Improving the Quality of Care in Nursing Homes

Improving the Quality of Care in Nursing Homes
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 432
Release: 1986-02-01
Genre: Medical
ISBN: 0309036461

As 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.

Standards for Internal Control in the Federal Government

Standards for Internal Control in the Federal Government
Author: United States Government Accountability Office
Publisher: Lulu.com
Total Pages: 88
Release: 2019-03-24
Genre: Reference
ISBN: 0359541828

Policymakers 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.

Stewardship of Federal Facilities

Stewardship of Federal Facilities
Author: National Research Council
Publisher: National Academies Press
Total Pages: 126
Release: 1998-10-21
Genre: Technology & Engineering
ISBN: 030906189X

The federal government has invested more than $300 billion in 500,000 buildings and other facilities worldwide to support the provision of government services. Evidence is mounting that the physical condition, functionality, and quality of federal facilities are deteriorating. Stewardship of Federal Facilities identifies factors and processes contributing to this deterioration and recommends a framework of methods, practices, and strategies to foster accountability for the stewardship of federal facilities and to allocate resources for their maintenance and repair.

Rapid Visual Screening of Buildings for Potential Seismic Hazards: Supporting Documentation

Rapid Visual Screening of Buildings for Potential Seismic Hazards: Supporting Documentation
Author:
Publisher: Government Printing Office
Total Pages: 206
Release: 2015
Genre: Business & Economics
ISBN: 9780160926754

The Rapid Visual Screening (RVS) handbook can be used by trained personnel to identify, inventory, and screen buildings that are potentially seismically vulnerable. The RVS procedure comprises a method and several forms that help users to quickly identify, inventory, and score buildings according to their risk of collapse if hit by major earthquakes. The RVS handbook describes how to identify the structural type and key weakness characteristics, how to complete the screening forms, and how to manage a successful RVS program.

Guiding Principles for Sustainable Federal Buildings and Associated Instructions

Guiding Principles for Sustainable Federal Buildings and Associated Instructions
Author: The Council The Council on Environmental Quality
Publisher:
Total Pages: 26
Release: 2017-02-04
Genre:
ISBN: 9781542921923

In 2006, Federal agencies owning and operating more than 90% of all Federal facilities signed the Memorandum of Understanding for Federal Leadership in High Performance and Sustainable Buildings (2006 Guiding Principles). The Memorandum contained the first set of Guiding Principles - overarching environmental performance goals - for new Federal buildings. The 2006 Guiding Principles addressed reducing energy and water use, conserving resources, minimizing waste, protecting indoor air quality, and requiring the use of integrated teams during the design, construction, and operation of new Federal facilities. An updated set of Guiding Principles, called "High Performance and Sustainable Buildings Guidance," December 2008, contained "Guiding Principles for Sustainable New Construction and Major Renovation" and "Guiding Principles for Sustainable Existing Buildings." Previous Executive Orders (E.O.) 13423 (2006) and 13514 (2009) recognized green buildings as a key component in efforts to reduce environmental impacts, cut greenhouse gas (GHG) emissions, and lower the operating costs at Federal facilities. E.O. 13693, Planning for Federal Sustainability in the Next Decade, March 19, 2015, reaffirmed Federal green building efforts and called for revised Guiding Principles to reflect progress in green building design, construction, and operation practices; broaden considerations around protecting occupant health, wellness, and productivity; and address climate change risks.

Government Auditing Standards - 2018 Revision

Government Auditing Standards - 2018 Revision
Author: United States Government Accountability Office
Publisher: Lulu.com
Total Pages: 234
Release: 2019-03-24
Genre: Reference
ISBN: 0359536395

Audits provide essential accountability and transparency over government programs. Given the current challenges facing governments and their programs, the oversight provided through auditing is more critical than ever. Government auditing provides the objective analysis and information needed to make the decisions necessary to help create a better future. The professional standards presented in this 2018 revision of Government Auditing Standards (known as the Yellow Book) provide a framework for performing high-quality audit work with competence, integrity, objectivity, and independence to provide accountability and to help improve government operations and services. These standards, commonly referred to as generally accepted government auditing standards (GAGAS), provide the foundation for government auditors to lead by example in the areas of independence, transparency, accountability, and quality through the audit process. This revision contains major changes from, and supersedes, the 2011 revision.

Achieving High-Performance Federal Facilities

Achieving High-Performance Federal Facilities
Author: National Research Council
Publisher: National Academies Press
Total Pages: 158
Release: 2011-12-07
Genre: Technology & Engineering
ISBN: 0309211689

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.