Proceed with caution / Enabling success
Whilst the funding for these objectives may be allocated for similar or overlapping purposes (such as improving somebody’s physical wellbeing) 170 , commissioners and funding bodies rely on this fragmented model to ensure that they can monitor and guarantee their specific outcomes are achieved. Many commissioners are reluctant to give up these divisions as any changes could potentially hinder their ability to demonstrate value in their expenditure and to tie outcomes to their investments. 171 This disjointed structure also explains the fundamental differences between how different public services are allocated, including why “healthcare is free whereas social care is means-tested”. 172 Despite these challenges, there can be significant benefits to co-ordinating public services particularly when the intended outcomes of those services are the same or similar. 173 Whether in integrated commissioning or simply by a greater emphasis on collaboration and alignment between public bodies, “joined-up” public services can help better meet the needs of a citizen, particularly when those needs are complex and multi-faceted. 174 Health and social care have often been the focus of this closer working because of their shared objective of improved health and wellbeing, as a Local Government Association and NHS Clinical Commissioners report noted:
Proceed with Caution in Reopening Public Schools
Despite advocacy from governmental officials and parents alike, we urge caution in the reopening of public schools before the coronavirus pandemic is fully under control. We are especially concerned about the premature re-opening of schools in impoverished and flood-prone urban and rural environments. Years of deferred maintenance and infrastructure damage from adverse weather events have saddled schools in such areas with legacy pollutants and poorly functioning HVAC systems, making them potential hot beds for the next wave of coronavirus infections. To fix the so-called “sick building” problem, we outline a strategy that creates both business and job opportunities for the people who live in communities where the threats undergirding school re-openings are greatest.
1.We suggest filling the base with sand and water.
2.If you notice the base beginning to leak, please disassemble the umbrella immediately.
Please look in Plastic Cone（Part B） for hardware packs and legs Caution : You must read this before you proceed
Does off-shoring IT make good business sense? Proceed with caution!
IT off-shoring has received much attention in the media for both positive and negative reasons. However, there has been a lack of empirical studies that have critically evaluated the practice of IT off-shoring. This paper reports on a qualitative study of the key factors facilitating and inhibiting the adoption of IT off-shoring by Australian industry. Empirical data was collected in a series of in-depth interviews drawing on the first hand experience of a number of senior business managers and senior IT executives. The findings indicate that organisations are generally positively disposed towards the practice of IT off-shoring but are quite selective in what IT they are off- shoring. The findings also revealed that the perceived cost advantages may actually be much lower than expected due to the considerable establishment and management costs associated with IT off-shoring. Furthermore organisations need to also consider the negative consequences such as the potential loss of IP and loss of valuable internal ICT knowledge and capability.
The recent combination of low yields and the prospect of rising interest rates have led many U.S. investors to conclude that bonds will deliver disappointing, and perhaps even negative, returns over the next decade. While we agree that the return outlook for bonds is muted, we caution investors not to abandon bonds altogether or try to time portfolio shifts around expectations of rising interest rates. Like short-term returns, interest rate movements tend to follow a “random walk” and to be driven by “new” economic events, thus making interest rate predictions little more than guesswork. 2
EXPANDING NEWBORN SCREENING: PROCEEDING WITH CAUTION
A central problem in the debate over expanded NBS is the lack of information on the efficacy of current NBS programs and the lack of sufficient research about the treatment of the conditions and the impact of screening to clearly justify policy decisions about which tests should be performed and/or disclosed to parents. This problem will be heightened by new technologies. A de- fining feature of multiplex technologies such as MS/MS is the ability to screen for a wide variety of conditions from a single sample. In the future, DNA-based technol- ogy will permit analysis for an even larger number of conditions and genetic susceptibilities using dried blood spots. Given these capabilities, a fundamental problem is whether to manage tests for different conditions on the multiplex panel as separate tests or as a single test pack- age. If programs choose only to disclose results on con- ditions that clearly meet established criteria, then results on the other conditions, and the potential benefits flow- ing from those results, will be withheld from families and care providers. On the other hand, offering results on a large number of conditions for which there is limited or no evidence of benefit to affected children may cause harm to some children and families and is likely to be a poor use of scarce resources. This is a legitimate dilemma for which we can offer no easy so- lution.
a Sections of General Pediatrics and Community Health Sciences, Department of Pediatrics, University of Chicago, Chicago, Illinois; b Divisions of Pulmonary and Critical Care and Institute for Health Policy Studies, University of California, San Francisco, California
Financial Disclosure: Dr Dudley’s work on this article was supported by a Robert Wood Johnson Foundation Investigator Award in Health Policy Research.
