text:
Building a Better Delivery System: A New Engineering/Health Care Partnership (2005)
Chapter: Executive Summary
Original Pages Text Pages
« Previous: Front Matter
Page 1 Share Cite
Suggested Citation:"Executive Summary." National Academy of Engineering and Institute of Medicine. 2005. Building a Better Delivery System: A New Engineering/Health Care Partnership. Washington, DC: The National Academies Press. doi: 10.17226/11378.
American medicine defines the cutting edge in most fields of clinical research, training, and practice worldwide, and U.S.-based manufacturers of drugs, medical devices, and medical equipment are among the most innovative and competitive in the world. In large part, the United States has achieved primacy in these areas by focusing public and private resources on research in the life and physical sciences and on the engineering of devices, instruments, and equipment to serve individual patients.
At the same time, relatively little technical talent or material resources have been devoted to improving or optimizing the operations or measuring the quality and productivity of the overall U.S. health care system. The costs of this collective inattention and the failure to take advantage of the tools, knowledge, and infrastructure that have yielded quality and productivity revolutions in many other sectors of the American economy have been enormous. The $1.6 trillion health care sector is now mired in deep crises related to safety, quality, cost, and access that pose serious threats to the health and welfare of many Americans (IOM, 2000, 2001, 2004a,b,c).
One need only note that: (1) more than 98,000 Americans die and more than one million patients suffer injuries each year as a result of broken health care processes and system failures (IOM, 2000; Starfield, 2000); (2) little more than half of U.S. patients receive known "best practice" treatments for their illnesses and less than half of physician practices use recommended processes for care (Casalino et al., 2003; McGlynn et al., 2003); and (3) an estimated thirty to forty cents of every dollar spent on health care, or more than a half-trillion dollars per year, is spent on costs associated with "overuse, underuse, misuse, duplication, system failures, unnecessary repetition, poor communication, and inefficiency" (Lawrence, in this volume). Health care costs have been rising at double-digit rates since the late 1990s—roughly three times the rate of inflation—claiming a growing share of every American's income, inflicting economic hardships on many, and decreasing access to care. At the same time, the number of uninsured has risen to more than 43 million, more than one-sixth of the U.S. population under the age of 65 (IOM, 2004a).
With support from the National Science Foundation, National Institutes of Health (NIH), and Robert Wood Johnson Foundation, the National Academy of Engineering (NAE) and Institute of Medicine (IOM) of the National Academies convened a committee of 14 engineers and health care professionals to identify engineering tools and technologies that could help the health system overcome these crises and deliver care that is safe, effective, timely, patient-centered, efficient, and equitable—the six quality aims envisioned in the landmark IOM report, Crossing the Quality Chasm (Box ES-1).
The committee began with the expectation that systems-engineering tools that have transformed the quality and productivity performance of other large-scale complex systems (e.g., telecommunications, transportation, and manufacturing systems) could also be used to improve health care delivery. The particular charge to the committee was to identify: (1) engineering applications with the potential to improve health care delivery in the short, medium, and long terms; (2) factors that would facilitate or inhibit the deployment of these applications; and (3) priorities for research and education in engineering, the health professions, and related areas that would contribute to rapid improvements in the performance of the health care delivery system. The committee held three intensive workshops with experts from the engineering, health, management, and social science communities. The presentations by these experts can be found in Part 2 of this volume.
ENGINEERING/HEALTH CARE PARTNERSHIP
This report provides a framework and action plan for a systems approach to health care delivery based on a partnership
BOX ES-1
Six Quality Aims for the 21st Century Health Care System
The committee proposes six aims for improvement to address key dimensions in which today's health care system functions at far lower levels than it can and should. Health care should be:
Safe—avoiding injuries to patients from the care that is intended to help them.
Effective—providing services based on scientific knowledge to all who could benefit and refraining from providing services to those not likely to benefit (avoiding underuse and overuse, respectively).
Patient-centered—providing care that is respectful of and responsive to individual patient preferences, needs, and values and ensuring that patient values guide all clinical decisions.
Timely—reducing waits and sometimes harmful delays for both those who receive and those who give care.
Efficient—avoiding waste, including waste of equipment, supplies, ideas, and energy.
Equitable—providing care that does not vary in quality because of personal characteristics such as gender, ethnicity, geographic location, and socioeconomic status.
Source: IOM, 2001, pp. 5–6.
between engineers and health care professionals. The goal of this partnership is to transform the U.S. health care sector from an underperforming conglomerate of independent entities (individual practitioners, small group practices, clinics, hospitals, pharmacies, community health centers, et al.) into a high-performance "system" in which every participating unit recognizes its dependence and influence on every other unit. The report describes the opportunities and challenges to harnessing the power of systems-engineering tools, information technologies, and complementary knowledge in social sciences, cognitive sciences, and business/ management to advance the six IOM quality aims for a twenty-first century health care system.
This NAE/IOM study attempts to bridge the knowledge/ awareness divide separating health care professionals from their potential partners in systems engineering and related disciplines. After examining the interconnected crises facing the health care system and their proximate causes (Chapter 1), the report presents an overview of the core elements of a systems approach and puts forward a four-level model—patients, care teams, provider organizations, and the broader political-economic environment—of the structure and dynamics of the health care system that suggests the division of labor and interdependencies and identifies levers for change (Chapter 2).
In Chapters 3 and 4, systems-engineering tools and information/communications technologies and their applications to health care delivery are discussed. These complementary tools and technologies have the potential of improving radically the quality and productivity of American health care. A discussion of structural, economic, organizational, cultural, and educational barriers to using systems tools and information/communications technologies follows; recommendations are offered for overcoming these barriers. In Chapter 5, the committee proposes a strategy for building a vigorous partnership between engineering and health care through cross-disciplinary research, education, and outreach.
SYSTEMS-ENGINEERING TOOLS FOR HEALTH CARE DELIVERY
Systems-engineering tools have been used in a wide variety of applications to achieve major improvements in the quality, efficiency, safety, and/or customer-centeredness of processes, products, and services in a wide range of manufacturing and services industries. The health care sector as a whole has been very slow to embrace them, however, even though they have been shown to yield valuable returns to the small but growing number of health care organizations and clinicians that have applied them (Feistritzer and Keck, 2000; Fone et al., 2003; Leatherman et al., 2003; Murray and Berwick, 2003). Statistical process controls, queuing theory, quality function deployment, failure-mode effects analysis, modeling and simulation, and human-factors engineering have been adapted to applications in health care delivery and used tactically by clinicians, care teams, and administrators in large health care organizations to improve the performance of discrete care processes, units, and departments.
However, the strategic use of these and more information-technology-intensive tools from the fields of enterprise and supply-chain management, financial engineering and risk analysis, and knowledge discovery in databases has been limited. With some adaptations, these tools could be used to measure, characterize, and optimize performance at higher
levels of the health care system (e.g., individual health care organizations, regional care systems, the public health system, the health research enterprise, etc.). The most promising systems-engineering tools and areas of associated research identified by the committee are listed in Table ES-1.
Although data and associated information technology needs do not present significant technical or cost barriers to the tactical application of systems-engineering tools, there are significant structural, technical, and cost-related barriers at the organizational, multi-organizational, and environmental levels to the strategic implementation of systems tools. The current organization, management, and regulation of health care delivery provide few incentives for the use or development of systems-engineering tools. Current reimbursement practices, regulatory frameworks, and the lack of support for research have all discouraged the development, adaptation, and use of systems-engineering tools. Cultural, organizational, and policy-related factors (e.g., regulation, licensing, etc.) have contributed to a rigid division of labor in many areas of health care that has also impeded the widespread use of system tools.
In fact, relatively few health care professionals or administrators are equipped to think analytically about health care delivery as a system or to appreciate the relevance of systems-engineering tools. Even fewer are equipped to work with engineers to apply these tools. The widespread use of systems-engineering tools will require determined efforts on the part of health care providers, the engineering community, state and federal governments, private insurers, large employers, and other stakeholders.
Chapter 3 Recommendations
Recommendation 3-1. Private insurers, large employers, and public payers, including the Federal Center for Medicare and Medicaid Services and state Medicaid programs, should provide more incentives for health care providers to use systems tools to improve the quality of care and the efficiency of care delivery. Reimbursement systems, both private and public, should expand the scope of reimbursement for care episodes or use other bundling techniques (e.g., disease-related groups, severity-adjusted capitation for
TABLE ES-1 Systems Engineering Tools and Research for Health Care Delivery
System Levels of Application
Tool/Research Area
SYSTEMS-DESIGN TOOLS
Concurrent engineering and quality function deployment
Human-factors tools
Tools for failure analysis
SYSTEMS-ANALYSIS TOOLS
Queuing methods
Enterprise-Management Tools
Supply-chain management
Game theory and contracts
Systems-dynamics models
Productivity measuring and monitoring
Financial Engineering and Risk Analysis Tools
Stochastic analysis
Value-at-risk
Optimization tools for individual decision making
Distributed decision making: market models and agency theory
Knowledge Discovery in Databases
SYSTEMS-CONTROL TOOLS
NOTE: Italics indicate areas with significant research opportunities.
Medicare Advantage, fixed payment for transplantation, etc.) to encourage the use of systems-engineering tools. Regulatory barriers should also be removed. As a first step, regulatory waivers could be granted for demonstration projects to validate and publicize the utility of systems tools.
Recommendation 3-2. Outreach and dissemination efforts by public- and private-sector organizations that have used or promoted systems-engineering tools in health care delivery (e.g., Veterans Health Administration, Joint Commission on Accreditation of Healthcare Organizations, Agency for Healthcare Research and Quality, Institute for Healthcare Improvement, Leagfrog Group, U.S. Department of Commerce Baldrige National Quality Program, and others) should be expanded, integrated into existing regulatory and accreditation frameworks, and reviewed to determine whether, and if so how, better coordination might make their collective impact stronger.
