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Performance Measures Using Electronic Health Records: Five Case

Overview

This report examines the experiences of five provider organizations in developing, testing, and implementing quality-of-care indicators, based on data collected from their electronic health record (EHR) systems. HealthPartners used the EHR to compile blood pressure measurements, Park Nicollet Health Services developed a composite measure for care of people with diabetes, Billings Clinic tested an automatic alert on potential interactions between antibiotics and the anticoagulant warfarin, Kaiser Permanente used a natural-language processing tool for counseling about tobacco use, and Geisinger Health System explored ways of reconciling Problem Lists and provider-visit notes regarding high-impact chronic-disease diagnoses. Common themes emerged from these case studies. They included challenges—of ensuring the validity and reliability of data, efficient workflow, and staff support—but the providers' successes in implementing their respective EHR-based quality measures demonstrated that such measures are adaptable to different EHR systems, amenable to improvement, and worth pursuing.

Executive Summary

The emergence of the electronic health record (EHR), also termed the electronic medical record, has made new indicators of quality and safety both necessary and feasible. By developing appropriate indicators now, we can integrate them into evolving EHR systems early on rather than try to add them after the fact—a much more difficult task. This report examines the experiences of five provider organizations in developing, testing, and implementing such indicators, based on data collected from their EHR systems.

To set the stage, we developed a typology for categorizing electronic measures ("e-indicators") of quality and safety, with special reference to ambulatory care. The five categories are:

  1. Translational e-indicators are measures that have been translated from existing—"traditional"—measurement sets (e.g., HEDIS or NQF standard measures) for use in health information technology (HIT) platforms.
  2. HIT-facilitated e-indicators are measures that, while not conceptually limited to HIT-derived data sources, would not be operationally feasible in settings without HIT platforms. Measuring clinical physiologic outcomes on 100 percent of patients, for instance, would not be amenable to traditional systems.
  3. HIT-enabled e-indicators are innovative measures that would not generally be possible outside of the HIT context. These indicators are linked to unique HIT capabilities such as computerized provider order entry (CPOE), clinical decision support systems (CDSS), biometric devices, or Web-based patient portals.
  4. HIT-system-management e-indicators are measures needed to implement, manage, evaluate, and generally improve HIT systems. They are primarily intended for use by the parent organization.
  5. "E-iatrogenesis" e-indicators are measures of patient harm caused at least in part by the application of health information technology. They assess the degree to which unanticipated quality and safety problems arise, whether of human (provider or patient), technical, or organizational/system origin.

 

The case studies presented in this report illustrate the use of the first four categories of e-indicators. The HealthPartners case study analyzed the potential of EHRs to compute traditional quality measures (in this case, blood pressure control) aimed at reducing the time and cost required to assemble the data. The Park Nicollet Health Services case study illustrated the power of the EHR to assemble composite measures (in this case, diabetes) that are theoretically possible without an EHR but infeasible in practice. The Billings Clinic case study exemplified the HIT strengths of EHRs to coordinate care and measure its outcomes, in this case for a warfarin/antibiotic alert tied to a warfarin clinic. The Kaiser Permanente of the Northwest case study overcame the "free-text dilemma"—that free text, or unstructured information, cannot be readily used for quantitative analyses—by using natural language processing to capture information in text notes. Work at Geisinger Health System, meanwhile, focused on reconciling information on the health problem list (a structured-text field) with information in the visit note (an unstructured-text field).

From these case studies, a number of common themes emerged:

  • It is striking how much more clinically relevant measures can become when they are HIT-based. For example, a composite measure reflects a more complete clinical picture of a person with diabetes than a single component of the measure can.
  • A major barrier in conceptualizing and developing the e-indicators was the validity of EHR-extracted data, which critically depends on use of the correct patient population. If patients are incorrectly included in or excluded from a measure, the quality measures will be inaccurate.
  • Another major barrier was the sometimes questionable reliability of EHR-extracted data, particularly when their collection and recording were inconsistent; the case studies suggested that it was difficult to consistently code data about patients, diagnoses, and procedures. But in addition to identifying these accuracy concerns, most of the case studies implemented workable solutions.
  • Prior to implementation of the measures, providers expressed concern that EHRs would hinder workflow or suffer from staff resistance. Surprisingly, these issues did not present themselves. To the contrary, the case studies indicated that EHR systems enhanced workflow by automating key communications between staff and improving patient-record accessibility across different clinics.
  • Measures that translated established quality indicators had the easiest transition into EHR implementation. Measures incorporating or evaluating HIT-specific features, such as automated alerts and free-text analysis, tended to be specialized to particular systems and not so easily incorporated into other systems. Nonetheless, most of the providers were confident that the concepts could be adapted to different EHR system types and that virtually all of the problems encountered were amenable to performance improvement—often made possible by the EHR.

