Capital investment for additional transducers and decontamination equipment may be needed, and there will be higher ongoing costs for probe covers and sterile gel.
Other exclusions include replacing statutory funding, endowments and loan payments or projects with high ongoing maintenance costs.
"We take away the high ongoing operating cost, and we focus on the inventory that moves most efficiently.
But seawater flushing requires a separate network of mains and, therefore, a greater capital cost and wastewater recycling has a higher ongoing treatment cost.
Under the plans, Broadway, Levenshulme, Miles Platting and Withington swimming pools would all close to "avoid high ongoing maintenance and running costs", though three new facilities - at Hough End, Levenshulme and Beswick - will open as replacements by 2015.
However, the high start-up and ongoing costs of implementing an EMR system (Barrier A1 & A2) can result in problems finding sufficient financial resources in a medical practice.
This fact suggests that the method used here for identifying the high risk group succeeded in identifying children with high ongoing care needs and costs, as opposed to children with one-time health care needs.
Stand-alone physicians are most likely to cite high start-up and ongoing costs, a lack of technical training, lack of uniform standards, lack of time, lack of belief in EMR effectiveness plus confidentiality concerns as the major barriers to EMR adoption.
For instance, high start-up costs and ongoing costs (Barriers A1 and A2) lead to a lack of financial resources (Barrier A4); and a lack of adequate computer skills (Barrier B1) is the reason why physicians need a long time to learn the system (Barrier C2).
Westchester has long been reluctant to resort to such budget gimmicks as using one-time revenues to pay ongoing costs, a tactic practiced in Nassau County, and it enjoys the highest credit rating on Wall Street.
