quality

DNREC now accepting grant proposals for community water quality improvement projects

DNREC’s Division of Watershed Stewardship is now accepting project proposals for matching grants for community water quality improvement projects.




quality

Maharashtra agri body seeks procurement of grade 2 & 3 quality cotton

Ginning units are not keen on buying cotton since most of the workers have left for their villages and they do not have the capital to buy cotton and other processing units are also shut.




quality

Covid-19 impact: Asset quality could come under stress, says IndusInd Bank CEO

The lender’s gross NPAs stood at 2.45% of gross advances as on March 31, 2020, up from 2.18% on December 31, 2019, while the net NPA ratio stood at 0.91% of net advances as on March 31, 2020, down from 1.05% on December 31, 2019.




quality

Air quality picking up in quarantined countries

Air quality is improving in countries under coronavirus quarantines, experts say, but it is far too early to speak of long-term change.




quality

Air quality improves in India amid coronavirus lockdown, says Central Pollution Control Board

The nationwide 'Janta Curfew' on March 22 and the 21-day lockdown imposed since March 24 to combat the coronavirus outbreak have resulted in a significant improvement in air quality.




quality

Coronavirus Lockdown: After improvement in air quality, scientists record drop in seismic vibrations under Earth surface

The report claims that the development could help seismologists detect earthquakes of even very small magnitude, signals of which were earlier drowned in the cacophony produced by various activities.




quality

Kolkata air quality deteriorates after people burst crackers in response to 9 pm-9min call

An official at the West Bengal Pollution Control Board (WBPCB) said air quality index (AQI) hovered between 100 and 150 (particulate matter 2.5) in Kolkata -- a spike from 'satisfactory' to 'moderate' level, amid the lockdown.




quality

Delhi air quality: Lockdown cuts PM2.5, PM10 levels by half in national capital

In its report, the CPCB said, "Significant reduction in PM2.5, PM10 and NO2 levels observed. Overall, 46 per cent reduction in PM2.5 and 50 per cent reduction in PM10 concentration observed during the lockdown period."




quality

SemiEngineering Article: Why IP Quality Is So Difficult to Determine

Differentiating good IP from mediocre or bad IP is getting more difficult, in part because it depends upon how and where it is used and in part, because even the best IP may work better in one system than another—even in chips developed by the same vendor.  

So, how do you measure IP quality and why it is so complicated?

The answer depends on who is asking. Most of the time, the definition of IP quality depends on your vantage point.  If you are an R&D manager, IP quality means something. If you are a global supply manager, IP quality means something else. If you are an SoC start-up, your measure of quality is quite different from that of an established fabless company. If you are designing IP in-house, then your considerations are very different than being a commercial IP vendor. If you are designing an automotive SoC, then we are in a totally different category. How about as an IP vendor? How do you articulate IP quality metrics to your customers?

This varies greatly by the type of IP, as well. When it comes to interface (hard) IP and controllers, if you are an R&D manager, your goal is to design IP that meets the IP specifications and PPA (power, performance, and area) targets. You need to validate your design via silicon test chips. This applies to all hard PHYs, which must be mapped to a particular foundry process. For controllers that are in RTL form—we called these soft IP—you have to synthesize them into a particular target library in a particular foundry process in order to realize them in a physical form suitable for SoC integration. Of course, your design will need to go through a series of design validation steps via simulation, design verification and passing the necessary DRC checks, etc. In addition, you want to see the test silicon in various process corners to ensure the IP is robust and will perform well under normal process variations in the production wafers.

For someone in IP procurement, the measure of quality will be based on the maturity of the IP. This involves the number of designs that have been taped out using this IP and the history of bug reports and subsequent fixes. You will be looking for quality of the documentation and the technical deliverables. You will also benchmark the supplier’s standard operating procedures for bug reporting and technical support, as well as meeting delivery performance in prior programs. This is in addition to the technical teams doing their technical diligence.

