The lca/CSAs membership has also agreed to comply with the lca/csa voluntary management Practices to reduce the Transfer of Aquatic nuisance Species within the Great lakes. And Canadian Domestic Shipping, dated January 26, 2001, while operating anywhere within the Great lakes seaway system. May 5TH 2008 ballast water inspection demonstration (montreal, quebec). Press releases concerning ballast water, links to ballast water regulations, seaway regulations - practices and Procedures Section 30 (2). Seaway ballast Water Reporting Form, directions for Submission of the. Lawrence seaway ballast Water Reporting Form.
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Coast guard regulations and Transport Canadas Ballast Water Control and Management Regulations with Canadian guidelines for Ballast Water Management require all ships destined for Great lakes ports from beyond the exclusive economic zone (EEZ) to exchange their ballast at sea. If the ships have not complied, they are required to retain the ballast water on board, pump the ballast water ashore, treat the ballast water in an environmentally sound manner or return to sea to conduct a ballast water exchange. In addition, per Transport Canada and new seaway regulations, ships coming from outside waters under Canadian jurisdiction, declaring no ballast on board, must ensure that the residual ballast water in tanks has been exposed to salinity conditions equivalent to ballast water exchange by complying with. Additionally, ships that do not operate beyond the eez but do operate within the Great lakes and seaway (i.e., lakers) must agree to comply with the voluntary management Practices to reduce the Transfer of Aquatic nuisance Species within the Great lakes. And wallpaper Canadian Domestic Shipping, dated January 26, 2001. These voluntary management practices require ships to agree to regular inspections of ballast tanks and regular removal of sediment. Shipping Federation of Canada (SFC) and lake carriers Association (lca canadian Shipowners Association (CSA) Committed to reducing the Introduction of ans. The sfc and the lca/csa have taken a pro-active stance to the matter of introduction and/or transfer of ans via ballast water and in 2000/2001 voluntarily agreed to certain preventive measures to reduce the spread of ans. The above mentioned associations have tabled a series of ballast water management practices that their membership companies have agreed to conduct prior to obtaining clearance to transit the Great lakes seaway system in order to prevent the introduction and/or transfer of ans. The Shipping Federations of Canadas membership has agreed to comply with the sfc code of Best Practices for Ballast Water Management, dated September 28, 2000, when operating beyond the eez and while operating anywhere within the Great lakes seaway system.
The cargo is then transported to overseas ports, in Belgium, the netherlands, Algeria, italy, spain, venezuela, and the United Kingdom, amongst others. Regulatory bodies test the salinity in ballast tanks in order to confirm that the salinity meets the minimum required salinity of 30 ppt (parts per thousand). In addition, non-pumpable or nobob tanks are tested fruit to determine salinity or condition of the tank ensuring proper saltwater flushing has been completed. Ships will be issued a letter of retention from the appropriate agency(s) if a ballast tank does not comply with the minimum salinity of 30 ppt and/or the condition of the tank indicates improper saltwater flushing. Ships can alternately choose to return to sea and conduct an appropriate exchange, treat or pump ashore as approved by Transport Canada and the. Ballast Water Regulations for the Great lakes seaway system. Today, ballast water management requirements in the Great lakes. Lawrence seaway system are the most stringent in the world.
Ballast Water Management on the Great lakes seaway system. On arrival in the Great lakes seaway system, ships declaring "no ballast on board" generally off-load cargo teresa in ports in the lower lakes and thereafter take on ballast water and proceed to a series of Great lakes ports in the upper lakes to pick. During these short voyages, the residual un-pumpable ballast water from overseas ports is mixed with Great lakes ballast water and can be discharged into the ports of call in the upper lakes where cargo is generally loaded. The trading patterns of transoceanic ships (salties) to the seaway reveal a possible route for the introduction of ans. For example, cargoes such as iron and steel products carried by salties generally arrive from ports in Belgium, the netherlands, Brazil, France, germany, russia, poland, Spain, turkey, and the United Kingdom. It is common for ships to discharge part of their cargo at lower-lakes ports as they travel farther west in the Great lakes basin, taking on more ballast water as they unload cargo. From their final discharge port, the salties normally transit in a ballast condition to pick up cargo for their outgoing voyage.
