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Author: Paul Charles Light
Publisher: Brookings Institution Press
Published: 1993-01-01
Total Pages: 296
ISBN-13: 9780815752554
DOWNLOAD EBOOKThis volume offers the first systematic evaluation of the offices of inspector general (OIG) and examines the government-wide investment in the OIGs concept. Despite their increasingly prominent, often controversial, role in the internal oversight of government, very little is known about their institutional or operational problems.
Author: United States Government Accountability Office
Publisher: Lulu.com
Published: 2019-03-24
Total Pages: 88
ISBN-13: 0359541828
DOWNLOAD EBOOKPolicymakers and program managers are continually seeking ways to improve accountability in achieving an entity's mission. A key factor in improving accountability in achieving an entity's mission is to implement an effective internal control system. An effective internal control system helps an entity adapt to shifting environments, evolving demands, changing risks, and new priorities. As programs change and entities strive to improve operational processes and implement new technology, management continually evaluates its internal control system so that it is effective and updated when necessary. Section 3512 (c) and (d) of Title 31 of the United States Code (commonly known as the Federal Managers' Financial Integrity Act (FMFIA)) requires the Comptroller General to issue standards for internal control in the federal government.
Author: Institute of Medicine
Publisher: National Academies Press
Published: 1993-02-01
Total Pages: 240
ISBN-13: 0309047420
DOWNLOAD EBOOKAmericans are accustomed to anecdotal evidence of the health care crisis. Yet, personal or local stories do not provide a comprehensive nationwide picture of our access to health care. Now, this book offers the long-awaited health equivalent of national economic indicators. This useful volume defines a set of national objectives and identifies indicatorsâ€"measures of utilization and outcomeâ€"that can "sense" when and where problems occur in accessing specific health care services. Using the indicators, the committee presents significant conclusions about the situation today, examining the relationships between access to care and factors such as income, race, ethnic origin, and location. The committee offers recommendations to federal, state, and local agencies for improving data collection and monitoring. This highly readable and well-organized volume will be essential for policymakers, public health officials, insurance companies, hospitals, physicians and nurses, and interested individuals.
Author: Institute of Medicine
Publisher: National Academies Press
Published: 1986-02-01
Total Pages: 432
ISBN-13: 0309036461
DOWNLOAD EBOOKAs more people live longer, the need for quality long-term care for the elderly will increase dramatically. This volume examines the current system of nursing home regulations, and proposes an overhaul to better provide for those confined to such facilities. It determines the need for regulations, and concludes that the present regulatory system is inadequate, stating that what is needed is not more regulation, but better regulation. This long-anticipated study provides a wealth of useful background information, in-depth study, and discussion for nursing home administrators, students, and teachers in the health care field; professionals involved in caring for the elderly; and geriatric specialists.
Author: Gladys Lopez-Acevedo
Publisher: World Bank Publications
Published: 2012-04-01
Total Pages: 253
ISBN-13: 082139505X
DOWNLOAD EBOOKMonitoring and Evaluation Systems are a critical component of evidence-based policymaking. This book aims to help governments and civil society organizations design, implement and use M and E information drawing from best practice experiences.
Author: Paul C. Light
Publisher: Brookings Institution Press
Published: 2011-02-01
Total Pages: 289
ISBN-13: 0815717822
DOWNLOAD EBOOKUntil the Department of Housing and Urban Development scandal in 1989, the public knew little about federal inspectors general (IGs). Suddenly, Congress, the press, and the public were seeking answers to a scandal that challenged the role of the IGs in ensuring government accountability. Within days, the IGs were front-page news, and greater emphasis was placed on fraud, waste, and abuse as a measure of whether government could be held accountable. Monitoring Government offers the first systematic evaluation of the offices of inspector general OIGs and examines the government-wide investment in the IG concept. Despite their increasingly prominent, often controversial, role in the internal oversight of government, very little is known about their institutional or operational problems. To some in the executive branch, OIGs exercise too much discretion at the expense of executive control. To others in Congress, they do not have enough autonomy and responsibility. Overall the question is not only how the OIGs have functioned, but also what role they soundly play in our system of separation of powers. Paul Light begins with a brief history of the IG concept, from the passage of the 1978 IG Act to the changes in mission with new administrations. He explains the different approaches to accountability, discusses the nature of monitoring the political incentives surrounding findings and recommendations made by IGs, and looks at the dominance of compliance monitoring as the front line against fraud, waste, and abuse. The book addresses a number of specific issues regarding the policing of government. Using detailed interviews with past IGs and senior-level officials across government, as well as a case study of the Housing and Urban Development scandal, Lights examines a series of specific operational issues. Envisioning a broader role for the IG in the future, he offers recommendations to strengthen the search for accountability.