I N RESPONSE TO overwhelming evidence of significant quality problems within adult and pediatric health care, pay-for-performance programs have proliferated rapidly in adult care settings and are beginning to spread into pediatrics. 1–6 Outpatient pediatric health care is be- ing targeted by performance incentives in all 11 of the state Medicaid programs that currently use perfor- mance-incentive strategies and 33 of the 93 perfor- mance-incentive programs listed in the Leapfrog Com- pendium (the largest publicly available listing of performance-incentives programs in the country). 7,8
Pitfalls of Operations/Management of Specialty Asset
Kip West, Chief Operations Officer, Brenda Trevino, Operations Manager,
About ITM TwentyFirst University
ITM TwentyFirst University was created to provide those individuals working with personal trusts and TOLI trusts a source of vital information to utilize in their practice. The course topics will include real life case studies that can be applied to day to day situations. Subject matter is designed to help Advisors provide better guidance and assistance to clients. Our faculty consists of sought after presenters who are experts in their related fields. The courses are offered for free and will carry Continuing Education (CE) credits. See specific courses for CE listings.
Abstract: Psychological literacy is the ethical application of psychological skills and knowledge.
This could benefit individuals in their personal, occupational, and civic lives and subsequently benefit society as a whole. We know that psychology has a wide-ranging impact on society. The potential benefits of a psychologically literate citizenry in improved parenting, better business practices, enlightened legislation, and many other areas make this a desirable goal. It has been proposed that this should become the primary goal of an undergraduate psychology education to benefit the majority who do not go on to graduate school and even those who only take a few psychology courses. This idea has significant merit and warrants further investigation and devel- opment. However, there are major concerns that need to be addressed. First, what are uniquely psychological skills and knowledge? Many of the skills psychology undergraduates acquire are generic to university and not specific to psychology. Second, psychology can be as harmful when misapplied as it can be beneficial when ethically applied. Third, psychology departments will need to address pragmatic as well as ethical issues, including issues of competency, boundaries, accountability, and confidentiality. Fourth, the available empirical evidence to direct such efforts is primarily at the anecdotal, case example, and pilot study stages. Significant improvements are needed in measuring psychological literacy, choice of outcome measures, and research method- ologies before these advantages can be realized in an empirically supported manner. Currently, best practices in the undergraduate curriculum are the mindful and purposeful design of courses and experiential opportunities. It is proposed that psychological literacy is best conceptualized as a meta-literacy and that it should become a goal of psychology undergraduate education but not necessarily the goal.
While Whaley feels the BCLI guide is a useful resource, she questions whether clients would tolerate some of the more intrusive questions. “The drafters of these
recommendations are drawing them from court decisions,” she explains, “and some of them are pretty extreme” in terms of the burden they purport to place on lawyers, especially considering the fees that clients are willing to pay for will drafting. In reality, she notes, clients are often resistant to what they perceive as intrusive questions, and even a diligent lawyer may find that many questions are “off-limits”.
When lawyers post online, they often have a false sense of security—as though they can say anything they want in cyberspace without consequences. Consider the case of In re Qullinan, 20 DB Rptr 288 (2006), where an Oregon lawyer stipulated to a 90-day suspension for a LISTSERV posting that disclosed a former client’s confidential, personal, and medical information.