When ships uptake ballast water, small marine organisms and sediment suspended in the water can be captured in the ballast water. Ships could then transport these organisms, often in a viable condition, across natural biological barriers to other areas where they are released and may become invasive. Efforts to prevent and curb the introduction of aquatic nuisance species (ANS) are taking place at international, national and local levels. The marine Environment Protection Committee (mepc) at the International Maritime Organization (IMO) and other related subcommittees have made significant progress toward an international ballast water management policy which includes a ballast water discharge standard. Even when fully loaded with cargo, ships commonly referred to as nobobs no ballast on board are rarely completely empty of ballast water. There is clearance below the bell mouths of the ballast lines in the ballast tanks to avoid clogging that makes some water un-pumpable using standard ballast pumps. This residual ballast water can be a mixture of water and sediment from ports recently visited around the globe. The residuals may be transported to the next port of call and become resuspended in the ballast water during subsequent ballast uptake.
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In addition, the Office of the national coordinator for health Information Technology (onc department of health and Human Services (hhs also released the final rule on 2015 Edition health Information Technology (Health IT) Certification Criteria, 2015 Edition Base Electronic health Record (EHR) Definition, and onc. Below you will find links to these donne final Rules. Introduction, what is Ballast Water and Why Ships Carry ballast Water. Ballast water is carried in ships to provide stability and trim. A ships ability to take on and discharge ballast water is fundamental to its safe operation.
As a ship loads or unloads cargo or takes on or consumes fuel, the ship must accommodate changes to its displacement and trim by taking on or discharging ballast water. Ballast water is taken on through openings near or on the bottom of a ships hull and is pumped in or out of a ship through piping connected to ballast pumps which are located in the ships lower machinery space. Without these ballast water operations, ships cannot be operated safely: ballast water intake and discharge provides proper stability and trim, minimizes hull stress, aids or allows maneuvering, and reduces ship motions of roll and pitch. The water pumped into a ships ballast tanks must inevitably be pumped out when the ship takes on cargo. Ballast uptake and discharge most often occurs in port during cargo operations, but may also occur while the ship is in transit on the open lake or through connecting waterways to maintain proper trim and stability. Ballast Water is a global Issue. Ballast water has received considerable attention globally over the past several years.
Public health will need to both test capability of systems to report and actually receive data where required and accepted. Public health will seek to expand current case reporting between hospitals/providers and public health and increase capacity for data management and analysis. There will be a need to coordinate across programs, state health information technology (HIT) coordinators, state health Information Exchange (HIE) plans, and cms. Below you will find links to the final Rule for mu stage 1: meaningful Use Stage 2, on August 23, 2012 the centers for Medicare medicaid Services and Office of the national coordinator for health it released 1) final requirements for Stage 2 meaningful Use. In Stage 2 mu, the Eligible Professionals (EPs) must meet or qualify for an exclusion to 17 core objectives and 3 of 6 menu set objectives. Similarly, the Eligible hospitals (EHs) and Critical Access Hospitals (CAHs) must meet or qualify for an exclusion to 16 core objectives and 3 of 6 menu objectives.
This final rule delays the onset of Stage 2 mu criteria until 2014; the start date for EHs will be October 1st, 2013 and for EPs it will be january 1st, 2014. Specific to the Stage 2 mu public health objectives, the capability to submit electronic data for Immunizations is in the core set for EPs, and the capability to submit electronic data for Immunizations, reportable laboratory results and Syndromic Surveillance are all in the core set. In addition, two new public health objectives for EPs have been added to the menu set, they include the capability to identify and report 1) cancer cases to a cancer registry and 2) specific cases to a specialized registry (other than a cancer registry). Below you will find links to the final Rule for mu stage 2: Modified meaningful Use Stage 2 (2015-2017) and Stage 3 meaningful Use. On October 16, 2015, the centers for Medicare medicaid Services (CMS) released the final rule on Medicare and Medicaid Programs, Electronic health Record Incentive program—Stage 3 and Modifications to meaningful Use in 20This final rule specifies the requirements that eligible professionals (EPs eligible hospitals, and. For Modified Stage 2 in 20, the ep's would be required to attest to any combination of two measures out of three (Stage must meet at least 1 measure in 2015, Stage 2 EPs must meet at least 2 measures in 2015, and all EPs. For Stage 3 MU(Optional in 2017 and Mandatory in 2018) EPs would be required to attest to any combination of two measures out of five and EHs and cahs would be required to attest to any combination of four measures out of six.
