Best Practices for Enhancing Performance Contracts with Monitoring-based Commissioning PDF Download
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Author:
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ISBN:
Category : Buildings
Languages : en
Pages : 0
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Author:
Publisher:
ISBN:
Category : Buildings
Languages : en
Pages : 0
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Author:
Publisher:
ISBN:
Category : Commercial buildings
Languages : en
Pages : 48
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Author: Great Britain. Parliament. House of Commons. Health Committee
Publisher: The Stationery Office
ISBN: 9780215543028
Category : Political Science
Languages : en
Pages : 356
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Book Description
Commissioning : Written Evidence
Author: Dorota M. Goede B.Arch., LEED Green Assoc.
Publisher: Lulu.com
ISBN: 1329822382
Category : Technology & Engineering
Languages : en
Pages : 64
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Book Description
This book contains synopsis for ten course modules presented for the ENVR 10032 full time course at Mohawk College, Hamilton, ON, Canada. The Green Building Fundamentals Course introduces new students to the world of green building design and construction. It teaches fundamentals, factors, guidelines and solutions already widely available today. Specifically designed for the new generation that grew up digital, the Green Building Fundamentals course is delivered via websites, apps, workshops, web surfing, blogging, forums and varied online study components. Modern delivery tools guide students through a digital maze of currently used building industry rating and certification systems. Green project research and presentations are developed via online research and case studies. The course prepares interested students, and professionals, for the LEED Green Associate Examination with the Green Building Certification Institute - GBCI, the first step to LEED Accredited Professional Education.
Author: Deb O'Rourke
Publisher:
ISBN:
Category : Buildings
Languages : en
Pages : 4
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Author: Great Britain: National Audit Office
Publisher: The Stationery Office
ISBN: 9780102953015
Category : Medical
Languages : en
Pages : 60
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Book Description
Each year general medical practices provide some 290 million consultations. The new contract (implemented in April 2004 but increased spending began in April 2003) changed the basis for commissioning primary care services. Instead of contracting with individual General Practitioners (GPs), Primary Care Trusts (PCTs) commission services from some 8,325 GP practices with around 33,000 GPs. This study examines the negotiation and implementation of the new contract and how well it is working in practice. In the first three years the PCTs spent £1.76 billion (9.4 per cent) more than the minimum committed by the Department of Health. Mostly this was due to an underestimation of the amount that GPs would earn from the pay for performance scheme, the Quality and Outcomes Framework (QOF), and the additional cost of providing out-of-hours care (most GPs have opted out of providing this service). GPs' salaries have increased by an average of 58 per cent. Practice nurses have not benefited to the same extent. While the number of consultations with patients has increased, these are not in proportion with the increase in costs, and productivity has fallen by 2.5 per cent per year. GPs are working less hours. Some progress has been made in extending the range of patient services, reduced administration, high quality care and linking pay and performance, and staff satisfaction and morale. Progress has not yet been demonstrated in productivity, and re-designing the services around patients. The contract has contributed to improved recruitment and retention of GPs. The NAO recommends that the Department develop a strategy for yearly negotiations on the QOF, which should be based more on health outcomes. PCTs should provide more services based on local need and review the number and skills of staff employed to commission and performance manage GP services with the aim of improving local commissioning.
Author: National Research Council
Publisher: National Academies Press
ISBN: 0309211719
Category : Technology & Engineering
Languages : en
Pages : 158
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Book Description
The design, construction, operation, and retrofit of buildings is evolving in response to ever-increasing knowledge about the impact of indoor environments on people and the impact of buildings on the environment. Research has shown that the quality of indoor environments can affect the health, safety, and productivity of the people who occupy them. Buildings are also resource intensive, accounting for 40 percent of primary energy use in the United States, 12 percent of water consumption, and 60 percent of all non-industrial waste. The processes for producing electricity at power plants and delivering it for use in buildings account for 40 percent of U.S. greenhouse gas emissions. The U.S. federal government manages approximately 429,000 buildings of many types with a total square footage of 3.34 billion worldwide, of which about 80 percent is owned space. More than 30 individual departments and agencies are responsible for managing these buildings. The characteristics of each agency's portfolio of facilities are determined by its mission and its programs. In 2010, GSA's Office of Federal High-Performance Green Buildings asked the National Academies to appoint an ad hoc committee of experts to conduct a public workshop and prepare a report that identified strategies and approaches for achieving a range of objectives associated with high-performance green federal buildings. Achieving High-Performance Federal Facilities identifies examples of important initiatives taking place and available resources. The report explores how these examples could be used to help make sustainability the preferred choice at all levels of decision making. Achieving High-Performance Federal Facilities can serve as a valuable guide federal agencies with differing missions, types of facilities, and operating procedures.
Author: Great Britain: Parliament: House of Commons: Health Committee
Publisher: The Stationery Office
ISBN: 021502687X
Category : Medical
Languages : en
Pages : 260
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Book Description
NHS Primary Care Trusts (PCTs) were created in 2002 to commission health services for their local populations, and are currently responsible for controlling about 80 per cent of the £76 billion NHS annual budget. In addition, PCTs have responsibility for public health, and many also provide community-based health services such as district nursing and community hospitals. The Committee's report examines the Government's proposals (set out in the Department of Health paper 'Commissioning a Patient-led NHS' published in July 2005, which can be downloaded at http://www.dh.gov.uk/assetRoot/04/11/67/17/04116717.pdf) to cut the number of PCTs and to contract out community health services by the end of 2008. The report raises a number of serious concerns about the proposals, including in relation to: failings in the consultation process; the impact of PCT restructuring and divestment of provider services; and the likelihood that the estimated financial savings of £250 million will be achieved.
Author: Jody Zall Kusek
Publisher: World Bank Publications
ISBN: 0821382896
Category : Government productivity
Languages : en
Pages : 270
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Book Description
An effective state is essential to achieving socio-economic and sustainable development. With the advent of globalization, there are growing pressures on governments and organizations around the world to be more responsive to the demands of internal and external stakeholders for good governance, accountability and transparency, greater development effectiveness, and delivery of tangible results. Governments, parliaments, citizens, the private sector, NGOs, civil society, international organizations and donors are among the stakeholders interested in better performance. As demands for greater accountability and real results have increased, there is an attendant need for enhanced results-based monitoring and evaluation of policies, programs, and projects. This Handbook provides a comprehensive ten-step model that will help guide development practitioners through the process of designing and building a results-based monitoring and evaluation system. These steps begin with a OC Readiness AssessmentOCO and take the practitioner through the design, management, and importantly, the sustainability of such systems. The Handbook describes each step in detail, the tasks needed to complete each one, and the tools available to help along the way."
Author:
Publisher:
ISBN:
Category : Health services administration
Languages : en
Pages : 698
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Book Description
