Office Evaluation Research Articles

The Outcome Evaluation and Impact of Tele-mentoring Prison Medical Officers in Primary Care Psychiatry: A Model from Bihar, India

Introduction: As compared to the general population, prison inmates have a high prevalence of mental illness and substance use disorders. The authors designed and implemented a digitally driven, one-year primary care psychiatry program for medical officers in prison and correctional settings to address this need in Bihar, India. Aim: The study aimed to assess the outcome of training given to prison medical officers deputed by the Government of Bihar. Materials and Method: Five medical officers completed training out of the seven deputed. The training contained brief onsite (three-day) training in “Clinical Schedules for Primary Care Psychiatry” and three online (one-year) modules containing tele-psychiatric on-consultation training (tele-OCT), virtual classroom (VCR) sessions, and a public health module. We measured the outcome using translational quotient (TQ) and primary care psychiatry quotient (PCPQ), which were carried out 6 and 12 months after the onset of training. Results: The TQ scores in the first and second tele-OCT evaluations were 64% and 75.2% at 6 and 12 months of the course, suggesting adequate skill retention. Out of 33,565 consultations over 12 months, medical officers identified 2,947 psychiatric disorders requiring treatment, resulting in a PCPQ of 8.7%. Conclusion: Over a year, the training demonstrated efficacy in acquiring primary care psychiatry skills, and these competencies were applied in providing care for those with psychiatric disorders.

An evaluation of Congressional Budget Office's baseline projections of USDA mandatory farm and nutrition programs

AbstractThe Congressional Budget Office (CBO) projections of USDA's mandatory farm and nutrition program outlays are important in shaping US agricultural policy. Using CBO projections and observed outcomes from 1985 through 2020, we examine the degree to which projections of farm, supplemental nutrition assistance program (SNAP), and child nutrition program outlays are unbiased, efficient, and informative. We find that projections for farm and child nutrition program outlays are unbiased, SNAP outlays are unbiased at short‐term but are downward biased beyond a 3‐year horizon. All three series of projections are inefficient. SNAP and child nutrition program outlay projections are informative up to a 5‐year horizon, but the farm program outlay projections are informative for only a 1‐year horizon. Disaggregated farm program data since 2008 suggests that the uninformativeness principally stems from conservation and commodity program projections. The findings may be valuable to CBO, as they continue to improve projections, and to projection users, in adjusting their expectations.

Comparative Analysis of a State University's Physical Plant and Facilities: Internal vs External Evaluations

In the landscape of higher education in the Philippines, institutions are subject to rigorous evaluations by accrediting bodies to ensure quality and adherence to standards. This study delves into the assessment of the physical plant and facilities of a state university, utilizing evaluations from both the university’s Internal Assessment Board (IAB) and the Accrediting Agency of Chartered Colleges and Universities in the Philippines (AACCUP) considered in this study as External Accrediting Body (EAB). Through a quantitative, comparative, and descriptive research design, document analysis was conducted on the ratings provided by the IAB and EAB across various parameters. The research instrument utilized was the AACCUP Accrediting Instrument, focusing on areas such as campus infrastructure, buildings, classrooms, and other essential facilities. Data were collected from the Institutional Development Office, encompassing two visits or evaluations across six academic programs. Statistical analysis such as mean, Mann-Whitney U Test, and one- way analysis of variance (ANOVA) were employed to identify differences between the ratings of the IAB and EAB. Remarkably, no significant differences were found in the evaluation of campus infrastructure, offices, staff, and function rooms, assembly and athletic facilities, medical and dental clinic, and food services unit/canteen. To wit, there is no significant difference between the two separate visits of the IAB [F(8,9) = .963, p = .516, not significant], no significant difference between the two separate visits of the EAB [F(8,9) = .238, p = .972, not significant], and no significant difference between the evaluation of the IAB and the EAB [Z= -1.549, p= .121, not significant]. The research findings highlight the importance of continuous improvement and transparency in assessing and enhancing education quality and facilities.

