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From there two routes went west toward the Mississippi River, one to East St. Louis and the other to Alton, Illinois. (Today the Road's path is followed, for the most part, by U.S. 40 and I-70.).
Raised in a sleepy Eastern Shore farming town where he was the son of a popular high school teacher, Harry Roe Hughes's dream was to play for the New York Yankees. He never envisioned a life in politics, let alone becoming the governor of Maryland. As often happens, life steered a different course. In 1954, he was elected to the Maryland House of Delegates and entered a political world where he would prosper for the next thirty-two years. He steadily rose from delegate to senator, from back bencher to committee chairman to majority floor leader, and from legislator to cabinet secretary to Governor. Pitted against better known rivals, hopelessly short of money and running a campaign staffed with amateurs, Hughes came out of nowhere to win the September 1978 Democratic primary for governor in what remains one of the biggest upsets in Maryland political history. Two months later, he was elected in the largest landslide in state history to the first of two terms as Maryland's 57th governor. In contrast to the rampant political partisanship and governmental paralysis so common today, Harry Roe Hughes took a workmanlike approach to public service, more interested in results than personal advancement. His record--major tax and education reform, protection of the Chesapeake Bay and more--is one of lasting significance to all Marylanders. He respected the policy-making role of the General Assembly and governed through consensus. He eschewed the political. His style reflected his personality and approach to life: decent, honest, efficient, low-key and businesslike. Elected in an era of political scandal, Harry Roe Hughes restored Maryland's reputation for integrity and good government--an approach that, sadly, seems quaint and old-fashioned by today's standards.
Context-sensitive solutions (CSS) reflect the need to consider highway projects as more than just transportation facilities. Depending on how highway projects are integrated into the community, they can have far-reaching impacts beyond their traffic or transportation function. CSS is a comprehensive process that brings stakeholders together in a positive, proactive environment to develop projects that not only meet transportation needs, but also improve or enhance the community. Achieving a flexible, context-sensitive design solution requires designers to fully understand the reasons behind the processes, design values, and design procedures that are used. This AASHTO Guide shows highway designers how to think flexibly, how to recognize the many choices and options they have, and how to arrive at the best solution for the particular situation or context. It also strives to emphasize that flexible design does not necessarily entail a fundamentally new design process, but that it can be integrated into the existing transportation culture. This publication represents a major step toward institutionalizing CSS into state transportation departments and other agencies charged with transportation project development.
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A fundamental problem of public sector governance relates to the very way of thinking it reflects; where organization is thought of as a ‘thing’, a system designed to deliver what its designers choose. This volume questions that way of thinking and takes a perspective in which organizations are complex responsive processes of relating between people. Bringing together the work of participants on the Doctor of Management program at Hertfordshire University, this book focuses on the move to marketization and managerialism, paying particular attention to human relationships and group dynamics. The contributors provide narrative accounts of their work addressing questions of management, pressures, accountability, responsiveness and traditional systems perspectives. In considering such questions in terms of their daily experience, they explore how the perspective of complex responsive processes assists them in making sense of experience and developing practice. Including an editors’ commentary which introduces and contextualizes these experiences as well as drawing out key themes for further research, this book will be of value to academics, students and practitioners looking for reflective accounts of real life experiences rather than further prescriptions of what organizational life ought to be.
This edited volume of original chapters brings together researchers from around the world who are exploring the facets of health care organization and delivery that are sometimes marginal to mainstream patient safety theories and methodologies but offer important insights into the socio-cultural and organizational context of patient safety. By examining these critical insights or perspectives and drawing upon theories and methodologies often neglected by mainstream safety researchers, this collection shows we can learn more about not only the barriers and drivers to implementing patient safety programmes, but also about the more fundamental issues that shape notions of safety, alternate strategies for enhancing safety, and the wider implications of the safety agenda on the future of health care delivery. In so doing, A Socio-cultural Perspective on Patient Safety challenges the taken-for-granted assumptions around fundamental philosophical and political issues upon which mainstream orthodoxy relies. The book draws upon a range of theoretical and empirical approaches from across the social sciences to investigate and question the patient safety movement. Each chapter takes as its focus and question a particular aspect of the patient safety reforms, from its policy context and theoretical foundations to its practical application and manifestation in clinical practice, whilst also considering the wider implications for the organization and delivery of health care services. Accordingly, the chapters each draw upon a distinct theoretical or methodological approach to critically explore specific dimensions of the patient safety agenda. Taken as a whole, the collection advances a strong, coherent argument that is much needed to counter some of the uncritical assumptions that need to be described and analyzed if patient safety is indeed to be achieved.