PubMed · 10276146
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D J Murray. 1986. How to evaluate programs by performance auditing.. https://pubmed.ncbi.nlm.nih.gov/10276146/
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This issue brief focuses on the impact of recent budget shortfalls that many states are experiencing after several years of strong revenue growth. It describes the structure and sources of state revenues and spending and the causes of the recent shortfall. It also summarizes the fiscal trends and federal policies that could result in significant budget shortfalls in the future. Speakers at the Forum session will expand on these topics, give examples of state approaches in addressing the current shortfall, and provide projections on how states will fare in their next budget cycle. The meeting will also provide an opportunity for speakers and participants to explore the ramifications of the budget shortfalls for health and social service programs and policies.
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Operational and administrative considerations for the development and implementation of either multileaf collimation (MLC) or non-MLC-based intensity-modulated radiation therapy (IMRT) will be discussed with respect to the impact that this will have on a radiation oncology department. The methodologies that are used in the development process will be reviewed in both the operational and administrative components. Operational issues addressing the potential clinical impact the department will experience, along with the beneficial outcome for the patients, will be major points in this review process. Administrative considerations generally focus on the financial impact that the department and hospital will have to deal with in determining cost benefits of this capital expenditure. This overview will focus on some key discussion points with the incorporation of MLC and IMRT into a radiation oncology department treatment program.