Suchergebnisse

Testimony issued by the Government Accountability Office with an abstract that begins "In the face of growing demand for veterans' health care, GAO and the Department of Veterans Affairs Office of Inspector General (OIG) have raised concerns about the Veterans Health Administration's (VHA) ability to maximize its third-party collections to supplement its medical care appropriation. GAO has testified that inadequate patient intake procedures, insufficient documentation by physicians, a shortage of qualified billing coders, and insufficient automation diminished VA's collections. In turn, the OIG reported that VA missed opportunities to bill, had billing backlogs, and did inadequate follow-up on bills. While VA has made improvements in these areas, GAO was asked to review internal control activities over third-party billings and collections at selected medical centers to assess whether they were designed and implemented effectively."

Le soutien à la création d'entreprise est une préoccupation commune à de nombreux pays de l'Union Européenne et la communauté fait de l'esprit d'entreprise un défi pour l'Europe tout en soulignant le moindre dynamisme entrepreneurial des européens, pour lesquels le processus de création d'entreprise demeure un processus à hauts risques. Dans un tel contexte, les pays membres sont encouragés à mettre en œuvre des politiques publiques coordonnées permettant d'augmenter le nombre d'entrepreneurs et de stimuler la croissance des entreprises. Les incubateurs (et pépinières) d'entreprises s'inscrivent dans cette perspective. Les études déjà menées sur les incubateurs européens montrent qu'il existe des différences significatives en matière de stratégies et de pratiques d'incubation, que ce soit entre états membres ou au sein de chaque pays. Dans de telles conditions quel peut-être l'apport d'une politique européenne ? L'objectif de cette communication est donc de proposer, à la lumière des approches institutionnaliste et culturaliste, une analyse des incubateurs européens et des politiques nationales et communautaires en faveur de l'incubation. Après avoir souligné la diversité du paysage de l'incubation en Europe, tant sur le plan du dynamisme entrepreneurial que sur celui des formes d'incubateurs ou des modes d'accompagnement proposés par ces structures, nous analyserons plus précisément les dimensions institutionnelles et culturelles de cette diversité et nous nous interrogerons enfin sur la possibilité d'élaboration d'un modèle d'incubation européen, à travers la mise en œuvre d'un contexte permissif et d'un modèle interculturel d'incubation.

Performance Based Logistics is an acquisition reform that is intended to improve weapon systems logistics by reducing cost, improving reliability, and reducing footprint. It is an extension of a broad process of rationalizing, and in many cases outsourcing government services. As with other examples of governmental service outsourcing measurement issues arise, in the gap between governmental objectives and service measurement, and in the contrast between clear profitcentered vendor metrics, and more complex mission-oriented governmental metrics. Beyond this however, PBL presents new challenges to the relationship between governmental agencies and their service vendors. In many cases, weapons systems logistical support involves levels of operational risk that are more difficult to measure and more difficult to value than other government services. We discuss the implications of operational risk and other measurement issues on PBL implementation. ; NAVSEA, Acquisition Chair ; Approved for public release; distribution is unlimited.

Seeks to show that both environmental & political externalities are sources of discord between government & political stakeholders over the use of coastal ocean lands, & that a reasonable solution can be found in the institutions of private property rights. The primary source of discord over the issue, the externalities associated with offshore petroleum developments, is focused on, especially since the 1969 Santa Barbara oil spill. The first sections deal with the environmental externalities through a brief cost-benefit analysis, a look at the makeup of the political stakeholders involved, & the externalities of the current policy solution of imposing moratoria on petroleum leasing over hundreds of acres. The following two sections look at the internalizing of costs, either the opportunity costs by property owners to acquire scarce land resources or the external costs by those seeking demonstrable change to prevent future spills. As a solution, the causal-liability approach is explored to provide incentive for preventative measures. The causal-liability approach is only a prerequisite for the private property approach to internalizing externalities, which is examined through all aspects of privatization of coastal lands as the major policy solution. 38 References. M. James

Metadata only record ; El anlisis a las polticas pblicas de tierras, no se puede limitar exclusivamente a las acciones u omisiones dentro de su legislatura "indgenista" que desarrollan rganos de los Estados hacia los Mapuche y sus comunidades. Dentro del mbito de la poltica pblica de los Estados existen una serie de elementos internos y externos que estn ligados a diversos aspectos de la globalizacin econmica, cuyos impactos repercuten principalmente en los territorios de sectores sociales ms vulnerables, como es el caso del Pueblo Mapuche y sus Derechos. La territorialidad, no entendida como aspecto simblico, sino como el soporte material y espiritual para la existencia del Pueblo Mapuche, ha sido vctima de polticas locales y globales con graves consecuencias en trminos ambientales, culturales y econmicos. La igualdad ante la ley y el acceso a oportunidades, el derecho a disentir, la libre determinacin del tipo de desarrollo, la participacin, la oposicin a actividades y acciones que tengan consecuencias negativas son muchas veces premisas vedadas para las comunidades y que denotan muchas veces en actitudes racistas. El racismo hacia los mapuche tambin puede ser descubierto a travs de los conflictos ambientales y las polticas que autoridades y empresas privadas realizan para lograr lo que denominan "desarrollo" o "crecimiento econmico" del pas. Los desechos y costos de este desarrollo y sus impactos negativos al medio ambiente que nadie quiere asumir, se han llevado a las escasas tierras que hoy habitan los mapuche.