 

The success of these providers in implementing EHR-based quality measures demonstrates that such measures are worth pursuing, despite the challenges of ensuring the validity and reliability of data, efficient workflow, and staff support


Tarih: 22:54, 2/3/2009 Kategori: teknoloji
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Bluetooth Technology Intro

The technology of Bluetooth is nothing new, but in
many respects it can still seem like more of a buzz
word rather than an accepted technology.  You may
see the ads for Bluetooth enabled devices, although
you still may be wondering what it is.

Capabilities
The Bluetooth definition is a wireless technology
that is a worldwide specification for a small form
factor, low cost solution that will provide link
between mobile devices and other electronic
devices.

Similiar to 802.11 b/g wireless and many cordless
telephone systems, Bluetooth operates on 2.4 GHz
radio signals.  The 2.4 GHz band seems to be a bit
crowded, with interferences between the devices a
bit hard to avoid.  Telephones are now being offered
at the 5.8 GHz frequency band, which will help to
remedy this.

The technical specifications of Bluetooth will
indicate a maximum transfer rate of 723 kbps with
a range of 65 - 328 feet, all depending on the
class of that particular device.  The speed is a
fraction of what is offered by wireless standards,
so it's obvious that Bluetooth doesn't really
pose a threat to replacing your wireless network.

Applications
There are numerous products that will take advantage
of Bluetooth capabilities, such as laptops, PDAs,
headphones, and even wireless printer adapters.

A lot of laptops out there will include an onboard
Bluetooth adapter which allows the system to
connect to any Bluetooth device right out of the
box.  For computers that don't have an adaptor
built right in, there are several USB adaptors
available for Bluetooth.

For an awesome technology, Bluetooth is actually
hard to compete with.  For short range wireless,
Bluetooth is easily one of the best.  The standard
for Bluetooth keeps getting better and better,
making it a wireless technology that will be around
for years and years to come.

Tarih: 00:22, 26/2/2009 Kategori: teknoloji
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Bluetooth Applications

With Bluetooth being very popular with wireless, it's
no wonder there are many applications available for
the technology.  Below, you'll find the applications
for Bluetooth.

1.  Wireless networking between laptops and desktop
computers, or desktops that are in a confined space
and little bandwidth is needed.

2.  Peripherals such as mice, keyboards, and printers.

3.  Cell phones with Bluetooth technology have been
sold in large numbers, as they are able to connect to
computers, PDAs (Personal Data Assistant), and various
other devices.  The standard also includes the
support for more powerful and longer range devices.

4.  The transfer of files, images and MP3, between
mobile phones.

5.  Certain MP3 players and digital cameras to
transfer files to and from computers.

6.  Bluetooth technology headsets for smart phones
and cell phones.

7.  Data logging equipment that transmits data to
a computer via Bluetooth technology.

8.  Sony Playstation 3 and Nintendo Revolution will
both use Bluetooth technology for their wireless
controllers.  

For Bluetooth, there are literally hundreds of
different applications and devices available for you
to use or purchase.  As you may already know,
Bluetooth is the most popular wireless technology
in the world.  It's very reliable, very dependable,
and very hard to crack into.

There are many other applications for Bluetooth in
development now, many of which plan to take the
wireless age to the next level.  Video game systems
are using Bluetooth technology as well, for their
wireless controllers.  This is great news for gaming
fans, as Bluetooth offers the best in wireless
data transmission.

If your curious about applications for Bluetooth
that are still in development, you can search on
the internet.  You can find all sorts of information,
especially when it comes to Bluetooth.  As the
future arrives, you can expect Bluetooth to bring
bigger and better things.

Tarih: 00:20, 26/2/2009 Kategori: teknoloji
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THE LAST DAYS OF PRIVACY

As technology makes life richer and easier, we leave a trail of information that is susceptible to prying eyes


Within the next four months, a major Bay Area supermarket chain plans to introduce a payment system that uses biometric fingerprint authentication to verify customers' identities. Under this system, shoppers in checkout lines won't need to use cash, checks, debit cards or credit cards. Instead, they can place their fingers on scanners that read fingerprints, and once the device links to their bank or credit card accounts, they can buy groceries, get cash back and do everything else shoppers do.