An in-house team that is likely to design IP for a particular SoC project will be using an established design flow and will have legacy knowledge of last generation’s IP. They may be required to design the IP with some reusability in mind for future programs. However, such reusability requirements will not need to be as stringent and as broad as those of commercial IP vendors because there are likely to be established metrics and procedures in place to follow as part of the design team’s standard operating procedures. Many times, new development based on a prior design that has been proven in use will be started, given this stable starting point. All of these criteria help the team achieve a quality outcome more easily.

Then, if designing for an automotive SoC, additional heavy lifting is required.  Aside from ensuring that the IP meets the specifications of the protocol standards and passes the compliance testing, you also must pay attention to meeting functional safety requirements. This means adherence to ISO 26262 requirements and subsequently achieving ASIL certification. Oftentimes, even for IP, you must perform some AEC-Q100-related tests that are relevant to IP, such as ESD, LU, and HTOL.

To read more, please visit: https://semiengineering.com/why-ip-quality-is-so-difficult-to-determine/




quality

Did You “Stress Test” Yet? Essential Step to Ensure a Quality PCIe 4.0 Product

The PCI-SIG finalized the PCIe 4.0 specification with doubling the data to 16GT/s from 8GT/s in PCIe 3.0 in 2017. Products implementing this technology have begun to hit the market in 2019. Earlier this year, AMD announced it X570 chipset would support the PCIe 4.0 interface and Phison also introduced the world’s first PCIe 4.0 SSD.  With the increasing companies are working on PCIe 4.0 related product development, Cadence, as the key and leading PCIe IP solution vendor in the market, has strived for continuous enhancement of its PCIe 4.0 to be the best in the class IP solution. From our initial PCIe 4.0 solution in 4 years ago (revealed in 2015), we have made many advancements and improvements adding features such as Multi-link with any lane assignment, U.2/U.3 connector, and Automotive support. The variety of applications that PCIe4 finds a home in require extensive robustness and reliability testing over and above the compliance tests mandated by the standard body, i.e., PCI-SIG.

PCIe 4.0 TX Eye-Diagram, Loop-back Test (Long-reach) and RX JTOL Margin Test

Cadence IP team has also implemented additional "stress tests" in conjunction to its already comprehensive IP characterization plan, covering electrical, functional, ESD, Latch-up, HTOL, and yield sorting. Take the Receiver Jitter Tolerance Test (JTOL) for instance. JTOL is a key index to test the quality of the receiver of a system. This test use data generator/analyzer to send data to a SerDes receiver which is then looped back through the transmitter back to the instrument. The data received is compared to the data generated and the errors are counted. The data generator introduce jitter into the transmit data pattern to see how well the receiver functions under non-ideal conditions. While PCI-SIG compliance can be obtained on a single lane implementation, real world scenarios require wider implementations under atypical operating conditions. Cadence’s PCIe 4.0 IP was tested against to additional stressed conditions, such as different combination of multi-lanes operations, “temperature drift” conditions, e.g., bring up the chip at room temperature and check the JTOL at high temperature. 

PCIe 4.0 Sub-system Stress Test Setup

Besides complying with electrical parameters and protocol requirements, real world systems have idiosyncrasies of their own. Cadence IP team also built a versatile “System test” setup in house to perform a system level stress test of its PCIe 4.0 sub-system. The Cadence PCIe 4.0 sub-system is connected to a large number of server and desktop motherboards. This set up is tested with 1000s of cycles of repeated stress under varying operating conditions. Stress tests include speed change from 2.5G all the way to 16G and down, link enable/disable, cold boot, warm boot, entering and exiting low power states, and BER test sweeping presets across different channels. Performing this level of stress test verifies that our IP will operate to spec robustly and reliably when presented with the occasional corner cases in the real world.

More Information

For the demonstration of Cadence PCIe4 PHY Receiver Test and Sub-system Stress Test, see the video:

For more information on Cadence's PCIe IP offerings, see our PCI Express page.

For more information on PCIe in general, and on the various PCI standards, see the PCI-SIG website.

Related Posts




quality

India’s Problem is Poverty, Not Inequality

This is the 16th installment of The Rationalist, my column for the Times of India.

