Comment on State of New Jersey’s Health: Healthcare Hotspots by Tweetybird0   
I watched this program about health care and it was very informative but I still am very worried I had no choice but to retire on disability I pay out of my fix income pension for my health insurance I have alot of heath problems and am unable to afford my co pays, I feel terrible I can not being able to pay most times for procedures, I also wait until the last min to go get examine, I applied for Affordable heath and its been very confusing. Its terrible I cant even see a dentist I have dental insurance but once again unable to afford co pay I need 4 root canals and my co pay is out rages. This is American
          Second Life : Health   


A virtual hospital campus in Second Life to illustrate what healthcare of the future could look like.
http://knowledgecast.wordpress.com/2007/09/01/health-campus
http://uk.youtube.com/profile_videos?user=SecondHealth

          Michael Moore v. Wolf Blitzer   
I used to think Michael Moore was a bit nuts. I don’t anymore, as he has been proved right time and again. I’m glad that he demanded CNN apologize for it’s poor reporting, both on the war and on the healthcare system. Thanks, Michael!
          Avalon - Unit Manager - RN - Woodland Park Care Center - Salt Lake City, UT   
Previous experience in a hospital, long term care facility, or other healthcare related facility; Previous experience in a hospital, long term care facility, or...
From Avalon Health Care Group - Fri, 23 Jun 2017 16:45:49 GMT - View all Salt Lake City, UT jobs
          Statistician for Resource Management Planning, Systems Design and Practice   
TX-Dallas, Statistician for Resource Management Planning, Systems Design and Practice You can look at the data, and make sense of it. You notice the patterns and trends where others don’t. You are able to take these discoveries and communicate them to management. This might be the role for you. Our client is looking for an experienced Statistician to support healthcare analytics for a dynamic company. Locati
          PSW/LCW - Bayshore HealthCare - Ontario   
Duties may include skin care, hair care, mouth care, bathing, bowel and bladder care, positioning and movement, exercise, basic wound care, feeding including...
From Bayshore HealthCare - Thu, 22 Jun 2017 22:05:45 GMT - View all Ontario jobs
          PSW/LCW - Bayshore HealthCare - Canada   
Duties may include skin care, hair care, mouth care, bathing, bowel and bladder care, positioning and movement, exercise, basic wound care, feeding including...
From Bayshore HealthCare - Thu, 22 Jun 2017 16:05:17 GMT - View all Canada jobs
          PSW - Evenings Alliston/Beeton/Tottenham - Bayshore HealthCare - Canada   
Duties may include skin care, hair care, mouth care, bathing, bowel and bladder care, positioning and movement, exercise, basic wound care, feeding including...
From Bayshore HealthCare - Wed, 07 Jun 2017 06:53:07 GMT - View all Canada jobs
          Medical Office Administrator - Brant Community Healthcare System - Brantford, ON   
Responsibilities include answering, screening and managing calls; (This position is not part of the Brant Community Healthcare System.)....
From Indeed - Tue, 09 May 2017 20:44:22 GMT - View all Brantford, ON jobs
          Account Executive- Technology Solutions ( Boston, MA) - (Boston)   
Judge Group Job Order ID: #156Account Executive - Judge Technology Solutions JOB DESCRIPTION Judge Technology Solutions - A Global Provider of Technology and Consulting and Staffing Solutions The Judge Group is looking for experienced, competitive, and self-motivated Account Executives to join our growing team across North America. With over 45 years of experience, we provide world-class technology, talent and learning solutions to Fortune 1000 companies across the US, Canada and China. Our Account Executives provide talent acquisition solutions in the areas of technology and healthcare meeting the growing demands of hiring executives across our portfolio of clients.
          Medical tourism growth slowing in Singapore   
THE GROWTH of medical tourism in Singapore is expected to slow down amid stiffer regional competition, especially from the Malaysian healthcare market, according to investment bank UOB Kay Hian.
          IWW Picket outside of Dupont Circle Starbucks   

On Friday, December 21st, around a dozen area IWW members, overwhelmingly Starbucks Baristas, gathered outside of 1 of around 4 Dupont Circle Starbucks, braving the harsh winter elements in favor of abolishing the wage system. Their mission: reveal the Starbucks PR facade for what it is. Starbucks talks the social responsibility talk but they employ fewer with healthcare than even Walmart, so often the target of liberal scorn. A union members words are pertinent:

"I'm a mother of four and my Starbucks wage puts me well below the poverty line,"

read more


          Single-payer healthcare advocates protest at Capitol with a message for California's Assembly speaker: 'Shame on you!'   

          Senate Republicans aim for new healthcare bill by Friday, but skeptics remain   

          Registered Nurse (LTACH) - Select Specialty Hospital - Atlanta, GA   
Registered Nurse / RN. Specific responsibilities of the RN Registered Nurse include:. RN Registered Nurse – Clinical Nurse – Hospital – Nursing – Healthcare –...
From Select Medical Corporation - Tue, 20 Jun 2017 18:22:41 GMT - View all Atlanta, GA jobs
          Clinical Liaison (LTACH) - Select Specialty Hospital - Atlanta, GA   
Must be a licensed Registered Nurse with sales, marketing and acute care clinical experience. Nurse – Clinical – Hospital – Nursing – Healthcare – Intensive...
From Select Medical Corporation - Fri, 26 May 2017 03:02:36 GMT - View all Atlanta, GA jobs
          Medical Debt Solutions   

Medical debt is a rising problem in the USA. With the healthcare bill not going anywhere, the prices seem to be surging. Unchecked insurance markets are making a killing at the expense of the sick, even simple 911 ambulance calls go into the thousands. It leaves a lot to be desired for those who are  … Read more

The post Medical Debt Solutions appeared first on Baker & Associates.


          Innovating in a Crowded Marketplace for Healthcare Delivery   

Every patient desires high-quality care at a cost-efficient price.  Studies have shown that these two characteristics are not always in conflict, as less-expensive sites may deliver similar quality care as more expensive sites.  But patients, and thus their providers, tend to prioritize quality over cost or vice versa. This is beginning to lead to a…

The post Innovating in a Crowded Marketplace for Healthcare Delivery appeared first on Safeguard Scientifics, Inc. - Experience Growth..


          June 28th 2017, 2-3pm   

President Trump welcomed the World Champion Chicago Cubs to the White House today. The State of Illinois may not be able to pay lottery winners. Republican leaders have put a hold on a healthcare bill in the Senate. James Capretta is a scholar at the American Enterprise Institute. Mark takes calls on healthcare.


          This robot is learning how to print a human organ   
Kentucky-based software company Advanced Solutions has developed what it calls the world’s first 3D human tissue printer that operates on a six axis robot. Called the BioAssemblyBot, the machine is the second generation of 3D printers focused on producing biomedical materials intended to revolutionizing healthcare. The goal is to 3D print human organs, Advanced Solutions […]
          Pediatric Home Care Nurse (RN / LPN) - The NBN Group - Burlington County, NJ   
Private duty, home care, homecare, nursing, home healthcare, home health, pediatric, homecare visits, nurse, nursing, RN, LPN, Registered Nurse, Licensed...
From The NBN Group - Wed, 21 Jun 2017 21:19:57 GMT - View all Burlington County, NJ jobs
          Veterans are worried Senate Medicaid cuts will strip them of healthcare   
Veterans and advocacy groups across the country are blasting the Senate’s attempt to repeal and replace the Affordable Care Act, fearing that the cuts to Medicaid will impact hundreds of thousands of former soldiers across the country.
          Free Download The Continuing Crisis: As Chronicled for Four Decades by R. Emmett Tyrrell, Jr. Ebook Online PDF   

0 - Read/Download The Continuing Crisis: As Chronicled for Four Decades by R. Emmett Tyrrell, Jr. Ebook Full





Alternative Download Link - The Continuing Crisis: As Chronicled for Four Decades by R. Emmett Tyrrell, Jr.


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          Site Management Associate - Mapi - Remote   
RN, LPN or other healthcare professional with applicable work experience may be in considered in lieu of degree....
From MAPI - Thu, 13 Apr 2017 19:50:18 GMT - View all Remote jobs
          CNA - Certified Nursing Assistant - St. James Rehabilitation and Healthcare Center - St. James, NY   
CNA needed part time positions only Union job making $18.12 per hour. Positions needed are.... $18.12 an hour
From Indeed - Thu, 15 Jun 2017 19:42:44 GMT - View all St. James, NY jobs
          PHYSICIAN – OBSTETRICIAN & GYNECOLOGIST - Ottawa Dental Specialists - Ottawa, ON   
Ottawa Urgent Care (OUC) is a dynamic regional healthcare provider, serving a population of more than 500,000 people across Ottawa Region and beyond.
From Indeed - Wed, 15 Mar 2017 03:16:25 GMT - View all Ottawa, ON jobs
          ANMCO-SIMEU Consensus Document: in-hospital management of patients presenting with chest pain   
<span class="paragraphSection">Chest pain is a common general practice presentation that requires careful diagnostic assessment because of its diverse and potentially serious causes. However, the evaluation of acute chest pain remains challenging, despite many new insights over the past two decades. The percentage of patients presenting to the emergency departments because of acute chest pain appears to be increasing. Nowadays, there are two essential chest pain-related issues: (i) the missed diagnoses of acute coronary syndromes with a poor short-term prognosis; and (ii) the increasing percentage of hospitalizations of low-risk cases. It is well known that hospitalization of a low-risk chest pain patient can lead to unnecessary tests and procedures, with an increasing trend of complications and burden of costs. Therefore, the significantly reduced financial resources of healthcare systems induce physicians and administrators to improve the efficiency of care protocols for patients with acute chest pain. Despite the efforts of the Scientific Societies in producing statements on this topic, in Italy there is still a significant difference between emergency physicians and cardiologists in managing patients with chest pain. For this reason, the aim of the present consensus document is double: first, to review the evidence-based efficacy and utility of various diagnostic tools, and, second, to delineate the critical pathways (describing key steps) that need to be implemented in order to standardize the management of chest pain patients, making a correct diagnosis and treatment as uniform as possible across the entire country.</span>
          Biomed Technician - Wellstar Health System - Austell, GA   
To deliver world-class healthcare for a community exceeding 600,000 people, WellStar is more than 11,000 strong to meet the health demands and needs of our
From WellStar Health System - Wed, 21 Jun 2017 10:46:02 GMT - View all Austell, GA jobs
          Global Head of Healthcare Marketing - HGS USA LLC - Warrenville, IL   
US and Canada) in support of both new logo and existing account growth. HGS is a world leader in Customer Relationship and Business Process Management....
From HGS USA LLC - Sun, 28 May 2017 10:49:27 GMT - View all Warrenville, IL jobs
          Mark L. Hopkins: Here we go again on health care    
The Republican Health Care Plan is now before Congress. We have been told since the passage of The Affordable Healthcare Act back in 2009 that the Republicans intended to replace that legislation with something much better. All of us, Republicans and Democrats, would appreciate having a comprehensive health care plan that meets the needs of our citizens. The experts tell us that the current plan has not solved the two big health care issues which are access to services and containing costs. The [...]
          Schumer to Trump: Meet with Democrats on healthcare – The Hill (blog)   

The Hill (blog) Schumer to Trump: Meet with Democrats on healthcareThe Hill (blog)Senate Minority Leader Charles Schumer (D-N.Y.) is asking President Trump to meet with Democrats to discuss a bipartisan deal on healthcare. “President Trump, I challenge you to invite us, all 100 of us, Republican and Democrat, to Blair House to …Hello, is anybody…

link: Schumer to Trump: Meet with Democrats on healthcare – The Hill (blog)


          Opposition to GOP Health Bill Spurring Support for Single-Payer Plan   
The Republicans' push to reduce government's role in healthcare by repealing and replacing Obamacare has emboldened progressive politicians and activists to promote the exact opposite, a single-payer system in which the government would completely run a health system which...
          Quinnipiac Poll: 58 Percent Oppose GOP Healthcare Plan   
Fifty-eight percent of Americans oppose the Republican plan to repeal and replace Obamacare, with 71 percent against Congress making aid cuts to Medicaid, according to a new Quinnipiac University poll released Wednesday.
          Dent: GOP Should Not Make Mistake Dems Did on Healthcare   
Republicans will make the same mistake as Democrats if they pass healthcare reform legislation on a strictly partisan basis, Rep. Charlie Dent, one of the few Republicans to vote against the House's American Health Care Act, said Wednesday.
          Schumer to Trump: Get Dems Involved in Fixing Healthcare   
Senate Minority Leader Chuck Schumer, D-N.Y., called on President Donald Trump and Republican lawmakers to work with Democrats in fixing healthcare, the Washington Examiner reported.
          McCarthy: We Can't Let Obamacare Collapse Without a Replacement    
Letting Obamacare collapse while failing to pass new healthcare legislation is not an option, House Majority Leader Kevin McCarthy told Fox News on Wednesday.
          Blackburn: House GOP Delivered 'Great Foundation' on Healthcare    
House Republicans are disappointed that their counterparts in the Senate did not move forward with a vote on their healthcare bill, as they were sent "a great foundation to work from," Rep. Marsha Blackburn said Wednesday.
          Customer Satisfaction Associates | Healthcare Account | BGC - TaskUs PH - Taguig   
Visit us at 17F Twenty Four Seven McKinley Building, 24th St. Work closer from your home and be in a company where work- life balance is ensured.... PHP 21,000 a month
From Indeed - Mon, 19 Jun 2017 03:51:22 GMT - View all Taguig jobs
          Care Manager - Keenan & Associates - Torrance, CA   
CCM (Certified Case Manager) preferred. We have an exciting career opportunity for a Care Manager/ Healthcare Coordinator in our corporate Torrance office....
From Keenan & Associates - Fri, 12 May 2017 21:46:42 GMT - View all Torrance, CA jobs
          Senior Account Manager - Keenan & Associates - Torrance, CA   
Assist with training of Administrative Assistants and Account Managers. Account Manager, Healthcare based out of our Torrance, CA office....
From Keenan & Associates - Fri, 12 May 2017 21:46:41 GMT - View all Torrance, CA jobs
          Senior Claims Examiner, Workers' Compensation - Keenan & Associates - Torrance, CA   
Report excess files to the Reinsurance Manager in a timely manner. Experience in handling healthcare and/or school district claims is a plus....
From Indeed - Mon, 13 Mar 2017 19:09:45 GMT - View all Torrance, CA jobs
          Healthcare Nutrition Channel Strategy - DANONE - Ciudad de México, D. F.   
Grupo Danone está buscando Healthcare Nutrition Channel Strategy en México (MX) para México en MEX - Danone Baby Nut Mexiso SA ....
De Danone - Thu, 15 Jun 2017 20:22:46 GMT - Ver todos los empleos en Ciudad de México, D. F.
          Registered Physiotherapist - System Fitness - Toronto, ON   
We are a group of 30 healthcare specialists consisting of Physiotherapists, Kinesiologists, Personal Trainers, Nutritionists and Acupuncturists....
From Indeed - Tue, 02 May 2017 13:54:27 GMT - View all Toronto, ON jobs
          Multiculturalism at work   

Charing Cross Road, a heaving mass of punters, tourists and ambling drunkards flows past Samuel's workplace at its usual frenetic, clogged pace, until one of its number dislodges himself. An ambling drunkard. He sports baggy pants, a loose striped jacket and a whiskery, unkempt beard. He shouts at Samuel to the rustle of a plastic Waterstone's bag. "Fuck… eh, you….you… what are you doing?" "What!" Samuel stays back, keeps cool. The abuse runs in thick streams, words can barely be made out. Curious shoppers stare wildly over their issues of Zoo and The Economist. The man is black; Samuel is black too. "Fou!" Is it French? Red-eyed, mouth agape, the man keeps screaming, grabs his bag and plunges back into the crowd. Punters dive back into their torrents of headlines, semi-nudes and Harry Potter blurbs at the Borders storefront. Samuel resumes his lax position at the reception, wistfully contemplating the crowds.

