Iowa Department of Public Health: SFY 2015 Annual County Service Contract Listing, 2016

Iowa Department of Public Health SFY 2015 Annual County Service Contract Listing. This publication strives to identify all service contracts administered by the Iowa Department of Public Health during the period of July 1, 2014 through June 30, 2015. Contracts may have been increased or decreased, and contract titles changed during the published period. Contracts listed in this summary are shown in alphabetical order by contractor within the county. Interdepartmental Agreements with state government agencies are at the back of the listing. Each page is divided into eight columns which identify the following: column 1: the county of the contractor; column 2: the contractor; column 3: the contract number; column 4: the contract title; column 5: the contract amount; column 6: the funding source; column 7: the start date of the contract and column 8: the end date of the contract.

Potential health-care service utilization substitution effects induced by case management for emergency department frequent users

BACKGROUND: In most of the emergency departments (ED) in developed countries, a subset of patients visits the ED frequently. Despite their small numbers, these patients are the source of a disproportionally high number of all ED visits, and use a significant proportion of healthcare resources. They place a heavy economic burden on hospital and healthcare systems budgets overall. Several interventions have been carried out to improve the management of these ED frequent users. Case management has been shown in some North American studies to reduce ED utilization and costs. In these studies, cost analyses have been carried out from the hospital perspective without examining the costs induced by healthcare consumed in the community. However, case management might reduce ED visits and costs from the hospital's perspective, but induce substitution effects, and increase health service utilization outside the hospital. This study examined if an interdisciplinary case-management intervention-compared to standard ED care -reduced costs generated by frequent ED users not only from the hospital perspective, but also from the healthcare system perspective-that is, from a broader perspective taking into account the costs of healthcare services used outside the hospital. METHODS: In this randomized controlled trial, 250 adult frequent emergency department users (5 or more visits during the previous 12 months) who visited the ED of the University Hospital of Lausanne, Switzerland, between May 2012 and July 2013 were allocated to one of two groups: case management intervention (CM) or standard ED care (SC), and followed up for 12 months. Depending on the perspective of the analysis, costs were evaluated differently. For the analysis from the hospital's perspective, the true value of resources used to provide services was used as a cost estimate. These data were obtained from the hospital's analytical accounting system. For the analysis from the health-care system perspective, all health-care services consumed by users and charged were used as an estimate of costs. These data were obtained from health insurance providers for a subsample of participants. To allow comparisons in a same time period, individual monthly average costs were calculated. Multivariate linear models including a fixed effect "group" were run using socio-demographic characteristics and health-related variables as controlling variables (age, gender, educational level, citizenship, marital status, somatic and mental health problems, and risk behaviors).

Performance of historic stone building materials and systems : observations by architects, engineers and building conservators : excerpts from workshop discussions held on August 10, 1987, funded by the U.S. Environmental Protection Agency and the U.S. Department of the Interior, National Park Service, Cultural Resources Acid Rain Research Program.

"June 1988."

Uneconomical practices in the administration of employment service and unemployment compensation programs, Bureau of Employment Security, Department of Labor /

Mode of access: Internet.

Defense Finance and Accounting Service : accounting systems strategic plan for the Department of Defense : target architecture.

Shipping list no.: 97-0197-P.

Reference guide to post-government service employment activities of Department of the Navy personnel.

Mode of access: Internet.

Review of U.S. Department of Agriculture's Animal and Plant Health Inspection Service [microform] : hearing before the Subcommittee on Department Operations, Research, and Foreign Agriculture of the Committee on Agriculture, House of Representatives, One Hundredth Congress, second session, July 7, 1988.

"Serial no. 100-97."

Procurement irregularities associated with the Department of Defense's airborne self-protection jammer program : hearing before the Subcommittee on Federal Services, Post Office, and Civil Service of the Committee on Governmental Affairs, United States Senate, One Hundred Second Congress, second session, March 25, 1992.

Shipping list no.: 93-0170-P.

Nominations of Ginger Ehn Lew to be General Counsel ... Lauri Fitz-Pegado to be Assistant Secretary and Director-General of the U.S. and Foreign Commercial Service of the Department of Commerce : hearing before the Committee on Commerce, Science, and Transportation, United States Senate, One Hundred Third Congress, second session, February 10, 1994.

Shipping list no.: 95-0098-P.

President's Private Sector Survey on Cost Control : report on Department of Health and Human Services, Public Health Service/Health Care Financing Administration.

Mode of access: Internet.

Annual report - Department of Civil Service and Civil Service Commission.

Report for 1909 includes "Civil list of the state, county and village service classified under the state civil service rules. July 1, 1910."

Education and research in agriculture and home economics in the United States, Supplementing exhibit of the States Relations Service, United States Department of Agriculture at the Brazil centennial exposition, Rio de Janeiro, Brazil, 1922-1923.

Report prepared for the Commission of the United States of America to the Brazil centennial exposition.