Steven Pinker, in his book Enlightenment Now, relates an old Russian joke about two peasants named Boris and Igor. They are both poor. Boris has a goat. Igor does not. One day, Igor is granted a wish by a visiting fairy. What will he wish for?

“I wish,” he says, “that Boris’s goat should die.”

The joke ends there, revealing as much about human nature as about economics. Consider the three things that happen if the fairy grants the wish. One, Boris becomes poorer. Two, Igor stays poor. Three, inequality reduces. Is any of them a good outcome?

I feel exasperated when I hear intellectuals and columnists talking about economic inequality. It is my contention that India’s problem is poverty – and that poverty and inequality are two very different things that often do not coincide.

To illustrate this, I sometimes ask this question: In which of the following countries would you rather be poor: USA or Bangladesh? The obvious answer is USA, where the poor are much better off than the poor of Bangladesh. And yet, while Bangladesh has greater poverty, the USA has higher inequality.

Indeed, take a look at the countries of the world measured by the Gini Index, which is that standard metric used to measure inequality, and you will find that USA, Hong Kong, Singapore and the United Kingdom all have greater inequality than Bangladesh, Liberia, Pakistan and Sierra Leone, which are much poorer. And yet, while the poor of Bangladesh would love to migrate to unequal USA, I don’t hear of too many people wishing to go in the opposite direction.

Indeed, people vote with their feet when it comes to choosing between poverty and inequality. All of human history is a story of migration from rural areas to cities – which have greater inequality.

If poverty and inequality are so different, why do people conflate the two? A key reason is that we tend to think of the world in zero-sum ways. For someone to win, someone else must lose. If the rich get richer, the poor must be getting poorer, and the presence of poverty must be proof of inequality.

But that’s not how the world works. The pie is not fixed. Economic growth is a positive-sum game and leads to an expansion of the pie, and everybody benefits. In absolute terms, the rich get richer, and so do the poor, often enough to come out of poverty. And so, in any growing economy, as poverty reduces, inequality tends to increase. (This is counter-intuitive, I know, so used are we to zero-sum thinking.) This is exactly what has happened in India since we liberalised parts of our economy in 1991.

Most people who complain about inequality in India are using the wrong word, and are really worried about poverty. Put a millionaire in a room with a billionaire, and no one will complain about the inequality in that room. But put a starving beggar in there, and the situation is morally objectionable. It is the poverty that makes it a problem, not the inequality.

You might think that this is just semantics, but words matter. Poverty and inequality are different phenomena with opposite solutions. You can solve for inequality by making everyone equally poor. Or you could solve for it by redistributing from the rich to the poor, as if the pie was fixed. The problem with this, as any economist will tell you, is that there is a trade-off between redistribution and growth. All redistribution comes at the cost of growing the pie – and only growth can solve the problem of poverty in a country like ours.

It has been estimated that in India, for every one percent rise in GDP, two million people come out of poverty. That is a stunning statistic. When millions of Indians don’t have enough money to eat properly or sleep with a roof over their heads, it is our moral imperative to help them rise out of poverty. The policies that will make this possible – allowing free markets, incentivising investment and job creation, removing state oppression – are likely to lead to greater inequality. So what? It is more urgent to make sure that every Indian has enough to fulfil his basic needs – what the philosopher Harry Frankfurt, in his fine book On Inequality, called the Doctrine of Sufficiency.

The elite in their airconditioned drawing rooms, and those who live in rich countries, can follow the fashions of the West and talk compassionately about inequality. India does not have that luxury.



© 2007 IndiaUncut.com. All rights reserved.
India Uncut * The IU Blog * Rave Out * Extrowords * Workoutable * Linkastic




quality

India’s Problem is Poverty, Not Inequality

This is the 16th installment of The Rationalist, my column for the Times of India.

Steven Pinker, in his book Enlightenment Now, relates an old Russian joke about two peasants named Boris and Igor. They are both poor. Boris has a goat. Igor does not. One day, Igor is granted a wish by a visiting fairy. What will he wish for?

“I wish,” he says, “that Boris’s goat should die.”

The joke ends there, revealing as much about human nature as about economics. Consider the three things that happen if the fairy grants the wish. One, Boris becomes poorer. Two, Igor stays poor. Three, inequality reduces. Is any of them a good outcome?

