Personnel Friction Analysis MAJ Mark Zais, MAJ Jose Ramirez Army G1, Military Strength Analysis & Forecasting

Size: px
Start display at page:

Download "Personnel Friction Analysis MAJ Mark Zais, MAJ Jose Ramirez Army G1, Military Strength Analysis & Forecasting"

Transcription

1 Personnel Friction Analysis MAJ Mark Zais, MAJ Jose Ramirez Army G1, Military Strength Analysis & Forecasting ABSTRACT In this paper we develop a methodology to define, measure, and predict personnel friction in the US Army. Personnel friction represents the number of Soldiers misaligned by grade, military occupation specialty (MOS), and/or location (brigade level) plus any additional Soldiers unavailable for training or deployment. Previous studies have referred to the concept of friction as the cost of doing business for organizations that have numerous specialties, ranks, and locations. However, it is in the Army s interest to provide a personnel inventory that is truly sufficient for accomplishing its missions while minimizing inefficiency. Quantifying and predicting the components of personnel friction should facilitate the development of policies to reduce the cost of doing business. In this study, our goal is to develop a methodology to analyze personnel friction levels based on data and modeling resources that are available to the Army G-1 and Human Resources Command (HRC). INTRODUCTION The Army is resourced for one face in every space, and expectations in the field are that all authorizations will be filled by skill and not lower than one grade below the authorization. Personnel friction prevents Army units from having the right number and types of Soldiers to meet mission requirements. In order to meet authorizations by grade and skill, faces must exceed spaces. If the expectation is to fill by at least grade and skill, the Army must have enough slack or flexibility in the manning system to compensate for the uncertainty in the manpower demand (e.g., changes in force structure, deployment requirements, etc.) and the manpower supply (e.g., changes in policy, Soldier availability, etc.). The purpose of this paper is to better define and quantify the flexibility required. Specifically, it proposes a methodology for measuring the impact of skill and grade imbalances as well as policy constraints on manning the force by grade and skill. In addition, it proposes a way forward to better calculate the additional flexibility required in time of war. When the US Army meets its overall strength goals, why are commanders still saying I don t have all the people I need to accomplish the mission? If there are enough faces to fill the spaces at a macro level (Army), why do they fail to match at the micro level (units)? Without careful analysis, the quick reaction may be to place sole blame on the inefficiencies of the personnel system. However, acceptance of the status quo encourages us to overlook policy changes that could reduce inefficiencies. Given a system comparable to just-in-time delivery with no inventory on the shelves, one could correctly argue that the Army personnel system produces much better results than should be expected. This doesn t mean that improvements cannot be accomplished. Previous studies have referred to the concept of friction as the cost of doing business for organizations that have numerous specialties, ranks and locations such as the Army. A certain level of misalignment has always been viewed as a byproduct of a dynamic system with many moving parts. Even the staunchest critics of the Army personnel system would acknowledge that the distribution process (meeting the specific needs of both units and individuals) is a dubious and unenviable challenge. Unlike object-oriented supply chain systems, personnel systems do not grant the luxury of extra inventory stock to meet just-in-time needs. We are operating in a personnel system with no slack that is not designed for rapid adjustments or just-in-time delivery. However, as persistent conflict increases the stress on the force and the scale tilts towards demand over supply, there exists a greater need and urgency to maximize effectiveness and readiness. Years of persistent conflict have improved some measures of effectiveness by creating a better trained and more experienced force. Unfortunately, persistent conflict appears to compound personnel friction rather than reduce it. 1

2 The purpose of this study is to develop a methodology to define, measure, and predict personnel friction levels. Once an accurate way of measuring and forecasting personnel friction is accepted, we can begin identifying how components of personnel friction are impacted by structure, demand and policy. More importantly, we can shape future decisions in order to reduce the cost of doing business. In doing so, we can answer a series of questions. What portion of the existing friction level is avoidable? How can avoidable friction be reduced? What can we expect of future friction levels? How much personnel inventory is needed to compensate for unavoidable friction? How are any of these answers affected by proposed structure and policy changes? Personnel friction is defined as the number of personnel misaligned by grade, military occupation specialty (MOS) or location; and/or unavailable for training or deployment at a given point in time. It is a measure of how well personnel are aligning with the force structure so that fighting and supporting units have the Soldiers and capabilities they need to accomplish their missions. Personnel friction can be broken up into three separate categories inventory friction, distribution friction, and readiness friction. Each of these categories is described by a different measure of misalignment or unavailability (Figure 1). However, the three categories of personnel friction are not mutually exclusive and therefore, it is possible for individual Soldiers to contribute to more than one category (Figure 2). As we progress towards measuring and Figure 1 forecasting these categories, a lack of mutual exclusiveness greatly complicates the calculations and demands an approach that accurately describes the overall friction level without overstating the problem. Prior to evaluating how to measure the interaction of the personnel friction categories, we identified the most accurate methods for measuring each individual category. INVENTORY FRICTION DEFINING INVENTORY FRICTION Inventory friction is defined as the number of personnel misaligned by grade or MOS. Therefore, inventory friction is the difference between the personnel inventory (faces) and authorizations (spaces) at the grade and MOS level of detail. What measure do we use to determine the level of inventory friction in the personnel system and how do we account for the fact that there may not be enough people to cover all of the structure? Let s look at a simple example where inventory friction is demonstrated with fictional specialties 1A, 2B, 3C, and 4D. Here, the organization (shown in Table 1) has four different specialties (labeled 1A, 2B, 3C, and Figure 2 4D) and only one grade of E5. Inventory and authorizations both sum to 120, but there are discrepancies in the way that personnel have been distributed by specialty. Since [total strength total authorizations = 0], it may look like the organization is filling all of its personnel requirements, but there is an MOS issue that is not addressed by looking at the 2

3 aggregate numbers alone. The misalignment of MOS 1A (5 less people) and MOS 3C (5 more people) is evident only when comparing authorizations and strengths at the MOS level of detail. This table could have easily shown one MOS and four different grades to show how the grades could also be misaligned. MEASURING INVENTORY FRICTION MOS Grade Authorizations Strength Str-Auths 1A E B E C E D E Total Table 1 In order to calculate the amount of inventory friction, it is necessary to look at the strength deviations (strength authorizations) at the grade and MOS level of detail. Table 1 shows why simple addition ( = 0) of the deviations is not a good measure. Another way to measure is to add the absolute value of the deviations which would give the example in Table 1 a friction level of 10. However, while there are ten positions that are either under-filled or over-filled, only 5 people are actually misaligned. By the definition of friction, the number of misaligned personnel should be the friction level and is is determined by just summing the absolute value of the deviations and dividing by 2, trength-authoriza on. The sum of the deviations is divided by 2 since each mismanaged Soldier is counted twice negative in one MOS and positive in the other. The calculation becomes more complex in situations where aggregate inventory and authorizations do not match. Friction must be defined to exclude the under fill due to authorizations greater than strength in the aggregate (negative operating strength deviation). pera ng trength by grade and Authoriza ons by grade and pera ng trength evia on Table 2 shows an organization that has an operating strength deviation (OSD) of -35 and does not have the ability with the personnel on hand to fill the structure for all of its positions. Nothing can be done to align the personnel inventory with the force structure and yet the sum of the deviations is 45. Table 3 shows an organization with an OSD of +10 and a sum of the deviations of 30. The mismanagement of personnel in Table 3 is more egregious than that in Table 2. The negative OSD in Table 2 causes the sum of the deviations to be higher than the sum in Table 3. Clearly, the operating strength deviation needs to be accounted for when trying to compute the amount of friction in an organization. MOS Grade Authorizations Strength Str-Auths 1A E B E C E D E Total OSD =-35 Table 2 = 45 Friction = 5 MOS Grade Authorizations Strength Str-Auths 1A E B E C E D E Total OSD = +10 Table 3 - = 30 Friction = 10 3

