of land in southeastern Washington State. The nearest population center is Richland, Washington, (population 32,000) 30 km southeast of the 200 Area. This document is the first in a four volume series that comprise the risk management study for the retired, surplus facilities. Volume 2 is the risk evaluation work procedure; volume 3 provides the results for the risk evaluation; and volume 4 is the risk-reduction cost comparison

  8. [EVALUATION OF THE EFFECTIVENESS OF ADDITIONAL PROFESSIONAL EDUCATION ON THE BASIS OF HEALTH CARE FACILITY].

    Science.gov (United States)

    Bohomaz, V M; Rymarenko, P V

    2014-01-01

    In this study we tested methods of facility learning of health care workers as part of a modern model of quality management of medical services. The statistical and qualitative analysis of the effectiveness of additional training in emergency medical care at the health facility using an adapted curriculum and special mannequins. Under the guidance of a certified instructor focus group of 53 doctors and junior medical specialists studied 22 hours. According to a survey of employees trained their level of selfassessment of knowledge and skills sigificantly increased. Also significantly increased the proportion of correct answers in a formalized testing both categories of workers. Using androgological learning model, mannequins simulators and training in small groups at work create the most favorable conditions for effective individual and group practical skills of emergency medicine.

  9. 77 FR 55843 - Office of Facilities Management and Program Services; Submission for OMB Review; Background...

    Science.gov (United States)

    2012-09-11

    ... of Facilities Management and Program Services; Submission for OMB Review; Background Investigations for Child Care Workers AGENCY: Office of Facilities Management and Program Services, Public Building... Act, the Regulatory Secretariat will be submitting to the Office of Management and Budget (OMB) a...

  10. A distributed data base management facility for the CAD/CAM environment

    Science.gov (United States)

    Balza, R. M.; Beaudet, R. W.; Johnson, H. R.

    1984-01-01

    Current/PAD research in the area of distributed data base management considers facilities for supporting CAD/CAM data management in a heterogeneous network of computers encompassing multiple data base managers supporting a variety of data models. These facilities include coordinated execution of multiple DBMSs to provide for administration of and access to data distributed across them.

  11. A spatial national health facility database for public health sector planning in Kenya in 2008

    Directory of Open Access Journals (Sweden)

    Gething Peter W

    2009-03-01

    Full Text Available Abstract Background Efforts to tackle the enormous burden of ill-health in low-income countries are hampered by weak health information infrastructures that do not support appropriate planning and resource allocation. For health information systems to function well, a reliable inventory of health service providers is critical. The spatial referencing of service providers to allow their representation in a geographic information system is vital if the full planning potential of such data is to be realized. Methods A disparate series of contemporary lists of health service providers were used to update a public health facility database of Kenya last compiled in 2003. These new lists were derived primarily through the national distribution of antimalarial and antiretroviral commodities since 2006. A combination of methods, including global positioning systems, was used to map service providers. These spatially-referenced data were combined with high-resolution population maps to analyze disparity in geographic access to public health care. Findings The updated 2008 database contained 5,334 public health facilities (67% ministry of health; 28% mission and nongovernmental organizations; 2% local authorities; and 3% employers and other ministries. This represented an overall increase of 1,862 facilities compared to 2003. Most of the additional facilities belonged to the ministry of health (79% and the majority were dispensaries (91%. 93% of the health facilities were spatially referenced, 38% using global positioning systems compared to 21% in 2003. 89% of the population was within 5 km Euclidean distance to a public health facility in 2008 compared to 71% in 2003. Over 80% of the population outside 5 km of public health service providers was in the sparsely settled pastoralist areas of the country. Conclusion We have shown that, with concerted effort, a relatively complete inventory of mapped health services is possible with enormous potential for

  12. A spatial national health facility database for public health sector planning in Kenya in 2008.

    Science.gov (United States)

    Noor, Abdisalan M; Alegana, Victor A; Gething, Peter W; Snow, Robert W

    2009-03-06

    Efforts to tackle the enormous burden of ill-health in low-income countries are hampered by weak health information infrastructures that do not support appropriate planning and resource allocation. For health information systems to function well, a reliable inventory of health service providers is critical. The spatial referencing of service providers to allow their representation in a geographic information system is vital if the full planning potential of such data is to be realized. A disparate series of contemporary lists of health service providers were used to update a public health facility database of Kenya last compiled in 2003. These new lists were derived primarily through the national distribution of antimalarial and antiretroviral commodities since 2006. A combination of methods, including global positioning systems, was used to map service providers. These spatially-referenced data were combined with high-resolution population maps to analyze disparity in geographic access to public health care. The updated 2008 database contained 5,334 public health facilities (67% ministry of health; 28% mission and nongovernmental organizations; 2% local authorities; and 3% employers and other ministries). This represented an overall increase of 1,862 facilities compared to 2003. Most of the additional facilities belonged to the ministry of health (79%) and the majority were dispensaries (91%). 93% of the health facilities were spatially referenced, 38% using global positioning systems compared to 21% in 2003. 89% of the population was within 5 km Euclidean distance to a public health facility in 2008 compared to 71% in 2003. Over 80% of the population outside 5 km of public health service providers was in the sparsely settled pastoralist areas of the country. We have shown that, with concerted effort, a relatively complete inventory of mapped health services is possible with enormous potential for improving planning. Expansion in public health care in Kenya has

  13. Awareness of Racial Disparities in Kidney Transplantation among Health Care Providers in Dialysis Facilities.

    Science.gov (United States)

    Kim, Joyce J; Basu, Mohua; Plantinga, Laura; Pastan, Stephen O; Mohan, Sumit; Smith, Kayla; Melanson, Taylor; Escoffery, Cam; Patzer, Rachel E

    2018-05-07

    Despite the important role that health care providers at dialysis facilities have in reducing racial disparities in access to kidney transplantation in the United States, little is known about provider awareness of these disparities. We aimed to evaluate health care providers' awareness of racial disparities in kidney transplant waitlisting and identify factors associated with awareness. We conducted a cross-sectional analysis of a survey of providers from low-waitlisting dialysis facilities ( n =655) across all 18 ESRD networks administered in 2016 in the United States merged with 2014 US Renal Data System and 2014 US Census data. Awareness of national racial disparity in waitlisting was defined as responding "yes" to the question: "Nationally, do you think that African Americans currently have lower waitlisting rates than white patients on average?" The secondary outcome was providers' perceptions of racial difference in waitlisting at their own facilities. Among 655 providers surveyed, 19% were aware of the national racial disparity in waitlisting: 50% (57 of 113) of medical directors, 11% (35 of 327) of nurse managers, and 16% (35 of 215) of other providers. In analyses adjusted for provider and facility characteristics, nurse managers (versus medical directors; odds ratio, 7.33; 95% confidence interval, 3.35 to 16.0) and white providers (versus black providers; odds ratio, 2.64; 95% confidence interval, 1.39 to 5.02) were more likely to be unaware of a national racial disparity in waitlisting. Facilities in the South (versus the Northeast; odds ratio, 3.05; 95% confidence interval, 1.04 to 8.94) and facilities with a low percentage of blacks (versus a high percentage of blacks; odds ratio, 1.86; 95% confidence interval, 1.02 to 3.39) were more likely to be unaware. One quarter of facilities had >5% racial difference in waitlisting within their own facilities, but only 5% were aware of the disparity. Among a limited sample of dialysis facilities with low

