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Searching for the Best Yardstick

Searching for the Best Yardstick
Author: Jong Myeong Lim
Publisher:
Total Pages: 0
Release: 2021
Genre:
ISBN:

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The Hospital Value-Based Purchasing (VBP) Program is Medicare's implementation of yardstick incentives applied to hospitals in the U.S. Under the VBP Program, 2% of all Medicare payments to hospitals, estimated to be US$1.9B in fiscal year 2021, are withheld and redistributed based on their relative performance in the quality of delivered care. We develop a dynamic equilibrium model in which hospitals are engaged in a repeated competition under yardstick incentives. Using structural estimation methods, we recover key parameters that govern hospitals' decisions to invest in quality improvement, including the financial and non-financial costs and uncertain outcomes of investment. By dynamically solving for hospitals' individually optimal investment policies, we estimate the trajectory of quality improvements for each hospital, including its investment decisions and quality levels throughout the implementation of the VBP Program. Our counterfactual analyses explore the benefits, on the one hand, of modifying the overall size of the yardstick incentives and, on the other hand, of implementing a more focused program tailored to hospital type. We find that increasing the size of the incentives from 2% to 4% would have resulted in an additional quality investment of US$1.2B from 2011 to 2018, leading to a 3.3% reduction in the average rate of central line-associated bloodstream infections (CLABSI). Applying yardstick incentives to the tailored hospital peer groups, even without changing the size of the incentives, can lead to an average reduction of 1.4% in the rate of CLABSI among groups of hospitals associated with the highest costs of quality investment.


Yardsticks

Yardsticks
Author: Chip Wood
Publisher: Center for Responsive Schools Incorporated
Total Pages: 0
Release: 2007
Genre: Child development
ISBN: 9781892989192

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This comprehensive, user-friendly reference helps teachers and administrators use knowledge of child development to shape classrooms and schools where all children can succeed.


Brown's Skin and Minor Surgery

Brown's Skin and Minor Surgery
Author: Jonathan Botting
Publisher: CRC Press
Total Pages: 338
Release: 2014-09-26
Genre: Medical
ISBN: 1444138367

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This authoritative, highly illustrated text and color atlas provides a systematic guide to commonly performed minor surgical and dermatology procedures. Accompanied by video clips, this critical resource on skin and minor surgery is designed for all trainees and practitioners, including experienced surgeons, dermatologists, family doctors, nurses, and the supporting healthcare team. Divided into four main color-coded sections, the book covers essential background information including postoperative management and aftercare, the key knowledge required for diagnosis and management, and the skills necessary to perform procedures step by step. Comprehensive coverage—Learn to perform a whole range of procedures from small skin surgical procedures to vasectomy Step-by-step techniques—See how to perform each technique with numerous color illustrations, animations and video clips Practical advice, boxes, tables, warnings, and indications of difficulty level—Achieve success and avoid common pitfalls Authoritative yet contemporary—Gain wisdom from this long-established, trusted book brought completely up to date by today’s practitioners


Seeking After God

Seeking After God
Author: Wayne Talbot
Publisher: Xlibris Corporation
Total Pages: 728
Release: 2019-10-08
Genre: Religion
ISBN: 1796007226

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The author has a fascination with God. His belief stems from an earlier study of science and logic concluding that a transcendent, infinite entity is the most probable cause of our existence. The same study convinced him that God is One, and that he should ignore polytheistic religions in his search for understanding. A study of the Quran revealed it to be a mixture of Jewish, Christian, and pagan beliefs, and thus unlikely to be an authentic depiction of God. A deeper study of Christian history, the contradictions and implausible narratives in the New Testament, and the Old Testament variances from the earlier Hebrew Scriptures, convinced him to walk away from the Christianity of his earlier years. All this he has written about in his previously published works. Now he had but one choice: to understand what Judaism has to say about God. For this he sought the opinions of earlier Jewish scholars - Maimonides, Rabbi Ibn Ezra, Hasdai Crescas, and others, and more modern commentators, Hirsch, Kook, and most especially Rabbi Nathan Lopes Cardozo, in the title of whose book, “Jewish Law in Rebellion”, he found a kindred spirit, echoing his own rebellion against religions in general. He considers religions to be too complacent, believing that they already know the God Whom the Jews describe as Ein Sof – the Infinite and Unknowable God. The author contends that cannot truly know God, agreeing with Maimonides that we can only describe God in terms of what He is not. Thus, his search continues, believing that God knows the fallibility of the mankind He created, and likely prefers that we seek without finding, rather than in turn, accept vicariously the perceptions of others who have not sought for themselves. Indoctrination has its dangers, whether in ideology, politics, or religion.


