Present x x Documents or other items relating to my social security claims(s): applications, questions, petitions, payment documents/decisions/awards/denials, jurisdictional documents/notes, transcripts, correspondence, findings, notice of hearings, hearing records, orders, depositions, reports; witnesses, medical reviewers and experts consultative examination reports, current developments/temporary, non-disability development and documentation, medical records and determination records.
Present. The list of officers of Government of Andhra Pradesh, Odisha and of Central Water Commission, Govt. of India present in the meeting is at Annexure-I.
Present. The activity of the emergency medical service in Italy is exclusive competence of the national health service,118 is the phone number for medical emergency in Italy Since the law of march 27th, 1992 EMS man- agement is run by the National Health Service (in particular the Regional Government’s health management which respond to the Ministry of health on a partial auto- management basis, federalism) in a three-stage manner: ALERT (DISPATCH CENTER) TERRITORIAL MANAGEMENT SYSTEM (AMBU- LANCES, ALS CARS, HELI EMS) EMERGENCY HOSPITAL AND FIRST AID POINTS NETWORK Dispatch Centre Dispatch centers (DC) gathers all the informa- tions regarding medical emergencies, usually covering a town County area (Provincia), re- ceiving the emergency calls from population in distress. Personnell in DC manage and coordi- nate medical emergency resources according to the kind and the priority presumed of the emergency arisen. DC holds radio/cellular/data connections with emergency units and hospi- tals/ER involved in the system. As said before the population served by a single Dispatch Center belongs to the entire County area of a main town. In some region, according to particular geographical specifics (extensive country/rural areas) are served by more Dispatch centers in the same County always working in continuos liaison. Personnel manning Dispatch Centers are
Present. The ambulance services in Norway vary in size and workload, from the larger urban ambu- lance services such as Oslo and Akershus, to small rural services in the northern and west- ern parts of Norway and the costal line. Some services cover very large geographical areas with small populations, 500 to 1000 inhabi- tants, and whit long distances to the nearest hospital, 400 km or more. The ambulance services at Ulleval has created medical and operational guidelines which now covers most of the services through out the country. The Norwegian Medical Association has in collaboration whit the Laerdal founda- tion developed the Norwegian Medical Index used for prioritising in almost every the medi- cal dispatch central trough out the country. The ambulance services have mixed provisions of doctors, paramedics, technicians, and oper- ate roadambulances, ambulanceboats, helicop- ters and aircrafts and cooperate closely whit the rescue service when in need for more heavy equipment There are no legislation or centrally set targets for the service currently. Each service operate after their one standards where very few are evidence based. The Norwegian ambulance services currently provide a mixture of emergency and urgent care, support for General Practitioners and patient transport. The Ambulance service at Ulleval currently handles in excess of 400 emergency calls each day. There has almost been a doubling of ambu- lance service demand in Norway over a 10- year period. As for the rest of the developed world there is an inexorable rise in demand. The reasons for this change are not fully un- derstood. Ulleval Hospital has set some goals for its ambulance service:
Present. Spain is divided in 17 autonomous regions, each one has its own regional health service, that must Emergency Medical Services. There are 21 services in Spain, one in any of the 17 autonomies, one in the cities of Ceuta and Melilla and two more in the large cities of Madrid and Barcelona. There are big differences in the area and population covered. Some services like Madrid is a high density area and others services like Castilla-Leon must provide care in a huge area with a very low density of population. Each service set its own standards of care and the guidelines generally are local. The SEMES( Spanish Association of Emergency Medicine) has a task force on QI in EMS and hospital ER. There are two types of ambulances , a basic level with a crew of one of two EMTs, most of the time their training is low and the equip- ment that the vehicle carries is very basic. Some services are improving the training of their EMTs and equipping all the basic ambu- lances with Automated External Defibrillator, but there are not national standards. The Advanced level units crew is a physician, a nurse and two EMTs. Most of the physicians are GP or family doctors with a special training in emergency medicine, there are also a small number of anesthesiolo- gists, internal medicine and critical care spe- cialists . The majority of the nurses that works in the ambulance service have a previous experience of working in ER or critical care units. There no a specialty in emergency medicine or nursing, but the SEMES is demanding it to the Ministry of Health. Certain services has a great support in the GPs in the very rural areas. Some services provide interhospital transport of critical patients and scheduled transport of patients. Each service has its own prioritization system. One of the main task of the dispatch centers is the medical advice that the physicians provide. The calls demanding this information is in- creasing every year. And the dispatch center acts a gate-keeper.