  14. Measuring the quality of child health care at first-level facilities.

    Science.gov (United States)

    Gouws, Eleanor; Bryce, Jennifer; Pariyo, George; Armstrong Schellenberg, Joanna; Amaral, João; Habicht, Jean-Pierre

    2005-08-01

    Sound policy and program decisions require timely information based on valid and relevant measures. Recent findings suggest that despite the availability of effective and affordable guidelines for the management of sick children in first-level health facilities in developing countries, the quality and coverage of these services remains low. We report on the development and evaluation of a set of summary indices reflecting the quality of care received by sick children in first-level facilities. The indices were first developed through a consultative process to achieve face validity by involving technical experts and policymakers. The definition of evaluation measures for many public health programs stops at this point. We added a second phase in which standard statistical techniques were used to evaluate the content and construct validity of the indices and their reliability, drawing on data sets from the multi-country evaluation of integrated management of childhood illness (MCE) in Brazil, Tanzania and Uganda. The statistical evaluation identified important conceptual errors in the indices arising from the theory-driven expert review. The experts had combined items into inappropriate indicators resulting in summary indices that were difficult to interpret and had limited validity for program decision making. We propose a revised set of summary indices for the measurement of child health care in developing countries that is supported by both expert and statistical reviews and that led to similar programmatic insights across the three countries. We advocate increased cross-disciplinary research within public health to improve measurement approaches. Child survival policymakers, program planners and implementers can use these tools to improve their monitoring and so increase the health impact of investments in health facility care.

  15. The prevention and management of constipation in older adults in a residential aged care facility.

    Science.gov (United States)

    Grieve, Jennifer

    2006-03-01

    The need to implement programs for developing leadership and practice improvement skills using an evidence-based practice approach to practice change is becoming more apparent in the health and aged care services. This is no more apparent than in high care residential health and aged care services, where health professionals are increasingly required to provide care for older people with multifocal and complex healthcare needs. This paper describes one of the projects undertaken as part of the Joanna Briggs Institute Commonwealth Department of Health and Ageing Clinical Aged Care Fellowship program from February 2005 to June 2005. This purpose of this particular project was twofold. First it sought to improve the local practice in the prevention and management of constipation and that this practice was performed according to the best available evidence. Second to use the Joanna Briggs Institute Practical Application of Clinical Guidance (PACES) program to implement a process of audit and feedback as a strategy to improve practice. The project was designed to link in with the facility's existing quality improvement program and better practice continence management project. The project was conducted over 6 months and was divided into six stages involving the identification of evidence-based standards of care, an initial audit to determine appropriate sample size, a clinical audit across the facility, planning of the implementation process, implementation of the action plan and re-audit to assess practice change. Overall, the results were extremely positive and demonstrated a real improvement in practice relating to constipation in the project facility. This success, however, needs to be seen in the context of the benefits of having the support of senior management, an existing quality improvement and continence management better practice project, and a culture of clinical review. Although there will always be more work to be done, the success of this project can be

  16. US DOE surplus facilities management program (SFMP). International technology exchange activities

    International Nuclear Information System (INIS)

    Broderick, J.

    1986-01-01

    The Surplus Facilities Management Program is one of five remedial action programs established by the US Department of Energy (DOE) to eliminate potential hazards to the public and environment from radioactive contamination. These programs provide remedial actions at various facilities and sites previously used by the US Government in national atomic energy programs. Included are uranium ore milling sites, nuclear materials production plants, and research and development facilities. The DOE's five remedial action programs are: the Grand Junction Remedial Action Project; the Formerly Utilized Sites Remedial Action Project; the West Valley Demonstration Project; and the Surplus Facilities Management Program. The Surplus Facilities Management Program (SWMP) was established by DOE in 1978. There are presently over 300 shutdown facilities in the SFMP located at sites across the United States and in Puerto Rico. In some cases, remedial action involves decontaminating and releasing a facility for some other use. In other instances, facilities are completely demolished and removed from the site

  17. Availability of medicines in public sector health facilities of two North Indian States.

    Science.gov (United States)

    Prinja, Shankar; Bahuguna, Pankaj; Tripathy, Jaya Prasad; Kumar, Rajesh

    2015-12-23

    Access to free essential medicines is a critical component of universal health coverage. However availability of essential medicines is poor in India with more than two-third of the people having limited or no access. This has pushed up private out-of-pocket expenditure due to medicines. The states of Punjab and Haryana are in the process of institutionalizing drug procurement models to provide uninterrupted access to essential medicines free of cost in all public hospitals and health centres. We undertook this study to assess the availability of medicines in public sector health facilities in the 2 states. Secondly, we also ascertained the quality of storage and inventory management systems in health facilities. The present study was carried out in 80 public health facilities across 12 districts in Haryana and Punjab states. Overall, within each state 1 MC, 6 DHs, 11 CHCs and 22 PHCs were selected for the study. Drug procurement mechanisms in both the states were studied through document reviews and in-depth interviews with key stakeholders. Stock registers were reviewed to collect data on availability of a basket of essential medicines -92 at Primary Health Centre (PHC) level, 132 at Community Health Centre (CHC) level and 160 at tertiary care (District Hospital/Medical College) level. These essential medicines were selected based on the Essential Medicine List (EML) of the Department of Health (DOH). Overall availability of medicines was 45.2% and 51.1% in Punjab and Haryana respectively. Availability of anti-hypertensives was around 60% in both the states whereas for anti-diabetics it was 44% and 47% in Punjab and Haryana respectively. Atleast one drug in each of the categories including analgesic/antipyretic, anti-helminthic, anti-spasmodic, anti-emetic, anti-hypertensive and uterotonics were nearly universally available in public sector facilities. On the contrary, medicines such as thrombolytics, anti-cancer and endocrine medicines were available in less

  18. Planning and managing future space facility projects. [management by objectives and group dynamics

    Science.gov (United States)

    Sieber, J. E.; Wilhelm, J. A.; Tanner, T. A.; Helmreich, R. L.; Burgenbauch, S. F.

    1979-01-01

    To learn how ground-based personnel of a space project plan and organize their work and how such planning and organizing relate to work outcomes, longitudinal study of the management and execution of the Space Lab Mission Development Test 3 (SMD 3) was performed at NASA Ames Research Center. A view of the problems likely to arise in organizations and some methods of coping with these problems are presented as well as the conclusions and recommendations that pertain strictly to SMD 3 management. Emphasis is placed on the broader context of future space facility projects and additional problems that may be anticipated. A model of management that may be used to facilitate problem solving and communication - management by objectives (MBO) is presented. Some problems of communication and emotion management that MBO does not address directly are considered. Models for promoting mature, constructive and satisfying emotional relationships among group members are discussed.

