Moreover, the fact that none of the few deaths occurred during hospitalisation, further emphasises that the major burden of disease is managed out-of-hospital.
"If you cut a headquarters office in western New York, and then there is a disaster there that has to be managed out of Detroit or New York City, there will be protests," Michael E. O'Hanlon, a military expert at the Brookings Institution, said.
It works by measuring employees on a wide range of metrics, ranking them on the basis of their performance, then splitting them into three groups: a small number of high performers who are lavishly rewarded; a large group of average performers who hold on to their jobs; and a third group of under-performers who are "managed out" of the organisation.
This time, attention was focused on how it was managing out-of-hours GP services in Cornwall, and massive failings that had first surfaced two years before.
That's saying nothing of "lower performers" who are being "managed out," as notes Mark Lonergan, founder of his own, 14-year-old, Redwood City, Ca.-based executive search firm, which caters to both venture-backed and public company clients.
The Westport-Weston Arts Councin, founded in 1969, was managed out of a tiny office in Westport's Town Hall.
A fifth of the world's hedge-fund assets (including 80% of Europe's) are managed out of London, compared with a tenth in 2002.
American participation in this effort was managed out of the hip pocket of William Casey, the C.I.A. chief, and on-the-ground liaison was handled by our station chief.
Rose's review did not name any individuals, but she did highlight "examples of presenters being managed out of the organisation or removed from a programme".
In addition, the California-based operations of Winetoday.com will be closed, she said, and that site will be managed out of the digital unit's New York offices.