IT off-shoring has received much attention in the media for both positive and negative reasons. However, there has been a lack of empirical studies that have critically evaluated the practice of IT off-shoring. This paper reports on the initial phase of a qualitative study of the key factors facilitating and inhibiting the adoption of IT off- shoring in the Australian financial services industry. Empirical data is being collected in a series of in-depth interviews drawing on the first hand experience of a number of senior business managers and senior IT Executives. The initial findings indicate that organisations are generally positively disposed towards the practice of IT off-shoring but are quite selective in what IT they are off-shoring. The findings also revealed that the perceived cost advantages may actually be much lower than expected due to the considerable establishment and management costs associated with IT off-shoring.
United states v enrique and Angela Aguilar (2010)
Enrique Aguilar, a lawful permanent resident of the US living in Mexico, and Angela Aguilar, a Mexican citizen, are directors of Grupo Internacional de Asesores (Grupo), a Mexican company that purports to provide sales representation services for companies doing business with the Comision Federal de Electricidad (CFE), Mexico’s electrical utility company that provides electricity to most of Mexico. According to the DOJ, Lindsey Manufacturing, a US-based company that makes emergency restoration systems and other equipment used by electrical utility companies, hired Grupo to serve as its sales representative in Mexico and to help it obtain contracts from the CFE. From approximately February 2002 until March 2009, Lindsey Manufacturing and Enrique Aguilar allegedly orchestrated a scheme in which Enrique Aguilar facilitated the making of illicit payments and gifts to Mexican officials in exchange for the CFE awarding contracts to Lindsey Manufacturing. Angela Aguilar is alleged to also have participated in the bribery scheme. In order to make the alleged illicit payments, Lindsey Manufacturing would allegedly wire the necessary funds from its US bank account into Grupo’s US brokerage account. Angela Aguilar was arrested on 10 August 2010 as she travelled to Houston from Mexico and currently remains in the DOJ’s custody.
environmental field where there is a need to set up an institution 9 . The latter case involves a redefinition of the government role which consists in creating the market for individual needs, and then not coming back to regulate.
The circumstances that are favourable to the adoption of tradable permits include a large number of agents to regulate, an asymmetrical and strategic access to information, a high level of heterogeneity of costs and opportunities across decentralised agents, and uncertainty about the shape of cost and damage curves 10 . In a cap and trade system, agents are allowed to exchange permits with a quantity limit, without regulatory approval, where the regulator compliance requirement is to monitor emissions and surrender permits. The “rights to emit” are created as permits endow the installation. Firms need to meet the terms of that implicit contract: permits become an input to production, and are traded as such. The abatement decision is shifted to firms, since they have more information of what can be done than the regulator. Thus, the regulator only needs to enforce the emissions cap.
pains to preserve due process protec- tions, domestic violence courts can work to mollify the defense bar’s concerns.
● Judicial objections. Judges may feel that their involvement in a special- ized court will compromise their objec- tivity. Some judges have expressed the opinion that domestic violence train- ings force them to be too closely aligned with the victim’s perspective and that additional information from case managers could be considered ex parte communication. New York Chief Judge Judith S. Kaye has mandated that all judges that hear family-related cases participate in domestic violence train- ing. Understanding the dynamics of domestic violence does not mandate any particular finding in any individual case. And judges who have presided over domestic violence courts have not found their objectivity impaired. After spending three years in the Bronx mis- demeanor domestic violence court, Judge Ethan Greenberg has seen first- hand the benefits of domestic violence courts. “I am able to make better deci- sions with the enhanced training and information that I am given,” he said.
workers. Thus it cannot commit to refraining from exerting influence on the firm and thus may prefer a more partial privatization so that it could achieve its social and political goals, resulting in a lower incidence of MBOs.
Among the city-level economic variables, we expect the share of SOE output to be negatively related to MBOs. As discussed earlier, due to the “delayed” privatization in China, by late 1990s, most of the SOEs were losing money and could not pay their workers or gave their workers enough work (such “no work” status without being formally laid off is called xia gang). This unemployment (both explicit and implicit) problem is most severe in areas previously dominated by SOEs. Meanwhile, if there is not an active private sector in the local area, the unemployed workers can not easily find new jobs. Thus the share of SOE output is meant to capture both the unemployment problem and the difficulty in re-deploying laid-off workers.