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Defense Health Care: TRICARE Multiyear Surveys Indicate Problems with Access to Care for Nonenrolled Beneficiaries
A letter report issued by the Government Accountability Office with an abstract that begins "In its analysis of the 2008-2011 beneficiary survey data, GAO found that nearly one in three nonenrolled beneficiaries experienced problems finding a civilian provider who would accept TRICARE and that nonenrolled beneficiaries' access to civilian primary care and specialty care providers differed by type of location. Specifically, a higher percentage of nonenrolled beneficiaries in Prime Service Areas (PSA), which are areas with civilian provider networks, experienced problems finding a civilian primary care or specialty care provider compared to those in non-Prime Service Areas (non-PSA), which do not have civilian provider networks. GAO found that the top reasons reported by nonenrolled beneficiaries for why they experienced access problems--regardless of type of provider--were that the providers were either not accepting TRICARE payments or new TRICARE patients. Additionally, GAO's comparison of the Department of Defense's (DOD) beneficiary survey data to related data from a Department of Health and Human Services survey showed that nonenrolled beneficiaries' satisfaction ratings for primary and specialty care providers were consistently lower than those of Medicare fee-for-service beneficiaries."
Date:
April 2, 2013
Creator:
United States. Government Accountability Office.
Object Type:
Report
System:
The UNT Digital Library
Missile Defense: Mixed Progress in Achieving Acquisition Goals and Improving Accountability
Testimony issued by the Government Accountability Office with an abstract that begins "The Department of Defense's (DOD) Missile Defense Agency (MDA) made progress in its goals to improve acquisition management, and accountability and transparency. The agency gained important knowledge for its Ballistic Missile Defense System (BMDS) by successfully conducting several important tests, including the first missile defense system-level operational flight test. Additionally, key programs successfully conducted developmental flight tests that demonstrated key capabilities and modifications made to resolve prior issues. MDA also made some improvements to transparency and accountability. For example, MDA improved the management of its acquisition-related efforts to deploy a missile defense system in Europe and MDA continued to improve the clarity of its resource and schedule baselines, which are reported to Congress for oversight."
Date:
April 2, 2014
Creator:
United States. Government Accountability Office.
Object Type:
Text
System:
The UNT Digital Library
Latin America and the Caribbean: Fact Sheet on Leaders and Elections
This fact sheet tracks the current heads of government in Central and South America, Mexico, and the Caribbean. It provides the dates of the last and next elections for the head of government and the national independence date for each country.
Date:
April 2, 2010
Creator:
Gomez-Granger, Julissa & Sullivan, Mark P.
Object Type:
Report
System:
The UNT Digital Library
Information Technology: IRS Needs to Improve the Reliability and Transparency of Reported Investment Information
A letter report issued by the Government Accountability Office with an abstract that begins "According to the Internal Revenue Service (IRS), 6 of its19 major information technology (IT) investments were within 10 percent of cost and schedule estimates during fiscal year 2013. The remaining 13 were reported as having significant cost and schedule variances for at least 1 month of the year. Specifically, IRS reported 8 investments as being below cost or ahead of schedule; 3 as behind schedule; and 2 as over cost (see figure). IRS reported a range of reasons for these variances, including cost savings from contract negotiations and scope deferrals for those below cost or ahead of schedule, and procurement delays for those behind schedule. It is important to note that the reported monthly cost and schedule variances are for the fiscal year only. IRS's reporting would be more meaningful if it were supplemented with cumulative cost and schedule variances for the investments or investment segments, consistent with the Office of Management and Budget's guidance for measuring progress towards meeting investment goals."
Date:
April 2, 2014
Creator:
United States. Government Accountability Office.
Object Type:
Report
System:
The UNT Digital Library
Workplace Safety and Health: Multiple Challenges Lengthen OSHA's Standard Setting
A letter report issued by the Government Accountability Office with an abstract that begins "Between 1981 and 2010, the time it took the Department of LaborÂ’s Occupational Safety and Health Administration (OSHA) to develop and issue safety and health standards ranged widely, from 15 months to 19 years, and averaged more than 7 years. Experts and agency officials cited increased procedural requirements, shifting priorities, and a rigorous standard of judicial review as contributing to lengthy time frames for developing and issuing standards. For example, they said that a shift in OSHAÂ’s priorities toward one standard took attention away from several other standards that previously had been a priority."
Date:
April 2, 2012
Creator:
United States. Government Accountability Office.