I feel exasperated when I hear intellectuals and columnists talking about economic inequality. It is my contention that India’s problem is poverty – and that poverty and inequality are two very different things that often do not coincide.

To illustrate this, I sometimes ask this question: In which of the following countries would you rather be poor: USA or Bangladesh? The obvious answer is USA, where the poor are much better off than the poor of Bangladesh. And yet, while Bangladesh has greater poverty, the USA has higher inequality.

Indeed, take a look at the countries of the world measured by the Gini Index, which is that standard metric used to measure inequality, and you will find that USA, Hong Kong, Singapore and the United Kingdom all have greater inequality than Bangladesh, Liberia, Pakistan and Sierra Leone, which are much poorer. And yet, while the poor of Bangladesh would love to migrate to unequal USA, I don’t hear of too many people wishing to go in the opposite direction.

Indeed, people vote with their feet when it comes to choosing between poverty and inequality. All of human history is a story of migration from rural areas to cities – which have greater inequality.

If poverty and inequality are so different, why do people conflate the two? A key reason is that we tend to think of the world in zero-sum ways. For someone to win, someone else must lose. If the rich get richer, the poor must be getting poorer, and the presence of poverty must be proof of inequality.

But that’s not how the world works. The pie is not fixed. Economic growth is a positive-sum game and leads to an expansion of the pie, and everybody benefits. In absolute terms, the rich get richer, and so do the poor, often enough to come out of poverty. And so, in any growing economy, as poverty reduces, inequality tends to increase. (This is counter-intuitive, I know, so used are we to zero-sum thinking.) This is exactly what has happened in India since we liberalised parts of our economy in 1991.

Most people who complain about inequality in India are using the wrong word, and are really worried about poverty. Put a millionaire in a room with a billionaire, and no one will complain about the inequality in that room. But put a starving beggar in there, and the situation is morally objectionable. It is the poverty that makes it a problem, not the inequality.

You might think that this is just semantics, but words matter. Poverty and inequality are different phenomena with opposite solutions. You can solve for inequality by making everyone equally poor. Or you could solve for it by redistributing from the rich to the poor, as if the pie was fixed. The problem with this, as any economist will tell you, is that there is a trade-off between redistribution and growth. All redistribution comes at the cost of growing the pie – and only growth can solve the problem of poverty in a country like ours.

It has been estimated that in India, for every one percent rise in GDP, two million people come out of poverty. That is a stunning statistic. When millions of Indians don’t have enough money to eat properly or sleep with a roof over their heads, it is our moral imperative to help them rise out of poverty. The policies that will make this possible – allowing free markets, incentivising investment and job creation, removing state oppression – are likely to lead to greater inequality. So what? It is more urgent to make sure that every Indian has enough to fulfil his basic needs – what the philosopher Harry Frankfurt, in his fine book On Inequality, called the Doctrine of Sufficiency.

The elite in their airconditioned drawing rooms, and those who live in rich countries, can follow the fashions of the West and talk compassionately about inequality. India does not have that luxury.

The India Uncut Blog © 2010 Amit Varma. All rights reserved.
Follow me on Twitter.




quality

Researchers Work to Clone Strong, High-quality Forest Trees

University of Georgia researchers are working to produce faster-growing sweetgum trees by growing embryogenic sweetgum cultures in bioreactors, computer-operated systems used for growing cells under controlled conditions.




quality

Making the Right Decision – the Public Sector Equality Duty and Planning

In recent years the importance of paying ‘due regard’ to the Public Sector Equality Duty (PSED)1 when it comes to decisions to reduce or withdraw local authority services in response to the austerity agenda has been underlined by a serie...




quality

The risk of fishing expeditions in the context of public procurement law challenges: a price worth paying to ensure transparency and equality of treatment? (Bombardier v Merseytravel)

Introduction In a recent judgment on an application to vary consent orders relating to the establishment of a confidentiality ring (Bombardier Transportation UK Limited v Merseytravel [2017] EWHC 726 (TCC)), the court decided that despite some conce...




