Word: systemically
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Dates: during 2000-2009
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...care organizations," an arrangement in which hospitals, primary-care doctors and potentially other medical professionals would have to coordinate care for their shared Medicare patients. All would be held accountable for the results and share in any cost savings. The second is the concept of "bundling" payments. Under that system, hospitals, doctors and other providers would get paid a set fee for a single episode of care - say, bypass surgery - and everyone would have to divide it up. The third is giving patients a "medical home" - another way of ensuring greater coordination among health care providers...
...Here are three areas where the goals of keeping costs down and transforming the system are being quietly ambushed by politics...
...these shortcomings be reversed? White House officials and health reform advocates say they are trying. "We're not done yet," says DeParle. The question is whether the final weeks of horse-trading will move the bills toward transforming the health care system - or simply making it bigger...
...Denver public-school system, which for more than a year has been utilizing such a growth model, is one of the first districts to adopt school turnaround plans that mimic those favored by the Education Department. On Nov. 30, the city's school board approved measures that would have the district employ each of the four turnaround strategies at various schools across the district. "We can't pretend that modest changes to the status quo are going to deliver significantly different results," says Denver superintendent Tom Boasberg, who has been on the job for a year since replacing former superintendent...
...alternative sanitation system," says Jenkins, "where there is no waste." His 255-page Humanure Handbook: A Guide to Composting Human Manure is in its third edition and has been translated into five languages, but it has only recently begun to catch on. His message? Human manure, when properly managed, is odorless. His audience? Ecologically committed city dwellers who are looking to do more for the earth than just sort their trash or ride a bike to work. (See reusable toilet wipes as one of the top 10 odd environmental ideas...