text:
 24.5.2014
 BG
 Официален вестник на Европейския съюз
 L 156/5
 РЕГЛАМЕНТ ЗА ИЗПЪЛНЕНИЕ (ЕС) No 563/2014 НА КОМИСИЯТА
 от 23 май 2014 година
 за одобряване на основното вещество хитозан хидрохлорид в съответствие с Регламент (ЕО) No 1107/2009 на Европейския парламент и на Съвета относно пускането на пазара на продукти за растителна защита и за изменение на Регламент за изпълнение (ЕС) No 540/2011 на Комисията
 (текст от значение за ЕИП)
 ЕВРОПЕЙСКАТА КОМИСИЯ,
 като взе предвид Договора за функционирането на Европейския съюз,
 като взе предвид Регламент (ЕО) No 1107/2009 на Европейския парламент и на Съвета от 21 октомври 2009 г. относно пускането на пазара на продукти за растителна защита и за отмяна на директиви 79/117/ЕИО и 91/414/ЕИО на Съвета (1), и по-специално член 23, параграф 5 във връзка с член 13, параграф 2 и член 78, параграф 2 от него,
 като има предвид, че:
 (1)
 В съответствие с член 23, параграф 3 от Регламент (ЕО) No 1107/2009 на 19 декември 2011 г. Комисията получи заявление от CHIPRO за одобрение на хитозан хидрохлорид като основно вещество. Това заявление бе придружено от информацията, изисквана в член 23, параграф 3, втора алинея.
 (2)
 Комисията поиска научно съдействие от Европейския орган за безопасност на храните (наричан по-долу „Органът“). На 24 май 2013 г. Органът представи на Комисията технически доклад за съответното вещество (2). На 20 март 2014 г. Комисията представи за одобрение от Постоянния комитет по хранителната верига и здравето на животните доклад за преразглеждане и проекта на настоящия регламент за одобряване на хитозан хидрохлорид.
 (3)
 Предоставената от заявителя документация и резултатите от анализите, проведени от Органа (3) в съответствие с Регламент (ЕО) No 1924/2006 на Европейския парламент и на Съвета (4), показват, че хитозан хидрохлорид отговаря на критериите за хранителен продукт, както е определено в член 2 от Регламент (ЕО No 178/2002 на Европейския парламент и на Съвета (5). Освен това веществото не се употребява преимуществено за целите на растителната защита, но независимо от това е полезно за растителната защита в състава на продукт, състоящ се от веществото и вода. Следователно то трябва да се счита за основно вещество.
 (4)
 Проведените анализи показаха, че може да се очаква, че хитозан хидрохлорид принципно отговаря на изискванията, предвидени в член 23 от Регламент (ЕО) No 1107/2009, по-специално по отношение на видовете употреба, които бяха проучени и са подробно описани в изготвения от Комисията доклад за преразглеждане. В съответствие с член 13, параграф 2 от Регламент (ЕО) No 1107/2009 във връзка с член 6 от посочения регламент и предвид съвременните научно-технически познания е необходимо да бъдат включени определени условия за одобрение, както е посочено в приложение I към настоящия регламент.
 (5)
 В съответствие с член 13, параграф 4 от Регламент (ЕО) No 1107/2009 приложението към Регламент за изпълнение (ЕС) No 540/2011 на Комисията (6) следва да бъде съответно изменено.
 (6)
 Мерките, предвидени в настоящия регламент, са в съответствие със становището на Постоянния комитет по хранителната верига и здравето на животните,
 ПРИЕ НАСТОЯЩИЯ РЕГЛАМЕНТ:
 Член 1
 Одобряване на основно вещество
 Веществото хитозан хидрохлорид, посочено в приложение I, се одобрява като основно вещество при предвидените в същото приложение условия.
 Член 2
 Изменения на Регламент за изпълнение (ЕС) No 540/2011
 Част В от приложението към Регламент за изпълнение (ЕС) No 540/2011 се изменя в съответствие с приложение II към настоящия регламент.
 Член 3
 Влизане в сила и дата на прилагане
 Настоящият регламент влиза в сила на двадесетия ден след деня на публикуването му в Официален вестник на Европейския съюз.
 Настоящият регламент е задължителен в своята цялост и се прилага пряко във всички държави членки.
 Съставено в Брюксел на 23 май 2014 година.
 За Комисията
 Председател
 José Manuel BARROSO
 (1) ОВ L 309, 24.11.2009 г., стр. 1.
 (2) Резултати от консултацията с държавите членки и ЕОБХ във връзка със заявлението относно хитозан хидрохлорид като основно вещество и заключенията на ЕОБХ по специфични повдигнати въпроси. 2013: EN-426.23 pp.
 (3) Група по диетични продукти, хранене и алергии към ЕОБХ; Бюлетин на ЕОБХ (EFSA Journal) 2009 г.; 7(9): 1289 doi: 10.2903/j.efsa.2009.1289.
 (4) Регламент (ЕО) No 1924/2006 на Европейския парламент и на Съвета от 20 декември 2006 г. относно хранителни и здравни претенции за храните (ОВ L 404, 30.12.2006 г., стр. 9).
 (5) Регламент (ЕО) No 178/2002 на Европейския парламент и на Съвета от 28 януари 2002 г. за установяване на общите принципи и изисквания на законодателството в областта на храните, за създаване на Европейски орган за безопасност на храните и за определяне на процедури относно безопасността на храните (ОВ L 31, 1.2.2002 г., стр. 1).
 (6) Регламент за изпълнение (ЕС) No 540/2011 на Комисията от 25 май 2011 г. за прилагане на Регламент (ЕО) No 1107/2009 на Европейския парламент и на Съвета по отношение на списъка на одобрените активни вещества (ОВ L 153, 11.6.2011 г., стр. 1).
 ПРИЛОЖЕНИЕ I
 Популярно наименование, идентификационни номера
 Наименование по IUPAC
 Чистота (1)
 Дата на одобрението
 Специфични разпоредби
 Хитозан хидрохлорид
 CAS No: 9012-76-4
 Не се прилага
 Европейска фармакопея
 Макс. съдържание на тежки метали: 40 ppm
 1 юли 2014 г.
 Хитозан хидрохлорид трябва да съответства на разпоредбите на Регламент (ЕО) No 1069/2009 на Европейския парламент и на Съвета (2) и Регламент (ЕС) No 142/2011 на Комисията (3).
 Хитозан хидрохлорид може да бъде използван в съответствие със специфичните условия, включени в заключенията от доклада за преразглеждане на хитозан хидрохлорид (SANCO/12388/2013), и по-специално приложения I и II към него, във вида, в който е изготвен в окончателен вид от Постоянния комитет по хранителната верига и здравето на животните на 20 март 2014 г.
 (1) Допълнителни подробности за идентичността и спецификацията на основното вещество са представени в доклада за преразглеждане.
 (2) ОВ L 300, 14.11.2009 г., стр. 1.
 (3) ОВ L 54, 26.2.2011 г., стр. 1.
 ПРИЛОЖЕНИЕ II
 В част В от приложението към Регламент за изпълнение (ЕО) No 540/2011 се добавя следното вписване:
 „2
 Хитозан хидрохлорид
 CAS No: 9012-76-4
 Не се прилага
 Европейска фармакопея
 Макс. съдържание на тежки метали: 40 ppm
 1 юли 2014 г.
 Хитозан хидрохлорид трябва да съответства на разпоредбите на Регламент (ЕО) No 1069/2009 и Регламент (ЕС) No 142/2011.
 Хитозан хидрохлорид може да бъде използван в съответствие със специфичните условия, включени в заключенията от доклада за преразглеждане на хитозан хидрохлорид (SANCO/12388/2013), и по-специално приложения I и II към него, във вида, в който е изготвен в окончателен вид от Постоянния комитет по хранителната верига и здравето на животните на 20 март 2014 г.“


type: contracts

jurisdiction: EU

text:
 15.1.2009
 PT
 Jornal Oficial da União Europeia
 L 10/29
 TRADUÇÃO
 ACORDO
 entre a União Europeia e a República da Somália sobre o estatuto da força naval liderada pela União Europeia na República da Somália no quadro da operação militar da UE-Atalanta
 A UNIÃO EUROPEIA (UE),
 por um lado, e
 A REPÚBLICA DA SOMÁLIA, adiante designada por «Estado anfitrião»,
 por outro,
 Adiante conjuntamente designadas por «partes»,
 TENDO EM CONTA:
 as Resoluções 1814 (2008), 1816 (2008) e 1838 (2008) do Conselho de Segurança das Nações Unidas (CSNU) e as resoluções posteriores,
 A carta datada de 1 de Novembro de 2008 remetida pelo primeiro-ministro do Governo Federal de Transição da República da Somália ao Secretário-Geral do Conselho da UE/Alto Representante para a Política Externa e de Segurança Comum da UE, em resposta à oferta de cooperação da UE e a notificação desta oferta por parte do Governo Federal de Transição da República da Somália ao Secretário-Geral da ONU, datada de 14 de Novembro de 2008,
 A Acção Comum 2008/851/PESC do Conselho da UE, de 10 de Novembro de 2008, relativa à operação militar da União Europeia tendo em vista contribuir para a dissuasão, a prevenção e a repressão dos actos de pirataria e dos assaltos à mão armada ao largo da costa da Somália (operação «Atalanta»),
 que o presente acordo não afecta os direitos e obrigações das partes em virtude de acordos internacionais e de outros instrumentos que instituem tribunais internacionais, incluindo o Estatuto do Tribunal Penal Internacional,
 ACORDARAM NO SEGUINTE:
 Artigo 1.o
 Âmbito de aplicação e definições
 1. O presente acordo aplica-se às forças lideradas pela União Europeia e respectivo pessoal.
 2. O presente acordo aplica-se apenas no território do Estado anfitrião, incluindo as águas interiores, o mar territorial e o espaço aéreo.
