James Michel

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BACKGROUND The Massachusetts Medicaid agency, also known as the Division of Medical Assistance, has developed a quality-driven approach for managing its managed care suppliers. Such an approach has, as its foundation, principles of continuous quality improvement (CQI). Suppliers participate in an annual process whereby CQI goals are negotiated between the(More)
The nearshore is a critical zone for northeast Pacific Ocean fish communities, including ecologically and culturally important salmon species. The largest dam removal in the world was recently completed on the Elwha River, with the goal of restoring fisheries and ecosystems to the watershed. The nearshore Elwha fish community was monitored monthly from(More)
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