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Opportunities for Oversight and Improved Use of Taxpayer Funds: Examples from Selected GAO Work

Description: A letter report issued by the General Accounting Office with an abstract that begins "This report is submitted pursuant to section 301(e) of the Concurrent Resolution on the Budget for Fiscal Year 2004, which directs the Comptroller General to submit to the Committees on the Budget a comprehensive report identifying instances in which the committees of jurisdiction may make legislative changes to improve the economy, efficiency, and effectiveness of federal programs within their jurisdiction."
Date: August 1, 2003
Creator: United States. General Accounting Office.
Partner: UNT Libraries Government Documents Department

Consumer Price Index: Update of Boskin Commission's Estimate of Bias

Description: A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO provided information on the Advisory Commission to Study the Consumer Price Index's (CPI) updated estimate of CPI bias, focusing on the: (1) methodological changes the Bureau of Labor Statistics (BLS) made to the CPI since December 1996, when the Advisory Commission (also referred to as the Boskin Commission) issued its final report; and (2) opinions of the five former Boskin Commission members on how much of the bias in the CPI that the Commission estimated in its December 1996 report remains after recent methodological changes to the CPI."
Date: February 1, 2000
Creator: United States. General Accounting Office.
Partner: UNT Libraries Government Documents Department

Means-Tested Programs: Determining Financial Eligibility Is Cumbersome and Can Be Simplified

Description: A letter report issued by the General Accounting Office with an abstract that begins "About 80 means-tested federal programs assisted low-income people in 1998. GAO reviewed 11 programs that assisted families and individuals with income, food, medical assistance, and housing. Despite substantial overlap in the populations they serve, the 11 programs varied significantly in their financial eligibility rules. At the most basic level, the dollar levels of the income limits--the maximum amounts of income an applicant can have and still be eligible for a program--vary across programs. Beyond this, differences exist in the income rules, such as whose income and what types of income are counted. The variations and complexity of the federal financial eligibility rules, along with other factors, have led to processes that are often duplicative and cumbersome for both caseworkers and applicants. Overall, federal, state, and local entities have made little progress in simplifying or coordinating eligibility determination processes. States realigned some of the financial rules, but only to a limited extent. Another approach uses computer systems to establish joint eligibility determination processes that a single caseworker can administer. Efforts to simplify or better coordinate eligibility determination processes confront many obstacles, including restrictive federal program statutes and regulations. In addition, program costs may rise if financial eligibility rules are changed."
Date: November 2, 2001
Creator: United States. General Accounting Office.
Partner: UNT Libraries Government Documents Department

JFMIP News: A Newsletter for Government Financial Managers, Summer 2001, Vol. 13, No. 2

Description: Other written product issued by the General Accounting Office with an abstract that begins "GAO provided information on the Joint Financial Management Improvement Program's current financial management initiatives, activities, and practices."
Date: August 1, 2001
Creator: United States. General Accounting Office.
Partner: UNT Libraries Government Documents Department

National Gambling Impact Study Commission: Selected Operational Practices

Description: A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO reviewed selected operational practices of the National Gambling Impact Study Commission (NGISC), focusing on: (1) whether NGISC is subject to the Federal Advisory Committee Act (FACA) and, if so, whether NGISC followed FACA with respect to three specific meetings; (2) what contracting procedures were used in NGISC's award of three major contracts; (3) why NGISC contracted for legal counsel instead of using government legal support; (4) whether NGISC attempted to interfere with the work of one of its contractors; (5) how Regent University employees were involved in NGISC activities; (6) whether NGISC has paid for relocating any staff; and (7) whether NGISC employees are allowed to work at a location other than the NGISC office."
Date: April 16, 1999
Creator: United States. General Accounting Office.
Partner: UNT Libraries Government Documents Department

A Call For Stewardship: Enhancing the Federal Government's Ability to Address Key Fiscal and Other 21st Century Challenges