Implementation of ICT Management System in Madrasah (Multi-Site Study of State Madrasah Aliyah (MAN) in the District of Central Tapanuli)

This study analyzes the differences and similarities in implementing ICT management systems in MAN Sekabupaten Tapanuli Tengah. This study used qualitative research methods with data collection techniques through observation, interviews, and documentation. The results showed that (1) The difference in planning in MAN 1 is more about problem identification, and MAN 2 is more about achieving goals. In comparison, MAN 3 is more about adjusting the needs of madrasahs, and implementation in MAN 1 prioritizes learning with laptops, projectors, and the internet. At the same time, MAN 2 has not been carried out optimally. At the same time, MAN 3 prioritizes the implementation of learning in mastering office materials, graphic design, and animation, and evaluation in MAN 1 is more about implementing supervision. MAN 2 is more about evaluating results. In comparison, MAN 3 is more about assessment. (2) The planning equation is carried out through teamwork, implementation by utilizing all types of IT based on the madrasah's needs, and evaluation is carried out as material for improvement. This study concludes that there are significant differences and similarities in implementing ICT systems, as assessed by planning, implementation, and evaluation.

Coding Visits to Treat Overweight and Obesity

This article reviews examples of office and other outpatient evaluation and management (E/M) services for treatment of overweight and obesity, including the following.: Time-based code selection Code selection based on medical decision-making (MDM)

Evaluation of Office and Ambulatory Central Blood Pressure and Augmentation Index by Two Methods and Their Changes After Lifestyle or Medical Interventions in Hypertension

ObjectiveCentral systolic blood pressure (cSBP) and augmentation index (Aix) can be evaluated in office and also in ambulatory condition, during 24-h monitoring. The aim of our study was to measure cSBP and Aix in the office and in 24-h setting cSBP with two calibration methods and also Aix. Thereafter, we aimed to compare their changes after the initiation of lifestyle modifications or antihypertensive medications.MethodsOffice cSBP and Aix were measured with the tonometric PulsePen device (PP-cSBP, PP-Aix, respectively), while 24-h ambulatory cSBP and Aix (24 h-Aix) were evaluated with Mobil-O-Graph. For the calculation of 24-h cSBP both systolic/diastolic and systolic/mean BP calibration methods were considered (24 h-cSBPC1 and 24 h-cSBPC2, respectively). In new hypertensive patients (HT) the measurements were repeated 3 months after the initiation of antihypertensive medication while in white-coat hypertensive patients (WhHT) 12 months after lifestyle modifications.Results105 patients were involved including 22-22 HT and WhHT subjects, respectively. PP-cSBP (128 ± 13 mmHg,) was higher than 24 h-cSBPC1 (118 ± 9 mmHg, p < 0.05), but equal with 24 h-cSBPC2 (131 ± 11 mmHg). PP-Aix (14 ± 14%) was lower than 24 h-Aix (22 ± 7%, p < 0.05). For medical intervention PP-cSBP (Δ16 mmHg) decreased more, than 24 h-cSBPC1 (Δ10 mmHg, p < 0.05) and 24 h-cSBPC2 (Δ9 mmHg, p < 0.05).ConclusionsOffice tonometric and 24 h oscillometric cSBP values differ depending on the calibration. When examining the effect of antihypertensive treatment, the more marked changes in office tonometric cSBP suggests its higher variability compared with 24 h oscillometric central SBP. During follow-up, the two calibration methods of 24 h-cSBP seems not to be interchangeable.

Reporting the Evaluation and Management Visit Complexity Code

This article reviews the Healthcare Common Procedure Coding System (HCPCS) codes for office or other outpatient evaluation and management (E/M) visit complexity, including Code G2211 to describe office or other outpatient E/M visit complexity Code G2211 as an add-on code reported in addition to office and other outpatient E/M services The Centers for Medicare &amp; Medicaid Services (CMS) establishment of G2211 to recognize visit complexity in nonprocedural primary or subspecialty care

Preparing your patient to travel the globe.

Many patients who travel internationally seek medical travel advice from their primary care provider, who may feel unprepared to provide this advice. This article describes online travel medicine resources and a structured approach to a basic pretravel assessment, office evaluation, and destination-specific consultation on travel health and safety.

Analysis of Risk Factors on the Performance of Tuberculosis Control Program Officers in the Working Area of the Lubuk Kambing Health Center, Jambi, Indonesia

Indonesia is ranked 2nd in the country with the highest burden of tuberculosis (TB). In Jambi, the detection rate for pulmonary TB cases is still low (19%), and at the Lubuk Kambing Health Center, it only reaches 53%. This study aims to analyze the factors associated with the low rate of TB case detection in the Lubuk Kambing Health Center working area. Cross-sectional research design with 65 respondents. Data analysis uses logistic regression. There is a relationship between level of knowledge, motivation, workload, training, length of service, availability of TCM (molecular rapid test) facilities, active screening of pulmonary TB suspects, honorarium, family support, and evaluation of TB prevention and control officers and TB cadres with low detection capabilities d TB in the Lubuk Kambing Health Center working area. Availability of facilities is the dominant factor related to the low number of TB cases in the Lubuk Kambing Health Center working area. Efforts to increase knowledge, motivation, training, length of service, active screening, honorarium, and family support, as well as providing TCM facilities and regular evaluations, need to be carried out to increase the TB case detection rate.

