45,110 research outputs found

    Performance improvement 1997. Evaluation activities of the U.S. Department of Health and Human Services.

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    The Indian Health Service has held a series of Roundtable Conferences on topics of significance to the policy and planning in the IHS. The IHS has used Roundtable Conferences as a means to retrieve information and consensus from leaders and experts in a particular field. This Roundtable on Health Care Reform is the second IHS-sponsored Roundtable on this topic. This document contains information in the following sections: 1) legal history of Federal responsibility to provide care; 2) Indian health care delivery system; 3) health care reform and Indian health; and 4) analysis of Health Care Security Act proposal. This Briefing Book is provided to Roundtable participants to aid in their preparation for and reference during the conference. A final report will be issued by the Indian Health Service that will include the consensus statements developed by participants in this second Roundtable Conference on Health Care Reform

    Tribal environmental & natural resource assistance handbook.

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    This Roundtable on Health Care Reform was the second Indian Health Service (IHS)-sponsored Roundtable on the topic of Health Care Reform and its impact on Indian health. This second Roundtable was held to provide tribal leaders, urban health care providers, and national Indian organizations with the opportunity to contribute their perspectives on detailed substance of the Health Security Act and other reform proposals, and to provide the IHS with Consensus Statements from which further policy analysis can occur. The Consensus Statements reflected in this document were developed through a process which allowed for presentation of most current information, deliberation, and discussion by Roundtable participants, and formulation of Consensus Statements which best projected the breadth of positions. The Consensus Statements developed by the Roundtable participants focused on the following major issue areas: 1) tribal sovereignty; 2) comprehensive and supplemental benefits; 3) governance and structure; 4) eligibility and enrollment; 5) financing; and 6) transition and competition. A major overriding concern expressed by Roundtable participants that influenced the discussion of every major aspect of Health Care Reform were the cutbacks to the IHS in fiscal years 1994 and 1995. These cuts will cause devastating and potentially irreparable harm to the Indian health care delivery structure nationally. The Roundtable participants stated repeatedly, that it will be impossible for the Indian health care system to withstand the magnitude of proposed staffing and budget cuts, and still compete under the new Health Care reform system

    Governance Challenges and the Financial Crisis: Seven Key Questions

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    In the midst of a global economic crisis, the federal government responded on an unprecedented scale and scope, with injections of trillions of dollars into financial markets, infusions of cash to troubled industries, state and local governments, and people in need. Government is employing tools in ways never before considered and inventing new tools, in the hope of stabilizing the economy and spurring economic recovery.Under the leadership of National Academy Fellow Don Kettl and National Academy President Jennifer Dorn, the National Academy of Public Administration convened a roundtable of government leaders, business leaders, researchers and other experts to discuss governance issues related to the government's response to the financial crisis. Seven strategic questions related to governance emerged from the discussion, held earlier this year, which was moderated by Don Kettl. The National Academy and the IBM Center for the Business of Government are pleased to offer this summary of the roundtable in an effort to stimulate a national discussion of these questions.Key Findings Government investments have the potential to transform the role the federal government plays in the private economy. While largely intended to be temporary, many fear that these investments will create long-term, almost "permanent" expectations -- particularly with regard to education, unemployment insurance, infrastructure and tax breaks.One challenge confronting the government is to devise exit strategies that balance policy objectives, such as minimizing economic disruption and securing a return on taxpayer dollars, while not undermining the viability of companies or their market competitors, as well as governments and other groups. Another challenge is to determine the appropriate scope of ongoing federal regulatory authority in light of both practical demands and the appropriate role of the federal government in managing the economy

    Law & Health Care Newsletter, v. 20, no. 1, fall 2012

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    The U.S.-Iran Track II Dialogue (20022008): Lessons Learned and Implications for the Rockefeller Brothers Fund's Grantmaking Strategy

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    From 2002 through 2008, the Rockefeller Brothers Fund (RBF) supported a Track II dialogue involving influential American and Iranian citizens, co-organized and co-facilitated with the UnitedNations Association of the United States of America (UNA-USA), under the able leadership of Ambassador William Luers. Recognizing that the U.S.-Iranian relationship presents perhaps the most important and troubling foreign policy challenge facing both countries, the Track II dialogue was launched in December 2002.The purpose of this paper is to examine the RBF's experience with the practice of Track II dialogues in light of other experiments with similar dialogues both as a conflict prevention and management tool and as an important component of a peacemaking strategy

    U.S. SDG Data Revolution Roadmap

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    One year after adopting the SDGs, in an addendum to its Open Government National Action Plan, the U.S. Government committed to develop an SDG Data Revolution Roadmap that "charts the future course of efforts to fill data gaps and build capacity to use data for decision-making and innovation to advance sustainable development." The U.S. Government's SDG Data Revolution Roadmap will outline the government's commitments-to-action from 2017-2018. With a deadline of June 2017, it will be developed by the U.S. Government "through an open and inclusive process that engages the full range of citizen, non-governmental, and private sector stakeholders."This report represents the beginning of that engagement process. On December 14, 2016, the Center for Open Data Enterprise and the Global Partnership for Sustainable Development Data convened a Roundtable to develop recommended priorities for the U.S. Government's SDG Data Revolution Roadmap The Roundtable brought together more than 40 stakeholders from government, civil society, and the private sector with expertise in achieving and promoting sustainable development

    Building capacities for evidence and outcome-based food policy planning and implementation

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    The Comprehensive Africa Agriculture Development Programme (CAADP) is an Africawide framework for revitalizing agriculture and rural development in order to accelerate economic growth and progress toward poverty reduction and food and nutrition security. This study reviews CAADP and its strategic objectives, key players, implementation modalities, and approach to ensuring evidence and outcome-based policy planning and implementation. The study also lays out CAADP’s common analytical framework at the country level and shares economic modeling results from member countries of the Economic Community of West African States (ECOWAS) in which analysis was conducted to examine agricultural growth and investment options for meeting CAADP growth and expenditure targets and the Millennium Development Goal target of halving poverty. Finally, the paper discusses CAADP’s review and dialogue mechanisms and knowledge support systems that have been put in place to facilitate benchmarking, mutual learning, and capacity strengthening that will improve agricultural policy, program design, and implementation.CAADP, ECOWAS, growth options, MDG 1, Poverty reduction, public expenditure,

    Certification schemes and the governance of land : enforcing standards or enabling scrutiny?

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    Given the challenges of upholding human rights in countries where land grabbing has been most acute, attention has turned to alternative regulatory mechanisms by which better land governance might be brought about. This essay considers one such approach: certification schemes. These encourage agricultural producers to adopt sustainability standards which are then monitored by third-party auditors. Used by the European Union to help govern its biofuel market, they now also have an important mandatory dimension. However, through a study of Bonsucro and the Roundtable on Sustainable Biofuels, we find both flaws in their standards and shortcomings in their ability to discipline the companies they are financially dependent upon. In sum, we suggest that the real value of these roundtable certification schemes might lie less in their ability to enforce standards than their (partially realised) role in enabling scrutiny, providing new possibilities for corporate accountability in transnational commodity chains
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