scholarly journals Designers’ perspective on the use of automation to support regulatory compliance in healthcare building projects

Author(s):  
Joao Soliman-Junior ◽  
Patricia Tzortzopoulos ◽  
Mike Kagioglou
2016 ◽  
Vol 1 (15) ◽  
pp. 64-67
Author(s):  
George Barnes ◽  
Joseph Salemi

The organizational structure of long-term care (LTC) facilities often removes the rehab department from the interdisciplinary work culture, inhibiting the speech-language pathologist's (SLP's) communication with the facility administration and limiting the SLP's influence when implementing clinical programs. The SLP then is unable to change policy or monitor the actions of the care staff. When the SLP asks staff members to follow protocols not yet accepted by facility policy, staff may be unable to respond due to confusing or conflicting protocol. The SLP needs to involve members of the facility administration in the policy-making process in order to create successful clinical programs. The SLP must overcome communication barriers by understanding the needs of the administration to explain how staff compliance with clinical goals improves quality of care, regulatory compliance, and patient-family satisfaction, and has the potential to enhance revenue for the facility. By taking this approach, the SLP has a greater opportunity to increase safety, independence, and quality of life for patients who otherwise may not receive access to the appropriate services.


2016 ◽  
Vol 9 (1) ◽  
pp. 32-54 ◽  
Author(s):  
Jesse Tumblin

This article examines the way a group of colonies on the far reaches of British power – Australia, New Zealand, Canada, and India, dealt with the imperatives of their own security in the early twentieth century. Each of these evolved into Dominion status and then to sovereign statehood (India lastly and most thoroughly) over the first half of the twentieth century, and their sovereignties evolved amidst a number of related and often countervailing problems of self-defence and cooperative security strategy within the British Empire. The article examines how security – the abstracted political goods of military force – worked alongside race in the greater Pacific to build colonial sovereignties before the First World War. Its first section examines the internal-domestic dimension of sovereignty and its need to secure territory through the issue of imperial naval subsidies. A number of colonies paid subsidies to Britain to support the Royal Navy and thus to contribute in financial terms to their strategic defense. These subsidies provoked increasing opposition after the turn of the twentieth century, and the article exlpores why colonial actors of various types thought financial subsidies threatened their sovereignties in important ways. The second section of the article examines the external-diplomatic dimension of sovereignty by looking at the way colonial actors responded to the Anglo-Japanese Alliance. I argue that colonial actors deployed security as a logic that allowed them to pursue their own bids for sovereignty and autonomy, leverage racial discourses that shaped state-building projects, and ultimately to attempt to nudge the focus of the British Empire's grand strategy away from Europe and into Asia.


2020 ◽  
Vol 54 (1-3) ◽  
pp. 253-279
Author(s):  
Jennifer B. Spock

Abstract The study of monasticism in Russia has found new acolytes since the dissolution of the Soviet Union. With the separation of the Soviet republics, religion became, and continues to become, a vibrant subfield of Russian studies. This article examines the problems inherent in attempting to grasp the day-to-day life of monks and monasteries given their individual characteristics, social classes, roles, and the wide variety, yet often limited scope, of various texts and material objects that can be used as sources. The vast source base is an embarrassment of riches in one sense, but problematic in another as prescriptive and normative texts must be understood in context. One important element that has not been directly addressed is the cacophony of sound, the interruptions, and the distractions of the constant activity of expanding cloisters in the sixteenth and seventeenth centuries. How did monks maintain their spiritual path and pious duties when on service expeditions outside the monastery: when engaged in salt-production, fishing, trade, rent-collecting, or other activities outside its walls? How intrusive were building projects, which abounded in the period, or even efforts to adorn the churches? How strict was oversight, or how weak? Such questions still need answers and can only be fully understood by integrating diverse source bases. This article uses Solovki, Holy Trinity, and Kirillov monasteries to exemplify the problems that remain in understanding the daily lives of monastics and their adherents within and without the confines of the cloister.


Author(s):  
Gary McVoy ◽  
Mark Sengenberger ◽  
Elizabeth Novak

Public-works agencies have an obligation to enhance the environment as opportunities arise. The New York State Department of Transportation (NYSDOT) has developed an environmental initiative to make an affirmative contribution to the environment, using the department’s organizational strengths. The environmental initiative is a paradigm shift applicable to all departments of transportation (DOTs). Conventional reactive regulatory compliance can reduce unnecessary environmental damage and sometimes gain grudging regulatory agency cooperation; however, it is not a positive, satisfying way of doing the people’s work. Through proactive steps, NYSDOT has become an important part of the state’s environmental solution (often at little or no additional cost) and has changed its working relationships with environmental agencies and groups. As these agencies and groups have become partners, instead of adversaries, permit-approval times have improved, mitigation costs have declined, morale has improved, and cost-effective environmental benefits are being realized. Procedures are outlined to apply the engineering capabilities of a DOT to the environmental-stewardship responsibilities shared by all governmental organizations.


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