Progress on joint working between health and social services was also found to be patchy, although there were isolated examples of excellence.
His firm's efforts at managing diabetes, he says, have reduced hospital admissions by 26% and costs by 10% for those patients.America has long had isolated examples of excellence.
We introduce the concept of surface-independence as the gold standard for refuge excellence: refuges isolated from Earth's surface will offer maximum protection against both the catastrophe itself and potentially harmful post-catastrophe populations.
Beethoven (Zach Grenier) and Brandt are both isolated by an obsession with excellence; both are physically declining; both struggle against time to finish their endeavors; both stories begin with the mundane a waltz, a doctor's waiting room and end with an extraordinary leap into the unknown.
Beethoven (Zach Grenier) and Brandt are both isolated by an obsession with excellence; both are physically declining; both struggle against time to finish their endeavors; both stories begin with the mundane — a waltz, a doctor's waiting room — and end with an extraordinary leap into the unknown.
There was recognition that a consistent approach to quality improvement (QI) for nurses was needed as to avoid creating pockets of excellence that are isolated in one area and to ensure that projects are aligned and not competing for attention.
In 2008, the AAE had stated (AAE Colleagues for Excellence 2008) that the combination of a sinus tract and an isolated probing defect in an endodontically treated tooth with or without a dowel is pathognomonic for a ROF.
However, the question that many of the panelists struggled with was "how do we take isolated examples of success to scale?" Or, as Mayor Booker asked, how do we get beyond islands of excellence?
Competition, not isolation, breeds excellence.
