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Planning Documents (planning + document)
Selected AbstractsSolutions and recommendations to address issues with Company XYZ's performance management systemPERFORMANCE IMPROVEMENT, Issue 1 2009Mike Kolich According to a recent attitude survey, work objectives, advancement, growth, job assignment, information, pay for performance, and compensation are issues in which Company XYZ's engineering department fell below the industry average. The issues are all symptoms of a larger performance management problem. This article offers solutions and recommendations focused on the introduction of an individual development planning document with an emphasis on goals tied to the corporate mission and an increase in feedback and communication. [source] Nature conservation and urban development control in the Portuguese planning system: a new impetus against old praxis?ENVIRONMENTAL POLICY AND GOVERNANCE, Issue 5 2008Teresa Fidelis Abstract Natura 2000 areas bring a new incentive to assess the performance of land-use planning in protecting environmental values from the impacts of development pressures. In the last decades, urban growth and consequent environmental impacts on natural areas have been a major concern for the Portuguese land-use planning system. Sprawl around sensitive areas has been revealed to be a persistent phenomenon in spite of the increasing challenges underlying land-use plans. This article critically analyses the content of three main documents recently adopted by the Portuguese government , the ,National Strategy for Sustainable Development', the ,National Policy Programme for Spatial Planning' and the ,Sector Plan for Natura 2000' , seeking prospects to innovate future plans at lower levels in order to prevent additional pressures on natural areas. First, the article reviews the recent theoretical debate on planning for the protection of natural areas. Results evidenced by recent EU evaluation reports are used to propose a set of guidelines to evaluate planning guidance at national level. Second, it critically analyses the three planning documents, bearing in mind the main features of the planning system and the proposed guidelines. The article is concluded with a discussion of their potential, exploring whether they bring a new impetus to the role of land-use planning against an outdated and persistent praxis, or whether, on the contrary, further efforts to strengthen planning guidance remain to be formulated. Copyright © 2008 John Wiley & Sons, Ltd and ERP Environment. [source] Factors associated with discussion of care plans and code status at the time of hospital admission: Results from the Multicenter Hospitalist Study,JOURNAL OF HOSPITAL MEDICINE, Issue 6 2008Andrew D. Auerbach MD Abstract BACKGROUND: Hospital admission is a time when patients are sickest and also often encountering an entirely new set of caregivers. As a result, understanding and documenting a patient's care preferences at hospital admission is critically important. OBJECTIVE: To understand factors associated with documentation of care planning discussions in patients admitted to general medical services at 6 academic medical centers. DESIGN: Observational cohort study using data collected during the Multicenter Hospitalist Study, conducted between July 1, 2002 and June 30, 2004. SETTING: Prospective trial enrolling patients admitted to general medicine services at 6 university-based teaching hospitals. PATIENTS: Patients were eligible for this study if they were 18 years of age or older, admitted to a hospitalist or nonhospitalist physician, and able to give informed consent. MEASUREMENTS: Presence of chart documentation that the admitting team had discussed care plans with the patient within the first 24 hours of hospitalization. Notations such as "full code" were not counted as a discussion, whereas notations such as "discussed care wishes and plan with patient" were counted. RESULTS: A total of 17,097 patients over the age of 18 gave informed consent and completed an interview and chart abstraction; of these, 1776 (10.3%) had a code status discussion (CD) documented in the first 24 hours of their admission. Patients with a CD were older (69 years vs. 56 years, P < 0.0001), more often white (52.8% vs. 43.3%, P < 0.0001), and more likely to have cancer (19.8% vs. 11.4%, P < 0.0001), or depression (35.1% vs. 30.9%, P < 0.0001). There was marked variability in CD documentation across sites of enrollment (2.8%-24.9%, P < 0.0001). Despite strong associations seen in unadjusted comparisons, in multivariable models many socioeconomic factors, functional status, comorbid illness, and documentation of a surrogate decision maker were only moderately associated with a CD (adjusted odds ratios all less than 2.0). However, patients' site of enrollment (odds ratios 1.74-5.14) and informal notations describing prehospital care wishes (eg, orders for "do not resuscitate"/"do not intubate;" odds ratios 3.22-11.32 compared with no preexisting documentation) were powerfully associated with CD documentation. Site remained a powerful influence even in patients with no documented prehospital wishes. LIMITATIONS: Our results are derived from a relatively small number of academic sites, and we cannot connect documentation differences to differences in patient outcomes. CONCLUSIONS: Documentation of a CD at admission was more strongly associated with informal documentation of prehospital care wishes and where the patient was hospitalized than legal care planning documents (such as durable power of attorney), or comorbid illnesses. Efforts to improve communication between hospitalists and their patients might target local documentation practices and culture. Journal of Hospital Medicine 2008;3(6):437,445. © 2008 Society of Hospital Medicine. [source] Models, Assumptions, and Stakeholders: Planning for Water Supply Variability in the Colorado River Basin,JOURNAL OF THE AMERICAN WATER RESOURCES ASSOCIATION, Issue 2 2008Dustin Garrick Abstract:, Declining reservoir storage has raised the specter of the first water shortage on the Lower Colorado River since the completion of Glen Canyon and Hoover Dams. This focusing event spurred modeling efforts to frame alternatives for managing the reservoir system during prolonged droughts. This paper addresses the management challenges that arise when using modeling tools to manage water scarcity under variable hydroclimatology, shifting use patterns, and institutional complexity. Assumptions specified in modeling simulations are an integral feature of public processes. The policymaking and management implications of assumptions are examined by analyzing four interacting sources of physical and institutional uncertainty: inflow (runoff), depletion (water use), operating rules, and initial reservoir conditions. A review of planning documents and model reports generated during two recent processes to plan for surplus and shortage in the Colorado River demonstrates that modeling tools become useful to stakeholders by clarifying the impacts of modeling assumptions at several temporal and spatial scales. A high reservoir storage-to-runoff ratio elevates the importance of assumptions regarding initial reservoir conditions over the three-year outlook used to assess the likelihood of reaching surplus and shortage triggers. An ensemble of initial condition predictions can provide more robust initial conditions estimates. This paper concludes that water managers require model outputs that encompass a full range of future potential outcomes, including best and worst cases. Further research into methods of representing and communicating about hydrologic and institutional uncertainty in model outputs will help water managers and other stakeholders to assess tradeoffs when planning for water supply variability. [source] Synergy and Movement within Suburban Mixed-Use Centers: The Toronto ExperienceJOURNAL OF URBAN AFFAIRS, Issue 4 2000Pierre Filion The article measures the intensity of interaction between activities within suburban mixed-use centers (also referred to as suburban downtowns or edge cities), and the reliance on walking for intra-center journeys. It examines whether or not these centers are achieving, as intended in planning documents, an inner dynamic that distinguishes them from typical suburban commercial developments. A survey of office workers within the Greater Toronto Area's three most developed suburban mixed-use centers reveals a moderate level of inner synergy (interaction between activities beneficial to all those involved) and of walking for intra-center journeys. The article highlights the advantages of such an inner dynamic for activities located within suburban mixed-use centers. It also points at the surveyed centers' car orientation and the inhospitality of their walking environment to explain why synergy and pedestrian movements are not any higher. This leads to an examination of the advantages that would accrue from a more intense pedestrian-based synergy and of the means of achieving such an outcome. [source] | ||||||||||