Health care quality and its affordability have become very pressing issues in the United States. All sectors of the country are attempting to push forward initiatives that will improve the health care system as well as the health of the American population in general. Despite the economical dedication to health care, about 1/5, the system remains uneven and fragmented, patient harm is quite common, care is often uncoordinated, and many more mishaps occur. There exists many obstacles to improve the nation's health care system; these include the capacity to reliably and consistently measure progress. In 2006 the Institute of Medicine (IOM) established the Roundtable on Value & Science-Driven Health Care which has since accelerated the development of a learning health system- one in which science, informatics, incentives, and culture are aligned to create a continuous learning loop. This learning loop would thus help make the health care system better. In response, the IOM organized a 2-day workshop to explore in depth the core measurement needs for population health, health care quality, and health care costs. The workshop hoped to gain a full understanding of how to improve the nation's measurement capacity to track progress in the health care system. Having this knowledge would help the nation get one step closer to the creation of an efficient learning loop. The workshop was divided into a series of sessions that focused on different aspects of measurement. Core Measurement Needs for Better Care, Better Health, and Lower Costs: Counting What Counts: Workshop Summary includes explanations and key details for these sessions: Vision, Current Measurement Capabilities, Specifying the Shape of a Core Metric Set, and Implementation. The report also features common themes within these areas, the workshop agenda, and information about those involved.
Digital health data are the lifeblood of a continuous learning health system. A steady flow of reliable data is necessary to coordinate and monitor patient care, analyze and improve systems of care, conduct research to develop new products and approaches, assess the effectiveness of medical interventions, and advance population health. The totality of available health data is a crucial resource that should be considered an invaluable public asset in the pursuit of better care, improved health, and lower health care costs. The ability to collect, share, and use digital health data is rapidly evolving. Increasing adoption of electronic health records (EHRs) is being driven by the implementation of the Health Information Technology for Economic and Clinical Health (HITECH) Act, which pays hospitals and individuals incentives if they can demonstrate that they use basic EHRs in 2011. Only a third had access to the basic features necessary to leverage this information for improvement, such as the ability to view laboratory results, maintain problem lists, or manage prescription ordering. In addition to increased data collection, more organizations are sharing digital health data. Data collected to meet federal reporting requirements or for administrative purposes are becoming more accessible. Efforts such as Health.Data.gov provide access to government datasets for the development of insights and software applications with the goal of improving health. Within the private sector, at least one pharmaceutical company is actively exploring release of some of its clinical trial data for research by others. Digital Data Improvement Priorities for Continuous Learning in Health and Health Care: Workshop Summary summarizes discussions at the March 2012 Institute of Medicine (2012) workshop to identify and characterize the current deficiencies in the reliability, availability, and usability of digital health data and consider strategies, priorities, and responsibilities to address such deficiencies.
O-H-Oh-No! Fourteen storytellers reveal a gritty side to C-Bus in this collection of crime tales. Akashic Books continues its award-winning series of original noir anthologies, launched in 2004 with Brooklyn Noir. Each book comprises all-new stories, each one set in a distinct neighborhood or location within the respective city. With stories by: Lee Martin, Robin Yocum, Kristen Lepionka, Craig McDonald, Chris Bournea, Andrew Welsh-Huggins, Tom Barlow, Mercedes King, Daniel Best, Laura Bickle, Yolonda Tonette Sanders, Julia Keller, Khalid Moalim, and Nancy Zafris. Praise for Columbus Noir “Moments of humanity shine through in many of the tales in this collection, and epic takes on pride and greed make many of the stories in this collection go beyond small miseries into the realm of Shakespearian tragedy. Urgent, beautiful, and not to be missed.” —CrimeReads, included in CrimeReads’ Most Anticipated Crime Books of 2020 “This superior Akashic noir anthology gathers 14 dark snapshots of Ohio’s capital, a very dangerous place indeed, with heavy drug use and murder touching down everywhere, from the German Village neighborhood to the statehouse. One highlight is Craig McDonald’s “Curb Appeal,” one of several invoking the homicidal search for housing. In the editor’s effective “Going Places,” a security man who covers up affairs for the governor gets pulled into a murder plot . . . . Noir fans should be well satisfied.” —Publishers Weekly
This is a book for those of you that need help managing those projects that most people have. Projects don't have to be large endeavors with many people contributing. A project is that special dinner party that you want to arrange with your friends, your son's camping trip that you have been "volunteered" to coordinate or your daughter's prom. It could be that kitchen renovation. In short, a project is simply an event that has a beginning and an end; it has tasks that need to be completed and may have some risks that require some pre-planning. This book will give you the tools and techniques used by large corporations to manage their projects. The key difference is that you will find that these same tools and techniques are scaled so that they can apply to your projects at home. It is an effort to make your hectic life a little easier to manage.
Over 110 patterns for projects from edging and trimming to handbags, baskets, pillowcases, aprons, and more. Includes complete directions, guide to materials, and 121 illustrations. "...lovely patterns which will surely interest the reader who is already a competent tatter." —Kliatt Paperback Book Guide.
