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 Free Download Variation in Health Care Spending: Target Decision Making, Not Geography By Committee on Geographic Variation in Health Care Spending and Promotion of High-Value Care, Board on Health Care Services, Institute of Medicine, Joseph P. Newhouse, Alan M. Garber, Robin P. Graham, Margaret A. McCoy, Michelle Mancher, Ashna Kibria 2013 | 206 Pages | ISBN: 030928869X | PDF | 6 MB Health care in the United States is more expensive than in other developed countries, costing $2.7 trillion in 2011, or 17.9 percent of the national gross domestic product. Increasing costs strain budgets at all levels of government and threaten the solvency of Medicare, the nation's largest health insurer. At the same time, despite advances in biomedical science, medicine, and public health, health care quality remains inconsistent. In fact, underuse, misuse, and overuse of various services often put patients in danger. Many efforts to improve this situation are focused on Medicare, which mainly pays practitioners on a fee-for-service basis and hospitals on a diagnoses-related group basis, which is a fee for a group of services related to a particular diagnosis. Research has long shown that Medicare spending varies greatly in different regions of the country even when expenditures are adjusted for variation in the costs of doing business, meaning that certain regions have much higher volume and/or intensity of services than others. Further, regions that deliver more services do not appear to achieve better health outcomes than those that deliver less. Variation in Health Care Spending investigates geographic variation in health care spending and quality for Medicare beneficiaries as well as other populations, and analyzes Medicare payment policies that could encourage high-value care. This report concludes that regional differences in Medicare and commercial health care spending and use are real and persist over time. Furthermore, there is much variation within geographic areas, no matter how broadly or narrowly these areas are defined. The report recommends against adoption of a geographically based value index for Medicare payments, because the majority of health care decisions are made at the provider or health care organization level, not by geographic units. Rather, to promote high value services from all providers, Medicare and Medicaid Services should continue to test payment reforms that offer incentives to providers to share clinical data, coordinate patient care, and assume some financial risk for the care of their patients. Medicare covers more than 47 million Americans, including 39 million people age 65 and older and 8 million people with disabilities. Medicare payment reform has the potential to improve health, promote efficiency in the U.S. health care system, and reorient competition in the health care market around the value of services rather than the volume of services provided. The recommendations of Variation in Health Care Spending are designed to help Medicare and Medicaid Services encourage providers to efficiently manage the full range of care for their patients, thereby increasing the value of health care in the United States.  Free Download Dorrik Stow, "Vanished Ocean: How Tethys Reshaped the World" English | 2010 | pages: 320 | ISBN: 019921428X, 0199214298 | EPUB | 7,8 mb Six million years ago, a vast ocean-which scientists have named Tethys-vanished from the face of the earth. How could such a huge body of water simply disappear? More interesting, how is it possible for scientists to know with certainty that Tethys existed for a quarter of a billion years, a period that includes the entire "Age of Dinosaurs" and almost all of the "Age of Mammals," right up to the point when our distant ancestors began to walk upright.  Free Download Michael Lobel, "Van Gogh and the End of Nature" English | ISBN: 030027436X | 2024 | 200 pages | EPUB | 18 MB A groundbreaking reassessment that foregrounds Van Gogh's profound engagement with the industrial age while making his work newly relevant for our world today  Free Download Julia Talbot, "Vampire Protection: Midnight Rodeo book 8" English | 2018 | pages: 82 | ASIN: B0792NCZX8 | EPUB | 0,3 mb Vampire Peyton gets into trouble. A lot. When he offends an entire East Coast clan of vampires up Boston way, he decides he needs a place to hide out for a bit. So he goes back to his Texas roots and calls upon his best friend, Cody Knight, to help him stay safe. Cody runs the Midnight Rodeo, Darque and Knight, and happily agrees to let Peyton come along, even assigning him a bodyguard.  Free Download Valuing Assessment in Science Education: Pedagogy, Curriculum, Policy By Deborah Corrigan, Cathy Buntting (auth.), Deborah Corrigan, Richard Gunstone, Alister Jones (eds.) 2013 | 376 Pages | ISBN: 940076667X | PDF | 4 MB Assessment is a fundamental issue in research in science education, in curriculum development and implementation in science education as well as in science teaching and learning.This book takes a broad and deep view of research involving assessment in science education, across contexts and cultures (from whole countries to individual classrooms) and across forms and purposes (from assessment in the service of student learning to policy implications of system wide assessment). It examines the relationships between assessment, measurement and evaluation; explores assessment philosophies and practices in relation to curriculum and scientific literacy/learning; and details the relationships between assessment and science education policy. The third in a series, Valuing Assessment in Science Education has chapters from a range of international scholars from across the globe and staff from Monash University, King's College London and University of Waikato. The two previous books in the series examined research relevant to the re-emergence of values in science education and teaching across the spectrum of science education as well as across cultural contexts through the professional knowledge of science teaching. 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It provides valuable information on all elements of the home sales process, enabling professionals to give advice on market value, the best means for sale, condition and financial arrangements. Topics covered include: determinants of value and provision of the valuation agency, auction and taking instructions mortgage valuation and survey legal process and types of tenure investment and return. The author considers these topics against a background of wide legislative change and draws on the standard guidelines set down by the RICS and NAEA. This third edition, written at a time of rapid change in the home-selling market, details the processes and procedures for dealing with this ever-evolving market. Whatever your level of seniority, this book will help you stay ahead of the game and present sound advice to clients at any stage of the process.  