quality

IHC HR e-briefing 119 - Equality Act 2010: public sector duties

The Government Equalities Office (GEO) has launched a consultation into the specific public sector duties that it intends to apply to certain public bodies pursuant to section 153 of the Equality Act 2010. The proposals affect public bodies operati...




quality

Equality Act 2010: public sector duties

The Government Equalities Office (GEO) has launched a consultation into the specific public sector duties that it intends to apply to certain public bodies pursuant to section 153 of the Equality Act 2010. The proposals affect public bodies operati...




quality

IHC HR e-briefing 125 - Equality Act 2010: public sector duties in Wales and Scotland

The Scottish Government and the Welsh Assembly Government have issued consultation documents setting out their plans for specific duties for their respective relevant public bodies. These specific duties will supplement the new general duty, introdu...




quality

Eversheds' IHC HR e-briefing 144: Progress on public sector specific equality duties

The Government Equalities Office (GEO) is proposing to make significant changes to the planned specific equality duties that will apply to certain public bodies in England, as well as some operating across Great Britain. The Welsh Assembly Governme...





quality

Diamondback Energy: Quality Guidance From Management




quality

Final Report of the Brydon review into the quality and effectiveness of audit published

  On 18 December 2019, the Government published the final report of the independent review undertaken by Sir Donald Brydon into the quality and effectiveness of audit (Report). The Report contains recommendations ...




quality

Local Government Briefing Note 5 of 2013 - Equality Act 2010: Technical Guidance on the Public Sector Equality Duty

? Recently, the Equality and Human Rights Commission EHRC published detailed technical guidance for those public sector bodies seeking to comply with the Public Sector Equality Duty (PSED). There is separate guidance for Scotland, England and Wales....




quality

Ensuring Russia’s Sex Workers’ Rights Essential for Wider Gender Equality

Ensuring sex workers’ rights was essential, not just for the workers themselves, but for any country’s wider society, including public health

The post Ensuring Russia’s Sex Workers’ Rights Essential for Wider Gender Equality appeared first on Inter Press Service.




quality

Education briefing - Equality and Human Rights Commission publishes report on its inquiry into racial harassment in Higher Education

Last December, the Equality and Human Rights Commission (EHRC) launched an inquiry into racial harassment in Higher Education. On 23 October 2019 the EHRC published its report “Tackling racial harassment: universities challenged” under t...




quality

Education briefing – General Election 2019 – what are the parties saying about key issues for the sector on employment, equality, Brexit and immigration?

  With the General Election 2 weeks away the manifestos have been published. All of them - to varying degrees - containing promises on what the relevant party will do in the education sector if it is successful in the election. Full Article



quality

Quality development projects, guaranteed -- by Donald Lambert

Guarantees are one of government’s most powerful financing tools for mobilizing private sector participation in development projects.




quality

The surprising link between trade finance and gender equality -- by Steven Beck

To level the playing field in Asia and the Pacific, women-owned companies need financial backing to support their importing and exporting needs.




quality

Health care must be affordable and accessible, but also high quality -- by Valerie Shelly, Susann Roth, Kirthi Ramesh

Universal health coverage must be high quality to improve patients’ health outcomes




quality

Building the Future of Quality Infrastructure

This video introduces the book "Building the Future of Quality Infrastructure".




quality

Building the Future of Quality Infrastructure

Infrastructure is crucial for fostering countries’ economic development and prosperity.




quality

Steep rentals, lack of quality retail real estate making it tough for luxury brands to expand business in India

MUMBAI/DELHI: Niche luxury brands like Italian suit maker Kiton and British shoemaker John Lobb have started bespoke made-to-order services in India, but they are in no hurry to open swanky stores in the country. Reason: inability to find a place on the right location at reasonable rates. “Rentals in India are as high as international markets, but the demand is not as much,” said Pratik Dalmia, founder of Mumbai-based Regalia Luxury, which has the rights to market and sell Kiton and John Lobb brands in India. Steep rentals and lack of quality retail real estate at strategic locations near high-income neighbourhoods are making it hard for luxury brands to expand […]




quality

HARMAN Celebrates Women's Equality Day: Q&A with Carmen Blanco

Women's Equality Day began in 1920, as a celebration in the United States of the momentous adoption of the 19th amendment, which allowed women to vote. Although women have made tremendous progress in their fight for equality, there is still a lot of work...