 3. Para efeitos do presente acordo, entende-se por:
 a)
 «Força naval liderada pela União Europeia (EUNAVFOR)», o quartel-general militar da UE e os contingentes nacionais que contribuem para a operação e os respectivos navios, aeronaves, equipamentos, bens e meios de transporte;
 b)
 «Operação», a preparação, estabelecimento, execução e apoio da missão militar na sequência do mandato resultante das Resoluções 1814 (2008) e 1816 (2008) do Conselho de Segurança das Nações Unidas e de qualquer resolução aplicável posterior do CSNU, assim como da Convenção das Nações Unidas de 1982 sobre o Direito do Mar;
 c)
 «Comandante da operação da UE», o comandante da operação;
 d)
 «Comandante da força da UE», o comandante no teatro de operações;
 e)
 «Quartel-general militar da UE», o quartel-general militar e respectivos elementos, seja qual for a sua localização, sob a autoridade dos comandantes militares da UE que exercem o comando ou o controlo militar da operação;
 f)
 «Contingentes nacionais», as unidades, navios, aeronaves e elementos pertencentes aos Estados-Membros da União Europeia e aos outros Estados que participem na operação, incluindo os destacamentos de protecção dos navios e as forças militares a bordo de navios mercantes;
 g)
 «Pessoal da EUNAVFOR», o pessoal civil e militar destacado para a EUNAVFOR, bem como o pessoal destacado para efeitos de preparação da operação e o pessoal enviado em missão por um Estado de origem ou uma instituição da UE no âmbito da operação, que, salvo disposição em contrário prevista no presente acordo, se encontre no território do Estado anfitrião, com excepção do pessoal local e do pessoal recrutado por empresas internacionais contratadas;
 h)
 «Estado de origem», Estado que fornece um contingente nacional à EUNAVFOR;
 i)
 «Águas», as águas interiores e o mar territorial do Estado anfitrião e o espaço aéreo situado acima dessas águas.
 Artigo 2.o
 Disposições gerais
 1. A EUNAVFOR e o seu pessoal respeitarão as leis e regulamentações do Estado anfitrião e abster-se-ão de empreender qualquer acção ou actividade que seja incompatível com os objectivos da operação.
 2. A EUNAVFOR informará o Governo do Estado anfitrião sobre os navios e aeronaves que operam nas águas do Estado anfitrião e sobre os navios que fazem escala nos portos do Estado anfitrião.
 Artigo 3.o
 Identificação
 1. Os membros do pessoal da EUNAVFOR que se encontram no território terrestre do Estado anfitrião devem trazer sempre consigo o passaporte ou cartão de identificação militar.
 2. As aeronaves e navios da EUNAVFOR ostentarão um distintivo de identificação da EUNAVFOR, que será comunicado às autoridades competentes do Estado anfitrião.
 3. A EUNAVFOR terá o direito de hastear a bandeira da União Europeia, bem como os seus distintivos, tais como insígnias militares, títulos e símbolos oficiais, nas suas aeronaves e navios. No território terrestre do Estado anfitrião, os uniformes do pessoal da EUNAVFOR ostentarão o emblema distintivo da EUNAVFOR. As bandeiras ou insígnias nacionais dos contingentes nacionais da operação podem ser ostentados nos uniformes da EUNAVFOR, por decisão do comandante da força da UE.
 Artigo 4.o
 Passagem das fronteiras e circulação no território do Estado anfitrião
 1. O pessoal da EUNAVFOR só entrará no território terrestre do Estado anfitrião mediante apresentação dos documentos previstos no n.o 1 do artigo 3.o. O pessoal da EUNAVFOR ficará isento das regulamentações em matéria de passaportes e vistos, das inspecções de imigração e dos controlos aduaneiros aquando da entrada ou saída do território do Estado anfitrião ou no seu interior.
 2. O pessoal da EUNAVFOR ficará isento das regulamentações do Estado anfitrião em matéria de registo e controlo de estrangeiros, sem que todavia se considere que lhe é conferido qualquer direito a residência ou domicílio permanente no território do Estado anfitrião.
 3. Os bens e meios de transporte da EUNAVFOR que, no contexto do apoio à operação, entrem no território do Estado anfitrião, por ele transitem ou dele saiam, ficarão isentos da apresentação de inventários ou de qualquer outra documentação aduaneira, bem como de quaisquer inspecções.
 4. O pessoal da EUNAVFOR poderá conduzir veículos a motor e pilotar navios e aeronaves no território do Estado anfitrião, desde que disponha de carta de condução, de carta de capitão ou de licença de piloto nacional, internacional ou militar, dentro do prazo de validade.
 5. Para efeitos da operação, o Estado anfitrião garante à EUNAVFOR e respectivo pessoal liberdade de circular e de viajar no seu território, incluindo as águas e o espaço aéreo. A liberdade de circulação no mar territorial do Estado anfitrião inclui a paragem e ancoragem em quaisquer circunstâncias.
 6. Para efeitos da operação, a EUNAVFOR pode realizar nas águas e no espaço aéreo do Estado anfitrião qualquer exercício ou treino com armas, bem como o lançamento, embarque ou desembarque de qualquer aeronave ou aparelho militar.
 7. Para efeitos da operação, não é exigido que os submarinos da EUNAVFOR naveguem à superfície e arvorem o seu pavilhão no mar territorial do Estado anfitrião.
 8. Para efeitos da operação, a EUNAVFOR e os meios de transporte por ela fretados poderão utilizar estradas, pontes, ferries, aeroportos e portos, sem ficarem sujeitos ao pagamento de direitos, taxas, portagens, impostos ou outros encargos. A EUNAVFOR não ficará isenta do pagamento de taxas razoáveis, nas mesmas condições que as previstas para as Forças Armadas do Estado anfitrião, por serviços que tenha solicitado e lhe tenham sido prestados.
 Artigo 5.o
 Privilégios e imunidades da EUNAVFOR concedidos pelo Estado anfitrião
 1. Os navios e aeronaves da EUNAVFOR são invioláveis. Os agentes do Estado anfitrião apenas poderão aí penetrar com o consentimento do comandante da força da UE.
 2. Os navios e aeronaves da EUNAVFOR, bem como os seus meios de transporte, não poderão ser objecto de busca, requisição, embargo ou medida de execução.
 3. A EUNAVFOR, os seus navios, aeronaves, bens móveis e imóveis, independentemente do local onde se encontrem e de quem os detenha, gozam de imunidade de qualquer forma de processo judicial.
 4. Os arquivos e documentos da EUNAVFOR são invioláveis, em qualquer momento e onde quer que se encontrem.
 5. A correspondência oficial da EUNAVFOR é inviolável. Por correspondência oficial entende-se toda a correspondência relativa à operação e suas funções.
 6. Relativamente aos bens adquiridos ou importados, bem como aos serviços prestados e às instalações utilizadas pela EUNAVFOR para a operação, a EUNAVFOR e os seus fornecedores ou contratantes ficarão isentos de todos os impostos e taxas nacionais, regionais ou municipais e de outros encargos de natureza semelhante. A EUNAVFOR não ficará isenta de impostos e taxas que representem o pagamento por serviços prestados.
 7. O Estado anfitrião permitirá a entrada dos artigos destinados à operação e isentá-los-á do pagamento de todos os direitos aduaneiros, taxas, portagens, impostos e outros encargos semelhantes, com excepção das despesas de armazenagem, transporte e outros serviços prestados.
 Artigo 6.o
 Privilégios e imunidades do pessoal da EUNAVFOR concedidos pelo Estado anfitrião
 1. O pessoal da EUNAVFOR não poderá ser objecto de qualquer forma de prisão ou detenção.
 2. Os documentos, correspondência e bens do pessoal da EUNAVFOR gozarão de inviolabilidade.
 3. O pessoal da EUNAVFOR goza de imunidade de jurisdição penal, civil e administrativa do Estado anfitrião em todas as circunstâncias.
 O Estado de origem ou a instituição da UE em questão, consoante o caso, pode renunciar à imunidade de jurisdição de que goza o pessoal da EUNAVFOR. Tal renúncia será sempre efectuada por escrito.
 4. O início de uma acção judicial por parte de membros do pessoal da EUNAVFOR não lhes permite invocar a imunidade de jurisdição no tocante a uma reconvenção directamente ligada à acção principal.
 5. O pessoal da EUNAVFOR não é obrigado a prestar depoimento como testemunha.
 6. Não podem ser tomadas quaisquer medidas de execução em relação a membros do pessoal da EUNAVFOR.
 7. A imunidade de jurisdição do pessoal da EUNAVFOR no Estado anfitrião não o isenta da jurisdição do respectivo Estado de origem.
 8. Os salários e emolumentos pagos pelos Estados de origem ou pela EUNAVFOR ao seu pessoal, bem como os rendimentos provenientes do exterior do Estado anfitrião, ficam isentos de todas as formas de tributação existentes no Estado anfitrião.
 9. Nos termos das disposições legislativas e regulamentares que venha a aprovar, o Estado anfitrião permitirá a entrada dos artigos destinados ao uso pessoal do pessoal da EUNAVFOR, isentando-a do pagamento de direitos aduaneiros, taxas e encargos conexos que não constituam despesas de armazenagem, transporte e serviços semelhantes.
 A bagagem pessoal do pessoal da EUNAVFOR não está sujeita a inspecção, a não ser que existam motivos sérios para supor que contém artigos não destinados ao uso pessoal do pessoal da EUNAVFOR ou artigos cuja importação ou exportação seja proibida pela legislação do Estado anfitrião ou esteja sujeita às suas regras de quarentena. Essas inspecções só podem ser efectuadas na presença do pessoal interessado da EUNAVFOR ou de um representante autorizado da EUNAVFOR.
 Artigo 7.o
 Jurisdição penal
 As autoridades competentes do Estado de origem têm o direito de exercer no território do Estado anfitrião todos os poderes de jurisdição penal e disciplinar que lhes são conferidos pela legislação do Estado de origem em relação a todo o pessoal da EUNAVFOR sujeito à lei aplicável do Estado de origem.
 Artigo 8.o
 Uniformes e porte de armas
 1. O uso de uniforme fica sujeito às regras estabelecidas pelo comandante da força da UE.
 2. O pessoal militar da EUNAVFOR pode ser portador de armas e munições, se a tal estiver autorizado pelas ordens recebidas.
 Artigo 9.o
 Apoio do Estado anfitrião e celebração de contratos
 1. Na medida dos seus meios e capacidades, o Estado anfitrião apoiará a preparação, o estabelecimento e a execução da operação, bem como a assistência à mesma.
 2. A lei aplicável aos contratos celebrados pela EUNAVFOR no Estado anfitrião será determinada no contrato.
 3. O Estado anfitrião facilitará a execução dos contratos celebrados pela EUNAVFOR com entidades comerciais para efeitos da operação.