Author: Judith G. Kelley
Publisher: Princeton University Press
Published: 2012-03-25
Total Pages: 358
ISBN-13: 0691152780
DOWNLOAD EBOOKIn recent decades, governments and NGOs--in an effort to promote democracy, freedom, fairness, and stability throughout the world--have organized teams of observers to monitor elections in a variety of countries. But when more organizations join the practice without uniform standards, are assessments reliable? When politicians nonetheless cheat and monitors must return to countries even after two decades of engagement, what is accomplished? Monitoring Democracy argues that the practice of international election monitoring is broken, but still worth fixing. By analyzing the evolving interaction between domestic and international politics, Judith Kelley refutes prevailing arguments that international efforts cannot curb government behavior and that democratization is entirely a domestic process. Yet, she also shows that democracy promotion efforts are deficient and that outside actors often have no power and sometimes even do harm. Analyzing original data on over 600 monitoring missions and 1,300 elections, Kelley grounds her investigation in solid historical context as well as studies of long-term developments over several elections in fifteen countries. She pinpoints the weaknesses of international election monitoring and looks at how practitioners and policymakers might help to improve them.
Author: Institute of Medicine
Publisher: National Academies Press
Published: 2012-12-20
Total Pages: 159
ISBN-13: 0309262011
DOWNLOAD EBOOKIn 1996, the Institute of Medicine (IOM) released its report Telemedicine: A Guide to Assessing Telecommunications for Health Care. In that report, the IOM Committee on Evaluating Clinical Applications of Telemedicine found telemedicine is similar in most respects to other technologies for which better evidence of effectiveness is also being demanded. Telemedicine, however, has some special characteristics-shared with information technologies generally-that warrant particular notice from evaluators and decision makers. Since that time, attention to telehealth has continued to grow in both the public and private sectors. Peer-reviewed journals and professional societies are devoted to telehealth, the federal government provides grant funding to promote the use of telehealth, and the private technology industry continues to develop new applications for telehealth. However, barriers remain to the use of telehealth modalities, including issues related to reimbursement, licensure, workforce, and costs. Also, some areas of telehealth have developed a stronger evidence base than others. The Health Resources and Service Administration (HRSA) sponsored the IOM in holding a workshop in Washington, DC, on August 8-9 2012, to examine how the use of telehealth technology can fit into the U.S. health care system. HRSA asked the IOM to focus on the potential for telehealth to serve geographically isolated individuals and extend the reach of scarce resources while also emphasizing the quality and value in the delivery of health care services. This workshop summary discusses the evolution of telehealth since 1996, including the increasing role of the private sector, policies that have promoted or delayed the use of telehealth, and consumer acceptance of telehealth. The Role of Telehealth in an Evolving Health Care Environment: Workshop Summary discusses the current evidence base for telehealth, including available data and gaps in data; discuss how technological developments, including mobile telehealth, electronic intensive care units, remote monitoring, social networking, and wearable devices, in conjunction with the push for electronic health records, is changing the delivery of health care in rural and urban environments. This report also summarizes actions that the U.S. Department of Health and Human Services (HHS) can undertake to further the use of telehealth to improve health care outcomes while controlling costs in the current health care environment.
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
Published: 2017-09-28
Total Pages: 483
ISBN-13: 0309459575
DOWNLOAD EBOOKDrug overdose, driven largely by overdose related to the use of opioids, is now the leading cause of unintentional injury death in the United States. The ongoing opioid crisis lies at the intersection of two public health challenges: reducing the burden of suffering from pain and containing the rising toll of the harms that can arise from the use of opioid medications. Chronic pain and opioid use disorder both represent complex human conditions affecting millions of Americans and causing untold disability and loss of function. In the context of the growing opioid problem, the U.S. Food and Drug Administration (FDA) launched an Opioids Action Plan in early 2016. As part of this plan, the FDA asked the National Academies of Sciences, Engineering, and Medicine to convene a committee to update the state of the science on pain research, care, and education and to identify actions the FDA and others can take to respond to the opioid epidemic, with a particular focus on informing FDA's development of a formal method for incorporating individual and societal considerations into its risk-benefit framework for opioid approval and monitoring.
Author: Institute of Medicine
Publisher: National Academies Press
Published: 2003-02-06
Total Pages: 313
ISBN-13: 0309084881
DOWNLOAD EBOOKWhen 18-year-old Jesse Gelsinger died in a gene transfer study at the University of Pennsylvania, the national spotlight focused on the procedures used to ensure research participants' safety and their capacity to safeguard the well-being of those who volunteer for research studies. Responsible Research outlines a three-pronged approach to ensure the protection of every participant through the establishment of effective Human Research Participant Protection Programs (HRPPPs). The approach includes: Improved research review processes, Recognition and integration of research participants' contributions to the system, and Vigilant maintenance of HRPPP performance. Issues addressed in the book include the need for in-depth, complimentary reviews of science, ethics, and conflict of interest reviews; desired qualifications for investigators and reviewers; the process of informed consent; federal and institutional oversight; and the role of accreditation. Recommendations for areas of key interest include suggestions for legislative approaches, compensation for research-related injury, and the refocusing of the mission of institutional review boards. Responsible Research will be important to anyone interested in the issues that are relevant to the practice of using human subjects as research participants, but especially so to policy makers, research administrators, investigators, and research sponsorsâ€"but also including volunteers who may agree to serve as research participants.