More Opinion

<_script /><_script />

[Podcast: Insight Editor Jim Finefrock and reporter Jonathan Curiel talk about how Americans might as well face up the fact that there is little privacy left.]

The system is already used in cities around the United States, including Portland, Ore., and Chicago, where one shopper says it has changed his life for the better. Linc Thelen, a 37-year-old interior designer, says the fingerprint system -- known commercially as Pay By Touch -- is convenient to use and expedites his way through grocery lines at Jewel-Osco, where he shops. Thelen says the system lets people leave their wallets behind, so they don't have to worry about being robbed or losing their credit cards.

"I had no reservation," Thelen said in a phone interview. "It's a safe way to store information."

But no system is 100 percent foolproof.

Despite the fact that armed men guard the computers that store the customers' virtual fingerprints, despite the fact that Bank of America's former security chief now heads Pay By Touch's security division, and despite the fact that Pay By Touch hires people to try to expose vulnerabilities in its computer system (so those vulnerabilities can be eliminated), Pay By Touch President John Morris acknowledges that "it's not impossible" for computer hackers to figure out how to tamper with its information.

And therein lies one of the 21st century's most vexing problems: More and more of our personal data are captured and stored by corporate and government interests, and are potentially available to anyone with the technological, legal or financial means to access that information.

Whether it's phone calls we make, library books we check out, CDs we buy on the Internet or divorces we finalize in court, we leave a trail of information that becomes susceptible to prying eyes. For the price of a bus pass, you can pay a company to supply anyone's address, phone number, political affiliation, estimated income and property history. For $20 more, you can find out if that person is married or divorced, has a criminal record, and what sort of jobs he or she has worked.

Sen. Hillary Clinton, D-N.Y., says she will introduce a "privacy bill of rights" because identity theft and security failures of personal records have become "one of the most important issues facing us as individuals and as a nation."

The availability of personal information -- downloadable onto laptop computers, which are increasingly being fitted with fingerprint technology -- is changing the culture in ways that may seem trivial but are really benchmarks for a new society already in its formative stages.

A small example: Unbeknownst to the men who date her, Judy runs background checks on all of them, using a private investigator to dig out any "red flags" that would presage troubling behavior. A businesswoman in Southern California, Judy, 50, uses a company called DateSmart, whose client base has boomed in the past five years as more people confront the perils of online dating.

"I'm glad the information is out there," says Judy, who did not want her last name used because of concerns her suitors would read this article. "The men I'm talking to online are complete strangers. And I have absolutely no knowledge of their character other than what they're saying in their profiles. I need to feel comfortable knowing that they're not an ax murderer. The people you meet might be well dressed, but you never know if they have any criminal history. It's for (my) safety."

Background checks are nothing new. What's changed are the speed with which you can obtain them, their relatively small price (some companies advertise free checks) and their growing public acceptance. The information revolution has transformed the background check into a common and casual tool, and those being scrutinized probably don't have a clue. More obvious are the security cameras embedded in nearly every major American city, including New York, Milwaukee, Chicago, Atlanta, Los Angeles and, yes, San Francisco, where lenses record people's activities in such crime-ridden neighborhoods as Bayview-Hunters Point and the Western Addition. The spread of these cameras is championed by authorities, who say it reduces criminal activity, and criticized by the ACLU, which says the equipment is an unnecessary intrusion into public spaces.

Civil liberties groups have joined the widespread outcry against the government's monitoring of Americans' phone-call records. Two weeks ago in federal court, the ACLU challenged the legal rationale behind the National Security Agency program, arguing that the NSA's actions -- involving "data mining" of records provided by AT&T and other telephone companies -- violate Americans' rights to free speech and privacy as guaranteed under the First and Fourth Amendments. Last week, privacy experts raised questions about the U.S. government's monitoring of international bank transfers -- previously secret data surveillance officials say is justified by the fight against terrorism.

Americans' rights to privacy will be tested even more in the next few years as biometric technology creeps increasingly into everyday arenas. For example, on the campus of UC San Diego, biometric experts are testing a soda machine that uses both fingerprint and face-recognition technology. The machine is in a lounge for grad students in UC San Diego's computer science building.