quality

Musicians Expose the Decline of Sound Quality in New Film “The Distortion of Sound”

LOS ANGELES, CALIF. – "The Distortion of Sound,” a documentary exposing the decline of sound and how technology has changed the way we listen to music, premieres this evening at an invitation-only event at the GRAMMY® Museum in Los Angeles, California. Following tonight’s screening, the documentary will air on “The Distortion of Sound” YouTube channel, DistortionofSound.com, the Sundance Channel the IFC Channel on July 23 at 6 p.m. ET and PT.*




quality

New JBL® Aftermarket Amplifiers Offer Unmatched Audio Quality for Drivers

IFA 2015, BERLIN – HARMAN International Industries, Incorporated (NYSE:HAR), the premier connected technologies company for automotive, consumer and enterprise markets, today announced the world’s first aftermarket amplifiers to feature HARMAN’s Clari-Fi...




quality

The Driving Forces for Increased Quality Assurance in the Automotive Industry

It’s evident that the automotive industry has come a long way since the creation of the first moving assembly line in 1913. In today’s age, the advent of connected and self-driven cars has unleashed unheard-of levels of autonomy. While the fast paced...




quality

Quality 2020: Problem Solving to Connect People, Processes, and Technology

In business and in life, measuring progress is a crucial step to staying on track and achieving your goals. After all, how can you determine how far you’ve come without looking back to where you began? As HARMAN continues to celebrate World Quality...




quality

Air Quality Better in Northeast, Midwest

Title: Air Quality Better in Northeast, Midwest
Category: Health News
Created: 4/28/2010 8:10:00 AM
Last Editorial Review: 4/28/2010 12:00:00 AM




quality

Analysis Finds Clinical Trials Often Small, of Poor Quality

Title: Analysis Finds Clinical Trials Often Small, of Poor Quality
Category: Health News
Created: 5/1/2012 6:05:00 PM
Last Editorial Review: 5/2/2012 12:00:00 AM




quality

U.S. Air Quality Improvements Are Lagging

Title: U.S. Air Quality Improvements Are Lagging
Category: Health News
Created: 5/1/2018 12:00:00 AM
Last Editorial Review: 5/1/2018 12:00:00 AM




quality

Cardiac Rehab Boosts Quality of Life After Heart Attack: Study

Title: Cardiac Rehab Boosts Quality of Life After Heart Attack: Study
Category: Health News
Created: 4/27/2020 12:00:00 AM
Last Editorial Review: 4/28/2020 12:00:00 AM




quality

Oral Health-Related Quality of Life of Children: An Assessment of the Relationship between Child and Caregiver Reporting

Purpose: Oral and craniofacial conditions or diseases can impact an individual's health and quality of life. The purpose of this study was to assess the perceived oral health related quality of life (OHRQoL) of children, and evaluate the reported level of agreement between caregivers and their children.Methods: Purposive sampling was used to recruit children ages 8-15, and their caregivers from a dental clinic in a pediatric hospital for this descriptive, cross-sectional study. A modified version of a validated measure, Child Oral Health Impact Profile-Short Form (COHIP-SF), was used for a 22-item questionnaire encompassing three subscales: oral health, functional well-being, and social emotional well-being. Two additional items were included to assess child/caregiver's level of agreement. A dental chart review was also conducted to assess the child's overbite, overjet, and decayed surfaces. Data were analyzed through descriptive statistics and examined for assumptions of normality and linearity.Results: Sixty child/caregiver pairs (n=120) participated in this study. Overbite, overjet and decayed surfaces were not found to be related to any OHRQoL variable, including child/caregiver ratings and overall agreement (p>.05). Average OHRQoL scores for caregivers found to be more positive those of their children (p=.02). Agreement between caregivers and the child's gender was shown to be significant (p=.01). Female child scores differed significantly from males with respect to their caregiver responses (p=.02). Caregivers rated a higher OHRQoL for female children, thus overestimating their female child's reported OHRQoL.Conclusions: The moderate level of agreement found between children and caregivers reinforces the importance of including the child, as well as the caregiver, when assessing OHRQoL.




