Best Practice in Arctic Development Concept Selection - How to Avoid the Traps

2012 ◽  
Author(s):  
Chris Mole ◽  
Mike Paulin ◽  
Amy Sturge
Keyword(s):  
Best Practice ◽  
Concept Selection ◽  
Development Concept

Offshore concept field development

2015 ◽  
Vol 55 (2) ◽  
pp. 454
Author(s):  
Greg Saunders ◽  
Matthew Poole
Keyword(s):  
Management Strategy ◽  
Selection Process ◽  
Final Solution ◽  
Concept Selection ◽  
Field Development ◽  
Subsequent Investigation ◽  
Design Perspective ◽  
Technical Study ◽  
Development Concept ◽  
Selection Phase

This extended abstract describes the field development concept selection process for Karoon Gas Australia, as part of the appraisal and commercialisation of an oil resource in offshore Brazil. From an engineering design perspective, the concept selection phase offers the greatest opportunity to create project value. Options must be carefully considered before rigorous investigation to provide a firm foundation for key decisions. The concept selection study and option consideration began with a two-day framing and option identification workshop. Nine key decisions were identified as having significant impact on the feasibility and cost of the development. These included the wellhead type, hydrate management strategy, floating production storage and offloading vessel (FPSO) capacity, FPSO location, mooring type, subsea architecture, product export and expansion provisions. Assessment criteria were agreed on for each of the key technical decisions; these were applied in the evaluation of options defined. This workshop facilitated definition and agreement for the technical study scope. The subsequent investigation and selection process focused on the key development decisions that needed to be made immediately, compared to those that could be made at a later stage of the development. These decisions encompassed technical viability, dry trees versus wet trees, flow assurance, mooring type and processing capacity. A geologically complex reservoir drove many elements of the development selection process. This extended abstract highlights that the final solution balances risk management with maximising project value. The recommended base development concept is analogous to many developments already implemented in Brazil and is flexible enough to accommodate a realistic range of outcomes from future appraisal wells.

The Role of Geophysical Uncertainty in Field Development Concept Selection

2013 ◽  
Author(s):  
Daria Krasova ◽  
Sverre Tresselt ◽  
Ivar Meisingset ◽  
Thomas Forde ◽  
Stale Romundstad
Keyword(s):  
Concept Selection ◽  
Field Development ◽  
Development Concept

Meeting the Best Practice for Hearing Aid Verification in Children: Challenges and Future Directions

2019 ◽  
Vol 28 (4) ◽  
pp. 877-894
Author(s):  
Nur Azyani Amri ◽  
Tian Kar Quar ◽  
Foong Yen Chong
Keyword(s):  
Clinical Practice ◽  
Hearing Aids ◽  
Best Practice ◽  
Hearing Aid ◽  
Evidence Based ◽  
Future Directions ◽  
Major Barrier ◽  
Klang Valley ◽  
Age Range ◽  
Fitting Hearing Aids

Purpose This study examined the current pediatric amplification practice with an emphasis on hearing aid verification using probe microphone measurement (PMM), among audiologists in Klang Valley, Malaysia. Frequency of practice, access to PMM system, practiced protocols, barriers, and perception toward the benefits of PMM were identified through a survey. Method A questionnaire was distributed to and filled in by the audiologists who provided pediatric amplification service in Klang Valley, Malaysia. One hundred eight ( N = 108) audiologists, composed of 90.3% women and 9.7% men (age range: 23–48 years), participated in the survey. Results PMM was not a clinical routine practiced by a majority of the audiologists, despite its recognition as the best clinical practice that should be incorporated into protocols for fitting hearing aids in children. Variations in practice existed warranting further steps to improve the current practice for children with hearing impairment. The lack of access to PMM equipment was 1 major barrier for the audiologists to practice real-ear verification. Practitioners' characteristics such as time constraints, low confidence, and knowledge levels were also identified as barriers that impede the uptake of the evidence-based practice. Conclusions The implementation of PMM in clinical practice remains a challenge to the audiology profession. A knowledge-transfer approach that takes into consideration the barriers and involves effective collaboration or engagement between the knowledge providers and potential stakeholders is required to promote the clinical application of evidence-based best practice.

A Guide to Coding and Billing for the Audiological Management of Patients Receiving Ototoxic Medical Treatments

2019 ◽  
Vol 4 (5) ◽  
pp. 936-946
Author(s):  
Dawn Konrad-Martin ◽  
Neela Swanson ◽  
Angela Garinis
Keyword(s):  
Otoacoustic Emissions ◽  
Best Practice ◽  
Private Insurance ◽  
Monitoring Program ◽  
Current Method ◽  
International Classification Of Diseases ◽  
Ethical Practice ◽  
Party Payer ◽  
High Frequency Audiometry ◽  
Icd 10

Purpose Improved medical care leading to increased survivorship among patients with cancer and infectious diseases has created a need for ototoxicity monitoring programs nationwide. The goal of this report is to promote effective and standardized coding and 3rd-party payer billing practices for the audiological management of symptomatic ototoxicity. Method The approach was to compile the relevant International Classification of Diseases, 10th Revision (ICD-10-CM) codes and Current Procedural Terminology (CPT; American Medical Association) codes and explain their use for obtaining reimbursement from Medicare, Medicaid, and private insurance. Results Each claim submitted to a payer for reimbursement of ototoxicity monitoring must include both ICD-10-CM codes to report the patient's diagnosis and CPT codes to report the services provided by the audiologist. Results address the general 3rd-party payer guidelines for ototoxicity monitoring and ICD-10-CM and CPT coding principles and provide illustrative examples. There is no “stand-alone” CPT code for high-frequency audiometry, an important test for ototoxicity monitoring. The current method of adding a –22 modifier to a standard audiometry code and then submitting a letter rationalizing why the test was done has inconsistent outcomes and is time intensive for the clinician. Similarly, some clinicians report difficulty getting reimbursed for detailed otoacoustic emissions testing in the context of ototoxicity monitoring. Conclusions Ethical practice, not reimbursement, must guide clinical practice. However, appropriate billing and coding resulting in 3rd-party reimbursement for audiology services rendered is critical for maintaining an effective ototoxicity monitoring program. Many 3rd-party payers reimburse for these services. For any CPT code, payment patterns vary widely within and across 3rd-party payers. Standardizing coding and billing practices as well as advocacy including letters from audiology national organizations may be necessary to help resolve these issues of coding and coverage in order to support best practice recommendations for ototoxicity monitoring.

Business: The Electronic Health Record: Front Line Experience

2011 ◽  
Vol 21 (1) ◽  
pp. 18-22
Author(s):  
Rosemary Griffin
Keyword(s):  
Health Care ◽  
Information Technology ◽  
Electronic Health Record ◽  
Financial Incentives ◽  
Best Practice ◽  
Health Care Systems ◽  
The United States ◽  
Health Record ◽  
Health Trends ◽  
Electronic Health

National legislation is in place to facilitate reform of the United States health care industry. The Health Care Information Technology and Clinical Health Act (HITECH) offers financial incentives to hospitals, physicians, and individual providers to establish an electronic health record that ultimately will link with the health information technology of other health care systems and providers. The information collected will facilitate patient safety, promote best practice, and track health trends such as smoking and childhood obesity.

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