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Survivors of violence against women seek services to address victimization and its effects in a variety of settings. This report addresses providers of those services in community settings. Specifically, the report addresses staff...
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Survivors of violence against women seek services to address victimization and its effects in a variety of settings. This report addresses providers of those services in community settings. Specifically, the report addresses staff of domestic violence, rape crisis, and victims services programs; mental health providers employed in such settings as family service agencies, mental health centers, and substance abuse treatment settings; staff employed in State and county social services and child protective service programs; and clergy from all denominations to whom victims of violence may turn for support and other assistance. Research indicates that these are the kinds of providers to which victims of violence against women turn most frequently for assistance (Gordon, 1996). The task of synthesizing research on violence against women for this audience is challenging because this group of providers is extremely varied with respect to the centrality of violence against women within their professional roles, the extent of their knowledge about such violence, the extent of formal education and training, especially regarding research, and their values and beliefs about violence against women.
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Medicare Part B pays for services provided by physicians and certain nonphysician practitioners, such as psychologists and nurse practitioners. Other categories of nonphysician practitioners are not recognized as Medicare provider...
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Medicare Part B pays for services provided by physicians and certain nonphysician practitioners, such as psychologists and nurse practitioners. Other categories of nonphysician practitioners are not recognized as Medicare providers and thus are not able to bill the program independently for their services, although in some cases payment for their services is made to the facility or as incident to the professional services of a physician. In the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000, the Congress required MedPAC to assess providing Medicare Part B coverage for services rendered by s u rgical technologists, marriage and family therapists, pastoral counselors, and licensed professional counselors of mental health (licensed counselors). A separate congressional request asked MedPAC to consider coverage for clinical pharmacists providing drug therapy management. In this report, we make three recommendations regarding whether these nonphysician providers should be included as recognized practitioners under Medicare and permitted to bill the program independently for their services.
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The mission of SAMHSAs Office of Applied Studies (OAS) is the Collection, Analysis, and Dissemination of Critical Public Health Data to Assist Policymakers, Providers, and Patients in making Informed Decisions Regarding the Preven...
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The mission of SAMHSAs Office of Applied Studies (OAS) is the Collection, Analysis, and Dissemination of Critical Public Health Data to Assist Policymakers, Providers, and Patients in making Informed Decisions Regarding the Prevention and Treatment of Mental and Substance Use Disorders.
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From 2004 through 2010, the number of self-referred and non-self-referred advanced imaging services--magnetic resonance imaging (MRI) and computed tomography (CT) services--both increased, with the larger increase among self-refer...
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From 2004 through 2010, the number of self-referred and non-self-referred advanced imaging services--magnetic resonance imaging (MRI) and computed tomography (CT) services--both increased, with the larger increase among self-referred services. For example, the number of self-referred MRI services increased over this period by more than 80 percent, compared with an increase of 12 percent for non-self-referred MRI services. Likewise, the growth rate of expenditures for self-referred MRI and CT services was also higher than for non-self-referred MRI and CT services.
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This methods report provides an overview of the National Survey of Residential Care Facilities (NSRCF) conducted in 2010. NSRCF is a first-ever national probability sample survey that collects data on U.S. residential care provide...
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This methods report provides an overview of the National Survey of Residential Care Facilities (NSRCF) conducted in 2010. NSRCF is a first-ever national probability sample survey that collects data on U.S. residential care providers, their staffs and services, and their residents. Included are residential care facilities consisting of assisted living residences; board and care homes; congregate care; enriched housing programs; homes for the aged; personal care homes; and shared housing establishments that are licensed, registered, listed, certified, or otherwise regulated by a state. A survey-specific definition was used to select residential care facilities into the study. This report discusses the need for and objectives of the survey, design process, survey methods, and data availability.
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Over the past 20 years, the field of victim services has grown from a small grassroots effort to an emerging profession. The advancement of the rights of victims, once achieved through adversarial struggles and lawsuits, is now ac...
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Over the past 20 years, the field of victim services has grown from a small grassroots effort to an emerging profession. The advancement of the rights of victims, once achieved through adversarial struggles and lawsuits, is now accomplished through multidisciplinary efforts and collaborations among former adversaries throughout the country. Today there is greater understanding of victims issues due to legislation enacted to support victims rights, increased funding for victim services, and hard work by many victim advocates. Out of these efforts, understanding has grown and collaboration on behalf of victims is unprecedented. The publics awareness of crime victimization has developed largely due to accounts given by victims and survivors and the hard work and advocacy of the service providers working with them. As the victim services movement has grown, alliances and collaborations among service providers have increased. Out of the interrelationships among certain victimizations such as sexual assault, domestic violence, and partner, child, and elder abuse have grown new agendas for collaboration in advocacy, programming, legislation, and education.
