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Department of Health and Human Services

Only reimburse actual amounts employees spend on meals while on travel

Each year, the per diem for most parts of the country is increased. Included in the per diem is the allowance for meals. Employees are reimbursed for the full amount of the allowance for meals even if they only spend a portion of that allowance. By requiring that employees submit all meal receipts and only allow reimbursement for actual amounts spent up to the full allowance, this would result in an overall savings... more »

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-5 votes
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Department of Health and Human Services

Change from annual to biannual fiscal period

The annual budget cycle imposes tremendous costs: months each of legislative negotiations, executive branch budget justifications and allocations, and end-of-year intensive work to spend every budgeted dollar. Funding decisions are made so late at the lowest level that it is almost too late to initiate full and open procurement. The procurement staffs are consistently understaffed across the federal government, so procurement... more »

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-4 votes
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Department of Health and Human Services

Eliminate Two Computer Monitors

A lot of employees at NIH have two computer monitors in their offices. This practice should be eliminated to reduce cost. I worked in the private sector for almost 20 years, developing spreadsheets and analyzing financial data. I performed my job effectively with one monitor.

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-4 votes
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Department of Health and Human Services

Lose Weight: Get Credit Time Off

A major public health problem in the United States is the prevalence of obesity, which has doubled in adults 20 years and older between 1980-2002. Along with the numerous associated health complications, rising rates of obesity have a significant economic impact which includes decreased productivity, limited mobility, increased hospitalization, and absenteeism. I suggest we provide credit time off for federal employees... more »

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-4 votes
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Department of Health and Human Services

DHS and sibling adoption

I suggest that DHS mantain a database of adopted childrens to have the capability to keep the siblings together. In addition to have a law establish for adoption agencies to informed the DHS and to check the database for the possibility of keeping the family or sibling together.

In my case I adopted a child in 2008, the following year I was informed by a family member that there was a new sibling I contacted the agency... more »

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-4 votes
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Department of Health and Human Services

Mandate Influenza Vaccinations for Health Care Providers as a Condition of Employment

Mandate seasonal influenza vaccination for health care providers in any facility that receives Federal tax exemption or receives Federal funds, including training dollars, Medicare, Medicaid, or supplies. Vaccination of health care providers against seasonal influenza (along with novel influenza viruses) as a condition of employment has been strongly encouraged by multiple preventive medicine authorities and is a mandatory... more »

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-4 votes
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Department of Health and Human Services

Replace PCs with servers

Instead of buying PC for each individual, organization like NIH should use servers to meet the needs of computer applications such as word processors, spreadsheets, graphic programs, etc. Each person will only need a terminal to the central servers to use the applications. This will save money on expensive individual program license, maintenance, upgrades on software and hardware. It also reduce the cost of IT security.... more »

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Department of Health and Human Services

Freedom to Choose Better Health for All

Have insurance companies reimburse patients who use integrative medicines such as herbs and other natural medicines that are a lot cheaper and work better in the treatment of disease and boosting the human immune system. We can stop using so many drugs that have a lot of side effects and are expensive. The patient has to use other drugs just to counteract the side effects of the primary drug.
I'm not saying that all... more »

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-4 votes
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Department of Health and Human Services

Extend 5 year contracts to 10 lowering procurement costs and securing contracting jobs

My idea is concerning government IT contracts and is two parts. The Enterprise System Development (ESD) model increased costs and expanding the timeframes for contracts.
Currently in CMS many IT contacts are under a new ESD model where the old contract is broken up into 3 contracts. 1. Production support 2. Maintenance 3.Testing . I cannot verify the costs this has produced but the contract project officers have stated... more »

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-4 votes
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Department of Health and Human Services

Temperatures in buildings

I suggest that the government mandates that air temperatures inside federal buildings and offices be raised to 78 degrees in the warmer months and 68 degrees in the colder months to save on air conditioning and heating costs. This was done during the oil embargo of 1979 -1980 and the government saved lots of money. Federal employees learned to adjust to the temperatures by dressing appropriately and contributing to the... more »

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Department of Health and Human Services

Discuss only top 25% of grant applications in NIH peer review

Improve NIH grant application peer review process by using the process pilot tested with most of the ARRA reviews conducted in 2009: This involves having a mail or online review for all applications followed by a face to face review meetings with discussion for ONLY the portion of grant applications that truly are likely to be considered for peer review. So if the typical NIH Institute's payline is up to the 18th percentile,... more »

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