  19. Characteristics of effective health care managers.

    Science.gov (United States)

    Johnson, Sherryl W

    2005-01-01

    This article provides an overview of traditional and contemporary management theories. Concerns, characteristics, and skills of effective managers are also presented. Further, a self-assessment (survey) of 7 highly effective health care managers in a South Georgia community was conducted to determine their ratings on 6 management indices. The assessment or Scale of Transformational Leadership uses a Likert-type scale to allow for the evaluation of managers. The scale contains 6 management elements for assessment: attention, meaning, trust, self, vision, and feeling. Individual ratings and group summary skills rating are presented. Findings revealed the order of managerial importance of the elements as follows (from highest to lowest): Management of Trust, Management of Attention, Management of Self, Management of Feeling, Management of Meaning, and Management of Risk. As a second tier, the final ratings are corroborated by health care management interns.

  20. The management of carbon-14 in Canadian nuclear facilities

    International Nuclear Information System (INIS)

    1995-07-01

    In Canada, Derived Emission Limits (DELs) for the release of radionuclides from nuclear facilities are set to ensure that the dose to a member of a critical group from one year's release does not exceed the limit on annual dose to a member of the public set by the Atomic Energy Control Regulations. The Advisory Committee on Radiological Protection (ACRP) has expressed concerns as to whether this procedure provides adequate protection to members of the public, including future generations, for certain radionuclides such as a carbon-14 ( 14 C), which can accumulate in the environment and which can be dispersed, through environmental processes, beyond the local region where the critical group is assumed to live. The ACRP subsequently established a Working Group to review the production, release, environmental levels, and waste management of 14 C arising in CANDU power reactors. The ACRP recommendations resulting from this review can be summarized as · Given the current levels of emissions from CANDU nuclear power stations resulting from the use of a carbon dioxide annulus gas and the limitations in the calculation and use of collective dose, the ACRP sees no need for and additional collective dose limit to be applied to these sources. · The AECB should require licensees of power reactors and waste management sites to provide an annual inventory of 14 C held within reactor buildings and waste management sites; to provide information on the stability of the ion exchange resins and their continuing ability to retain the 14 C; to demonstrate on an ongoing basis that releases of 14 C are maintained at a small fraction of the emission limits; and to report annually the critical group and local collective doses arising from releases of 14 C. 61 refs., 25 tabs., 4 figs

  1. Directions in low-level radioactive waste management. Low level-radioactive waste disposal: currently operating commercial facilities

    International Nuclear Information System (INIS)

    1983-09-01

    This publication discusses three commercial facilities that receive and dispose of low-level radioactive waste. The facilities are located in Barnwell, South Carolina; Beatty, Nevada; and Richland, Washington. All three facilities initiated operations in the 1960s. The three facilities have operated without such major problems as those which led to the closure of three other commercial disposal facilities located in the United States. The Beatty site could be closed in 1983 as a result of a Nevada Board of Health ruling that renewal of the site license would be inimical to public health and safety. The site remains open pending federal and state court hearings, which began in January 1983, to resolve the Board of Health ruling. The three sites may also be affected by NRC's 10 CFR Part 61 regulations, but the impact of those regulations, issued in December 1982, has not yet been assessed. This document provides detailed information on the history and current status of each facility. This information is intended, primarily, to assist state officials - executive, legislative, and agency - in planning for, establishing, and managing low-level waste disposal facilities. 12 references

  2. Strategic management of health care information systems: nurse managers' perceptions.

    Science.gov (United States)

    Lammintakanen, Johanna; Kivinen, Tuula; Saranto, Kaija; Kinnunen, Juha

    2009-01-01

    The aim of this study is to describe nurse managers' perceptions of the strategic management of information systems in health care. Lack of strategic thinking is a typical feature in health care and this may also concern information systems. The data for this study was collected by eight focus group interviews including altogether 48 nurse managers from primary and specialised health care. Five main categories described the strategic management of information systems in health care; IT as an emphasis of strategy; lack of strategic management of information systems; the importance of management; problems in privacy protection; and costs of IT. Although IT was emphasised in the strategies of many health care organisations, a typical feature was a lack of strategic management of information systems. This was seen both as an underutilisation of IT opportunities in health care organisations and as increased workload from nurse managers' perspective. Furthermore, the nurse managers reported that implementation of IT strengthened their managerial roles but also required stronger management. In conclusion, strategic management of information systems needs to be strengthened in health care and nurse managers should be more involved in this process.

  3. Liberia_WADC00004_OHDR_Health_Facilities2010

    Data.gov (United States)

    United Nations Cartographic Section — This data is based on the survey questionnaire, which are included in the table belowWhat county is this facility in?What is the facility name?Is this facility a...

  4. A retrospective audit of antibiotic prescriptions in primary health-care facilities in Eastern Region, Ghana

    DEFF Research Database (Denmark)

    Ahiabu, Mary-Anne; Tersbøl, Britt Pinkowski; Biritwum, Richard

    2016-01-01

    with the national average estimated in 2008. Interventions that reduce diagnostic uncertainty in illness management should be considered. The National Health Insurance Scheme, as the main purchaser of health services in Ghana, offers an opportunity that should be exploited to introduce policies in support......Resistance to antibiotics is increasing globally and is a threat to public health. Research has demonstrated a correlation between antibiotic use and resistance development. Developing countries are the most affected by resistance because of high infectious disease burden, limited access to quality...... assured antibiotics and more optimal drugs and poor antibiotic use practices. The appropriate use of antibiotics to slow the pace of resistance development is crucial. The study retrospectively assessed antibiotic prescription practices in four public and private primary health-care facilities in Eastern...

  5. Involvement of the Public Health Authority in emergency planning and preparedness for nuclear facilities in Hungary

    International Nuclear Information System (INIS)

    Sztanyik, L.B.

    1986-01-01

    It is required by the Hungarian Atomic Energy Act and its enacting clause of 1980 that facilities established for the application of atomic energy be designed, constructed and operated in such a manner that abnormal operational occurrences can be avoided and unplanned exposures to radiation and radioactive substances can be prevented. The primary responsibility for planning and implementing emergency actions rests with the management of the operating organization. Thus one of the prerequisites of licensing the first nuclear power plant in Hungary was the preparation and submission for approval of an emergency plan by the operating organization. In addition to this, the council of the county where the power plant is located has also been obliged to prepare a complementary emergency plan, in co-operation with other regional and national authorities, for the prevention of consequences from an emergency that may extend beyond the site boundary of the plant. In preparing the complementary plan, the emergency plan of the facility had to be taken into account. Unlike most national authorities involved in nuclear matters, the Public Health Authority is involved in the preparation of plans for every kind of emergency in a nuclear facility, including even those whose consequences can probably be confined to the plant site. The paper discusses in detail the role and responsibility of the Public Health Authority in emergency planning and preparedness for nuclear facilities. (author)

  6. Predisposal Management of Radioactive Waste from Nuclear Fuel Cycle Facilities. Specific Safety Guide

    International Nuclear Information System (INIS)