Renewing the Search for a Monetary Constitution

Renewing the Search for a Monetary Constitution
Author: Lawrence H. White
Publisher: Cato Institute
Total Pages: 271
Release: 2015-02-16
Genre: Business & Economics
ISBN: 1939709679

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Over 50 years ago, In Search of a Monetary Constitution, which focused on the need for constraints on the creation of money by the government, was published. Although overlooked at the time, the work's analysis has proven to be remarkably prescient. This new collection of essays, Renewing the Search for a Monetary Constitution: Reforming Government's Role in the Monetary System, commemorates the 50th anniversary of the first edition by revisiting and re-energizing the original intent. Since the publication of the original book, central banks have delivered neither sound money nor real growth; instead, chronic inflation and a series of booms and busts have prevailed. In this new collection, scholars call for monetary reform centered on the debate over creating constitutional provisions that empower government versus provisions that prohibit government interference with money. The aim of Renewing the Search for a Monetary Constitution is to revitalize public discussion of constitutional monetary reform. It's a must-read for anyone who wants to change the domination of our monetary system by the government.


Getting Here

Getting Here
Author: William White Howells
Publisher: Howells House
Total Pages: 282
Release: 1997
Genre: Science
ISBN: 9780929590172

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Three individuals left footprints in East Africa 3.7 million years ago. Walking upright on human feet, they had crossed a threshold in the long path of their evolution from vertebrates, mammals and primates to enter and dominate a new world. They were not alone. Others, related and descended in ways not entirely clear, spread out, flourished and disappeared; some became the people of today. Although we know a great deal of the story and new information is arriving ever more rapidly, there is still more to be learned about where, when and how our ancestors became us. We do know that we arrived not because we were inevitable, but by luck and happenstance along the way. And we know there were other kinds of humans who co-existed with each other and who might be here today but are not. Now updated and revised to reflect the latest findings and their implications, renowned anthropologist, author, and educator, William Howells draws together here the latest from all today's sciences to tell the fascinating stories of our evolution.


Tomorrow's Agriculture: Incentives, Institutions, Infrastructure and Innovations - Proceedings of the Twenty-fouth International Conference of Agricultural Economists

Tomorrow's Agriculture: Incentives, Institutions, Infrastructure and Innovations - Proceedings of the Twenty-fouth International Conference of Agricultural Economists
Author: G.H. Peters
Publisher: Routledge
Total Pages: 881
Release: 2018-04-17
Genre: Social Science
ISBN: 1351737155

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This title was first published in 2002: This volume represents some of the proceedings of the 24th conference of the International Association of Agricultural Economists (IAAE) held in Berlin, Germany, in August 2000. The papers in this volume include the president's address, the Elmhirst Lecture and a selection of 20 contributed papers. It also includes panel discussion reports, reports on the discussion groups and mini-symposia, poster paper abstracts, and the synoptic view presented at the close of the conference by the new president of the IAAE, Joachin von Braun. The theme of the 24th conference was "Tomorrow's Agriculture: Incentives, Institutions, Infrastructure and Innovations", reflecting the rapid advances being made in the application of biotechnology in both the developed and developing worlds.


The Original Bambi

The Original Bambi
Author: Felix Salten
Publisher: Princeton University Press
Total Pages: 192
Release: 2022-02-22
Genre: Fiction
ISBN: 0691197741

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A new, beautifully illustrated translation of Felix Salten's celebrated novel Bambi-the original source of the beloved story. Most of us think we know the story of Bambi-but do we? The Original Bambi is an all-new, illustrated translation of a literary classic that presents the story as it was meant to be told. Jack Zipes's introduction traces the history of the book's reception and explores the tensions that Salten experienced in his own life-as a hunter who also loved animals, and as an Austrian Jew who sought acceptance in Viennese society even as he faced persecution. With captivating drawings by award-winning artist Alenka Sottler, The Original Bambi captures the rich emotional meaning of a celebrated story.


Yardsticks

Yardsticks
Author: Chip Wood
Publisher: Center for Responsive Schools Incorporated
Total Pages: 0
Release: 2017
Genre: Education
ISBN: 9781892989895

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The 4th edition of this classic book combines easy-to-access information about the cognitive, social-emotional, and physical characteristics unique to each age with a practical advice for how to apply this knowledge.