TRUE CRIME STORIES: Unsolved Crimes and Violent Revenge - 2 Books in 1 Featuring... *Unsolved Crimes*Violent Revenge 2 Great Books in 1! Unsolved Crimes Unsolved crime is everywhere. The creepiness of the past is full of murders and mysteries, many of which still live on without any real conclusion. Despite the best efforts of investigators, amateur and professional, and even modern day technologies used togo back and reexamine the mysteries of the past, there still remain unsolved crimes. The unfortunate truth is, we may never know. Some theories state that perhaps it is the societal obsession with serial killers that keeps the killers so rampant and continues to give them material to perpetuate. In addition to that, the serial murders that go unsolved are regularly covered over and over as time goes on. Society wants resolve. If you are one of those who desires resolve, perhaps this is not the book for you. Let's discuss those very monsters. The monsters who created fear and terror; those who got joy from killing over and over again, and got away with it. Violent Revenge And if you wrong us, do we not revenge? - Shylock. Vengeance - It is a primal emotion, one borne from our innately human desires for justice and equality. For some it manifests as simple acts, a refused invitation or an ignored hand shake. Sometimes it gets bigger. Cars get keyed and houses vandalized. But sometimes the human desire for vengeance is so great, so overwhelming, that the only way for them to get satisfaction is through violence. Ever since Homer wrote about the vengeance of the heartbroken Agamemnon, artists and writers have been fascinated with revenge. Shakespeare wrote it into The Merchant of Venice, Hamlet, Othello, and finally and perhaps most graphically, Titus Andronicus. By the Victorian era, Robert Louis Stevenson had written The Black Arrow and Edgar Allen Poe had written "The Cask of Amontillado." It was during this century that two of the greatest stories of revenge were written. In Moby Dick, Herman Melville paints a dire picture of Captain Ahab, a man consumed by his drive for revenge against a whale who parted him from his leg. And in The Count of Monte Cristo, Alexandre Dumas, père, crafts an intricate tale of intrigue and swashbuckling vengeance as a man fights to destroy the men who sent him to prison. Even today, revenge is a theme in all of our media, from Harry Potter to Star Wars. But vengeance is not simply satisfied in fiction. In the following stories, these angels of vengeance come from all over the world and live at different times. Some readers may find their motivations noble; others might see only the violence they committed. But they are united in one way. All of these people were wronged, and all had their vengeance. And their vengeance came with blood.
ALIEN ANTHOLOGY: Alien Encounters and Area 51 - 2 Books in 1 Featuring... *Alien Encounters*Area 51 2 Great Books in 1! Alien Encounters Since the dawn of time humans have recorded strange objects in the sky. From the scribes of Pharaoh Thutmose III in 1440 B.C.E. who recorded seeing fiery disks in the sky to the ancient Greeks, the general Timoleon claimed that when at sea a fiery torch in the sky had guided his fleet safely home, and the Romans, both Livy and Pliny the Elder record strange lights and shapes in the sky, people have looked up and thought "what on earth is that?"As time has progressed and literacy has become more common reports of sightings in the sky have not only increased but have also become more detailed. As our understanding of the night sky and space has grown; many of these sightings have found explanations in the form of stars, planets or meteor showers. Some however are yet to be satisfactorily explained. Throughout the following chapters we will be looking at some of the best known and most intriguing alien encounters from all over the world. Area 51 Since the Roswell Incident of 1947 rumors have circulated of alien spacecraft and alien bodies being recovered by government officials. While these claims relate primarily to Roswell they are sometimes attributed to other incidents as well. Many people who believe that the government is hiding the recovery of alien spacecraft and bodies also think that autopsies were carried out on the recovered alien bodies. The location of these autopsies is often thought to be the highly secretive base in the Nevada desert known as Area 51. However other theories claim that the crafts and alien bodies are stored at the less well-known Hanger 18 at the Wright-Patterson Airfield Base. For years the prospect of video footage, documents or photographs existing of these alien autopsies has tantalized believers and sceptics alike. In 1995 a sensational 17-minute film was broadcast supposedly showing these autopsies. However many contends that it is just another hoax. This video is not the only piece of evidence that has been produced purporting to show an alien autopsy. Many other images and stills from films have also been produced and debunked over the years. Over the next few chapters we will look at the main locations, events and stories that inevitably arise whenever people talk about alien autopsies.
RWANDAN GENOCIDE - The Unspeakable Evils of Ethnic Cleansing and Genocide in RwandaThere are few crimes more heinous than murder, ending an innocent human life is an unforgivable act that's consequences cannot be taken back. And yet, there are occasions where murder is taken to a new extreme in the form of genocide. In 1948, a group called The United Nations Genocide Convention was founded and as the experts on genocide, they define it as "acts committed with intent to destroy, in whole or in part, a national, ethnic, racial or religious group." With how far humanity has come as a whole, it's easy to think that something as terribly monstrous as the intentional targeting of a single group of people for mass murder with the hope of total extinction would be something the world hasn't seen in centuries. Unfortunately, that isn't true. One such group to suffer an event to fit that definition was the Tutsi people in Rwanda. They were targeted during a period that lasted 100 days in 1994 by members of the majority government of Hutu and it is estimated that 500,000 to 1,000,000 Rwandan lives were taken. The genocide began on April 7th and lasted until July 15th. The Tutsi lost as much s 70% of its population and the Pygmy Batwa suffered the loss of 30% of their population as well. This is the true story of the horrific evils that led up to the Rwandan genocide, one of the most evil mass murders of modern times.