    2016-01-01

    This Safety Guide provides guidance on the predisposal management of all types of radioactive waste (including spent nuclear fuel declared as waste and high level waste) generated at nuclear fuel cycle facilities. These waste management facilities may be located within larger facilities or may be separate, dedicated waste management facilities (including centralized waste management facilities). The Safety Guide covers all stages in the lifetime of these facilities, including their siting, design, construction, commissioning, operation, and shutdown and decommissioning. It covers all steps carried out in the management of radioactive waste following its generation up to (but not including) disposal, including its processing (pretreatment, treatment and conditioning). Radioactive waste generated both during normal operation and in accident conditions is considered

  7. Materials and Fuels Complex Facilities Radioactive Waste Management Basis and DOE Manual 435.1-1 Compliance Tables

    International Nuclear Information System (INIS)

    Harvego, Lisa; Bennett, Brion

    2011-01-01

    Department of Energy Order 435.1, 'Radioactive Waste Management,' along with its associated manual and guidance, requires development and maintenance of a radioactive waste management basis for each radioactive waste management facility, operation, and activity. This document presents a radioactive waste management basis for Idaho National Laboratory's Materials and Fuels Complex facilities that manage radioactive waste. The radioactive waste management basis for a facility comprises existing laboratory-wide and facility-specific documents. Department of Energy Manual 435.1-1, 'Radioactive Waste Management Manual,' facility compliance tables also are presented for the facilities. The tables serve as a tool for developing the radioactive waste management basis.

  8. Materials and Security Consolidation Complex Facilities Radioactive Waste Management Basis and DOE Manual 435.1-1 Compliance Tables

    International Nuclear Information System (INIS)

    2011-01-01

    Department of Energy Order 435.1, 'Radioactive Waste Management,' along with its associated manual and guidance, requires development and maintenance of a radioactive waste management basis for each radioactive waste management facility, operation, and activity. This document presents a radioactive waste management basis for Idaho National Laboratory's Materials and Security Consolidation Center facilities that manage radioactive waste. The radioactive waste management basis for a facility comprises existing laboratory-wide and facility-specific documents. Department of Energy Manual 435.1-1, 'Radioactive Waste Management Manual,' facility compliance tables also are presented for the facilities. The tables serve as a tool for developing the radioactive waste management basis.

  9. Managing highly flexible facilities: an essential complementary asset at risk

    NARCIS (Netherlands)

    Tierney, Robert; Tierney, R.; Groen, Arend J.; Harms, Rainer; Luizink, M.; Hetherington, D.; Steward, H.; Walsh, Steven Thomas; Linton, Jonathan; Linton, J.D.

    2012-01-01

    Purpose: Twenty first century problems are increasingly being addressed by multi technology solutions developed by regional entrepreneurial and intreprepreneurial innovators. However, they require an expensive new type of fabrication facility. Multiple technology production facilities (MTPF) have

  10. Novel S-35 Intrinsic Tracer Method for Determining Groundwater Travel Time near Managed Aquifer Recharge Facilities

    Science.gov (United States)

    Urióstegui, S. H.; Bibby, R. K.; Esser, B. K.; Clark, J. F.

    2013-12-01

    Identifying groundwater travel times near managed aquifer recharge (MAR) facilities is a high priority for protecting public and environmental health. For MAR facilities in California that incorporate tertiary wastewater into their surface-spreading recharge practices, the target subsurface residence time is >9 months to allow for the natural inactivation and degradation of potential contaminants (less time is needed for full advanced treated water). Established intrinsic groundwater tracer techniques such as tritium/helium-3 dating are unable to resolve timescales of method using a naturally occurring radioisotope of sulfur, sulfur-35 (S-35). After its production in the atmosphere by cosmic ray interaction with argon, S-35 enters the hydrologic cycle as dissolved sulfate through precipitation The short half-life of S-35 (3 months) is ideal for investigating recharge and transport of MAR groundwater on the method, however, has not been applied to MAR operations because of the difficulty in measuring S-35 with sufficient sensitivity in high-sulfate waters. We have developed a new method and have applied it at two southern California MAR facilities where groundwater travel times have previously been characterized using deliberate tracers: 1) Rio Hondo Spreading Grounds in Los Angeles County, and 2) Orange County Groundwater Recharge Facilities in Orange County. Reasonable S-35 travel times of method also identified seasonal patterns in subsurface travel times, which may not be revealed by a deliberate tracer study that is dependent on the hydrologic conditions during the tracer injection period.

  11. Infrastructural challenges to better health in maternity facilities in rural Kenya: community and healthworker perceptions.

    Science.gov (United States)

    Essendi, Hildah; Johnson, Fiifi Amoako; Madise, Nyovani; Matthews, Zoe; Falkingham, Jane; Bahaj, Abubakr S; James, Patrick; Blunden, Luke

    2015-11-09

    The efforts and commitments to accelerate progress towards the Millennium Development Goals for maternal and newborn health (MDGs 4 and 5) in low and middle income countries have focused primarily on providing key medical interventions at maternity facilities to save the lives of women at the time of childbirth, as well as their babies. However, in most rural communities in sub-Saharan, access to maternal and newborn care services is still limited and even where services are available they often lack the infrastructural prerequisites to function at the very basic level in providing essential routine health care services, let alone emergency care. Lists of essential interventions for normal and complicated childbirth, do not take into account these prerequisites, thus the needs of most health facilities in rural communities are ignored, although there is enough evidence that maternal and newborn deaths continue to remain unacceptably high in these areas. This study uses data gathered through qualitative interviews in Kitonyoni and Mwania sub-locations of Makueni County in Eastern Kenya to understand community and provider perceptions of the obstacles faced in providing and accessing maternal and newborn care at health facilities in their localities. The study finds that the community perceives various challenges, most of which are infrastructural, including lack of electricity, water and poor roads that adversely impact the provision and access to essential life-saving maternal and newborn care services in the two sub-locations. The findings and recommendations from this study are important for the attention of policy makers and programme managers in order to improve the state of lower-tier health facilities serving rural communities and to strengthen infrastructure with the aim of making basic routine and emergency obstetric and newborn care services more accessible.

  12. Adopting and implementing nutrition guidelines in recreational facilities: tensions between public health and corporate profitability.

    Science.gov (United States)

    Olstad, Dana Lee; Raine, Kim D; McCargar, Linda J

    2013-05-01

    Little is known about how public entities can partner with industry to achieve public health goals. We investigated industry's perspective of factors that influenced their adoption and implementation of voluntary, government-issued nutrition guidelines (Alberta Nutrition Guidelines for Children and Youth, ANGCY) in recreational facilities. In-depth semi-structured interviews were conducted. Data were analysed using directed content analysis. Food services in recreational facilities. Seven managers from industry participated; five from companies that had adopted and implemented the ANGCY (adopters) in recreational facilities and two from companies that had not (non-adopters). Industry views nutrition guidelines through the lens of profitability. Non-adopters were unwilling to implement the ANGCY for fear of sacrificing short-term profitability, whereas adopters adhered to them in an attempt to position themselves for long-term profitability. Adopters faced barriers including few resources, no training, complex guidelines, low availability of and demand for ANGCY-compliant products, competitive pressures and substantial declines in revenue. Managers believed widespread voluntary adoption of the ANGCY was unlikely without government incentives and/or a mandate, as the environmental context for voluntary action was poor. All managers supported government-mandated implementation of the ANGCY to level the playing field upon which companies compete. Public-private partnerships in recreational facilities can embrace public health goals in the short term, provided industry perceives potential for long-term financial gain. Widespread uptake of voluntary nutrition guidelines in this setting is unlikely, however, as market mechanisms do not encourage industry to sell and promote healthier options. Government legislation may therefore be warranted.