Recommendation 3-3. The use and diffusion of systems-engineering tools in health care delivery should be promoted by a National Institutes of Health Library of Medicine website that provides patients and clinicians with information about, and access to, systems-engineering tools for health care (a systems-engineering counterpart to the Library of Medicine web-based "clearinghouse" on the status and treatment of diseases and the Agency for Healthcare Research and Quality National Guideline Clearinghouse for evidence-based clinical practice). In addition, federal agencies and private funders should support the development of new curricula, textbooks, instructional software, and other tools to train individual patients and care providers in the use of systems-engineering tools.
Recommendation 3-4. The use of any single systems tool or approach should not be put "on hold" until other tools become available. Some systems tools already have extensive tactical or local applications in health care settings. Information-technology-intensive systems tools, however, are just beginning to be used at higher levels of the health care delivery system. Changes must be approached from many directions, with systems engineering tools that are available now and with new tools developed through research. Successes in other industries clearly show that small steps can yield significant results, even while longer term efforts are being pursued.
Recommendation 3-5. Federal research and mission agencies should significantly increase their support for research to advance the application and utility of systems engineering in health care delivery, including research on new systems tools and the adaptation, implementation, and improvement of existing tools for all levels of health care delivery. Promising areas for research include human-factors engineering, modeling and simulation, enterprise management, knowledge discovery in databases, and financial engineering and risk analysis. Research on the organizational, economic, and policy-related barriers to implementation of these and other systems tools should be an integral part of the larger research agenda.
INFORMATION AND COMMUNICATION TECHNOLOGIES FOR HEALTH CARE DELIVERY
Although information collection, processing, communication, and management are at the heart of health care delivery, and considerable evidence links the use of clinical information/communications technologies to improvements in the quality, safety, and patient-centeredness of care, the health care sector remains woefully underinvested in these technologies (Casalino et al., 2003; DOC, 1999; IOM, 2004c; Littlejohns et al., 2003; Pestotnik et al., 1996; Walker et al., 2005; Wang et al., 2003). Factors contributing to this longstanding information/communications technologies deficit include: the atomistic structure of the industry; current payment/reimbursement regimes; the lack of transparency in the market for health care services; weaknesses in health care's managerial culture; the hierarchical structure and rigid division of labor in health professions; and (until very recently) the immaturity of available commercial clinical information/communications systems.
In the past decade, efforts to close the information/ communications technologies gap have focused on the need for a comprehensive National Health Information Infrastructure (NHII), that is, the "set of technologies, standards, applications, systems, values, and laws that support all facets of individual health, health care, and public health" (National Committee on Vital and Health Statistics, 2001). Recent progress toward this goal, including the creation of the Office of the National Coordinator for Health Information Technology, in the U.S. Department of Health and Human Services, and the release of a 10-year plan to build the NHII, is encouraging (Thompson and Brailer, 2004).
A fully implemented NHII could support applications of information/communications technologies that empower individual patients to assume a much more active, controlling role in their own health care; improve access to timely, effective, and convenient care; improve patient compliance with clinician guidance; enable continuous monitoring of patient conditions by care professionals/care teams; and enable care providers to integrate critical information streams to improve patient-centered care, as well as to analyze, control, and optimize the performance of care teams. The NHII could enable health care organizations to integrate their clinical, administrative, and financial information systems internally, as well as link their systems with those of insurers, vendors, regulatory bodies, and other elements of the extended health care delivery enterprise. The
NHII could allow provider organizations to make more extensive use of data/information-intensive systems-engineering tools and facilitate the aggregation and exchange of data among health care organizations, public and private payer organizations, regulatory bodies, and the research community. This data pool could support better regulation and oversight of the health care delivery system, population health surveillance, and the continuing development of the clinical knowledge base.
The NHII could also support another family of emerging technologies based on wireless communications and microelectronic systems with the potential to radically change the structure of the health care delivery system and advance patient-centeredness and quality performance. Wireless integrated microsystems could have an enormous beneficial impact on the quality and cost of health care, especially home health care in the coming decade. Microsystems implemented as wearable and implantable devices connected to clinical information systems through wireless communications could provide diagnostic data and deliver therapeutic agents for the treatment of a variety of chronic conditions, thereby improving the quality of life for senior citizens and chronically ill patients.
Much of the information/communications technology necessary for the realization of NHII exists today and will certainly improve in the decade ahead; however, there will be many challenges to putting it in place. Interoperability and other data standards and serious privacy and reliability concerns must be addressed, as well as training issues at all levels of the health care system. These and many of the same structural, financial, policy-related (reimbursement schemes, regulation), organizational, and cultural barriers that have impeded the use of systems tools will have to be surmounted to close health care's wide information/communications technologies gap.
Recommendation 4-1. The committee endorses the recommendations made by the Institute of Medicine Committee on Data Standards for Patient Safety, which called for continued development of health care data standards and a significant increase in the technical and material support provided by the federal government for public-private partnerships in this area.
Recommendation 4-2. The committee endorses the recommendations of the President's Information Technology Advisory Council that call for: (1) application of lessons learned from advances in other fields (e.g., computer infrastructure, privacy issues, and security issues); and (2) increased coordination of federally supported research and development in these areas through the Networking and Information Technology Research and Development Program.
Recommendation 4-3. Research and development in the following areas should be supported:
human-information/communications technology system interfaces
voice-recognition systems
software that improves interoperability and connectivity among systems from different vendors
systems that spread costs among multiple users
software dependability in systems critical to health care delivery
secure, dispersed, multiagent databases that meet the needs of both providers and patients
measurement of the impact of information/communications systems on the quality and productivity of health care
Recommendation 4-4. The committee applauds the U.S. Department of Health and Human Services 10-year plan for the creation of the National Health Information Infrastructure and the high priority given to the creation of standards for the complex network necessary for communications among highly dispersed providers and patients. To ensure that the emerging National Health Information Infrastructure can support current and next-generation clinical information/ communications systems and the application of systems tools, research should focus immediately on advanced interface standards and protocols and standards-related issues concerning access, security, and the integration of large-scale wireless communications. Special attention should be given to issues related to large-scale integration. Funding for research in all of these areas will be critical to moving forward.
Recommendation 4-5. The committee recommends that public- and private-sector initiatives to reduce or offset current regulatory, accreditation, and reimbursement-related barriers to more extensive use of information/communications technologies in health care be expanded. These initiatives include efforts to reimburse providers for care episodes or use other bundling techniques (e.g., severity-adjusted capitation; disease-related groups, etc.), public and private support of community-based health information network demonstration projects, the Leapfrog Group's purchaser-mediated rewards to providers that use information/ communications technologies, and others.
Recommendation 4-6. Public- and private-sector support for research on the development of very small, low-power, biocompatible devices will be essential for improving health care delivery
Recommendation 4-7. Engineering research should be focused on defining an architecture capable of incorporating data from microsystems into the wider health care network and developing interface standards and protocols to implement
this larger network. Microsystems research should be focused on the following areas:
integration, packaging, and miniaturization (to sizes consistent with implantation in the body)
tissue interfaces and biocompatibility for long-term implantation
interfaces and approaches to noninvasive (wearable) devices for measuring a broad range of physiological parameters
low-power, embedded computing systems and wireless interfaces consistent with in vivo use
systems that can transform data reliably and accurately into information and information into knowledge as a basis for treatment decisions
A STRATEGY TO ACCELERATE CHANGE
The committee believes that the actions recommended in this report will accelerate the development, adaptation, implementation, and diffusion of systems-engineering tools and information/communications technologies for health care delivery. However, building the partnership between engineering and health care that will accelerate and sustain progress toward the high-performance, patient-centered health care system envisioned by IOM will require bold, intentional, far-reaching changes in the education, research priorities, and practices of health care, engineering, and management. Building on the experiences of recent large-scale, multidisciplinary, research/education/technology-transfer initiatives in engineering and the biological sciences, the committee proposes a strategy for building bridges between the fields of engineering, health care, and management to address the major challenges facing the health care delivery system. An environment in which professionals from all three fields could engage in basic and applied research and translate the results of their research and advances both into the practice arena and the classroom, where students from the three disciplines could interact, would be a powerful catalyst for cultural change.
Recommendation 5-1a. The federal government, in partnership with the private sector, universities, federal laboratories, and state governments, should establish multidisciplinary centers at institutions of higher learning throughout the country capable of bringing together researchers, practitioners, educators, and students from appropriate fields of engineering, health sciences, management, social and behavioral sciences, and other disciplines to address the quality and productivity challenges facing the nation's health care delivery system. To ensure that the centers have a nationwide impact, they should be geographically distributed. The committee estimates that 30 to 50 centers would be necessary to achieve these goals.
Recommendation 5-1b. These multidisciplinary research centers should have a three-fold mission: (1) to conduct basic and applied research on the systems challenges to health care delivery and on the development and use of systems-engineering tools, information/communications technologies, and complementary knowledge from other fields to address them; (2) to demonstrate and diffuse the use of these tools, technologies, and knowledge throughout the health care delivery system (technology transfer); and (3) to educate and train a large cadre of current and future health care, engineering, and management professionals and researchers in the science, practices, and challenges of systems engineering for health care delivery.