"The students are very excited about getting it working," Serge Belongie, a UC San Diego associate professor of computer science, says in a phone interview. "People think it's very cool. ... No one uses money. They have accounts. What would be fun is if (the machine) recognizes you and says, 'Would you like your usual?' "

If UC San Diego students are reluctant to use the machine, their privacy concerns are outweighed by convenience -- a sentiment echoed in survey after survey on biometric technology. In March, Unisys Corp. released a report on public perception of "identity management" that said convenience and efficiency were the two biggest reasons consumers would use biometric technology. (The most preferred biometric methods are fingerprints and voice recognition, according to the survey. The least preferred, because of its perceived intrusiveness, is an iris or eye scan.)

Two of the biggest turnoffs for those who shun biometric technology: suspicion of how the technology works and loss of privacy. Among respondents from North America, just 56 percent said they'd be willing to share their fingerprint with a government organization such as a post office or tax authority. Among respondents from the Asia-Pacific region, 71 percent said they'd share their fingerprint with the government.

"As consumer confidence grows in the large-scale usage of (biometric technology) and standards are more generally comfortably adopted, you're going to see a pretty rapid migration" to it, says Mark Cohn, Unisys vice president for homeland security solutions.

Cohn, a principal architect of the Department of Homeland Security's US-VISIT Exit system, which uses fingerprint technology to run background checks on visa applicants and verify their entry to and arrival from the United States, says Malaysia offers a preview of how the United States may change in the coming years.

Since 2001, the Malay government has issued a biometric "multipurpose card" to Malaysians 12 years and older. The card, which features a thumbprint and photograph, acts as a passport, driver's license, ATM card, toll and parking pass, and medical record that lists blood type and any allergies.

The card is convenient to use -- but it's a nightmare for Malaysians who lose it or have it stolen. Crime syndicates in Malaysia have altered cards with different photographs and used them to give members new identities, though the Malay government insists these identity thieves can't access the original cardholders' personal information. Special chip technology and other password features prevent this, they say. Also, the cardholder's fingerprint -- rather than being visible on the card -- is encrypted in the card itself: To reveal the fingerprint, the card must be inserted into a special biometric device that compares the encrypted print with that of the person claiming to be the cardholder.

For anyone who has read Orwell's "Nineteen Eighty-Four," where "telescreens" keep track of people's lives, this new biometric technology will seem like fiction come to life. It's showing up everywhere. By the end of this year, U.S. passport agencies hope to issue "electronic passports" with computer chips that have digital photos of the holders. With the help of face-recognition machines, airport security can compare a photo with the face of the passport holder. For two years, an American corporation, VeriChip, has sold government-approved electronic chips that are inserted under people's skin to give doctors instant access to patients' medical histories.

In 2008, as mandated by the Real ID Act, states plan to issue driver's licenses linked to a database that includes each license holder's photo and Social Security number. These licenses (civil liberties groups call them national identity cards) will likely include a biometric photo of the driver accessible by authorities.

In the meantime, banks are considering using iris scans and even palm scans at ATMs in an effort to cut down on fraud. (In 1999, Bank United in Texas adopted iris-scan technology at three of its ATMs in a test that was discontinued when Washington Mutual took over the bank.)

Some people love the new technology. Others shun it.

Pay By Touch admits it has encountered some resistance among shoppers it approached in supermarkets that already use the company's fingerprint service. But Morris, its president, says many of these customers are quickly won over by the convenience of Pay By Touch, which is free for consumers, and that the company keeps data points based on users' fingerprints, not actual fingerprints. So far, supermarkets in 40 states use the Pay By Touch system.

Pay By Touch, which is based in San Francisco, wouldn't say which Bay Area supermarket chain will start using its fingerprint system in the next four months -- only that the chain will use the system in just a handful of its Bay Area stores. Pay By Touch users sign up voluntarily and are under no obligation to use it at the checkout line.

Pay By Touch says it takes great care to safeguard its users' data. After fingerprints are converted into algorithms, they're encrypted, then stored in IBM computers. Those algorithms can't be reconverted into an exact copy of the fingerprint, though Pay By Touch may eventually store users' actual fingerprints if the technology improves, Morris says. The company insists it will never sell users' personal information or fingerprints to anyone else -- a pledge that's backed up in writing when users sign up with the company. But what if federal authorities, citing national security, insist on the finger scan and payment history of a Pay By Touch user?