4 - Monthly Inventory Friction = Proof: If the operating strength deviation is negative (OSD <0), then the only misaligned personnel are the ones that are in a positive deviation MOS (see Table 2, MOS 1A). =, when =, when = = = = The same approach can be used to show the. In an ideal case, an organization can be perfectly aligned with no friction, but it still may have a large problem of having too many or not enough personnel. In this case, the above equations would result in a friction of zero. OSD is used to compute the amount of friction, but the size of the organization is not a factor measured according to this definition of inventory friction. The friction equation, by definition, only compares the current strength versus the current authorizations. OSD represents the size of the force and whether the organization is under or over-strength. Historical inventory friction can be represented in whole numbers or as a percentage. If represented as a percentage, we use the force structure document to calculate the number of personnel who will be misaligned with their MOS/grade. FSA*friction% = number of personnel who are misaligned by grade and/or MOS (friction level). Therefore, the historical percentage = fric on level A * 100. The friction number is currently calculated by comparing the applicable force structure documents to the monthly operating strength. Skill level 1 Soldiers are combined together based on the assumption that skill level one personnel have flexibility and exchangeability in positions. In order to conduct these calculations, we use SAS 9.2 to compare personnel data from the Total Army Personnel Database (TAPDB) to the valid structure document for each month (structure documents are normally modified on a quarterly basis). Each month of personnel history in TAPDB contains records for more than 500,000 active Army personnel. Each record contains dozens of data fields with attributes for each Soldier. The equations shown above are applied to months of separate personnel and structure databases. In total, SAS programming is used to sort through roughly 50 million records, merge relevant fields and conduct historical measurements. After the data has been manipulated, SAS programming such as in the example below is used to apply historical calculations. PROC SQL; CREATE TABLE MOS_GRADE_FRICTION AS SELECT DISTINCT YM_DT, GB, MOS, SUM(AUTH) AS AUTH, 4

5 QUIT; SUM(OPER) AS OPER, SUM(OPER-AUTH) AS OSD, ABS(SUM(OPER-AUTH)) AS ABS_DEV FROM WORK.MERGED_DATA1_MOSG1 GROUP BY YM_DT, GB, MOS; DATA WORK.FINAL_MOSG_FRICTION; SET MOS_GRADE_FRICTION; FORMAT MOSG_PERCENT 6.5; IF AUTH NE 0; IF OSD < 0 THEN DO; MOSG_FRICTION = (ABS_DEV+OSD)/2; MOSG_FILL = OPER - MOSG_FRICTION; MOSG_PERCENT = MOSG_FRICTION/AUTH; END; IF OSD >= 0 THEN DO; MOSG_FRICTION = (ABS_DEV-OSD)/2; MOSG_FILL = AUTH - MOSG_FRICTION; MOSG_PERCENT = MOSG_FRICTION/AUTH; KEEP YM_DT MOSG_FRICTION MOSG_FILL MOSG_PERCENT; END; FORECASTING INVENTORY FRICTION Knowing the above mentioned methods of calculating historical inventory friction, we can forecast future levels of inventory friction as long as we have an Army strength forecast by grade and skill. Fortunately we do. The Army G-1 Enlisted Grade and Enlisted Specialty models, in concert with the Officer Forecasting Model, project inventory levels of all grades and skills 84 months into the future. A limitation of any technique used to forecast inventory friction is the great unknown, force structure changes. As a result, any inventory friction forecast is merely the best possible scenario, promised to deteriorate with each structure change in inverse proportion to the amount of lead time the personnel system is given to adjust. Once again SAS programming is used not only to perform the calculations for measuring inventory, but is also used to extract forecasted personnel inventory data (from a database produced by another system of optimization and forecasting models). Presented below is an example of a piece of macro programming code used to collect projected inventory data for a range of future months. %MACRO MANYPROJ(ES_PROJ_VER_NM, PROJ1_YM_DT, PROJ2_YM_DT); %LET START = %SUBSTR("&&YM_&PROJ1_YM_DT",6,2); %LET TABLE = %SUBSTR(&&YM_&PROJ1_YM_DT,1,4); %LET MAX = %SYSFUNC(PUTN(84,Z2.)); %LET MIN = %SYSFUNC(PUTN(1,Z2.)); %LET END = %SUBSTR("&&YM_&PROJ2_YM_DT",6,2); %IF &END LT &START %THEN %DO; %DO I = &START %TO &MAX; %LET J&I = %SYSFUNC(PUTN(&I,Z2.)); %LET K = &&J&I; %IF "&TABLE" NE "CURR" %THEN %DO; %IF &K >= %SUBSTR(&FIRST_P_CURR,5,2) %THEN %DO; %LET TABLE = CURR; %PULL_AUTH_STR_PROJ; DATA WORK.COMBINE1; SET %DO I = %EVAL(&START) %TO %EVAL(&MAX); WORK.AUTH_&&J&I WORK.TRAINEE_&&J&I 5

6 ; %GB TTHS = SUM(THS, TRAINEE); TOTAL_STR = SUM(TTHS, OPER); PROC DATASETS LIBRARY = WORK; DELETE AUTH_&START - AUTH_&MAX TRAINEE_&START - TRAINEE_&MAX / MEMTYPE = DATA; QUIT; %DO I = &MIN %TO &END; %LET J&I = %SYSFUNC(PUTN(&I,Z2.)); %LET K = &&J&I; %PULL_AUTH_STR_PROJ; DATA WORK.COMBINE; SET %DO I = %EVAL(&MIN) %TO %EVAL(&END); WORK.AUTH_&&J&I WORK.TRAINEE_&&J&I WORK.COMBINE1; %GB TTHS = SUM(THS, TRAINEE); TOTAL_STR = SUM(TTHS, OPER); PROC DATASETS LIBRARY = WORK; DELETE AUTH_&MIN - AUTH_&END TRAINEE_&MIN - TRAINEE_&END COMBINE1/ MEMTYPE = DATA; QUIT; %ELSE %IF &END GE &START %THEN %DO; %DO I = &START %TO &END; %LET J&I = %SYSFUNC(PUTN(&I,Z2.)); %LET K = &&J&I; %IF "&TABLE" NE "CURR" %THEN %DO; %IF &K >= %SUBSTR(&FIRST_P_CURR,5,2) %THEN %DO; %LET TABLE = CURR; %PULL_AUTH_STR_PROJ; DATA WORK.COMBINE; SET %DO I = %EVAL(&START) %TO %EVAL(&END); WORK.AUTH_&&J&I WORK.TRAINEE_&&J&I %GB TTHS = SUM(THS, TRAINEE); TOTAL_STR = SUM(TTHS, OPER); PROC DATASETS LIBRARY = WORK; DELETE AUTH_&START - AUTH_&END TRAINEE_&START - TRAINEE_&END / MEMTYPE = DATA; QUIT; 6