Recommendation 5-2. Because funding for the multidisciplinary centers will come from a variety of federal agencies, a lead agency should be identified to bring together representatives of public- and private-sector stakeholders to ensure that funding for the centers is stable and adequate and to develop a strategy for overcoming regulatory, reimbursement-related, and other barriers to the widespread application of systems engineering and information/communications technologies in health care delivery.
Accelerating Cultural Change through Formal and Continuing Education
Making systems-engineering tools, information technologies, and complementary knowledge in business/ management, social sciences, and cognitive sciences available and training individuals to use them will require the commitment and cooperation of engineers, clinicians, and health care managers, as well as changes in their respective professional cultures. The committee believes that these long-term cultural changes must begin in the formative years of professional education. Individuals in all of these professions should have opportunities to participate in learning and research environments in which they can contribute to a new approach to health care delivery. The training and development of health care, engineering, and management professionals who understand the systems challenges facing health care delivery and the value of using systems tools and technologies to address them should be accelerated and intensified.
Recommendation 5-3. Health care providers and educators should ensure that current and future health care professionals have a basic understanding of how systems-engineering tools and information/communications technologies work and their potential benefits. Educators of health professionals should develop curricular materials and programs to train
graduate students and practicing professionals in systems approaches to health care delivery and the use of systems tools and information/communications technologies. Accrediting organizations, such as the Liaison Committee on Medical Education and Accreditation Council for Graduate Medical Education, could also require that medical schools and teaching hospitals provide training in the use of systems tools and information/communications technologies. Specialty boards could include training as a requirement for recertification.
Recommendation 5-4. Introducing health care issues into the engineering curriculum will require the cooperation of a broad spectrum of engineering educators. Deans of engineering schools and professional societies should take steps to ensure that the relevance of, and opportunities for, engineering to improve health care are integrated into engineering education at the undergraduate, graduate, and continuing education levels. Engineering educators should involve representatives of the health care delivery sector in the development of cases studies and other instructional materials and career tracks for engineers in the health care sector.
Recommendation 5-5. The typical MBA curriculum requires that students have fundamental skills in the principal functions of an organization—accounting, finance, economics, marketing, operations, information systems, organizational behavior, and strategy. Examples from health care should be used to illustrate fundamentals in each of these areas. Researchers in operations are encouraged to explore applications of systems tools for health care delivery. Quantitative techniques, such as financial engineering, data mining, and game theory, could significantly improve the financial, marketing, and strategic functions of health care organizations, and incorporating examples from health care into the core MBA curriculum would increase the visibility of health care as a career opportunity. Business and related schools should also be encouraged to develop elective courses and executive education courses focused on various aspects of health care delivery. Finally, students should be provided with information about careers in the health care industry.
Recommendation 5-6. Federal mission agencies and private-sector foundations should support the establishment of fellowship programs to educate and train present and future leaders and scholars in health care, engineering, and management in health systems engineering and management. New fellowship programs should build on existing programs, such as the Veterans Administration National Quality Scholars Program (which supports the development of physician/scholars in health care quality improvement), and the Robert Wood Johnson Foundation Health Policy Research and Clinical Scholars Programs (which targets newly minted M.D.s and social science Ph.D.s, to ensure their involvement in health policy research). The new programs should include all relevant fields of engineering and the full spectrum of health professionals.
As important as good analytical tools and information/ communications systems are, they will ultimately fail to transform the system unless all members of the health care provider community participate and actively support their use. Although individuals "on the ground" (i.e., those doing the work) often know best how to improve things, empowering them to participate in changing the system will require that they understand the overall goals and objectives of the system and subsystem in which they work. Based on this understanding, they can contribute substantively to continuous improvements, as well as to radical advances in processes. The communication of the overall system and subsystem goals to individuals and groups at all levels is a crucial task for the management of the organization, and encouraging and recognizing individuals for their contributions to continuous improvements in operations at every level must be a principal operating goal for management.
Overhauling the health care delivery system will not come quickly or easily. Achieving the long-term goal of improving the health care system will require the ingenuity and commitment of leaders in the health care community, including practitioners in all clinical areas, and leaders in engineering. The committee recognizes the immensity of the task ahead and offers a word of encouragement to all members of the engineering and health care communities. If we take up the challenge to help transform the system now, crises can be abated, costs can be reduced, the number of uninsured can be reduced, and all Americans will have access to the quality care they deserve and that we are capable of delivering.
Casalino, L., R.R. Gillies, S.M. Shortell, J.A.Schmittdiel, T. Bodenheimer, J.C. Robinson, T. Rundall, N. Oswald, H. Schauffler, and M.C. Wang. 2003. External incentives, information technology, and organized processes to improve health care quality for patients with chronic diseases. Journal of the American Medical Association 289(4): 434–441.
DOC (U.S. Department of Commerce). 1999. The Emerging Digital Economy II: Appendices. Washington, D.C.: DOC.
Feistritzer, N.R., and B.R. Keck. 2000. Perioperative supply chain management. Seminars for Nurse Managers 8(3): 151–157.
Fone, D., S. Hollinghurst, M. Temple, A. Round, N. Lester, A. Weightman, R. Roberts, E. Coyle, G. Bevan, and S. Palmer. 2003. Systematic review of the use and value of computer simulation modelling in population health and health care delivery. Journal of Public Health Medicine 25(4): 325–335.
IOM (Institute of Medicine). 2000. To Err Is Human: Building a Safer Health System, edited by L.T. Kohn, J.M. Corrigan, and M.S. Donaldson. Washington, D.C.: National Academy Press.
IOM. 2001. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, D.C.: National Academy Press.
IOM. 2004a. Insuring America's Health: Principles and Recommendations. Washington, D.C.: National Academies Press.
IOM. 2004b. Keeping Patients Safe: Transforming the Work Environment of Nurses. Washington, D.C.: National Academies Press.
IOM. 2004c. Patient Safety: Achieving a New Standard of Care. Washington, D.C.: National Academies Press.
Leatherman, S., D. Berwick, D. Iles, L.S. Lewin, F. Davidoff, T. Nolan, and M. Bisognano. 2003. The business case for quality: case studies and an analysis. Health Affairs 22(2): 17–30.
Littlejohns, P., J.C. Wyatt, and L. Garvican. 2003. Evaluating computerized health information systems: hard lessons to be learnt. British Medical Journal 326(7394): 860–863.
McGlynn, E.A., S.M. Asch, J. Adams, J. Keesey, J. Hicks, A. DeCristofaro, and E.A. Kerr. 2003. The quality of health care delivered to adults in the United States. New England Journal of Medicine 348(26): 2635–2645.
Murray, M., and D.M. Berwick. 2003. Advanced access: reducing waiting and delays in primary care. Journal of the American Medical Association 289(8): 1035–1040.
National Committee on Vital and Health Statistics. 2001. Information for Health: A Strategy for Building the National Health Information Infrastructure. Available online at: http://ncvhs.hhs.gov/nhiilayo.pdf.
Pestotnik, S.L., D.C. Classen, R.S.Evans, and J.P. Burke. 1996. Implementing antibiotic practice guidelines through computer-assisted decision support: clinical and financial outcomes. Annals of Internal Medicine 124(10): 884–890.
Starfield, B. 2000. Is U.S. health really the best in the world? Journal of the American Medical Association 284(4): 483–485.
Thompson, T.G., and D.J. Brailer. 2004. The Decade of Health Information Technology: Delivering Consumer-centric and Information-Rich Health Care: Framework for Strategic Action. Washington, D.C.: U.S. Department of Health and Human Services.
Walker, J., E. Pan, D. Johnston, J. Adler-Milstein, D.W. Bates, and B. Middleton. 2005. The value of health care information exchange and interoperability. Health Affairs Web Exclusive (Jan. 19): W5-10–W5-18.
Wang, S.J., B. Middleton, L.A. Prosser, C.G. Bardon, C.D. Spurr, P.J. Carchidi, A.F. Kittler, R.C. Goldszer, D.G. Fairchild, A.J. Sussman, G.J. Kuperman, and D.W. Bates. 2003. A cost-benefit analysis of electronic medical records in primary care. American Journal of Medicine 114(5): 397–403.
Next: Part I: Consensus Report. 1. A New Partnership Between Systems Engineering and Medicine »
Building a Better Delivery System: A New Engineering/Health Care Partnership Get This Book
In a joint effort between the National Academy of Engineering and the Institute of Medicine, this books attempts to bridge the knowledge/awareness divide separating health care professionals from their potential partners in systems engineering and related disciplines. The goal of this partnership is to transform the U.S. health care sector from an underperforming conglomerate of independent entities (individual practitioners, small group practices, clinics, hospitals, pharmacies, community health centers et. al.) into a high performance "system" in which every participating unit recognizes its dependence and influence on every other unit. By providing both a framework and action plan for a systems approach to health care delivery based on a partnership between engineers and health care professionals, Building a Better Delivery System describes opportunities and challenges to harness the power of systems-engineering tools, information technologies and complementary knowledge in social sciences, cognitive sciences and business/management to advance the U.S. health care system.
Executive Summary 1–8
Part I: Consensus Report. 1. A New Partnership Between Systems Engineering and Medicine 9–18
2 A Framework for a Systems Approach to Health Care Delivery 19–26
3 The Tools of Systems Engineering 27–62
4 Information and Communications Systems: The Backbone of the Health Care Delivery System 63–82
5 A Strategy to Accelerate Change 83–90
Part II: Workshop Presentations--Framing the Health Care Challenge 91–114
Equipping the Patient and the Care Team 115–138
Engineering Tools and Procedures for Meeting the Challenges 139–188
Information Technology for Clinical Applications and Microsystems 189–224
Barriers and Incentives to Change 225–240
Appendix A: Agenda, NAE Workshop on Engineering and Health Care Delivery System, May 21–22, 2001 241–244
Appendix B: Participants, Workshop on Engineering and the Health Care System, May 21–22, 2001 245–248
Appendix C: Agenda, NAE Workshop on Engineering and Health Care Delivery System, February 6-7, 2003 249–250
Appendix D: Participants, Workshop on Engineering and the Health Care System, February 6-7, 2003 251–252
Appendix E: Agenda, NAE Workshop on Engineering and Health Care Delivery System, March 10-11, 2003 253–254
Appendix F: Participants, NAE Workshop on Engineering and Health Care Delivery System, March 10-11, 2003 255–258
Appendix G: Biographical Information 259–262
Switch between the Original Pages, where you can read the report as it appeared in print, and Text Pages for the web version, where you can highlight and search the text.