Charing Cross Road is the pulse of multicultural London, an artery of pleasure, strife and boredom, snaking from the imperial grandeur of Trafalgar Square to the heart of Oxford Street. Its pedestrian flow makes a garish display; multicultural, festive and sweaty. Almost half of the UK's ethnic minorities live in the capital, clustered in villages: Jews up Golders Green, Cypriots in Haringey, Arabs at Edgware Road and hip white things in Islington. Charing Cross road is where they meet, shop and scuffle: but it is also a place where cultures are put to work. If the now bitterly contested British model of multiculturalism is falling ill, Charing Cross Road is a good place to take its blood pressure.

The security guard

"We don't get too much abuse. We are trained to handle this," Samuel says laconically. No security guard clichés apply to his five foot eight inch frame: no bouncy muscles, towering torso or chiselled face, and only a small corporate insignia on his plain T-shirt indicates he might be at work. Except, that is, for one distinct marker of those guarding the shopfronts and clubs of central London's incongruous geography these days, a marker by now too clichéd to even be noticed by most Londoners: Samuel is black.

"I have been working as a security guard for three years," he says. "You get a lot of junkies in this area. Sometimes you have to be aggressive." Samuel smiles, pushing out his chest a little. "You have to know how to act depending on the person. It's like science – action and reaction." He chuckles ever so slightly.

Samuel comes from Nigeria, as do many others in his profession. His eyes flick back and forth, scanning the throng of people. "You can't stand like this for too long, talking – somebody might just go in, take a pack of CDs and leave," he says. Samuel excuses himself, adding his name and a furtive handshake as an afterthought. Less than five minutes' talk in all.

The private security sector is expanding, and guards now adorn even the humblest of supermarket checkouts and dingiest of clubs. A "visual deterrent" to crime, security companies claim. And this visual deterrence is increasingly performed by bored-looking black Britons and Africans. The good news may be that black minorities, still two and a half times more likely to be unemployed than white Britons, are now entrusted with security matters, inching a bit higher up London's pecking order. The bad news is that an ethnic furrow is drilled into London's asphalt, channelling black men into badly paid, vulnerable frontline positions.

Politicians, pundits and even the police have often praised the multicultural British model of integration, not without good reason. Nobody will launch into patriotic sing-a-longs or wave a Union Jack in the face of the hookah-smoking, Morris dancing, Qur'an-chanting and sauerkraut-eating masses. But this is all multiculturalism by night. Multiculturalism also works – works hard – up Charing Cross Road, down dingy backstreets, at the back of fusty pubs, deep in the cellars of milk-white Kensington hotels, under the sterile bulbs of NHS surgeries.

It may be insolent to heave another load of real-world grit onto multiculturalism's back at this time of trials by government, racism and terror. But dreary work is the flipside to London's multicultural project. Black bouncers, Asian shopkeepers, African parking attendants, Polish bartenders, Spanish chambermaids, Irish builders, African nurses, Indian doctors – they all come to London and find their place, as if by serendipity, from £4.85 an hour and counting. Europe's financial capital is insatiable, spongy, absorbent. But do people pick jobs according to ability and preference, or is the grid already laid out for them; colourful, deceptive and non-negotiable as a London tube map?

The parking attendant

Like security guards, parking attendants are too busy for a chat. Brisk, outsourced, undaunted, they roam the capital's grimy single yellow lines armed with just an oversized machine to crunch number-plates and a council vest against cold winds and the evil eye. And they are virtually unstoppable, furtive figures.

"I am too busy, don't have time," says my first interview target, a stern black parking attendant. He walks off briskly, escaping the lunging white hack. Luck comes in the voluminous shape of a fast-paced black woman negotiating a Camden sidestreet. Her vest is deceptively branded with a comforting council-green dye that blends with a minuscule NCP insignia – the private, nationwide parking venture that won Camden Council's lucrative enforcement contract in 2001.

Is this one of London's toughest jobs? "No, it's not that hard!" she chuckles, scanning a white van's pay-and-display ticket. She treads along briskly. "Really, it's OK," she assures me. "In the beginning it's harder, but you get used to it. The abuse comes daily, of course. It's not the job for you if you can't handle abuse. But if you know you are doing the right thing, it's OK. You just walk away when they start shouting."

She is matter-of-fact, stout and cheerful, her hair sculpted into a bun. I tag along, barely keeping up. Is she running away from her stalker? What's her name? "You can call me this!" she chuckles again, pointing to her shoulder cuff. It says 1571. "I am not allowed to say my name. Here I am a number – my name doesn't matter." 1571 looks busier and busier. The radio crackles. Where is she from? "Nigeria." Why do so many Africans do this job? "Oh, I don't know," 1571 says, curtly or just briskly. We reach the end of the block, another grey Camden thoroughfare beckons beyond, with a neat stack of pay-and-displays. She is speeding – wait … too late. 1571 chuckles, says goodbye. A colleague approaches – could be her cousin: hair neatly wrapped, fast-paced, African features. Then a male colleague – black, African traits. One, two, three, all heading down the same street, an avalanche of attendants … And my failed source, pacing briskly as ever. But now he smiles. "So, you found somebody?" His accent, too, is African.

No job evokes such hostility as parking enforcement, more so since public-private partnerships and new profit-making incentives began unleashing a ticketing bonanza on the capital's streets. But London's parking business has been doubly outsourced: to private ventures and flak-catching Africans, who have relentlessly populated the payrolls. At the public-private faultline they teeter, armed with silly hats and plastic machinery, come rain or shine or saliva-spattering owners of four-by-fours.

Enforcing London's rules and patrolling private property are tough tasks, but somebody's got to do them. Not to worry: multiculturalism assigns the posts. Please tick the ethnic monitoring form and wait in line. If you tick "black", the chance is you will soon find your place within London's hard-working, visually deterring foot soldier community.

Who's doing what – A rough guide to working Britain

4.3 per cent of Pakistanis work as shopkeepers, wholesale and retail dealers, compared to 0.5 per cent of white Britons

4.2 per cent of Indians work as medical practitioners, compared to 0.5 per cent white Britons

16 per cent of Bangladeshis work as chefs, compared to 0.7 per cent white Britons

11.3 per cent of Bangladeshis work as retail assistants, compared to 6.3 of all Asians and 4.5 of whites

2 per cent of Asians work as cashiers or checkout operators, compared to 1.1 per cent of whites

9.4 per cent of Pakistanis are chauffeurs or cab drivers, compared to 0.5 per cent whites and 0.9 per cent of blacks

8.5 per cent of black Africans are nurses, compared to 1.7 per cent whites, few South Asians and 11.2 per cent of "other Asians"

3.6 per cent of black Africans work as security guards, compared to 0.5 per cent of whites

Approximations based on data from the Quarterly Labour Force Survey, December 2004 – February 2005. Ethnic minority data is unreliable due to sample size.

The shopkeeper

Aftab huddles behind a desk cluttered with weekly glossies, breath mints, KP nuts and 2p sweets, the radio filling his shop with muted noise. "Violence is not the solution," he sighs, referring both to the still recent 7 July London bombs and Iraq. On a shelf by the open door, a four-year-old copy of The Economist peeks out next to a gaudy selection of lads' mags. "The day the world changed", its front page trumpets, to the dust and fumes of Manhattan. "It reminds me of when it all started," Aftab says softly.

His cornershop is set in the shadow of thronging, roaring Camden Town station. Aftab comes from Pakistan, or rather, Kashmir. "Ever since Pakistan was created out of the British Empire in 1947 by [Muhammad Ali] Jinnah, it has failed to reconcile the different nations within its borders. It's an artificial creation. Actually, there are only two countries in the world created on the basis of religion: Israel and Pakistan," he says, bemused. "Their borders are a colonial legacy."

Since coming to Britain in 1997, Aftab has become the hub of a local community made up of itinerant builders, international students, crackheads, Bangladeshi shopkeepers and working-class families. He knows everybody. "My brother was running the shop when I got here, then he fell ill. I started coming to the shop, reading four-five papers a day: that's how I got to know all the people around here." He has braved shoplifters, stinkbombs and random yobbery, and recently appeared on the BBC after launching a petition against drug-related crime.

Aftab holds a Masters in Sociology from the University of Karachi. "When I came here they told me that if you have a Third World qualification, you need to get a diploma in this country," he says. "The Job Centre is just there to give you your £52 a week in benefit, and then you're off. They don't help you find jobs. I was registered there for two years, and scanned job offers all the time. At one point I said, 'please, just give me anything!' I told them I could study for a diploma to complete my qualifications, but they weren't interested. Then I started to get more involved here." He still wants to study a Masters of Science in Human Rights.

Has he felt discriminated against? "No, it's the same for everyone." He smiles. I ask him why he thinks so many Asians have set up shop. He looks unsure, and eventually produces a bit of sociology. "When migrants first started arriving here, many were uneducated and set up shops and have continued since then. But their children often prefer to go looking for employers. With Sainsbury's and Tesco opening local stores, the cornershop is becoming a thing of the past."

In this "nation of shopkeepers", shopkeeping has been subcontracted to that old imperial safeguard of the nation's values, British Asia. Small-scale entrepreneurs of Indian or Pakistani extraction have absorbed the retail function, running cornerstores as well as staffing supermarkets, high street stores and bank counters. They are not alone, of course: Turkish Cypriots have carved a clothes-and-food niche out of north London. But Asian shopkeepers are the only group with full-spectrum dominance, from Haringey to Hampstead. However their market share is increasingly threatened by supermarkets that wedge their slick Express, Local, Metro and Central chains into minuscule urban spaces. Does that leave you, or your kids, unemployed? Please tick the "Asian" box, and be patient: the chance is you will be handling supermarket tills, sorting ballpoint pens in a stationers, or stacking crates before you know it.

The supermarket assistant

Feronda pauses from stacking tins and dons a sincere, expectant grin worthy of the glossiest of Corporate Social Responsibility reviews. He is happy with his job as a Sainsbury's customer assistant. "I'm from Sri Lanka. I'm a refugee. Only I and one more are from Sri Lanka in this shop – most of the other people here are Pakistani." Actually, all the other customer assistants seem to be Brits of Pakistani background. Even the security guard is Asian. Why does Feronda think this is so? "Oh, this I don't know," he says, tugging his grin along, keen to move on to the next question. "I like it here, I want to stay – I especially enjoy being on the shop floor. Before I worked for four years as a car mechanic up the road," – he waves past pea cans, north – "doing night shifts. That was very hard." Now he works 3-11pm, five days a week, at £6 an hour. "Let's see… about £850 a month for a 39-hour week," he says. He looks thrilled, grateful. Before coming to the UK he studied computers, but struggles to translate his education into British levels. "I didn't apply for any other jobs – just this," he says. But is there anything he doesn't like about the job? "No, no," he says, with the sparkling grin making a lingering plea for mercy. The largely white Chalk Farm clientele scavenges for breakfast bagels and tender-stem broccoli. Feronda's colleagues shuffle past, aisle-wide looks in their eyes.

Whether British supermarkets' workforces are as diverse as their stock of curries, mozzarella and stodgy German bread is hard to ascertain – their statistics slip from your hands like salmon. Fourteen percent of Sainsbury's employees and three to four percent of its managers come from ethnic minorities: more detailed figures are not available from either Sainsbury's or Tesco, despite their equal opportunities policies.

Sainsbury's prohibits discrimination and strives to "move beyond simple legal compliance," according to Cheryl Kuczynski, a spokeswoman. "We actively look to employ colleagues who reflect the diversity of our customers," she says. Tesco, the behemoth of the British food market, says targets have been set to get so-called "ethnic groups" into managerial positions. Flexible work during Ramadan and Diwali and briefings in languages like Hindi, Urdu, and Bangladeshi are two selling points. All according to its Corporate Social Responsibility review.

Katie Jenkins, Tesco's employment spokeswoman, says that diversity "creates a great atmosphere in stores" and makes everybody contribute with different skills and knowledge. "Retail is a fast-paced environment, so we look for people who can adapt well to change, people who are very customer-focused. The stores reflect the demographics of the local area. It is about recruiting local people into local jobs."

