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Miles Brown
Miles Brown

Tamilnadu Pwd Building Practice Standard Data Book |BEST|

Psychologists become familiar with applicable legal and regulatory standards and procedures, including state and federal law governing child protection issues (Ethics Code 2.01(f)). Thus, psychologists seek to become familiar with local child welfare policies, practices and resources relevant to the cases in which they provide professional services, and to be familiar with the procedures and practices of local courts, government agencies, or organizations that provide potentially relevant social or clinical services to persons involved in child protection proceedings. These may include laws and regulations addressing child abuse, neglect and termination of parental rights (see, for example, Indian Child Welfare Act of 1978; Adoption and Safe Families Act, 1997).

tamilnadu pwd building practice standard data book

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Rationale: Multiple methods of data gathering serves three ends: it broadens the information base upon which evaluators will base their opinions and recommendations; it provides information to challenge biases that may compromise evaluators' opinions and recommendations; and it contributes to building a quality evaluation that will support ethical and legally reliable expert opinions.

Application: Recommendations are based on sound psychological data, such as clinical data, interpretations and inferences founded on generally accepted psychological theory and practice, especially when these are well supported by evidence-based research (Ethics Code 9.01(a), 2.04). Particular attention may be given to outcomes research on interventions with abusive families if relevant to the scope of the evaluation as defined by the referral issues or questions. Psychologists strive to communicate relevant information and clinical data pertaining to the issues being evaluated while also maintaining an awareness of and communicating scientific limitations in predicting behavior. Psychologists also seek to explain the reasoning behind their conclusions.

If psychologists providing child protection evaluations choose to offer opinions on "ultimate issues" before the court or for other decision-makers (e.g., state child welfare authorities), the recommendations should be based on articulated assumptions, data, interpretations, and inferences based upon established professional and scientific standards (APA, 2009, Guideline 13; Ethics Code 2.04).

1. Explore FHIR as a key healthcare data standard and data model2. Explain FHIR Profiles, Resources, and FHIR Extensions3. Build your own FHIR Profile4. Tentatively: REDCap on FHIR / FHIR questionnaires

For our seminar for next month, February 15th, 2023 at 12:00 pm CT, VCLIC is excited to host Bryan Steitz, PhD, an instructor in the Department of Biomedical Informatics and researcher for the Vanderbilt Clinical Informatics Center. Bryan will present on Promoting Engagement through Information Sharing: Understanding the Impact of Open Results on Patients and Providers: The Final Rule of the 21st Century Cures Act mandates the immediate release of electronic health data, including all test results (Open Results) upon patient request. The intent to improve information sharing offers significant benefits to both patients and providers, but limited empiric evidence to guide implementation strategies has prompted concern for patient wellbeing and provider workflow. In this presentation, I will discuss findings and implications from an ongoing body of work on results release policies, patient perceptions, and provider work on immediate release of test results detailing the patient and provider perspectives to highlight current best practices and opportunities for improvement.

VCLIC is excited to host Julia Adler-Milstein, PhD, Professor of Medicine and Director of the Center for Clinical Informatics and Improvement Research at UCSF, on January 25th, 2023 from 12:00-1:00 pm CT. Dr. Adler-Milstein will present on Turning Digital Fumes into a Breath of Fresh Air: While EHR data is heavily used for clinical research, there is also significant potential for behavioral and social science research. In my talk, I will describe EHR event logs as a novel source of data that captures individual clinician and clinical team behaviors and give examples of how such data can be applied to address policy- and practice-based questions related to EHR user interface design, clinician burnout, and clinical process outcomes.

For our November seminar, we are excited to announce that Dean Sittig, PhD, Professor in the School of Biomedical Informatics at the University of Texas Health Science Center at Houston will present on "Simple Steps for Safer EHRs." Electronic Health Record (EHR) Safety is not an accident. It is always the result of intelligent effort. This talk will present a 5-step approach to help health care organizations realize a safer EHR. These steps include: Identifying potential risks or actual events that could or did result in patient harm; Investigating the issue(s) that are identified; Fixing the underlying causes of the problems identified; Implementing proactive practices, processes, and procedures to prevent issues from occurring; and developing the tools and techniques to monitor real-time data streams to identify additional EHR-related issues before they harm patients.

Adaptt Surge Planning Support Tool is an Excel-based graphical tool intended for policy-makers and senior planners. It allows Member States to focus on surge planning information, such as: the number of beds required,the dates of predicted bed shortages; and the detailed human resources needed. The tool is flexible, enabling users within Member States to input epidemiological data, vary mitigation scenarios (when using the embedded standardized infectionratio V3 data) and tailor the tool to account for attack rates. The tool supports the input of hospital activities and practices, hospital capacity, and human resources for health capacity.

