The Integrated Performance Management System: A Key to Service Trajectory Integration.

INTRODUCTION: This article presents an experience of deploying an integrated performance management system as a catalyst for the integration of a service trajectory for children in vulnerable situations. Called ''Jimmy'', the project identifies how the integrated performance management system makes it possible to improve accessibility, continuity of services and well-being at work among stakeholders. METHODS: An action research was conducted in a large healthcare organization in Canada, between August 2016 and October 2018. Data was systematically collected throughout the various cycles of research using field notes, more than 350 hours of observations, 15 interviews and 3 focus groups. RESULTS: This research supports using an integrated performance management system as a model for collaborative management that supports both horizontal and vertical integration in the service trajectory. The use of visual boards and status sheet meetings were determining factors for service integration and the functioning of integrated teams. This also led to improvements in accessibility and continuity of services, as well as in employee well-being. DISCUSSION AND CONCLUSION: Supported by the various tools of the integrated performance management system, Project ''Jimmy'' reinforces the implementation of linkage and coordination models, which in turn helps create strong connections among teams. The status sheet meetings and visual boards are tools that vertically integrate different hierarchical levels and horizontally integrate various front-line stakeholders through the user-oriented trajectory.

Diagnóstico del desarrollo integral de los deportistas de Villa Clara: una necesidad impostergable / Diagnosis of the integral development of the sportsmen of Villa Clara: an urgent need

Resumen La práctica deportiva ha ganado en masificación, en la provincia de Villa Clara, partiendo desde el nivel de base, hasta el alto rendimiento, lo cual garantizará la continuidad de los resultados del deporte en el territorio. La provincia de Villa Clara ocupó históricamente el segundo lugar en juegos escolares, juveniles y deporte social a nivel nacional, sin embargo, el desarrollo alcanzado por otras provincias y la necesidad de continuar engrosando las filas de los equipos nacionales, demandan del uso de la ciencia, las tecnologías y de la información científico-técnica, que permitirán mantener en la élite mundial en muchos de los deportes que se practican en el país. Todo ello garantizará, a su vez, una formación integral de los atletas, lo cual constituye una prioridad del Instituto Nacional de Deportes, Educación Física, y Recreación (Inder), así como un objetivo de trabajo. Por todo lo anterior, existe la necesidad de realizar un diagnóstico sobre el desarrollo de los deportistas de Villa Clara. Para ello, se utilizarán métodos del nivel teórico y empírico, entre los que están: inductivo-deductivo, sistémico estructural funcional, analítico-sintético, la medición, la encuesta, la entrevista, análisis documental, técnicas psicológicas, análisis biomecánico y estadístico-matemático. El diagnóstico permitirá detectar debilidades que constituyen un punto de partida para el desarrollo integral de los deportistas.

Abstract The sport practice has spread in mass in the province of Villa Clara, starting from the base level, until the high performance, which will guarantee the continuity of the results of the sport in the territory. The province of Villa Clara historically occupied the second position in school games, youth and social sports nationwide, however, the development achieved by other provinces and the need to continue increasing the ranks of national teams, demand the use of the science and technology and scientific-technical information, which allow us to remain in the world elite in many of the sports practiced in the country, ensuring the integral formation of athletes, which is a priority of the Fiscal Education, Sport and Recreation National Institute (Inder), as well as a work objective. For all the above there is a need to conduct a study on the development of athletes in Villa Clara, for which methods are used at the theoretical level as well as the empirical level. Among which are: inductive-deductive, systemic-structural-functional, analytic-synthetic, the measurement, the questionnaire, the interview, psychological technical documental analysis, analysis biomechanics and statistical-mathematical. The study allows detecting weaknesses that constitute a starting point for the integrated development of athletes.

[The methodological principles of comprehensive evaluation of activities of medical organizations].

The article considers expedience and the need to develop an integrative assessment methodology of medical organizations. Presented to the successive stages of the evaluation and the results of approbation of the suggested methodological principles for evaluating the activities of the three-example conditional medical organizations.

Integrated hydro-environmental impact assessment and alternative selection of low impact development practices in small urban catchments.

Attention is increasingly being paid to low impact development (LID) practices in urban stormwater management. Because LID practices offer a wide variety of hydro-environmental benefits, it is often necessary to account for these benefits collectively in cost-benefit analysis and LID alternative selection. The conventional methods of quantifying these benefits, however, can hardly incorporate the preferences of decision makers, and commonly involve tedious parameter estimations. To address these shortcomings, this study adopts a relative performance evaluation method to assess the various hydro-environmental impacts of LID alternatives in small urban catchments. This study considers several categories of hydro-environmental impacts, including water balance impact, surface pollutant load abatement, and combined sewer overflow and flood risk mitigation. Several performance indicators are used for each impact category. The system-wide effectiveness of an LID alternative is then derived by the weighted aggregation of its indicator scores, which are obtained by comparing its performance with that of all of the other alternatives. The hydro-environmental impact of green roofs and bioretention cells of varying areas in New York City, U.S. are investigated in detail. The results suggest that a green roof that covers the whole catchment is as effective as a bioretention cell that covers 3%-5% of the catchment in terms of stormwater management, and that the effectiveness of a bioretention cell doubles when its surface area increases from 2% to 10% of the catchment area. These assessment results are influenced by catchment-specific assessment criteria (e.g., the high flow threshold) and management interests, which suggests that design guidelines for different catchments should be tailored to their natural and drainage characteristics. The framework used in this study allows stakeholders' interests to be reflected in LID alternative selections and the implications of different design guidelines to be thoroughly investigated.