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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.
This lavishly illustrated volume presents in full color more than 300 of the finest posters selected from the rich resources of the graphic design collection of The Museum of Modern Art.
Author Edward Keefer chronicles and analyses the tenure of Secretary of Defense Harold Brown, who worked to counter the Soviet Union's growing military strength during the administration of President Jimmy Carter. Flush with cash from oil and gas development, the Soviets came closest to matching the United States in strategic power than at any other point in the Cold War, threatening to make the U.S. land-based missile force vulnerable to a first strike. By most reckonings the Kremlin also surpassed the West in conventional arms and forces in Central Europe, creating a direct threat to NATO. In response, Brown, a nuclear physicist, advocated for the development of more technologically advanced weapon systems to offset the Soviet military advantage, but faced Carter's efforts to reign in the defense budget. Eventually the secretary, backed by the JCS, the national security adviser, and key members of Congress, persuaded a reluctant Carter to increase defense spending for the last two years of his term. As a result weapons development such as stealth technology, precision-guided bombs, and cruise missiles went forward. These initiatives and more provided a head start for the acclaimed Ronald Reagan revolution in defense. As the author points out, there was more continuity than contrast in defense policy between Carter and Reagan. The book also highlights Brown's policymaking efforts and his influence on Carter as the administration responded to international events such as the Middle East peace process, the Iran revolution and hostage crisis, the rise of radical Islam, negotiations with the Soviets over arms limitations, the Soviet invasion of Afghanistan, and the creation of a new security framework in the Persian Gulf region. Other topics cover policy toward Latin America Africa, China, and Southeast Asia. The book is also a history of the Defense Department, including the continual development of the All-Volunteer Force and the organizational changes that saw improved policy formulation and acquisition decisions. Political strategists, political scientists, international relations scholars, foreign policy advocates, historians, and political economists may be interested in this comprehensive historical reference for United States defense and foreign policy under the James (Jimmy) Carter administration. High school students pursuing research for essays and term papers for Government, Modern World History, and United States History may be interested in this resource. Additionally, undergraduate and graduate level students may be interested in this authoritative resource for research relating to international relations, public administration, military science, public policy economics, and introduction to political theory courses. Related products: Presidential History resources collection is available here: https: //bookstore.gpo.gov/catalog/presidential-history Other resources relating to the President James (Jimmy) Carter administration can be found here: https: //bookstore.gpo.gov/catalog/39-jimmy-carter Foreign Relations of the United States (FRUS) series resources can be found here: https: //bookstore.gpo.gov/catalog/foreign-relations-united-states-series-frus Other published works by the US Department of Defense, Office of the Secretary of Defense can be found here: https: //bookstore.gpo.gov/agency/office-secretary-defense
Arleigh Burke is considered the father of the modern U.S. Navy to many. Sea warrior, strategist, and unparalleled service leader, Burke had an impact on the course of naval warfare that is still felt today. This biography by noted historian E.B. Potter follows Burke's distinguished career from his early days at the Naval Academy through the dramatic destroyer operations in the Solomons, where he earned his nickname "31-Knot Burke," to his participation in the crucial carrier operations of World War II. The author also fully examines Burke's postwar service as a United Nations delegate to the Korean truce talks and his unprecedented six-year tenure as chief of naval operations from 1955 to 1961, where he was a strong advocate of carrier aviation, nuclear propulsion, and a major force in developing the Navy's Polaris missile program. Awarded the Medal of Freedom, the nation's highest civilian honor, in 1977, he became the first living U.S. naval officer to have a class of ship named after him--the Arleigh Burke guided missile destroyers. Now available in paperback for the first time, this definitive 1990 biography is a worthy tribute to a great naval hero.
Today we associate the Renaissance with painting, sculpture, and architecture—the “major” arts. Yet contemporaries often held the “minor” arts—gem-studded goldwork, richly embellished armor, splendid tapestries and embroideries, music, and ephemeral multi-media spectacles—in much higher esteem. Isabella d’Este, Marchesa of Mantua, was typical of the Italian nobility: she bequeathed to her children precious stone vases mounted in gold, engraved gems, ivories, and antique bronzes and marbles; her favorite ladies-in-waiting, by contrast, received mere paintings. Renaissance patrons and observers extolled finely wrought luxury artifacts for their exquisite craftsmanship and the symbolic capital of their components; paintings and sculptures in modest materials, although discussed by some literati, were of lesser consequence. This book endeavors to return to the mainstream material long marginalized as a result of historical and ideological biases of the intervening centuries. The author analyzes how luxury arts went from being lofty markers of ascendancy and discernment in the Renaissance to being dismissed as “decorative” or “minor” arts—extravagant trinkets of the rich unworthy of the status of Art. Then, by re-examining the objects themselves and their uses in their day, she shows how sumptuous creations constructed the world and taste of Renaissance women and men.
Newton genealogy, genealogical, biographical, historical being a record of the descendants of Richard Newton of Sudbury and Marlborough, Massachusetts 1638, with genealogies of families descended from the immigrants, Rev. Roger Newton of Milford, Connecticut; Thomas Newton of Fairfield, Connecticut; Matthew Newton of Stonington, Connecticut; Newtons of Virginia; Newtons near Boston.