Pam Dixon, who heads the World Privacy Forum, a public research group, went to Chicago to warn potential Pay By Touch users about possible dangers.

"It didn't stick," she says. "People were (more) concerned with (convenience than) the potential risks. People can put their thumb on a pad and be done with it. But meanwhile, their biometric data is sitting with another company, a third party, that's subject to subpoena. One argument that I made: Let's say that every supermarket in the country, particularly the large chains, (use) a biometric payment system. It's a law enforcement dream because who needs a biometric database run by the U.S. government when you've got one being run by private companies?"

Citing the recent disclosure by the Veterans Administration, which said a computer with credit information on millions of veterans had been stolen, Dixon says, "The second issue is information security. If the VA can't keep its records secure, which is a government agency that has all sorts of strict controls that are supposed to be in place, how on Earth can a private company without the resources of something like the VA manage to keep something secure? When we have a credit card stolen, we can call the credit card company and say, 'Give me a new number.' But you can't do that with your biometric. You can't say, 'Give me a new fingerprint.' "

Morris dismisses such concerns, saying that Pay By Touch will actually decrease the likelihood that consumers' credit information is stolen or misappropriated. "I think (Pay By Touch users) get pretty rapidly that it's the ultimate way to secure their private data," he says. "It connects (their accounts) to something that's uniquely them, as opposed to handing a credit card over to a stranger or writing a personal check that seven or eight humans touch before it gets in their statement. Securing information by a biometric is a giant leap forward. (Users) like that they don't have to pull their card out anymore. They (tell us they) like that they don't have to carry their (purses or wallets) through the parking lot of an urban supermarket. There's a physical security benefit. Their numbers are never displayed. The safety of securing their data is the No. 1 thing they like."

The marketplace will determine whether the public is ready to accept commercial fingerprint identification. Investors in Pay By Touch believe that day is here, capitalizing the company with $190 million in the past 12 months. More than 2.5 million shoppers already use the Pay By Touch system. Morris envisions a day when all stores -- even mom-and-pop ones -- offer a Pay By Touch option.

Soon, customers will be able to use Pay By Touch from home with the help of fingerprint readers attached to their computers. In ancient China, rulers would put their fingerprints on documents to give them an official seal. Artists would also mark their work with prints. It wasn't until the late 1800s that authorities realized they could use fingerprints to catch criminals. Their evolution as a way to pay for groceries is a 21st century twist fueled by technology. It's also a trade-off between privacy and convenience. Welcome to the brave new world in Aisle 5.


Tarih: 11:16, 21/2/2009 Kategori: teknoloji
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Computer Scientists Launching Indoor Navigation System

ScienceDaily (Dec. 16, 2008) — Now that navigation systems are here to stay, we can hardly imagine life without them. Aside from private use for getting about on roads, they play an essential role in air and ocean traffic, and even in rail transport for guiding and monitoring trains. With its Galileo navigation system, the European Union intends to become independent of America’s GPS (Global Positioning System).*

The Federal Ministry of Education and Research recently approved the two-year project “Indoor”, which will run until the end of 2010. In this project, LMU computer scientists working with Professor Claudia Linnhoff-Popien are developing positioning and navigation technologies to be used in the field of traffic logistics and for emergency services. What they are focusing on in particular is indoor positioning and navigation.

The project aims at a fundamentally new development: Solutions so far have relied on the terminal device periodically sending position data to a server, even when the user, and therefore the terminal, is not moving at all. The LMU computer scientists, on the other hand, assign boundary circles to the users according to given queries and the movement of the persons or objects being monitored. The terminal only gets in touch with the server if the user moves beyond his circle. This method is more effective and economical, since the position data is only sent to the server when there is movement, and costs are only incurred at that moment.

This technology so far works best with GPS-supported terminals – and it will now be exciting to see how the new challenges of a Galileo module and the addition of indoor positioning will be met. As it is, the crux of the problem with large buildings is the given architecture and furnishing, both of which can lead to all kinds of wild shadowing effects and reflections. The present technology goes back to research done in the Mobile and Distributed Systems Group, which has been being published in prestigious international journals over the past five years, and which has led to numerous dissertations, one habilitation and a number of patent applications.

