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America's problems are solvable. This book explains how we can eliminate homelessness, hunger and poverty while making health insurance affordable for everyone. It shows how we can do this in ways that conservatives, liberals, self-interest groups and the vast majority of Americans can accept. This can be done without constantly raising taxes or demonizing anyone. The book is divided into three parts. The first part explores some of the forces that are causing America's problems and why we have not been able to solve them. The second part explores our problems with healthcare, income, welfare, government spending, education and housing. The third part presents a set of solutions to mitigate these problems. It demonstrates that a set of solutions, which support each other, can be more feasible in mitigating related problems than focusing only on one problem at a time. Although counterintuitive, mitigating multiple related problems at the same time is actually easier and potentially more feasible. Establishing that the concepts and solutions presented are credible enough to warrant intensive investigation, refinement, and eventual implementation is the primary goal of this book. The set of solutions presented is only meant to be a starting point for discussions, refinements, and research. A very large amount of work, compromises with affected groups, public discussions, and political support will be needed before a version of these solutions can be implemented. Discover how we can make America a better place for all Americans.
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.
When you reach middle age, what does it take to turn back the hands of time and regain the youthful vitality of your younger years? Top nutritionist and health authority Oz Garcia offers definitive guidance in his information-packed Redesigning 50. You'll discover what Oz calls "the New 50": a fitter, healthier, better-looking middle age than you ever imagined possible. Oz explains how to take advantage of the finest that science and artistry can offer—without going under the knife. Drawing on the foremost expert opinions in health and beauty, Oz offers the latest information about diet and nutrition, exercise, skin and body care, hormones, stress reduction, dental and cosmetic treatments, and the new nutraceuticals—giving readers the tools to look younger and feel better than they have in years. You'll learn how to implement "the New 50 Fusion Plan," Oz's simple yet powerful fusion of "efficiency foods" with the healthy dietary traditions of Japan and the Mediterranean. You'll learn safe detox plans from experts Adina Niemerow and Roni DeLuz, hair how-to from Joel Warren and Edward Tricomi of Warren-Tricomi and Frédéric Fekkai, culinary insights from renowned chef David Bouley, spa secrets from the Golden Door and others, beauty advice and makeup tips from Bruce Dean, skin-care savvy from Dr. Nicholas Perricone and rejuvenation techniques from Dr. Lisa Zdinak and Dr. Lisa Airan, exercise insights from David Barton of David Barton Gyms, and fitness assessments from Suzanne Meth of Equinox Fitness Clubs, among others. Oz pulls it all together with his decades of experience into an enlightened, effective approach to antiaging. Hundreds of Oz's clients—women and men from across the country—have found success under his supervision. The powerful results are documented in candid accounts, from the busy company executive to the harried parent. Their antiaging success stories inspire and motivate readers to begin their own journey. The result? Middle age has never looked or felt so good!
In the United States, 1,200 community colleges enroll over ten million students each year—nearly half of the nation’s undergraduates. Yet fewer than 40 percent of entrants complete an undergraduate degree within six years. This fact has put pressure on community colleges to improve academic outcomes for their students. Redesigning America’s Community Colleges is a concise, evidence-based guide for educational leaders whose institutions typically receive short shrift in academic and policy discussions. It makes a compelling case that two-year colleges can substantially increase their rates of student success, if they are willing to rethink the ways in which they organize programs of study, support services, and instruction. Community colleges were originally designed to expand college enrollments at low cost, not to maximize completion of high-quality programs of study. The result was a cafeteria-style model in which students pick courses from a bewildering array of choices, with little guidance. The authors urge administrators and faculty to reject this traditional model in favor of “guided pathways”—clearer, more educationally coherent programs of study that simplify students’ choices without limiting their options and that enable them to complete credentials and advance to further education and the labor market more quickly and at less cost. Distilling a wealth of data amassed from the Community College Research Center (Teachers College, Columbia University), Redesigning America’s Community Colleges offers a fundamental redesign of the way two-year colleges operate, stressing the integration of services and instruction into more clearly structured programs of study that support every student’s goals.
For five years, McDonald charted the progress of ten schools in the Coalition of Essential Schools as they immersed themselves in the hard work of school reform. He also visited many other schools, both elementary and secondary, in an attempt to understand serious school reform and its prospects. He concludes that school reform requires redesign in three critical areas. The first is a shift in the ordinary and often tacit beliefs of the people who work in schools, the communities that support them, and even the children who attend them. The second area, which McDonald dubs the "wiring arena," involves internal communication and power arrangements. The third area, called "tuning," involves connecting the school to the needs, interests, and values of the communities it serves.
