Geospatial modeling of near subsurface temperatures of the contiguous United States for assessment of materials degradation.

Understanding subsurface temperature variations is crucial for assessing material degradation in underground structures. This study maps subsurface temperatures across the contiguous United States for depths from 50 to 3500 m, comparing linear interpolation, gradient boosting (LightGBM), neural networks, and a novel hybrid approach combining linear interpolation with LightGBM. Results reveal heterogeneous temperature patterns both horizontally and vertically.

A new conceptual framework for academic health centers.

Led by the Affordable Care Act, the U.S. health care system is undergoing a transformative shift toward greater accountability for quality and efficiency.

The role of academic psychiatry in leading health policy reform.

The authors discuss the current state of mental health care reform and the opportunity for academic psychiatry to emerge in a leadership role in the organization and delivery of mental health care.

Delivering value: provider efforts to improve the quality and reduce the cost of health care.

Growing concern regarding costs of care and health outcomes in the United States has led to widespread calls to address the issue of health care spending. Today, providers across the country are working both to improve the quality and to reduce the cost of health care. These activities span multiple care delivery settings and include care standardization and redesign, shared decision making, palliative care, care coordination, readmission reduction, patient engagement, predictive modeling, and direct cost reduction.