The aim of the “Indoor” project is to improve certain algorithms that will increase the energy and cost efficiency of location-based service applications. Localization algorithms for indoor applications shall be enhanced, existing platforms and concepts technically evaluated, and a user study conducted.

The scientists have daunting challenges ahead as they forge on with the project, since precise localization inside a large building is considerably more difficult to achieve than outdoors. Aside from the technical difficulty of achieving this, there is one nasty problem that stands in their way: the “semantics” of buildings. There is no way of knowing from a public building’s floor plan alone, for example, whether a door drawn on the plan is actually accessible to every public person, or whether it is perhaps only accessible to certain staff or to certain groups of people.

Together with a spin-off of the Mobile and Distributed Systems Group, Aloqa GmbH Munich, and a hardware developer for satellite navigation systems, Ifen GmbH Poing, a prototype shall be developed during the project, which shall implement the methods developed at the group as a tangible hardware module. And there is one more partner who will be involved in the testing phase: the Walt Disney Company, Germany. Disney is namely interested in this budding technology because it could be just what they need for their theme parks.

*Now the Mobile and Distributed Systems Group of Ludwig-Maximilians-Universität (LMU), München, is also involved in developing Galileo services.The introduction of Galileo will mark the independence of the European Union from America’s GPS (Global Positioning System) and the Russian Federation’s global navigation satellite system GLONASS. While Galileo, a joint project of the EU and the ESA (European Space Agency), is compatible with GPS, it guarantees independent and reliable availability in Europe


Tarih: 11:10, 21/2/2009 Kategori: teknoloji
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KYC compliance

Know Your Customer (KYC) compliance regulation has proved to be one of the biggest operational challenges banks, accountants, lawyers and similar financial service providers worldwide have had to overcome.

World-Check, the industry standard KYC compliance solution, provides an overview of KYC compliance and its origins, and outlines the compliance mandate as applicable to banks, accounting firms, lawyers and other regulated financial service providers – not just in the UK, Europe and the USA, but all around the world. Relied upon by more than 3,000 institutions worldwide, this KYC database solution provides effective legal and reputational risk reduction.

Why “Know Your Customer?”


The 9/11 terrorist attacks on the World Trade Centre revealed that there were sinister forces at work around the world, and that terrorists activities were being funded with laundered money, the proceeds of illicit activities such as narcotics and human trafficking, fraud and organised crime. Overnight, the combating of terrorist financing became a priority on the international agenda.

For the financial services provider of the 21st century, “knowing your customers” was no longer a suggested course of action. Based on the requirements of legislative landmarks such as the USA PATRIOT Act 2002, modern Know Your Customer (KYC) compliance mandates were created to simultaneously combat money laundering and the funding of terrorist activities.

What is Know Your Customer (KYC)?


Know Your Customer, or KYC, refers to the regulatory compliance mandate imposed on financial service providers to implement a Customer Identification Programme and perform due diligence checks before doing business with a person or entity.

KYC fulfils a risk mitigation function, and one its key requirements is checking that a prospective customer is not listed on any government lists for wanted money launders, known fraudsters or terrorists.

If preliminary KYC checks reveal that the person is a Politically Exposed Person (PEP), for example, Advanced Due Diligence must be done in order to ensure that the person’s source of wealth is transparent, and that he or she does not pose a reputational or financial risk in terms of their finances, public positions or associations. Beyond customer identification checks, the ongoing monitoring of transfers and financial transactions against a range of risk variables forms an integral part of the KYC compliance mandate.

But to understand the importance of KYC compliance for financial service providers better, its origins need to be examined.

Origins of Know Your Customer (KYC) compliance


The arrival of the new millennium was marred by a spate of terrorist attacks and corporate scandals that unmasked the darker features of globalisation. These events highlighted the role of money laundering in cross-border crime and terrorism, and underlined the need to clamp down on the exploitation of financial systems worldwide.

Know Your Customer (KYC) legislation was principally not absent prior to 9/11. Regulated financial service providers for a long time have been required to conduct due diligence and customer identification checks in order to mitigate their own operation risks, and to ensure a consistent and acceptable level of service.

In essence, the USA PATRIOT Act was not so much a radical departure from prior legislation as it was a firmer and more extensive articulation of existing laws. The Act would lead to the more rigorous regulation of a greater range of financial services providers, and expanded the authority of American law enforcement agencies in the fighting of terrorism, both in the USA and abroad.

