Generate an explanation for the given claim using the provided supporting material from the paragraph. Please consider the following points while generating an output. 1) The claim will always have supporting proof in the paragraph, and the paragraph will have a clear point of view supporting the claim. 2) There can be instances where direct correlation to the claim is not available. Make use of the sentences in the paragraph to provide a corresponding output supporting the claim. 3) The explanation should be at least one and at most twelve sentences long.

Example Input: Paragraph: The Office of Inspector General on Friday released two reports that look into the longstanding challenges of the 28 hospitals directly operated by the federal Indian Health Service. The OIG, which acknowledged that reports of inadequate health care services for Native Americans have been of concern to the federal government for almost a century, criticized the agency’s limited oversight regarding compliance with federal regulations and quality of care, detailing how the agency’s regional administrators have few sources of information to assess the services provided at the facilities. The Indian Health Service, commonly referred to as IHS, is responsible for providing health care services to enrolled tribal members as part of the government’s treaty obligations to Native American tribes. But the agency has faced challenges for decades, and within the past year it has been under increased scrutiny from Congress after inspections of hospitals in the Great Plains uncovered severe deficiencies. The OIG says IHS’s eight regional offices conduct activities to monitor the quality of the facilities, but those efforts are minimal in some areas. One of the reports states that the primary source of information that the regional offices use to detect quality problems is a small number of complaints and patient harm reports. “However, according to hospital administrators, most patient complaints relate to customer service and wait times, rather than medical care,” according to the report. “Further, most hospitals (20 of 28) receive fewer than 100 complaints per year for inpatient and outpatient visits combined, averaging about 1 complaint per 1,000 patient visits. ... Considering the quantity and subject matter of complaints and patient harm reports, they are unlikely to provide hospital staff with the breadth of information needed to identify and diagnose systemic quality or compliance breakdowns.” The OIG, which gathered the information for the reports between April and October 2014, also said that only half of the regional offices conducted mock inspection surveys that could provide insight regarding the facilities’ quality practices. The watchdog also faulted the IHS for staggering findings of outdated facilities and the weekslong process that job applicants must follow, even when the physician vacancy rate was 33 percent at the time the information for the reports was gathered. According to the report, in 15 of the 28 hospitals, administrators reported that aging or inadequate physical environments affected their ability to give quality care. Corroded pipes in one hospital caused sewage to leak into the operating room. The IHS has now been under scrutiny for more than a year after inspectors from the Centers for Medicare and Medicaid Services, known as CMS, found several quality-of-care deficiencies at hospitals in South Dakota and Nebraska. At one facility, the alarming conditions of its emergency room led officials to close it for seven months. The OIG on Friday recommended that CMS inspectors survey IHS facilities more frequently. The IHS in a statement Friday concurred with recommendations made by the OIG, including the need for more training for staffers and new ways to monitor hospital quality. The IHS also said it began a mock survey initiative at 26 hospitals in May 2016 to assess compliance with the standards that facilities must meet to be able to participate in the Medicare program. The IHS’s statement also highlighted a team that was formed in February 2016 “to ensure that dependable, quality care is delivered consistently across IHS facilities.” ___ Follow Regina Garcia Cano on Twitter at https://twitter.com/reginagarciakNO ___ Associated Press writer James Nord contributed to this report from Pierre, South Dakota. Claim: Watchdog: Staff issues affect care at reservation hospitals.
Example Output: The internal watchdog of the U.S. Department of Health and Human Services says the often-substandard quality of care at hospitals serving Native Americans is the result of outdated equipment and technology, lack of resources and difficulty attracting and keeping skilled staff.