Redesigning liberal education requires both pragmatic approaches to discover what works and radical visions of what is possible. The future of liberal education in the United States, in its current form, is fraught but full of possibility. Today's institutions are struggling to maintain viability, sustain revenue, and assert value in the face of rising costs. But we should not abandon the model of pragmatic liberal learning that has made America's colleges and universities the envy of the world. Instead, Redesigning Liberal Education argues, we owe it to students to reform liberal education in ways that put broad and measurable student learning as the highest priority. Written by experts in higher education, the book is organized into two sections. The first section focuses on innovations at 13 institutions: Brown University, College of the Holy Cross, Connecticut College, Elon University, Florida International University, George Mason University, Georgetown University, Lasell College, Northeastern University, Rollins College, Smith College, Susquehanna University, and the University of Wisconsin–Green Bay. Chapters about these institutions consider the vast spectrum of opportunities and challenges currently faced by students, faculty, staff, and administrators, while also offering "radical visions" of the future of liberal education in the United States. Accompanying vision chapters written by some of the foremost leaders in higher education touch on a wide array of subjects and themes, from artificial intelligence and machines to the role that human dispositions, mindsets, resilience, and time play in how we guide students to ideas for bringing playful concepts of creativity and openness into our work. Ultimately, Redesigning Liberal Education reveals how humanizing forces, including critical thinking, collaboration, cross-cultural competencies, resilience, and empathy, can help drive our world. This uplifting collection is a celebration of the innovative work being done to achieve the promise of a valuable, engaging, and practical undergraduate liberal education. Isis Artze-Vega, Denise S. Bartell, Randy Bass, John Bodinger de Uriarte, Laurie Ann Britt-Smith, Jacquelyn Dively Brown, Phillip M. Carter, Nancy L. Chick, Michael J. Daley, Maggie Debelius, Janelle Papay Decato, Peter Felten, Ashley Finley, Dennis A. Frey Jr., Chris W. Gallagher, Evan A. Gatti, Lisa Gring-Pemble, Kristína Moss Gudrún Gunnarsdóttir, Anthony Hatcher, Toni Strollo Holbrook, Derek Lackaff, Leo Lambert, Kristin Lange, Sherry Lee Linkon, Anne M. Magro, Maud S. Mandel, Jessica Metzler, Borjana Mikic, William Moner, Phillip Motley, Matthew Pavesich, Uta G. Poiger, Rebecca Pope-Ruark, Michael Reder, Michael S. Roth, Emily Russell, Heather Russell, Ann Schenk, Michael Shanks, Susan Rundell Singer, Andrea A. Sinn, Christina Smith, Allison K. Staudinger, William M. Sullivan, Connie Svabo, Meredith Twombly, Betsy Verhoeven, David J. Voelker, Scott Windham, Mary C. Wright, Catherine Zeek
From David Osborne, the author of Reinventing Government--a biting analysis of the failure of America's public schools and a comprehensive plan for revitalizing American education. In Reinventing America's Schools, David Osborne, one of the world's foremost experts on public sector reform, offers a comprehensive analysis of the charter school movements and presents a theory that will do for American schools what his New York Times bestseller Reinventing Government did for public governance in 1992. In 2005, when Hurricane Katrina devastated New Orleans, the city got an unexpected opportunity to recreate their school system from scratch. The state's Recovery School District (RSD), created to turn around failing schools, gradually transformed all of its New Orleans schools into charter schools, and the results are shaking the very foundations of American education. Test scores, school performance scores, graduation and dropout rates, ACT scores, college-going rates, and independent studies all tell the same story: the city's RSD schools have tripled their effectiveness in eight years. Now other cities are following suit, with state governments reinventing failing schools in Newark, Camden, Memphis, Denver, Indianapolis, Cleveland, and Oakland. In this book, Osborne uses compelling stories from cities like New Orleans and lays out the history and possible future of public education. Ultimately, he uses his extensive research to argue that in today's world, we should treat every public school like a charter school and grant them autonomy, accountability, diversity of school designs, and parental choice.
Considers the future of the United States' overseas representation. Appraises its condition. Offers practical recommendations on how best to organize and manage overseas posts.