In October 2001, President George W. Bush signed off the USA PATRIOT Act, effectively providing federal regulators with a new range of tools and powers for fighting terror financing and money laundering. During July 2002, the US Treasury proceeded to introduce Section 326 of the PATRIOT Act, a clause that removed some key burdens for regulators and added significant enforcement muscle to the Act.

What 9/11 changed, in essence, was the extent to which existing legislation was being implemented. Using the provisions of the earlier anti-terrorism USA Act as a foundation, it included the Financial Anti-Terrorism Act, which allowed for federal jurisdiction over foreign money launders and money laundered through foreign banks. Significantly, it is this anti-terror law that would make the creation of an Anti Money Laundering (AML) programme compulsory for all financial institutions and service providers.

Section 326 of the USA PATRIOT Act dealt specifically with the identification of new customers (“CIP regulation”), and made extensive provisions in terms of KYC and the methods employed to verify client identities.

In accordance with this piece of updated KYC legislation, federal regulators would hold financial institutions accountable for the effectiveness of their initial customer identification and ongoing KYC screening. Institutions are required to keep detailed records of the steps that were taken to verify prospective clients’ identities.

Although current KYC legislation does not yet demand the exclusion of specific types of foreign-issued identification, it recommends the usage of machine-verifiable identity documents. The ability to notify financial institutions if concerns regarding specific types of identification were to arise, combined with a risk-based approach to KYC, proved to provide a robust mechanism for addressing security concerns.

Effectively, the risk-based approach to customer due diligence grants regulated institutions a certain degree of flexibility to determine the forms of identification they will accept, and under which conditions.

KYC compliance: Implications for banks, lawyers and accounting firms


The KYC compliance mandate, for all its positive outcomes, has burdened companies and organisations with a substantial administrative obligation. Additionally, KYC compliance increasingly entails the creation of auditable proof of due diligence activities, in addition to the need for customer identification.

Tarih: 14:03, 26/1/2009 Kategori: teknoloji
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ASC Process Systems

ASC is a leading manufacturer of specialized process equipment, control systems, and custom manufacturing software used in the composites, plastics, glass, solar, lumber, and concrete, coatings, and finishing industries.  Our product lines include composite autoclaves, glass-laminating autoclaves, concrete autoclaves, industrial ovens, composite ovens, electroplating automation systems, process control software, autoclave control software, oven control software, and crane and hoist control software including scheduling.   We're located in Los Angeles, CA and support thousands o

Autoclaves and other equipment

ASC manufactures a range of process equipment, including autoclaves, ovens, presses, heating systems, cooling systems, vacuum systems, and specialty pressure equipment.  We also buy and sell used equipment.

systems and hundreds of customers w

Control & power systems

ASC is a leading supplier of control and power systems for a wide variety of equipment and industries.  We specialize in PC-based and PLC-based control solutions.  Our PC-based systems typically feature our industry-standard CPC control software package.

orldwide.

Software for controls and manufacturing

ASC can develop custom software solutions for a wide variety of manufacturing applications.   Our CPC software is the world's leading software for control of autoclaves, ovens, and many other applications.  Our FLEXTIME software is also the leading PC-based solution for electro-plating and anodizing control automation.


Tarih: 14:02, 26/1/2009 Kategori: teknoloji
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FRI ( Final Random Inspection )

FRI ( Final Random Inspection )
FRI, the detailed visual inspection of goods before shipment, is generally conducted on the premises of the manufacturer on samples selected according to defined sampling procedures.
After production is completed and all merchandise is ready and packed for shipment. CCIC inspectors pull a random sample of finished goods based on the internationally recognized statistical random sampling techniques, commonly known as ANSI/ANQC Z 1.4, BS 6001-1, ISO 2859-1. They verify product safety, quantity, workmanship, function, color, size, packing, etc. Upon completion of FRI CCIC sends a detailed inspection report to the client.
Inspection Scope
¡ò Electrical & Electronic Products:
¨’Accessory
¨’Appliance with Air Compressor
¨’Audio & Video Products
¨’Electric Appliance
¨’Electric Tools
¨’Electronic Products
¨’IT & Telephone Products
¨’Luminaire
¡ò Gifts & Premiums
¨’Household Decorating Products
¨’Plushes, Promotional Toys, Corporate Gifts
¨’Advertising Merchandise, Branded Give-aways
¡ò Garments & Textile Products
¨’Fabric
¨’Garment
¨’Shoes and Slippers
¨’Leather Products
¡ò Toys & Sundries
¨’Toys
¨’Gifts & Stationery
¨’Glass Ware
¨’Watches/Clocks
¨’Paper Products
¨’Bicycles and Children Carriages
¡ò Furniture
¨’Wooden Furniture
¨’Upholstered Furniture
¨’Metal Furniture.
¨’Kitchen Furniture
¨’Office Furniture.
¨’Outdoor Furniture.
¨’Other Furniture Products
(cardboard, solid wood furniture, spring mattress, resilient mattress with palm fibre and coir, sofa, stainless steel kitchen fittings, steel book shelf, file cabinet, wall cupboard, base cupboard, swivel chair, staff desk/table, computer desk, director chair/desk, beach chair, folding chair/bed, leisure chair, bar counter, wooden furniture for hotel, theatre and stadium or gymnasium seats.)