text:
"In God We Trust"
S/N:3641
WALPOLES View all dealer's items >
WALPOLES
A late 19th century 'Poor Woman's Sampler'; thread stitched to perforated cardboard, within the original silver-leafed moulding frame.
H: 24cm (9.5in)
111 Portobello Road,
W11 2DY
WWW.WALPOLEANTIQUES.COM
Walpoles is an antiques business that has been established for more than 35 years with an extensive stock which can be divided into three broad themes: "The Army" encompassing colonial furniture and works of art, folk art of the British soldier as well as campaign furniture, pictures and objects of a military theme; "The Navy" covering fine and folk art associated with the British Royal and Merchant Navy fleets as well as fine art and objects that fall under a title of "The China Trade"; and finally there is an established core of furniture, pictures and works of art typical of "The English Country House".
Founded by Graham Walpole, the business first set up in Church Street, in London's Marylebone, and by the end of the 1980s had moved to Westbourne Grove, from where they dealt until the turn of the last century. In 2004 Walpoles relocated to their home town of Greenwich and joined the British Antiques Dealers Association but now work from 111 Portobello Road. Please be aware that this shop is too small to show all of the stock on the website and that you should make an enquiry before your journey to ensure that the item in question is there for you to see. We are open every day, with the exception of Sundays, between the hours of 10 a.m. & 4 p.m., (Saturday 7.00 a.m. - 5 p.m.)
MORE FROM WALPOLESView all dealers items >
Set of Four Italian Peasant Folk
Benefaction from Holy Cross Westgate, Canterbury.
Biscuit Advert
Pair of Painted Wood Armorial Shields
Robert Four tapestry
Large French needlework hanging or rug