Retinal microvascular alterations in patients with active rheumatoid arthritis without cardiovascular risk factors: the potential effects of T cell co-stimulation blockade.

The evaluation of microvascular alterations might provide clinically useful information for patients with an increased cardiovascular (CV) risk, such as those with rheumatoid arthritis (RA), being the small artery remodeling the earliest form of target organ damage in primary CV diseases, such as arterial hypertension. The evaluation of retinal arterioles is a non-invasive technique aimed to identify an early microvascular damage, represented by the increase of the wall-to-lumen ratio (WLR) index. Abatacept (ABA), a T-cell co-stimulator blocker, is used to treat RA. A CV protective action was hypothesized for its peculiar mechanism of action in the modulation of T-cells, potentially involved in the pathogenesis of CV comorbidity. The study aimed to non-invasively investigate morphological characteristics of retinal arterioles in a cohort of RA patients treated with ABA. Seventeen RA patients [median (25th-75thpercentile) age = 58 (48-64) years, baseline 28-joint Disease Activity Score DAS28-C-reactive protein (DAS28-CRP) = 4.4 (3.9-4.6), body mass index (BMI) = 24.2 (23.4-26) kg/m2, rheumatoid factor positive:52.9%, anti-citrullinated peptide autoantibodies positive:76.5%] without known CV risk factors (arterial hypertension, diabetes, hypercholesterolemia, previous CV events, smoking) were evaluated by the adaptive optics imaging system of retinal arterioles before and every 6 months of therapy with ABA (T0, T6 and T12). Office blood pressure evaluation, 24-h ambulatory blood pressure monitoring and tissue-doppler echocardiography were also performed. A progressive significant reduction of the WLR of retinal arterioles was observed [T0 = 0.28 (0.25-0.30), T6 = 0.27 (0.24-0.31), T12 = 0.23 (0.23-0.26); p T0 vs. T6 = 0.414; p T6 vs. T12 = 0.02; p T0 vs. T12 = 0.009], without significant variations in other parameters. The T0-T12 reduction of WLR was correlated with that of DAS28-CRP (r:0.789; p = 0.005). Moreover, a significant reduction of diastolic office blood pressure and a trend for reduction of daily pressure measured by ambulatory monitoring were observed. In a cohort of RA patients without known CV risk factors, a reduction of retinal microvascular alterations was demonstrated after treatment for 12 months with ABA, in parallel with the reduction of disease activity. These results might suggest the possibility of microvascular abnormalities regression induced by the immune system modulation.

Evaluasi Kinerja Pegawai di Dinas Penanaman Modal dan Pelayanan Terpadu Satu Pintu Kabupaten Minahasa

This research is aimed at identifying, describing and analyzing the performance evaluation of officers in the Capital Plantation and Integrated Services Department of One Door Minahasa Cabinet. This research uses qualitative descriptive methods. Data is collected through observation techniques, interviews and interviews, documentation. The results of this study, showing the quality of the work of the staff in the license area, is still less related to the standards of work applied by the office not fully implemented by the existing staff, such as operating computers or mastering IT. The still poor work culture also greatly affects the performance of the existing staff. And there are barriers that affect the quality of the performance of officials, that is, the limitation of resources and supplies that are still lacking and the minimum budget of the licensing field.

Evaluation of video visit appropriateness for common symptoms seen in primary care: A retrospective cohort study.

