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Unlike previous attempts by insurers to reward individual hospitals for quality and efficiency, the program tries to help all hospitals improve.
Changes such as giving commissioning to GPs, supporting hospitals to become foundation trusts, and … incentives for quality and efficiency will release £1.7bn a year, which will be reinvested into frontline patient care".
Ghosn said: "The UK has been a cornerstone of Nissan manufacturing since 1986, with the Sunderland plant setting important benchmarks for quality and efficiency in Europe and around the world.
Obviously, it will continue at a faster pace if some of the payments for quality and efficiency in the law continue, but we are already beginning to see a slowdown in hospital costs nationally".
In May 2012, Florida Governor Rick Scott commissioned a task force to assess the state's higher education system for quality and efficiency.
Nissan's chief executive Carlos Ghosn, who is also the chief of French carmaker Renault, is well aware that "the Sunderland plant is setting an important benchmark for quality and efficiency in Europe and around the world".
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This choice was made because the majority of German decision makers, in particular the German Institute for Quality and Efficiency in Health Care ('Institut für Qualität und Wirtschaftlichkeit im Gesundheitswesen', IQWiG), prefer effectiveness measures other than QALYs [ 41].
Interest in assessing the value of health-care services in Germany has considerably increased since the foundation of the Institut für Qualität und Wirtschaftlichkeit im Gesundheitswesen, IQWiG (Institute for Quality and Efficiency in Health Care).
Costs and effects will be discounted at the rate recommended by the German guidelines for economic evaluation issued by the Institute for Quality and Efficiency in the Health Care Sector (IQWiG); the rate currently is 3%.
The issue of defining health benefit catalogues has recently gained new importance in Germany as a result of the creation of the new Institute for Quality and Efficiency.
The creation of a supporting institute to the Federal Joint Committee, the Institute for Quality and Efficiency, in 2004, which increasingly commissions effectiveness studies, was one major step in that direction [ 2].
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