7 DISTRIBUTION FRICTION DEFINING DISTRUBTION FRICTION Distribution friction is defined as the number of personnel misaligned by location. When a Soldier is correctly assigned by skill and grade but is assigned to the wrong location (unit), distribution friction exists. In this analysis, location is extended down to the brigade or Distribution Management Sub-Level (DMSL). Therefore, distribution friction between battalion, company or smaller size units is not included. While these smaller unit structures are easier to manage in terms of leveling authorizations with personnel inventory, it is arguable that reducing distribution friction among brigade and higher unit structures is a necessary target for readiness improvement. MEASURING DISTRIBUTION FRICTION Historical distribution friction is calculated using the same method as inventory friction. When measuring inventory and distribution friction together and accounting for inclusiveness, double counting is avoided by disaggregating the strength and authorization data and grouping by grade, skill and location at a given interval of time. - Monthly Distribution Friction = Monthly Inventory & Distribution Friction = - For both inventory and distribution friction, historical calculations require the use of multiple force structure documents. In order to calculate these rates, we must compare past personnel inventory strengths (monthly) with the valid structure document. These documents are referred to as either a Personnel Manning Authorization Document (PMAD) or Updated Authorization Document (UAD) depending on which type is valid at the time. Using the personnel inventory database at monthly intervals since , every individual assignment is mapped against the corresponding structure document and friction levels are calculated. As mentioned in the Inventory Distribution section, SAS programming with SAS 9.2 was used to conduct all of the data collection, data manipulation, and calculations. FORECASTING DISTRIBUTION FRICTION Forecasting distribution friction is more complex than forecasting inventory friction. Army strength forecasts include grade and MOS detail but do not attempt to predict location of assignment. Therefore, alternative methods such as simulation must be applied to predict a future level of distribution friction. By simulating the personnel distribution process and incorporating as many predicted events as possible (i.e., deployment schedules, structure changes, policy changes, etc.) we can produce a reasonable forecast of expected distribution friction. Admittedly, the distribution process is complex and a 1 The DMSL codes used in this analysis were not populated in structure documents prior to Prior to 2004, there was a heavier emphasis on division level structure than brigade size forces. 7

8 degree of personal and human elements cannot be accurately simulated. However, along with valid assumptions, the functions that are tied to published policies and procedures can be integrated into a model that allows us to better plan for the future. Currently, the Army G-1 is engaged in two optimization and simulation modeling efforts (Force Shaping and ARFORGEN 2 BOG:Dwell) that it hopes to integrate for distribution friction forecasting. READINESS FRICTION DEFINING READINESS FRICTION Readiness friction is defined as the number of personnel within the operating strength unavailable for training and/or deployment. It is also the hardest category to capture in terms of quantifiable data and requires unique methods for calculating historical and projected measurements. Unlike the previous two categories, readiness friction is tied to individual availability and effectiveness rather than misalignment with force structure. Sources of unavailability include reasons such as P3/P4 profiles, Medical Evaluation Boards (MEBs), temporary profiles, pregnancies, transients, UCMJ, family care plans, dental categories, and minimum dwell policies. So why would we include readiness friction as a component of personnel friction? The answer lies in the earlier observation that the three friction categories are not mutually exclusive. More often than not, non-deployable Soldiers are discussed in conversation separate from personnel misalignment. In doing so, the Army is guilty of depicting them as additive problems when they are not. Simply put, if a Soldier is misaligned by grade, MOS or location and is at the same time non-deployable, we still have only one individual point of personnel friction. Separate analysis of readiness friction without consideration of overlap with other personnel friction categories is flawed at best and misleading at worst. Table 4 provides a simple example of overlapping friction for Soldiers with the grade of E5 in four MOSs within a single unit. Unit X MOS Grade Authorizations Strength Str - Auths Non-Deployable 1A E B E C E D E Total Table 4 If non-deployable Soldiers are considered independently, one could easily arrive at the conclusion that this unit has five Soldiers contributing to readiness friction. However, three of the non-deployable Soldiers are in MOS 3C which is already accounted for in inventory friction. Thus, even without knowledge of the individual non-deployers, we can fairly conclude that two of the non-deployables are compensated by over-strength (part of the inventory friction calculation). Therefore, the amount of readiness friction in this particular grade, MOS and location combination would be 1+(3-2)+1=3. MEASURING READINESS FRICTION Unfortunately, existing personnel databases do not provide the same fertile ground for readiness friction data mining and historical calculations. Even when non-deployable data is available, it is usually consumed in unit statistics, void of SSN level detail and when accurate, is only recorded at a single discrete point in time, Soldier Readiness Processing (SRP). Fortunately, the previous example in Table 4 demonstrates that SSN detail is not necessary in order to merge readiness databases information with the personnel inventory. Although better data collection procedures and a non-deployable status field in the existing personnel database (TAPDB) need to be implemented in order to collect more usable Soldier 2 Army Force Generation 8

9 identifiable non-deployable data at SRP, raw numbers disaggregated by grade, MOS and location are sufficient. A method of measurement that eliminates the aforementioned data redundancy is shown below. by grade Unless readiness data can be collected at discrete points in time other than SRP, the readiness friction calculations will only capture statistics for units on the verge of deployment. Although a valid argument can be made that readiness implications are less severe farther in advance of deployment, a certain level of predictability and knowledge must be generated earlier in order to shape the force and reduce the impact at deployment. FORECASTING READINESS FRICTION More so than the previous two personnel friction categories, readiness friction is directly influenced by the demand of persistent conflict. Therefore, it is presumed that the best way to forecast readiness friction is by applying methods such as regression analysis which can incorporate the dependency of a variable deployment demand. Crucial to the Army G1 s ability to forecast readiness friction is the availability of predicted ARFORGEN demand scenarios. The mission focus of the Army s manpower community is centered on managing and forecasting personnel inventory in order to meet requirements. Simplified in an economic context, the Army G1 has the modeling capabilities to forecast supply, yet we rely on other organizations 3 within the Army to forecast demand. Given a particular demand scenario with an already known ARFORGEN synchronization concept, we can use the relationship of deployment demand and historical non-deployable rates friction to forecast readiness friction. IMPLICATIONS Once we are able to measure the components of personnel friction, we can evaluate how well the Army is aligning personnel with authorizations. In order to present the contribution of each component, it is important to be able to measure each individually and in aggregate. After collecting reliable readiness friction data, it can be merged with existing historical inventory and distribution data to generate monthly personnel friction. By combing the earlier equations for inventory, distribution and readiness friction, we can calculate the amount of personnel friction at a given point in time using the following equation: Personnel Friction To measure the effects of friction in terms of fill, we must compare the friction percentage to the FSA and operating strength. If the operating strength is greater than the FSA, then the amount of friction is subtracted from the enlisted FSA. Where the opposite is true, or the FSA is greater than the operating strength, the friction amount is subtracted from the 3 Projected demand scenarios are provided to G-1 from G-3/5/7 and Forces Command (FORSCOM). 9

10 Enlisted Personnel NESUG 2010 operating strength. When FSA is smaller than the operating strength, the friction is subtracted from the FSA because, despite having extra assignments, there still is friction and the number of correctly assigned personnel cannot be over the number of authorizations. The friction is subtracted from the lower level because the friction is calculated without respect to the total number of personnel in the organization, just how they are aligned. Figure 3 shows the enlisted operating strength (faces) compared to the force structure authorizations (spaces) and how the inventory friction and distribution friction affect the operating strength. The historical fills show the effect of these two personnel friction components broken down by MOS, MOS and Grade, and MOS, Grade and Location. Accounting for personnel friction shows the real effect of how close the Army is to correctly filling the authorizations, despite having overages in the operating strength. or projection, less detail is available because we don t yet have an accurate forecast of distribution friction. Also, Figure 3 does not show readiness friction MOS & Grade Friction MOS Friction OSD Operating Strength Inventory & Distribution Friction Inventory Friction Fill minus MOS friction Fill minus Inventory (MOS & Grade) Friction Fill minus Inventory & Distribution Friction Force Structure Allowance History Projection Figure 3: Inventory & Distribution Friction As shown in Figure 4, different methods of measurement are required for the different components of friction, and for historical versus projected friction. In order to effectively forecast distribution friction, the Strength and Forecasting Division of the Army G1 is leveraging ongoing internal development of improved optimization and simulation models. These models incorporate a multitude of force shaping mechanisms beyond minimizing operating strength deviation to model effects of manpower policies on human capital and the distribution challenges induced by the demand requirements of persistent conflict and ARFORGEN. Likewise, we are continuing to refine data collection methods in order to quantify the true impact of readiness friction and apply appropriate forecasting techniques. 10

