The House Rules and Manual contains the fundamental source material for parliamentary procedure used in the House of Representatives: the Constitution of the United States; applicable provisions of Jefferson's Manual; Rules of the House (as of the date of this preface); provisions of law and resolutions having the force of Rules of the House; and pertinent decisions of the Speakers and other presiding officers of the House and Committee of the Whole interpreting the rules and other procedural authority used in the House of Representatives. The rules for the One Hundred Fifteenth Congress were adopted on January 3, 2017, when the House agreed to House Resolution 5. In addition to a series of changes to various standing rules, House Resolution 5 included separate free-standing orders constituting procedures to be followed in the One Hundred Fifteenth Congress. Explanations of the changes to the standing rules appear in the annotations following each rule in the text of this Manual.

Includes over 30 maps and Illustrations The Staff Ride Handbook for the Vicksburg Campaign, December 1862-July 1863, provides a systematic approach to the analysis of this key Civil War campaign. Part I describes the organization of the Union and Confederate Armies, detailing their weapons, tactics, and logistical, engineer, communications, and medical support. It also includes a description of the U.S. Navy elements that featured so prominently in the campaign. Part II consists of a campaign overview that establishes the context for the individual actions to be studied in the field. Part III consists of a suggested itinerary of sites to visit in order to obtain a concrete view of the campaign in its several phases. For each site, or “stand,” there is a set of travel directions, a discussion of the action that occurred there, and vignettes by participants in the campaign that further explain the action and which also allow the student to sense the human “face of battle.” Part IV provides practical information on conducting a Staff Ride in the Vicksburg area, including sources of assistance and logistical considerations. Appendix A outlines the order of battle for the significant actions in the campaign. Appendix B provides biographical sketches of key participants. Appendix C provides an overview of Medal of Honor conferral in the campaign. An annotated bibliography suggests sources for preliminary study.

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.