In lush white Hampstead, amid the cobblestones, blonde beer, Unitarian churches, window displays of pains au céréales and fragrant Jojoba oils, lurks an unbecoming Tesco Express. Inside, Jayvishal is morosely stacking boxes of vegetables. "I can't do an interview if it's going to take time," he warns. I try an optimistic note. What does he like most about his job?" "I don't like it at all," he says, his slightly pained face sloping down into an unlikely smile. "It's hard work, very hard work. Packing all the time."

Jayvishal is from India. "There are not many Indians here – mainly Sri Lankans and some Europeans," he says. By European he must mean British Asian: all the shop's staff look Asian. How did he find this £6-an-hour job? "Oh, through the Job Centre, and then I had some friends over here," Jayvishal answers, somewhat cryptically. "I have been in the UK since 2003, and couldn't find a job for a while. It was very hard. Legally, international students are only allowed to work 20 hours a week, but during vacations I do overtime. It is difficult economically – I have to pay rent, transport and everything, and only earn £500 a month."

Jayvishal is studying a Masters in Business and Finance at London's Metropolitan University. While not in India he lives in Queensbury, zone four, on the Jubilee line that branches through a parallel part – or galaxy, perhaps – of north London. Skills and knowledge he has: a local he is not. The manager, a short-set, trim-bearded man of South Asian features presses up against us, fingering the stack of plastic boxes. Time to retreat. "And when you're finished…" – the orders fade, giving way to wine bars and American ice cream parlours slanting down the north London hillside.

Hampstead is at the extreme end of the spectrum. But a random Monday afternoon headcount at seventeen West End supermarkets, where workers are least likely to be drawn from a residential pool, confirms the ethnic pattern, albeit with minor variations. One hundred customer assistants were of Asian background, fifty-eight were black, nineteen white, and four "other Asians". The eleven security guards on duty were all black but for one.

The bar tender

It would be a mistake to think that low-paid jobs are the reserve of the Queen's post-colonial subjects. Some minorities have fared quite well: ethnic Indians, for one, are now approaching the employment chances of white Britons. Meanwhile, London's pint-pullers earn even less than its shelf-fillers, and a terrifying ninety-seven percent of pub workers nationwide are white. Why?

Perhaps Al Murray's comedy act the Pub Landlord hinted at the answer when saying that there should be no things foreign in a proper English pub, with the natural exception of peanuts. Peanuts are more nondescript than exotic, a bit like the "white other" box on the ethnic monitoring forms. And so it is that Europeans, Australians and their fellow Antipodeans have been swallowed by the fusty land of minimum wages, ruddy-faced regulars and sticky floors.

Behind the bar, a twenty-something lad moves packets of crisps about. Covent Garden's cobbled streets unfold outside. "Cleaning, cleaning, cleaning all the time," he says, in spotless English. "There's lots of cleaning in this pub." He doesn't look glum at all saying it. The pub is one of a constellation of glinting properties on the online London map of the Spirit Group, one of the UK's biggest pub businesses with over two thousand venues to its name. Boleslaw has worked here since May, and shares the pleasure with a girl from Sweden, another from France, an Irish boss and two other Poles – a friend and the assistant manager. He got his job through the previous manager, also Irish. "That's a traditional English pub for you!" he says.

This is not the first time I come across the Ladder. The Ladder is a peculiar upstairs-downstairs way of ordering the capital's economy. The lower steps of many a London workplace are, predictably enough, dominated by the poor relatives of the world economy: Poles, Colombians and Nigerians abound. But climb one step up, and surprisingly often you will find employees from closer to home: Irish managing continental Europeans, perhaps, or Spaniards managing Colombians. On the top of the Ladder, perch the white English top managers and boardroom staff. The Commission for Racial Equality's (CRE) chairman Trevor Phillips has called it "snow-capping", or white on black: only 1.4 percent of executive management comes from ethnic minorities.

"It's a very hard job and not paid very well. The minimum: £4.85," Boleslaw continues. No big deal. This is his third bout of pub work in London. "At least this is a very nice area, with lots of theatres around." Nice areas make customer flows impressive, and it's hectic, lager-churning madness. "After a while you get used to it – even if it's packed you can listen to the music and chat up a girl. But you work till late and don't have time for yourself. You wake up at nine or ten next morning and start work at 12. It's like a full circle." He smiles. "If you get some days off, you just chill upstairs," he adds, pointing heavenward. Boleslaw and his colleagues sleep upstairs: it's a live-in pub.

Despite paying rent to his landlord-bosses, Boleslaw can save "a few hundreds" each month, he says. He is a graphic designer and photographer, a graduate of Poland's Academy of Fine Arts, and has worked for advertising agencies back home. "It's a dodgy job market in Poland, simple as that," he says, unapologetically. "The UK market is more stable. You can do bar work for a while, then start looking around for what you really want to do."

A man with entourage orders pints of Tetley and pork scratchings. A colleague shows up, and Boleslaw breaks into Polish for a few sentences, cackling until the colleague disappears into the sunshine.

What do his fellow Poles do in the capital these days? "Any job you can get," he says. "Normally, guys who are tough enough go work on building sites, but others go into these jobs. The guy who just left, for example, is a doctor." A doctor? "Yeah – it's easy to find them working in pubs. We got lawyers, we got doctors, graphic designers, actors, the lot. This country has got the most educated bar staff ever," he says cheerily, pouring pints of Guinness for a couple of Koreans. He has only applied for one graphic design job so far, and saves his pounds with determination. "I felt I had too good qualifications. They looked at my portfolio and said 'you're too good, you better go somewhere else'. When the time comes, I'll do it."

Years back, London's fleet of theme pubs, Irish pubs, local pubs and all the other concept and brand name pubs shop-fronting for Japanese investment banks were manned by cheery mates from Down Under. The Anglo-Saxon reaches of empire supplemented London's homegrown working class with much-needed building and boozing skills. Aussies and Kiwis provided the pint-pulling crowd. South Africans joined the Irish on the building sites. The Working Holiday Visa kept the children of the Commonwealth snuggled on old England's beer belly for years.

But in 2000, New Labour sowed the seeds of a revised migration strategy, which has blossomed into today's demand-based, quotas-and-points approach. Working Holiday rules for Commonwealth countries changed in 2003, and Antipodeans have moved into administration, computer work and public services with the easing of job-type restrictions. Poles are entering the pub-and-scaffolding race, quickly filling their predecessors' place. Some 98,500 Poles had applied for Britain's worker registration scheme in May 2005, over half of all new east European hopefuls arriving in the wake of 2004's EU expansion. Eighty percent of them earned up to £5 an hour.

The arrival of Poles is changing the demographic makeup of other parts of London's service economy, too. José Vigo, employment adviser, senses a growing fashion for east European employees at his West End Job Centre, which specialises in low-paid hotel and catering vacancies "that have not been taken through the domestic labour market".

Southern Europeans and Latin Americans, often over-skilled but with poor English, have peopled the lower reaches of London's job market for years, where a dank stereotype of the Latin service worker has grown. A recent Job Centre language survey confirms the lingering Mediterranean makeup of London's catering and hotel trades: Spanish clocked in as first language, followed by Portuguese, French and Italian – but with upstart Polish wedged in at third place.

Statistics are scant and unreliable and the turnover ferocious, but Vigo confirms that employers now head for eastern Europe rather than scavenging the Iberian soils for catering and hotel staff. "There they get better levels of English and people willing to do that kind of job."

The service sector is likely to continue haunting southern European visitors, however. "London is still one of the most popular places in Europe for young Spaniards," says Manuela Martínez, adviser for EU employment network Eures in southern Spain. "People want to master English and make their CVs look better. But if their level of English is low, they will work in places where they don't deal with the public, in 'backstage' jobs. They end up spending a year in London and bring back three or four words related to the hotel trade. Then, naturally, they only tell people about the good things that happened, and the process starts snowballing."

The backstage jobs of London's fickle service economy have a convenient feature: as Portuguese hotel workers, Spanish chambermaids and Latin American kitchen porters mingle in their trade, they speak Spanish instead of English. And the less English they speak, the more likely they will languish in their underpaid niches. London keeps luring job-hunters into its wide nets, its finance-fuelled economy selects and cherrypicks the candidates, and multiculturalism keeps them apart, blissful in their ghettoes.

The state's story

Government departments are blissful in their ghettoes, too, and keep chucking the ball out of their own ponds. The Department for Work and Pensions (DWP) does not target specific ethnic groups, says Ben Lloyd, a spokesman, who suggests I try the Department for Trade and Industry (DTI), which deals with safeguarding employees' rights. And what does the DTI think? A spokesperson mentions Tony Blair's 2003 cross-departmental Ethnic Minorities Employment Task Force, but little more: the DWP is wrong – "we don't deal with getting people into jobs."

Academia is also suffering from a "paucity of research" on ethnic recruitment according to Dr Sophia Skyers, senior research fellow on the London labour market with the public interest company Office for Public Management (OPM). She explains ethnic niching in relation to London's expanding knowledge economy. "We are seeing a polarisation of the labour force into, on the one hand, high-paid jobs in professional and financial services and, on the other hand, retail, protective services and other personal services like healthcare," she says. "What we get is a pattern of occupational segregation – a lot of people are forced into particular employment groups, often because of discrimination in other sectors. The stereotype goes with the job, and sticks to the people who get these jobs."

Professor Michael Hardt, co-author of the watershed tome Empire about how power has been redistributed in a globalised world, agrees that multiculturalism plays an economic role in the new economy. "Britain's multicultural model can facilitate an ethnic division of labour, a model that has perhaps a longer history in the Americas," he says. "Racialized hierarchies and exploitation do not always function along the old or assumed models of exclusion. But it's worth insisting that recognizing that cultural diversity can be part of a new scheme of exploitation does not mean we should be against cultural diversity as such. What we need to strive for is equality and freedom within this multicultural society."

Trevor Phillips has criticised multiculturalism for keeping people apart, labelling it "a typically British way of dealing with difference". But now the stakes are higher. While London Mayor Ken Livingstone praised multiculturalism in the wake of the 2005 London bombings, Tony Blair announced a crackdown on Britain's permissive liberal consensus to a chorus of tabloid approval. But even multiculturalism's defenders often have little clue of what it really is, or does. Multiculturalism is not only a heap of colours, it is a machine with cogs that whirr. It not only fuses, but keeps apart. It doesn't so much discriminate as direct a choreography of cultures. Much like a latter-day, benign sort of empire, where all races and cultures play a minor part in the symphony of power.

On the ring road again

Your no-frills flight descends among thick nighttime clouds and your bags emerge from the bowels of Stansted airport. Now it's business the British way. Bearded Muslims, lavish Iberian girls and red-nosed Brits clutching Su Doku books mingle in the halls and tow their luggage into the rainy night, stared on by billboards vying for their London fare. Outside, hordes of many-accented hustlers flog £5 one-ways for cheap airbus upstarts. Beyond the Pink Elephant car park waits the National Express. A stream of people crosses the wet asphalt, oblivious to the hustlers' calls. This is how multicultural London commutes, in and out of London, twenty-four hours a day, every fifteen minutes.

Chris descends from his bus and lights a quick fag before his next drive. "The job is not as stressful as it looks," he says. "It's easy, and the pay's quite good. £22,000 a year because I do night shifts." He cuts a stoic figure, tall and bulky, his shaved head pinched by an earring. His colleagues, like him, are overwhelmingly white, bald, and big, emblems of the well-fed English working class. They ferry multiculturalism in and out of the capital. What do the people boarding his coach to the throbbing financial hub of Europe do, then? "Well," Chris puffs on his fag, thinks. "We carry a lot of students, some come over on a gap year, a small portion are on business and the bulk of them are tourists and sightseers."

What about the workers? Where are they? Who notices the shelf-stacker in the business student, the pint-puller in the graduate, the cornershop owner among the businessmen, the sandwich wrappers, cappuccino steamers and doormen among the tourists? Not Chris, not Ken, not Tony, nor Middle England or the City elite. The City: white as a scrubbed cathedral wall, home of offshore dollars and high-value bonds, generator of the service economy and its guards, attendants, retailers, cleaners, drivers. And Chris, where does he live? "I live in Haverhill, outside Cambridge," he says, stubs out his fag, and sets the motor purring towards the M25.


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           How Privatization Could Spell the End of Democracy   
Between Trump and tech, never before have so many powerful people been so intent on transforming government into a business.

It’s a hot day in New York City. You’re thirsty, but your water bottle is empty. So you walk into a store and place your bottle in a machine. You activate the machine with an app on your phone, and it fills your bottle with tap water. Now you are no longer thirsty.

This is the future envisioned by the founders of a startup called Reefill. If the premise sounds oddly familiar, that’s because it is: Reefill has reinvented the water fountain as a Bluetooth-enabled subscription service. Customers pay $1.99 a month for the privilege of using its machines, located at participating businesses around Manhattan.

Predictably, the company has already come in for its fair share of ridicule. In Slate, Henry Grabar called it “tap water in a suit”. But while Reefill is a particularly cartoonish example, its basic business model is a popular one within tech. The playbook is simple: take a public service and build a private, app-powered version of it.

he most obvious examples are Uber and Lyft, which aspire not merely to eliminate the taxi industry, but to replace public transportation. They’re slowly succeeding: municipalities around America are now subsidizing ride-hailing fares instead of running public buses. And earlier this year, Lyft began offering a fixed-route, flat-rate service called Lyft Shuttle in Chicago and San Francisco – an aggressive bid to poach more riders from public transit.

These companies wouldn’t have customers if better public alternatives existed. It can be hard to find a water fountain in Manhattan, and public transit in American cities ranges from mediocre to nonexistent. But solving these problems by ceding them to the private sector ensures that public services will continue to deteriorate until they disappear.

Decades of defunding and outsourcing have already pushed public services to the brink. Now, fortified with piles of investor cash and the smartphone, tech companies are trying to finish them off.