quality

Eliminating Patient Identified Barriers to Decrease Medicaid Inpatient Admission Rates and Improve Quality of Care

Background and Objectives:

The goal of this study was to decrease admission and readmission rate for the 2296 Medicaid patients in our clinic. Our focus was to eliminate patient identified barriers to care that led to decreased quality of care. The identified barriers for our clinic included distance to care, poor same-day access, communication, and fragmented care. A team-based, collaborative approach using members from all aspects of patient care.

Methods:

An initial survey identified which barriers to care our patients felt obstructed their care. With this data, along with a national literature review, our team used biweekly quality team meetings with LEAN methodology and Plan-Do-Study-Act cycles to create a 4-phase quality improvement project. A home-visit program to decrease distance to care, walk-in clinic to improve same-day access, strengthened collaboration with outside care managers and clinic staff to improve communication, and the introduction of an in-house phlebotomist to improve fragmented care were created and studied between June 2015 and December 2018. Admission rate, avoidable readmission rate, as well as other quality of care measurements were assessed with electronic medical record reports and through North Carolina Medicaid data reports.

Results:

Overall Medicaid admissions decreased 32.7% from starting numbers, 40.2% below expected benchmarks. Avoidable readmissions decreased 41.8%, 53.8% below the expected benchmark. Improvements in same-day access numbers and lab completion rate were also seen.

Discussion:

The team-based approach to eliminating patient-identified barriers decreased both admissions and avoidable readmissions for our Medicaid patients. It also improved quality-of-care measures. This approach has been shown to be beneficial at our clinic and can easily be replicated in other settings.




quality

Image Quality and Activity Optimization in Oncologic 18F-FDG PET Using the Digital Biograph Vision PET/CT System

The first Biograph Vision PET/CT system (Siemens Healthineers) was installed at the University Medical Center Groningen. Improved performance of this system could allow for a reduction in activity administration or scan duration. This study evaluated the effects of reduced scan duration in oncologic 18F-FDG PET imaging on quantitative and subjective imaging parameters and its influence on clinical image interpretation. Methods: Patients referred for a clinical PET/CT scan were enrolled in this study, received a weight-based 18F-FDG injected activity, and underwent list-mode PET acquisition at 180 s per bed position (s/bp). Acquired PET data were reconstructed using the vendor-recommended clinical reconstruction protocol (hereafter referred to as "clinical"), using the clinical protocol with additional 2-mm gaussian filtering (hereafter referred to as "clinical+G2"), and—in conformance with European Association of Nuclear Medicine Research Ltd. (EARL) specifications—using different scan durations per bed position (180, 120, 60, 30, and 10 s). Reconstructed images were quantitatively assessed for comparison of SUVs and noise. In addition, clinically reconstructed images were qualitatively evaluated by 3 nuclear medicine physicians. Results: In total, 30 oncologic patients (22 men, 8 women; age: 48–88 y [range], 67 ± 9.6 y [mean ± SD]) received a single weight-based (3 MBq/kg) 18F-FDG injected activity (weight: 45–123 kg [range], 81 ± 15 kg [mean ± SD]; activity: 135–380 MBq [range], 241 ± 47.3 MBq [mean ± SD]). Significant differences in lesion SUVmax were found between the 180-s/bp images and the 30- and 10-s/bp images reconstructed using the clinical protocols, whereas no differences were found in lesion SUVpeak. EARL-compliant images did not show differences in lesion SUVmax or SUVpeak between scan durations. Quantitative parameters showed minimal deviation (~5%) in the 60-s/bp images. Therefore, further subjective image quality assessment was conducted using the 60-s/bp images. Qualitative assessment revealed the influence of personal preference on physicians’ willingness to adopt the 60-s/bp images in clinical practice. Although quantitative PET parameters differed minimally, an increase in noise was observed. Conclusion: With the Biograph Vision PET/CT system for oncologic 18F-FDG imaging, scan duration or activity administration could be reduced by a factor of 3 or more with the use of the clinical+G2 or the EARL-compliant reconstruction protocol.