  13. Occupational health management: an audit tool.

    Science.gov (United States)

    Shelmerdine, L; Williams, N

    2003-03-01

    Organizations must manage occupational health risks in the workplace and the UK Health & Safety Executive (HSE) has published guidance on successful health and safety management. This paper describes a method of using the published guidance to audit the management of occupational health and safety, first at an organizational level and, secondly, to audit an occupational health service provider's role in the management of health risks. The paper outlines the legal framework in the UK for health risk management and describes the development and use of a tool for qualitative auditing of the efficiency, effectiveness and reliability of occupational health service provision within an organization. The audit tool is presented as a question set and the paper concludes with discussion of the strengths and weaknesses of using this tool, and recommendations on its use.

  14. Quality of care and its determinants in longer term mental health facilities across Europe; a cross-sectional analysis

    NARCIS (Netherlands)

    Killaspy, Helen; Cardoso, Graca; White, Sarah; Wright, Christine; Caldas de Almeida, Jose Miguel; Turton, Penny; Taylor, Tatiana L.; Schuetzwohl, Matthias; Schuster, Mirjam; Cervilla, Jorge A.; Brangier, Paulette; Raboch, Jiri; Kalisova, Lucie; Onchev, Georgi; Alexiev, Spiridon; Mezzina, Roberto; Ridente, Pina; Wiersma, Durk; Visser, Ellen; Kiejna, Andrzej; Adamowski, Tomasz; Ploumpidis, Dimitris; Gonidakis, Fragiskos; King, Michael

    2016-01-01

    Background: The Quality Indicator for Rehabilitative Care (QuIRC) is an international, standardised quality tool for the evaluation of mental health facilities that provide longer term care. Completed by the service manager, it comprises 145 items that assess seven domains of care: living

  15. 42 CFR 415.204 - Services of residents in skilled nursing facilities and home health agencies.

    Science.gov (United States)

    2010-10-01

    ... Services of Residents § 415.204 Services of residents in skilled nursing facilities and home health... 42 Public Health 3 2010-10-01 2010-10-01 false Services of residents in skilled nursing facilities and home health agencies. 415.204 Section 415.204 Public Health CENTERS FOR MEDICARE & MEDICAID...

  16. Urinary tract infections in extended care facilities: preventive management strategies.

    Science.gov (United States)

    Regal, Randolph E; Pham, Co Q D; Bostwick, Thomas R

    2006-05-01

    To provide health care professionals with an overview of interventions that may be done to reduce the incidence of urinary tract infections (UTIs) in elderly patients, especially those residing in extended care facilities. A Medline search of the English literature was performed from 1980 to January 2006 to find literature relevant to urinary tract prophylaxis. Further references were hand-searched from relevant sources. When assessing the effectiveness of various clinical interventions for reducing the incidence of UTIs in the elderly, preference was given to more recent, double-blind, placebo-controlled randomized studies, but studies of less robust design also were included in the discussions when the former were lacking. Where possible, recent publications were favored over older studies. References were all reviewed by the authors and chosen to present key citations. Data selection was prioritized to address specific subtopics. Though still frequent in occurrence and quite costly in terms of morbidity, mortality, and cost to the health care system, numerous measures may be taken to ameliorate the incidence of UTIs in elderly, institutionalized residents. First and foremost, establishing and adhering to good infection-control practices by health care givers and minimizing the use of indwelling catheters are essential. Adequate staffing and training are germane to this effort. Reasonably well-designed clinical studies also give credence to the use of topical estrogens and lactobacillus "probiotics" for female subgroups and cranberry juice for a wider array of patients. Vitamin C is of no proven benefit. With regard to antibiotics, with the relative paucity of data available for this patient population, concerns for resistance proliferation must be balanced against perceived gains in UTI reduction.

  17. Assessment of implementation of the health management ...

    African Journals Online (AJOL)

    Background Despite Malawi's introduction of a health management information system (HMIS) in 1999, the country's health sector still lacks accurate, reliable, complete, consistent and timely health data to inform effective planning and resource management. Methods A cross-sectional survey was conducted wherein ...

  18. Healthcare waste management status in Lagos State, Nigeria: a case study from selected healthcare facilities in Ikorodu and Lagos metropolis.

    Science.gov (United States)

    Longe, Ezechiel O

    2012-06-01

    A survey of healthcare waste management practices and their implications for health and the environment was carried out. The study assessed waste management practices in 20 healthcare facilities ranging in capacity from 40 to 600 beds in Ikorodu and metropolitan Lagos, Lagos State, Nigeria. The prevailing healthcare waste management status was analysed. Management issues on quantities and proportion of different constituents of waste, segregation, collection, handling, transportation, treatment and disposal methods were assessed. The waste generation averaged 0.631 kg bed(-1) day(-1) over the survey area. The waste stream from the healthcare facilities consisted of general waste (59.0%), infectious waste (29.7%), sharps and pathological (8.9%), chemical (1.45%) and others (0.95%). Sharps/pathological waste includes disposable syringes. In general, the waste materials were collected in a mixed form, transported and disposed of along with municipal solid waste with attendant risks to health and safety. Most facilities lacked appropriate treatment systems for a variety of reasons that included inadequate funding and little or no priority for healthcare waste management as well as a lack of professionally competent waste managers among healthcare providers. Hazards associated with healthcare waste management and shortcomings in the existing system were identified.

  19. Integrated Management System Incorporating Quality Management and Management of Environment, Health and Occupational Safety

    International Nuclear Information System (INIS)

    Manchev, B.; Nenkova, B.; Tomov, E.