Little is known about which conditions seen in primary care are appropriate for video visits. This study evaluated video visits compared to office visits for six conditions: abdominal pain, joint pain, back pain, headache, chest pain, and dizziness. Six hundred charts of adult patients from our institution's same-day outpatient clinic were reviewed in this study. Charts for video visits evaluating the aforementioned chief complaints that occurred between August and October 2020 were reviewed and compared with charts for office visits that occurred from August to September 2019. Frequencies of 3-week follow-up visits, Emergency Room visits, imaging, and referrals for office and video visits were measured. Reasons for in-person evaluation for patients seen by video were determined by review of clinician notes. Three-week in-person follow-up was more frequent for patients presenting with chest pain (52% vs 18%, p = 0.0007) and joint pain (24% vs 8%, p = 0.05) after video evaluation, relative to an office evaluation. Three-week in-person follow-up was also more frequent for patients presenting with dizziness (38% vs 28%) and low back pain (24% vs 14%); however, this difference was not statistically significant. Patients presenting with headache and abdominal pain did not have a higher rate of follow-up. Based on the frequency of in-person follow-up, this study suggests that video visits are generally adequate for evaluating headache and abdominal pain. Patients with dizziness and chest pain have the highest frequency of in-person and Emergency Room follow-up within 3 weeks when first seen by video compared to other conditions evaluated and may be less suitable for an initial video visit. Institutions can consider these findings when scheduling and providing guidance to patients on what type of visit is most appropriate for their symptoms.

PERANCANGAN SISTEM PENGURUSAN PRESTASI PENILAIAN INTERIM BAGI PRESTASI PEGAWAI PERKHIDMATAN PENDIDIKAN BERTERASKAN MODEL QUADRUPLE HELIX [DESIGN OF INTERIM PERFORMANCE MANAGEMENT SYSTEM FOR EDUCATIONAL SERVICE EMPLOYEES BASED ON THE QUADRUPLE HELIX MODEL

The performance evaluation management system is the proper handling of employee assessments, allowing workers to reach their full potential in their jobs. Performance evaluation is the process where employers assess employees' job performance to encourage high-quality productivity by rewarding good employees and assisting in improving performance when needed. Therefore, this article aims to enhance the quality of performance in educational service officers (PPP) by using the relevant concept of interim assessment integrated into the existing performance assessment. Transforming performance assessment on an interim basis can optimize the measurement and evaluation of educational service officers in a more structured and systematic manner. This paper discusses the interim performance evaluation process to enhance competence and maximize the abilities of educational service officers, especially in the education sector. The article also discusses the expected transformation of interim employee performance assessment for education services based on the Quadruple Helix Model. This model is highly suitable for adapting into performance management planning and assessment transformation systems to enhance the competence of employees, as it involves interactions among government, industry, community, and higher education institutions in improving performance management.

지방의회 정책지원관제도 개선방안에 관한 연구

With the complete revision of the Local Autonomy Act, a policy support control system was introduced along with the independence of the personnel rights of the local council. In order to examine the operation status of the policy support officer system, which plays an important role in supporting local council legislative activities, and to find ways to establish the system, an importance-satisfaction survey was conducted around major issues to derive improvement tasks. Major improvement tasks include the expertise of policy support officers, the division of local council officer and policy support officers, the selection of policy support officers, education and training of policy support officers, evaluation of policy support officers, and making regulation of policy support officers. Focusing on these tasks, it proposes selection, educational training, placement, performance evaluation, and making regulations to enhance the expertise of policy support officers.

Restaurant Tax Revenue in Enhancing Local Revenue in the City of Ambon

Ambon City Regulation Law No. 2 of 2011, in CHAPTER 1 Article 1 paragraph 12, clarifies that restaurant tax pertains to the services provided by restaurants. Additionally, in Article 1 paragraph 13, it defines a restaurant as an establishment offering food and/or beverages, encompassing cafeterias, stalls, bars, and similar entities, including food/catering services. Sections 12 and 13 specify that the restaurant tax is calculated based on the payment received or due to the restaurant (Article 12), and the tax rate is set at 10% (Article 13). The restaurant tax significantly contributes to the growth of local own-source revenue in Ambon City, as evidenced by research data showing a consistent annual increase. However, there remains a need for governmental (tax officer) evaluation to enhance public awareness (taxpayers), particularly concerning restaurant taxes, ensuring sustained and escalating local own-source revenue through this tax

Evaluation of office and ambulatory blood pressure in the practice of a primary care physician. Guidelines

The guidelines contain data on modern approaches to blood pressure assessment, the basic rules for its measurement, data interpretation, making conclusion, including with combined evaluation of clinical and ambulatory measurement data. Information on the diagnosis of hypertension, evaluation of the effectiveness of antihypertensive therapy using clinical and ambulatory blood pressure measurement, both with their separate and combined use, is reflected. Aspects related to the measurement of blood pressure when standing and the diagnosis of hypotension are briefly covered. The guidelines are intended for primary care physicians (internists, general practitioners, cardiologists, neurologists and other specialists), students of medical universities and postgraduate education institutions.

