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There will be changes in employees lives that require them to constantly ask for changes to the information used to create their paychecks For example, an employee may have a baby, which requires an alteration in that person s medical insurance from two adults (which is at one price) to a family plan (which is at another price); this change will probably require a different payroll deduction for the employee s portion of the insurance expense, which must be reflected in his or her paycheck As another example, an employee is diagnosed with a long-term medical problem that will require a great deal of medication, so this person enrolls in a cafeteria plan in order to deduct the medication cost from his or her pretax wages These and other scenarios will occur constantly, so the payroll staff must have a procedure in place for handling them One approach is to create a separate form for each type of payroll change, but this can result in a blizzard of paperwork A better approach is a single summary-level change document such as the one shown in Exhibit 18 This employee change form can be used as the source document for new employees, as well as for each incremental change requested by existing employees In the latter case, one enters just the information relating to a specific request (such as a change in short-term disability, supplemental life insurance, or a 401k deduction), has the employee sign it to confirm the transaction, and submits it to the payroll staff for processing The completed form is then filed in the employee s personnel folder



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models were developed and/or evaluated The INDEX system allowed the physician to obtain history, physical examination, and some test results by entering numbers from a coded index list; after 10 minutes of gathering data, the physician had to provide a diagnosis The CASE system functioned much like INDEX, except that it allowed for free text input of questions MATRIX required the physician to make a diagnosis based on cues, and used Bayesian probability to score the accuracy of the diagnostic decision The computerized patient management problem (PMP) was a traditional PMP without backtracking CRISYS was a physiologic cardiovascular simulator, with dynamic patient response to interventions Each model was tested; student and physician reactions were collected and evaluated None of these systems offered the promise of a reliable and valid measure of patient management skills From 1975 to 1982, the joint NBME/ABIM project continued at the University of Wisconsin The focus of effort during this phase was the development of a management model, which realistically avoided cueing and simulated the movement of time Patient care, as in real life, no longer ended with the diagnosis, but required continued care of the patient The rst bona de scoring systems were developed, based on scoring systems for latent image PMPs A large eld trial was conducted, and it provided tantalizing indicators that the simulation measured unique competencies in a reliable and valid manner Concurrently with this work, the NBME was attempting to create an infrastructure that would allow computer delivery of its examinations In 1986, it created Computer-based Testing and Learning, Inc (CTL) as a wholly owned subsidiary for this purpose In 1988, recognizing that the initial business plan for CTL was overly optimistic, the NBME withdrew its support and the subsidiary was closed Clearly an idea that was ahead of its time, CTL worked with several clients who subsequently found other outlets for computer-based testing, including the National Council of State Boards of Nursing and the National Council of Architectural Review Boards Primarily because of a lack of delivery vehicle, but also because of re nements needed in case scoring, the planned 1989 implementation of case simulations in the NBME certifying program was inde nitely deferred Despite inde nite postponement of implementation plans in 1989, development work continued unabated The project focused on dissemination of the case simulation technology to medical schools More than 90 medical schools in the US and abroad used the NBME system for instruction, selfassessment, and (in more limited numbers) for end of clerkship evaluations The continued collection of data from thousands of student case interactions allowed re nement in the scoring of the simulations Scoring approaches concentrated on replicating expert global judgments of examinee case management strategies Enhanced case authoring tools were developed that capitalized on the database of existing cases, using graphical and highly indexed computer-aided design tools to streamline case authoring The simulation system was rewritten using state of the art techniques, including a graphical interface, the potential for integration of digital audio and video, and objectoriented database and programming.





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We next look at the PBNM architecture in more detail The PBNM architecture discussed here has been adopted by the IETF and the Distributed Management Task Force (DMTF) (as discussed in Section 625) and has been a research focus The PBNM architecture typically incorporates certain components that are shown in Figure 62 The components of the PBNM architecture as shown in Figure 62 are:

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