 Artigo 10.o
 Morte de membros do pessoal da EUNAVFOR
 O comandante da força da UE fica habilitado a encarregar-se do repatriamento de qualquer membro falecido do pessoal da EUNAVFOR, bem como dos seus haveres pessoais, e a efectuar as diligências necessárias para o efeito.
 Artigo 11.o
 Segurança da EUNAVFOR
 A EUNAVFOR fica autorizada a tomar, no território terrestre do Estado anfitrião e nas suas águas interiores, as medidas necessárias para proteger os seus navios, aeronaves e bens, bem como os navios cuja protecção assegura, contra todo e qualquer ataque ou intrusão externos.
 Artigo 12.o
 Comunicações
 A EUNAVFOR tem o direito de efectuar, sem qualquer restrição, comunicações por rádio (incluindo rádios por satélite, móveis ou portáteis), telefone, telégrafo, fax e outros meios. O acesso ao espectro de frequências será concedido gratuitamente pelo Estado anfitrião.
 Artigo 13.o
 Pedidos de indemnização por morte, ferimento, danos ou perdas
 1. A EUNAVFOR e o seu pessoal não são responsáveis por quaisquer danos ou perdas de bens públicos ou privados que decorram de necessidades operacionais ou que sejam causados por actividades relacionadas com distúrbios civis ou com a protecção da EUNAVFOR.
 2. Os pedidos de indemnização por danos ou perdas de bens públicos ou privados não abrangidos pelo n.o 1, bem como os pedidos de indemnização por morte ou ferimentos pessoais e por danos ou perdas de bens da EUFOR, serão tratados por via diplomática.
 3. Em caso de acção judicial interposta por danos causados a terceiros, a República da Somália responderá em nome da EUNAVFOR. Em todos os casos, a República da Somália pagará qualquer indemnização devida a título de danos causados a terceiros que não estejam referidos no n.o 1. Se essa indemnização for imputável à EUNAVFOR, esta reembolsará integral ou parcialmente o respectivo montante.
 Artigo 14.o
 Ligação e litígios
 1. Todas as questões que venham a surgir no contexto da aplicação do presente acordo serão examinadas conjuntamente por representantes da EUNAVFOR e das autoridades competentes do Estado anfitrião.
 2. Na ausência de resolução prévia, os litígios a respeito da interpretação ou aplicação do presente acordo serão resolvidos exclusivamente por via diplomática entre o Estado anfitrião e os representantes da UE.
 Artigo 15.o
 Outras disposições
 1. Nos casos em que no presente acordo seja feita referência às imunidades, privilégios e direitos da EUNAVFOR e respectivo pessoal, o Governo do Estado anfitrião será responsável pela aplicação e observância das referidas imunidades, privilégios e direitos por parte das autoridades locais competentes do Estado anfitrião.
 2. Nenhuma disposição do presente acordo pretende ou será interpretada no sentido de derrogar a quaisquer direitos que tenham sido outorgados, por força de outros acordos, a um Estado-Membro da UE ou a qualquer outro Estado que contribua para a EUNAVFOR.
 Artigo 16.o
 Convénios de execução
 Para efeitos de aplicação do presente acordo, as questões operacionais, administrativas e técnicas poderão ser objecto de convénios separados a celebrar entre o comandante da operação da UE e o comandante da força da UE, por um lado, e as autoridades administrativas do Estado anfitrião, por outro lado.
 Artigo 17.o
 Entrada em vigor e termo de vigência
 1. O presente acordo entra em vigor na data da sua assinatura e permanece em vigor até à data, notificada pela EUNAVFOR, de partida do último elemento e do último membro do pessoal da EUNAVFOR.
 2. Não obstante o disposto no n.o 1, considera-se que as disposições contidas no n.o 8 do artigo 4.o, nos n.os 1, 2, 3, 6 e 7 do artigo 5.o, nos n.os 1, 3, 4, 6, 8 e 9 do artigo 6.o e no artigo 13.o são aplicáveis desde a data de projecção dos primeiros membros do pessoal da EUNAVFOR, caso esta seja anterior à data de entrada em vigor do presente acordo.
 3. O presente acordo pode ser alterado mediante acordo escrito entre as partes.
 4. O termo de vigência do presente acordo não afecta os direitos ou obrigações decorrentes da sua execução antes desse termo.
 Feito em Nairobi, em 31 de Dezembro de 2008 em dois exemplares em língua inglesa.
 Pela União Europeia
 Pelo Estado Anfitrião


type: other

jurisdiction: US

text: b' Department of Veterans Affairs\n Office of Inspector General\n\n\n Office of Healthcare Inspections\n\nReport No. 13-00026-316\n\n\n\n\n Community Based Outpatient \n\n Clinic Reviews \n\n at \n\n Sheridan VA Healthcare System \n\n Sheridan, WY \n\n\n\n\n\nSeptember 19, 2013\n\n Washington, DC 20420\n\x0c Why We Did This Review\nThe VA OIG is undertaking a systematic review of the VHA\xe2\x80\x99s CBOCs to assess\nwhether CBOCs are operated in a manner that provides veterans with\nconsistent, safe, high-quality health care.\n\nThe Veterans\xe2\x80\x99 Health Care Eligibility Reform Act of 1996 was enacted to\nequip VA with ways to provide veterans with medically needed care in a\nmore equitable and cost-effective manner. As a result, VHA expanded the\nAmbulatory and Primary Care Services to include CBOCs located throughout\nthe United States. CBOCs were established to provide more convenient\naccess to care for currently enrolled users and to improve access opportunities\nwithin existing resources for eligible veterans not currently served.\n\nVeterans are required to receive one standard of care at all VHA health care\nfacilities. Care at CBOCs needs to be consistent, safe, and of high quality,\nregardless of model (VA-staffed or contract). CBOCs are expected to comply\nwith all relevant VA policies and procedures, including those related to quality,\npatient safety, and performance.\n\n To Report Suspected Wrongdoing in VA Programs and Operations\n Telephone: 1-800-488-8244\n E-Mail: vaoighotline@va.gov\n (Hotline Information: http://www.va.gov/oig/hotline/default.asp)\n\x0c CBOC Reviews at Sheridan VA HCS\n\n\n\n Glossary\n C&P credentialing and privileging\n CBOC community based outpatient clinic\n CDC Centers for Disease Control and Prevention\n EHR electronic health record\n EOC environment of care\n FPPE Focused Professional Practice Evaluation\n FY fiscal year\n HCS Health Care System\n IT information technology\n MH mental health\n MSDS material data safety sheets\n NC noncompliant\n NCP National Center for Health Promotion and\n Disease Prevention\n OIG Office of Inspector General\n OI&T Office of Information & Technology\n VHA Veterans Health Administration\n VISN Veterans Integrated Service Network\n WH women\xe2\x80\x99s health\n\n\n\n\nVA OIG Office of Healthcare Inspections\n\x0c CBOC Reviews at Sheridan VA HCS\n\n\n\n Table of Contents \n\n Page \n\nExecutive Summary ................................................................................................... i\n\n\nObjectives and Scope ................................................................................................ 1\n\n Objectives ............................................................................................................... 1\n\n Scope and Methodology ......................................................................................... 1\n\n\nCBOC Profiles ............................................................................................................ 3\n\n\nWH and Vaccination EHR Reviews \xe2\x80\x93 Results and Recommendations.................. 4\n\n WH.......................................................................................................................... 4\n\n Vaccinations ........................................................................................................... 5\n\n\nOnsite Reviews \xe2\x80\x93 Results and Recommendations.................................................. 6\n\n CBOC Characteristics ............................................................................................. 6\n\n C&P ........................................................................................................................ 7\n\n EOC and Emergency Management ........................................................................ 8\n\n\nAppendixes\n A. VISN 19 Director Comments ............................................................................. 11\n\n B. Sheridan VA HCS Director Comments .............................................................. 12\n\n C. OIG Contact and Staff Acknowledgments ......................................................... 15\n\n D. Report Distribution ............................................................................................. 16\n\n\n\n\n\nVA OIG Office of Healthcare Inspections\n\x0c CBOC Reviews at Sheridan VA HCS\n\n\n\n Executive Summary \n\nPurpose: We evaluated select activities to assess whether the CBOCs operated in a\nmanner that provides veterans with consistent, safe, high-quality health care.\n\nWe conducted an onsite inspection of the CBOCs during the week of July 22, 2013.\n\nThe review covered the following topic areas:\n\n\xef\x82\xb7 WH\n\n\xef\x82\xb7 Vaccinations\n\n\xef\x82\xb7 C&P\n\n\xef\x82\xb7 EOC\n\n\xef\x82\xb7 Emergency Management\n\nFor the WH and vaccinations topics, EHR reviews were performed for patients who\nwere randomly selected from all CBOCs assigned to the respective parent facilities.\nThe C&P, EOC, and emergency management onsite inspections were only conducted\nat the randomly selected CBOCs (see Table 1).\n\n VISN Facility CBOC Name Location\n Casper Casper, WY\n 19 Sheridan VA HCS\n Riverton Riverton, WY\n Table 1. Sites Inspected\n\nReview Results: We made recommendations in two review areas.\n\nRecommendations: The VISN and Facility Directors, in conjunction with the\nrespective CBOC managers, should take appropriate actions to:\n\n\xef\x82\xb7\t Ensure that patients with normal cervical cancer screening results are notified of\n results within the required timeframe and that notification is documented in the EHR.\n\n\xef\x82\xb7\t Ensure MSDS are kept current at the Casper and Riverton CBOCs and that staff is\n trained in accessing MSDS for hazardous chemicals in the clinical area at the\n Casper CBOC.