By working with central office teams that include finance, human resources, academics, professional development, principals, and principal supervisors, the Bush Institute will help districts make
system level changes.
If not kept informed about scope changes that have a financial impact, procurement can't manage
the systems level changes that will make sure the approved expenditure matches the actual bills.
Not exact matches
Cleverly, Apple has made this work on a
system level, so if you don't put the keyboard back to normal in a certain app, it'll stay in the one - handed mode until you
change it back.
As these
changes work their way into the
system, «we expect secondary market activity to begin to return to normal
levels.»
Such risks and uncertainties include, but are not limited to: our ability to achieve our financial, strategic and operational plans or initiatives; our ability to predict and manage medical costs and price effectively and develop and maintain good relationships with physicians, hospitals and other health care providers; the impact of modifications to our operations and processes; our ability to identify potential strategic acquisitions or transactions and realize the expected benefits of such transactions, including with respect to the Merger; the substantial
level of government regulation over our business and the potential effects of new laws or regulations or
changes in existing laws or regulations; the outcome of litigation, regulatory audits, investigations, actions and / or guaranty fund assessments; uncertainties surrounding participation in government - sponsored programs such as Medicare; the effectiveness and security of our information technology and other business
systems; unfavorable industry, economic or political conditions, including foreign currency movements; acts of war, terrorism, natural disasters or pandemics; our ability to obtain shareholder or regulatory approvals required for the Merger or the requirement to accept conditions that could reduce the anticipated benefits of the Merger as a condition to obtaining regulatory approvals; a longer time than anticipated to consummate the proposed Merger; problems regarding the successful integration of the businesses of Express Scripts and Cigna; unexpected costs regarding the proposed Merger; diversion of management's attention from ongoing business operations and opportunities during the pendency of the Merger; potential litigation associated with the proposed Merger; the ability to retain key personnel; the availability of financing, including relating to the proposed Merger; effects on the businesses as a result of uncertainty surrounding the proposed Merger; as well as more specific risks and uncertainties discussed in our most recent report on Form 10 - K and subsequent reports on Forms 10 - Q and 8 - K available on the Investor Relations section of www.cigna.com as well as on Express Scripts» most recent report on Form 10 - K and subsequent reports on Forms 10 - Q and 8 - K available on the Investor Relations section of www.express-scripts.com.
For instance, we can (and assuredly will) radically
change social security benefits to future retirees and stop limiting the income
level at which taxes are paid into the
system.
Inadequate flood protection infrastructure, which right now might not contain high tides in El Nino years; Lack of action on annual sediment removal from spring freshets, which each year move over 30 million m3 of sediment and leave about 3 million m3 of silt in the navigation and secondary channels of the lower reaches; and, By the end of this century sea
levels at the mouth of the river could potentially rise more than one meter due to climate
change overtopping the diking
system.
There is one
system which must be replaced, but there are also various different
levels of
change and varying times at which
changes need to be implemented, not to mention the very many different places in which the
changes will take place and the individuals in each of those places who will be working together to achieve that goal.
The deeper point of the critics of process thought is that subsuming other creatures into the ethical
system worked out in modernity to guide relations among people does not
change us at the needed
level.
Through the use of its high - pressure processing (HPP)
system, the company reduces Vibrio bacteria
levels to non-detectable
levels, but without the use of heat and any
change to the product's texture.
It takes a significant mind set
change and a high
level of management to implement organic
systems.
Modular zero loss
systems with intelligent automation reacting to real time
changes within the production environment will result in waste
levels «tending to zero».
They only get to try a different formation at International
level, because Wenger hasn't
changed the
system for around a decade.
The signings have worked really well, he's
changed the
system, brought someone like Victor Moses in who no one thought was good enough to play at that
level and rejuvenated players like Eden Hazard, Thibaut Courtois and Diego Costa.
Many pregnant women experience some
level of dizziness or light - headedness when pregnant, a result of significant
changes to your cardiovascular
system.
Because premature or sick babies need different
levels of stimulation for their development, St. John implemented a variable light and sound
system that can be
changed for each baby's developmental stage.
In addition to the innovative colour
changing system and handy temperature display, the Gro Egg 2 has adjustable brightness allowing you to use it as a nightlight or find a light
level that suits your baby.
First, the infant has experienced higher
levels of cortisol from the mother's depression during pregnancy, thus
changing their developing stress responses
system.
(No, I am not claiming she had any sexual stimulation from the breastfeeding, but I am curious if the act of breastfeeding releases hormones into the mother's
system, or if stopping breastfeeding and weaning the child
changes the
levels in the mother's body.)
The introduction of infant formula to babies» diets
changes the infants» gut microbiome, thus affecting the response of the infant immune
system to pathogens.47 - 51 A greater amount of natural - killer cells, suggesting a more mature immune
system, have been found in breastfed infants than in formula - fed infants.52 In addition, pH
level in the stomach of breastfed children is better for the promotion of the protein - lipid α - lactalbumin (termed HAMLET), which induces apoptosislike death in tumor cells.51, 53
All contract documents between SSNIT and Perfect Business
Systems including all
Change Requests and Services
Level Agreements (SLA) for the provision of your Operations Business Suite (OBS) software
Other policies can be highly local, for example, health coverage could easily be done on a state or even county
level without an easy way for the policies to be circumvented - sure, people can move to a different state / county but what counts as a policy in this case is the obligation residents have to pay in to the
system and what their benefits are from it, so moving from state to state would not subvert the policies, it just
changes the number of people subject to these policies.
