Source: BURLINGTON VT – Fletcher Allen. 3.9.2011 Regionally, Vermont’s Act 49 report issued last year with data from Vermont, New Hampshire and Maine showed that Fletcher Allen’s hospital service area had the lowest rate of Emergency Department visits and the lowest rate of potentially-avoidable ED use. Fletcher Allen’s service area also had the lowest per-member per-month expenses for insured patients in the three-state region. A High-Performance OrganizationFletcher Allen compares well with peer groups outside the state in terms of quality and efficiency. In one group of 107 academic medical centers and 233 of their affiliated hospitals, known as the University Healthsystem Consortium (UHC), Fletcher Allen performs above the UHC median on an array of quality measures such as readmissions, heart attack, heart failure and pneumonia care, as well as cost measures such as cost per inpatient discharge and observed to expected costs of care. About Fletcher AllenFletcher Allen Health Care, together with our partners at the University of Vermont College of Medicine and the College of Nursing and Health Sciences, is Vermont’s academic medical center. Our mission is to improve the health of the people in the communities we serve by integrating patient care, education and research in a caring environment. Fletcher Allen serves as a regional referral center — providing advanced care to approximately one million people in Vermont and northern New York — and as a community hospital for approximately 150,000 residents in Chittenden and Grand Isle counties. FY 2010 Results Fletcher Allen reported a net operating income of $17.9 million for the 2010 fiscal year. This included an operating income of approximately $683,000 for the fourth quarter beginning July 1 and ending September 30. The yearly operating income figure was approximately $2.6 million below budget. Fletcher Allen reported a net operating income of approximately $831,000 for the first quarter of the 2011 Fiscal year. The first quarter covers the period beginning October 1st and ending December 31, 2010. The organization also finished its 2010 fiscal year approximately $2.6 million below budget. The fiscal year runs fromOctober 1 through September 30. First Quarter ResultsThe net operating income for the first quarter was approximately $2.1 million above the budgeted $1.3 million loss, and $735,000 above the first quarter of FY 2010.Total operating revenues for the first quarter were $216.6 million, approximately $6.5 million below budget. The organization’s operating expenses for the quarter were $215.8 million, $8.6 million below budget, resulting in the net operating gain of $831,000 and a slightly positive operating margin for the first quarter. The organization also had a slightly positive operating margin in the first quarter of FY 2010.Operating earnings before interest, depreciation and amortization (EBIDA) for the period totaled $16.7 million compared to the $15.6 million budgeted figure and $16 million for the first quarter of FY 2010. EBIDA provides a good measure of the organization’s actual earnings.Days cash on hand was measured at 118 days for the quarter compared to 107 days last year. This indicator is a projected estimate of the number of days an organization could meet operating expenditures provided no additional revenues were received. The institution began making its quarterly financials public with the release of the first quarter results for FY 2003 in February 2003. The audited financial statements as well as unaudited quarterly results for FY 2003 through the third quarter of FY 2010 are available on the Fletcher Allen Web site at www.fletcherallen.org(link is external). For more information about Fletcher Allen, find us online at http://www.fletcherallen.org(link is external) or on our Facebook, Twitter, YouTube, and blog sites at www.fletcherallen.org/socialmedia(link is external). Results on the Web Site The institution began making its quarterly financials public with the release of the first quarter results for FY 2003 in February 2003. The audited financial statements as well as the quarterly results for FY 2003 through the first quarter of FY 2011 will be available on the Fletcher Allen Web site at www.fletcherallen.org(link is external).
By Andréa Barretto/Diálogo March 08, 2018 The Brazilian Navy (MB, in Portuguese) was the first within the Brazilian Armed Forces to confer the rank of general officer upon a female service member. The promotion of Rear Admiral Dalva Maria Carvalho Mendes took place in 2012. In December 2017, MB took another innovative step with the passage of Public Law No. 13.541. The regulation opens the door for women to follow careers allowing them to rise to the level of admiral, the highest rank in the naval force’s chain of command in times of peace. In wartime, the highest rank is fleet admiral. The change also means women can now join the Navy and Marine Corps and take part in combat activities. “Until now, women took part in operational activities in the areas of health and support services—that is, in logistics activities—and weren’t thrust into direct combat situationss,” explained Admiral Celso Luiz Nazareth, MB’s director of Personnel Management. “With the newly enacted law, they will now be able to take part in preparatory activities and exercises that are, in fact, intended for combat—as members of the Navy, for naval battles, and as members of the Marine Corps, for battles on land after disembarking.” Necessary adjustments Implementing the changes the new law brought about involves different areas and regulations of MB. Adm. Nazareth cited physical abilities, for example. According to the admiral, physical requirements of combat activities are more intense than for logistics duties to which women were previously limited. This involves making changes to rules governing military physical training and physical assessments for women. Another important aspect concerns remodeling ship facilities and training schools. “There is a need for small changes and adaptations to allow for prolonged cohabitation among male and female professionals, both on long deployments aboard ships, which can last for months, as well as boarding needs at our educational establishments, as part of naval military training,” Adm. Nazareth said. The goal is for change in the near future. In 2018, for example, MB’s selection process for the Brazilian Naval Academy already includes admission of female candidates into the Navy and Marine Corps. From 2014 to 2017, the Brazilian Naval Academy admitted women only to train for the career of quartermaster. The first class of female service member quartermasters graduated in 2017. Tasks of the Navy Quartermaster Corps consist of supply and transportation logistics, budget oversight and implementation, property management, internal controls, and the administration of the payment system for those serving in MB. Women in the Navy MB has 8,124 female service members— 3,706 officers and 4,418 enlisted. In some fields, women are the majority, representing 77 percent of medical assistants, 65 percent of dental surgeons, and 54 percent of doctors. Rear Adm. Dalva, a doctor, is the first and only woman in the Brazilian Armed Forces to earn the rank of general officer. Rear Adm. Dalva joined MB in 1981, in the first class of the Female Auxiliary Naval Reserve, together with 202 other women. In 1997, female service members were reassigned across the corps that existed at the time. That year, Rear Adm. Dalva joined the medical staff of the Navy Health Corps as an anesthesiologist. “I’ve had a number of stand-out moments in my career, but certainly my promotion to general officer was the most emblematic. I was overcome by a feeling of intense joy—an indescribable emotion mixed with my awareness of the heightened responsibility that the promotion brought,” Rear Adm. Dalva said. For her, the passage of the new law and the admission of women into officer training classes at the Brazilian Naval Academy are a “testimony that the Navy is an institution sensitive to social changes.” As for female service members taking part in combat operations, Rear Adm. Dalva says she doesn’t see any problem. “Regardless of their gender, service members are ready to carry out any mission, because they have traits that can be translated into the values required of professionals, such as dedication, responsibility, selflessness, and a spirit of sacrifice, among others.”