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The cms final rule requirements have been divided into 15 book core set objectives, and 10 menu set objectives (where there is an option to pick 5. However, it is mandatory to include at least one population/public health measure). In the future, onc and cms intend to propose expansion on the stage 1 criterion where it is likely that the currently proposed menu set of measures will be transitioned into the core set for stage. Hitech is a powerful opportunity for public health. With a phased approach, by 2015 public health will have more and stronger partners working to improve population health. There is increased opportunity to reduce disparities, control chronic diseases, and build a health promoting healthcare system that is accountable for the health of our communities and our country. For 2011, the public health community is working to assess and ensure readiness in Immunization Information Systems (iis electronic Laboratory reporting (ELR) and Syndromic Surveillance (SS).
Engage patients and families in their health. Improve writer care coordination, improve population and public health, ensure adequate privacy and security protection for personal health information. Cms grants an incentive payment to Eligible Professionals (EPs) or Eligible hospitals (EHs who can demonstrate that they have engaged in efforts to adopt, implement or upgrade certified ehr technology. In order to encourage widespread ehr adoption, promote innovation and to avoid imposing excessive burden on healthcare providers, meaningful use was showcased as a phased approach, which is divided into three stages which span 2011 (data capture and sharing 2013 (advanced clinical processes) and 2015. The incentive payments range from 44,000 over 5 years for the medicare providers and 63,750 over 6 years for Medicaid providers (starting in 2011). Participation in the cms ehr incentive program is totally voluntary, however if EPs or EHs fail to join in by 2015, there will be negative adjustments to their Medicare/Medicaid fees starting at 1 reduction and escalating to 3 reduction by 2017 and beyond. Meaningful Use Stage 1, on July 13, 2010, cms/onc displayed the final rules as related to meaningful use in the context of objectives and measures and standards, implementation and vocabulary respectively. The final rules were published in the. Federal Register on July 28, 2010, and became effective on September 26, 2010.
American reinvestment recovery Act (arra) was enacted on February 17, 2009. Arra includes many measures to modernize our nation's infrastructure, one of which is the "Health Information Technology for Economic and Clinical health (hitech) Act". The hitech act supports the concept of electronic health records - meaningful use ehr-mu, an effort led by centers for Medicare medicaid Services (. Cms ) and the Office of the national coordinator for health it (ONC). Hitech proposes the meaningful use of interoperable electronic health records throughout the United States health care delivery system as a critical national goal. Meaningful Use is defined by the use of certified ehr technology in a meaningful manner (for example electronic prescribing ensuring that the certified ehr technology is connected in a manner that provides for the electronic exchange of health information to improve the quality of care;. The concept of meaningful use rested on the '5 pillars' of health outcomes policy priorities, namely: Improving quality, safety, efficiency, and reducing health disparities.
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Wri is a global research organization that turns big ideas into action at the nexus of environment, economic opportunity and human well-being. Browse our work, blog, why Climate Change is a security matter by - july 06, 2018, the niger Delta, lush with waters from Niger river, is a veritable oasis at the edge of the sahara. It is remote, remarkable and a reminder of the complex interplay between some some of the biggest issues facing Europe and climate change. The human Cost of Climate Change by - july 02, 2018. Home is a place of stability and security. It is a place where families come together to work towards and celebrate mutual prosperity. But from as the human and economic toll of climate change continues to rise, we face legitimate risk of this sense of home being uprooted. Mdb climate finance in 2017: The good, the bad and the Urgent by, and - june 29, 2018.