Object Type:
Report
System:
The UNT Digital Library
The Federal Government's Long-Term Fiscal Outlook: Spring 2012 Update
Other written product issued by the Government Accountability Office with an abstract that begins "Federal deficits and debt have reached historic highs in recent years. Congress has taken action to address the fiscal imbalance, but longer-term challenges remain. The Budget Control Act (BCA) of 2011 limits spending over the next decade and leads to an improved fiscal outlook. The act targets discretionary spending, and under both of GAO’s simulations, discretionary spending as a share of the economy would be lower in 2022 than at any point in the last 50 years. Further, as the economy recovers, revenue increases and spending decreases. While the BCA improved the outlook, it did not eliminate the longer-term challenge, in part because it did not focus on the fundamental drivers of the government’s future fiscal imbalances—a structural gap between revenues and spending driven by rising health care costs and demographics. As our 2011 simulations showed, if the Patient Protection and Affordable Care Act (PPACA) is implemented as intended it would have a major effect on the gap but would not eliminate it. The aging of the population and rising health care costs will continue putting upward pressure on spending. Assuming revenue in the long term …
Date:
April 2, 2012
Creator:
United States. Government Accountability Office.
Object Type:
Text
System:
The UNT Digital Library
Army Corps of Engineers: Budget Formulation Process Emphasizes Agencywide Priorities, but Transparency of Budget Presentation Could Be Improved
A letter report issued by the Government Accountability Office with an abstract that begins "The U.S. Army Corps of Engineers (Corps) is the world's largest public engineering, design, and construction management agency. In fiscal year 2006 it began incorporating performance information into its budget process, but Congress raised concerns that the criteria used by the Corps to prioritize projects are not transparent and the budget formulation process could achieve a higher return on investment. GAO was asked to (1) describe the information the Corps uses in its budget formulation process and the implications of the process, and (2) evaluate whether the President's recent budget requests for the Corps are presented so that agency priorities are clear and proposed use of funds transparent. GAO reviewed the Corps' internal budget guidance, documentation of its project rankings and budget formulation process, performance review materials, and budget presentation materials. GAO also interviewed Corps and Office of Management and Budget officials."
Date:
April 2, 2010
Creator:
United States. Government Accountability Office.
Object Type:
Report
System:
The UNT Digital Library
Veterans' Health Care: Oversight of Tissue Product Safety
Testimony issued by the Government Accountability Office with an abstract that begins "Data from the Veteran's Health Administration (VHA), within the Department of Veterans Affairs (VA), do not show evidence of VHA receiving contaminated tissue products, although, it is difficult to link adverse events in recipients to such products. VA's National Center for Patient Safety (NCPS), which began operation in 1999, has not issued any patient safety alerts—mandates for action to address actual or potential threats to life or health—or advisories—guidance to address issues such as equipment design and product failure—related to tissue products potentially received by VA medical centers (VAMC) in the last 10 years. NCPS issues patient safety alerts and advisories for recalls that require specific clinical actions to ensure patient safety. Since NCPS began issuing and recording data on recalls in November 2008, NCPS has notified VAMCs of 13 recalls for tissue products from vendors from which VHA could have received affected products—none of these recalls have resulted in patient safety alerts or advisories. For 6 of the recalls, 27 VAMCs reported to NCPS that they had identified and removed the recalled products from their inventories. For the other 7 recalls, none of the VAMCs had the …
Date:
April 2, 2014
Creator:
United States. Government Accountability Office.
Object Type:
Text
System:
The UNT Digital Library
Information Security: Federal Agencies Need to Enhance Responses to Data Breaches
Testimony issued by the Government Accountability Office with an abstract that begins "The number of reported information security incidents involving personally identifiable information (PII) has more than doubled over the last several years (see figure)."
Date:
April 2, 2014
Creator:
United States. Government Accountability Office.
Object Type:
Text
System:
The UNT Digital Library
Energy Conservation and Climate Change: Factors to Consider in the Design of the Nonbusiness Energy Property Credit
A letter report issued by the Government Accountability Office with an abstract that begins "Under criteria for evaluating a tax credit design, both the performance-based and cost-based credits have advantages and disadvantages with neither design being unambiguously the better option based on current information. Both a cost-based and a performance-based credit are designed to reduce energy use and CO2 emissions by providing incentives for energy conservation investment. However, they differ in their relative effectiveness and costs. In general, a performance-based credit is more likely to effectively reduce energy use and CO2 emissions because it rewards energy savings from the investment rather than the cost-based creditÂ’s rewarding of spending regardless of whether this spending results in energy savings. However, the performance-based credit may have significant up-front costs for energy audits, not required by the cost-based credit, which could reduce its effectiveness by discouraging investment. In addition, for taxpayers who do invest, these up-front costs may mean that a performance-based credit may have significantly higher taxpayer compliance and IRS administrative costs than a cost-based credit. A creditÂ’s fairness depends on subjective judgments of how a credit varies with a taxpayerÂ’s income level."
Date:
April 2, 2012
Creator:
United States. Government Accountability Office.
Object Type:
Report
System:
The UNT Digital Library
Survivor Benefits for Families of Civilian Federal Employees and Retirees
This report discusses federal employees with permanent appointments that may be eligible for retirement and disability benefits under either the Civil Service Retirement System (CSRS) or the Federal Employees Retirement System (FERS).