11 Friction Type Historical Forecasted Inventory Distribution Readiness Computed Actuals 1 (SAS Programming) Computed Actuals 1 (SAS Programming) Data Collection / Computed Actuals 1 Merge, query and calculate friction from multiple databases (PMAD/UAD, TAPDB) Figure 4: Measurement and Forecasting Methods Optimization Discrete-Event / Agent-Based Simulation & Optimization Regression Analysis = Complete CONCLUSION Manning the Army in aggregate is much simpler than the Human Resources Command task of meeting unit requirements with no slack in a system that is not designed for just-in-time delivery. Unlike object-oriented supply chain systems, personnel systems do not grant the luxury of extra inventory stock to meet just-in-time needs, because as a unit requirement emerges, there is no guarantee that the next Soldier available is a perfect match in skill and grade. As we operate in a system with no slack and imperfect information, there are several factors that affect the level of personnel friction in the Army. Changing force structure documents, fluctuating deployment demand requirements, seasonality of accessions, training course lengths, Soldiers on stop-loss, TTH, A supportability and loss rates for individual s are just some of the major factors that cause inventory and distribution friction. A longer list of factors contributes to readiness friction. Personnel friction prevents Army units from having the right number and skill of Soldiers to meet mission requirements, which causes readiness degradation. Identifying the components of personnel friction and developing a methodology to measure and predict future friction levels won t solve this problem. However, by understanding the causes and relationships of each of the types of friction, we can determine how much of it can be shaped by variable decisions and policies. It is in the Army s interest to both provide a personnel inventory that is truly sufficient for accomplishing its missions while minimizing any level of inefficiency that is not inherent to a dynamic personnel system with imperfect information. 11

12 REFERENCES Army Regulation , Army Force Stabilization System, dated 15 October Army Regulation , Overseas Service, dated 12 August 2008 Army Regulation , Physical Performance Evaluation System, dated 28 February Fastabend, D., An Appraisal of The Brigade-Based New Army. Parameters, Autumn: Jehle, K Cost of Doing Business: Friction in the Personnel & Structure System. Presented at BAFEX, May Olson, K., et al Friction in Manning, DAPE-PRS. Thie, H.J., Yardley, R.J., Harrell, M.C., Brancato, K Alignment of Department of Defense Manpower, Resources, and Personnel Systems. RAND Corporation Technical Report prepared for Office of the Secretary of Defense. ACKNOWLEDGEMENT The U.S. Government is authorized to reproduce and distribute reprints for governmental purposes notwithstanding any copyright annotation thereon. The views and conclusions contained herein are those of the authors and should not be interpreted as representing the official policies or endorsements, either expressed or implied, of, the Army G1 or the U.S. Government. CONTACT INFORMATION MAJ Mark Zais, MS Army G1, Military Strength Analysis & Forecasting Pentagon, Washington, DC MAJ Jose Ramirez, MS Army G1, Military Strength Analysis & Forecasting Pentagon, Washington, DC

Field Manual

Field Manual Chapter 7 Manning the Force Section I: Introduction The Congress, the Office of Management and Budget, the Office of Personnel Management, the Office of the Secretary of Defense, and the Office of the

More information

Changing Personnel Readiness Reporting to Measure Capability

Changing Personnel Readiness Reporting to Measure Capability COMMENTARY Changing Personnel Readiness Reporting to Measure Capability This article explains the Army s personnel readiness reporting process and its unintended consequences and proposes changing one

More information

EXTENDING THE ANALYSIS TO TDY COURSES

EXTENDING THE ANALYSIS TO TDY COURSES Chapter Four EXTENDING THE ANALYSIS TO TDY COURSES So far the analysis has focused only on courses now being done in PCS mode, and it found that partial DL conversions of these courses enhances stability

More information

PANELS AND PANEL EQUITY

PANELS AND PANEL EQUITY PANELS AND PANEL EQUITY Our patients are very clear about what they want: the opportunity to choose a primary care provider access to that PCP when they choose a quality healthcare experience a good value

More information

Scottish Hospital Standardised Mortality Ratio (HSMR)

Scottish Hospital Standardised Mortality Ratio (HSMR) ` 2016 Scottish Hospital Standardised Mortality Ratio (HSMR) Methodology & Specification Document Page 1 of 14 Document Control Version 0.1 Date Issued July 2016 Author(s) Quality Indicators Team Comments

More information

How to Calculate CIHI s Cost of a Standard Hospital Stay Indicator

How to Calculate CIHI s Cost of a Standard Hospital Stay Indicator Job Aid December 2016 How to Calculate CIHI s Cost of a Standard Hospital Stay Indicator This handout is intended as a quick reference. For more detailed information on the Cost of a Standard Hospital

More information

Patterns of Reserve Officer Attrition Since September 11, 2001

Patterns of Reserve Officer Attrition Since September 11, 2001 CAB D0012851.A2/Final October 2005 Patterns of Reserve Officer Attrition Since September 11, 2001 Michelle A. Dolfini-Reed Ann D. Parcell Benjamin C. Horne 4825 Mark Center Drive Alexandria, Virginia 22311-1850

More information

Population and Sampling Specifications

Population and Sampling Specifications Mat erial inside brac ket s ( [ and ] ) is new to t his Specific ati ons Manual versi on. Introduction Population Population and Sampling Specifications Defining the population is the first step to estimate

More information

time to replace adjusted discharges

time to replace adjusted discharges REPRINT May 2014 William O. Cleverley healthcare financial management association hfma.org time to replace adjusted discharges A new metric for measuring total hospital volume correlates significantly

More information

Hiring Talented Sales Professionals

Hiring Talented Sales Professionals Hiring Talented Sales Professionals A Practical Guide to Sales Compensation How to Outsource, Insource and Transform Your Sales Team Copyright 2016 Doug Dvorak & the Sales Coaching Institute All Rights

More information

Forecasts of the Registered Nurse Workforce in California. June 7, 2005

Forecasts of the Registered Nurse Workforce in California. June 7, 2005 Forecasts of the Registered Nurse Workforce in California June 7, 2005 Conducted for the California Board of Registered Nursing Joanne Spetz, PhD Wendy Dyer, MS Center for California Health Workforce Studies

More information

Inteligencia Artificial. Revista Iberoamericana de Inteligencia Artificial ISSN:

Inteligencia Artificial. Revista Iberoamericana de Inteligencia Artificial ISSN: Inteligencia Artificial. Revista Iberoamericana de Inteligencia Artificial ISSN: 1137-3601 revista@aepia.org Asociación Española para la Inteligencia Artificial España Moreno, Antonio; Valls, Aïda; Bocio,

More information

Creating a Patient-Centered Payment System to Support Higher-Quality, More Affordable Health Care. Harold D. Miller

Creating a Patient-Centered Payment System to Support Higher-Quality, More Affordable Health Care. Harold D. Miller Creating a Patient-Centered Payment System to Support Higher-Quality, More Affordable Health Care Harold D. Miller First Edition October 2017 CONTENTS EXECUTIVE SUMMARY... i I. THE QUEST TO PAY FOR VALUE

More information

Demographic Profile of the Officer, Enlisted, and Warrant Officer Populations of the National Guard September 2008 Snapshot

Demographic Profile of the Officer, Enlisted, and Warrant Officer Populations of the National Guard September 2008 Snapshot Issue Paper #55 National Guard & Reserve MLDC Research Areas Definition of Diversity Legal Implications Outreach & Recruiting Leadership & Training Branching & Assignments Promotion Retention Implementation

