Andrea M. Ducas, MPH, is a program officer with the Robert Wood Johnson Foundation working with programs related to payment and delivery system reform, purchaser and consumer engagement, health care price transparency, community-driven health improvements, and strengthening health departments.
fluent adjective. âº (of a âperson) âable to âspeak a âlanguage âeasily and well, or (of a âlanguage) âspoken âeasily and without many âpauses: She was fluent in âFrench by the âtime she was five. He âspeaks fluent Chinese. fluency noun [U] us /ËfluÂ·ÉnÂ·si/ âº This âjob ârequires fluency in two or more âAfrican âlanguages.
capable of producing the desired effect, late 14c., making, producing immediate effect, from Old French efficient and directly from Latin efficientem (nominative efficiens) effective, efficient, producing, active, present participle of efficere work out, accomplish (see effect). Meaning productive, skilled is from 1787.