Date:
April 2, 2014
Creator:
Isaacs, Katelin P.
Object Type:
Report
System:
The UNT Digital Library
Federal Research and Development Funding: FY2015
This report provides government-wide, multi-agency, and individual agency analyses of the President's Fiscal Year 2015 request as it relates to R&D and related activities.
Date:
April 2, 2014
Creator:
Sargent, John F., Jr.
Object Type:
Report
System:
The UNT Digital Library
U.S. Travel and Tourism: Industry Trends and Policy Issues for Congress
This report discusses the travel and tourism industry, which is an amalgam of business activities including transportation, lodging, entertainment, meals, and retail trade.
Date:
April 2, 2014
Creator:
Platzer, Michaela D.
Object Type:
Report
System:
The UNT Digital Library
Small Business Administration Trade and Export Promotion Programs
This report begins with the history, role, and scope of SBA's export promotion activities, and the creation of OIT. Next, quantitative data from SBA and qualitative data from other sources are used to provide performance analysis of SBA's international programs. This report concludes with a presentation of three issues for consideration during an era where concerns of fiscal responsibility and economic recovery are high priorities for many policy makers.
Date:
April 2, 2014
Creator:
Lowry, Sean
Object Type:
Report
System:
The UNT Digital Library
Implementation of Chemical Facility Anti-Terrorism Standards (CFATS): Issues for Congress
This report analyzes data from a variety of Department of Homeland Security (DHS) presentations, testimony, and other sources to present a historical overview of the Chemical Facility Anti-Terrorism Standards (CFATS) performance to date. It identifies an ongoing gap between the number of chemical facilities that have received final risk tier assignments and the total number of regulated facilities.
Date:
April 2, 2014
Creator:
Shea, Dana A.
Object Type:
Report
System:
The UNT Digital Library
The Greensheet (Houston, Tex.), Vol. 44, No. 109, Ed. 1 Tuesday, April 2, 2013
Free weekly newspaper that includes business and classified advertising.
Date:
April 2, 2013
Creator:
unknown
Object Type:
Newspaper
System:
The Portal to Texas History
The Greensheet (Houston, Tex.), Vol. 41, No. 106, Ed. 1 Friday, April 2, 2010
Free weekly newspaper that includes business and classified advertising.
Date:
April 2, 2010
Creator:
unknown
Object Type:
Newspaper
System:
The Portal to Texas History
The Greensheet (Houston, Tex.), Vol. 44, No. 110, Ed. 1 Tuesday, April 2, 2013
Free weekly newspaper that includes business and classified advertising.
Date:
April 2, 2013
Creator:
unknown
Object Type:
Newspaper
System:
The Portal to Texas History
North Texas Daily (Denton, Tex.), Vol. 95, No. 40, Ed. 1 Friday, April 2, 2010
Daily student newspaper from the University of North Texas in Denton, Texas that includes local, state and campus news along with advertising.
Date:
April 2, 2010
Creator:
unknown
Object Type:
Newspaper
System:
The Portal to Texas History
Dallas Voice (Dallas, Tex.), Vol. 26, No. 46, Ed. 1 Friday, April 2, 2010
Weekly newspaper from Dallas, Texas that includes local, state, and national news and advertising of interest to the Lesbian, Gay, Bisexual, and Transgender (LGBT) community.
Date:
April 2, 2010
Creator:
Nash, Tammye
Object Type:
Newspaper
System:
The UNT Digital Library
[Roundtable Writer's Breakfast Photograph UNTA_AR0797-172-040-0131]
Photograph taken at the Roundtable Writer's Breakfast held by The Black Academy of Arts and Letters in Dallas, Texas.
Date:
April 2, 2011
Creator:
Dukes, Kevin
Object Type:
Photograph
System:
The UNT Digital Library
[Roundtable Writer's Breakfast Photograph UNTA_AR0797-172-040-0125]
Photograph taken at the Roundtable Writer's Breakfast held by The Black Academy of Arts and Letters in Dallas, Texas.
Date:
April 2, 2011
Creator:
Dukes, Kevin
Object Type:
Photograph
System:
The UNT Digital Library
[Roundtable Writer's Breakfast Photograph UNTA_AR0797-172-040-0052]
Photograph taken at the Roundtable Writer's Breakfast held by The Black Academy of Arts and Letters in Dallas, Texas.
Date:
April 2, 2011
Creator:
Dukes, Kevin
Object Type:
Photograph
System:
The UNT Digital Library
[Roundtable Writer's Breakfast Photograph UNTA_AR0797-172-040-0159]
Photograph taken at the Roundtable Writer's Breakfast held by The Black Academy of Arts and Letters in Dallas, Texas.
Date:
April 2, 2011
Creator:
Dukes, Kevin
Object Type:
Photograph
System:
The UNT Digital Library