Proponents of privatization believe this is a good thing. For years, they have advanced the argument that business will always perform a given task better than government, whether it’s running buses or schools, supplying healthcare or housing. The public sector is sclerotic, wasteful and undisciplined by the profit motive. The private sector is dynamic, innovative and, above all, efficient.

This belief has become common sense in political life. It is widely shared by the country’s elite, and has guided much policymaking over the past several decades. But like most of our governing myths, it collapses on closer inspection.

No word is invoked more frequently or more fervently by apostles of privatization than efficiency. Yet this is a strange basis on which to build their case, given the fact that public services are often more efficient than private ones. Take healthcare. The United States has one of the least efficient systems on the planet: we spend more money on healthcare than anyone else, and in return we receive some of the worst health outcomes in the west. Not coincidentally, we also have the most privatized healthcare system in the advanced world. By contrast, the UK spends a fraction of what we do and achieves far better results. It also happens to provision healthcare as a public service. Somehow, the absence of the profit motive has not produced an epidemic of inefficiency in British healthcare. Meanwhile, we pay nearly $10,000 per capita and a staggering 17% of our GDP to achieve a life expectancy somewhere between that of Costa Rica and Cuba.

A profit-driven system doesn’t mean we get more for our money – it means someone gets to make more money off of us. The healthcare industry posts record profits and rewards its chief executives with the highest salaries in the country. It takes a peculiar frame of mind to see this arrangement as anything resembling efficient.

Attacking public services on the grounds of efficiency isn’t just incorrect, however – it’s beside the point. Decades of neoliberalism have corroded our capacity to think in non-economic terms. We’ve been taught that all fields of human life should be organized as markets, and that government should be run like a business. This ideology has found its perverse culmination in the figure of Donald Trump, a celebrity billionaire with no prior political experience who catapulted himself into the White House by invoking his expertise as an businessman. The premise of Trump’s campaign was that America didn’t need a president – it needed a CEO.

Nowhere is the neoliberal faith embodied by Trump more deeply felt than in Silicon Valley. Tech entrepreneurs work tirelessly to turn more of our lives into markets and devote enormous resources towards “disrupting” government by privatizing its functions. Perhaps this is why, despite Silicon Valley’s veneer of liberal cosmopolitanism, it has a certain affinity for the president. On Monday, Trump met with top executives from Apple, Amazon, Google and other major tech firms to explore how to “unleash the creativity of the private sector to provide citizen services”, in the words of Jared Kushner. Between Trump and tech, never before have so many powerful people been so intent on transforming government into a business.

But government isn’t a business; it’s a different kind of machine. At its worst, it can be repressive and corrupt and autocratic. At its best, it can be an invaluable tool for developing and sustaining a democratic society. Among other things, this includes ensuring that everyone receives the resources they need to exercise the freedoms on which democracy depends. When we privatize public services, we don’t just risk replacing them with less efficient alternatives – we risk damaging democracy itself.

If this seems like a stretch, that’s because pundits and politicians have spent decades defining the idea of democracy downwards. It has come to mean little more than holding elections every few years. But this is the absolute minimum of democracy’s meaning. Its Greek root translates to “rule of the people” – not rule by certain people, such as the rich (plutocracy) or the priests (theocracy), but by all people. Democracy describes a way of organizing society in which the whole of the people determine how society should be organized.

What does this have to do with buses or schools or hospitals or houses? In a democracy, everyone gets to participate in the decisions that affect their lives. But that’s impossible if people don’t have access to the goods they need to survive – if they’re hungry or homeless or sick. And the reality is that when goods are rationed by the market, fewer people have access to them. Markets are places of winners and losers. You don’t get what you need – you get what you can afford.

By contrast, public services offer a more equitable way to satisfy basic needs. By taking things off the market, government can democratize access to the resources that people rely on to lead reasonably dignified lives. Those resources can be offered cheap or free, funded by progressive taxation. They can also be managed by publicly accountable institutions led by elected officials, or subject to more direct mechanisms of popular control.

These ideas are considered wildly radical in American politics. Yet other places around the world have implemented them with great success. When Oxfam surveyed more than 100 countries, they discovered that public services significantly reduce economic inequality. They shrink the distance between rich and poor by lowering the cost of living. They empower working people by making their survival less dependent on their bosses and landlords and creditors. Perhaps most importantly, they entitle citizens to a share of society’s wealth and a say over how it’s used.

But where will the money come from? This is the perennial question, posed whenever someone suggests raising the welfare state above a whisper. Fortunately, it has a simple answer. The United States is the richest country in the history of the world. It is so rich, in fact, that its richest people can afford to pour billions of dollars into a company such as Uber, which loses billions of dollars each year, in the hopes of getting just a little bit richer. In the face of such extravagance, diverting a modest portion of the prosperity we produce in common toward services that benefit everyone shouldn’t be controversial. It’s a small price to pay for making democracy mean more than a hollow slogan, or a sick joke.

 

 

 