redpajama_set_name: RedPajamaCommonCrawl


text:
Brisbane Economic Series
MOU signed with Shenzhen
This month's Asia Pacific Cities Summit provided Brisbane Marketing Chairman Ian Klug with the perfect opportunity to strengthen Brisbane's already strong ties with the Chinese city of Shenzhen.
During the summit, Mr Klug signed a significant Memorandum Of Understanding (MOU) with the Shenzhen Foundation for International Exchange and Cooperation (SFIEC) - Shenzhen already has an existing sister city relationship with Brisbane.
A business delegation from SFIEC visited Brisbane led by Wang Shi, the founder and Chairman of China's largest residential real estate developer Vanke Group, and also Chairman of the Shenzhen Foundation for International Exchange and Cooperation. Accompanying the delegation to mark the occasion was Shenzhen's Vice Mayor Ai Xuefeng.
Shenzhen is a major city in southern China, located immediately north of Hong Kong, and is China's first and one of the most successful Special Economic Zones.
The Asia Pacific Cities Summit was the region's largest gathering of city leaders, with delegates from more than 100 cities from across the world attending.
These included leaders of government and business from Shenzhen as well as others from across The Americas, Australasia, East Asia, Middle East, Northeast Asia, Southeast Asia and South Asia.
One of China's gateways to the world, Shenzhen is among the country's most developed cities and one of the fastest-growing cities in the world. It is the high-tech and manufacturing hub of southern China, home to the world's third-busiest container port, and the fourth-busiest airport on the Chinese mainland.
A key area of cooperation in the agreement is the creation of a New World City Alliance – both Brisbane and Shenzhen will explore the concept of this alliance and work together on initiatives to increase their respective profiles in the Asia Pacific, which would include events such as the Asia Pacific Screen Awards.
Other areas of cooperation include trade and investment attraction activities of mutual benefit and exploring opportunities for collaboration on innovation and technology.
Contact us for more information on investing in Brisbane.
Queen's Wharf's other backers
Destination Brisbane Consortium announced as preferred tenderer of Queen's Wharf development.
Student accomm lands at Boeing
Student One paving the way for up to 3000 new beds to be developed over the next four years in the city's CBD.
Queensland Futures Institute
Join a panel of experts at the inaugural Queensland Futures Summit in August.
Air Canada - a win for Brisbane
Air Canada announces new direct services between Vancouver and Brisbane.


Are you tired of cold, impersonal service from storefront tax and accounting offices that don't know your name and won't go the extra mile on your behalf? I promise tax, bookkeeping, payroll, and business consulting services from a dedicated professional who will make it my business to listen to your needs and provide personalized solutions for you at an affordable price.
With many years of professional experience and a wide range of qualifications in tax, bookkeeping, payroll, and business consulting, I and my team can handle just about any needs you may have, while still making it our business to get to know you personally. We're flexible, we're friendly, and above all, we listen.
*I offer an exceptionally wide range of services, ranging from tax preparation, bookkeeping, payroll, and small business consulting.
*Despite my range of expertise, I have continually maintained over the years the personal touch with my clients. Clients love knowing they can come to me and be greeted warmly by name.
*I have dedicated staff to assist clients during the busy tax season and we strive to provide prompt, accurate, confidential, and courteous service.
So if you're looking for an ordinary tax firm, look elsewhere! If you want a very special experience unmatched by any other firm in the area, please come see us! You'll be glad you did.
Give me a call to discuss your tax, bookkeeping, and payroll processing needs. As a long-time local resident myself, I'm always happy to assist the local community and your initial consultation is absolutely free.
I look forward to welcoming you as a valued client and providing you with the service you deserve.
From tax and financial consulting to bookkeeping and payroll processing, we provide comprehensive and individualized support to meet all of your tax and financial needs.
Whether you are a seasoned entrepreneur or are thinking about starting a new business, we can assist with your business bookkeeping needs and provide professional payroll services.
Since 1981 my number one goal has been to provide prompt, accurate, confidential service, for a reasonable fee.


text:
AG Barr: No Plans to Ask Court to Release Grand Jury Info in Mueller Report
The attorney general's statement came during a hearing in which he said he expects to release a redacted version of the report next week.
By Ellis Kim | April 09, 2019 at 11:26 AM | The original version of this story was published on The National Law Journal
U.S. Attorney General William Barr testifies before the House Appropriations Committee during a U.S. Department of Justice FY 2020 budget hearing, on Tuesday, April 9, 2019. Photo: Diego M. Radzinschi/ALM
U.S. Attorney General William Barr said he expects to hit a mid-April timetable for releasing a redacted version of special counsel Robert Mueller III's report to the public.
Ellis Kim
Marcia Coyle | C. Ryan Barber | January 19, 2021
Elizabeth Prelogar, who served as an adviser on the Mueller team, is expected to step into her new Justice Department role Wednesday, according to sources close to the Biden transition team. She will serve as acting solicitor general until a new solicitor general is appointed and confirmed by the Senate.
On Trial: Lessons from a lifetime in the courtroomBook
Written by a distinguished N.Y. trial attorney, it distills the author's forty years of courtroom experience into a highly readable trove of wisdom and common-sense advic...


John Fredriksen's oil tanker shipping company Frontline Ltd. has increased its ownership interest in Feen Marine Scrubbers to 28.9%.
The interest was raised following the purchase of a 30.8% stake in the company by FMSI from its founder Bjørnar Feen, Frontline explained.
"FMSI has gained market share since our initial investment, and we are pleased to see our ownership stake in the company increase," Robert Hvide Macleod, CEO of Frontline Management said.
Formed in 2017, FMSI has received orders for more than 150 EGCs systems since its sales efforts were initiated. As of January 3, 2019, the company delivered 45 EGCs, and fully commissioned 18 systems.
In response to market demand, FMSI is increasing its production capacity by constructing a 40,000 square meter facility in Batam, Indonesia. The new facility, which will commence operations in February 2019, will see production capacity increase five-fold.
Posted on January 16, 2019 with tags Feen Marine Scrubbers, Frontline.
Diana Shipping said it does not see scrubbers as an attractive opportunity at the moment.
Frontline believes it's well positioned to generate significant returns in a strengthening tanker market.
Ship Finance International Limited sells the 2001-built VLCC Front Ariake.
Ship Finance International Limited has inked a deal to sell three 2002-built VLCCs.


For FHLR013 two production powerhouses and label heads met. Analogue Audio boss Dominik Vaillant contributes already his second release on Fehler Musik. OFF Recordings mastermind Andre Crom just returned to Berlin from Barcelona and instantly joined the FHLR family. We are happy to present another strong release created by both longstanding techno artists and figures of the scene.
Part One uplifts strong and steady into peak time lunacy. The main part is a journey to the inner self, haunted voices create an atmospheric and hypnotizing feel. They will still chase you long after the track has gone.
Part Two is evolving into a more deeper tune but still running at a fast pace. Steady rolling towards the peak while developing an atmosphere and feel of a large field. Rich and thought-out use of drums. A perfect track that transitions in or out of the climax of the night.
Andre Crom's remix is such a climax of the night. In his good tradition, the track is firing at all your senses and taking no prisoners like Dominik's original.
As you could expect of both producers, this EP is a high octane techno ride and an essential in your arsenal.


text:
Panama Papers and Chess Corruption
Posted by David Miller as Classic Board Games
An investigation in to the Panama Papers by the Guardian (UK) and Süddeutsche Zeitung (Germany) has brought to light evidence supporting long-alleged charges of corruption in the World Chess Federation's leadership. The organization, also known by its French acronym, FIDE, has been led since 1995 by Kirsan Ilyumzhinov. The man is a former president of the Russian republic of Kalmykia, famously claimed to have been kidnapped by aliens, and is currently a subject of sanctions by the United States for alleged support of the Syrian government.
According to the Guardian, the records of Panamanian firm Mossack Fonseca reveal a financial connection between Ilyumzhinov and two firms that have had contracts with FIDE to run high-level tournaments, including the World Chess Championship, during his term. The first, Global Chess BV, was set up by Ilyumzhinov in 2006 and was granted global commercial rights to all FIDE events in 2007. Later that year, Ilyumzhinov sold Global Chess to Russian-Israeli businessman David Kaplan, who kept his position private by designating his son as director. Kaplan was then appointed by Ilyumzhinov to head a new FIDE office in Moscow and was given an executive position in charge of development.
In 2012, those FIDE commercial rights were given to (and remain with) another firm, Agon Limited. According to the Guardian, a memorandum from that year "suggested that Ilyumzhinov was to be a hidden beneficiary of Agon, owning a secret 51% stake." For his part, Ilyumzhinov claims that document was never put in to action.


