HWA Expanded Scopes of Practice program evaluation: Extending the Role of Paramedics sub-project: final report

The Extending the Role of Paramedics (ERP) sub-project built on a model developed by the South Australian Ambulance Service (SAAS) which aims to provide a service that is complementary to primary health care, thus reducing emergency department presentations. The core of the model is training Extended Care Paramedics (ECPs) to treat patients in their usual place of residence, with referral to other health professionals if appropriate. ECPs manage patients with a diverse, and often ill-defined, range of signs and symptoms. Although these patients are deemed \u27low acuity\u27, these cases can be complex and require the ECP to apply advanced clinical reasoning. In many cases, the patient may have multiple chronic conditions and present as generally unwell. The published evidence to date generally supports an expansion of the role of paramedics to include the assessment and management of patients with minor illnesses and injuries to avoid transport to hospital. However, the evidence is primarily from overseas, particularly the United Kingdom, and more research is required to establish the effectiveness and safety of the model

Survey and Analysis of Production Distributed Computing Infrastructures

This report has two objectives. First, we describe a set of the production distributed infrastructures currently available, so that the reader has a basic understanding of them. This includes explaining why each infrastructure was created and made available and how it has succeeded and failed. The set is not complete, but we believe it is representative. Second, we describe the infrastructures in terms of their use, which is a combination of how they were designed to be used and how users have found ways to use them. Applications are often designed and created with specific infrastructures in mind, with both an appreciation of the existing capabilities provided by those infrastructures and an anticipation of their future capabilities. Here, the infrastructures we discuss were often designed and created with specific applications in mind, or at least specific types of applications. The reader should understand how the interplay between the infrastructure providers and the users leads to such usages, which we call usage modalities. These usage modalities are really abstractions that exist between the infrastructures and the applications; they influence the infrastructures by representing the applications, and they influence the ap- plications by representing the infrastructures

Cloud e-learning for mechatronics: CLEM

his paper describes results of the CLEM project, Cloud E-learning for Mechatronics. CLEM is an example of a domain-specific cloud that is especially tuned to the needs of VET (Vocational, Education and Training) teachers. An interesting development has been the creation of remote laboratories in the cloud. Learners can access such laboratories to support their practical learning of mechatronics without the need to set up laboratories at their own institutions. The cloud infrastructure enables multiple laboratories to come together virtually to create an ecosystem for educators and learners. From such a system, educators can pick and mix materials to create suitable courses for their students and the learners can experience different types of devices and laboratories through the cloud. The paper provides an overview of this new cloud-based e-learning approach and presents the results. The paper explains how the use of cloud computing has enabled the development of a new method, showing how a holistic e-learning experience can be obtained through use of static, dynamic and interactive material together with facilities for collaboration and innovation

A framework for achieving the required degree of multitenancy isolation for deploying components of a cloud-hosted service.

Multitenancy allows multiple tenants to access a single instance of a cloud offering. While several approaches exist for implementing multitenancy, little attention has been paid to implementing the required degree of isolation since there are varying degrees of isolation that can be implemented for each tenant. This paper presents a framework for achieving the required degree of isolation between tenants accessing a cloud offering so that the required performance, resource utilisation and access privilege of one tenant does not affect other tenants when there are workload changes. The framework is composed of two main constituents: 1) component-based approach to multitenancy isolation through request re-routing (COMITRE); 2) an optimisation model for providing optimal solutions for deploying components of a cloud-hosted service. We demonstrate using a case study of: 1) a cloud-hosted bug tracking system; 2) a synthetic dataset, the possibility of providing the required degree of isolation and optimal deployment solutions

Maximizing Systems for Change

This report explores the powerful catalysts that  currently shape healthcare services and demand new business models, access mechanisms, quality practices, and financing paradigms. Maximizing Systems for Change discusses why and how a systems change approach is necessary to help substance use disorder providers understand and adapt to the changes taking place. It proposes a scope of work that all states can consider and conduct with limited external support and assistance. In addition, it offers a series of global recommendations for state-level action based on what is taking place nationally.This report was prepared for State Associations of Addictions Services (SAAS) by Advocates for Human Potential. SAAS is a grantee of the Open Society Foundations

A Process Framework for Managing Quality of Service in Private Cloud

As information systems leaders tap into the global market of cloud computing-based services, they struggle to maintain consistent application performance due to lack of a process framework for managing quality of service (QoS) in the cloud. Guided by the disruptive innovation theory, the purpose of this case study was to identify a process framework for meeting the QoS requirements of private cloud service users. Private cloud implementation was explored by selecting an organization in California through purposeful sampling. Information was gathered by interviewing 23 information technology (IT) professionals, a mix of frontline engineers, managers, and leaders involved in the implementation of private cloud. Another source of data was documents such as standard operating procedures, policies, and guidelines related to private cloud implementation. Interview transcripts and documents were coded and sequentially analyzed. Three prominent themes emerged from the analysis of data: (a) end user expectations, (b) application architecture, and (c) trending analysis. The findings of this study may help IT leaders in effectively managing QoS in cloud infrastructure and deliver reliable application performance that may help in increasing customer population and profitability of organizations. This study may contribute to positive social change as information systems managers and workers can learn and apply the process framework for delivering stable and reliable cloud-hosted computer applications