\n\n\xef\x82\xb7\t Require managers to ensure all exit routes are clearly identified at the Riverton\n CBOC.\n\n\xef\x82\xb7\t Ensure testing of the panic alarm system is documented at the Casper and Riverton\n CBOCs.\n\n\nVA OIG Office of Healthcare Inspections i\n\x0c CBOC Reviews at Sheridan VA HCS\n\n\n\n\n\xef\x82\xb7\t Ensure the Chief of OI&T implements required measures at the Casper CBOC.\n\n\xef\x82\xb7\t Ensure EOC deficiencies are tracked, trended, and corrected at the Casper and\n Riverton CBOCs.\n\nComments\nVISN and Facility Directors concurred with our recommendations and provided an\nacceptable improvement plan. (See Appendixes A and B, pages 11-14, for the\nDirectors\xe2\x80\x99 comments.) We will follow up on the planned actions until they are\ncompleted.\n\n\n\n\n JOHN D. DAIGH, JR., M.D.\n Assistant Inspector General for\n Healthcare Inspections\n\n\n\n\nVA OIG Office of Healthcare Inspections ii\n\x0c CBOC Reviews at Sheridan VA HCS\n\n\n\n Objectives and Scope \n\nObjectives\n\xef\x82\xb7\t Evaluate whether CBOCs comply with selected VHA requirements regarding the\n provision of cervical cancer screening, results reporting, and WH liaisons.\n\xef\x82\xb7\t Evaluate whether CBOCs properly provided selected vaccinations to veterans\n according to CDC guidelines and VHA recommendations.\n\xef\x82\xb7\t Determine whether CBOC providers are appropriately credentialed and privileged in\n accordance with VHA Handbook 1100.19.1\n\xef\x82\xb7\t Determine whether CBOCs are in compliance with standards of operations\n according to VHA policy in the areas of environmental safety and emergency\n planning.2\n\nScope and Methodology\nScope\n\nWe reviewed selected clinical and administrative activities to evaluate compliance with\nrequirements related to patient care quality and the EOC. In performing the reviews, we\nassessed clinical and administrative records as well as completed onsite inspections at\nrandomly selected sites. Additionally, we interviewed managers and employees. The\nreview covered the following five activities:\n\n \xef\x82\xb7\t WH\n\n \xef\x82\xb7\t Vaccinations\n\n \xef\x82\xb7\t C&P\n\n \xef\x82\xb7\t EOC\n\n \xef\x82\xb7\t Emergency Management\n\nMethodology\n\nTo evaluate the quality of care provided to veterans at CBOCs, we conducted EHR\nreviews for the WH and vaccinations topic areas. For WH, the EHR reviews consisted\nof a random sample of 50 women veterans (23\xe2\x80\x9364 years of age). For vaccinations, the\nEHR reviews consisted of random samples of 75 veterans (all ages) and 75 additional\nveterans (65 and older), unless fewer patients were available, for the tetanus and\n\n\n\n1\n VHA Handbook 1100.19, Credentialing and Privileging, November 14, 2008.\n\n2\n VHA Handbook 1006.1, Planning and Activating Community-Based Outpatient Clinics, May 19, 2004. \n\n\n\nVA OIG Office of Healthcare Inspections 1\n\x0c CBOC Reviews at Sheridan VA HCS\n\n\npneumococcal reviews, respectively. The study populations consisted of patients from\nall CBOCs assigned to the parent facility.3\n\nThe C&P, EOC, and emergency management onsite inspections were only conducted\nat the randomly selected CBOCs. Two CBOCs were randomly selected from the\n56 sampled parent facilities, with sampling probabilities proportional to the numbers of\nCBOCs eligible to be inspected within each of the parent facilities.4\n\nIn this report, we make recommendations for improvement. Recommendations pertain\nto issues that are significant enough to be monitored by the OIG until corrective actions\nare implemented.\n\nWe conducted the inspection in accordance with Quality Standards for Inspection and\nEvaluation published by the Council of the Inspectors General on Integrity and\nEfficiency.\n\n\n\n\n3\n Includes all CBOCs in operation before October 1, 2011.\n\n4\n Includes 96 CBOCs in operation before October 1, 2011, that had 500 or more unique enrollees.\n\n\n\nVA OIG Office of Healthcare Inspections 2\n\x0c CBOC Reviews at Sheridan VA HCS\n\n\n\n CBOC Profiles \n\nTo evaluate the quality of care provided to veterans at CBOCs, we designed reviews with an EHR component to capture data for\npatients enrolled at all of the CBOCs under the parent facility\xe2\x80\x99s oversight.5 The table below provides information relative to each\nof the CBOCs under the oversight of the respective parent facility.\n\n Uniques FY Visits FY\nVISN Parent Facility CBOC Name Locality6 CBOC Size8\n 20127 20127\n 19 Sheridan VA HCS Casper Urban 2,651 15,383 Mid-Size\n (Casper, WY)\n Gillette Rural 1,126 4,957 Small\n (Gillette, WY)\n Powell Highly Rural 1,366 5,032 Small\n (Powell, WY)\n Riverton Highly Rural 2,447 9,868 Mid-Size\n (Riverton, WY)\n Rock Springs Highly Rural 1,586 8,874 Mid-Size\n (Rock Springs, WY)\n Table 2. Profiles\n\n\n\n\n5\n Includes all CBOCs in operation before October 1, 2011.\n\n6\n http://vaww.pssg.med.va.gov/\n\n7\n http://vssc.med.va.gov\n\n8\n Based on the number of unique patients seen as defined by VHA Handbook 1160.01, Uniform Mental Health Services in VA Medical Centers and Clinics, \n\nSeptember 11, 2008, the size of the CBOC facility is categorized as very large (> 10,000), large (5,000-10,000), mid-size (1,500-5,000), or small (< 1,500).\n\n\n\nVA OIG Office of Healthcare Inspections 3\n\x0c CBOC Reviews at Sheridan VA HCS\n\n\n\n WH and Vaccination EHR Reviews \n\n Results and Recommendations \n\nWH\nCervical cancer is the second most common cancer in women worldwide.9 Each year,\napproximately 12,000 women in the United States are diagnosed with cervical cancer.10\nThe first step of care is screening women for cervical cancer with the Papanicolaou test\nor \xe2\x80\x9cPap\xe2\x80\x9d test. With timely screening, diagnosis, notification, and treatment, the cancer is\nhighly preventable and associated with long survival and good quality of life.\n\nVHA policy outlines specific requirements that must be met by facilities that provide\nservices for women veterans.11 We reviewed EHRs, meeting minutes and other\nrelevant documents, and interviewed key WH employees. Table 3 shows the areas\nreviewed for this topic. The review element marked as NC needed improvement.\nDetails regarding the finding follow the table.\n\n NC Areas Reviewed\n Cervical cancer screening results were entered into the\n patient\xe2\x80\x99s EHR.\n The ordering VHA provider or surrogate was notified of results\n within the defined timeframe.\n X Patients were notified of results within the defined timeframe.\n Each CBOC has an appointed WH Liaison.\n There is evidence that the CBOC has processes in place to\n ensure that WH care needs are addressed.\n Table 3. WH\n\nThere were 20 patients who received a cervical cancer screening at the Sheridan\nVA HCS\xe2\x80\x99s CBOCs.\n\nPatient Notification of Normal Cervical Cancer Screening Results. VHA requires that\nnormal cervical cancer screening results must be communicated to the patient in terms\neasily understood by a layperson within 14 days from the date of the pathology report\nbecoming available. We reviewed 19 EHRs of patients who had normal cervical cancer\nscreening results and determined that 2 patients were not notified within the required 14\ndays from the date the pathology report became available.\n\n\n\n\n9\n World Health Organization, Comprehensive Cervical Cancer Prevention and Control: A Healthier Future for \n\nGirls and Women, Retrieved (4/25/2013): http://www.who.int/reproductivehealth/topics/cancers/en/index.html.\n\n10\n U.S. Cancer Statistics Working Group, United States Cancer Statistics: 1999-2008 Incidence and Mortality Web-\n\nbased report.\n\n11\n VHA Handbook 1330.01, Health Care Services for Women Veterans, May 21, 2010. \n\n\n\nVA OIG Office of Healthcare Inspections 4\n\x0c CBOC Reviews at Sheridan VA HCS\n\n\nRecommendation\n\n1. We recommended that managers ensure that patients with normal cervical cancer\nscreening results are notified of results within the required timeframe and that\nnotification is documented in the EHR.\n\nVaccinations\nThe VHA NCP was established in 1995. The NCP establishes and monitors the clinical\npreventive services offered to veterans, which includes the administration of vaccines.12\nThe NCP provides best practices guidance on the administration of vaccines for\nveterans. The CDC states that although vaccine-preventable disease levels are at or\nnear record lows, many adults are under-immunized, missing opportunities to protect\nthemselves against tetanus and pneumococcal diseases.\n\nAdults should receive a tetanus vaccine every 10 years. At the age of 65, individuals\nwho have never had a pneumococcal vaccination should receive one. For individuals\n65 and older who have received a prior pneumococcal vaccination, one-time\nrevaccination is recommended if they were vaccinated 5 or more years previously and\nwere less than 65 years of age at the time of the first vaccination.\n\nWe reviewed documentation of selected vaccine administrations and interviewed key\npersonnel. Table 4 shows the areas reviewed for this topic.\n\n NC Areas Reviewed\n Staff screened patients for the tetanus vaccination.\n Staff administered the tetanus vaccine when indicated.\n Staff screened patients for the pneumococcal vaccination.\n Staff administered the pneumococcal vaccine when indicated.\n Staff properly documented vaccine administration.\n Managers developed a prioritization plan for the potential occurrence of\n vaccine shortages.\n Table 4. Vaccinations\n\nGenerally the CBOCs assigned to the Sheridan VA HCS were compliant with the review\nareas; therefore, we made no recommendations.\n\n\n\n\n12\n VHA Handbook 1120.05, Coordination and Development of Clinical Preventive Services, October 13, 2009.\n\n\nVA OIG Office of Healthcare Inspections 5\n\x0c CBOC Reviews at Sheridan VA HCS\n\n\n\n Onsite Reviews \n\n Results and Recommendations \n\nCBOC Characteristics\nWe formulated a list of CBOC characteristics that includes identifiers and descriptive\ninformation for the randomly selected CBOCs (see Table 5).