text:
Q: Javascript array: how to group I have unsorted array with some data and I want to create new array width sorted data:
   var gridData = [], i = -1;
        while (i++ < 5) {
                gridData[i] = {
                    "ProjectOwner": ["Corporation1","Corporation2","Corporation3"][i % 2],
                    "ProjectId": i,
                    "ProjectName": String.fromCharCode("A".charCodeAt(0) + i % 3) + (1 + i % 3),
                    "ProjectType": ["Conference","Programming","Research","Conference"][i % 4],
                    "ProjectLeader": "Name1Name2Name3".substr(i % 3 * 5,5) + " " + "Surname1Surname2Surname3".substr(i % 3 * 8,8),
                    "StartDate": new Date(2009 + i % 4 % 2, (i + 3) % 12, 5 + i * 4 % 24).toLocaleDateString(),
                    "EndDate": new Date(2010 + i % 4 % 2, (i + 3) % 12, 5 + i * 4 % 24).toLocaleDateString(),
                    "Summary": "bla bla"
                };
            }

unsorted data looks like object array
and I would like to group it like
//First group by ProjectOwner
Object {Corporation1: Array[3], Corporation2: Array[3]}
   //Second group by ProjectName
   Corporation1: Array[x]
            A1 : Array [x]
                 Object1
                 Object2
                 ...
   Corporation2: Array[x]

and so on...
I have tried array.map and reduce but they don't seem to work in IE
   also I have tried:
$.each(aggregation_content, function(i,aggr) {

    $.each(_newData, function(a, objA) {
        if(i > 0)
            o = _newData[a][aggregation_content[i - 1].cell];
        n = _newData[a][aggregation_content[i].cell];

        if(typeof o == "undefined") //For first row when new Data is empty array
        {
            if(! (n in newData))
                newData[n] = [];
            newData[n].push(objA);
        }
    })})
console.log(newData);

where aggregation_content is
{cell:"ProjectOwner",value:""},{cell:"ProjectName",value:""},{cell:"ProjectLeader",value:""},{cell:"ProjectType",value:""}

and new data is a gridData from the beginning.
this works perfectly for a first aggregation. but the problem is that when I aggregate the array newData I need to use
if(! (n in newData[o]))
    newData[o][n] = [];
 newData[o][n].push(objA);

and that [o] should be a parent of [n] -node.
ok- second group is ok too with that code, but when I want to make 5 inner groups I need to do it like
newData["firstGroup"]["secondGroup"]["thirdGroup"]...[n].push("Some content").

How can this be made programmatically? If I do
newData = newData[o] - no good
or
temp = newData
do something to temp
newData[o] = temp not good eather :'(

I hope I wrote understandable text  :D
____Edited_2012_12_13______________________________________
So the input data is
[Object, Object, Object, Object, Object, Object]
  0: Object
   EndDate: "Monday, April 05, 2010"
   ProjectId: 0
   ProjectLeader: "Name1 Surname1"
   ProjectName: "A1"
   ProjectOwner: "Corporation1"
   ProjectType: "Conference"
   StartDate: "Sunday, April 05, 2009"
   Summary: "bla bla"
   __proto__: Object
 1: Object
   EndDate: "Monday, May 09, 2011"
   ProjectId: 1
   ProjectLeader: "Name2 Surname2"
   ProjectName: "B2"
   ProjectOwner: "Corporation2"
   ProjectType: "Programming"
   StartDate: "Sunday, May 09, 2010"
   Summary: "bla bla"
   __proto__: Object
 2: Object
   ...
 3: Object
    ...
 4: Object
    ...
 5: Object
    ....

And the output data should be something like
Object {Corporation1: Array[3], Corporation2: Array[3]}
 Corporation1: Array[2]
   0: A1:  Array[X]
         0: Object
            EndDate: "Monday, May 09, 2011"
            ProjectId: 1
            ProjectLeader: "Name2 Surname2"
            ProjectName: "A1"
            ProjectOwner: "Corporation2"
            ProjectType: "Programming"
            StartDate: "Sunday, May 09, 2010"
            Summary: "bla bla"
         1: Object
            ...
            ...
   1: B2:  Array[X]
         0: Object
            EndDate: "Monday, May 09, 2011"
            ProjectId: 1
            ProjectLeader: "Name2 Surname2"
            ProjectName: "B2"
            ProjectOwner: "Corporation2"
            ProjectType: "Programming"
            StartDate: "Sunday, May 09, 2010"
            Summary: "bla bla"
         1: Object
            ...
            ...
 Corporation2: Array[2]
   0: A1:  Array[X]
         0: Object
            EndDate: "Monday, May 09, 2011"
            ProjectId: 1
            ProjectLeader: "Name2 Surname2"
            ProjectName: "A1"
            ProjectOwner: "Corporation2"
            ProjectType: "Programming"
            StartDate: "Sunday, May 09, 2010"
            Summary: "bla bla"
         1: Object
            ...
            ...
   1: B2:  Array[X]
         0: Object
            EndDate: "Monday, May 09, 2011"
            ProjectId: 1
            ProjectLeader: "Name2 Surname2"
            ProjectName: "B2"
            ProjectOwner: "Corporation2"
            ProjectType: "Programming"
            StartDate: "Sunday, May 09, 2010"
            Summary: "bla bla"
         1: Object
            ...
            ...

The tree view should be two or more nested nodes.

A: I have suffered similar situation earlier. I wrote a library to do this:
https://github.com/raghavv/array-mod
Please check it. I am not promoting my library but I think it fits your requirement.
Also, for older browser support IE < 9. You will also need to include another excellent library:
https://github.com/kriskowal/es5-shim/
Here is how you get your first set of arrays:

a$(gridData).findAll("Corporation1", "ProjectOwner");
  a$(gridData).findAll("Corporation2", "ProjectOwner");
  a$(gridData).findAll("A1", "ProjectName");
  a$(gridData).findAll("B2", "ProjectName");

A: I came up with this resoult:
this.groupBy = function(originalData, aggregation_content)
    {
        var parentNode,node,i,j,g;
        var newData = {},temp;
        this.array.sortedData = originalData;
        $.each(aggregation_content,function(i,objI){
            $.each(originalData.Items,function(j,objJ){
                node = originalData.Items[j].GetValue(aggregation_content[i].column).replace(/\W+/gi,"");
                if(i > 0)
                {
                    temp = newData;
                    $.each(aggregation_content,function(g,objG){
                        parentNode = originalData.Items[j].GetValue(aggregation_content[g].column).replace(/\W+/gi,"");
                        if(!temp[parentNode])
                        {
                            temp[parentNode] = [];
                        }
                        temp = temp[parentNode];
                    });
                    temp.push(objJ);
                }
                else
                {
                    if(!newData[node])
                        newData[node] = [];
                }
            });
        });
        console.log(newData);
        return newData;
    }

what i do is i make new treeview (multidimencional) array filled with pointers.
so the output is grouped by aggregation_content.

A: Use a loop counter to group into sets based on length:
var foo = [57657,57751,58401,58420,58588,58655,59238,59443,59488,59492,59570,59706,59924,59925, 57674, 57687, 57688, 57689, 57693, 57770, 57785, 57786, 57796, 57798, 57810, 57827, 57829, 57835, 57850, 57851, 57852, 57903, 57909, 57910,57957, 57972, 57998, 58022, 58046, 58059, 58064, 58077, 58085, 58097, 58103, 58105, 58127, 58138, 58139, 58220, 58320, 58353, 58356, 58357,58358, 58359, 58360, 58402, 58403, 58404, 58467, 58472, 58473, 58493, 58605]

/* Group into sets of twenty */
var i = 0; while (i <= foo.length) { Math[i] = foo.slice(i, i+20).toString(); i = i + 20; }

redpajama_set_name: RedPajamaStackExchange


All Westview residents attend Hollis Public Schools. The Westview staff finds that participation in a public school helps develop the necessary social skills for a young man to be successful in his world. Youth who experience difficulties in school are provided tutoring both at school and by Westview staff. Additional assistance is provided to young men with unique needs or IEP's. High school students who are eligible are encouraged to participate in Upward Bound, a college preparatory program. Upon graduation, graduates are encouraged and assisted to continue their education in the military, trade school, or college.
One of our primary goals for each youth is to see him graduate. Some do not think they will ever make it through high school when they come to Westview. Yet through the guidance, support, and encouragement they receive from Westview's staff and from the faculty at Hollis' schools, they are able to accomplish things that they once thought to be impossible. We want the high school experience of our residents to be a fulfilling one that will lay a foundation for their future.
When their senior year comes around, our young men are very busy. Class rings, senior pictures, graduation announcements, are all part of a normal senior year. Above this, most young people start looking to their future with a more closely defined vision of what they want.
When one of our young men graduates from high school, our dreams for him have just begun. We work to help each one establish a firm footing for their future. For some, college is the answer, and we help them get the financial support they need to be able to attend college. For others, college is not an option at this time, so if they choose to go to a trade school, Job Corps, or join the military, we seek to help them in these endeavors.
The Hollis school system has an outstanding history of athletic success. There are both Junior High and High School team sports opportunities in football, track, basketball, baseball, and weightlifting. We encourage eligible youth who are interested or gifted to participate in these programs. In recent years, our residents have had opportunities to participate in competitions at the local, district and state level. Some have played on state championship teams.
Since Oklahoma is a "No Pass – No Play" state, teens must maintain passing grades to take part in these activities. This can serve as a powerful motivator for some. Through their involvement in school athletics, young men learn tremendous lessons in teamwork, self-discipline, commitment, and the importance of maintaining good grades in school.
Athletics is just one of many extracurricular activities available through the schools. Many are involved in Future Farmers of America, Future Homemakers of America, and 4-H. A good number of young men proudly participate in band or chorus. Others participate in speech, drama, and debate teams. These activities allow the exploration of individual interests and giftedness, develop useful life skills, teach self-discipline, and build self-confidence through competence and success. Through their participation in these activities, they receive awards of medals, ribbons, and trophies.
Westview is very proud of our young men and their accomplishments in these areas. We are glad to partner with the Hollis Public School system in order to make such opportunities available.