No substantive comments were received regarding the Department's proposed changes in subpart F, and no other changes have been made to this subpart in the final rule. The Department did receive several comments addressing other issues raised in the NPRM that are related to subpart F. Because the 2010 Standards include specific design requirements for recreation facilities and play areas that may be new to many title III facilities, the Department sought comments in the NPRM about how the certification review process would be affected if the State or local jurisdiction allocates the authority to implement the new requirements to State or local agencies that are not ordinarily involved in administering building codes. One commenter, an association of building owners and managers, suggested that because of the increased scope of the 2010 Standards, it is likely that parts of covered elements in the new standards will be under the jurisdiction of multiple State or local agencies. In light of these circumstances, the commenter recommended that the Department allow State or local agencies to seek certification even if only one State or local regulatory agency requests certification. For example, if a State agency that regulates buildings seeks certification of its building code, it should be able to do so, even if another State agency that regulates amusement rides and miniature golf courses does not seek certification.

The Department's discussion of this issue in the NPRM contemplated that all of a State or local government's accessibility requirements for title III facilities would be the subject of a request for certification. Any other approach would require the Department to certify only part of a State or local government's accessibility requirements as compared to the entirety of the revised ADA standards. As noted earlier, the Attorney General is authorized by section 308(b)(1)(A)(ii) of the ADA to certify that a State or local building code meets or exceeds the ADA's minimum accessibility requirements, which are contained in this regulation. The Department has concluded that this is a decision that must be made on a case-by-case basis because of the wide variety of enforcement schemes adopted by the States. Piecemeal certification of laws or codes that do not contain all of the minimum accessibility requirements could fail to satisfy the Attorney General's responsibility to ensure that a State or local building code meets or exceeds the minimum accessibility requirements of the Act before granting certification. However, the Department wants to permit State and local code administrators to have maximum flexibility, so the Department will leave open the possibility for case-by-case review to determine if a State has successfully met the burden of demonstrating that its accessibility codes or other laws meet or exceed the ADA requirements.

One commenter, an association of theater owners, recommended that the Department establish a training program for State building inspectors for those States that receive certification to ensure more consistent ADA compliance and to facilitate the review of builders' architectural plans. The commenter also recommended that State building inspectors, once trained, review architectural plans, and after completion and inspection of facilities, be authorized to certify that the inspected building or facility meets both the certified State and the Federal accessibility requirements. Although supportive of the idea of additional training for State and local building code officials regarding ADA compliance, the Department believes that the approach suggested by the commenter of allowing State and local code officials to determine if a covered facility is in compliance with Federal accessibility requirements is not consistent with or permissible under the statutory enforcement scheme established by the ADA. As the Department stated in the NPRM, certification of State and local codes serves, to some extent, to mitigate the absence of a Federal mechanism for conducting at the national level a review of all architectural plans and inspecting all covered buildings under construction to ensure compliance with the ADA. In this regard, certification operates as a bridge between the obligation to comply with the 1991 Standards in new construction and alterations, and the administrative schemes of State and local governments that regulate the design and construction process. By ensuring consistency between State or local codes and Federal accessibility standards, certification has the additional benefit of streamlining the regulatory process, thereby making it easier for those in the design and construction industry to satisfy both State and Federal requirements. The Department notes, however, that although certification has the potential to increase compliance with the ADA, this result, however desirable, is not guaranteed. The ADA contemplated that there could be enforcement actions brought even in States with certified codes, and it provided some protection in litigation to builders who adhered to the provisions of the code certified to be ADA-equivalent. The Department's certification determinations make it clear that to get the benefit of certification, a facility must comply with the applicable code requirements - without relying on waivers or variances. The certified code, however, remains within the authority of the adopting State or local jurisdiction to interpret and enforce: Certification does not transform a State's building code into Federal law. Nor can certification alone authorize State and local building code officials implementing a certified code to do more than they are authorized to do under State or local law, and these officials cannot acquire authority through certification to render binding interpretations of Federal law. Therefore, the Department, while understanding the interest in obtaining greater assurance of compliance with the ADA through the interpretation and enforcement of a certified code by local code officials, declined in the NPRM to confer on local officials the authority not granted to them under the ADA to certify the compliance of individual facilities. The Department in the final rule finds no reason to alter its position on this issue in response to the comments that were received. 350c69d7ab


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