Johnson to guard judicial independence July 15, 2004 Associate Editor Regular News Johnson to guard judicial independence Jan Pudlow Associate Editor “Expect a lot of straight talk and truth-telling” from The Florida Bar’s new president, longtime friend and colleague Mary Sweet told the audience at the swearing-in ceremony at Annual Meeting.Those expectations were soon realized when 46-year-old Kelly Overstreet Johnson, the Bar’s 56th president and leader of the state’s 74,000 lawyers, addressed the General Assembly in Boca Raton June 25.“Several years ago, the legislature provided the governor with the power to make all of the appointments to Florida’s Judicial Nominating Commissions. This change has resulted in a strain on judicial independence and the perception of an increase in politically based appointments — from the commissioners to the judges themselves,” Johnson said in her inaugural speech.“We must work to return balanced, nonpartisan voices to our Judicial Nominating Commissions and preserve the independence of our judiciary, the most important component of our system of justice. Judges must be selected based on what they know — not who they know or their particular political views.”As for Revision 7 to Art. V, the constitutional amendment that shifted funding of the court system from the counties to the state July 1, Johnson called it well-intended, “but it has not worked as envisioned.. . . Not a single new judgeship was funded, despite a certification by the Supreme Court for the last two years of a need for many new judges around the state. This is not acceptable.”Sweet also described her friend Johnson — with a long list of professional activities and varied legal career including government lawyer and solo practitioner before becoming a partner at Broad and Cassel in Tallahassee — as possessing “the ability to listen with educated ears.”“This year, she is going to be committed to listening to lawyers.. . and being part of the solution for them,” Sweet said.Among Johnson’s commitments as Bar president are to: • Review lawyer advertising rules and revise them as necessary.“I am committed, as Bar president, to maintaining and protecting what I think is the proper balance between a lawyer’s right to inform the consuming public, and the Bar’s duty to help ensure a fair, dignified, and impartial legal system.” • Work to increase funding for legal assistance for children.Praising past President Miles McGrane for his accomplishments during the “Year of the Children,” Johnson said she “would like to continue the strides he has made in bringing greater access to the courts for Florida’s lower-income, disabled, abused, and neglected children.”She encouraged everyone to purchase the Bar’s new specialty license tag, “Kids Deserve Justice,” that will provide a constant source of funding for children’s legal aid, to be administered by The Florida Bar Foundation. • Encourage diverse members of the legal profession to get more involved in Bar activities.“It wasn’t too long ago that women presidents of The Florida Bar were still an unheard of phenomenon, and we have yet to have our first president of color. Nevertheless, I stand before you as evidence of a profession that can and continues to embrace inclusiveness,” said Johnson, the Bar’s third woman president (after Pat Seitz, 1993, and Edith Osman, 1999).“Our courts, law schools, and law offices must continue to strive to find ways to include instead of exclude each other in our legal and professional activities. Won’t it be nice when we no longer notice or comment upon a ‘first,’ ‘second,’ or ‘third’?” Johnson asked.“I urge each of you to reach out to someone who is not like you and begin a dialogue with him or her about improving Florida’s legal profession and making our system more open for all attorneys.”With that goal in mind, Johnson appointed President-elect Alan Bookman to chair a membership outreach initiative.“In this great melting pot we call home, it is imperative that the legal profession serve as the bridge linking all members of society to the protections afforded by the rule of law. Let’s open our horizons and broaden our outlook. Let’s be stewards of a more inclusive society and a more inclusive Bar.”With rows and rows of family, friends, colleagues, past Bar presidents, judges, and Supreme Court justices witnessing the event, Johnson was joined at the podium by her husband, Hal Johnson, general counsel of the Florida Police Benevolent Association. Placing her hand on a thick Bible, she solemnly repeated the oath of office administered by Chief Justice Harry Lee Anstead.The Johnsons’ 3-year-old twin daughters, Alex and Haley, watched from the front row, squirming in Sunday-best white dresses and matching hair bows. And Tallahassee Bar President Nina Ashenafi rushed up to present a tropical bouquet of flowers to the hometown gal made good.There was a moment to acknowledge that Johnson’s hero, her father Tom Overstreet who died almost two years ago of cancer, was certainly present in spirit on this joyous occasion.With a ceremonial banging of the gavel, Johnson declared the General Assembly adjourned. As she stepped down to the floor, well-wishers swarmed around Johnson with hugs and kisses and flashing cameras, as she hoisted a twin to her hip.Paraphrasing Betty Davis in “All About Eve,” Sweet told those gathered: “Let’s fasten our seatbelts. It’s going to be an exciting year!”