    2012-01-01

    Risk Engineering Ltd is a Bulgarian private company founded in 1990 to provide engineering and consulting services applicable to each and every field of the energy sector. Since its establishment Risk Engineering Ltd develops, implement and apply a System for quality assurance, certified for the first time by BVQI (now Bureau Veritas Certification) in 1999 for conformity with the standard ISO 9001:1994. Later on, in connection with the revision of the standards of ISO 9000 series and introduction of the standard ISO 9001:2000 a Quality Management System in conformity with the standard ISO 9001:2000 was developed, introduced and certified. At present, Risk Engineering Ltd has got developed, documented, introduced and certified by Lloyd's Register Quality Assurance (LRQA) Quality Management System in compliance with ISO 9001:2008 on the process approach basis. On this basis and including the requirements of the ISO 14001:2004 (regarding the environment) and OHSAS 18001:2007 (regarding the health and occupational safety), Risk Engineering Ltd has developed and introduced Integrated Management System aim at achieving and demonstrating good results regarding protection of the environment, health and occupational safety. The processes under control by the Integrated Management System and applicable at the company are divided in two general types: A) Management processes: Strategic management and Management of the human resources. B) Processes describing the main activities: design/development process; project management; management of industrial projects and technical infrastructure project; construction, installation, repair and operation of power industry facilities; commercial activities and marketing; investigation of energy efficiency of industrial systems and certification of buildings regarding energy efficiency; consulting activity in the field of industry and energy as well as consultant in accordance with the Law of the Spatial Planning; management of the

  20. Waste receiving and processing facility module 1 data management system software project management plan

    International Nuclear Information System (INIS)

    Clark, R.E.

    1994-01-01

    This document provides the software development plan for the Waste Receiving and Processing (WRAP) Module 1 Data Management System (DMS). The DMS is one of the plant computer systems for the new WRAP 1 facility (Project W-026). The DMS will collect, store, and report data required to certify the low level waste (LLW) and transuranic (TRU) waste items processed at WRAP 1 as acceptable for shipment, storage, or disposal

  1. Health Resources Statistics; Health Manpower and Health Facilities, 1968. Public Health Service Publication No. 1509.

    Science.gov (United States)

    National Center for Health Statistics (DHEW/PHS), Hyattsville, MD.

    This report is a part of the program of the National Center for Health Statistics to provide current statistics as baseline data for the evaluation, planning, and administration of health programs. Part I presents data concerning the occupational fields: (1) administration, (2) anthropology and sociology, (3) data processing, (4) basic sciences,…

  2. QUALITY IN HEALTH SERVICES MANAGEMENT

    Directory of Open Access Journals (Sweden)

    DORU CÎRNU

    2017-04-01

    Full Text Available The service sector plays an increasingly large modern market economies. By being unable to provide customers a tangible product in the hands of service providers makes the situation more difficult. Their success depends on customer satisfaction, which expect a certain benefit for the money paid, on quality, on mutual trust and many other attributes. What is very interesting is that they may differ from client to client, and there is no guarantee satisfaction to all customers, even if the service provided is the same. This shows the complex nature of services and efforts on service providers would have to be made permanent in order to attract more customers. This paper addresses the issues of continuous quality improvement of health services as an important part of the services sector. Until recently, these services in Romania although under strict control of the state, had a large number of patients who are given very little attention, which is why quality improvement acestoraa was compulsory. Opening and changing economic environment, increasing customer demands, forced hospitals that serve as a nodal point between these services and their applicants to adopt modern management methods and techniques to become competitive and to give patients the quality service expected. Modern society has always sought to provide the means to ensure good health closer to the needs of modern man. These have become more complex and more expensive and naturally requires financial resources increasingly mari.Este why, every time, all the failures alleging lack of money and resources in general. Is it true? Sometimes yes, often, no! The truth is that human and material resources are not used in an optimal way. The answer lies mainly in quality management. We will see what should be done in this regard.

  3. Conceptual design of an in-space cryogenic fluid management facility, executive summary

    Science.gov (United States)

    Willen, G. S.; Riemer, D. H.; Hustvedt, D. C.

    1981-01-01

    The conceptual design of a Spacelab experiment to develop the technology associated with low gravity propellant management is summarized. The preliminary facility definition, conceptual design and design analysis, and facility development plan, including schedule and cost estimates for the facility, are presented.

  4. Baseline results of the first malaria indicator survey in Iran at the health facility level

    Directory of Open Access Journals (Sweden)

    Taghizadeh-Asl Rahim

    2011-10-01

    Full Text Available Abstract Background Malaria continues to be a global public health challenge, particularly in developing countries. Delivery of prompt and effective diagnosis and treatment of malaria cases, detection of malaria epidemics within one week of onset and control them in less than a month, regular disease monitoring and operational classification of malaria are among the major responsibilities of the national malaria programme. The study was conducted to determine these indicators at the different level of primary health care facilities in malaria-affected provinces of Iran Methods In this survey, data was collected from 223 health facilities including health centres, malaria posts, health houses and hospitals as well as the profile of all 5, 836 recorded malaria cases in these facilities during the year preceding the survey. Descriptive statistics (i.e. frequencies, percentages were used to summarize the results and Chi square test was used to analyse data. Results All but one percent of uncomplicated cases took appropriate and correctly-dosed of anti-malarial drugs in accordance to the national treatment guideline. A larger proportion of patients [85.8%; 95% CI: 84.8 - 86.8] were also given complete treatment including anti-relapse course, in line with national guidelines. About one third [35.0%; 95% CI: 33.6 - 36.4] of uncomplicated malaria cases were treated more than 48 hours after first symptoms onset. Correspondingly, half of severe malaria cases took recommended anti-malarial drugs for severe or complicated disease more than 48 hours of onset of first symptoms. The latter cases had given regular anti-malarial drugs promptly. The majority of malaria epidemics [97%; 95% CI: 90.6 - 100] in study areas were detected within one week of onset, but only half of epidemics were controlled within four weeks of detection. Just half of target districts had at least one health facility/emergency site with adequate supply and equipment stocks. Nevertheless

  5. Investigating the Optimal Management Strategy for a Healthcare Facility Maintenance Program

    National Research Council Canada - National Science Library

    Gaillard, Daria

    2004-01-01

    ...: strategic partnering with an equipment management firm. The objective of this study is to create a decision-model for selecting the optimal management strategy for a healthcare organization's facility maintenance program...

  6. The Management System for the Development of Disposal Facilities for Radioactive Waste

    International Nuclear Information System (INIS)

    2011-01-01

    Currently, many Member States are safely operating near surface disposal facilities and some are in the initial or advanced stages of planning geological repositories. As for other nuclear facilities and their operational phase, all activities associated with the disposal of radioactive waste need to be carefully planned and systematic actions undertaken in order to maintain adequate confidence that disposal systems will meet performance as well as prescribed safety requirements and objectives. The effective development and application of a management system (integrating requirements for safety, protection of health and the environment, security, quality and economics into one coherent system) which addresses every stage of repository development is essential. It provides assurance that the objectives for repository performance and safety, as well as environmental and quality criteria, will be met. For near surface repositories, a management system also provides the opportunity to re-evaluate existing disposal systems with respect to new safety, environmental or societal requirements which could arise during the operational period of a facility. The topic of waste management and disposal continues to generate public interest and scrutiny. Implementation of a formal management system provides documentation, transparency and accountability for the various activities and processes associated with radioactive waste disposal. This information can contribute to building public confidence and acceptance of disposal facilities. The objective of this report is to provide Member States with practical guidance and relevant information on management system principles and expectations for management systems that can serve as a basis for developing and implementing a management system for three important stages; the design, construction/upgrading and operation of disposal facilities. To facilitate the understanding of management system implementation at the different stages of a

  7. Medical equipment in government health facilities: Missed opportunities

    OpenAIRE

    Pardeshi Geeta

    2005-01-01

    BACKGROUND: The availability and optimal utilization of medical equipment is important for improving the quality of health services. Significant investments are made for the purchase, maintenance and repair of medical equipment. Inadequate management of these equipment will result in financial losses and deprive the public of the intended benefits. This analysis is based on the conceptual framework drawn from the WHO recommended- lifecycle of medical equipment. AIMS: (1) To identify the probl...