PARANORMAL COLLECTION: Paranormal Mysteries and Alien Encounters - 2 Books in 1 Featuring... *Paranormal Mysteries *Alien Encounters 2 Great Books in 1! Paranormal Mysteries The term paranormal encompasses a wide range of strange and unexplained phenomena. The most notable of these are spirits, cryptids, psychic ability, time travel and the existence of extraterrestrial life. While some of these events can be explained rationally others are more difficult to discount. Over the next few chapters we shall explore some of the more notable cases, which come under the umbrella of"paranormal mysteries" and discuss possible explanations and causes both worldly and otherworldly. Alien Encounters Since the dawn of time humans have recorded strange objects in the sky. From the scribes of Pharaoh Thutmose III in 1440 B.C.E. who recorded seeing fiery disks in the sky to the ancient Greeks, the general Timoleon claimed that when at sea a fiery torch in the sky had guided his fleet safely home, and the Romans, both Livy and Pliny the Elder record strange lights and shapes in the sky, people have looked up and thought "what on earth is that?" As time has progressed and literacy has become more common reports of sightings in the sky have not only increased but have also become more detailed. As our understanding of the night sky and space has grown; many of these sightings have found explanations in the form of stars, planets or meteor showers. Some however are yet to be satisfactorily explained. Throughout the following chapters we will be looking at some of the best known and most intriguing alien encounters from all over the world.
Staring Down the Tracks is a collection of poems that gives voice to those affected by addiction, a population that, despite their numbers and diverse demographics, is often harshly judged and silenced by shame. The mother and son of these poems are your neighbors, friends, relatives, and co-workers who need to have a dialog with you. "Images precise and severe are accompanied by a fragile, defiantly beautiful music as the poet describes the son whom she will lose, over and over again." Erica Funkhouser, author of Post & Rail, winner of the Idaho Prize for Poetry "...a courageous and generous collection, an essential contribution to literature about addiction that will change you." Daniel Donaghy, author, Somerset: Start with the Trouble, winner of the Paterson Prize for Literary Excellence "If Sylvia Plath were the mother of an addict, she would write poems like [these]." Miriam Greenspan, psychotherapist and author, Healing Through the Dark Emotions: The Wisdom of Grief, Fear, and Despair
This work has been selected by scholars as being culturally important, and is part of the knowledge base of civilization as we know it. This work was reproduced from the original artifact, and remains as true to the original work as possible. Therefore, you will see the original copyright references, library stamps (as most of these works have been housed in our most important libraries around the world), and other notations in the work. This work is in the public domain in the United States of America, and possibly other nations. Within the United States, you may freely copy and distribute this work, as no entity (individual or corporate) has a copyright on the body of the work. As a reproduction of a historical artifact, this work may contain missing or blurred pages, poor pictures, errant marks, etc. Scholars believe, and we concur, that this work is important enough to be preserved, reproduced, and made generally available to the public. We appreciate your support of the preservation process, and thank you for being an important part of keeping this knowledge alive and relevant.
THE HAUNTING: True Ghost Stories To Keep You Up At Night Stories about ghosts, spirits or apparitions, have fascinated people of all ages, from many different cultures, over thousands of years. This is true regardless of whether the ghosts have appeared in films, books, or suddenly in the middle of the night. Fictional stories about ghosts, from Dicken's The Christmas Carol, to films such as The Exorcist (1973) or Ghostbusters (2016) show how varied and popular ghost stories in the English-speaking world are. However, despite the vivid descriptions and special effects used to bring these fictional ghost stories to life, the tales in this collection are perhaps more astounding, because they are all believed to have taken place - these are the true ghosts stories that continue to defy the sceptical, while suggesting there may be more to this universe than meets the eye.
This work has been selected by scholars as being culturally important, and is part of the knowledge base of civilization as we know it. This work was reproduced from the original artifact, and remains as true to the original work as possible. Therefore, you will see the original copyright references, library stamps (as most of these works have been housed in our most important libraries around the world), and other notations in the work. This work is in the public domain in the United States of America, and possibly other nations. Within the United States, you may freely copy and distribute this work, as no entity (individual or corporate) has a copyright on the body of the work. As a reproduction of a historical artifact, this work may contain missing or blurred pages, poor pictures, errant marks, etc. Scholars believe, and we concur, that this work is important enough to be preserved, reproduced, and made generally available to the public. We appreciate your support of the preservation process, and thank you for being an important part of keeping this knowledge alive and relevant.
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