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The Robert Wood Johnson Foundation focuses on the pressing health and health care issues facing our country. As the nation's largest philanthropy devoted exclusively to improving the health and health care of all Americans, the Foundation works with a diverse group of organizations and individuals to identify solutions and achieve comprehensive, meaningful and timely change. For more than 35 years the Foundation has brought experience, commitment, and a rigorous, balanced approach to the problems that affect the health and health care of those it serves. When it comes to helping Americans lead healthier lives and get the care they need, we expect to make a difference in your lifetime. For more information, visit www.rwjf.org. About the George Washington University Medical CenterThe George Washington University Medical Center is an internationally recognized interdisciplinary academic health center that has consistently provided high quality medical care in the Washington, D.C. metropolitan area for 176 years. The Medical Center comprises the School of Medicine and Health Sciences, the 11th oldest medical school in the country; the School of Public Health and Health Services, the only such school in the nation's capital; GW Hospital, jointly owned and operated by a partnership between the George Washington University and Universal Health Services, Inc.; and the GW Medical Faculty Associates, an independent faculty practice plan. For more information on GWUMC, visit www.gwumc.edu. About the Institute for Health PolicyThe Institute for Health Policy (IHP) at Massachusetts General Hospital (MGH) and Partners Health System is dedicated to conducting world-class research on the central health care issues of our time. The mission of the IHP is to improve the health and health care of the American people through conducting health policy and health services research, translating new healthcare knowledge into practice, informing and influencing public policy, and training scholars and practitioners of health policy. Emerging Issues in Law and Health Information PrivacyChapter 7: International Adoption of Electronic Health Records Chapter 8: Economic Analyses of Health InformationStudies Using Functionality as the Unit ofStudies Using the Institution as the Unit ofStudies Using the Community as the Unit of Cross-sectional studies associating EHRs with quality have been poorly controlled List of Tables Dimensions of Survey QualityRates of EHR Use Among Ambulatory and Hospital Providers Based on Best Data Available From Surveys Top 20 Established Quality Measures Likely to Show Improvement Through Implementation of an The report provides updated estimates on the rate of EHR adoption and how this varies by providers' practice size and patient constellations� It has a particular focus on providers serving a disproportionate share of vulnerable patients (e�g�, the uninsured, those covered by Medicaid and racial and/or ethnic minorities)� Using the best available survey data, the report examines whether EHRs are di...

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This paper discusses the usage of settling column tests, full-scale stress tests, and whole-plant simulators as planning tools to assess the ultimate treatment plant capacity as well as impacts of process changes to effluent quality, process performance, side streams, and biosolids production rates. These planning tools are described in detail and the results of their implementation are presented for the two pure-oxygen activated sludge plants in San Francisco, California.