More information

UNCLASSIFIED. UNCLASSIFIED R-1 Line Item #152 Page 1 of 15

UNCLASSIFIED. UNCLASSIFIED R-1 Line Item #152 Page 1 of 15 Exhibit R-2, PB 2010 DoD Human Resources Activity RDT&E Budget Item Justification DATE: May 2009 6 - RDT&E Management Support COST ($ in Millions) FY 2008 Actual FY 2009 FY 2010 FY 2011 FY 2012 FY 2013

More information

University of Michigan Health System. Current State Analysis of the Main Adult Emergency Department

University of Michigan Health System. Current State Analysis of the Main Adult Emergency Department University of Michigan Health System Program and Operations Analysis Current State Analysis of the Main Adult Emergency Department Final Report To: Jeff Desmond MD, Clinical Operations Manager Emergency

More information

Big Data Analysis for Resource-Constrained Surgical Scheduling

Big Data Analysis for Resource-Constrained Surgical Scheduling Paper 1682-2014 Big Data Analysis for Resource-Constrained Surgical Scheduling Elizabeth Rowse, Cardiff University; Paul Harper, Cardiff University ABSTRACT The scheduling of surgical operations in a hospital

More information

Temporary and occasional registration: Your declaration of intended medical service provision

Temporary and occasional registration: Your declaration of intended medical service provision Temporary and occasional registration: Your declaration of intended medical service provision 1 If you are intending to provide services in the UK on a temporary and occasional basis, you may be eligible

More information

Scenario Planning: Optimizing your inpatient capacity glide path in an age of uncertainty

Scenario Planning: Optimizing your inpatient capacity glide path in an age of uncertainty Scenario Planning: Optimizing your inpatient capacity glide path in an age of uncertainty Scenario Planning: Optimizing your inpatient capacity glide path in an age of uncertainty Examining a range of

More information

Healthcare- Associated Infections in North Carolina

Healthcare- Associated Infections in North Carolina 2018 Healthcare- Associated Infections in North Carolina Reference Document Revised June 2018 NC Surveillance for Healthcare-Associated and Resistant Pathogens Patient Safety Program NC Department of Health

More information

The Pennsylvania State University. The Graduate School ROBUST DESIGN USING LOSS FUNCTION WITH MULTIPLE OBJECTIVES

The Pennsylvania State University. The Graduate School ROBUST DESIGN USING LOSS FUNCTION WITH MULTIPLE OBJECTIVES The Pennsylvania State University The Graduate School The Harold and Inge Marcus Department of Industrial and Manufacturing Engineering ROBUST DESIGN USING LOSS FUNCTION WITH MULTIPLE OBJECTIVES AND PATIENT

More information

Report on the Pilot Survey on Obtaining Occupational Exposure Data in Interventional Cardiology

Report on the Pilot Survey on Obtaining Occupational Exposure Data in Interventional Cardiology Report on the Pilot Survey on Obtaining Occupational Exposure Data in Interventional Cardiology Working Group on Interventional Cardiology (WGIC) Information System on Occupational Exposure in Medicine,

More information

Patient-Mix Adjustment Factors for Home Health Care CAHPS Survey Results Publicly Reported on Home Health Compare in July 2017

Patient-Mix Adjustment Factors for Home Health Care CAHPS Survey Results Publicly Reported on Home Health Compare in July 2017 Patient-Mix Adjustment Factors for Home Health Care CAHPS Survey Results Publicly Reported on Home Health Compare in July 2017 Home Health Care CAHPS (HHCAHPS) Survey results will be refreshed or updated

More information

Executive Summary. This Project

Executive Summary. This Project Executive Summary The Health Care Financing Administration (HCFA) has had a long-term commitment to work towards implementation of a per-episode prospective payment approach for Medicare home health services,

More information

Specialty Care System Performance Measures

Specialty Care System Performance Measures Specialty Care System Performance Measures The basic measures to gauge and assess specialty care system performance include measures of delay (TNA - third next available appointment), demand/supply/activity

More information

The size and structure of the adult social care sector and workforce in England, 2014

The size and structure of the adult social care sector and workforce in England, 2014 The size and structure of the adult social care sector and workforce in England, 2014 September 2014 Acknowledgements We are grateful to many people who have contributed to this report. Particular thanks

More information

HEALTH WORKFORCE SUPPLY AND REQUIREMENTS PROJECTION MODELS. World Health Organization Div. of Health Systems 1211 Geneva 27, Switzerland

HEALTH WORKFORCE SUPPLY AND REQUIREMENTS PROJECTION MODELS. World Health Organization Div. of Health Systems 1211 Geneva 27, Switzerland HEALTH WORKFORCE SUPPLY AND REQUIREMENTS PROJECTION MODELS World Health Organization Div. of Health Systems 1211 Geneva 27, Switzerland The World Health Organization has long given priority to the careful

More information

Healthcare- Associated Infections in North Carolina

Healthcare- Associated Infections in North Carolina 2012 Healthcare- Associated Infections in North Carolina Reference Document Revised May 2016 N.C. Surveillance for Healthcare-Associated and Resistant Pathogens Patient Safety Program N.C. Department of

More information

ew methods for forecasting bed requirements, admissions, GP referrals and associated growth

ew methods for forecasting bed requirements, admissions, GP referrals and associated growth Page 1 of 8 ew methods for forecasting bed requirements, admissions, GP referrals and associated growth Dr Rod Jones (ACMA) Statistical Advisor Healthcare Analysis & Forecasting Camberley For further articles

More information

Global Health Evidence Summit. Community and Formal Health System Support for Enhanced Community Health Worker Performance

Global Health Evidence Summit. Community and Formal Health System Support for Enhanced Community Health Worker Performance Global Health Evidence Summit Community and Formal Health System Support for Enhanced Community Health Worker Performance I. Global Health Evidence Summits President Obama s Global Health Initiative (GHI)

More information

A Reality Check on Health Information Privacy: How should we understand re-identification risks under HIPAA?

A Reality Check on Health Information Privacy: How should we understand re-identification risks under HIPAA? A Reality Check on Health Information Privacy: How should we understand re-identification risks under HIPAA? Daniel C. Barth-Jones, M.P.H., Ph.D. Assistant Professor of Clinical Epidemiology, Mailman School

More information

THE USE OF SIMULATION TO DETERMINE MAXIMUM CAPACITY IN THE SURGICAL SUITE OPERATING ROOM. Sarah M. Ballard Michael E. Kuhl

THE USE OF SIMULATION TO DETERMINE MAXIMUM CAPACITY IN THE SURGICAL SUITE OPERATING ROOM. Sarah M. Ballard Michael E. Kuhl Proceedings of the 2006 Winter Simulation Conference L. F. Perrone, F. P. Wieland, J. Liu, B. G. Lawson, D. M. Nicol, and R. M. Fujimoto, eds. THE USE OF SIMULATION TO DETERMINE MAXIMUM CAPACITY IN THE

More information

Analyzing Physician Task Allocation and Patient Flow at the Radiation Oncology Clinic. Final Report

Analyzing Physician Task Allocation and Patient Flow at the Radiation Oncology Clinic. Final Report Analyzing Physician Task Allocation and Patient Flow at the Radiation Oncology Clinic Final Report Prepared for: Kathy Lash, Director of Operations University of Michigan Health System Radiation Oncology

More information

How to deal with Emergency at the Operating Room

How to deal with Emergency at the Operating Room How to deal with Emergency at the Operating Room Research Paper Business Analytics Author: Freerk Alons Supervisor: Dr. R. Bekker VU University Amsterdam Faculty of Science Master Business Mathematics

More information

A strategy for building a value-based care program

A strategy for building a value-based care program 3M Health Information Systems A strategy for building a value-based care program How data can help you shift to value from fee-for-service payment What is value-based care? Value-based care is any structure

More information

Getting the right case in the right room at the right time is the goal for every

Getting the right case in the right room at the right time is the goal for every OR throughput Are your operating rooms efficient? Getting the right case in the right room at the right time is the goal for every OR director. Often, though, defining how well the OR suite runs depends

More information

Medido, a smart medication dispensing solution, shows high rates of medication adherence and potential to reduce cost of care.