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This article explores the growing trend of physician executive pay-for-performance plans in the U.S. and Canada and discusses the underlying principles of incentive-based compensation models. Pay-for-performance plans are becoming increasingly popular with boards of many healthcare organizations across the country. They may offer an opportunity for increased accountability in the context of the 2003 Health Accord. Although there is little current evidence to support the notion that incentive-based compensation has long-term implications for quality improvement, their popularity continues to increase.
          Effective Teamwork in Healthcare: Research and Reality   
Issues affecting health workplaces range from serious concerns that could affect the immediate physical safety of workers to those that would improve productivity and efficiency, or make an organization a preferred employer. Employers and workers might consider effective teamwork an asset, but for patients it is a prerequisite. This paper reviews the evidence for effective teamwork, primarily that gathered by a research team funded by the Canadian Health Services Research Foundation (CHSRF). We also review the expert opinion provided by a group of 25 researchers and decision makers convened by CHSRF in late 2005 at a forum for discussion about issues related to effective teamwork. Included in the retreat were representatives from professional organizations and occupations as well as areas such as legal liability. Taken together, the research and expert opinion provide a comprehensive overview of the benefits of effective teamwork and the conditions needed for its implementation. In addition, we review policy and management perspectives on the most significant challenges to the implementation of effective teamwork in the Canadian context, and potential opportunities to overcome these obstacles.
          How Effective Leaders Achieve Success in Critical Change Initiatives, Part 4: Emergent Leadership - An Example with Doctors   
Engaging family doctors in clinical practice innovations has often been seen to be a difficult challenge. It is happening in some creative ways with the Hamilton Family Health Team. &nbsp; The approaches to leadership and change in Hamilton are similar to those stated in Starfield Consulting's recent study Beyond Boundaries: Lessons from Leaders (King and Peterson 2006). In that study, we identified common characteristics and behaviours of leaders who had successfully implemented complex change in public service and healthcare systems. Research interviews were conducted with 40 leaders who each had successfully led a change initiative involving multiple organizations, jurisdictions or highly siloed functions within an organization. A full copy of the original research study can be found at <a href="http://www.starfield.ca" target="_blank">www.starfield.ca</a>. &nbsp; This is the fourth and last article in this series. It provides an example of the value of emergent leadership and identifies some factors that help set the conditions for such leadership to emerge. The interviews were conducted recently and hence go beyond the original study. The article illustrates how Ontario's Ministry of Health and Long-Term Care, some of the original leaders in the Hamilton Team and Chief Executive Officer Terry McCarthy have created an environment that fosters emergent leadership. Their approach has accelerated the delivery of both increased access and improved patient care. &nbsp;
          Time for a Paradigm Shift: Managing Smarter by Moving from Data and Information to Knowledge and Wisdom in Healthcare Decision-Making   
Senior decision-makers in the Canadian healthcare system have to continuously make significant, and complex, policy and program decisions. However, it appears that, often, the evidence they have available is fairly simple descriptive information, collected for operational purposes. Trying to solve complex problems with fairly simple data may lead to suboptimal decisions. This article presents a new knowledge development system (KDS) that should allow senior decision-makers and others to manage smarter and take their decision-making to the next level. A KDS represents the integration of information systems, and research and analysis, into one system. It can generate sophisticated, strategic information around complex issues, which should ultimately lead to wiser decisions. This article describes the KDS, provides an example of a current KDS and concludes by presenting a self-diagnostic tool for decision-makers to allow them to determine whether their organization could benefit from a KDS.
          Insight: In Conversation with Richard Alvarez    
To say that Richard Alvarez is a man on a mission is an understatement in the extreme. With a goal to have Canadians and their healthcare providers using a pan-Canadian health record by 2015, the meter is running. Providing national leadership to provincial mandates, the president and chief executive officer of Canada Health Infoway has been at the forefront of change management in healthcare. It is no secret that e-health initiatives vary from province to province and, while national leadership is important, success is linked to significant investments by a host of sponsors, with convergence across the entire system, coast to coast, north to south. Recently, progress from federal and provincial investments in e-health has fallen from grace and Canada Health Infoway itself was the focus of a review by the Office of the Auditor General of Canada. HQ's Ken Tremblay spoke with Richard last fall.
          The Canterbury Tales of Healthcare Improvement: A Review of “Lessons Learned in Changing Healthcare …and How We Learned Them.”   
The Canterbury Tales of Healthcare Improvement: A Review of “Lessons Learned in Changing Healthcare …and How We Learned Them.”
          Book Review: Lessons Learned In Changing Healthcare And How We Learn Them   
Book Review: Lessons Learned In Changing Healthcare And How We Learn Them
          Clinician Executives: A New Breed of Leader   
The face of the healthcare CEO has been changing over the past decade, during which we have seen the emergence of a new breed in upper management, the clinician executive. These are healthcare professionals who have often held previous leadership positions, such as chief nursing officer or VP of medicine, and whose career path has seen them progress towards the top job in their organization.
          Book Review: The Canterbury Tales of Healthcare Improvement: A Review of “Lessons Learned in Changing Healthcare …and How We Learned Them.”   
Book Review: The Canterbury Tales of Healthcare Improvement: A Review of “Lessons Learned in Changing Healthcare …and How We Learned Them.”
          Getting the Foundations Right: Alberta's Approach to Healthcare Reform   
Alberta's abolition of its health regions and the creation of Alberta Health Services in 2008 has integrated previously disparate providers of healthcare services. The long-term benefits of this &quot;second-wave&quot; approach to health systems structuring include lower administrative costs, greater equity of access, improved intraprovincial learning and economies of scale. Some benefits have begun to be realized but, as with any merger, performance should be judged over a multi-year time frame.
          Lessons Learned in changing healthcare... and how we learned them   
Order the paperback version by Paul Batalden et al.
          Getting the Right Researcher into the Right Position: Importance in Healthcare Organizations   
Getting the Right Researcher into the Right Position: Importance in Healthcare Organizations
          From the Editor-in-Chief   
In early February, the national Nursing Leadership Conference was held in Montreal. The title of the conference, &quot;So What? Now What?&quot; provided fodder for opening the dialogue on some of the burning issues in the nursing profession today. By a show of hands from the delegates, there were seemingly a record number of first-time attendees; in my view, a positive harbinger of more leadership to come! Opening remarks by the Canadian Nurses Association president, Dr. Judith Shamian, and chief executive officer, Rachel Bard, effectively set the tone for the ensuing presentations and discussions. Their messages highlighted the need for &quot;transformative leaders&quot; to innovate, inspire and deliver on the significant changes needed in the delivery of healthcare. Their messages were living manifestations of leadership; this is what it is about &ndash; inciting and enabling others to act. Together and individually, they do it very well. The face of leadership in nursing, of necessity, is changing and is poised on the brink of influencing some very important changes to Canadian healthcare.
          Toward a National Report Card for Nursing   
As nurse leaders, we are held clinically and fiscally responsible for the care of patients and clients in our organizations. A significant portion of care provision in our organizations is executed by nursing staff. The literature has clearly delineated the outcome variables that are sensitive to nursing care. The relationship between specific input variables, such as RN skill mix and nursing hours per patient-day, and nurse-sensitive outcomes has also been demonstrated. In September 2010, the Academy of Canadian Executive Nurses (ACEN) Policy Committee made nurse-sensitive indicators its specific focus and resolved to initiate collaborations with the right stakeholders to pursue a vision for a national report card for nursing. The initiative was chosen to highlight and make explicit the contribution of nursing to healthcare outcomes and to develop a report card that could formulate and drive policy platforms in the future.
          "Just Say 'Yes'!": Mary Ferguson-Paré and the Art of Influential Leadership   
In December 2010, Mary Ferguson-Par&eacute;, RN, PhD, CHE, officially retired from a distinguished nursing and healthcare administration career that spanned over 40 years. As many readers will know, Ferguson-Par&eacute; played instrumental roles at several of the country's major healthcare organizations, including Toronto's University Health Network, Baycrest Centre for Geriatric Care and Queen Elizabeth Hospital, as well as the Vancouver Hospital and Health Sciences Centre.
          Using a Nursing Balanced Scorecard Approach to Measure and Optimize Nursing Performance   
The authors give an overview of one healthcare organization's experience in developing a nursing strategic plan and nursing balanced scorecard (NBS) using a focused planning process involving strategy mapping. The NBS is being used at this organization to manage the nursing strategic plan by leveraging and improving nursing processes and organizational capabilities as required, based on data and transparent communication of performance results to key stakeholders. Key strategies and insights may help other nurse leaders in developing or refining strategic approaches to measuring nursing performance. Vital to the success of an organization's strategic plan are ongoing endorsement, engagement and visibility of senior leaders. Quality of decisions made depends on the organization's ability to collect data from multiple sources using standardized definitions, mine data and extract them for statistical analysis and effectively present them in a compelling and understandable way to users and decision-makers.
          Vol. 11 No. 3 2011 | Responsibility for Canada’s Healthcare Quality Agenda   
Vol. 11 No. 3 2011 | Responsibility for Canada’s Healthcare Quality Agenda
          Building a Safety and Quality Culture in Healthcare: Where It Starts   
Healthcare in Canada underachieves stakeholders' expectations for safe, high-quality care. The authors maintain that a common understanding of, and vision for, what is required to achieve improved outcomes for patients is missing. Educating tomorrow's healthcare professionals is paramount to address this critical shortfall. However, healthcare educational institutions must themselves break out of a 20th-century paradigm of viewing healthcare safety and quality as functions of individual healthcare providers rather than as properties of the clinical micro- and meso-systems within which they function and are a part. Canadian healthcare systems are ailing; like treating a sick patient, interventions should be grounded on a solid understanding of anatomy (structure) and physiology (function). The Healthcare Encounter Safety and Quality Model (HESQM) highlights the structures underlying healthcare delivery and the key system functions required to achieve safe, high-quality care. The model has been used to frame the University of Calgary Faculty of Medicine's educational strategy for achieving safer, higher-quality care. The HESQM is based on leadership &ndash; leaders whose decisions and actions are guided by core safety and quality principles. Today's and especially tomorrow's healthcare leaders require a common understanding of how to achieve higher-performing healthcare systems; it is the responsibility of Canada's post-secondary institutions to deliver it.
          Notes from the Editor-in-Chief   
A few years ago, G. Ross Baker and five colleagues published a series of case studies under the title <a href="http://www.longwoods.com/publications/books/571" target="_blank">High Performing Healthcare Systems: Delivering Quality by Design</a> (2008). Their goal was to investigate a handful of international and Canadian healthcare systems in order to learn about the leadership strategies, organizational processes and investments that had earned those systems the adjective &quot;high performing.&quot;
          The Healthcare Quality Agenda in Canada   
Sullivan et al. have captured several important themes. One of the reasons that healthcare has been slow to adopt a culture of quality has been that it has taken a long time to recognize that quality is a continuous journey along several dimensions. Following advances in the early 1990s on appropriateness and effectiveness, there has been a decade-long preoccupation with accessibility that still remains an issue. Patient-centredness is one of the most recent dimensions to receive attention, and the overall goal of quality &ndash; improved patient outcomes &ndash; needs considerable work. Measurement and reporting are fundamental to quality improvement, but the provincial and territorial governments have not lived up to their Health Accord commitments to regular reporting on common indicators. At least six provinces have established health quality councils, but it remains to be seen if this bottom-up approach will lead to a common reporting framework that will support benchmarking. Canada would likely benefit from a pan-Canadian approach to innovation in healthcare quality.
          Responsibility for Canada's Healthcare Quality Agenda: The Home and Community Sector   
In their study on the current state of the quality agenda in the Canadian healthcare system, Sullivan and colleagues interviewed healthcare leaders across Canada who predominantly represent the hospital care sector. The home and community sector is under-represented in research and discussions about quality and patient safety, despite the fact that it is the fastest-growing sector in healthcare. Patient safety research in home care has been spearheaded by VON Canada and the Canadian Patient Safety Institute since 2005. Quality and safety are not just parallel imperatives; rather, they are inextricably linked concepts that rely on each other to function effectively. Safety for clients or patients is complex when multiple organizations, regulated and unregulated paid providers and unpaid family caregivers make up the team providing care in an uncontrolled home environment. Add to this the pressure of reducing costs while increasing home care admissions, and the equation seems impossible. Client or patient participation is increasingly recognized and advocated as a main component in the redesign of healthcare processes to improve patient safety and may provide a key organizing principle for better care and outcomes.
          The PROMise of Quality Improvement in Healthcare: Will Canada Choose the Right Road?   
Canadians pride themselves in their healthcare system. Yet, multiple problems are the focus of ongoing debates. The adoption of effective clinical and organizational interventions to improve health outcomes has not kept pace with the science. Solutions lie in health system redesign to improve quality and efficiency, focusing on the goal of improving population health. This commentary addresses the original conception behind medicare &ndash; an unfinished task; the implementation of a quality agenda; and the use of patient-reported outcome measures (PROMs) to inform the development and evaluation of tailored interventions. Finally, it offers considerations for moving the health system forward toward the ultimate goal of keeping people well.
          We Have a Perfect Storm - Let's Use It   
The lead paper, &quot;Responsibility for Canada's Healthcare Quality Agenda: Interviews with Canadian Health Leaders,&quot; is a valuable contribution to the quality and safety improvement conversations taking place across the country. My commentary suggests a dramatic convergence of social, economic, demographic and technological forces has brought healthcare to a threshold of a perfect storm. To brace ourselves against this storm, I have suggested that we need to understand the system not as a structure but as relationships. I argue that alignment is not a concept that is particularly well understood &ndash; and we tend to focus almost exclusively on the component of structure.
          Healing Healthcare in Canada: A Shared Agenda for Healthcare Quality and Sustainability   
Sullivan et al. make a compelling argument that a &quot;coalition of the willing&quot; must seize the nettle and create a national agenda and the capacity for quality leadership in Canadian healthcare. While there is reason to believe that Canada could benefit from such an agenda, there is also evidence that, if done incorrectly, such an agenda could be expensive and counterproductive. To increase the likelihood that a national quality agenda will contribute to the creation of a sustainable and effective healthcare system, it will be important to understand potential pitfalls and to incorporate approaches that have enabled leading organizations to achieve success. It will be key to create a shared vision of healthcare that focuses on the health needs of our population and engages stakeholders broadly.
          The Healthcare Quality Agenda in Canada   
[This article was originally published in <a target="_blank" href="../../../content/22555">Healthcare Papers 11(3)</a>] Sullivan et al. have captured several important themes. One of the reasons that healthcare has been slow to adopt a culture of quality has been that it has taken a long time to recognize that quality is a continuous journey along several dimensions. Following advances in the early 1990s on appropriateness and effectiveness, there has been a decade-long preoccupation with accessibility that still remains an issue. Patient-centredness is one of the most recent dimensions to receive attention, and the overall goal of quality &ndash; improved patient outcomes &ndash; needs considerable work. Measurement and reporting are fundamental to quality improvement, but the provincial and territorial governments have not lived up to their Health Accord commitments to regular reporting on common indicators. At least six provinces have established health quality councils, but it remains to be seen if this bottom-up approach will lead to a common reporting framework that will support benchmarking. Canada would likely benefit from a pan-Canadian approach to innovation in healthcare quality.
          AAP National Conference 2016 - part 1 - PediaCast 357   
This week we talk to pediatricians from across the country as we podcast from the floor of the 2016 AAP National Conference and Exhibition in San Francisco! Topics include the medical home, Baby 411, ADHD, healthcare social media, medical students and pediatric residency. We hope you can join us!
          Developing Leadership within an Academic Medical Department in Canada: A Road Map for Increasing Leadership Span    
[This article was originally published in <a target="_blank" href="../../../content/22494">Healthcare Quarterly 5(3)</a>] Medicine is dependent on strong leaders to advance innovation in the clinical care of patients. In most academic medical streams, there is no explicit system-wide approach for succession planning and leadership development. In late 2009, it was clear to the authors' department that they were at risk of losing high-potential individuals and division heads.
          Healing Healthcare in Canada: A Shared Agenda for Healthcare Quality and Sustainability   
[This article was originally published in <a href="../../../content/22562" target="_blank">HealthcarePapers 11(3)</a>] Sullivan et al. make a compelling argument that a &quot;coalition of the willing&quot; must seize the nettle and create a national agenda and the capacity for quality leadership in Canadian healthcare. While there is reason to believe that Canada could benefit from such an agenda, there is also evidence that, if done incorrectly, such an agenda could be expensive and counterproductive. To increase the likelihood that a national quality agenda will contribute to the creation of a sustainable and effective healthcare system, it will be important to understand potential pitfalls and to incorporate approaches that have enabled leading organizations to achieve success. It will be key to create a shared vision of healthcare that focuses on the health needs of our population and engages stakeholders broadly.
          Priority Setting in Ontario's LHINs: Ethics and Economics in Action   
Healthcare organizations the world over are faced with having to set priorities and allocate resources within the constraint of a fixed envelope of funding. Drawing on economic principles of value for money and ethical principles of fair process, a priority setting framework was developed for Ontario's local health integration networks (LHINs) in late 2007 and early 2008. Subsequently, over an 18-month period, the framework was piloted in three LHINs. In this article, the framework and pilot implementations are described, results from a formal evaluation are outlined and recommendations for future use are highlighted.
          The Group Priority Sort: A Participatory Decision-Making Tool for Healthcare Leaders   
Healthcare leaders have long expressed the need to effectively engage all members of their organizations in the process of decision-making (Burns 2001; Narine and Persaud 2003). The group priority sort is an innovation in healthcare leadership that supports both consensus building and effective consultation. It was developed in acknowledgement of the knowledge that
          Exploring Ethics in Practice: Creating Moral Community in Healthcare One Place at a Time   
Examining everyday ethical situations in clinical practice is a vital but often overlooked activity for nursing leaders and practitioners, as well as most other healthcare professionals. In this paper, we share how a series of practitioner-led Ethics in Practice sessions (EIPs), which originated within a busy urban teaching hospital, were adapted and translated, first into home care and more recently, into an EIP session for public health nurses. The success of EIP sessions rests with their focus on issues that are selected by practitioners. The aims of EIPs are to foster ethical leadership within communities of practice, create safe places to share concerns, use relevant research evidence and other literature to support informed discussion, and generate stories that deepen our understanding of the ethical situations we encounter in our work. We hope our experience inspires nursing leaders, nursing colleagues and fellow healthcare professionals to consider using the EIP approach to build moral community and the idea of moral imagination with their clinical colleagues, one place at a time.
          Priority Setting in Ontario's LHINs: Ethics and Economics in Action   
[This article was originally published in&nbsp;<a target="_blank" href="../../../content/22649">Healthcare Quarterly 14(4)</a>] Healthcare organizations the world over are faced with having to set priorities and allocate resources within the constraint of a fixed envelope of funding. Drawing on economic principles of value for money and ethical principles of fair process, a priority setting framework was developed for Ontario's local health integration networks (LHINs) in late 2007 and early 2008. Subsequently, over an 18-month period, the framework was piloted in three LHINs. In this article, the framework and pilot implementations are described, results from a formal evaluation are outlined and recommendations for future use are highlighted.
          In Conversation with Tom Closson    
Tom Closson's early career includes deep roots in industrial engineering, with meritorious service and induction into the Engineering Hall of Distinction at the University of Toronto. After Closson received his MBA from York University, his career spanned a national consulting practice, many governance roles with national agencies and corporations, leadership with some of Canada's largest academic facilities, including a regional health authority in British Columbia and, since 2008, president and chief executive officer (CEO) of the Ontario Hospital Association. Earlier this year, Closson announced his retirement plans. For Canada, his departure from the corner office leaves a big leadership gap in healthcare as many see Closson as a strong proponent of health system transformation and the evolving role of hospitals. Ken Tremblay spoke with Closson this winter.
          Concussion, CAP4Kids, Zika Virus - PediaCast 338   
Join Dr Mike in the PediaCast Studio as our sports medicine team drops in for an update on concussion. The CAP4Kids crew also stop by to fill us in on their important program, which features hundreds of healthcare and social service resources for families. Finally, we’ll consider a big news-maker in South America—the Zika virus. How dangerous is it for pregnant women? And could the United States be its next stop? Be sure to tune-in for more details!
          Incentives Required to Drive Change    
The authors of &quot;Chartbook: Shining a Light on the Quality of Healthcare in Canada,&quot; focus on building a Canadian healthcare performance baseline, highlighting opportunities to improve the system and then raising policy questions. This is a thoughtful approach to gaining awareness of the relative performance across the Canadian healthcare system. In essence, it is necessary to first establish a felt need, identify areas to improve and then ensure the system will implement the necessary changes to improve. The authors build a reasonable case for why improvements are necessary, and they identify key barriers that must be removed to actually realize improvements and offer a wide range of policy recommendations. However, not all of these recommendations are focused on the key point of ensuring that there are incentives in place to drive participants to implement changes.
          Nurse Practitioners - PediaCast 317   
Welcome to Nurses Week 2015! Join Dr Mike in the PediaCast Studio as we explore the important role nurse practitioners play in the delivery of pediatric healthcare. We also cover nurse practitioner training and their involvement with education and research. Guests include three nurse practitioners from Nationwide Children’s: Maryanne Tranter, Debbie Terry and Erin Keels.
          In Conversation with David Levine   
After 10 years at the helm of the Montreal Health Authority, David Levine, no stranger to the politics and challenges of leadership in healthcare, stepped out of the limelight to regroup. A seasoned leader, nationally recognized by peers as a thought leader, Levine's academic training started with civil and biomedical engineering. After his shift to healthcare, his career path included leadership at some of Canada's largest healthcare organizations. Amidst that journey, he served as Quebec's delegate general in New York City and tested the political waters at the provincial level. Never short of commentary and thoughts for improving healthcare in Canada, Levine shared his reflections with Ken Tremblay this past summer.
          Looking Back 50 Years in Hospital Administration   
Healthcare policy and hospital administration are dynamic and growing fields, oriented toward shaping the future. In an effort to understand where these fields have come from, as well as some of the reoccurring challenges faced, we conducted a retrospective analysis. Our research identified progress and major accomplishments, as well as issues that continue to challenge the field in five key areas: (1) the evolution of nursing, (2) funding and legislation, (3) hospital design, construction and technology, (4) patient care and infection control and (5) leadership. To explore these areas, a thematic content review was conducted on the 12 inaugural issues of Hospital Administration in Canada, a hospital administration periodical from 1962. All written content was reviewed, coded and categorized into major themes that represented the major hospital administration topics of 50 years ago. In this article, five prominent themes are explored and further illustrated using key stories and milestones from 1962.
          Reflections on Leadership in Healthcare: The Past 50 Years   
Leadership in the hospital sector has been characterized by a state of change since the early 1960s. Heavily influenced by the emergence of the principles of the Canadian health system, leadership at the time was shaped in many ways by the post&ndash;World War II construction boom. It was significantly impacted by the developing professional unions in the clinical professions and the resultant and conflicted labour relations of the 60s and 70s. The environment of leadership was in those days predominately a transactional style, and was frequently confrontational. But the many leaders of Canada's hospitals were also characterized by a caring cadre of often-colourful personalities who challenged, debated and strove to ensure adequate funding and a harmony among the diverse clinical, community and political interests confronting their organizations. The major restructuring of an ever-more expensive health system has set the stage for substantial innovation and reform as the leaders in the system integrate new technologies, personalized pharmaceuticals, devolving scopes of practice and entrepreneurial opportunities related to incentive funding. The development of leadership competencies such as the Leaders for Life framework across the health workforce will be essential to successfully guide our health delivery system into the future.
          Nursing: Not the Problem, but Leading Solutions   
One of the major themes uncovered by Graham and Sibbald in their analysis of the 50-year-old issues of Hospital Administration in Canada (HAC) is the evolution of nursing. However, the HAC approach 50 years ago was that nursing was a problem to be solved, not a resource for health, the health system and the public, and that image would stay with nursing in Canada for many years to come. The recent commissioning by the Canadian Nurses Association of a National Expert Commission to examine sustainability of health and the healthcare system, and the resultant report, The Health of Our Nation, the Future of Our Health System: A Nursing Call to Action, released in June 2012, reflect a significantly different expectation about nurses and the nursing profession &ndash; they are not problems to be addressed, but are leading the solutions to better health, better care and better value. And patients are not passive recipients of care decided on by professionals alone, but central team members &ndash; &quot;CEOs of their own healthcare&quot; &ndash; in an inter-professional patient-/family-focused team that collectively supports people in their health journey. A number of examples of potential articles about and from nursing, based on the findings of the National Expert Commission, are included to illustrate how nursing should be reflected in an issue of HAC in 2012.