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Some purchasers and consumers view information about health plan performance ascritical in choosing the highest quality health plan for the dollar and in promoting efficiency and responsiveness in providing health care services. T...
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Some purchasers and consumers view information about health plan performance ascritical in choosing the highest quality health plan for the dollar and in promoting efficiency and responsiveness in providing health care services. The Congress is considering legislation that would make information about the quaility of health plans and providers available to the public. To varying degrees, the bills call on health plans to provide information on enrollee satisifaction, quality indicators, clinical outcome measures, and provider network characteristics. Concerns have been raised, however, that certain plans offering broad access to providers-specifically preferred provider organization (PPO) plans-need not and cannot comply with the information disclosure requirements without being substantially redesigned.
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The project was undertaken to develop an introductory video and viewer's guide onpersonal safety for human service providers. The intent of the proposed products are to heighten awareness to areas of risk and to reduce dangers rel...
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The project was undertaken to develop an introductory video and viewer's guide onpersonal safety for human service providers. The intent of the proposed products are to heighten awareness to areas of risk and to reduce dangers related to threats and violence in human services. The video was developed and produced to introduce social services staffs and others to basic personal safety issues. These products will have great importance to agencies in developing approaches to personal safety for their staffs. The overall results of the research aspects are the development of a reliable instrument to measure viewer's responses to video instruction and significance in the findings from the research sessions.
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On November 1, 2007, the Committee on Oversight and Government Reform held a hearing on regulations issued by the Centers for Medicare & Medicaid Services (CMS) that would make major, wide-ranging changes in federal Medicaid policy. In general, the seven regulations at issue represent unilateral actions by CMS neither directed nor authorized by Congress. The Committee heard testimony from the principal author of the regulations, Dennis Smith, the Director of the Centers for Medicaid and State Operations within CMS. According to the Administration, the regulations would reduce federal Medicaid payments to states by a total of more than $15 billion over the next five years. These estimates, like those issued at the time the regulations were published, are national in scope. They do not enable members of Congress or the public to assess the effect of the regulation on their own states. In a program like Medicaid, which is operated by the states on a day-to-day basis and is famous for its variation from state to state, the lack of state-specific estimates represents a major failure of transparency. Mr. Smith, who has lead responsibility for administering the Medicaid program at the federal level, did not present any estimates of the state-specific impact of the regulations, either at the hearing or in response to subsequent Committee requests....
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On November 1, 2007, the Committee on Oversight and Government Reform held a hearing on regulations issued by the Centers for Medicare & Medicaid Services (CMS) that would make major, wide-ranging changes in federal Medicaid policy. In general, the seven regulations at issue represent unilateral actions by CMS neither directed nor authorized by Congress. The Committee heard testimony from the principal author of the regulations, Dennis Smith, the Director of the Centers for Medicaid and State Operations within CMS. According to the Administration, the regulations would reduce federal Medicaid payments to states by a total of more than $15 billion over the next five years. These estimates, like those issued at the time the regulations were published, are national in scope. They do not enable members of Congress or the public to assess the effect of the regulation on their own states. In a program like Medicaid, which is operated by the states on a day-to-day basis and is famous for its variation from state to state, the lack of state-specific estimates represents a major failure of transparency. Mr. Smith, who has lead responsibility for administering the Medicaid program at the federal level, did not present any estimates of the state-specific impact of the regulations, either at the hearing or in response to subsequent Committee requests.
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The ongoing aim behind the work described here is to investigate support for a data centre type environment where an application can be implemented as a composition of components, or workflow. For instance, an application might re...
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The ongoing aim behind the work described here is to investigate support for a data centre type environment where an application can be implemented as a composition of components, or workflow. For instance, an application might reuse established components. As is typical in data centre operation, hosting of an application is governed by a Service Level Agreement (SLA) between provider and application owner. Such an SLA describes levels of service and corresponding charges (paid to the provider) and refunds (paid by the provider). The infrastructure can of course vary mapping of hosted applications to machine resources in seeking to meet SLAs efficiently. However, it is also possible to dynamically vary the mapping of composite application to components; for instance to switch between alternate implementations of some particular component. The suggestion is that the availability of alternative components, or even compositions, will arise naturally in a shared repository, and that the presence of the extra degree of control can make the application hosting more resilient. While previous work by the authors has demonstrated basic mechanisms towards a composite service data centre, the current work begins to combine such mechanisms towards the control of both resource and component mapping in the context of concurrent workloads. The paper describes experimental work using a prototype implementation of an adaptive workflow engine.
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