Medido, a smart medication dispensing solution, shows high rates of medication adherence and potential to reduce cost of care. White Paper Medido, a smart medication dispensing solution, shows high rates of medication adherence and potential to reduce cost of care. A Philips Lifeline White Paper Tine Smits, Research Scientist,

More information

SUBCHAPTER 11. CHARITY CARE

SUBCHAPTER 11. CHARITY CARE SUBCHAPTER 11. CHARITY CARE 10:52-11.1 Charity care audit functions 10:52-11.2 Sampling methodology 10:52-11.3 Charity care write off amount 10:52-11.4 Differing documentation requirements if patient admitted

More information

Demand and capacity models High complexity model user guidance

Demand and capacity models High complexity model user guidance Demand and capacity models High complexity model user guidance August 2018 Published by NHS Improvement and NHS England Contents 1. What is the demand and capacity high complexity model?... 2 2. Methodology...

More information

How an ACO Provides and Arranges for the Best Patient Care Using Clinical and Operational Analytics

How an ACO Provides and Arranges for the Best Patient Care Using Clinical and Operational Analytics Success Story How an ACO Provides and Arranges for the Best Patient Care Using Clinical and Operational Analytics HEALTHCARE ORGANIZATION Accountable Care Organization (ACO) TOP RESULTS Clinical and operational

More information

2013 Workplace and Equal Opportunity Survey of Active Duty Members. Nonresponse Bias Analysis Report

2013 Workplace and Equal Opportunity Survey of Active Duty Members. Nonresponse Bias Analysis Report 2013 Workplace and Equal Opportunity Survey of Active Duty Members Nonresponse Bias Analysis Report Additional copies of this report may be obtained from: Defense Technical Information Center ATTN: DTIC-BRR

More information

In Press at Population Health Management. HEDIS Initiation and Engagement Quality Measures of Substance Use Disorder Care:

In Press at Population Health Management. HEDIS Initiation and Engagement Quality Measures of Substance Use Disorder Care: In Press at Population Health Management HEDIS Initiation and Engagement Quality Measures of Substance Use Disorder Care: Impacts of Setting and Health Care Specialty. Alex HS Harris, Ph.D. Thomas Bowe,

More information

Risk Adjustment Methods in Value-Based Reimbursement Strategies

Risk Adjustment Methods in Value-Based Reimbursement Strategies Paper 10621-2016 Risk Adjustment Methods in Value-Based Reimbursement Strategies ABSTRACT Daryl Wansink, PhD, Conifer Health Solutions, Inc. With the move to value-based benefit and reimbursement models,

More information

Subj: NAVY TRAINING DEVICE UTILIZATION REPORTING (UR) Encl: (1) Definitions (2) Training Device Utilization Reporting Data Elements

Subj: NAVY TRAINING DEVICE UTILIZATION REPORTING (UR) Encl: (1) Definitions (2) Training Device Utilization Reporting Data Elements OPNAV INSTRUCTION 10170.2A DEPARTMENT OF THE NAVY OFFICE OF THE CHIEF OF NAVAL OPERATIONS 2000 NAVY PENTAGON WASHINGTON. D.C. 20350-2000 OPNAVINST 10170.2A N12 From: Chief of Naval Operations Subj: NAVY

More information

Measuring the Cost of Patient Care in a Massachusetts Health Center Environment 2012 Financial Data

Measuring the Cost of Patient Care in a Massachusetts Health Center Environment 2012 Financial Data Primary Care Provider Costs Measuring the Cost of Patient Care in a Massachusetts Health Center Environment 0 Financial Data Massachusetts Respondents Alexander, Aronson, Finning & Co., P.C. (AAF) was

More information

An Evaluation of URL Officer Accession Programs

An Evaluation of URL Officer Accession Programs CAB D0017610.A2/Final May 2008 An Evaluation of URL Officer Accession Programs Ann D. Parcell 4825 Mark Center Drive Alexandria, Virginia 22311-1850 Approved for distribution: May 2008 Henry S. Griffis,

More information

Analysis of Nursing Workload in Primary Care

Analysis of Nursing Workload in Primary Care Analysis of Nursing Workload in Primary Care University of Michigan Health System Final Report Client: Candia B. Laughlin, MS, RN Director of Nursing Ambulatory Care Coordinator: Laura Mittendorf Management

More information

The Nature of Knowledge

The Nature of Knowledge The Importance of Data Analytics in Physician Practice Massachusetts Medical Society March 30, 2012 James L. Holly, MD CEO, SETMA, LLP www.setma.com Adjunct Professor Department of Family and Community

More information

Licensed Nurses in Florida: Trends and Longitudinal Analysis

Licensed Nurses in Florida: Trends and Longitudinal Analysis Licensed Nurses in Florida: 2007-2009 Trends and Longitudinal Analysis March 2009 Addressing Nurse Workforce Issues for the Health of Florida www.flcenterfornursing.org March 2009 2007-2009 Licensure Trends

More information

2018 Corn Research and Education Request for Proposals

2018 Corn Research and Education Request for Proposals 2018 Corn Research and Education Request for Proposals Through the generous support of the NY Senate and Assembly, the New York Corn & Soybean Growers Association (NYCSGA) is pleased to announce their

More information

Analyzing Sustainment and Maintenance Alternatives. Moderator Ms. Lisha Adams Deputy Assistant Secretary of Defense for Material Readiness

Analyzing Sustainment and Maintenance Alternatives. Moderator Ms. Lisha Adams Deputy Assistant Secretary of Defense for Material Readiness Analyzing Sustainment and Maintenance Alternatives Moderator Ms. Lisha Adams Deputy Assistant Secretary of Defense for Material Readiness Mr. Christopher Lowman Director for Maintenance Policy, Programs

More information

TECHNICAL ASSISTANCE GUIDE

TECHNICAL ASSISTANCE GUIDE TECHNICAL ASSISTANCE GUIDE COE DEVELOPED CSBG ORGANIZATIONAL STANDARDS Category 3 Community Assessment Community Action Partnership 1140 Connecticut Avenue, NW, Suite 1210 Washington, DC 20036 202.265.7546

More information

Final Report No. 101 April Trends in Skilled Nursing Facility and Swing Bed Use in Rural Areas Following the Medicare Modernization Act of 2003

Final Report No. 101 April Trends in Skilled Nursing Facility and Swing Bed Use in Rural Areas Following the Medicare Modernization Act of 2003 Final Report No. 101 April 2011 Trends in Skilled Nursing Facility and Swing Bed Use in Rural Areas Following the Medicare Modernization Act of 2003 The North Carolina Rural Health Research & Policy Analysis

More information

Working Paper Series

Working Paper Series The Financial Benefits of Critical Access Hospital Conversion for FY 1999 and FY 2000 Converters Working Paper Series Jeffrey Stensland, Ph.D. Project HOPE (and currently MedPAC) Gestur Davidson, Ph.D.