\n\n Casper Riverton\n VISN 19 19\n Parent Facility Sheridan VA HCS Sheridan VA HCS\n Types of Providers Licensed Clinical Social Worker Clinical Nurse Specialist\n Physician Assistant Licensed Clinical Social Worker\n Primary Care Physician Primary Care Physician\n Psychiatrist\n Number of MH\n 605 288\n Uniques, FY 2012\n Number of MH Visits,\n 3,473 2,271\n FY 2012\n MH Services Onsite Yes Yes\n Specialty Care Services\n Cardiology WH\n Onsite\n Ancillary Services Electrocardiogram Electrocardiogram\n Provided Onsite Laboratory Laboratory\n Tele-Health Services Cardiology Dermatology\n Dermatology MH\n MH Primary Care\n Retinal Imaging Retinal Imaging\n Table 5. Characteristics\n\n\n\n\nVA OIG Office of Healthcare Inspections 6\n\x0c CBOC Reviews at Sheridan VA HCS\n\n\nC&P\nWe reviewed C&P folders, scopes of practice, meeting minutes, and VetPro information\nand interviewed senior managers to determine whether facilities had consistent\nprocesses to ensure that providers complied with applicable requirements as defined by\nVHA policy.13 Table 6 shows the areas reviewed for this topic.\n\n NC Areas Reviewed\n Each provider\xe2\x80\x99s license was unrestricted.\n New Provider\n Efforts were made to obtain verification of clinical privileges\n currently or most recently held at other institutions.\n FPPE was initiated.\n Timeframe for the FPPE was clearly documented.\n The FPPE outlined the criteria monitored.\n The FPPE was implemented on first clinical start day.\n The FPPE results were reported to the medical staff\xe2\x80\x99s Executive\n Committee.\n Additional New Privilege\n Prior to the start of a new privilege, criteria for the FPPE were\n developed.\n There was evidence that the provider was educated about FPPE\n prior to its initiation.\n FPPE results were reported to the medical staff\xe2\x80\x99s Executive\n Committee.\n FPPE for Performance\n The FPPE included criteria developed for evaluation of the\n practitioners when issues affecting the provision of safe, high-\n quality care were identified.\n A timeframe for the FPPE was clearly documented.\n There was evidence that the provider was educated about FPPE\n prior to its initiation.\n FPPE results were reported to the medical staff\xe2\x80\x99s Executive\n Committee.\n Privileges and Scopes of Practice\n The Service Chief, Credentialing Board, and/or medical staff\xe2\x80\x99s\n Executive Committee list documents reviewed and the rationale for\n conclusions reached for granting licensed independent practitioner\n privileges.\n Privileges granted to providers were setting, service, and provider\n specific.\n\n\n\n\n13\n VHA Handbook 1100.19.\n\n\nVA OIG Office of Healthcare Inspections 7\n\x0c CBOC Reviews at Sheridan VA HCS\n\n\n NC Areas Reviewed (continued)\n The determination to continue current privileges was based in part\n on results of Ongoing Professional Practice Evaluation activities.\n Table 6. C&P\n\nAll CBOCs were compliant with the review areas; therefore, we made no\nrecommendations.\n\nEOC and Emergency Management\nEOC\n\nTo evaluate the EOC, we inspected patient care areas for cleanliness, safety, infection\ncontrol, and general maintenance. We reviewed relevant documents and interviewed\nkey employees and managers. Table 7 shows the areas reviewed for this topic. The\nCBOCs identified as NC needed improvement. Details regarding the findings follow the\ntable.\n\n NC Areas Reviewed\n The CBOC was Americans with Disabilities Act-compliant, including:\n parking, ramps, door widths, door hardware, restrooms, and\n counters.\n The CBOC was well maintained (e.g., ceiling tiles clean and in good\n repair, walls without holes, etc.).\n The CBOC was clean (walls, floors, and equipment are clean).\n Casper MSDS were readily available to staff.\n Riverton\n The patient care area was safe.\n Access to fire alarms and fire extinguishers was unobstructed.\n Fire extinguishers were visually inspected monthly.\n Riverton Exit signs were visible from any direction.\n There was evidence of fire drills occurring at least annually.\n Fire extinguishers were easily identifiable.\n There was evidence of an annual fire and safety inspection.\n There was an alarm system or panic button installed in high-risk\n areas as identified by the vulnerability risk assessment.\n Casper Panic alarms were maintained and tested to ensure operation.\n Riverton\n The CBOC had a process to identify expired medications.\n Medications were secured from unauthorized access.\n Privacy was maintained.\n Patients\xe2\x80\x99 personally identifiable information was secured and\n protected.\n Laboratory specimens were transported securely to prevent\n unauthorized access.\n Staff used two patient identifiers for blood drawing procedures.\n\n\nVA OIG Office of Healthcare Inspections 8\n\x0c CBOC Reviews at Sheridan VA HCS\n\n\n NC Areas Reviewed (continued)\n Casper IT security rules were adhered to.\n There was alcohol hand wash or a soap dispenser and sink available\n in each examination room.\n Sharps containers were less than 3/4 full.\n Safety needle devices were available for staff use (e.g., lancets,\n injection needles, phlebotomy needles).\n Casper The CBOC was included in facility-wide EOC activities.\n Riverton\n Table 7. EOC\n\nMSDS. The Occupational Safety and Health Administration14 require that facilities\nmaintain current MSDS for each hazardous chemical used in the clinical area and that\nthis information is available to staff in their work area. We found that the hard copy\ninformation at the Casper and Riverton CBOCs was not current and staff could not\naccess the online information at the Casper CBOC.\n\nExit Signs. VHA requires that every exit be clearly visible or the route to reach every\nexit be conspicuously indicated.15 The Riverton CBOC had hallways that lead to an\nexit; however, the exit was not visible from all vantage points, and the routes to the exits\nwere not identified.\n\nPanic Alarms. The Casper and Riverton CBOCs provide MH services and have panic\nalarms.16 CBOC staff indicated that panic alarm testing does not occur at the Casper\nand Riverton CBOCs.\n\nIT Security. According to VA, an access log for the IT closet must be maintained that\nincludes name and organization of the person visiting, signature of the visitor, form of\nidentification, date of access, time of entry and departure, purpose of visit, and name\nand organization of person visited. Lack of oversight for IT space access could lead to\npotential loss of secure information. At the Casper CBOC all staff had unrestricted\naccess to the key to the IT closet. Additionally, an access log to this area was not\nmaintained.\n\nEOC Deficiencies. While there is evidence that EOC rounds are conducted at the\nCBOCs, identified deficiencies did not have a target date for completion and remained\nunresolved. We found an examination table with torn fabric at the Casper CBOC and\nnon-functioning exit and emergency lights at the Riverton CBOC.\n\n\n\n\n14\n Occupational Safety and Health Administration 1910.1200(g)(8)(10).\n\n15\n NFPA 1, Fire Code, 2012 Edition, General Requirements, Chapter 4.\n\n16\n VHA Directive 2012-026, Sexual Assaults & Other Defined Public Safety Incidents in VHA Facilities,\n\nSeptember 27, 2012.\n\n\n\n\nVA OIG Office of Healthcare Inspections 9\n\x0c CBOC Reviews at Sheridan VA HCS\n\n\nRecommendations\n\n2. We recommended that MSDS are kept current at the Casper and Riverton CBOCs\nand that staff is trained in accessing MSDS for hazardous chemicals in the clinical area\nat the Casper CBOC.\n\n3. We recommended that managers ensure all exit routes are clearly identified at the\nRiverton CBOC.\n\n4. We recommended that testing of the panic alarm system is documented at the\nCasper and Riverton CBOCs.\n\n5. We recommended that the Chief of OI&T implements required measures at the\nCasper CBOC.\n\n6. We recommended that EOC deficiencies are tracked, trended, and corrected at the\nCasper and Riverton CBOCs.\n\nEmergency Management\nVHA policy requires each CBOC to have a local policy or standard operating procedure\ndefining how medical and MH emergencies are handled.17 Table 8 shows the areas\nreviewed for this topic.\n\n NC Areas Reviewed\n There was a local medical emergency management plan for this\n CBOC.\n The staff articulated the procedural steps of the medical emergency\n plan.\n The CBOC had an automated external defibrillator onsite for cardiac\n emergencies.\n There was a local MH emergency management plan for this CBOC.\n The staff articulated the procedural steps of the MH emergency\n plan.\n Table 8. Emergency Management\n\nAll CBOCs were compliant with the review areas; therefore, we made no\nrecommendations.\n\n\n\n\n17\n VHA Handbook 1006.1.\n\n\nVA OIG Office of Healthcare Inspections 10\n\x0c CBOC Reviews at Sheridan VA HCS\n Appendix A\n VISN 19 Director Comments\n\n\n Department of\n Veterans Affairs \t Memorandum\n\n\n Date: \t August 26, 2013\n\n From: \t Director, VISN 19 (10N19)\n\n Subject: \t CBOC Reviews at Sheridan VA HCS\n\n To: \t Director, 54SE Healthcare Inspections Division (54SE)\n\n Acting Director, Management Review Service (VHA 10AR\n MRS OIG CAP CBOC)\n\n\n\n 1. I have reviewed the OIG Community Based Outpatient Clinic Reviews\n at the Sheridan VA Healthcare System and concur with the responses\n as provided by the Medical Center Director.\n\n 2. If you have any questions or would like to discuss this response,\n please contact Ms. Susan Curtis, VISN 19 HSS at 303-639-6995.\n\n\n\n\nVA OIG Office of Healthcare Inspections 11\n\x0c CBOC Reviews at Sheridan VA HCS\n Appendix B\n Sheridan VA HCS Director Comments\n\n\n\n Department of\n Veterans Affairs Memorandum\n\n\n Date: August 26, 2013\n\n From: Director, Sheridan VA HCS (666/00)\n\n Subject: CBOC Reviews at Sheridan VA HCS\n\n To: Director, VISN 19 (10N19)\n\n\n\n 1. After reviewing this report, I concur with the identified findings.