  8. Conceptualizing ORGANIZATIONAL HEALTH - Public health management and leadership perspectives

    DEFF Research Database (Denmark)

    Orvik, Arne

    The thesis introduces a new conceptual model of organizational health and discusses its implications for public health management and leadership. It is developed with reference to organizational theories and ideologies, including New Public Management, the use of which has coincided with increasing...... as the disintegration of such values. Possible implications for public health management and leadership include four different forms. The application of the conceptual model can potentially draw attention to value conflicts and help to clarify contradictory, institutional logics. It can also potentially support health...... workplace health problems in health care organizations. The model is based on empirical research and theories in the fields of public health, health care organization and management, and institutional theory. It includes five dimensions and defines organizational health in terms of how an organization...

  9. Research on the Construction Management and Sustainable Development of Large-Scale Scientific Facilities in China

    Science.gov (United States)

    Guiquan, Xi; Lin, Cong; Xuehui, Jin

    2018-05-01

    As an important platform for scientific and technological development, large -scale scientific facilities are the cornerstone of technological innovation and a guarantee for economic and social development. Researching management of large-scale scientific facilities can play a key role in scientific research, sociology and key national strategy. This paper reviews the characteristics of large-scale scientific facilities, and summarizes development status of China's large-scale scientific facilities. At last, the construction, management, operation and evaluation of large-scale scientific facilities is analyzed from the perspective of sustainable development.

  10. Development techniques of computerized maintenance management system for nuclear fuel cycle examination facilities

    Energy Technology Data Exchange (ETDEWEB)

    Oh, Yon Woo; Kim, S D; Soong, W S; Kim, G H; Oh, W H; Kim, Y G

    2000-12-01

    Normal operation of the facility is one of the key factors in the accomplishments of research goals. As confirmed by a case study of the influence of the facility operation condition on the research results, emphasis should be put on the facility preserve management. Facilities should be maintained in solid operational condition and their malfunctions should be repaired as soon as possible. The purpose of this project is to make propositions on the development of the facility Preserve management system which is to maximize the efficiency of the budget execution, manpower organization and maintenance planning, and is to minimize the duration of the operational pause due to malfunctions with the least disbursement.

  11. Development techniques of computerized maintenance management system for nuclear fuel cycle examination facilities

    International Nuclear Information System (INIS)

    Oh, Yon Woo; Kim, S. D.; Soong, W. S.; Kim, G. H.; Oh, W. H.; Kim, Y. G.

    2000-12-01

    Normal operation of the facility is one of the key factors in the accomplishments of research goals. As confirmed by a case study of the influence of the facility operation condition on the research results, emphasis should be put on the facility preserve management. Facilities should be maintained in solid operational condition and their malfunctions should be repaired as soon as possible. The purpose of this project is to make propositions on the development of the facility Preserve management system which is to maximize the efficiency of the budget execution, manpower organization and maintenance planning, and is to minimize the duration of the operational pause due to malfunctions with the least disbursement

  12. Mental Health Facilities, This file contains the name, address, contact and some licensing information for the Mental Health facilities in Maryland., Published in 2010, Smaller than 1:100000 scale, Maryland Department of Health and Mental Hygiene.

    Data.gov (United States)

    NSGIC State | GIS Inventory — Mental Health Facilities dataset current as of 2010. This file contains the name, address, contact and some licensing information for the Mental Health facilities in...

  13. The Mixed Waste Management Facility, monthly report, February 1995

    International Nuclear Information System (INIS)

    Streit, R.D.

    1995-03-01

    Technical progress continued in general accordance with the Mixed Waste Management Facility (MWMF) FY95 Plan. Engineering development and design continued in support of preliminary design of MWMF major subsystems. Peer reviews have begun in preparation for system preliminary design reviews. Procurements in support of engineering design/development have continued to increase. Significant effort to provide technical and cost trade-off information for the Project Baseline Revision 1.2 (PB1.2) and FY97 Validation was completed. Management focus during February centered upon addressing the rebaseline for MWMF for the FY97 Validation in March, and upon completing the permitting strategy. We completed a consistent baseline plan for Validation that satisfied the DOE constraints of integration with DWTF, schedule stretchout, overall Project cost, and FY cost profiles. The revised permitting strategy was completed and reviewed by a number of stakeholders (LLNL, DOE, State). The proposed strategy involves no RCRA RD ampersand D permit, since all technology demonstrations can be done with surrogates and using limited treatability studies. The expenses for February continue to run somewhat below the plan due to the limited new hiring. This is a result of uncertain DOE funding and guidance to keep personnel to a minimum. However, the spending rate is picking up due to initiation of procurements for engineering development and a minimum of essential new hires. A significant imbalance in the OPEX/CENRTC funding split for FY95 exists (about $2.1M); DOE/OAK began to seek resolution this month. Critical-path items are DWTF construction, NEPA, and permitting (for both MWMF and DWTF). Contractual issues have delayed award of the A ampersand E contract for DWTF, but work-arounds are in progress to avoid schedule impact. NEPA and permitting issues are discussed below. Progress on preliminary design for MWMF is close to schedule

  14. Knowledge Management tools integration within DLR's concurrent engineering facility

    Science.gov (United States)

    Lopez, R. P.; Soragavi, G.; Deshmukh, M.; Ludtke, D.

    The complexity of space endeavors has increased the need for Knowledge Management (KM) tools. The concept of KM involves not only the electronic storage of knowledge, but also the process of making this knowledge available, reusable and traceable. Establishing a KM concept within the Concurrent Engineering Facility (CEF) has been a research topic of the German Aerospace Centre (DLR). This paper presents the current KM tools of the CEF: the Software Platform for Organizing and Capturing Knowledge (S.P.O.C.K.), the data model Virtual Satellite (VirSat), and the Simulation Model Library (SimMoLib), and how their usage improved the Concurrent Engineering (CE) process. This paper also exposes the lessons learned from the introduction of KM practices into the CEF and elaborates a roadmap for the further development of KM in CE activities at DLR. The results of the application of the Knowledge Management tools have shown the potential of merging the three software platforms with their functionalities, as the next step towards the fully integration of KM practices into the CE process. VirSat will stay as the main software platform used within a CE study, and S.P.O.C.K. and SimMoLib will be integrated into VirSat. These tools will support the data model as a reference and documentation source, and as an access to simulation and calculation models. The use of KM tools in the CEF aims to become a basic practice during the CE process. The settlement of this practice will result in a much more extended knowledge and experience exchange within the Concurrent Engineering environment and, consequently, the outcome of the studies will comprise higher quality in the design of space systems.