More information

Health Workforce 2025

Health Workforce 2025 Health Workforce 2025 Workforce projections for Australia Mr Mark Cormack Chief Executive Officer, HWA Organisation for Economic Co-operation and Development Expert Group on Health Workforce Planning and

More information

Building a Reliable, Accurate and Efficient Hand Hygiene Measurement System

Building a Reliable, Accurate and Efficient Hand Hygiene Measurement System Building a Reliable, Accurate and Efficient Hand Hygiene Measurement System Growing concern about the frequency of healthcare-associated infections (HAIs) has made hand hygiene an increasingly important

More information

University of Michigan Health System. Program and Operations Analysis. CSR Staffing Process. Final Report

University of Michigan Health System. Program and Operations Analysis. CSR Staffing Process. Final Report University of Michigan Health System Program and Operations Analysis CSR Staffing Process Final Report To: Jean Shlafer, Director, Central Staffing Resources, Admissions Bed Coordination Center Amanda

More information

Making the Business Case

Making the Business Case Making the Business Case for Payment and Delivery Reform Harold D. Miller Center for Healthcare Quality and Payment Reform To learn more about RWJFsupported payment reform activities, visit RWJF s Payment

More information

Re: Rewarding Provider Performance: Aligning Incentives in Medicare

Re: Rewarding Provider Performance: Aligning Incentives in Medicare September 25, 2006 Institute of Medicine 500 Fifth Street NW Washington DC 20001 Re: Rewarding Provider Performance: Aligning Incentives in Medicare The American College of Physicians (ACP), representing

More information

State FY2013 Hospital Pay-for-Performance (P4P) Guide

State FY2013 Hospital Pay-for-Performance (P4P) Guide State FY2013 Hospital Pay-for-Performance (P4P) Guide Table of Contents 1. Overview...2 2. Measures...2 3. SFY 2013 Timeline...2 4. Methodology...2 5. Data submission and validation...2 6. Communication,

More information

Identifying Evidence-Based Solutions for Vulnerable Older Adults Grant Competition

Identifying Evidence-Based Solutions for Vulnerable Older Adults Grant Competition Identifying Evidence-Based Solutions for Vulnerable Older Adults Grant Competition Pre-Application Deadline: October 18, 2016, 11:59pm ET Application Deadline: November 10, 2016, 11:59pm ET AARP Foundation

More information

EST briefing document on DECC s proposed changes to pre-accreditation under the Feed in Tariff

EST briefing document on DECC s proposed changes to pre-accreditation under the Feed in Tariff 13 Aug 2015 EST briefing document on DECC s proposed changes to pre-accreditation under the Feed in Tariff In light of the government s consultation on removing pre-accreditation under the feed-in tariff

More information

Medicare Quality Payment Program: Deep Dive FAQs for 2017 Performance Year Hospital-Employed Physicians

Medicare Quality Payment Program: Deep Dive FAQs for 2017 Performance Year Hospital-Employed Physicians Medicare Quality Payment Program: Deep Dive FAQs for 2017 Performance Year Hospital-Employed Physicians This document supplements the AMA s MIPS Action Plan 10 Key Steps for 2017 and provides additional

More information

Research Note

Research Note Research Note 2017-03 Updates of ARI Databases for Tracking Army and College Fund (ACF), Montgomery GI Bill (MGIB) Usage for 2012-2013, and Post-9/11 GI Bill Benefit Usage for 2015 Winnie Young Human Resources

More information

Medical Requirements and Deployments

Medical Requirements and Deployments INSTITUTE FOR DEFENSE ANALYSES Medical Requirements and Deployments Brandon Gould June 2013 Approved for public release; distribution unlimited. IDA Document NS D-4919 Log: H 13-000720 INSTITUTE FOR DEFENSE

More information

BACKGROUND DOCUMENT N: A LITERATURE REVIEW OF ASPECTS OF TELEWORKING RESEARCH

BACKGROUND DOCUMENT N: A LITERATURE REVIEW OF ASPECTS OF TELEWORKING RESEARCH BACKGROUND DOCUMENT N: A LITERATURE REVIEW OF ASPECTS OF TELEWORKING RESEARCH Rebecca White, Environmental Change Institute, University of Oxford Teleworking has been defined as working outside the conventional

More information

Training, quai André Citroën, PARIS Cedex 15, FRANCE

Training, quai André Citroën, PARIS Cedex 15, FRANCE Job vacancy statistics in France: a new approach since the end of 2010. Analysis of the response behaviour of surveyed firms after change in questionnaire Julien Loquet 1, Florian Lézec 1 1 Directorate

More information

Professionalism and Leader Development

Professionalism and Leader Development Naval War College Review Volume 68 Number 4 Autumn Article 3 2015 Professionalism and Leader Development P. Gardner Howe III Follow this and additional works at: http://digital-commons.usnwc.edu/nwc-review

More information

Nursing Theories: The Base for Professional Nursing Practice Julia B. George Sixth Edition

Nursing Theories: The Base for Professional Nursing Practice Julia B. George Sixth Edition Nursing Theories: The Base for Professional Nursing Practice Julia B. George Sixth Edition Pearson Education Limited Edinburgh Gate Harlow Essex CM20 2JE England and Associated Companies throughout the

More information

Social- Powered Recruiting Embracing the Potential of Social Networking for Recruitment

Social- Powered Recruiting Embracing the Potential of Social Networking for Recruitment Social- Powered Recruiting Embracing the Potential of Social Networking for Recruitment Social Media and the Workforce Social networking (also referred to as social media or simply social ) may once have

More information

GAO. DEFENSE BUDGET Trends in Reserve Components Military Personnel Compensation Accounts for

GAO. DEFENSE BUDGET Trends in Reserve Components Military Personnel Compensation Accounts for GAO United States General Accounting Office Report to the Chairman, Subcommittee on National Security, Committee on Appropriations, House of Representatives September 1996 DEFENSE BUDGET Trends in Reserve

More information

Guidelines for the Virginia Investment Partnership Grant Program

Guidelines for the Virginia Investment Partnership Grant Program Guidelines for the Virginia Investment Partnership Grant Program Purpose: The Virginia Investment Partnership Grant Program ( VIP ) is used to encourage existing Virginia manufacturers or research and

More information

DA: November 29, Centers for Medicare and Medicaid Services National PACE Association

DA: November 29, Centers for Medicare and Medicaid Services National PACE Association DA: November 29, 2017 TO: FR: RE: Centers for Medicare and Medicaid Services National PACE Association NPA Comments to CMS on Development, Implementation, and Maintenance of Quality Measures for the Programs

More information

Are R&D subsidies effective? The effect of industry competition

Are R&D subsidies effective? The effect of industry competition Discussion Paper No. 2018-37 May 9, 2018 http://www.economics-ejournal.org/economics/discussionpapers/2018-37 Are R&D subsidies effective? The effect of industry competition Xiang Xin Abstract This study

More information

COMPANY BACKGROUND TYLER MEDICAL'S ROLE IN THE WOUND CARE COVERAGE ENVIRONMENT

COMPANY BACKGROUND TYLER MEDICAL'S ROLE IN THE WOUND CARE COVERAGE ENVIRONMENT 6. COMPANY BACKGROUND Tyler Medical Supplies, Inc. is a nationwide provider of therapeutic wound care and surgical dressings to in need individuals with the necessary insurance coverage. Our current account

More information

GAO MILITARY ATTRITION. Better Screening of Enlisted Personnel Could Save DOD Millions of Dollars

GAO MILITARY ATTRITION. Better Screening of Enlisted Personnel Could Save DOD Millions of Dollars GAO United States General Accounting Office Testimony Before the Subcommittee on Personnel, Committee on Armed Services, U.S. Senate For Release on Delivery Expected at 2:00 p.m., EDT Wednesday, March

More information

Working Paper Series The Impact of Government Funded Initiatives on Charity Revenues

Working Paper Series The Impact of Government Funded Initiatives on Charity Revenues MELBOURNE INSTITUTE Applied Economic & Social Research Working Paper Series The Impact of Government Funded Initiatives on Charity Revenues Bradley Minaker A. Abigail Payne Working Paper No. 24/17 September

More information

Frequently Asked Questions (FAQ) Updated September 2007

Frequently Asked Questions (FAQ) Updated September 2007 Frequently Asked Questions (FAQ) Updated September 2007 This document answers the most frequently asked questions posed by participating organizations since the first HSMR reports were sent. The questions