Description: Other written product issued by the Government Accountability Office with an abstract that begins "Since the founding of the republic and the ratification of the Constitution, the U.S. government has evolved to reflect changing circumstances at home and abroad. At the end of George Washington's presidency in 1797, there were four cabinet-level departments--most run by small staffs of civil servants--and five cabinet-level officials, including the Attorney General. Today, there are nearly 30 major federal departments and agencies with cabinet-level officials in the executive branch, and the federal workforce, including military personnel, now totals in the millions. In 1797, U.S. government spending represented about 2 percent of the U.S. economy and now it represents over 20 percent. A quick look at the federal budget reveals how much we have expanded beyond the Constitution's framers' original thoughts and our modest beginnings. In the coming decades, however, our ability to sustain even the constitutionally enumerated responsibilities of the federal government will come under increasing pressure. Without meaningful act on, by 2040 our government could only have the resources to do little more than mail out Social Security checks and pay interest on the massive and growing national debt. This is obviously an unacceptable scenario. Our current long-range fiscal path is clearly imprudent and fiscally unsustainable. It is also alarming given the range of current and emerging problems that require attention: health care, energy dependency, environmental protection, and homeland security, to name a few. These long-term challenges have profound implications for our future economic growth, standard of living, and national security. Unless these issues are effectively addressed, they will surely begin to manage us. What is needed is a more strategic, long-term, comprehensive, and integrated approach to help capitalize on related opportunities and manage related risks within current and expected resource levels."
Date: December 17, 2007
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department

Federal Tort Claims Act: Issues Affecting Coverage for Tribal Self-Determination Contracts

Description: A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO reviewed the Federal Tort Claims Act (FTCA) coverage to tribal contractors under the Indian Self-Determination and Education Assistance Act, focusing on: (1) the process for implementing FTCA coverage for tribal self-determination contracts; (2) the FTCA claims history for tribal self-determination contracts for fiscal years (FY) 1997 through 1999; and (3) FTCA coverage issues that are unique to tribal contractors."
Date: July 5, 2000
Creator: United States. General Accounting Office.
Partner: UNT Libraries Government Documents Department

Department of Health and Human Services, Food and Drug Administration: Over-the-Counter Human Drugs and Labeling Requirements

Description: Other written product issued by the General Accounting Office with an abstract that begins "Pursuant to a legislative requirement, GAO reviewed the Food and Drug Administration's (FDA) new rule on over-the-counter human drugs and labeling requirements. GAO noted that: (1) the rule would establish a standardized format and standardized content requirements for the labeling of over-the-counter drug products; (2) the final rule has an announced effective date of April 16, 1999, which is less than the 60-day delay in a major rule's effective date required by the Small Business Regulatory Enforcement Fairness Act; and (3) FDA, with the exception of the failure to allow the 60-day delay, complied with the applicable requirements in promulgating the rule."
Date: April 1, 1999
Creator: United States. General Accounting Office.
Partner: UNT Libraries Government Documents Department

Breast Cancer Research Stamp: Millions Raised for Research, but Better Cost Recovery Criteria Needed

Description: Testimony issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO discussed the Breast Cancer Research Semipostal (BCRS), focusing on the: (1) appropriateness and effectiveness of the BCRS as a fundraiser; and (2) costs associated with developing and selling the BCRS."
Date: May 25, 2000
Creator: United States. General Accounting Office.
Partner: UNT Libraries Government Documents Department

An empirical investigation of the salient dimensions of Baby Boomer and Generation Y consumers' health care decision choices.