The rapidly changing nature of the modern industrial world has helped spark a radical rethinking of the design of corporations, changes no less revolutionary than the wave of innovations associated with the names of Frederick Taylor and Henry Ford at the dawn of this century. In Redesigning the Firm, nineteen experts from one of the nation's premier business schools, the Wharton School at the University of Pennsylvania, take an informed look based on their own research at various aspects of this revolution, offering managers a host of insights and powerful tools for orchestrating change in their firm. Redesigning the Firm illuminates many of the challenges that confront the executive, approaching the issue from a wide variety of perspectives. The book considers, for instance, whether the firm's stockholders, directors, and managers should reevaluate how they distribute power and share information, and it explores why external board members often fail to exercise a strong voice in governance. It looks at the changing boundary of the firm, as partnerships and alliances have become more important, examining this new development in three types of market: emerging markets such as Eastern Europe, markets where economies of scale provide a critical advantage, and dynamic markets where speed is essential. It examines the use of suppliers in Japanese, American, and European firms, and finds the former to be more efficient. Some of the essays are quite eye-opening. For instance, one chapter demonstrates that firms can increase product variety at no extra cost, revealing how a study of the automotive industry shows that investing in training, in flexible manufacturing processes, and in better operations management will increase variety without compromising productivity or lowering quality. And one chapter sounds a strong note of dissent, contending that the design of organizations matters little to a global competitor--what matters is how managers think about the world, and how the operating procedures they use guide decision-making and behavior. In the final section, editors Bowman and Kogut reflect on two outstanding issues concerning the design of the firm: how much of what managers used to believe was critical to their success can they place outside their ownership boundaries; and how to deal with the complex challenges that modular design presents. The editors apply their conclusions to the Wharton School itself, making the book particularly valuable for anyone concerned with the quality and future of business education in America. Here then is the best thinking by leading experts in corporate design, who examine the best ways to generate speed, variety, and flexibility, to expand the firm over time and over national boundaries, and to prepare a corporation for the next century.
The world was last designed seventy-five years ago, about the same time that Sam Pitroda was born. This design has outlived its utility. Hyperconnectivity and the COVID-19 pandemic offer a unique opportunity to redesign the world to take humanity to the next level. Redesigning the world is not about looking at it from the point of view of liberal or conservative; left or right; capitalism or socialism; public or private; democracy, dictatorship or monarchy; open or closed systems; rich or poor; urban or rural; east or west; white, brown, black or yellow. This proposed redesign of the world has the planet and its people at the centre; it is built on the foundations of sustainability, inclusion, equality, equity and justice so that everyone on earth can enjoy peace and prosperity. It is not an idealist or utopian vision, but one with humanity at its core.This book is about reshaping the world to meet the future challenges of our planet and our people. The three dimensions In the third vision, he calls for nations "networking, ideas, interests, resources and talent, all designed to save our planet and uplift all our people. This vision will be based on a novel organizational architecture focussed on global consultations, collaboration, co-operation and enhanced communication". He lays out what he sees as the three dimensions of the information age - connectivity, content and context. There is also reference to three unique dimensions of information technology - democratisation, decentralisation and demonetisation. Then there are five new pillars for the world's redesign: inclusion, human needs, new economy, sustainability/ conservation and non-violence. There are multiple valid points - such as the need to discard the use of over-simplistic and inadequate tools such as GDP to measure economic growth and well-being. The book stresses on the need to keep environmental concerns central to any new policy making pointing out that the planet "can survive without people, but people cannot survive without a healthy planet. Our priority during the world's redesign has to be to improve our planet's health and make it more clean, diverse, prosperous and sustainable, a place where each plant and form of life can flourish and live to its fullest potential." Perhaps the most heartfelt section of the book is one at the end entitled: Who Am I to Write This Book? in which he delves into his motives for penning this book. The book offers a much-needed manifesto that can guide the world to better, healthier, sustainable human life. However, in a bitterly divided world with governments turning towards populism, nationalism, and brutality to crush change, "political will at the highest level" - one the crucial elements that would make the manifesto possible seems to be unachievable at the moment. He urges us to recognise how Covid has underscored how interconnected we are - but few seem to be able to recognise this - not the least India, currently facing unprecedented challenges to save lives. As a manifesto, a wish list for the next 75 years, this is a wonderful, even inspiring read. The challenge is to make the powers that be accept this vision.