More information

Online Data Supplement: Process and Methods Details

Online Data Supplement: Process and Methods Details Online Data Supplement: Process and Methods Details ACC/AHA Special Report: Clinical Practice Guideline Implementation Strategies: A Summary of Systematic Reviews by the NHLBI Implementation Science Work

More information

Improving Patient s Satisfaction at Urgent Care Clinics by Using Simulation-based Risk Analysis and Quality Improvement

Improving Patient s Satisfaction at Urgent Care Clinics by Using Simulation-based Risk Analysis and Quality Improvement MPRA Munich Personal RePEc Archive Improving Patient s Satisfaction at Urgent Care Clinics by Using Simulation-based Risk Analysis and Quality Improvement Sahar Sajadnia and Elham Heidarzadeh M.Sc., Industrial

More information

Policies for Controlling Volume January 9, 2014

Policies for Controlling Volume January 9, 2014 Policies for Controlling Volume January 9, 2014 The Maryland Hospital Association Policies for controlling volume Introduction Under the proposed demonstration model, the HSCRC will move from a regulatory

More information

Medicaid Hospital Incentive Payments Calculations

Medicaid Hospital Incentive Payments Calculations Medicaid Hospital Incentive Payments Calculations Note: This guidance is intended to assist hospitals and others in understanding Medicaid hospital incentive payment calculations. However, all hospitals

More information

The Science of Emotion

The Science of Emotion The Science of Emotion I PARTNERS I JAN/FEB 2011 27 The Science of Emotion Sentiment Analysis Turns Patients Feelings into Actionable Data to Improve the Quality of Care Faced with patient satisfaction

More information

QUALITY PAYMENT PROGRAM

QUALITY PAYMENT PROGRAM NOTICE OF PROPOSED RULE MAKING Medicare Access and CHIP Reauthorization Act of 2015 QUALITY PAYMENT PROGRAM Executive Summary On April 27, 2016, the Department of Health and Human Services issued a Notice

More information

Identification of the Department of Defense Key Acquisition and Technology Workforce. April 1999

Identification of the Department of Defense Key Acquisition and Technology Workforce. April 1999 Identification of the Department of Defense Key Acquisition and Technology Workforce April 1999 DASW01-98-C-0010 Allan V. Burman Nathaniel M. Cavallini Kisha N. Harris Jefferson Solutions 1341 G. Street,

More information

The Cost of a Misfiled Medical Document

The Cost of a Misfiled Medical Document : The Cost of a Misfiled Medical Document INTRODUCTION Misfiling of medical documents is a common problem in all types of medical practices. A document may be misfiled for a number of reasons, and each

More information

06-01 FORM HCFA WORKSHEET S - HOME HEALTH AGENCY COST REPORT The intermediary indicates in the appropriate box whether this is the

06-01 FORM HCFA WORKSHEET S - HOME HEALTH AGENCY COST REPORT The intermediary indicates in the appropriate box whether this is the 06-01 FORM HCFA-1728-94 3204 3203. WORKSHEET S - HOME HEALTH AGENCY COST REPORT The intermediary indicates in the appropriate box whether this is the initial cost report (first cost report filed for the

More information

Key findings. Jennie W. Wenger, Caolionn O Connell, Maria C. Lytell

Key findings. Jennie W. Wenger, Caolionn O Connell, Maria C. Lytell C O R P O R A T I O N Retaining the Army s Cyber Expertise Jennie W. Wenger, Caolionn O Connell, Maria C. Lytell Key findings Despite the restrictive requirements for qualification, the Army has a large

More information

The size and structure

The size and structure The size and structure of the adult social care sector and workforce in England, 2017 Acknowledgements Skills for Care is grateful to the many people who have contributed to this report. Particular thanks

More information

Surveillance Tools: Field Guide for Meningitis Invasive Bacterial Vaccine Preventable Diseases (IB-VPD) Sentinel Hospital Surveillance

Surveillance Tools: Field Guide for Meningitis Invasive Bacterial Vaccine Preventable Diseases (IB-VPD) Sentinel Hospital Surveillance Surveillance Tools: Field Guide for Meningitis Invasive Bacterial Vaccine Preventable Diseases (IB-VPD) Sentinel Hospital Surveillance Conducting a Rapid Estimation of a Hospital Catchment Population (Denominator)

More information

Talent Management: Right Officer, Right Place, Right Time

Talent Management: Right Officer, Right Place, Right Time Talent Management: Right Officer, Right Place, Right Time By Lt. Col. Kent M. MacGregor and Maj. Charles L. Montgomery Thirty-two top performing company-grade warrant and noncommissioned officers at the

More information

Instructions for Completing the Performance Framework Template

Instructions for Completing the Performance Framework Template Instructions for Completing the Performance Framework Template February 2017 Geneva, Switzerland I. Introduction 1. The purpose of this document is to provide guidance to all stakeholders involved in

More information

Nursing Manpower Allocation in Hospitals

Nursing Manpower Allocation in Hospitals Nursing Manpower Allocation in Hospitals Staff Assignment Vs. Quality of Care Issachar Gilad, Ohad Khabia Industrial Engineering and Management, Technion Andris Freivalds Hal and Inge Marcus Department

More information

Amy Eisenstein. By MPA, ACFRE. Introduction Are You Identifying Individual Prospects? Are You Growing Your List of Supporters?...

Amy Eisenstein. By MPA, ACFRE. Introduction Are You Identifying Individual Prospects? Are You Growing Your List of Supporters?... Simple Things You re NOT Doing to Raise More Money Amy Eisenstein By MPA, ACFRE Introduction........................................... 2 Are You Identifying Individual Prospects?.......................

More information

Reenlistment Rates Across the Services by Gender and Race/Ethnicity

Reenlistment Rates Across the Services by Gender and Race/Ethnicity Issue Paper #31 Retention Reenlistment Rates Across the Services by Gender and Race/Ethnicity MLDC Research Areas Definition of Diversity Legal Implications Outreach & Recruiting Leadership & Training

More information

Leverage Information and Technology, Now and in the Future

Leverage Information and Technology, Now and in the Future June 25, 2018 Ms. Seema Verma Administrator Centers for Medicare & Medicaid Services US Department of Health and Human Services Baltimore, MD 21244-1850 Donald Rucker, MD National Coordinator for Health

More information

Outpatient Experience Survey 2012

Outpatient Experience Survey 2012 1 Version 2 Internal Use Only Outpatient Experience Survey 2012 Research conducted by Ipsos MORI on behalf of Great Ormond Street Hospital 16/11/12 Table of Contents 2 Introduction Overall findings and

More information

HOW BPCI EPISODE PRECEDENCE AFFECTS HEALTH SYSTEM STRATEGY WHY THIS ISSUE MATTERS

HOW BPCI EPISODE PRECEDENCE AFFECTS HEALTH SYSTEM STRATEGY WHY THIS ISSUE MATTERS HOW BPCI EPISODE PRECEDENCE AFFECTS HEALTH SYSTEM STRATEGY Jonathan Pearce, CPA, FHFMA and Coleen Kivlahan, MD, MSPH Many participants in Phase I of the Medicare Bundled Payment for Care Improvement (BPCI)

More information

HIMSS Submission Leveraging HIT, Improving Quality & Safety

HIMSS Submission Leveraging HIT, Improving Quality & Safety HIMSS Submission Leveraging HIT, Improving Quality & Safety Title: Making the Electronic Health Record Do the Heavy Lifting: Reducing Hospital Acquired Urinary Tract Infections at NorthShore University

More information

NORAD CONUS Fighter Basing

NORAD CONUS Fighter Basing NORAD CONUS Fighter Basing C1C Will Hay C1C Tim Phillips C1C Mat Thomas Opinions, conclusions and recommendations expressed or implied within are solely those of the cadet authors and do not necessarily

More information