There has been a nation wide shortage of Acetylsistene in 4ml bottles. Typically patients that need this for respiratory need use 2-3 milileters at a time between 2- 4 times a day.During this shortage the way it has been dispensed is in 30 mililiter bottles. The expiration date is 72 hours after opening the bottle. In my humble opinion it would be of more benefit to have pharmacy draw these up in 3 mililiter syringes ...more »
Department of Health and Human Services - IMB
The new situation in the Economy has created many opportunities for investors in the real estate world. The US Government is leasing Buildings, Land and Real Estate Property paying millions of dollars every year to private organizations or individuals. The Government also should take advantage of the situation and purchase vacant property for their use. •Example Number 1: Purchasing vacant buildings and land in ...more »
My experience with my mother's interaction with doctors while on Medicare is that she would go in, talk to the doctor briefly, and then get labs prescribed, with many tests. Then, she would return two weeks later to go over the test results. The same things happens with my private insurance doctor -- I get a physical, he prescribes labs, and then I get the results, AFTER the physical. If I need to discuss the results, ...more »
Just as the government expanded,it can also contract.I live and work in a metro area where there are 5 Social Security field offices. I'm sure that by closing one or more in each metro area that the agency can combine resources and employees into less offices and save money.
Employees in field offices could work 4 10 hour days and be open to the public from 9AM-3:00PM. It would save thousands in operational costs and give employees time to complete noninterviewing work tasks thus eliminating the need for overtime which would also save thousands of dollars across the board.
Federal Acquisition Regulations (FAR) and government Purchase Card (credit card) policy currently preclude the use of Purchase Cards to buy annual IT hardware and software maintenance or support. This leads to the use of purchase orders instead. As someone who purchases such services for an IT-intensive organization, I find myself submitting requisitions for as little as $50 or $60. Given the weeks of delay and hundreds ...more »
Situation: Computer output printing costs are high (printers, paper and toner), especially with employees having their own printers in their offices. Obesity rates are high and sitting at one's desk does not help one get exercise. We have become extremely dependent on electronic communication. Cost cutting idea: Phase out individual printers and replace with one printer per floor, or one per work area. This would ...more »
Since each Agency usually has more than one employee attending events such as training, conferences, and meetings I suggest putting two employees of the same gender to a hotel room instead of one and cutting down on lodging expenses.
We purchase so much furniture for offices and conference rooms. There are purchases of office chairs that cost over 400 dollars. In addition of furniture purchases for employees, there is a high turnover of employees to newer positions and the chairs are left behind or put in hallways. We dont have 400 dollar chairs at home, so why at work. We should not be allowed to use corporate businesses (such as staples or office ...more »
I receive a lot of mail in my current job. A lot of it is catalogs. Currently 50 people work in my office, and the mail is full of catalogs because I work in the Office of Acquisitions. Every time I receive a catalog, I ask the employee if he or she would like to keep the subscription. If the subscription is declined, I call the number on the catalog and speak to someone. I have that particular person's name removed ...more »
Two weeks ago I sent a Center-wide email recommending individuals not involved in information technology, cancel their GSN (Government Security News) print magazine subscription (a gov’t IT-related publication) by calling the Subscription Office's phone number which was buried in the back of the magazine. If hundreds or thousands of FDA or HHS or US gov't-wide employees cancel these oftentimes mis-targeted publications, ...more »
Eliminating in-person NIH grant peer review and replacing thiswith online reviews will save millions annually. Also it will reduce time spent traveling by hundreds of scientist reviewers and NIH staff. It will reduce funds spent on hotels, travel, meeting space and per diem for all in person study section reviews. Research conducted by Alexander Pentland at MIT suggests project reviewers who watch in person presentations ...more »
Eliminate the combined family max comp for RSI/Disability benefits. This is a comp prone to error and thus overpayment, it is either not done properly, not done at all, or not suspended in a timely manner-many times resulting in overpayment to the beneficiaries. Not to mention the loss time spent by employees in following up on this comp to either be processed or suspended. Eliminate this comp-just pay on the higher ...more »
CMS builds unique systems in response to similar often overlapping legislation enacted by Congress. This creates an inefficient use of taxpayer money and causes confusion and frustration for our providers, vendors, and beneficiaries. Contracts are awarded and millions of dollars are spent developing these systems. I think we could save money if Congress looked at the Programs that were previously enacted and built ...more »
Waste incineration can be done at the massive federal complexes like already done at hospitals. Also being done in Virginia. Set up furnaces to incinerate the office waste including print and then use steam turbines to generate electricity. Incinerate papers un-shredded (!) as well as those daily litter generated at our workplaces, cafeterias and yard care. For now they end up in landfills someplace far away, ‘shredded’ ...more »