This is the Federal Highway Administration's (FHWA's) annual report. It explains what FHWA does and how it works to create and maintain the best transportation system in the world. For more than 100 years, the FHWA has concentrated on building and repairing the highway infrastructure. In the last decade of the 20th century, FHWA's role expanded dramatically and is now reflected in five strategic goals: Safety, Mobility, Productivity, Human and Natural Environment, and National Security. The report begins with opening words by Kenneth R. Wykle, Federal Highway Administrator, continues with a brief historical perspective and comments on the status of FHWA at the beginning of the 21st century. The five goals are then examined individually and their accomplishments enumerated. Concluding sections provide information on FHWA's reorganization in 1999, FHWA's financial statement, and a directory of FHWA Headquarters, Resource Centers, Division Offices, and Federal Lands Highway Division Offices.

Experts estimate that as many as 98,000 people die in any given year from medical errors that occur in hospitals. That's more than die from motor vehicle accidents, breast cancer, or AIDSâ€"three causes that receive far more public attention. Indeed, more people die annually from medication errors than from workplace injuries. Add the financial cost to the human tragedy, and medical error easily rises to the top ranks of urgent, widespread public problems. To Err Is Human breaks the silence that has surrounded medical errors and their consequenceâ€"but not by pointing fingers at caring health care professionals who make honest mistakes. After all, to err is human. Instead, this book sets forth a national agendaâ€"with state and local implicationsâ€"for reducing medical errors and improving patient safety through the design of a safer health system. This volume reveals the often startling statistics of medical error and the disparity between the incidence of error and public perception of it, given many patients' expectations that the medical profession always performs perfectly. A careful examination is made of how the surrounding forces of legislation, regulation, and market activity influence the quality of care provided by health care organizations and then looks at their handling of medical mistakes. Using a detailed case study, the book reviews the current understanding of why these mistakes happen. A key theme is that legitimate liability concerns discourage reporting of errorsâ€"which begs the question, "How can we learn from our mistakes?" Balancing regulatory versus market-based initiatives and public versus private efforts, the Institute of Medicine presents wide-ranging recommendations for improving patient safety, in the areas of leadership, improved data collection and analysis, and development of effective systems at the level of direct patient care. To Err Is Human asserts that the problem is not bad people in health careâ€"it is that good people are working in bad systems that need to be made safer. Comprehensive and straightforward, this book offers a clear prescription for raising the level of patient safety in American health care. It also explains how patients themselves can influence the quality of care that they receive once they check into the hospital. This book will be vitally important to federal, state, and local health policy makers and regulators, health professional licensing officials, hospital administrators, medical educators and students, health caregivers, health journalists, patient advocatesâ€"as well as patients themselves. First in a series of publications from the Quality of Health Care in America, a project initiated by the Institute of Medicine

There is widespread concern in the telecommunications industry that public policy may be impeding the continued development of the Internet into a high-speed communications network. In the absence of ubiquitous, high-speed ¡°broadband¡± Internet connections for residential and small-business customers, the demand for IT equipment and new Internet service applications may stagnate. Broadband policy is controversial in large part because of the differences in the regulatory regimes faced by different types of carriers. Cable television companies face neither retail price regulation of their cable modem services nor any requirements to make their facilities available to competitors. Local telephone companies, on the other hand, face both retail price regulation for their DSL service and a requirement imposed by the 1996 Telecommunications Act that they ¡°unbundle¡± their network facilities and lease them to rivals. Finally, new entrants are largely unregulated, but many rely on facilities leased from the incumbent telephone companies at regulated rates to connect to their customers. This asymmetric regulation is the focus of this volume, in which telecommunications scholars address the public policy issues that have arisen over the deployment of new high-speed telecommunications services. Robert W. Crandall is a senior fellow in the Economic Studies program at the Brookings Institution. His previous books include (with Martin Cave) Telecommunications Liberalization on Two Sides of the Atlantic (2001) and (with Leonard Waverman) Who Pays for Universal Service? (Brookings 2000). James H. Alleman is an associate professor in interdisciplinary telecommunications at the College of Engineering and Applied Science, University of Colorado, on leave at Columbia University.

TRB Special Report 268 - Surface Transportation Environmental Research: A Long-Term Strategy defines a broad and ambitious research program to address and inform major public policy debates about the effects of surface transportation facilities and operations on the human and natural environments. The committee that conducted the study identified major gaps in knowledge that could be filled through a cooperative program of research involving federal agencies, states, and environmental organizations. The committee recommended creation of a new cooperative research program to carry out its recommended research agenda. Special Report 268 Summary