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.

For 150 years, U.S. Government Printing Office (GPO) has produced the digital documents of democracy crucial to an informed citizenry. Keeping America Informed: the U.S. Government Printing Office, 150 Years of Service to the Nation, published to mark GPO's 150th anniversary as a Federal agency, tells the story of this unique organization through a readable and concise narrative and numerous historic photographs, many of them never before published. This handsome new volume provides a panoramic view of GPO, which opened its doors for business on March 4, 1861, as Abraham Lincoln was inaugurated as the 16th president of the United States. After a description of the previous history of “publick printing” and the founding of GPO, Keeping America Informed covers the agency's physical and technological growth in the Gilded Age, its reform during the Progressive Era, and its crucial role in supporting the Government's efforts to grapple with the Great Depression and two world wars. Post-World War II, the book describes GPO's transition from traditional printing to the digital technology of today. It also highlights the hugely significant role the agency has played in the dissemination of federal Government information through its publications sales and Federal depository library programs. Much of the information in Keeping America Informed is new, the product of the latest research into GPO's history. Above all, its authoritative text and unique images depict the enormous contribution of its employees, past and present, to the well-being of the American people and nation.

How do you tailor education to the learning needs of adults? Do they learn differently from children? How does their life experience inform their learning processes? These were the questions at the heart of Malcolm Knowles’ pioneering theory of andragogy which transformed education theory in the 1970s. The resulting principles of a self-directed, experiential, problem-centred approach to learning have been hugely influential and are still the basis of the learning practices we use today. Understanding these principles is the cornerstone of increasing motivation and enabling adult learners to achieve. The 9th edition of The Adult Learner has been revised to include: Updates to the book to reflect the very latest advancements in the field. The addition of two new chapters on diversity and inclusion in adult learning, and andragogy and the online adult learner. An updated supporting website. This website for the 9th edition of The Adult Learner will provide basic instructor aids including a PowerPoint presentation for each chapter. Revisions throughout to make it more readable and relevant to your practices. If you are a researcher, practitioner, or student in education, an adult learning practitioner, training manager, or involved in human resource development, this is the definitive book in adult learning you should not be without.