Due to the variation of the growth rate of the spinal cord and the spinal column, the progression of neurological signs and symptoms is highly variable. Some individuals present with tethered cord syndrome at birth (so-called congenital), while others develop the symptomatology in infancy or early childhood.
Introduction to Performance Improvement. Performance Improvement (PI) is a method for analyzing performance problems and setting up systems to ensure good performance. PI is applied most effectively to groups of workers within the same organization or performing similar jobs.
The stated goal of the governmentâs effort to introduce pay-for-performance measures is to improve quality of care, but emergency physicians are concerned that patient care will be sacrificed in favor of cost reduction and efficiency.