And he cites the now seemingly obligatory measure of eliminating your daily cup (or two or three) of takeout coffee and investing what you would have spent on it.
Thus, successful cecal intubation is an obligatory measure of competence.
Obligatory quality assurance measures for providers, especially hospitals, within the statutory health insurance system (GKV) entered legislation in 1992 with the law on reforming the health system structure (GSG, Gesundheitsstrukturgesetz,) which came into force in January 1993.
Various laws under consideration in Congress would introduce such measures as obligatory (but non-binding) votes on executive pay and golden parachutes at all public firms.
They know that sometimes you have to violate national sovereignty to rescue an enslaved people; that human rights have no borders, because they are universal and indivisible; and that if other means prove ineffective – as they often do against violent regimes – "it is legitimate and even obligatory to take concrete measures to disarm the aggressor," as Pope John Paul II put it in 2000.
These measures are obligatory for GM crop farmers.
Although a comprehensive set of control measures (including obligatory indoor housing, treatments with insecticides, trade restrictions like restrictions on animal movements and extra testing and controls on export animals) was put in place at the national and the European Union (EU) level in 2006, the infection reappeared after a mild winter and spring in 2007.
At that time there was no comprehensive nationwide hospital performance data available except from a dozen specific surgical interventions (where no minimum volume standard was applied) documented in the obligatory external quality assurance measure.
For all medical departments that take care of highly immunocompromised patients, it is obligatory that effective infection control measures are implemented to prevent nosocomial Legionellosis.
Main outcome measures Percentages of clinical obligatory questions asked and items within home management and safety net advice, both in relation to pre-agreed standards, and of care advice given in relation to the required care advice.
