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[…] of energy, attention and confu–
sion are always directed toward the
process of change. Not very much real
change stuff gets packaged up and deliv-
ered until and unless some change agent
actually shows up. I have noticed as I
trudged through my career that change
agents come in all sizes and shapes. A
major part of change-agent effectiveness
is based on their […]
[…] community
were worth what the company was
charging. No analysis of costs, however
well done, can do that.
Evaluatingtheratesofaprimary
emergency provider is a lot like apprais-
ing a house. The market value of a
houseisbestdeterminedbyactual
offers,orifoffersaren’tavailable,bythe
“comparable sales approach.” That is,
what are similar homes in similar areas
selhig for?
The “cost depreciation approach” to
appraisal, based upon construction
costs and/or last purchase price, may be
quite misleading. Construction […]
[…] constant
conflict because the contract
accidentally rewards the wrong
kind of performance, and the city
finds itself in the position of
constantly trying to make the
contractor do something that,
under the contract arrangement, is
actually not in the contractor‘s
financial interest.
We have a long way to go in
developing sound administrative
technology and expertise in the
“privatization ” of traditionally
governmental human services. In
some ways, […]
[…] desirable service contracts. Besides
building in a variety of powerful per formance security, lame duck and
emergency takeover provisions, my
municipal clients take the position that the actual use of such provisions is probably an admission that the
contractor selection process failed.
My clients simultaneously prepare for the possibility of contractor
failure, and. take […]
[…] mentslreassignments. I.e. complete and direct control
SCORE:
2A
SCORE:
28
SCORE:
2C
SCORE:
20
SCORE:
2F
SCORE:
3A
1. Clinical Performance
(possible 15 points)
An ambulance system’s actual clinical performance is extremely difficult to evaluate, except on a diagnosis-specific and case-by-case basis. Many systems handle certain kinds of cardiac cases very well, but tend […]
[…] levels all moved up a
notch because of the vacancy at
the top, such that a welfare
recipient was hired to fill the
lowest level vacancy, one could
actually show that a net economic
savings resulted to society (i.e., a
reduction in population results in
a higher per capita income as long
as someone else […]
[…] the screen.
Sometime during the tenure of the Lifepak 10, pulse
oximetry appeared. That was nifty. Now the intern
had two ways to see a rate without actually feeling a
pulse or reading a strip. The crafty preceptor was going
through a lot of cloth tape. It was handy to have a way
to […]
[…] some communities contract
attracts the best.
for EMS, and whether you should
Plus, you’ll receive actual
• How contracting can save money.
documents of ordinances,
• How to contract safely […]
[…] toll free
in the 48 contiguous states 800/321 -3333 (ln California
call BOO/354-8400).
Advertising inlormalion: F+ales are available upon re-
ques( Contact Llsa Cola, advertising manager, at 215
South Highway […]
[…] requirements. The ALS industry, is however, not a mature industry. As a result, some ALS companies are not only surprised when performance security is required, they are actually offended. I recently heard one medium-sized BLS provider suggest to a local government that substantial performance security wouldn’t be necessary, as long as the city contracted […]