Current System. The existing manual driver’s licence register shows that there are approximately 600,000 licences. It is estimated that 80% of these licences are still active. The records also show that approximately 70% of all driver’s’ licences were issued in Dar as Salaam. If the regional distribution of driver’s licences follows a similar distribution pattern as that of the motor vehicles then the number of active licence holders in the major regions would be as shown in the table on Table 1 below Table 1 Transactions per Region (220 working days per year) Region Total Transactions per day if three years transition period Dar es Salaam 250,000 380 Tanga 20,000 30 Arusha 20,000 30 Mwanza 20,000 30 Iringa 15,000 23 Kagera 15,000 23 Kilimanjaro 5,000 8 Mbeya 5,000 8 Morogoro 5,000 8 Zanzibar 5,000 8 Remaining regions 40,000 61 TOTAL 400,000 609
Current System. The Grantee is authorized and required to operate Grantee's Cable System as it exists on the date hereof, including without limitation the existing Institutional Network, and to provide service substantially equivalent to its existing service, within its Franchise Area as of the Effective Date of this Agreement, until such time as the HSN and Institutional Network are upgraded, as provided herein.
Current System while in line with healthcare policy of providing care locally is failing to meet the needs and concerns of most patients living with HIV; a new approach is therefore required to improve care and increase uptake of patients not only in accessing primary care services but in disclosing HIV status and thereby receiving effective healthcare.
Current System. Briefly describe the agency’s existing information technology infrastructure and technical architecture that support the current business processes that will be affected by the proposed project.
Current System. The Department of Disabilities, Aging and Independent Living (DAIL) manages the long-term services and supports for elders and adults with physical disabilities through the state’s Global Commitment to Health, Choices for Care program. Choices for Care pays for services in a variety of settings for people who are Medicaid eligible under long-term care rules and meet nursing home level of care (High/Highest clinical eligibility). Settings include home-based, Adult Family Care, Enhanced Residential Care and Nursing Facility. Choices for Care also provides limited funding for “Moderate Needs” homemaker and adult day services to people who have a lower level of need.Vermont’s Medicaid State Plan covers services in residential care (Assistive Community Care Service’s) and Adult Day (Day Health Rehab) for people who are financially eligible for Vermont Medicaid benefits. As with all Medicaid services, the budget stems from a combination of State General Funds (44.97%) and matched federal funds (55.03%). Medicaid State Plan Health BenefitsFor context it is important to understand that the Department for Vermont Health Access (DVHA) Medicaid Reimbursement Unit currently oversees rate setting, pricing, provider payment and reimbursement methodologies for Vermont State Plan Medicaid benefits for outpatient, inpatient and professional fee services. The unit works to support equitable, transparent and predictable payment policy in order to ensure efficient and appropriate use of Medicaid resources. Because long-term services and supports have historically been de-coupled from traditional Medicaid State Plan health benefits, they are not currently managed under the same rate setting system at DVHA. The DVHA Payment Reform Team supports the Vermont Health Care Innovation Project (VHCIP) which is jointly managed by DVHA and the Green Mountain Care Board. The goal is to create an integrated system of value-based provider payment, care coordination and care management and electronic medical records. For the past several months, DVHA has been working closely with the Visiting Nurse Association of Vermont on the development of a new prospective payment model for their Medicaid State Plan home health services. The target implementation date for the new payment model is July 1, 2016. However, this new payment model does not include any long-term services supports administered through the Global Commitment to Health waiver, including Choices for Care. Nursing Facility RatesThe ...
Current System. The historical methods of corrosion control have been to periodically remove water from the containment pan, control the pH and nitrite/nitrate ratio of the liquid inside the tanks, and maintain a nitrogen purge inside the vaults. The corrosion rate of the tank internals is believed to be controlled in the range of 0.013 to 0.025 mm/yr (0.5 to 1.0 mpy1) (Chang et al. 1999).However, pH and nitrate limits have not been rigorously maintained since waste retrieval operations began, decreasing the level of the confidence of corrosion control. 1Note: mpy = mils per year; a mil is 1/1000 of an inch.Pumps are currently used to remove water from outside and inside the tank vaults. However, there will continue to be a concern that corrosion to the external surfaces of the tanks could eventually result in penetrations during the lay-up period. Corrosion of the external tank walls is primarily from the wet conditions inside the vaults. General corrosion rates determined from corrosion coupons are generally less than 3 mpy and the highest measured rate is 0.188 mm/yr (7.4 mpy) (Chang et al. 1999). The external pitting corrosion rate has been estimated at up to0.3 ± 0.075 mm/yr (12 ± 3 mpy) (Chang et al. 1998). If this rate has been experienced since the tanks were built, there may be little remaining corrosion allowance at locations prone to pitting. The nitrogen inerting system has been in operation since August 1996. The oxygen concentration in the vault exhaust gas has been maintained at about 13.5% to 15.5% (oxygen concentration in air is 21%) even though the system was originally designed to maintain the oxygen concentration below 0.99% (WVNS-DC-065). Assuming an even distribution of nitrogen in the vaults, use of the system has resulted in an estimated decrease in the external corrosion rate of tank 8D-1 by about 33% (Chang et al. 1999). The nitrogen inerting system also reduces the concentration of other impurities in the gas surrounding the tanks, such as sulfur dioxide, that can also accelerate corrosion.