Crossing the Quality Chasm

Crossing the Quality Chasm

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2001-07-19

Total Pages: 359

ISBN-13: 0309132967

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Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.


Hoosiers and the American Story

Hoosiers and the American Story

Author: Madison, James H.

Publisher: Indiana Historical Society

Published: 2014-10

Total Pages: 359

ISBN-13: 0871953633

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A supplemental textbook for middle and high school students, Hoosiers and the American Story provides intimate views of individuals and places in Indiana set within themes from American history. During the frontier days when Americans battled with and exiled native peoples from the East, Indiana was on the leading edge of America’s westward expansion. As waves of immigrants swept across the Appalachians and eastern waterways, Indiana became established as both a crossroads and as a vital part of Middle America. Indiana’s stories illuminate the history of American agriculture, wars, industrialization, ethnic conflicts, technological improvements, political battles, transportation networks, economic shifts, social welfare initiatives, and more. In so doing, they elucidate large national issues so that students can relate personally to the ideas and events that comprise American history. At the same time, the stories shed light on what it means to be a Hoosier, today and in the past.


La Follette's Autobiography

La Follette's Autobiography

Author: Robert Marion La Follette

Publisher:

Published: 1913

Total Pages: 888

ISBN-13:

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The autobiography of Robert La Follette (1855-1925) traces the political life and accomplishments of this eminent Republican politician from his election as district attorney for Dane County, Wisconsin in 1880 to the presidential campaign of 1912, when his bid to dislodge President William Howard Taft was pushed aside by former president Theodore Roosevelt on the Progressive Party's national ticket. The book emphasizes tactics, strategies, and coalition-building as well as La Follette's assessments of various local and national public figures. We learn little about La Follette's childhood, education, legal training or family life, although he does pay tribute to his wife, a lawyer and civic reformer in her own right. La Follette served three terms in Congress (1885-1891); and after a decade of private law practice and grassroots activism, was elected Wisconsin's governor (1900-1904). From 1905 until his death, La Follette was a senator. He crusaded at state and national level against powerful, unregulated business interests--especially the railroads--which he felt exerted undue influence upon government. He also championed open primary elections, equitable taxation of corporations, and public management of public resources by highly qualified, non-partisan public servants. While many of these influential reforms were instituted at the state level during his governorship, his contribution in the Senate may have had less to do with his legislative record than with his ability to rally forces around well-articulated programs.


Does the Built Environment Influence Physical Activity?

Does the Built Environment Influence Physical Activity?

Author: Transportation Research Board

Publisher: Transportation Research Board

Published: 2005-01-11

Total Pages: 269

ISBN-13: 0309094984

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TRB Special Report 282: Does the Built Environment Influence Physical Activity? Examining the Evidence reviews the broad trends affecting the relationships among physical activity, health, transportation, and land use; summarizes what is known about these relationships, including the strength and magnitude of any causal connections; examines implications for policy; and recommends priorities for future research.


The Evolving Congress

The Evolving Congress

Author: Congressional Research Congressional Research Service Library of Congress

Publisher: CreateSpace

Published: 2015-05-17

Total Pages: 490

ISBN-13: 9781512234244

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For 100 years, the Congressional Research Service (CRS) has been charged with providing nonpartisan and authoritative research and analysis to inform the legislative debate in Congress. This has involved a wide range of services, such as written reports on issues and the legislative process, consultations with Members and their staff, seminars on policy and procedural matters, and congressional testimony. The Government and Finance Division at CRS took a step back from its intensive day-to-day service to Congress to analyze important trends in the evolution of the institution-its organization and policymaking process-over the last many decades. Changes in the political landscape, technology, and representational norms have required Congress to evolve as the Nation's most democratic national institution of governance. The essays in this print demonstrate that Congress has been a flexible institution that has changed markedly in recent years in response to the social and political environment.