Present. The Authority is governed by a Board of Direc- tors appointed by the Mayor and City Council of Richmond. Classified as a not-for-profit governmental agency, RAA periodically holds a competitive bid process to hire a private con- tractor for managing day-to-day field and dispatch operations. The Richmond Ambu- lance Authority receives requests for service through a universal 3-digit emergency number (“911”), and distributes an additional 7-digit number specifically for hospital and nursing home non-emergency requests. The Authority has a fleet of 26 ambulances, 2 supervisor vehicles, and 1 command vehicle. RAA mandates and monitors strict response time standards for all priorities of calls, meas- ured equally and in aggregate in four “service zones” established within Richmond. For ex- ample, Priority 1 requests (presumed life- threatening) require a transport capable ALS (advanced life support) ambulance to arrive on scene within 8 minutes and 59 seconds of the request, with a 90% reliability (9 out of 10 times). Financial penalties exist for late re- sponses, and financial incentives exist for superior response time performance and supe- rior equipment/fleet maintenance practices. The Authority utilizes a computer aided dis- patch (CAD) system and a customized version of the Advanced Medical Priority Dispatch System (AMPDS) for prioritizing EMS re- sponses. In addition, the 911 intake system shows the address associated with the tele- phone used in calling for help, and spatially represents the location address on a computer map. If the request was generated by cell phone, the system provides an approximate position for the request through locator tech- nology mandated for cell service providers by the federal government. Each ambulance is staffed with at least one paramedic and one EMT-Basic, and performs at the ALS (advanced life support) level. Paramedics are authorized to use advanced medical protocols and standing orders issued by RAA’s Medical Director for treating patients before and during transport, and both the Medical Director and the Authority monitor the quality of treatment and compliance to medical and operations protocols. The Authority and the contractor share the same system data for use in monitoring, analysis and decision- making. Primary funding for the Richmond Ambulance Authority is through user fees. RAA will bill commercial insurance companies, Medicare, Medicaid, hospitals, nursing homes, and/or the patient, but no person within ...
Present. On the part of Xx. Xxxx Xxxxx Prieto Xxx, Xxxxxx of the Universidad Viña del Mar (hereafter UVM), with the address of Agua Santa 0000, Xxxxxx Xxxxxxxxx, Xxxx del Mar, and on the part of Mr./Mrs. XXXX, Xxxxxx of the XXX (hereafter XXX), with the address of XXXX,XXXX. Both parts recognize their mutual legal capacity to take part in this act. ANTECEDENTS That, as institutions committed to higher education, research, and the promotion of culture, the UVM and XXX wish to encourage educational programs and mobility programs for lecturers and students between our respective institutions by means of exchange programs, and to further our mutual interests by cooperating on an equal and mutually collaborative basis. To this end, we formalize this agreement in accordance with the following: CLAUSES
Present. Presentation and processing of any or all claims arising out of or related to this Agreement shall be made in accordance with the provisions contained in Chapter 1.05 of the Santa Xxxx County Code, which by this reference is incorporated herein.
Present. Councilmembers: Xxxxx Xxxxx, Xxxxx Xxxxxxx, Xxxx Xxxx, Xxx Xxxxxxxxx, Xxxxxx Xxxx, Xxx XxXxxxx and Xxxxx Xxxxxxxx. Staff present: City Administrator Xxxxxxx Xxxxxx, Interim Finance Director Xxxxx XxxXxxxxx, Accounting Assistant Xxxxxxxx Xxxxxx, Financial Analyst Xxxxxxx Xxxxx and City Clerk & HR Manager Xxxx Xxxxx.
Present. Mayor Xxxxx, Mayor Pro Tem Xxxxxx, Councilman Xxxxxx, Councilman LeCureaux, Councilman Xxxx Absent: Also Present: City Manager Xx Xxxxxxxxx, City Attorney Xxxxxx Xxxxxxx, Building Official Xxxxx Xxxxx, City Clerk/Assistant City Manager Xxxxxx Pinch CALL TO ORDER – 7:00 p.m. CONSENT AGENDA