\n\n 2. The Sheridan VA Healthcare System has developed and implemented\n the following action plans with designated anticipated completion\n dates.\n\n 3. If you have any questions or would like to discuss this response,\n please contact me at 307-675-3675.\n\n\n\n\n Debra L. Hirschman\n\n\n\n\nVA OIG Office of Healthcare Inspections 12\n\x0c CBOC Reviews at Sheridan VA HCS\n\n\n Comments to OIG\xe2\x80\x99s Report\n\nThe following Director\xe2\x80\x99s comments are submitted in response to the recommendations\nin the OIG report:\n\nOIG Recommendations\n\n1. We recommended that managers ensure that patients with normal cervical cancer\nscreening results are notified of results within the required timeframe and that\nnotification is documented in the EHR.\n\nConcur\n\nTarget date for completion: November 26, 2013\n\nThe Women\xe2\x80\x99s Health (WH) primary care providers at the Sheridan VA Healthcare\nSystem (SVAHCS) are responsible for notifying their patients of normal cervical cancer\nscreening results no later than 14 calendar days from the date on which the results are\navailable to the ordering practitioner and documenting notification in CPRS. MCM 11-\n46, Cervical Cancer Screening, describes the process for quality assurance of\nmonitoring cervical cancer screening results. In addition, the Women Veterans Program\nManager or her designee receives a view alert message for all cervical cancer screens\nperformed in the SVAHCS catchment area for tracking of compliance by WH Providers\nto relay test results to their patients and document notification in CPRS. Monitoring of\ncervical cancer screening results notification and documentation will be reported\nquarterly to the Medical Executive Board.\n\n2. We recommended that MSDS are kept current at the Casper and Riverton CBOCs\nand that staff is trained in accessing MSDS for hazardous chemicals in the clinical area\nat the Casper CBOC.\n\nConcur\n\nTarget date for completion: October 31, 2013\n\nMSDS inventory lists for the Casper and Riverton CBOCs have been updated. A point\nof contact at each CBOC has been designated to be responsible for review and update\nof the MSDS binders. Current Material Safety Data Sheets for products located at both\nclinics are available. Staff education for accessing MSDS for hazardous chemicals at\nthe Casper CBOC is underway and will be completed by October 31, 2013.\n\n3. We recommended that managers ensure all exit routes are clearly identified at the\nRiverton CBOC.\n\nConcur\n\nTarget date for completion: October 31, 2013\n\n\nVA OIG Office of Healthcare Inspections 13\n\x0c CBOC Reviews at Sheridan VA HCS\n\n\nAll exit routes at the Riverton CBOC have been identified. CBOC management is\nworking with the building owner to install two additional exit signs. Monitoring of exit\nsigns will occur through the semi-annual EOC rounds at the Riverton CBOC.\n\n4. We recommended that testing of the panic alarm system is documented at the\nCasper and Riverton CBOCs.\n\nConcur\n\nTarget date for completion: October 31, 2013\n\nThe CBOC Security Plan Service Letter is being revised to reflect testing of the panic\nalarm systems at the Casper and Riverton CBOCs. Staff from each CBOC, in\nconjunction with the SVAHCS Safety Office, will conduct testing of the panic alarms a\nminimum of twice yearly. Documentation of CBOC panic alarm testing will be noted in\nthe EOC Committee Meeting Minutes.\n\n5. We recommended that the Chief of OI&T implements required measures at the\nCasper CBOC.\n\nConcur\n\nTarget date for completion: October 31, 2013\n\nThe key to the IT closet at the Casper CBOC will be located in a secure area with\naccess restricted to only a limited number of staff members. The access log for the IT\ncloset will be maintained with name and organization of the person visiting the area,\nsignature of the visitor, form of ID, date of access, time of entry and departure, purpose\nof visit and name of CBOC staff member who allowed access to the IT closet.\nMonitoring of IT closet access and log will occur at the semi-annual EOC rounds and\nrandomly by CBOC management staff.\n\n6. We recommended that EOC deficiencies are tracked, trended, and corrected at the\nCasper and Riverton CBOCs.\n\nConcur\n\nTarget date for completion: November 29, 2013\n\nEnvironment of Care deficiencies are identified through EOC rounds at the Casper and\nRiverton CBOCs as well as through work orders initiated by clinic management.\nTracking of EOC deficiencies is done by the SVAHCS Safety Manager and documented\nthrough EOC Surveys and EOC Committee meeting minutes. A target date for\ncompletion with follow-up documentation that deficiencies have been corrected will be\nincluded in the EOC meeting minutes.\n\n\n\n\nVA OIG Office of Healthcare Inspections 14\n\x0c CBOC Reviews at Sheridan VA HCS\n Appendix C\n\n\n OIG Contact and Staff Acknowledgments\nContact For more information about this report, please contact the OIG\n at (202) 461-4720.\nOnsite Sami O\xe2\x80\x99Neill, MA, Team Leader\nContributors Noel Rees, MPA\nOther Shirley Carlile, BA\nContributors Lin Clegg, PhD\n Marnette Dhooghe, MS\n Matt Frazier, MPH\n Marc Lainhart, BS\n Karen Moore, RNC, MSHA\n Jennifer Reed, RN, MSHI\n Victor Rhee, MHS\n Patrick Smith, M. Stat\n Marilyn Stones, BS\n Mary Toy, RN, MSN\n Jarvis Yu, MS\n\n\n\n\nVA OIG Office of Healthcare Inspections 15\n\x0c CBOC Reviews at Sheridan VA HCS\n Appendix D\n\n\n Report Distribution\nVA Distribution\n\nOffice of the Secretary\nVeterans Health Administration\nAssistant Secretaries\nGeneral Counsel\nDirector, VISN 19 (10N19)\nDirector, Sheridan VA HCS (666/00)\n\nNon-VA Distribution\n\nHouse Committee on Veterans\xe2\x80\x99 Affairs\nHouse Appropriations Subcommittee on Military Construction, Veterans Affairs, and\n Related Agencies\nHouse Committee on Oversight and Government Reform\nSenate Committee on Veterans\xe2\x80\x99 Affairs\nSenate Appropriations Subcommittee on Military Construction, Veterans Affairs, and\n Related Agencies\nSenate Committee on Homeland Security and Governmental Affairs\nNational Veterans Service Organizations\nGovernment Accountability Office\nOffice of Management and Budget\nU.S. Senate: John Barrasso, Michael B. Enzi\nU.S. House of Representatives: Cynthia Lummis\n\n\nThis report is available at www.va.gov/oig.\n\n\n\n\nVA OIG Office of Healthcare Inspections 16\n\x0c'


text:
 11/Sv. 40
 HR
 Službeni list Europske unije
 4
 21985A0131(01)
 L 026/2
 SLUŽBENI LIST EUROPSKE UNIJE
 SPORAZUM O SURADNJI
 između Europske ekonomske zajednice i Arapske Republike Jemena
 VIJEĆE EUROPSKE ZAJEDNICE
 s jedne strane, i
 VLADA ARAPSKE REPUBLIKE JEMENA,
 s druge strane,
 UZIMAJUĆI U OBZIR prijateljske odnose i tradicionalne veze između Arapske Republike Jemena i država članica Zajednice,
 ODLUČNI učvrstiti i produbiti postojeće odnose između Arapske Republike Jemena i Europske zajednice,
 IMAJUĆI NA UMU da ostvarivanje tih ciljeva dovodi do potrebe za što širom suradnjom, što bi u okviru zajedničkog interesa obiju stranaka trebalo uključivati cijeli niz trgovinskih, gospodarskih i razvojnih aktivnosti,
 UVJERENI da se ova suradnja mora staviti u pragmatični okvir koji će omogućiti njezin razvoj u skladu s politikama svakog partnera,
 ODLUČILI SU sklopiti Sporazum o suradnji i u tu su svrhu odredili kao svoje opunomoćenike:
 VIJEĆE EUROPSKIH ZAJEDNICA:
 Petera BARRYJA,
 ministra vanjskih poslova Irske;
 Wilhelma HAFERKAMPA,
 potpredsjednika Komisije Europskih zajednica;
 VLADA ARAPSKE REPUBLIKE JEMENA:
 Mohameda al-GUNEIDA,
 ministra za razvoj i predsjedatelja Središnje organizacije za planiranje;
 KOJI SU SE, razmijenivši svoje punomoći za koje je utvrđeno da su u valjanom i propisanom obliku,
 SPORAZUMJELI:
 Članak 1.
 Tretman najpovlaštenije nacije
 1. U vezi s uvezenom ili izvezenom robom, ugovorne stranke odobravaju jedna drugoj tretman najpovlaštenije nacije u svim pitanjima koja se odnose na:
 —
 carine i davanja svih vrsta, uključujući postupke naplate takvih carina i davanja,
 —
 propise o uslugama carinjenja, provoza, skladištenja ili pretovara,
 —
 neposredne ili posredne poreze i druge nacionalne pristojbe,
 —
 propise o plaćanjima, uključujući raspodjelu strane valute i prijenos takvih plaćanja,
 —
 propise koji utječu na prodaju, nabavu, prijenos, distribuciju i korištenje robe na unutarnjem tržištu.
 2. Stavak 1. ne primjenjuje se na:
 (a)
 povlastice odobrene susjednim zemljama radi olakšavanja prometa u pograničnom području;
 (b)
 povlastice odobrene s ciljem uspostavljanja carinske unije ili područja slobodne trgovine ili u skladu sa zahtjevima takve carinske unije ili područja slobodne trgovine;
 (c)
 povlastice odobrene određenim zemljama u skladu s Općim sporazumom o carinama i trgovini;
 (d)
 povlastice koje Arapska Republika Jemen odobrava određenim zemljama u skladu s Protokolom o trgovinskim pregovorima među zemljama u razvoju u kontekstu Općeg sporazuma o carinama i trgovini.
 3. Ovaj se članak primjenjuje ne dovodeći u pitanje prava i obveze koji postoje na temelju Općeg sporazuma o carinama i trgovini.
 Članak 2.
 Trgovinska suradnja
 1. Stranke se obvezuju poduzeti odgovarajuće mjere s ciljem promicanja razvoja i diversifikacije svojih uzajamnih trgovinskih razmjena do najviše moguće razine uzimajući u obzir svoje razine razvoja.
 2. Stranke su suglasne istražiti načine i sredstva za olakšavanje trgovine te svaka u skladu sa svojim zakonodavstvom i u okviru svojih politika istražuje i predlaže mjere za promicanje trgovine koje bi mogle potaknuti rast uvoza i izvoza.
 Članak 3.
 Gospodarska suradnja
 1. S obzirom na svoje politike i gospodarske ciljeve te u okviru svojih nadležnosti, ugovorne stranke podupiru gospodarsku suradnju u svim područjima od zajedničkog interesa kako bi doprinijele razvoju svojih gospodarstava.
 Ciljevi su takve suradnje doprinos razvoju gospodarstava stranaka i povećanje njihovog životnog standarda.