  15. Record of radiation management inside KUR facilities, no. 13 (1976)

    International Nuclear Information System (INIS)

    Katsurayama, Kosuke; Tsujimoto, Tadashi; Saito, Masahiro; Tsuruta, Takao; Fukui, Masami.

    1979-01-01

    The record of radiation management inside the KUR buildings in 1976 is reported. Relating to the routine radiation management inside the facilities, the spatial dose rate has been always monitored, utilizing the area monitors which are composed of GM survey meters and BF 3 neutron survey meters, inside the reactor building, the hot laboratory, the tracer building, the waste treatment building, the linear accelerator building, the gamma irradiation building, the solid waste storage and the research building. The measured dose rate at 5000 kW power level was about 2 mrem/h in the reactor building and about 4 mrem/h in the hot laboratory at maximum. Inside the other buildings, the dose rates were almost background level. The cumulative dose was measured utilizing film badges, and the measured maximum value was about 450 mrem in one month in the spent fuel storage pool. The surface contamination was monitored, and about 10 -7 μCi/cm 2 was obtained on the reactor top and in several places in the hot laboratory. The monitoring of radioactivity concentration in water was conducted, and the concentration almost exceeded 1 x 10 -5 μCi/cm 3 in low level water. The monitoring was conducted for radioactive dust concentration, and about 100 x 10 -11 μCi/cm 3 was obtained at maximum in the hot cave. The gas concentration in the reactor room showed about 6 x 10 -7 μCi/cm 3 as the mean value of a month. The external exposure dose around the site was about 2 mrem in one year as the mean value. The status of operation of the KUR, the radiation monitoring systems for spatial dose rate, the cumulative spatial dose, the surface contamination and so on, the monitoring equipments and the regular inspection are explained. (Nakai, Y.)

  16. Management aspects of Gemini's base facility operations project

    Science.gov (United States)

    Arriagada, Gustavo; Nitta, Atsuko; Adamson, A. J.; Nunez, Arturo; Serio, Andrew; Cordova, Martin

    2016-08-01

    Gemini's Base Facilities Operations (BFO) Project provided the capabilities to perform routine nighttime operations without anyone on the summit. The expected benefits were to achieve money savings and to become an enabler of the future development of remote operations. The project was executed using a tailored version of Prince2 project management methodology. It was schedule driven and managing it demanded flexibility and creativity to produce what was needed, taking into consideration all the constraints present at the time: Time available to implement BFO at Gemini North (GN), two years. The project had to be done in a matrix resources environment. There were only three resources assigned exclusively to BFO. The implementation of new capabilities had to be done without disrupting operations. And we needed to succeed, introducing the new operational model that implied Telescope and instrumentation Operators (Science Operations Specialists - SOS) relying on technology to assess summit conditions. To meet schedule we created a large number of concurrent smaller projects called Work Packages (WP). To be reassured that we would successfully implement BFO, we initially spent a good portion of time and effort, collecting and learning about user's needs. This was done through close interaction with SOSs, Observers, Engineers and Technicians. Once we had a clear understanding of the requirements, we took the approach of implementing the "bare minimum" necessary technology that would meet them and that would be maintainable in the long term. Another key element was the introduction of the "gradual descent" concept. In this, we increasingly provided tools to the SOSs and Observers to prevent them from going outside the control room during nighttime operations, giving them the opportunity of familiarizing themselves with the new tools over a time span of several months. Also, by using these tools at an early stage, Engineers and Technicians had more time for debugging

  17. Future preparation of occupational health nurse managers.

    Science.gov (United States)

    Scalzi, C C; Wilson, D L; Ebert, R

    1991-03-01

    This article presents the results of a national survey of job activities of corporate level occupational health nurse managers. The survey was designed to identify the relative amount of time spent and importance attributed to specific areas of their current job. In general this sample tended to have more management experience and educational preparation than previously cited studies: over 50% had completed a graduate degree. The scores for importance and time spent were highly correlated. That is, occupational health corporate nurse managers seemed to allocate their time to job responsibilities they considered most important. Management activities related to policy, practice standards, quality assurance, staff development, and systems for client care delivery appear to represent the core responsibilities of occupational health nursing management. Curriculum recommendations for management positions in occupational health include: health policy, program planning, and evaluation; business strategy; applications of management information systems; quality assurance; and marketing.

  18. Project management in health informatics.

    Science.gov (United States)

    Ho, Jessica

    2010-01-01

    This chapter gives an educational overview of: * the concept of project management and its role in modern management * the generic project lifecycle process * processes used in developing a plan for the management of resources - time, cost, physical resources and people * the concept of managing risk in projects * communication processes and practices that are important to the management of projects.

  19. Metallurgical Laboratory Hazardous Waste Management Facility groundwater monitoring report

    International Nuclear Information System (INIS)

    Thompson, C.Y.

    1993-03-01

    During fourth quarter 1992, samples from 18 groundwater monitoring wells of the AMB series at the Metallurgical Laboratory Hazardous Waste Management Facility were analyzed for certain heavy metals, indicator parameters, radionuclides, volatile organic compounds, and other constituents. Six parameters exceeded final Primary Drinking Water Standards (PDWS) and the Savannah River Site Flag 2 criteria during the quarter. The results for fourth quarter 1992 are fairly consistent with the rest of the year's data. Tetrachloroethylene exceeded the final PDWS in well AMB 4D only two of the four quarters; in the other three wells in which it was elevated, it was present at similar levels throughout the year. Trichloroethylene consistently exceeded its PDWS in wells AMB 4A, 4B, 4D, 5, and 7A during the year. Trichloroethylene was elevated in well AMB 6 only during third and fourth quarters and in well AMB 7 only during fourth quarter. Total alpha-emitting radium was above the final PDWS for total radium in well AMB 5 at similar levels throughout the year and exceeded the PDWS during one of the three quarters it was analyzed for (third quarter 1992) in well AMB 10B

  20. Coupling and quantifying resilience and sustainability in facilities management

    DEFF Research Database (Denmark)

    Cox, Rimante Andrasiunaite; Nielsen, Susanne Balslev; Rode, Carsten

    2015-01-01

    Purpose – The purpose of this paper is to consider how to couple and quantify resilience and sustainability, where sustainability refers to not only environmental impact, but also economic and social impacts. The way a particular function of a building is provisioned may have significant repercus......Purpose – The purpose of this paper is to consider how to couple and quantify resilience and sustainability, where sustainability refers to not only environmental impact, but also economic and social impacts. The way a particular function of a building is provisioned may have significant...... repercussions beyond just resilience. The goal is to develop a decision support tool for facilities managers. Design/methodology/approach – A risk framework is used to quantify both resilience and sustainability in monetary terms. The risk framework allows to couple resilience and sustainability, so...... that the provisioning of a particular building can be investigated with consideration of functional, environmental, economic and, possibly, social dimensions. Findings – The method of coupling and quantifying resilience and sustainability (CQRS) is illustrated with a simple example that highlights how very different...