          Fifty Years of Physical Growth and Impressive Technological Advances Unmatched by Health Human Resources Reform and Cultural Change   
The year 1962 was pre-medicare. The public was concerned about access and individual affordability of care. Funding involved public or private responsibility and the role of government. Physicians, the most influential providers, were concerned that government funding would result in the loss of their independence and their becoming state employees. The retrospective analysis &quot;Looking Back 50 Years in Hospital Administration&quot; by Graham and Sibbald is arresting as it underlines just how much progress we have made in what could be termed &quot;hardware&quot; in support of healthcare policy and hospital administration. From this perspective, the progress has been eye opening, given the advent of universal healthcare, the advancement in our physical facilities, the development of high-quality diagnostic equipment, the explosion of new research centres and new and complex clinical procedures. The development of this hardware has given our providers better weapons and contributed to a remarkable improvement in life expectancy. But progress in health administration and policy management involves more than hardware. If the hardware constitutes the tools, then the &quot;software&quot; of the healthcare system involves the human resources and the culture change that must be positioned to make maximum use of the hardware. In 2062, looking back at the 2012 experience, the legacy test may be whether we dealt with health human resources and culture change at a rate that matched our progress in hardware.
          The More Things Change, the More They Stay the Same   
In &quot;Looking Back 50 Years in Hospital Administration,&quot; Graham and Sibbald identify five principal themes in the 1962 issues of Hospital Administration in Canada: the evolution of nursing, funding and legislation, hospital design, patient care and infection control and leadership. These themes are of course consistent with thematic concerns regarding healthcare in 2012; in some ways, this consistency over 50 years is disappointing, but not surprising. This commentary examines some of the specific themes.
          Shaping Canadian Healthcare Alignment   
Shaping Canadian Healthcare Alignment
          Hospital-Legal Partnership at Toronto Hospital for Sick Children: The First Canadian Experience    
Operating a hospital-legal partnership on a pro bono basis positively impacts patients' families by providing legal assistance for non-medical issues that affect the health of their children and their ability to care for their children. This article describes a formative evaluation of the first hospital-legal partnership in Canada, established at The Hospital for Sick Children in Toronto in 2009, which was carried out through file reviews and interviews with staff, lawyers and family members. The early indications of success of this partnership suggest that its use as a template for similar programs at other Canadian healthcare institutions should be considered.
          Hospital-Legal Partnership at Toronto Hospital for Sick Children: The First Canadian Experience    
[This article was originally published in&nbsp;<a href="http://www.longwoods.com/content/23191"> Healthcare Quarterly, 15(4)</a>] &nbsp; Operating a hospital-legal partnership on a pro bono basis positively impacts patients' families by providing legal assistance for non-medical issues that affect the health of their children and their ability to care for their children. This article describes a formative evaluation of the first hospital-legal partnership in Canada, established at The Hospital for Sick Children in Toronto in 2009, which was carried out through file reviews and interviews with staff, lawyers and family members. The early indications of success of this partnership suggest that its use as a template for similar programs at other Canadian healthcare institutions should be considered.
          Emerging Leaders and Informatics    
[This article was originally published in&nbsp;<a href="http://www.longwoods.com/content/23553">Nursing Leadership 26(3)]</a> In her column on Emerging Leaders, Harris discusses important challenges confronting nurses in healthcare today. In this commentary, I would like to address her point regarding technology from the perspective of an educator and researcher in the field of nursing and health informatics.
          In Conversation with Janet Davidson   
You know when Janet Davidson is in the room. A nationally renowned health executive with more than 30 years of experience in government, voluntary, hospital and community sectors in Alberta, Ontario, Saskatchewan, Manitoba and British Columbia, she recently did two remarkable things: left the C-suite to become a global consultant in healthcare, and returned to Alberta when that province called earlier this year. With a long list of credentials and experiences, and the gratitude of a country as officer of the Order of Canada in 2006, Davidson and her resume are, quite possibly, peerless. When she assumed her role as official administrator of Alberta Health Services (AHS), Davidson was the Canadian Executive of KPMG's Global Healthcare Centre of Excellence. Prior to that, she was president and chief executive of Trillium Health Centre in Mississauga where, with a merger with the Credit Valley Hospital, she helped create the largest community academic hospital in Canada. She is presently a member of board of directors for the Canadian Institute for Health Information (CIHI) and serves as the chair of the CIHI Board's Governance Committee. Until recently, Davidson was a member of the board of the Ontario Institute for Cancer Research, and she is the immediate past chair of the Ontario Hospital Association. Ken Tremblay interviewed her early this fall. Days later, Davidson was appointed as deputy minister of Health for Alberta.
          Response to Steven Lewis’ essay, “Chasing CEO Talent in Healthcare: Is It Really About the Money”   
Response to Steven Lewis’ essay, “Chasing CEO Talent in Healthcare: Is It Really About the Money”
          Traditional Medicine in the Gambia   
Traditional Medicine in the Gambia Peterson, Ana The practice of traditional medicine is an important aspect of Gambian life and culture. It has existed in the country since before the arrival of western medicine and even the Islamic religion. Although there have been some additions to the methods of traditional healers of The Gambia since the coming of Islam, many of the values and concepts remain as they were when traditional medicine began. Modern medicine, that is the diagnosis and treatment of patients using scientific study and clinical trials, is the predominant form of healthcare for citizens of the United States while in The Gambia, seeking medical attention from traditional healers still remains to be a popular means of treatment. The popularity of traditional medicine continues to climb in the country, which in some ways can be attributed to the president, Alhagi Dr. Yahya A.J.J. Jammeh, who claims to be working to acquire cures of devastating diseases using traditional medicine. Initially, I was interested in following the topic of traditional medicine mostly because I found the idea of using plants as medicine intriguing. The use of medicinal plants is also an attractive subject with the current increasing appeal of herbal remedies and medicines in the United States. Keeping this fact in mind, I wanted to investigate the role herbal remedies played in a culture much different from that of the United States. Being a chemistry student without much prior knowledge about traditional medicine in The Gambia, I was under the impression that I might find many herbalists eager to reveal all of the herbs they used, what sicknesses the herbs treated, and what chemical compounds made these herbs. Upon learning more, I recognized that this was not always going to be the case. My purposes for research evolved into much more modest goals: to establish an understanding of the traditional form of healthcare in The Gambia, the measures being taken to integrate traditional medicine into the modern healthcare system, and the reasons for the effectiveness of herbal medicines. As well as being a way in which people attempt to remain healthy, traditional medicine is also a large piece of the culture that represents The Gambia. Traditional medicine remains within the culture by way of the practitioners from one generation passing the knowledge to members of the next generation. In this way, the title of traditional healer can remain within a family for many generations. The continuation of the knowledge of a traditional healer being put into practice is dependent upon the traditional healer himself. By taking a close look at the work of traditional healers in many areas of The Gambia, I was able to come into contact with a part of the country’s culture.
          "The Largest Lean Transformation in the World": The Implementation and Evaluation of Lean in Saskatchewan Healthcare    
The Saskatchewan Ministry of Health has committed to a multi-million dollar investment toward the implementation of Lean methodology across the province's healthcare system. Originating as a production line discipline (the Toyota Production System), Lean has evolved to encompass process improvements including inventory management, waste reduction and quality improvement techniques. With an initial focus on leadership, strategic alignment, training and the creation of a supportive infrastructure (Lean promotion offices), the goal in Saskatchewan is a whole health system transformation that produces &quot;better health, better value, better care, and better teams.&quot; Given the scope and scale of the initiative and the commitment of resources, it is vital that a comprehensive, longitudinal evaluation plan be implemented to support ongoing decision-making and program design. The nature of the initiative also offers a unique opportunity to contribute to health quality improvement science by advancing our understanding of the implementation and evaluation of complex, large-scale healthcare interventions. The purpose of this article is to summarize the background to Lean in Saskatchewan and the proposed evaluation methods.
          Performance Management Systems and the Reality of Canadian Healthcare Organizations - From Industrial to Learning Models    
Employee appraisals, generally part of a larger performance management (PM) system, are believed to be one of the most difficult responsibilities assumed by managers, and it is estimated that 20% of all employee appraisals are effective in accomplishing their intended purpose (as cited in Savage and Khatri, p. 235). Yet, healthcare organizations (HCOs) persist in developing PM systems that require that clinical unit managers, who often have a span of control of 100 or more employees working 24/7, complete appraisals on a yearly basis and monitor their employees' performance. In developing these systems, HCOs are addressing one of Accreditation Canada's (2014) leadership standards that include &quot;allocating resources and building infrastructure, managing resources, working with partners to share and optimize resources fairly in accordance with organizational priorities, human resource and PM systems &hellip;&quot;
          Towards Reconciliation of Several Dualities in Physician Leadership   
Leadership has a renewed focus in healthcare, and physicians are being increasingly involved in a range of leadership roles. The aim of this paper is to discuss several dualities that exert tensions at the systems and individual levels. Although oppositional, the common dualities of physician leadership are not mutually exclusive but represent a complex, dynamic and interdependent relationship, often coexisting with each other and exerting tensions in multiple dimensions. The authors contend that a dialectic understanding &ndash; instead of either/or or finding a middle ground &ndash; of the opposite poles of these dualities allows for generating meaningful leadership perspectives and choices.
          Healthcare Transformation and the Need for Courageous Leadership   
Healthcare Transformation and the Need for Courageous Leadership
          Navigating the Leadership Landscape: Creating an Inventory to Identify Leadership Education Programs for Health Professionals   
As health systems become increasingly complex, there is growing emphasis on collaborative leadership education for health system change. The Canadian Interprofessional Health Leadership Collaborative conducted research on this phenomenon through a scoping and systematic review of the health leadership literature, key informant interviews and an inventory of health leadership programs in Canada. The inventory is unique, accounting for educational programming missed by traditional scholarly literature reviews. A major finding is that different health professions have access to health leadership education in different stages of their careers. This pioneering inventory suggests that needs may differ between health professions but also that there is a growing demand for multiple types of programs for specific targeted audiences, and a strategic need for collaborative leadership education in healthcare.
          Getting to a Better Canadian Healthcare System   
Getting to a Better Canadian Healthcare System
          Breaking the Deadlock: Lessons from Pan-Canadian Organizations   
The authors of the lead essay in this issue propose a set of fiscal and other levers for accelerating Canadian healthcare reform. Among the mechanisms they endorse is the concept of a learning health system, which would encourage collaboration and information sharing between jurisdictions. From health system performance measurement to exchange of best practices, a number of the foundational elements of learning health systems have parallels or antecedents in functions undertaken by pan-Canadian organizations that address healthcare issues relevant to multiple jurisdictions. Experiences and outcomes of these organizations may therefore be instructive when considering proposals for healthcare reform, such as those made by Gardner, Fierlbeck, and Levy.
          A Case of Severe Withdrawal Syndrome   
One essential role of the central government in a federation is to universalize the good &ndash; if necessary, against the will of some federated states. This function does not imply superior knowledge or exceptional experience. In fact, it does not presuppose anything but sensitivity to public opinion and a semblance of constitutional authority. The current government of Canada is less inclined than its predecessors to intervene in the health sector; one might even say that federal leadership is lacking. Yet in fact, if innovation is now at a halt in our health system, it could be less because of what the federal government is (not) doing to support national solutions, and more because of intrinsic issues of management and orientation at the level of healthcare organizations and delivery systems.
          Health System Leadership and the Federal Role in Canada   
While provincial governments constitute the primary locus for healthcare system decision-making and provision, the federal government retains an important funding and &quot;steering&quot; role in directing health system performance. This commentary explores three possible redeployments of the federal spending power to elevate health system performance; improve access; increase individual, provincial and regional equity; and achieve better health outcomes for present and future Canadians. The proposals include amending the Canada Health Transfer to better support its original policy purpose, improving and expanding an informational and analytical infrastructure and the eventual implementation of single pharmacare program by the Government of Canada. These changes are aimed at accelerating evidence-based health reforms to improve access, quality and responsiveness of healthcare and, ultimately, health outcomes.
          Transforming the System with One Small Change? An Idea for Debate   
Gardner, Levy and Fierlbeck offer a thought-provoking plan for turning Canada's currently unproductive and obstructive model of fiscal federalism into an effective tool for leveraging substantive change in the country's healthcare systems and enhancing their ability to provide effective care at acceptable cost. However, what is presented as a straightforward solution actually requires a complicated and highly demanding set of interlocking transformations. The author of this commentary is not convinced that these can all be achieved within a politically realistic timeframe and without significant new resources.
          Healthcare, Intergovernmentalism and Population Health: The Challenge of Reform in an Era of Disengagement   
The model proposed by Gardner, Fierlbeck and Levy offers an innovative and compelling framework for moving past the dysfunction of the current intergovernmental relationship in health. It provides a viable role for the federal government and a means to shift our attention on improving health outcomes relative to past provincial performance. At the same time there are important questions about how both federal leadership and population health is understood and justified within the model. The history of federal leadership in health reform is questioned as to both its necessity and its effectiveness. One must also confront the possibility that federal disengagement from contentious intergovernmental issues may be emerging as a more permanent feature of federal&ndash;provincial relations in Canada. For the focus on population health to be effective, it must, in the first instance, take into account the necessity of focussing population health interventions for the most marginalized populations and the need to focus those interventions on the socio-economic determinants of health that exist outside of the healthcare system.
          Accelerating the Road to Change   
There is consensus that the Canadian health system needs to be reformed and that we are failing to achieve this objective (Romanow 2002; The Standing Senate Committee on Social Affairs Science and Technology 2002; Harvey et al. 2013; Lewis 2015). The authors provide a refreshing perspective on how this could be accomplished: a new model for conditional federal investment that is linked to quality, efficiency and outcomes; incentives for improvement that don't invoke dysfunctional competition; and a national system of outcome measurement. It is a well-reasoned and thoughtful set of solutions that could fit with the complex multi-jurisdictional character of Canadian healthcare. The key will be how to get there.
          Breaking the Deadlock: Towards a New Intergovernmental Relationship in Canadian Healthcare    
Canadians are, at best, only &quot;marginally confident&quot; in the future of Canada's healthcare system (Nanos and Jenkins 2014). They are skeptical that simply spending more money can address the issues underlying Canadian healthcare, yet they also doubt the country's capacity to harness innovative strategies to improve healthcare (ibid). These issues are central to Canadians' concerns about healthcare reform: increased funding is no guarantee of better quality or access to healthcare and may reinforce inefficient patterns of health spending (Canadian Institute for Health Information 2012). For example, Contandriopoulos showed that since 2007 in Qu&eacute;bec, total physician compensation, average physician compensation and average unit cost per service all rose quickly but the total number of services, number of services per capita and average number of services per physician were either level or declined (Contandriopoulos and Perroux 2013). However, simply pressuring provinces and territories to do more with less may also be counterproductive, because it creates immediate delivery pressures that reduce opportunities for careful deliberation of strategies for enduring and meaningful improvement. In this article, we present an approach to making the Canadian healthcare system more effective, efficient and sustainable. The program maintains the autonomy of the provinces and territories while renewing federal leadership. The core idea is to use federal healthcare transfer payments to incentivize greater efficiency, better access, better outcomes and increased health equity. Our goal is to set out this model for discussion. We acknowledge that measuring health outcomes, healthcare quality and health equity is challenging. Developing and implementing such measures will require conceptual development and detailed technical plans that are beyond the scope of this article. Moreover, we can only touch briefly on the political processes required to implement a model that balances federal leadership with provincial autonomy. Our goal here is to stimulate discussion by presenting a new model for funding and delivering healthcare.
          Impatience and Intergovernmental Relationships in Healthcare   
Impatience and Intergovernmental Relationships in Healthcare
          Conducting Effective Physician Performance Feedback: A Primer for Healthcare Leaders   
Physician performance feedback (PPF) can help physicians gain insight into their practice, to identify areas for improvement, and to implement changes to improve care. There is increasing interest in the use of PPF in Canada. However, little is known about the different types of PPF methods and whether PPF can lead to improved physician performance and patient outcomes. We provide a primer for healthcare leaders interested in doing PPF by reviewing common PPF methods. We then describe our institution's experience with physician multi-source feedback and provide strategies to conduct meaningful PPF.
          The Council of Academic Hospitals of Ontario (CAHO) Adopting Research to Improve Care (ARTIC) Program: Reach, Sustainability, Spread and Lessons Learned from an Implementation Funding Model   
Despite evidence on what works in healthcare, there is a significant gap in the time it takes to bring research into practice. The Council of Academic Hospitals of Ontario's Adopting Research to Improve Care program addresses this research-to-practice gap by incorporating the following components into its funding program: strategic selection of evidence for implementation, education and training for implementation, implementation supports, executive champions and governance, and evaluation. Funded projects have been sustained (76% reported full sustainability) and spread to over 200 new sites. Lessons learned include the following: assess readiness, develop tailored implementation materials, consider characteristics of implementation supports, protect champion time and consider evaluation feasibility.
          Informatics and Nursing in a Post-Nursing Informatics World: Future Directions for Nurses in an Automated, Artificially-Intelligent, Social-Networked Healthcare Environment   
[This review was originally published in&nbsp;<a href="http://www.longwoods.com/content/24563" target="_blank">Nursing Leadership, 28(4)</a>] The increased adoption and use of technology within healthcare and society has influenced the nursing informatics specialty in a multitude of fashions. Namely, the nursing informatics specialty currently faces a range of important decisions related to its knowledge base, established values and future directions &ndash; all of which are in need of development and future-proofing. In light of the increased use of automation, artificial intelligence and big data in healthcare, the specialty must also reconceptualize the roles of both nurses and informaticians to ensure that the nursing profession is ready to operate within future digitalized healthcare ecosystems. To explore these goals, the author of this manuscript outlines an examination of technological advancements currently taking place within healthcare, and also proposes implications for the nursing role and the nursing informatics specialty. Finally, recommendations and insights towards how the roles of nurses and informaticians might evolve or be shaped in the growing post-nursing informatics era are presented.
          Past, Present and Future: The Outlook from Mid-Career Nurse Informaticians   
[This article was originally published in&nbsp;<a href="http://www.longwoods.com/content/24556" target="_blank">Nursing Leadership, 28(4)</a>] Nursing informatics (NI), as a specialty of nursing, can trace its origins back as far as the 1960s. While difficult to find empirical evidence to pinpoint exactly when NI moved from the fringes of nursing to more mainstream recognition, the late 1990s to early 2000s was a period of significant growth in the desire to leverage information technology as a means of collecting more robust and reliable healthcare information. This, in turn, has led to a significant increase in the number of nurses working as NI specialists. Those who have remained in NI roles since this time are now reaching the &quot;mid-career&quot; point. This paper will examine the current NI landscape and the experience of a number of early and mid-career nurses who chose to focus on NI by exploring how and why they chose this career path, the opportunities and challenges they have faced to date and their predictions for the future of NI.
          Getting the Foundations Right: Alberta's Approach to Healthcare Reform   
[This article was originally published in <a href="http://www.longwoods.com/content/22176" target="_blank">Healthcare Policy, 6(3)</a>&nbsp;2011] Alberta's abolition of its health regions and the creation of Alberta Health Services in 2008 has integrated previously disparate providers of healthcare services. The long-term benefits of this &quot;second-wave&quot; approach to health systems structuring include lower administrative costs, greater equity of access, improved intraprovincial learning and economies of scale. Some benefits have begun to be realized but, as with any merger, performance should be judged over a multi-year time frame.
          From the Editors   
Anyone who spent the summer in the eastern half of North America will not be surprised to learn that 2016 is on track to be the hottest year ever (Slezak 2016). More than just a physical annoyance, however, climate change &quot;is disrupting national economies and affecting lives, costing people, communities and countries dearly today and even more tomorrow&quot; (United Nations 2016). For this issue of Healthcare Quarterly, we brought together five articles that examine climate change in relation to the healthcare system's environmental burden and efforts to reduce it: as Deanna Fourt and Claudette Poirier stress in their article, healthcare is hugely energy and carbon intensive. Major transformations are needed to address that impact and, as they aptly point out, &quot;healthcare employees have a unique role to play as agents of change&quot; in that work.
          What I Learned from my Personal Board of Directors   
This letter is part of series of&nbsp;Open Letters&nbsp;from Canadian leaders in Healthcare. To see the complete series please<a href="http://www.longwoods.com/pages/openletters" target="_blank">&nbsp;click here</a>&nbsp;
          Policy to Practice: Collaboration in the Evolution of a Nursing Health Human Resources Policy   
[This article was originally published in&nbsp;<a href="http://www.longwoods.com/content/22661" target="_blank">Healthcare Policy, 7(2) ]</a> In 2007, the Ontario Ministry of Health and Long-Term Care made an investment to support full-time employment for new graduate nurses. This paper describes the collaboration of policy makers and researchers in the creation and implementation of the Nursing Graduate Guarantee (NGG). We provide historical context for the development of the initiative and discuss some of the issues related to its implementation. Relevant stakeholders assisted researchers and policy makers in the creation, implementation and evaluation of the NGG. Researchers continue to work with policy makers in ongoing evaluations of the multi-year strategy, which are informed by stakeholder input.
          Engaging Nursing Voice and Presence During the Federal Election Campaign 2015   
[This article was originally published in <a href="http://www.longwoods.com/content/24986" target="_blank">Nursing Leadership, 29(4)</a>] During the Canadian federal election in 2015, we conducted a systematic inquiry into the methods and messages developed by national nursing organizations to communicate their policy platforms and their strategies for member and public engagement. Throughout the campaign and in the post-election period, the nursing organizations presented an outward-looking view to improve health and healthcare for Canadians. We observed ways in which they adopted a nursing lens on the issues by showcasing background research, by drawing on relevant nursing knowledge and by communicating clear policy messages based on nursing expertise. The organizations and their members were effective in using social media as a primary tool for reaching out to the candidates, the public and the opinion leaders. The increasing engagement of nursing students in political action is noted as a promising sign for the future impact of the profession. Although the nursing presence was visible in this election, healthcare did not become a strong issue for the public and the political parties. We include a section on post-election uptake of issues raised during the campaign. We conclude with a call for a policy research agenda that deepens our knowledge of political advocacy with a view to identifying how patterns of engagement are defining nursing's collective influence and contributions to health equity.
          As Healthcare Firm Flees Kansas, CEO Says Gov. Sam Brownback Should Resign in Shame   
It is far past the time that Sam Brownback and his cronies admit the damage...to the people of Kansas and resign in the shame they deserve. Rmuse
          Iversoft Solutions   
Iversoft Solutions is a mobile app development & platform solutions company that builds mobile apps & platforms for clients in multiple industries including gyms, government, healthcare, automotive, insurance, and more.
          CNA's Lpn's and Rn's   
NURSES needed for these beautiful towns; Elizabethtown, Louisville, Florence, Shelbyville, Frankfurt, Wilmore and Woodburn Kentucky. We are seeking experienced LPNs, CNA's and RN's. Benefits after 90 days of employment. Call Jaykay Medical Staffing for more details about this and other job opportunities. 800-442-5441 ext 104 Resha or ext 121 Brittany. We want to hear from you. We now offer a referral BONUS program! Know someone looking for a position in the Healthcare Field? Refer them... TBD
          Pediatrician Opportunities in NYC! - MedPath Partners - New York State   
Renaissance Health Network St Nicholas Child Healthcare Center. Physician Affiliate Group of New York (PAGNY) is proudly affiliated with NYC Health + Hospitals,...
From MedPath Partners - Wed, 17 May 2017 07:30:25 GMT - View all New York State jobs
          Join the VFW for a VA Healthcare Town Hall   
    The VFW National Headquarters is hosting a VA healthcare town hall meeting Monday, June 9, at the Uptown Theater from 6-9 p.m. All VA-enrolled veterans are encouraged to attend the town hall to discuss their experiences at VA medical facilities in and around the Kansas City and Ft. Leavenworth areas. VFW National Headquarters leadership […]
          Pharmacy Technician - HealthCare Pharmaceuticals, Inc. - Salt Lake City, UT   
Must be UT licensed as a CPhT, and nationally certified. Fast paced, longstanding, long term care pharmacy has a full time opening for a pharmacy technician....
From Indeed - Fri, 23 Jun 2017 23:34:43 GMT - View all Salt Lake City, UT jobs
          Re: Burundi gays grapple with HIV   
“I know so many married men in this town who sleep with gay men on the side...”