 2. U tom okviru cilj takve suradnje, prema potrebi i između ostalog, jest:
 —
 poticati suradnju u području poljoprivrede, poljoprivrednih industrija, ribarstva, ruralnog razvoja i rasta turizma u Arapskoj Republici Jemenu,
 —
 razvijati ljudske potencijale Arapske Republike Jemena, posebno u području strukovnog obrazovanja,
 —
 olakšati suradnju u području energetike,
 —
 poticati znanstveni i tehnološki napredak,
 —
 poticati uzajamno priznavanje potrebe za održavanjem i unapređivanjem povoljnog ozračja za ulaganje.
 3. Ne dovodeći u pitanje odredbe Ugovora o osnivanju Europskih zajednica, ovaj Sporazum i sve mjere poduzete na temelju njega ni na koji način ne utječu na ovlasti država članica Zajednica da poduzimaju bilateralne aktivnosti s Arapskom Republikom Jemenom u području gospodarske suradnje te da, prema potrebi, sklapaju nove sporazume o gospodarskoj suradnji s tom zemljom.
 Članak 4.
 Razvojna suradnja
 1. Zajednica prepoznaje da je Arapska Republika Jemen zemlja u razvoju.
 2. Zajednica je spremna nastaviti i razvijati svoju financijsku i tehničku suradnju s ciljem razvoja Arapske Republike Jemena u okviru svojih programa pomoći u korist nepridruženih zemalja u razvoju.
 3. Zajednica će nastojati koordinirati svoju razvojnu suradnju u Arapskoj Republici Jemenu sa suradnjom država članica.
 Članak 5.
 Zajednički odbor za suradnju
 1. Zajednički odbor za suradnju, koji se sastoji od predstavnika obiju stranaka, osniva se s ciljem promicanja i praćenja raznih aktivnosti suradnje predviđenih između stranaka u okviru ovog Sporazuma i za davanje odgovarajućih preporuka.
 2. Zajednički odbor usvaja svoj poslovnik i program rada.
 3. Odbor će se u pravilu sastajati jednom godišnje.
 Članak 6.
 Teritorijalna primjena
 Ovaj se Sporazum primjenjuje, s jedne strane, na područjima na kojima se primjenjuje Ugovor o osnivanju Europske ekonomske zajednice i pod uvjetima utvrđenima u tom Ugovoru te, s druge strane, na državnom području Arapske Republike Jemena.
 Članak 7.
 Trajanje
 1. Ovaj Sporazum stupa na snagu prvog dana mjeseca koji slijedi nakon dana kada su ugovorne stranke jedna drugu obavijestile da su postupci potrebni u tu svrhu završeni. Sporazum se primjenjuje tijekom početnog razdoblja od pet godina, a nakon toga tijekom razdoblja od dvije godine, podložno pravu svake stranke da ga otkaže uz pisanu obavijest šest mjeseci prije dana isteka bilo kojeg od navedenih razdoblja.
 2. Ovaj se Sporazum može izmijeniti uz uzajamnu suglasnost stranaka kako bi se uzela u obzir svaka nova situacija koja može nastati.
 Članak 8.
 Vjerodostojni jezici
 Ovaj je Sporazum sastavljen u po dva primjerka na danskom, engleskom, francuskom, grčkom, nizozemskom, njemačkom, talijanskom i arapskom jeziku, pri čemu je svaki od tih tekstova jednako vjerodostojan.


type: caselaw

text:
 27.3.2010
 ET
 Euroopa Liidu Teataja
 C 80/25
 Ajutiste meetmete kohaldamise üle otsustava kohtuniku 5. veebruari 2010. aasta määrus — De Post versus komisjon
 (Kohtuasi T-514/09 R)
 (Ajutiste meetmete kohaldamine - Riigihanked - Ühenduse hankemenetlus - Kohaldamise peatamise ja ajutiste meetmete kohaldamise taotlus - Kiireloomulisuse puudumine)
 2010/C 80/45
 Kohtumenetluse keel: inglise
 Pooled
 Hageja: De Post NV van publiek recht (Brüssel, Belgia) (esindajad: advokaadid R. Martens ja B. Schutyser)
 Kostja: Euroopa Komisjon (esindajad: E. Manhaeve ja N. Bambara, keda abistas advokaat P. Wytinck)
 Ese
 Ajutiste meetmete kohaldamise taotlus, mis sisuliselt hõlmab esiteks taotlust peatada Euroopa Liidu Väljaannete Talituse (OP) otsuse kohaldamine, millega ta otsustas hankemenetluses nr 10234 „Euroopa Liidu Teataja, raamatute, muude perioodikaväljaannete ning trükiste igapäevane transport ja kohaletoimetamine” sõlmida lepingu Entreprise des postes et télécommunications Luxembourg’iga, teiseks taotlust kohustada teda nimetatud hankemenetluses sellist lepingut mitte sõlmima ja kolmandaks taotlust peatada lepingu täitmine juhul, kui see on juba sõlmitud, kuni Üldkohus teeb asjas sisulise otsuse.
 Resolutsioon
 1.
 Jätta ajutiste meetmete kohaldamise taotlus rahuldamata.
 2.
 Kohtukulude kandmine otsustatakse edaspidi.


type: wikipedia

text:
{{Sultāna infokaste
 | vārds =Abdulhamids I
 | tituls =Padišahs un visu ticīgo Kalifs
 | attēls =
 | tugras-attēls =
 | valdīšana =1774. gada 21. janvāris —1789. gada 7. aprīlis
 | investitūra =1774. gada 21. janvāris
 | citi tituli =Sultāns HansPadišahsAbu Zemju un Abu Jūru HākansOsmaņu nama valdnieksSultānu SultānsHanu HansVisu ticīgo Kalifs un Visuma Kunga pravieša pēctecisImperators| pilns vārds =عبد الحميد اول [abdy:l hami:di evvel]
 | priekštecis =Mustafa III
 | pēctecis =Selims III
 | pēctecības-veids =
 | mantinieks =
 | haseki-sultan =
 | haseki-kadin =
 | ikbal =
 | has-odaliks =
 | gozde =
 | atvases =
 | karaļnams =
 | dinastija =Osmaņu dinastijaOsmaņu kalifāts
 | himna =
 | devīze =
 | tēvs =Ahmeds III
 | māte =Rabia Sermi Sultāne
 | dzimšanas datums =1725. gada 20. marts
 | dzimšanas vieta = Konstantinopole
 | miršanas datums =1789. gada 7. aprīlis
 | miršanas vieta = Konstantinopole
 | apglabāšanas datums =1789
 | apglabāšanas vieta = Konstantinopole
 |}}
 Abdulhamids I, arī Abdulhamids Svētais (osmaņu turku valodā: عبد الحميد اول [abdy:l hami:di evvel]) (1725. gada 20. marts — 1789. gada 7. aprīlis) bija Osmaņu impērijas sultāns (1774. gada 21. janvāris — 1789. gada 7. aprīlis). Viņa tēvs bija sultāns Ahmeds III (1703—1730) un viņš nokļuva tronī pēc sava brāļa Mustafa III (1757—1774).
 Dzīve harēmā
 Saskaņā ar osmaņu galma tradīcijām, viņš līdz nokļūšanai tronī kopā ar saviem brālēniem un māsīcām dzīvoja slēgtajā Topkapi pils harēmā. Pamata izglītību vēsturē un kaligrāfijā viņam nodrošināja viņa māte sultāna Rabia Semi.
 Dzīve ieslodzījumā viņu bija attālinājusi no laicīgās dzīves un tādēļ viņa palīgi un padomnieki varēja brīvi ar viņu manipulēt. Savos uzskatos Abdulhamids I bija ļoti reliģiozs un tādēļ atbalstīja pacifistisku politiku. Viņa valdīšanas sākumā valsts finanses bija diezgan sliktā stāvoklī un vairs nevarēja atļauties iespaidīgos maksājumus jeničeriem. Neskatoties uz viņa miermīlīgumu, notika karadarbība un Kozlujas kaujā osmaņi zaudēja, kā rezultātā 1774. gada 21. jūlijā tika noslēgts Kučuk-Kainardžas līgums.
 Cēlsirdīgais sultāns
 Neskatoties uz neveiksmēm karalaukā, Abdulhamids tika uzskatīts par cēlsirdīgako no visiem osmaņu sultāniem. 1782. gadā viņš pārņēma ugunsdzēsēju brigādes vadību, bet, pateicoties savai reliģiskajai pārliecībai, cilvēki viņu iesauca par svēto (veli''). Kad Abdulhamids bija kāpis tronī, karaspēka vadība viņam prasīja prēmijas, bet sultāns atbildēja: „Mūsu kasē vairs nav prēmiju un tagad tas jāielāgo visiem mūsu dēliem karavīriem.”
 Abdulhamidam izdevās apturēt sacelšanos Sīrijā un Morejā, bet uz Krimas zaudējumu fona šie panākumi bija niecīgi. 1787. gadā pret Krieviju atkal tika pasludināts karš, bet Krievijas pusē nostājās Austroungārija. Osmaņu pusē pievienojās Zviedrija un Prūsija, bet nesniedza nekādu praktisku atbalstu. Neskatoties uz nelieliem panākumiem karā ar Krieviju, Osmaņu impērija 1788. gadā zaudēja Očakovu, kurā krievi nogalināja visus iedzīvotājus. Četrus mēnešus vēlāk, sešdesmit četru gadu vecumā Abdulhamids mira un tika apglabāts Bahčekapi kapličā, ko pats sev bija uzcēlis.
 Ģimene
 Sievas: galvenā sieva Aiša Sinepervere, Hatidže Ruhšaha, Huma Šaha, Aiša, Binaza, Dilpezire, Mehtabe, Misli Najaba, Mutebere, Nevrese un Mihribana.
 Dēli: Mustafa IV (1807—1808) (Aišas Sineperveres dēls), Mahmuds II (1808—1839), Murads, Nusrets, Mehmeds, Ahmeds, un Sulejmans.
 Meitas: Esma, Emine, Rabia, Saliha, Alimsaha, Durusehvara, Fatma, Meliksaha, Hibetullaha un Zekije.
