But some of the medium-sized programmes, which fear for their survival, provide an efficient service for local patients and their families who cannot afford the emotional and economic cost of travelling to some far-flung centre of excellence.
At massive scale, the key is to deliver the most efficient service for a specific workload.
The Eastern shuttle was an efficient service for business people to get back and forth from NY to Boston or D.
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However, I am confident we will continue to provide an effective and efficient police service for the people of Wiltshire.
Ford was known for his obsession with customer service and efficient use of taxpayer money, and many conservative voters wanted to punish City Hall for gridlock and waste, Nanos said.
But charging 10 different accounts to a company is not the most efficient way to pay for a service.
Suu Kyi also spoke on the need for a "clean, efficient civil service" to help run the nation even as governments change.
For some reason it took 10 years for South Asia's most efficient civil service to notice that anything was awry.
Cordiant also said that it would restructure some of its business, bringing several units together as Bates Group to create "an inherently more efficient and effective service structure for clients".
Acpo has said the new service would provide a more efficient and accessible air support service that offers better value for money.
He introduced a congestion charge in the centre of town (piquing the interest of other cities) and a more efficient ticketing system for public transport, expanding the bus service.
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Transport Scotland said the freight service would provide a more efficient route for coal from the west of Scotland to Longannet Power Station and reduce rail congestion on the Forth Bridge.
That means Internet service providers--many of whom had developed efficient systems for disconnecting specific host computers from the Web--can't keep up with scammers, Mather says.
The open set-up makes it easier for customers to solve their own questions and helps sales associates offer smarter, more efficient service, says Fiorentino.
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The company has struck numerous content deals with media companies, established an efficient supply chain for DVD delivery, enriched its online content, and maintained excellent customer service.
Obama has consistently given lip service to the need for economic growth, sustainable federal finances, and smart, more efficient, government spending.
Some service sectors, such as construction and health care, are ripe for gains, because their efficient use of IT is low.
Even mighty SBCCommunications, Efficient's largest customer, seems to be losing some of its enthusiasm for the high-speed Internet service.
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