The Institute for Health Quality and Ethics
We strive to make all of or content available to the public free of charge. Most of our materials are available for download in pdf format here on our web site. However, we will also be making some of our materials available through a publishing service, such as Createspace, for a nominal fee. This is in response to requests from organizations and individuals who are interested in obtaining access to professionally designed workbooks and publications for use in workshops, in educational settings, and in presentations and seminars.
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Coming Soon
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Lost Lives: The Paucity of Quality in Human Servicesby Thomas Nerney Quality assurance systems have ignored every critical component of quality that any individual would consider to be minimally adequate. The unspoken “bargain” made with those who need support is to require everyday freedoms to be surrendered in return for that support. This raises a core public policy question: Can we ever have quality in a system that does not support freedom? |
Tools of Self-Determinationby Thomas Nerney With the growth of self-determination projects across the country and the wide adoption of the principles of self-determination, it is helpful to step back for a moment and reflect on what we have learned about the technical and structural issues associated with truly successful individual budgets, support brokering, and fiscal intermediaries. Not every issue is yet crystal clear and it is anticipated that some ambiguity may remain especially in those projects that are still experimenting with systems change. |