Description: The purpose of this research is to empirically investigate consumers' health care decision choices in a dynamic market setting. The unprecedented demands on the U.S. health care system coupled with the mounting controversies surrounding health care reform suggest that consumers' health care decisions warrant empirical research attention. Toward this end, this dissertation empirically explored (1) the characteristics of consumers who possess a willingness to use non-conventional treatments over conventional treatments, (2) the characteristics of consumers who elect self-medication in lieu of health care practitioner-directed medication, and (3) the salient dimensions of consumers' channel choice for the procurement of health care products. Each of these decision choice factors were tested across two U.S. generational segments to assess whether differences existed across Baby Boomers' and Gen Yers' health care decision choices. The conceptual framework for empirical assessment is Bandura's (1986) social cognitive theory. From Bandura's social cognitive theory, a general model of healthcare decision choice is proposed to assess consumers' states of mind, states of being and states of action (decision choice). Results indicate that social cognitive factors (e.g., self-efficacy, objectivism) play an important role in each of the decision domains explored in this dissertation. Moreover, health value was found to be an important moderator between the social cognitive factors and health care decision choices. The predictors of the health care decision choices were found to vary across the Baby Boomers and Generation Yers on several dimensions, confirming the notion that generational differences may be a salient dimension of consumers' health care decision choice. The research offers several implications for practitioners, academicians and policy makers. Both descriptive and normative implications are gleaned from the research findings. Most notably, the results indicate that consumers' social cognitive factors and health value may be mechanisms for managing health care decisions.
Date: August 2006
Creator: Krishnankutty Nair Rajamma, Rajasree
Partner: UNT Libraries

[News Clip: Califano]

Description: Video footage from the KXAS-TV/NBC station in Fort Worth, Texas, to accompany a news story. This story aired at 10:00 P.M.
Date: February 5, 1979
Creator: KXAS-TV (Television station : Fort Worth, Tex.)
Partner: UNT Libraries Special Collections

[News Clip: Health Care]

Description: Video footage from the KXAS-TV/NBC station in Fort Worth, Texas, to accompany a news story. This story aired at 10:00 P.M.
Date: April 23, 1979
Creator: KXAS-TV (Television station : Fort Worth, Tex.)
Partner: UNT Libraries Special Collections

[News Clip: Sick Tax]

Description: Video footage from the WBAP-TV station in Fort Worth, Texas, to accompany a news story by reporter Regina Benjamin about the Texas legislature considering bills based on task force recommendations that would require prenatal and maternity care for poor individuals, require that counties use 10% of their revenue for healthcare for indigent patients, and hospitals to pay 1% of costs for treating indigent patients. This story focuses on Floyd Miller who lost both legs in a shooting and is now a paraplegic. Footage includes an interview with an unidentified representative of the Texas Hospital Association. This story aired at 10:00 P.M.
Date: April 17, 1985
Creator: KXAS-TV (Television station : Fort Worth, Tex.)
Partner: UNT Libraries Special Collections

Theoretical Orientation, Style, and Compatibility as Factors in Spouse Cotherapy

Description: Cotherapy has been advocated as an effective treatment mode, especially with groups, couples, and families. The relationship between the cotherapists has been identified as an important determinant in the success of this method. This relationship has been compared to the marital relationship between spouses, and the marriages of therapists have been viewed as offering advantages for cotherapy. Since not all therapists who are married to each other work as cotherapists, the purpose of this study was to investigate whether or not spouse cotherapists differ from other therapists who are also married to each other but who do not work together on a regular basis as cotherapists. The five dimensions measured for all subject couples include frequency of differing theoretical orientation, similarity of self-reported behavior in therapy, compatibility of needs for inclusion, compatibility of needs for control, and compatibility of needs for affection. Subjects for this study were 6 5 married couples in which both spouses were psychotherapists. The couples were divided into two groups according to whether or not they worked together as cotherapists on a regular basis. The group of spouse cotherapists included 29 couples who reported regular cotherapy together. The group of therapist couples included 37 couples who reported no regular cotherapy with their spouses. All subject couples were provided a packet of materials which included a letter explaining the general purpose of the study, two copies of the Therapist Personal Data Form, two copies of the Self-Description of Therapist's Behavior, two copies of the Fundamental Interpersonal Relations Orientation-Behavior, and a stamped envelope addressed to the experimenter for the return of the materials.
Date: August 1982
Creator: Benningfield, Anna Beth
Partner: UNT Libraries