Governor Cuomo released his 30 - day amendments to the Executive Budget where he outlined his plan for the state's tax
system redesign in response to the tax
changes at the federal
level.
A minimum step would be to implement a new tier (VI) of the current pension
system model which reinstates the employee contribution of 3 percent, lengthens the number of years of service required to reach maximum benefit
levels, and makes other
changes to limit the cost of the benefits to be provided.
The department also provided technical guidance to the water
systems on temporary
changes they could make to lower the
levels of cyanotoxins.
Dr. Vanden Wyngaard and district staff will provide an overview of state exams and how the Common Core Learning Standards are
changing instruction for students at all grade
levels, as well as information about how the tests are used in the new statewide evaluation
systems for teachers and principals.
Gottfried's willingness to even explore the idea is a major
change, and speaks to the
level of the need of hospitals across the state, who are finding payments to doctors slashed, and their delivery
systems upended.
Changing the
system would mean putting more financial burden onto the state governments and federal government which in turn would require an increase of state -
level and federal -
level taxes.
In the mayor's version, he would appoint the panel and it would have a narrow mandate, limited to charter
changes aimed at improving the city's campaign finance
system — including lowering the maximum
levels of campaign contributions to candidates — and encouraging voter participation in elections.
He announced
changes to the social housing
system: for existing social tenants, rent
levels will remain unchanged, but new tenants will be offered intermediate rents at around 80 % of the market rent.
However, Professor Stewart believes that over a few millennia those sea
level rises could have caused the fault
system beneath and around Mount Etna to completely
change in behaviour, sealing up old lava flows and ultimately forcing them to emerge elsewhere on the island.
A new analysis suggests New York might deal with sea
level rise and flood risk by a
system of small levees and raising buildings unless climate
change is worse than anticipated
We have simulated a
level of
change that some
systems have already seen and others will see.»
These
changes indicate that the ocean has absorbed more than 80 percent of the heat added to the climate
system: this heating is a major contributor to sea -
level rise.
Using an earth
system modeling approach, Deutsch and scientists at the National Center for Atmospheric Research and the Georgia Institute of Technology mapped out
changing oxygen
levels across the world's oceans through the end of the 21st century.
Projected carbon dioxide (CO2) emissions from cars could remain
level at three gigatons through 2050 despite many more personal vehicles on the road with only minor and affordable
changes to existing engines, chassis and
systems, according to a new report.
It's about climate
change and sea
level rise, but it's also about the way that our economic
system doesn't allow us to afford a decent future.
Preston studies how adaptation efforts can reduce risk from climate
change, especially at the state and city
level (such as impacts to critical energy, water and transportation
systems).
«Our studies imply that the
change of oxygen
levels in different tissues can be sensed by Treg cells and that this process is critically important for maintaining the correct balance between activation and suppression of the immune
system,» says Liu.
Next, the researchers turned this positive
system negative by adjusting the lasers to
change the atoms» energy
levels so that the majority of the particles were high energy.
Applications include showing how the planet's surface
changes over time, including through tectonic activity and sea
level change; plotting the trajectories of ballistic missiles and satellite orbits; and making topographic maps and GPS
systems more accurate.
«This study takes an integrated approach that addresses the need to advance Arctic environmental research at the
system level, a challenge that has been recognized by the broad scientific community as necessary to improve predictions of future
change,» said Cox.
Tipping points happen when the components of a
system respond gradually to an external force until a
level of
change is reached at which the response becomes non-linear and synergistic.
Some may stem directly from how the altered digestive
system works — secreting different
levels of hormones, for example — or
changes in nerve cells that communicate with the gut.
His team is also looking at how a robotic visual
system can build up a picture of its world and adapt to
changing conditions, varying light
levels or even seasons.
«The Earth's current
system of plate tectonics prevents drastic
changes in surface water
levels, with wet rocks efficiently dehydrating before they enter the Earth's relatively dry mantle.
«For example, the endocannabinoid and dopamine
systems are at their peak and these major neurobiological
changes are reflected on the behavioral
level; reward sensitivity is highest during puberty.
The ocean conveyor
system, Rutgers scientists believe,
changed at the same time as a major expansion in the volume of the glaciers in the northern hemisphere as well as a substantial fall in sea
levels.
Earth
System Threshold Measure Boundary Current
Level Preindustrial Climate
Change CO2 Concentration 350 ppm 387 ppm 280 ppm Biodiversity Loss Extinction Rate 10 pm > 100 pm * 0.1 - one pm Nitrogen Cycle N2 Tonnage 35 mmt ** 121 mmt 0 Phosphorous Cycle
Level in Ocean 11 mmt 8.5 - 9.5 mmt — 1 mmt Ozone Layer O3 Concentration 276 DU # 283 DU 290 DU Ocean Acidification Aragonite ^ ^
Levels 2.75 2.90 3.44 Freshwater Usage Consumption 4,000 km3 ^ 2,600 km3 415 km3 Land Use
Change Cropland Conversion 15 km3 11.7 km3 Low Aerosols Soot Concentration TBD TBD TBD Chemical Pollution TBD TBD TBD TBD * pm = per million ** mmt = millions of metric tons #DU = dobson unit ^ km3 = cubic kilometers ^ ^ Aragonite is a form of calcium carbonate.
They are extremely potent molecules, however, so even small
changes in interferon -
levels can have dramatic effects on the immune
system.