Local perceptions of homosexuality mean the distribution of lubricants and condoms has to be cloak-and-dagger, with many secretly homosexual men making calls and asking for the items to be despatched in plain envelopes to offices or residences, by people not associated with ARDHO.

"We never ask people for their ethnicity or religion before we give them medication or other HIV support, so why should we ask people about their sexuality?" ANSS founder Jeanne Gapiya, a prominent national HIV activist, told IRIN/PlusNews.

"The problem is that this is a hidden community, and the society is in denial about their existence."

In their latest national strategic plan, the National AIDS Control Council, CNLS, has included MSM in the list of people vulnerable to HIV.

"We realise that they are a marginalised group; we have started to invite them for meetings through their NGO, but the difficulty is we don't know who most of them are or how to reach them," Jean Rirangira, the interim executive secretary of CNLS, told IRIN/PlusNews.

Kanuma commented: "It's not just a problem for gay men; it's a problem for the whole society. I know so many married ['straight'] men in this town [the Burundian capital, Bujumbura] who sleep with gay men on the side. People would be surprised," he said.

"Silence is also what is killing us," he added. "I had a friend who had an STI for about one year - he was self-medicating until he eventually went to ANSS and got a proper diagnosis, and then he got better much quicker."

Kanuma has been writing newspaper articles and making guest appearances on private radio stations to raise awareness about MSM and HIV. "During every radio show I allow people to call in with questions and give out ARDHO's email address," he said. "We have more than 150 emails and so many calls, which shows that more information is still needed."

ARDHO is creating brochures detailing all the means of transmitting HIV, including male-male sex, for distribution in mainstream health centres; ANSS plans to send a doctor outside of Burundi for special training in the health issues of MSM to provide them with better healthcare.

HIV prevalence in Burundi has been declining since the late 1990s, but many surveillance sites have recently indicated an upward trend; in May, officials announced that HIV infection had risen from 3.5 percent in 2002 to 4.2 percent in 2008.