Healthcare Energy Efficiency Research and Development

Description: Hospitals are known to be among the most energy intensive commercial buildings in California. Estimates of energy end-uses (e.g. for heating, cooling, lighting, etc.) in hospitals are uncertain for lack of information about hospital-specific mechanical system operations and process loads. Lawrence Berkeley National Laboratory developed and demonstrated a benchmarking system designed specifically for hospitals. Version 1.0 featured metrics to assess energy performance for the broad variety of ventilation and thermal systems that are present in California hospitals. It required moderate to extensive sub-metering or supplemental monitoring. In this new project, we developed a companion handbook with detailed equations that can be used toconvert data from energy and other sensors that may be added to or already part of hospital heating, ventilation and cooling systems into metrics described in the benchmarking document.This report additionally includes a case study and guidance on including metering into designs for new hospitals, renovations and retrofits. Despite widespread concern that this end-use is large and growing, there is limited reliable information about energy use by distributed medical equipment and other miscellaneouselectrical loads in hospitals. This report proposes a framework for quantifying aggregate energy use of medical equipment and miscellaneous loads. Novel approaches are suggested and tried in an attempt to obtain data to support this framework.
Date: January 31, 2011
Creator: Black, Douglas R.; Lai, Judy; Lanzisera, Steven M; Parrish, Kristen D. & Singer, Brett C.
Partner: UNT Libraries Government Documents Department

[News Clip: Bus tour pkg]

Description: Video footage from the KXAS-TV/NBC station in Fort Worth, Texas, to accompany a news story. This story aired at 6 P.M.
Date: July 27, 1994
Creator: KXAS-TV (Television station : Fort Worth, Tex.)
Partner: UNT Libraries Special Collections

An Entangled Pathology

Description: Thesis written by a student in the UNT Honors College discussing the history of healthcare in the Gaza Strip from 1940 to 2008, the role of healthcare in the development of Hamas, the current state of health systems in the Gaza Strip, and how the relationship between Hamas with the citizens of Gaza, Israel, and other countries have an effect on the healthcare of Gaza.
Date: Spring 2012
Creator: Vargas, Annalisa L.
Partner: UNT Honors College

Medical Technology and its Relation to Health Care Costs

Description: The purpose of this study is to demonstrate that within the United States health care system, a number of institutions have evolved which have given rise to a perverse set of incentives that direct technological change. As a result of these incentives, the diffusion and utilization of new and existing technologies is carried out in a random and indiscrete fashion, subsequently placing upward pressure on the costs of health care. This analysis relies on the empirical work, observations, and writings of a large number of physicians, social scientists, hospital administrators, and federal bureaucrats.
Date: August 1981
Creator: Alliston, Wiley S. (Wiley Sutton)
Partner: UNT Libraries

[News Clip: VA Hospital]

Description: B-roll video footage from the KXAS-TV/NBC station in Fort Worth, Texas, to accompany a news story.
Date: August 28, 1990, 6:00 p.m.
Creator: KXAS-TV (Television station : Fort Worth, Tex.)
Partner: UNT Libraries Special Collections

[News Clip: AMA president]

Description: Video footage from the WBAP-TV station in Fort Worth, Texas to accompany a story about Dr. Edward R. Annis of Miami, president of the American and World Medical Associations, who is in Fort Worth to address the Tarrant County Chapter of Texas Manufacturers Association. In this story, Dr. Annis criticizes legislation that results in decreased clinical research related to the development of new prescription drugs and the FDA's removal of the antidepressant medication Parnate from the market.
Date: May 28, 1964
Creator: WBAP-TV (Television station : Fort Worth, Tex.)
Partner: UNT Libraries Special Collections