Tarih: 19:48, 25/1/2009 Kategori: teknoloji
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High Flow Range Mass Coriolis Flow Meter

Features:
  • Flow ranges from 60 to 
    60K Kg/Hr (2.2 to 1650 lb/min) 
  • Accuracy up to 0.25% of reading
  • Materials: flow tubes -
    316 L, splitter flanges -
    316 Ti, housing - cast iron
  • Process temperature
    -40°F to 356°F
     
  • Ambient temperature
    -40°F to 140°F
  • Wide flow ranges
ACCURATE AND RELIABLE
This meter has the ability to
maintain high accuracy,
despite changing
viscosity conditions, with accuracy of +0.25% of reading.
 
EASY CLEANING
The ACM series has smooth stainless steel tubes and no moving parts, and is therefore very easy to flush and clean.
 
MULTI-TASKING
The ACM series of mass coriolis flow meters measure flow, density and temperature.
 
MATERIAL COMPATIBILITY
Because of the meter's 316 stainless steel flow tubes, the ACM series can measure a wide range of materials.
 
VARIETY OF ELECTRONICS
Electronics available for the ACM series include a local, hazardous rated display and a remote, panel-mount digital display.

Tarih: 19:47, 25/1/2009 Kategori: teknoloji
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Robotic suit helps paralyzed walk

LONDON, England (CNN) -- A new robotic suit could transform the lives of paralyzed people, giving them the ability to walk again.

The invention, known as ReWalk, acts like a kind of exoskeleton. It consists of lightweight, motorized leg supports and an assortment of intricate motion sensors.

Users wear a backpack that holds a computerized control box which helps the medical device recognize when a step needs to be taken.

"Standing changes my whole environment. I don't have to look from the bottom up. Now I am eye to eye with everybody," Radi Kaiof, who has used the device, told CNN.

Kaiof, a former Israeli soldier, was paralyzed from the waist down 20 years ago. He doesn't have feeling in his legs but is still able to move with the use of the robotic suit

With the assistance of crutches, which offer balance and support, people paralyzed from the waist down can walk, bend, sit and even climb stairs when they wear the suit.

The futuristic invention offers an alternative to using a wheelchair for those who have functioning upper bodies and are capable of standing with the use of supports.

It is the creation of Dr. Amit Goffer, an engineer and founder of Haifa, Israel-based high-tech firm Argo Medical Technologies. Goffer was inspired to create the device more than a decade ago after he became disabled in an accident.

The medical technology that could help paraplegics do what was once considered impossible isn't available for purchase yet. The device wasn't ready for testing until late 2007 and currently is in clinical trials in Tel Aviv. *                    

More trials are planned for the United States and Europe, and if the product receives the necessary approvals, it could hit the market in 2010.

The price of the device hasn't been set yet, but is expected to be comparable with the typical average yearly expense of using a wheelchair.

The robotic suit improves the quality of life of people paralyzed from the waist down, according to Goffer, who wanted to give paraplegics an alternative to using a wheelchair. It also benefits their overall health since it keeps their bodies active all day long, he says.

But when it comes down to it, the invention is all about helping people regain respect. Dignity is "the No. 1 problem" for people who use wheelchairs, says Goffer.

For Kaiof, the former soldier, the robotic suit has changed his life. Before he tried it on, his daughter had never seen him stand before.

When he stood before her for the first time, she couldn't believe just how tall he was, he recounted to CNN.


Tarih: 19:23, 25/1/2009 Kategori: teknoloji
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