Analisis Ketepatan Pendistribusian Rekam Medis Rawat Jalan Terhadap Efektivitas Pelayanan Di RSUD Kota Bandung

The distribution of medical record document is very important for the ongoing effective health service activities, the faster the medical record document reach the service unit, the faster the patient will get the health services provided by the doctor. The distribution of medical records is required to meet minimum service standards of ≤ 10 minutes from the provision of medical record document, the purpose of this study was to analyze the distribution of medical record document at Bandung City Hospital, this type of research uses a qualitative approach, data collection through interviews and observation with a sample size 100 medical records document and 20 distribution officers and polyclinic nurses at Bandung City Hospital were taken. The percentage of timeliness according to the minimum service standard is 79 document (79%) with an average distribution time of 3,6 minutes and those that do not meet the standard are 21 document (21%) with an average distribution time of 12 minutes. It is also known that there are 88 record document medical record document (88%) were correct at the polyclinic, while medical record document were incorrect at the intended polyclinic as many as 12 medical record document (12%), and according to the survey results determined the effectiveness of the distribution of medical record document at Bandung City Hospital, namely 72%. The conclusion of this study is that there are still delays in the distribution time and inaccuracy of medical record document to the intended polyclinic at Bandung City Hospital, by increasing the evaluation of medical record officers, especially distribution, also adding distribution officers can increase the number of medical record document that meet minimum service standard ≤ 10 minutes.

Do Women Prefer In-Group Police Officers? Survey and Experimental Evidence From India

Several nations have enacted gender reforms in policing, many of which are premised on the notion that women favor female officers, especially in the context of tackling violence against women (VAW). We investigate this topic in India. Evidence from the first nationally representative survey on policing ( N ≈ 15,000) demonstrates high levels of bias against policewomen, including among women and VAW complainants. To estimate the causal effect of police gender on officer evaluations, we design an unusual video experiment with assistance from the news corporation New Delhi Television ( N ≈ 1000). We find that policewomen are not generally preferred to policemen, and citizens have significantly unfavorable attitudes toward female officers when seen tackling VAW rather than non-VAW cases. These negative ratings are driven by female respondents. We highlight certain context-specific explanations and note that the manner in which policewomen are typecast may undercut the positive implications associated with representation. Our study is an example of shared identity increasing mistrust, and it expands the discussion about citizens using ascriptive characteristics to make inferences about politicians to include front-line bureaucrats like police officers.

Under pressure? Performance evaluation of police officers as an incentive to cheat

This paper examines the use of high-powered performance-based incentives for civil servants, focusing on drug-related cases registered by the Russian police. Using an event study approach and bunching analysis, I show that the incentives arising from the performance evaluation system of police officers can significantly influence their behavior. Specifically, I find evidence suggesting that this impact can result in the manipulation of drug quantities seized by the police, moving offenders from below to above the punishment threshold. Further negative consequences of the strong performance-based incentives are inequality in the enforcement of law, prolonged sentences, and increased probability of pretrial detention. Thus, I determine that police officers are more likely to manipulate the drug quantities seized from men. I also find that the manipulation increases the probability of pretrial detention by 9% and adds one more year of incarceration, which is a 67% increase on the average sentence length without manipulation.

In-Office Amoxicillin to Increase Graded-Dose Challenges at Initial Evaluation for Penicillin Allergy.

More than 90% of pediatric patients labeled with a penicillin allergy can tolerate subsequent treatment courses without reaction. Graded-dose challenges (GDCs) are an important tool to clarify reported penicillin allergy. To increase the use of same-day amoxicillin GDCs among patients with a low-risk penicillin allergy history who presented for outpatient allergy office evaluation from 2% to 15% and sustain for 6 months. New patients evaluated in an academic pediatric allergy clinic with a documented penicillin allergy were included, regardless of reason for referral. The percentage of these patients who were administered a GDC to amoxicillin at the initial evaluation was assessed over time. Multiple interventions were implemented to increase same-day GDC: amoxicillin, previously only available from pharmacy, was made available in clinic, and penicillin-allergic patients were scheduled earlier in the clinic session. The baseline rate of new patients with penicillin allergy who received a GDC increased from 2% to 18% after amoxicillin was stocked in the allergy clinic. GDCs further increased to 34% after penicillin-allergic patients were scheduled at a time conducive to challenge. Amoxicillin availability in the clinic setting increased the percentage of eligible patients who completed same-day GDCs. Scheduling adjustments further increased the ability to conduct GDCs. Proactive penicillin allergy delabeling efforts can be assisted through practical approaches in the outpatient setting.