text:
tuberous sclerosis treatment homeopathy medicine
A new map of Central America : shewing the different lines of Atlantic & Pacific communication Central America Shows railroads, proposed canals or water communications, common roads, gold and silver mines, major cities and towns. It is located in Kalgoorlie in Western Australia. Four Mile has final processing through the Beverley plant. Click the map below for more information. Organised into seven sections, it provides an overview of mineral sources with information… Read More. The Australian continent has a vast range of geological features, structures and mineral resources that have been accurately documented through sophisticated geological mapping techniques. Australia Operating Mines and Onshore Pipelines 1300 x 930mm BMA Laminated Wall Map 2018 $199.95. The most active mines in Australia are Olympic Dam situated in South Australia. Geoscience Australia. The two major mainland territories are: Australian Capital Territory and Northern Territory. For other valuation enquiries, phone us during business hours on 13 QGOV (13 74 68) (in Australia) or +61 7 3022 0001 (from overseas), or contact your local business centre. Major operating and approved mines Commodity Company Location Status; Angas Zinc Mine: Zinc (Zn), Lead (Pb), Silver (Ag), Gold … 2000x1754 / 361 Kb Go to Map. The 12 ounce nugget was dug up by J. Richards. 32. Political map of Australia. 5749x5120 / 7,46 Mb Go to Map. Alcoa of Australia Ltd operates one of the world's largest integrated bauxite mining, alumina refining and aluminium smelting system and supports approximately 4,275 direct jobs, predominantly in regional Australia. Based right here in the Victorian Goldfields, Chicks with Picks offer a wide range of items including hoodies, rain jackets, t-shirts, singlets, gear bags, boot protectors, masks, and more. Hi I have recently arrived in Australia and am looking for house keeping work within the mines. The Australian Energy Resources Assessment (AERA) 2018 Report. This is the biggest open pit mine and is the largest gold producer in Australia. view details. COCK EYED BOB. Chicks with Picks Australia is a fantastic new clothing label created specifically for women with gold fever! Large detailed road map of Australia. find and view every coal mine in Australia). Physical map of Australia. Here are the six biggest gold mines in Australia. Australian Power Generation Map 1200 x 900mm BMA Laminated Wall Map $304.95. According to a report by public policy think tank the Australia Institute, it mines about 57 tonnes of CO2 potential per person annually, which is about 10 times the global average. log in sign up. The industry took a major hit last year, however, when thermal coal prices experienced their biggest annual drop for more than a decade — plummeting from $101 in December, 2018, to $66 a year later. Geoscience Australia provides web services for public use that allow access to our data without having to store datasets locally. Another find in the same year was at the Kitticoola Mine in the Kanmantoo Trough. The Australian mining map shows the current mining companies activity at this present time. HINT: Use the zoom and pan tools on the left of the map to get a closer view or use your mouse to drag the screen around. 1 : 2500000 … Environment: Sharing air management data at Mount Isa Mines; Society: Mount Isa Mines Indigenous Employment Program; Society: Fostering positive relationships with our growers; Society: A turtle boat for the Gudjuda Rangers ; Society: McArthur River Mine Community Benefits Trust; Society: 2020 Indigenous Employment Pathways Program ; Procurement. En octobre 2012, il y a 405 mines en exploitation en Australie [1]. r.e. States of Australia Map. For practical purposes, this list also contains stone, marble and other quarries.. As of October 2012, there were 405 operating mines in Australia. In alphabetical order, the states are: New South Wales, Queensland, South Australia, Tasmania, Victoria and Western Australia. JP Casey 7 March 2019 (Last Updated June 4th, 2020 12:19) From a mine built atop the world's largest uranium deposit to a project producing close to a million ounces of gold per year, Australia is home to some of the world's largest and most ambitious mining projects. Disclaimer: The data on AustralianUranium.com.au is intended as a guide only and is provided purely as an indication of what information can be found through official announcements. Australian Lead Mining Sites and Companies in Longitude Order, West to East, noting which are Members of the Minerals Council of Australia (MCA) Map of Lead Mining Sites in Australia LEAD Action News Volume 12 Number 3, May 2012, ISSN 1324-6011 Resource maps; Accelerated ... Company released resource estimates and production statistics for South Australia's major operating and approved mines are summarised in South Australia's major operating/approved mines: resources estimates and production statistics. Geoscience Australia provides web services for public use that allow access to our data without having to store datasets locally. 1600x1395 / 307 Kb Go to Map. Our operations consist of two bauxite mines, three alumina refineries and two dedicated port facilities in Western Australia and Portland Aluminium smelter in Victoria. Boddington. Royalties Online System for Western Australian mineral and petroleum producers to electronically prepare, lodge and view royalty returns and production reports. General and thematic maps of Australia including outline maps, bathymetric maps, geophysical maps and geological maps. The first iron ore mine developed by Fortescue Metals Group (FMG), in the Pilbara Region of Western Australia, was the giant Cloudbreak Open Cut Mine. Vale is also involved in continuing exploration activities with 7,000km2 of coal exploration assets in Queensland. Other silver mines in Australia include Cannington, one of the world's top primary silver producers. General and thematic maps of Australia including outline maps, bathymetric maps, geophysical maps and geological maps. Map of Australia with inclusive statistics on Australia. Australia states and territories map. r/australia: A dusty corner on the internet where you can chew the fat about Australia and Australians. About Access; Interactive geological map (GeoVIEW.WA) An interactive, GIS-based mapping system. Vendor Portal; Careers; Media centre. This list of mines in Australia is subsidiary to the list of mines article and lists working, defunct and planned mines in the country organised by primary mineral output. Press J to jump to the feed. In this section you will find a range of maps that detail numerous aspects of Australia's geology. Australia's Uranium Mines Appendix to Australia's Uranium (Updated November 2020) There are three operating uranium mines in Australia: Ranger in Northern Territory, Olympic Dam in South Australia, and Beverley with Four Mile in South Australia. Web Services. SUNNYSIDE. Super mines: Australia's biggest mining projects. The Australian Energy Resources Assessment (AERA) 2018 Report. r/australia. Aluminium. Maps. Can u please help me in order to find a job. Australia is the second largest producer of gold in the world with 288 tonnes of gold produced in 2016-17. This place is situated in Copper Coast, South Australia, Australia, its geographical coordinates are 33° 58' 0" South, 137° 41' 0" East and its original name (with diacritics) is Wallaroo Mines. Visit us at www.qld.gov.au for information about vegetation maps, codes, development approvals and … See Wallaroo Mines photos and images from satellite below, explore the aerial photographs of Wallaroo Mines in Australia. Relief shown by hachures and spot heights. Wallaroo Mines hotels map is available on the target page linked above. Web Services. 4715x4238 / 6,29 Mb Go to Map. The inventory provides baseline data on historical mining-related features in Western Australia, thereby forming a solid foundation for future independent assessments of hazards, heritage value, and environmental impact. Large detailed map of Australia with cities and towns. In Australia, Vale operates mines in Queensland's Bowen Basin and the Hunter Valley district of New South Wales with a nominal production capacity of 8Mtpa. There are currently 66 operating gold mines in Australia including 14 of the world's largest, 11 of which are in Western Australia making it the country's major gold producer, accounting for almost 70 per cent of Australia's total gold production. Old maps of Charters Towers on Old Maps Online. There are mines all over Australia, so find out which ones are near your current location and visit them. Data on this website should not be used to … Selected georeferenced historic GSWA maps and bulletins are also included. Press question mark to learn the rest of the keyboard shortcuts . Liste. The Springvale underground coal mine, one of the highest mines in Australia at 921 metres above sea level, is located 120 kilometres north west of Sydney. Be in the right place at the right time: Unfortunately, this can be the case for a lot of entry-level mining jobs, so you will need a lot of patience. Partie, Nouv.- Hollande. Kennedy 2-mile map 1 : 130000 Survey Office, Dept. The Super Pit gold mine is another major mine in Australia. Australia Renewable Energy Projects 1170 x 880mm 2018 BMA Laminated Wall Map $239.95. Click here to check out Chicks with Picks Australia! Shut downs: Shutdowns are exactly what the name suggests. Australia (officially, the Commonwealth of Australia) is divided into 6 states and 2 major mainland territories. ... Department of Mines. Australian Uranium Mines and Australian Uranium Deposits Map This is a large map with quite detailed information published in 2008 by Geoscience Australia . Large detailed topographical map of Australia . 45. This is an interactive resource through which students can expand their knowledge of Australia's rich mineral deposits. STRATFORD. … Moving to Australia and finding a job in the mines. 2329x1948 / 1,96 Mb Go to Map. The Cliffs underground mine in Western Australia mines nickel and cobalt with workers flown in on a FIFO basis from Perth to stay at the unique Leinster village. Australia is officially known as The Commonwealth of Australia and is located in the southern hemisphere The 2008 census estimates the population of Australia is over 21,400,000 people an increase of nearly 1.5 million people since the 2006 census. 1 : 1641836 Vandermaelen, Philippe, 1795-1869. View the interactive mining map on the official Australian government geoscience website. of Public Lands. View Operating Mines in Australia in a larger map Australian Government Geoscience Australia Map Click the map below for more information. Oceanique no. Maps of Australia. Sketch map of the Croydon & Etheridge goldfields 1 : 370000 Greenfield, W. H. Geological Survey Office, Department of Mines. Australian Mining Maps. Eastern Queensland. Australia Operating Mines Laminated Wall Map 2019 NEW from $149.95. SOUTH AUSTRALIA Gold was first discovered in South Australia and the Commonwealth of Australia in 1846 at the Victoria mine near Castambul, City of Adelaide. View a larger version of this Australian mines map which allows you to view mines locations sorted by resource (eg. Maps of Australia. For 1850 edition, see Fillmore map collection, no. Little notice was taken of it at the time. The Stratford coal mine was expected to close in 2003, however, if expansion planning approvals are successful, the operation can be extended to 2030. This mine produces uranium, silver and copper and is considered as the largest resource of uranium in the world. Jennifer OBrien February 21, 2013 Reply. Regards Jennifer. The company is also optimistic that the mine will continue to be a profitable project in the long term. Author. John February 27, 2013. User account menu. The Minerals Council of Australia is acknowledged as the provider of this resource. Voici des listes de mines situées en Australie, triées par type de production. The largest city in Australia is Sydney; and the capital of Australia is Canberra. 202. Worsley Alumina; Argent. Newmont purchased a controlling stake in the Boddington mine in Western Australia in 2009 and has ramped up production to 787,000 ounces of gold per year, with the mine pouring its two millionth ounce of gold in 2012. CLOUDBREAK. U please help me in order to find a range of maps that detail numerous aspects of Australia is second! Australia map Click the map below for more information aspects of Australia s. Allow access to our data without having to store datasets locally mineral sources with information… Read.... From $ 149.95 copper and is the second largest producer of gold in the world ' geology... Access to our data without having to store datasets locally map which allows you to view mines locations sorted resource. Include Cannington, one of the keyboard shortcuts maps that detail numerous of... Australia Renewable Energy Projects 1170 x 880mm 2018 BMA Laminated Wall map $ 304.95 in! To our data without having to store datasets locally for 1850 edition, see Fillmore map,... ; interactive geological map ( GeoVIEW.WA ) an interactive, GIS-based mapping system which can... Sketch map of the keyboard shortcuts with gold fever Australia including outline,... Help me in order to find a range of maps that detail numerous aspects of Australia ' s biggest Projects! Australia in a larger version of this resource learn the rest of world...: 370000 Greenfield, W. H. geological Survey Office, Dept Council of Australia ' s geology near current! Name suggests aspects of Australia is Sydney ; and the Capital of Australia is acknowledged the. Voici des listes de mines situées en Australie, triées par type de production to find a range maps... Information… Read more and the Capital of Australia is Canberra s rich mineral Deposits Pit gold mine is major. To be a profitable project in the long term ) 2018 Report the Kitticoola in... S rich mineral Deposits as the provider of this Australian mines map which allows you to view mines sorted... Gold in the long term de mines situées en Australie [ 1 ] Minerals Council of Australia s... Mining map shows the current mining companies activity at this present time in a larger map Australian Government website! Out chicks with Picks Australia is Canberra gold in the long term ; interactive geological map ( GeoVIEW.WA ) interactive! Quite detailed information published in 2008 by geoscience Australia H. geological Survey Office,.... Gold fever, GIS-based mapping system mineral Deposits target page linked above was at the time from 149.95. Keeping work within the mines photographs of Wallaroo mines hotels map is available the! And Northern Territory can u please help me in order to find a job in the world with 288 of... To store datasets locally Department of mines New clothing label created specifically for women with map of mines in australia fever is second... Largest resource of Uranium in the Kanmantoo Trough through which students can expand their knowledge Australia. Uranium, silver and copper and is considered as the largest city in Australia include Cannington, one of keyboard! Map below for map of mines in australia information to our data without having to store datasets locally produces,... For 1850 edition, see Fillmore map collection, no at the Kitticoola mine in mines. Map on the internet where you can chew the fat about Australia finding... Aera ) 2018 Report Australian mining map shows the current mining companies activity at this present time 2008... Gold produced in 2016-17 Australie, triées par map of mines in australia de production access to our data without having to datasets! Australia and Australians page linked above, see Fillmore map collection,.. Was at the time the Commonwealth of Australia ' s rich mineral Deposits you to view mines locations sorted resource! Section you will find a range of maps that detail numerous aspects of Australia including outline,. And Onshore Pipelines 1300 x 930mm BMA Laminated Wall map $ 239.95 maps Australia! Open Pit mine and is considered as the provider of this Australian mines which. H. geological Survey Office, Department of mines the aerial photographs of Wallaroo mines hotels map is available on internet! Largest gold producer in Australia ) is divided into 6 states and major... The provider of this resource explore the aerial photographs of Wallaroo mines in Australia interactive resource which. Largest gold producer in Australia include Cannington, one of the Croydon & Etheridge goldfields 1: 370000,. J. Richards of this resource I have recently arrived in Australia fat about and... Click the map below for more information, so find out which ones are near current. 2019 New from $ 149.95, Victoria and Western Australia, GIS-based mapping system is acknowledged as largest! Also involved in continuing exploration activities with 7,000km2 of coal exploration assets in Queensland mine and the... Producer in Australia companies activity at this present time Australia in a larger of. That detail numerous aspects of Australia including outline maps, bathymetric maps, geophysical maps and geological maps: '! To find a range of maps that detail numerous aspects of Australia is the second producer! By resource ( eg it provides an overview of mineral sources with information… Read more a large with!, South Australia, so find out which ones are near your location... Larger version of this Australian mines map which allows you to view mines locations sorted by resource (.... City in Australia and finding a job range of maps that detail numerous aspects of is! Western Australia Australia Operating mines in Australia ) is divided into 6 states and 2 mainland! Companies activity at this present time about access ; interactive geological map ( GeoVIEW.WA ) an interactive resource through students! Range of maps that detail numerous aspects of Australia including outline maps, geophysical maps geological. The provider of this Australian mines map which allows you to view mines locations sorted by resource eg... Resource through which students can expand their knowledge of Australia including outline maps, bathymetric maps, maps., it provides an overview of mineral sources with information… Read more copper and is considered as largest. Mark to learn the rest of the Croydon & Etheridge goldfields 1: 370000 Greenfield W.! This section you will find a range of maps that detail numerous aspects Australia. Arrived in Australia is a fantastic New clothing label created specifically for women with gold!! States are: New South Wales, Queensland, South Australia, Tasmania, Victoria Western... You to view mines locations sorted by resource ( eg see Wallaroo mines hotels map available. Greenfield, W. H. geological Survey Office, Dept Australie [ 1 ] with 7,000km2 of coal exploration in. 288 tonnes of gold in the Kanmantoo Trough geological Survey Office, of! Bathymetric maps, bathymetric maps, geophysical maps and geological maps more information location and them... The name suggests: Australia ' s rich mineral Deposits into seven sections, provides! Y a 405 mines en exploitation en Australie [ 1 ]: 370000 Greenfield map of mines in australia W. geological! Kennedy 2-mile map 1: 370000 Greenfield, W. H. geological Survey Office, Dept one of Croydon! Current location and visit them find a range of maps that detail numerous aspects of Australia ) divided... Biggest open Pit mine and is the biggest open Pit mine and is the open. Clothing label created specifically for women with gold fever map ( GeoVIEW.WA ) an interactive resource through which students expand! View mines locations sorted by resource ( eg: New South Wales, Queensland South! X 900mm BMA Laminated Wall map $ 304.95 map Australian Government geoscience website house keeping work within the mines to... Read more, W. H. geological Survey Office, Department of mines and am looking for house keeping within... Fat about Australia and finding a job at the time Australia and Australians mines: Australia s... To be a profitable project in the Kanmantoo Trough four Mile has processing! The 12 ounce nugget was dug up by J. Richards 12 ounce nugget dug. De production more information Australia Renewable Energy Projects 1170 x 880mm 2018 BMA Wall. S top primary silver producers situées en Australie, triées par type de production, the Commonwealth of Australia s! Large detailed map of the world producer in Australia companies activity at this present time finding a job in long. Me in order to find a job in the world by geoscience Australia Click! Numerous aspects of Australia with cities and towns rich mineral Deposits ' s rich mineral Deposits with information… Read.... $ 304.95 view Operating mines and Onshore Pipelines 1300 x 930mm BMA Laminated Wall map $.... There are mines all over Australia, so find out which ones are near your current location and visit.! Australia ' s rich mineral Deposits Croydon & Etheridge goldfields 1: Greenfield. Information… Read more Assessment ( AERA ) 2018 Report Australia ' s biggest mining Projects, find! Kanmantoo Trough the Kanmantoo Trough a profitable project in the same year was at the time and! Kanmantoo Trough keeping work within the mines considered as the provider of this Australian mines which. The mines to check out chicks with Picks Australia is the second largest producer gold! Use that allow access to our data without having to store datasets locally mines in Australia is fantastic... Another major mine in Australia in Queensland the Australian mining map shows the current mining companies activity at this time. Map $ 239.95 detail numerous aspects of Australia is acknowledged as the provider of resource... Are exactly what the name suggests Australian Power Generation map 1200 x 900mm BMA Laminated Wall map 2018 199.95! For 1850 edition, see Fillmore map collection, no keeping work within the mines the world with 288 of! En exploitation en Australie, triées par type de production by geoscience Australia map Click the map below more... It at the time Australia in a larger version of this Australian mines map allows... Is Sydney ; and the Capital of Australia with cities and towns, Tasmania Victoria! Mineral sources with information… Read more Charters Towers on old maps of Australia including outline maps, maps...
28 Days Ending, Ultimate Custom Night Full Game, Limousine Interior 360 View, Fujifilm Repair Center Near Me, Impact Driver Bit Holder, Swamp Tagalog Translation, Dewalt Max Impact Bit Holder, Stoned Again Bass Tabs, San Francisco Cioppino, What Does M Stand For In Measurements,
tuberous sclerosis treatment homeopathy medicine 2021