quality

Quantitative and Qualitative Analyses of Biodistribution and PET Image Quality of a Novel Radiohybrid PSMA, 18F-rhPSMA-7, in Patients with Prostate Cancer

Radiohybrid PSMA (rhPSMA) ligands, a new class of theranostic prostate-specific membrane antigen (PSMA)–targeting agents, feature fast 18F synthesis and utility for labeling with radiometals. Here, we assessed the biodistribution and image quality of 18F-rhPSMA-7 to determine the best imaging time point for patients with prostate cancer. Methods: In total, 202 prostate cancer patients who underwent a clinically indicated 18F-rhPSMA-7 PET/CT were retrospectively analyzed, and 12 groups based on the administered activity and uptake time of PET scanning were created: 3 administered activities (low, 222–296 MBq; moderate, 297–370 MBq; and high, 371–444 MBq) and 4 uptake time points (short, 50–70 min; intermediate, 71–90 min; long, 91–110 min; and extra long, ≥111 min). For quantitative analyses, SUVmean and organ- or tumor-to-background ratio were determined for background, healthy organs, and 3 representative tumor lesions. Qualitative analyses assessed overall image quality, nonspecific blood-pool activity, and background uptake in bone or marrow using 3- or 4-point scales. Results: In quantitative analyses, SUVmean showed a significant decrease in the blood pool and lungs and an increase in the kidneys, bladder, and bones as the uptake time increased. SUVmean showed a trend to increase in the blood pool and bones as the administered activity increased. However, no significant differences were found in 377 tumor lesions with respect to the administered activity or uptake time. In qualitative analyses, the overall image quality was stable along with the uptake time, but the proportion rated to have good image quality decreased as the administered activity increased. All other qualitative image parameters showed no significant differences for the administered activities, but they showed significant trends with increasing uptake time: less nonspecific blood activity, more frequent background uptake in the bone marrow, and increased negative impact on clinical decision making. Conclusion: The biodistribution of 18F-rhPSMA-7 was similar to that of established PSMA ligands, and tumor uptake of 18F-rhPSMA-7 was stable across the administered activities and uptake times. An early imaging time point (50–70 min) is recommended for 18F-rhPSMA-7 PET/CT to achieve the highest overall image quality.




quality

ProPSMA: A Callout to the Nuclear Medicine Community to Change Practices with Prospective, High-Quality Data




quality

Managing Excipient Supplier Name and Address Changes in the Pharmaceutical Quality System

It is important to identify, assess, and address current barriers to implementation of post-approval changes that are intended to ensure continued (uninterrupted) operations and drive innovation and continual improvement in a maximally efficient, agile, and flexible pharmaceutical manufacturing sector. Leveraging the International Conference for Harmonisation Quality Guideline Q10 provides regulatory relief when it comes to addressing changes related to excipients, specifically excipient supplier's name and address changes, which will ensure a sustainable, reliable global supply and the availability of high quality product to patients through the entire commercial lifecycle of a product without extensive regulatory oversight.




quality

The human encounter, attention, and equality: the value of doctor-patient contact




quality

Establishment of the T1D Exchange Quality Improvement Collaborative (T1DX-QI)

The T1D Exchange established a learning platform by evaluating the current state of care and engaging 10 diabetes clinics in collaborative quality improvement (QI) activities. Participating clinics are sharing data and best practices to improve care delivery for people with type 1 diabetes. This article describes the design and initial implementation of this platform, known as the T1D Exchange Quality Improvement Collaborative. This effort has laid a foundation for learning from variation in type 1 diabetes care delivery via QI methodology and has demonstrated success in improving processes through iterative testing cycles and transparent sharing of data.




quality

Jobs Report Reveals Racial Inequality in Unemployment at an Historic Low, Thanks to Pandemic

More than 20 million Americans lost their jobs in the last month, and unemployment among African-Americans has hit 16.7 percent.