Example Input: Paragraph: No company wants to be the next LM Wind Power. “All it takes is to see something like that happen in a neighboring business or a business similar to yours and everyone gets a lot more fastidious with control measures,” said Dr. Paul Carson, a public health and infectious disease specialist at North Dakota State University, referring to the spread at the Grand Forks plant. Officials with two of the state’s largest plants, window and door maker Marvin and agriculture and construction components producer John Deere Electronic Solutions, say there are new rules of the road. And they’re doing more than the standard protocol of proper hygiene, high-tech protective gear, social distancing and stickers that say, “IF YOU CAN READ THIS YOU ARE TOO CLOSE.” Hallways, entrances, and exits are strictly one-way. Other changes have included temperature checks, unique equipment like “no touch” door openers, liberal leave policies and pay provisions, and an added emphasis on communication between management and workers. ’“The stakes are too high right now,” said Paul Marvin, CEO of Marvin, a century-old Warroad, Minnesota-based company with 6,000 employees in eight states, including 1,300 in the Fargo area. “We want to make people feel comfortable and build trust. It costs you a little money in the short term but it pays dividends in the long run.” The John Deere Electronic Solutions plant in Fargo employs about 750 people. A company spokeswoman said “one of the most impactful steps” they’ve taken is to assure employees that they will be paid if they have symptoms of the virus, don’t feel well or believe they could have been exposed. Marvin employees receive paid leave if they are sick and unpaid leave with health benefits if they just don’t feel comfortable going to work. Paul Marvin said employees don’t have to “prove how sick they are” with notes from their doctors. And their jobs will be waiting for them when they return. North Dakota Gov. Doug Burgum has held up a Canada-based potato processing business as the gold standard for protecting employees from the coronavirus, stating that Cavendish Farms plants in North Dakota and elsewhere have not recorded a single COVID-19 case among thousands of workers. The company employs 250 people at its Jamestown plant. “It has been a family owned-business for decades, taking care of their people,” Burgum said. “They have a culture of safety that has been long established. It’s easy for them to take it up another level.” Cavendish Farms spokeswoman Mary Keith said the numerous safeguards include infrared cameras to monitor the temperatures of people entering buildings and hundreds of signs in multiple languages placed throughout the plants to make employees aware of social distancing and other guidelines. The company purchased 2,700 plexiglass face shields for all of its operations and has added floor-to-ceiling barriers made of plexiglass or wood, she said. “We feel that what we did very well is we reacted early and we reacted fast to the risk and escalated our measures,” Keith said, adding that workers awaiting testing or treatment for COVID-19 receive 10 paid days with health benefits. Meanwhile, the number of infected workers at LM Wind Power stands at about 150 at the Grand Forks plant that employs about 900 people. State and local health officials are undertaking a vigorous contact tracing effort, recruiting dozens of people to help find other COVID-19 cases related to the plant. Some LM employees have complained publicly about what they believed to be a lack of safety precautions, which the company has denied. Officials with the Department of Labor and Human Rights have not received any complaints from LM employees, according to Burgum spokesman Mike Nowatzki. Scott Weislow, Marvin’s director of enterprise risk management, said Marvin had a pandemic blueprint in its library after dealing with the Avian flu and that gave them a head start, he said. “I think we’re going to see an evolution in business; not just us but everybody,” Weislow said. “Working from home will be more acceptable. Some of these social distancing measures are probably going to stick around and you’re going to see other measures like voice activated lights and voice activated door openers.” Carson said when it comes to the coronavirus, even the most stringent measures may not be enough to dodge “the luck of the draw.” It only takes one infected person who’s not showing symptoms to start the spread, he said. Claim: Grand Forks outbreak has other North Dakota plants on alert.
Example Output: A widespread outbreak of the coronavirus that has shuttered a wind turbine plant in northeastern North Dakota and initiated a massive contact tracing effort has led many of the state’s largest manufacturers to review and relay their safety measures.

Example Input: Paragraph: The Boulder County Sheriff’s Office says jail and public health officials were notified Friday that an inmate had tested positive for the contagious liver infection and was separated from the rest of the jail population. No other inmates or jail staff have shown symptoms of hepatitis A. However, the sheriff’s office says anyone released from the jail on or after Aug. 20 may be at risk for developing the disease. As of Sept. 11, 163 cases have been reported in the state this year, with most of the infected people needing hospitalization. Health officials Thursday announced the first death related to the outbreak. Claim: Boulder County Jail inmate tests positive for hepatitis A.
Example Output:
An inmate in Boulder County Jail has tested positive for hepatitis A, two days after news of a death from a recent outbreak of the disease in Colorado.