 Ārējās saites
 1774. gadā dzimušie
 1789. gadā mirušie
 Osmaņu impērijas sultāni
 Osmaņu dinastija


text:
 6.12.2019
 NL
 Publicatieblad van de Europese Unie
 L 316/3
 VERTALING
 OVEREENKOMST
 tussen de Verenigde Staten van Amerika en de Europese Unie over de toewijzing aan de Verenigde Staten van een aandeel in het tariefcontingent voor rundvlees van hoge kwaliteit in de zin van het herziene memorandum van overeenstemming over de invoer van rundvlees van dieren die niet zijn behandeld met bepaalde groeibevorderende hormonen en over verhoogde rechten die door de Verenigde Staten op bepaalde producten van de Europese Unie worden toegepast (2014)
 De Verenigde Staten van Amerika en de Europese Unie, de partijen bij het herziene memorandum van overeenstemming van 21 oktober 2013 tussen de Verenigde Staten van Amerika en de Europese Unie over de invoer van rundvlees van dieren die niet zijn behandeld met bepaalde groeibevorderende hormonen en over verhoogde rechten die door de Verenigde Staten op bepaalde producten van de Europese Unie worden toegepast (hierna “het MvO 2014” genoemd), zijn als volgt overeengekomen:
 Artikel 1
 Doelstellingen
 De doelstellingen van deze overeenkomst zijn:
 1.
 aan de Verenigde Staten een aandeel toe te wijzen in het in artikel II, leden 4 en 5, en artikel VI van het MvO 2014 bedoelde autonome tariefcontingent (“het tariefcontingent”) voor rundvlees van hoge kwaliteit van een jaarlijkse hoeveelheid van 45 000 ton productgewicht, en
 2.
 bepaalde in de artikelen III, IV, V, VII en VIII van het MvO 2014 vermelde rechten en verplichtingen van de partijen aan te vullen of te wijzigen.
 Artikel 2
 Toewijzingen binnen het contingent
 1. De Europese Unie wijst aan de Verenigde Staten 35 000 ton toe van het in artikel 1 bedoelde tariefcontingent van 45 000 ton. De resterende hoeveelheid van 10 000 ton wordt ter beschikking gesteld van alle andere landen. De toewijzingen nemen als volgt geleidelijk toe over een periode van zeven jaar (“de uitvoeringsperiode”):
 Verenigde Staten
 Alle andere landen
 Jaar 1
 18 500 ton
 26 500 ton
 Jaar 2
 23 000 ton
 22 000 ton
 Jaar 3
 25 400 ton
 19 600 ton
 Jaar 4
 27 800 ton
 17 200 ton
 Jaar 5
 30 200 ton
 14 800 ton
 Jaar 6
 32 600 ton
 12 400 ton
 Jaar 7 en volgende jaren
 35 000 ton
 10 000 ton
 2. Voor de duidelijkheid: de kernverplichtingen in artikel II, lid 1, van het MvO 2014, met inbegrip van het contingenttarief van nul (0) %, zijn van toepassing op het aan de Verenigde Staten toegewezen gedeelte van het tariefcontingent.
 3. De jaarlijkse hoeveelheid van het tariefcontingent wordt gelijk verdeeld over vier driemaandelijkse deelperioden. Het contingentjaar begint op 1 juli en eindigt op 30 juni.
 Indien deze overeenkomst op een andere datum dan 1 juli in werking treedt, begint jaar 1 van de uitvoeringsperiode op de eerste dag van de volgende deelperiode van het contingentjaar en eindigt het na vier opeenvolgende deelperioden (1). De ongebruikte hoeveelheden van de deelperioden die in dat contingentjaar aan de eerste dag van jaar 1 voorafgaan, worden opgeteld bij de hoeveelheden die in de eerste deelperiode van jaar 1 van de uitvoeringsperiode beschikbaar zijn. Die hoeveelheden worden opgeteld bij de hoeveelheden die zijn toegewezen aan de Verenigde Staten en aan alle andere landen, in verhouding tot hun aandeel in het totale volume van het tariefcontingent.
 Artikel 3
 Contingentbeheer
 Het aan de Verenigde Staten toegewezen aandeel in het tariefcontingent voor rundvlees van hoge kwaliteit wordt beheerd door de Europese Unie op basis van het beginsel “wie het eerst komt, het eerst maalt”. De Europese Unie doet al het mogelijke om het aan de Verenigde Staten toegewezen aandeel in het tariefcontingent op zodanige wijze te beheren dat importeurs het volledig kunnen benutten. Dit artikel vervangt artikel III van het MvO 2014.
 Artikel 4
 Geschil EC-Hormones
 1. De handelsgezant van de Verenigde Staten beëindigt de in december 2016 uit hoofde van afdeling 306, onder c), van de Handelswet van 1974, zoals gewijzigd, ingeleide procedure met een beslissing dat niet opnieuw stappen zullen worden ondernomen om zich te beroepen op de toestemming in de zin van document WT/DS26/21. De Verenigde Staten maken die beslissing bekend uiterlijk op de datum van de inwerkingtreding van de in artikel 2 voor jaar 1 gespecificeerde landspecifieke contingenttoewijzing.
 2. Gedurende de in artikel 2, lid 1, bedoelde uitvoeringsperiode en de in artikel 4, lid 3, bedoelde evaluatieperiode en totdat een onderling overeengekomen oplossing in de zin van artikel 4, lid 3, is aangemeld:
 a)
 verzoeken de partijen niet om de instelling van een panel uit hoofde van artikel 21, lid 5, van het WTO-memorandum van overeenstemming inzake de regels en procedures betreffende de beslechting van geschillen (“DSU”) met betrekking tot het geschil “European Communities — Measures concerning meat and meat products (Hormones)” (WT/DS26) (“EC — Hormones”);
 b)
 gaan de Verenigde Staten niet over tot schorsing van de toepassing op de Europese Unie van de tariefconcessies en de daarmee verband houdende verplichtingen, als toegestaan door het Orgaan voor Geschillenbeslechting van de Wereldhandelsorganisatie in EC —
 Hormones, beroep van de Verenigde Staten op grond van artikel 22, lid 7, van het DSU (WT/DS26/21).
 3. Uiterlijk tien (10) jaar na de inwerkingtreding van deze overeenkomst komen de Verenigde Staten en de EU bijeen om de werking van het tariefcontingent te beoordelen, teneinde tot een onderling overeengekomen oplossing te komen en die oplossing uiterlijk aan het einde van de evaluatieperiode bij het Orgaan voor Geschillenbeslechting van de WTO aan te melden overeenkomstig artikel 3, lid 6, van het DSU. De evaluatie wordt uiterlijk elf jaar na de inwerkingtreding van deze overeenkomst afgerond. Deze bepaling vervangt artikel IV van het MvO 2014.
 4. Slagen de partijen er niet in om binnen elf jaar na de inwerkingtreding van deze overeenkomst gezamenlijk een onderling overeengekomen oplossing bij het Orgaan voor Geschillenbeslechting van de WTO aan te melden, dan kan elke partij de overeenkomst overeenkomstig artikel 6, lid 1, beëindigen.
 Artikel 5
 Controles ter plaatse
 De Commissie kan de regering van de Verenigde Staten verzoeken om vertegenwoordigers van de Commissie toestemming te verlenen om in de Verenigde Staten controles ter plaatse te verrichten, mits die controles op niet-discriminerende basis ten aanzien van andere leverende landen worden verricht. Die controles worden samen met de bevoegde autoriteiten van de Verenigde Staten verricht.
 Artikel 6
 Opzegging en gevolgen
 1. Elk van beide partijen kan deze overeenkomst opzeggen door de andere partij daarvan schriftelijk in kennis te stellen. De overeenkomst wordt beëindigd zes maanden na de datum van ontvangst van die kennisgeving door de andere partij. Opzegging van deze overeenkomst betekent niet dat de partijen het MvO 2014 opzeggen, tenzij de partijen dit voornemen uitdrukkelijk kenbaar maken.
 2. Opzegging van het MvO 2014 krachtens artikel V, lid 4, ervan brengt de opzegging van deze overeenkomst met zich mee. Gedurende de periode van zes maanden vanaf de datum waarop de in artikel V, lid 4, van het MvO 2014 bedoelde tot opzegging strekkende kennisgeving is verricht, nemen de partijen de kernverplichtingen van artikel II van het MvO 2014 in acht.
 3. Bij gebreke van een aanmelding bij het Orgaan voor Geschillenbeslechting van de WTO van een onderling overeengekomen oplossing overeenkomstig artikel 4, lid 3, wordt niets in deze overeenkomst uitgelegd als strekkende tot een wijziging van de respectieve rechten of verplichtingen van een van de partijen in het kader van het DSU met betrekking tot EC —
 Hormones.
 4. Geen enkele bepaling in deze overeenkomst wordt aldus uitgelegd dat daaraan rechten kunnen worden ontleend of dat zij verplichtingen bevat voor personen, anders dan die welke tussen de partijen zelf in het leven zijn geroepen, noch aldus dat op deze overeenkomst een rechtstreeks beroep kan worden gedaan voor de rechterlijke instanties en in de interne rechtsorde van de partijen.
 5. Deze overeenkomst treedt in werking op de eerste dag na de datum waarop beide partijen elkaar in kennis hebben gesteld van de voltooiing van de interne procedures die nodig zijn om ervoor te zorgen dat de verplichtingen van de partijen uit hoofde van artikel 2 en artikel 4, lid 1, worden nagekomen.
 TEN GETUIGE WAARVAN ondergetekenden, rechtsgeldig gemachtigd door hun respectieve autoriteiten, deze overeenkomst hebben ondertekend.
 GEDAAN te Washington op twee augustus tweeduizend negentien, in twee exemplaren in de Engelse taal, die de authentieke tekst van de overeenkomst vormen.
 Voor de Europese Unie
 Voor de Verenigde Staten van Amerika
 (1) Ter verduidelijking: indien deze overeenkomst in werking treedt aan het begin van deelperiode n van een contingentjaar, wordt het volume voor jaar 1 beschikbaar gesteld in vier opeenvolgende deelperioden, waarbij dat volume gelijk over die deelperioden wordt verdeeld, te beginnen met deelperiode n van dat contingentjaar en eindigend in deelperiode n-1 van het daaropvolgende contingentjaar. Vanaf jaar 2 worden de volumes beschikbaar gesteld in vier opeenvolgende deelperioden door ze gelijk over die deelperioden te verdelen, te beginnen met deelperiode n van het volgende contingentjaar.