Free Download VMware View Security Essentials By Daniel Langenhan 2013 | 130 Pages | ISBN: 1782170081 | EPUB | 8 MB The insiders guide on how to secure your VMware View Environment Overview Discover how to correctly implement View connection, security, and transfer servers Understand all the firewall rules and the basics of multi-layered security Secure all your connections between client and desktop In Detail Most people associate security with network security and focus on firewalls and network monitoring. However, there is more to security than that. Security starts with the establishment of a stable environment, protecting this environment not only from intrusion, but also from malicious intent. It is about tracking the issue and recovering from it. These elements of security are what this book aims to address. VMware View Security Essentials addresses the topic of security in the corporate environment in a new way. It starts with the underlying virtual infrastructure and then delves into securing your base, your connection, and your client. This is not only a "how-to" book, but is also a book that explains the background and the insights of View security for the experienced professional's desktop virtualization. This book takes you through the four major View security areas. Each area deals with all the aspects of security and explains the background as well as laying out simple-to-follow recipes to implement a higher security standard. We start at the Virtualization base and work our way through the various View server types. We will then dive into the problems and issues of securing a connection before we address the security of the desktop itself. We conclude with a look into the backing up of our View installation and preparing for disaster recovery. What you will learn from this book Create, use, and install SSL certificates Acquire a new skill set in troubleshooting security issues Learn about secure tunnelling your desktop connection with RDP and PCoIP Understand the concepts of pairing View security and transfer severs with View connection servers Understand the key aspects of blocking undesirable USB devices Approach A practical and fast-paced guide that gives you all the information you need to secure your virtual environment. Who this book is written for This book is a "how-to" for the novice, a "reference guide" for the advanced user, and a "go to" for the experienced user in all the aspects of VMware View desktop virtualization security.  Free Download VCAP5-DCD Official Cert Guide By Paul McSharry 2013 | 208 Pages | ISBN: 078975018X | PDF | 3 MB The VCAP5-DCD Official Cert Guide presents you with an organized test preparation routine through the use of proven series elements and techniques. "Do I Know This Already?" quizzes open each chapter and enable you to decide how much time you need to spend on each section. Exam topic lists make referencing easy. Chapter-ending exam preparation tasks help you drill on key concepts you must know thoroughly. * Master VMware VCAP5-DCD exam topics * Assess your knowledge with chapter-opening quizzes * Review key concepts with exam preparation tasks * Practice with realistic exam questions on the DVD The VCAP5-DCD Official Cert Guide focuses specifically on the objectives for the VMware Certified Advanced Professional 5-Data Center Design exam. VMware Certified Instructor (VCI) Paul McSharry shares preparation hints and test-taking tips, helping you identify areas of weakness and improve both your conceptual knowledge and hands-on skills. Material is presented in a concise manner, focusing on increasing your understanding and retention of exam topics. The companion DVD contains a powerful Pearson IT Certification Practice Test engine that enables you to focus on individual topic areas or take a complete, timed exam. The assessment engine also tracks your performance and provides feedback on a module-by-module basis, laying out a complete assessment of your knowledge to help you focus your study where it is needed most. Well-regarded for its level of detail, assessment features, comprehensive design scenarios, and challenging review questions and exercises, this official study guide helps you master the concepts and techniques that will enable you to succeed on the exam the first time. The VCAP5-DCD Official Cert Guide is part of a recommended learning path from VMware that includes simulation and hands-on training from authorized VMware instructors and self-study products from VMware Press. To find out more about instructor-led training, e-learning, and hands-on instruction offered worldwide, please visit www.vmware.com/training. PAUL MCSHARRY (VCP, VCAP, VCI, MCSE, MCITP, CompTIA CTT+ and Microsoft MCT credentials), has more than 15 years of IT experience and is an independent virtualization consultant and instructor based in the United Kingdom. When not working in the field, he is often found instructing VMware-authorized classes for various VMware authorized training providers. He has been awarded the vExpert designation for his work within the VMware community and blogs at http://www.elasticsky.co.uk. The official study guide helps you master many of the topics on the VCAP5-DCD exam, including * Understanding the design process and associated terminology * Creating the design, information gathering, and logical design presentation * Making meaningful choices in virtualization design * Creating logical designs and the process to evolve them into the final physical design * Comprehending project execution and the order of delivery, task validation, and project documentation * Preparing for the exam with tips and strategy * Reviewing the VCAP-DCD experience
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 Free Download Andrew Brookes - V-Force: The History of Britain's Airborne Deterrent Jane's Publishing | 1982 | ISBN: 0710602383 | English | 208 pages | PDF | 113.29 MB  Free Download Rebecca Clothey, "Uyghur Identity and Culture " English | ISBN: 1032305274 | 2024 | 208 pages | PDF | 8 MB Uyghur Identity and Culture brings together the work of scholars, activists, and native Uyghurs to explore the history and growing challenges that the Uyghur diaspora face across the globe in response to shifting government policies forbidding many forms of cultural expression in their homeland. |
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