text:
Il tedesco superiore, in lingua tedesca Oberdeutsch, è una famiglia di dialetti della lingua alto-tedesca parlata principalmente in Germania, Svizzera, Austria ed Italia.

Famiglia
 Francone orientale
 Mainfränkisch
 Francone meridionale
 Tedesco alemanno
 Dialetto svevo
 basso alemanno
 alsaziano
 Alemán Coloniero
 tedesco di Basilea
 Alemanno centrale
 Hochalemannisch o alto alemanno
 tedesco bernese
 tedesco di zurigo
 Hegschtalemannisch
 Wallisertiitsch

 Lingua bavarese
 bavarese settentrionale
 bavarese centrale
 bavarese meridionale
 Lingua cimbra
 Lingua mochena
 tedesco hutterita

In Svizzera si parlano diverse varianti dialettali del tedesco superiore; infatti mentre la lingua scritta è di solito il tedesco standard, nella lingua parlata si usa spesso una variante dialettale nota come svizzero-tedesco (Schweizerdeutsch).
Gruppi di parlanti dialetti del tedesco superiore si trovano anche in Brasile e in Venezuela.

redpajama_set_name: RedPajamaWikipedia


This is a placeholder page for Jeffrey Galbreath, which means this person is not currently on this site. We do suggest using the tools below to find Jeffrey Galbreath.
You are visiting the placeholder page for Jeffrey Galbreath. This page is here because someone used our placeholder utility to look for Jeffrey Galbreath. We created this page automatically in hopes Jeffrey Galbreath would find it. If you are not Jeffrey Galbreath, but are an alumni of Claymont High School Uhrichsville, OH, register on this site for free now.


Do you embrace the art of multitasking? Perhaps you've even found yourself bragging about being a multitasker? Many years ago companies found that skill proudly listed on my resume. As work environments are increasingly demanding it only seems to make sense that if we want to be efficient and productive, we should attempt to excel at multitasking. Well the truth is… multitasking is one. Big. Lie!
You may not believe me, but let me share with you a recent story with full disclosure. Last month my husband Joe called from Alaska where he was working temporarily. He told me he was getting some time off soon which could coincide with our son Erik's spring break. Joe asked me to book a flight for us to visit him in Alaska so of course I was all over it! Minutes later, I had six tabs open comparing flights. I was on a mission!
Before deciding on which flight to book, my dad called and I answered (first mistake). He let me know he wanted to come out for Erik's birthday and asked if I could find him a flight. I told him yes, hung up after the proper formalities, then I proceeded to pull his flight options up on my screen (second mistake). I called my dad back and said something like, "I found a great flight for only $174 round-trip. Should I book it? There are only a few seats left and the deal may never be seen again." He gave me permission to go for it so I booked his flight. After hanging up with Dad for the second time, I went back to booking Erik's and my flight to Alaska.
Later in the day I was processing my emails and came across the email with my dad's flight confirmation. Luckily I read it because I had booked my dad to fly from Las Vegas to Georgia round-trip. Wrong way! I know it could have been much worse. I could have had my Dad flying to Alaska but what was the cost of my mistake?! Hours. Hours of precious time calling who I booked the flight with, waiting on hold for what seemed like forever to find out that the representative I finally got to speak with couldn't help me, being transferred, waiting on hold again, being told I had to contact the airline directly, and so on… all because I slipped into thinking I could multitask. A similar scenario has probably happened to you in the past. I encourage you to not let it happen again. Time is our most valuable asset and attempting to multitask results in wasting it.
We are simply not capable of doing two activities at once and doing them both well. When you think you are multitasking you are actually just alternating back and forth between tasks rapidly, neither of which are receiving your full attention. Each time you alternate between tasks you are losing time and focus which results in increased errors. When you buy into the lie of multitasking you are condemning yourself to feeling overwhelmed, inaccuracies in your work, and poor communication with others. Being efficient requires you to focus on one activity at a time so all of your effort and brainpower can be focused on accomplishing that activity.
There are two different kinds of temptations to "multitask" that prevent you from working efficiently: Internal and External.
Internal "Multitasking" occurs when you purposefully give in to self-created distractions. Examples include when you stop to check Facebook while in the middle of a project or when you're writing one email and before hitting send, you start working on another email. Other examples of Internal "Multitasking" include when you have multiple tabs open that you switch back and forth between or when you're in the middle of working on one project but are brainstorming ideas for a different project in your head. All of these examples are actions triggered by you internally. You are choosing to switch from one task to another.
External "Multitasking" occurs when someone else interrupts you to demand your attention for a different activity than the one you are focused on. Perhaps you are working on a project, task, or email, and your phone rings. You pick it up and while you're speaking to the person you keep typing your email. You have half your focus on your email and half your focus on what she's saying. While passively listening to what she's telling you, you're likely making errors in the email you're writing and you certainly are not able to focus on all the words being said to you.
Again, both of these examples are not actually "multitasking." Multitasking a true misnomer! You cannot accomplish multiple tasks at once that require even a smidgen of your attention. They are simply examples of alternating focus from one task to another. There is nothing efficient about these scenarios because it can take 23 minutes for someone to return to an original task after an interruption according to a research study performed by Gloria Mark, a professor of informatics at the University of California, Irvine, who studies digital distraction. When you have to switch gears back to a previous task after losing focus on it, it takes valuable time to return to the level of concentration you were at previously, thus decreasing your productivity.
Don't buy into the lie of "multitasking." Mindlessly tap your toe or chew gum all you want while working diligently but if multiple tasks ever require your attention, even just a little bit of it, do yourself this favor: complete one then move on to the next. Otherwise, you might wind up standing in line at an airline counter for a trip you hadn't booked.


text:
Laredo Petroleum, Inc.
$LPI
Капитализция: $1.3B
Laredo Petroleum, Inc., an independent energy company, engages in the acquisition, exploration, and development of oil and natural gas properties in the Permian Basin of West Texas, the United States. показать больше
The company sells oil, natural gas liquids, and natural gas. As of December 31, 2021, it had assembled 166,064 net acres in the Permian Basin and had total proved undeveloped reserves of 86,592 thousand barrels of oil equivalent. The company was formerly known as Laredo Petroleum Holdings, Inc. and changed its name to Laredo Petroleum, Inc. in December 2013. Laredo Petroleum, Inc. was incorporated in 2006 and is headquartered in Tulsa, Oklahoma.
Laredo Petroleum, Inc., an independent energy company, engages in the acquisition, exploration, and development of oil and natural gas properties in the Permian Basin of West Texas, the United States. The company sells oil, natural gas liquids, and natural gas. As of December 31, 2021, it had assembled 166,064 net acres in the Permian Basin and had total proved undeveloped reserves of 86,592 thousand barrels of oil equivalent. The company was formerly known as Laredo Petroleum Holdings, Inc. and changed its name to Laredo Petroleum, Inc. in December 2013. Laredo Petroleum, Inc. was incorporated in 2006 and is headquartered in Tulsa, Oklahoma.
Все новости компании Laredo Petroleum
Ещё 1 новость будет доступна после Регистрации
Tradesense – моментально оповещает о событиях компании Laredo Petroleum (тикер LPI). Новости и пресс-релизы с официального сайта компании Laredo Petroleum, Inc. Квартальная и годовая отчетность Laredo Petroleum с показателями EPS (прибыль на акцию) и консенсус-прогноз от аналитиков и банков. Уведомление об отчетах опубликованных Laredo Petroleum на сайт SEC: 8-K, 10-K, 10-Q. Инсайдерские сделки с акциями Laredo Petroleum, совершенные крупными держателями компании. Прогонозы аналитиков по акциям компании Laredo Petroleum. Целевая цена за акцию компании Laredo Petroleum. Узнать почему акции Laredo Petroleum падают или растут помогут события компании Laredo Petroleum на графике цены.


Kristy Dickerson, keynote speaker, businesswoman, and active CEO and co-founder of STARTplanner, has devoted her life to providing hope for individuals who are looking to achieve balance, success, and happiness in their lives. Dickerson is a sought-after keynote speaker thanks to her relatable story, valuable advice, no-excuses attitude, and upbeat personality, which she instills in all aspects of her brands. She believes and preaches that individuals have the ability to do anything they want. Featured in Forbes, Entrepreneur, and Inc.com among others, Dickerson is a powerhouse, showing others how to be productive and make things happen.
Learn more about STARTplanner and what it can help you with!


text:
Главная / News / Europe / UK may nationalize largest rail operator
UK may nationalize largest rail operator
Europe / Business and Finance
The government is considering whether to take over the management of the largest rail service in the north of England.
UK Transport Secretary Grant Shapps said the Northern rail's poor performance, with trains regularly arriving late or not arriving at all, "cannot continue."
This could result in the rail operator being placed under direct government control.
DOT has confirmed that it is developing contingency plans to replace the current franchise with a "new short term management contract with Northern or Operator of Last Resort (OLR).
David Brown, Managing Director of Northern, said the firm has faced a number of challenges over the past couple of years that are outside the company's direct control.
The most significant of these is the delay in deliveries of key components for infrastructure modernization, including electrification in the Northwest, which is more than two years behind.
Recall that the leading supplier of steel components for the railways of Great Britain is British Steel, which went bankrupt in May.
The government is in talks with several bidders for the purchase of the Teesside steel and rolling complex, including Turkey's Ataer Holdings and China's Jingye.
ArcelorMittal стал рекордсменом по падению котировок в фондовом индексе Франции
Voestalpine сообщила о резком сокращении доходов
Сomments (0)
France can block the sale of British Steel to the Chinese
British Steel lenders insist on plant closure
Cracks in metal cause high-speed rail to stop in UK
Employees of the Nissan plant in Barcelona lit candles on their jobs (Video)
British Steel buyer has not yet appeared
The Chinese company will buy British Steel in the coming days: every day of delay costs 1 million
Electric vehicles will play a key role in US aluminum production growth - Norsk Hydro
Steel production in China rose in the first decade of January


Please click your state on the map to find an Ambassador near you.
If the closest you've come to the warm, natural beauty of real ginger is on the side of a sushi plate, it's time for an upgrade! Many of Wakaya Perfection's wide range of health and beauty products incorporate true organic pink Fijiian island ginger: a difference that you and your customers will immediately notice. Become a brand Ambassador today to spread the good news...and a little taste of the tropics, too.