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Porter's Five Forces provides a useful framework to analyse company strategies but a practical benefit is that it can be used to identify factors that public health systems need to understand if they are to become effective commissioners.
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Mandelson is an astute politician whose unusual combination of talents suggest that he will become a highly effective commissioner.
"Shaun Donovan has been one of the most effective housing commissioners in New York City's history," said Senator Charles E. Schumer, Democrat of New York, who had championed Mr. Donovan.
Where these barriers were not experienced, and where the scheme was perceived as effective locally, commissioners were enthusiastic about continuing to fund MEND.
Mayor Young, 57, has appointed a new planning commissioner, retained what many say is an effective police commissioner and supported a school superintendent who has generally received good marks from all sides.
His suspension was effective immediately, Commissioner Roger Goodell said.
But some city officials and former police administrators question how effective the commissioner will be at accomplishing these goals.
Ms Bonino was an effective European commissioner in Brussels and her group won 8.5% in elections to the European Parliament two years ago.
One of the sharpest tension points under Mr Fenty, writes Dana Goldstein, was the clash between his crusading and highly effective schools commissioner, Michelle Rhee, and community school boards and teachers.
Their dismissal of one effective privacy commissioner just in time to appoint an unknown other, with neither of them officially giving input, is suspiciously convenient at best.
Therefore 50 commissioners (effective response rate = 35.2%, 50/142) and 58 managers (effective response rate = 35.4%, 58/164) completed the survey and it is on this data that the findings are reported.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com