Although progress is slow, ARDHO and its partners are unwilling to push the government too hard, preferring to negotiate from a public health platform before demanding for equality under the law. "We need to tread carefully so we don't make the situation worse for gays in Burundi," Kanuma said.

From Mamba website
          Newswire: Jason “poor people shouldn’t have phones” Chaffetz is heading to Fox News   

If you’re already an established Republican politician, getting a gig on Fox News must be one of the easiest things in the world. Basically, all you have to do is make a name for yourself by saying or doing something completely outrageous that promotes conservative talking points in some way, and you might as well be an A-list celebrity. The latest lucky duck to figure that out is Representative Jason Chaffetz, who Politico says will be resigning from his job in Congress on July 1 so he can becoming a correspondent on Fox News.

For those who aren’t familiar with Chaffetz, he’s a particularly delightful brand of asshole who thinks he deserves everything while everyone else deserves nothing, which is a roundabout way of saying that he’s a Republican politician. He’s also the guy who said that people should buy healthcare instead of a new ...


          Operations Supervisor (Healthcare Benefits- Exton) - West Corporation (Health Advocate Solutions) - Exton, PA   
Medicare A, B, MediGap, Supplement plans, Medicare Advantage, Medicare Part D plans. West Health Advocate Solutions in Exton, PA is currently seeking an ...
From Indeed - Wed, 03 May 2017 16:13:00 GMT - View all Exton, PA jobs
          Operations Supervisor (Healthcare Benefits - Exton) - West Corporation - Exton, PA   
Medicare A, B, MediGap, Supplement plans, Medicare Advantage, Medicare Part D plans. West Health Advocate Solutions in Exton, PA is currently seeking an....
From West Corporation - Fri, 03 Mar 2017 01:56:03 GMT - View all Exton, PA jobs
          Supervisor, Financial Coordinator (Healthcare Insurance Coordinator) - Fresenius Medical Care - Portland, OR   
Specific knowledge of and experience with Employer Group Health Plans (EGHP), COBRA, Medicare, Medicaid, Medigaps, Individual/State Risk Pools, and Veteran’s...
From Fresenius Medical Care - Tue, 18 Apr 2017 17:28:58 GMT - View all Portland, OR jobs
          Benefits Specialist (Healthcare) - West Corporation - Plymouth Meeting, PA   
Medicare A, B, MediGap, Medicare Part D plans. You know that health benefits can be confusing to understand....
From West Corporation - Wed, 14 Jun 2017 16:22:44 GMT - View all Plymouth Meeting, PA jobs
          Public Relations/Marketing Coordinator - Castle Medical Labs - Smyrna, GA   
Web scripting languages (Java, Javascript, PHP, Perl, Ruby, CMS). Castle Medical, a leading toxicology laboratory and healthcare organization, is seeking a...
From Castle Medical Labs - Wed, 28 Jun 2017 19:44:58 GMT - View all Smyrna, GA jobs
          DCW -Direct Care Worker - Trimed Healthcare LLC - Morrisville, PA   
Requires 1 yr supervised and verifiable patient care experience or be a recent graduate from a CNA training program....
From Trimed Healthcare LLC - Sat, 13 May 2017 10:16:23 GMT - View all Morrisville, PA jobs
          CNA Certified Nurse Assistant - Julia Ribaudo-Saber HealthCare - Lake Ariel, PA   
Do you like to get to know you patients? Do you like helping them put on their favorite lipstick or talking about last nights big game?...
From Indeed - Fri, 16 Jun 2017 14:37:02 GMT - View all Lake Ariel, PA jobs
          Per Diem Speech Language Pathologist   
NE-Lincoln, I believe that better care begins at home. Compassionate care, uncompromising service and clinical excellence – that’s what our patients have come to expect from our clinicians. Kindred at Home, a division of Kindred Healthcare Inc., is the nation’s leading provider of comprehensive home health, hospice, and non-medical home care services. Kindred at Home, and its affiliates, including Gentiva, de
          Comment on Brian Head fire increases entering Panguitch City’s watershed by Brian   
This fire and the decisions that lead to it are such a good analogy for the ruin that comes out of many liberal policies (see Detroit, Baltimore, etc as examples). Conservative locals have known this day was coming for 15 years because its the natural, predictable consequence of shutting down all logging and not spraying for bark beetles. Yes, it's "natures way", but so are pandemics and serious disease. Should we stop medications and vaccines since they interfere with natural cycles? Similarly, its no surprise that it was during the over-regulating "capitalism is evil" obama era that more businesses went under than were created for the first time on record. Just like its no surprise that Seattle is finding that raising the minimum wage so high, so quick is killing jobs. Just like its no surprise that getting government involved in healthcare has caused premiums and deductibles to skyrocket. Just like its no surprise that the government getting involved in student loans caused a massive and continuing spike in tuition costs and debt. Just like its no surprise that the government changing to buy any and all mortgages caused a massive bubble leading to the 2007 crash. It is worth noting that some of these examples fell under "republican" "leadership" (I used that word VERY loosely), but the actions in question were done by progressives, with conservatives screaming at the top of their lungs against it (which led to the creation of the tea party). The next big fire and smoking ruin may very well be our economy... I guess we should get used to it.
          Comment on Groups advocate for future of homeless youth; a look at the numbers by Mike   
The (Federal) McKinney-Vento Education of the Homeless Act "requires" each school district to report numbers for the following "specific" categories: Sharing a residence with one or more families due to loss of housing or economic hardship, living in a hotel/motel, living in a shelter (domestic violence, emergency, or transitional housing units), living in a place without adequate facilities (running water, heat, electricity), or seeking enrollment without an accompanying parent. The WCSD is compliant with the law. This school year we had 1,021 doubled up, and 142 in the other categories combined. We had 94 students who were unaccompanied. Of those 94 students, 30 dropped out or moved out of our district. That is our most "alarming" statistic. Where did they go? These sites will provide some history and facts about the McKinney-Vento law: http://nche.ed.gov/downloads/ehcy_profile.pdf http://nche.ed.gov/legis/mv.php Our largest category (Living with one or more families) is consistent with the numbers throughout the country. In fact, this category accounts for 88.7% of our total homeless population within the Washington County School District. I believe this number will continue to grow because of the few options for affordable housing and the lower wage jobs available in our county. According to the commercial real estate firm NAI Excel, vacancy for multifamily housing in St. George currently stands at less than 0.1%. In 2010, monthly rent for a two bedroom, two bath apartment was $690, which has risen to an average of $848 today. This forces even "working" families to share residences and rent with one another. In my experience over the past 3 years as the homeless liaison, I have witnessed students and their families go in and out of homelessness several times during the year. That is why a student who is homeless even one day is entitled to the benefits and rights under the McKinney-Vento Law. The whole reason for the law was to take away the barriers for students living in homelessness to be able to attend school on a regular basis and be successful. They also are eligible to have an advocate (the homeless liaison) to help with the student's basic needs, birth certificates, immunizations, fee waivers, free breakfast and lunch, school supplies, clothing, and in some cases transportation to school. I invite anyone out there to visit the agencies and organizations that are dealing with the homeless population and families living in poverty on a daily basis and hear what they have to tell you, i.e. the DOVE Center, Switchpoint Community Resource Center, Department of Workforce Services, Southwest Behavioral Health Center, Doctors Volunteer Clinic, Family Healthcare Clinic, Southwest Utah Public Health Department, St. George Housing Authority, Five County Association of Government, Department of Child & Family Services, St. George Police Department, all local police departments, Washington County Sheriff's & Attorney's Departments, Children's Justice Center, St. George Catholic Thrift Store, Deseret Industries, the Family Support Center, The Learning Center for Families, Salvation Army, Utah Food Bank, Grace Episcopal Church, Solomon Porch, Utah Foster Care Foundation, System of Care, Washington County Youth Crisis Center, TEAM RAW, Southwest Adult High School, Big Brothers Big Sisters, SUU Headstart, Paiute Indian Tribe, Vocational Rehabilitation, Intermountain Healthcare, the Interfaith Council, any church leader, Dixie State University, the United Effort Plan Trust (in Hildale), Cherish Families, etc. etc. etc. many, more. The Washington County School District alone has close to 45 schools with faculty, staff, administrators, and counselors that can "personally" tell you stories of their students living in poverty or homeless conditions. Live in our world for a day and you will realize we are not lying about the desperate needs for our homeless youth. We just realize that we (alone) CANNOT give them what they need. It is going to take as many people and groups of people to make things better. The great thing about America is that you have the right to criticize and complain or get involved, OR do nothing? It is up to you what you decide to do. :)
          RxPrism to open innovation hub in UK   
City-based RxPrism, a global healthcare-focussed, digital marketing and customer engagement services and solutions provider, will open a regional inno...
          Sen. Rand Paul calls Republicans ‘their own worst enemy’ on health care bill   
"We’re splitting the difference with Republicans who want to keep Obamacare."
          SR PATIENT ACCOUNT REP Full time Days - Sentara Healthcare - Chesapeake, VA   
We are seeking a self-directing and detail oriented team player to work as a Senior Patient Account Representative for our Sentara Billing Division in...
From Sentara Healthcare - Wed, 28 Jun 2017 01:25:55 GMT - View all Chesapeake, VA jobs
          DELIVERY/MAINT ASSIST - Sentara Healthcare - Chesapeake, VA   
Drives company vehicle safely over established route to transport and deliver prescription medication, letters, packages and reports from one place to another
From Sentara Healthcare - Tue, 27 Jun 2017 01:20:26 GMT - View all Chesapeake, VA jobs
          LPN SCHEDULER - Sentara Healthcare - Chesapeake, VA   
Sentara Healthcare is seeking and experienced LPN Scheduler for our Skilled Nursing Team in Chesapeake, Virginia....
From Sentara Healthcare - Mon, 26 Jun 2017 21:20:15 GMT - View all Chesapeake, VA jobs
          TC, PATIENT ACCOUNTS - Sentara Healthcare - Chesapeake, VA   
Sentara Healthcare is recruiting for a Team Coordinator in Patient Accounting to work full time days at the Battlefield Corporate Center in Chesapeake, VA....
From Sentara Healthcare - Mon, 26 Jun 2017 21:19:40 GMT - View all Chesapeake, VA jobs
          REGISTERED NURSE - Sentara Healthcare - Chesapeake, VA   
Sentara offers Excellent Benefits and Compensation. Sentara Home Care – Hospice Services is accepting applications for a Full-time RN....
From Sentara Healthcare - Mon, 26 Jun 2017 21:19:27 GMT - View all Chesapeake, VA jobs
          REGISTERED NURSE (Family Medicine & Peds - Edinburgh - Chesapeake) - Sentara Healthcare - Chesapeake, VA   
Sentara Family Medicine and Pediatrics – Edinburgh is seeking a full time Registered Nurse (RN). Oncology Care ONS/ONCC or Sentara approved course Chemotherapy...
From Sentara Healthcare - Wed, 21 Jun 2017 00:51:14 GMT - View all Chesapeake, VA jobs
          Medical Assistant - FT/Days - SMG-Family Medicine - Chesapeake - Sentara Healthcare - Chesapeake, VA   
SMG Family Medicine Practice, located in Chesapeake, VA, is seeking a full-time Medical Assistant. careerconnection Perform patient care and administrative
From Sentara Healthcare - Tue, 20 Jun 2017 20:49:47 GMT - View all Chesapeake, VA jobs
          Physical Therapist-Home Health - Sentara Healthcare - Chesapeake, VA   
Sentara Home Health Services is currently recruiting for a Full Time Physical Therapist. Job Summary Assess, plan, organize, and participate in rehabilitative...
From Indeed - Thu, 15 Jun 2017 17:24:51 GMT - View all Chesapeake, VA jobs
          PHYSICAL THERAPIST - Sentara Healthcare - Chesapeake, VA   
Assess, plan, organize, and participate in rehabilitative programs that improve functional mobility, relieve pain, and improve or correct disabling conditions
From Sentara Healthcare - Wed, 14 Jun 2017 20:22:50 GMT - View all Chesapeake, VA jobs
          MATERIALS HANDLER PT Rotating Chesapeake - Sentara Healthcare - Chesapeake, VA   
Coordinate incoming and outgoing supply activities at a facility/department including inventory, restocking, sorting and receiving of deliveries of supplies
From Sentara Healthcare - Wed, 14 Jun 2017 00:18:59 GMT - View all Chesapeake, VA jobs
          Radiology Service Coordinator - Sentara Healthcare - Chesapeake, VA   
Responsible for the order entry process, communication and guest relations, medical record maintenance/analysis, responsible for transporting, lifting,
From Sentara Healthcare - Tue, 13 Jun 2017 20:18:49 GMT - View all Chesapeake, VA jobs
          MAMMOGRAPHY TECH - Sentara Healthcare - Chesapeake, VA   
Perform and analyze all diagnostic and interventional Mammography Procedures. Perform all quality control and quality assurance standards as prescribed by all
From Sentara Healthcare - Tue, 13 Jun 2017 20:18:46 GMT - View all Chesapeake, VA jobs
          ASST PROFESSOR Sentara College of Health Sciences - Sentara Healthcare - Chesapeake, VA   
Provides classroom and or clinical instruction to students in Sentara’s health science programs. He/she uses interactive and innovative teaching learning
From Sentara Healthcare - Mon, 05 Jun 2017 19:43:01 GMT - View all Chesapeake, VA jobs
          LPN - Sentara Healthcare - Chesapeake, VA   
The Licensed Practical Nurse (LPN) functions under the supervision of an RN or Licensed Independent Practitioner (LIP) in the clinical setting, within the
From Sentara Healthcare - Wed, 31 May 2017 23:20:15 GMT - View all Chesapeake, VA jobs
          PROCUREMENT SPECIALIST FT Days, Materials Management Chesapeake - Sentara Healthcare - Chesapeake, VA   
Sentara Healthcare is currently recruiting for an experience Procurement Specialist for their busy Materials Management department located in Chesapeake, Va....
From Sentara Healthcare - Wed, 31 May 2017 23:20:14 GMT - View all Chesapeake, VA jobs
          MGR, REGULATORY AFFAIRS - Sentara Healthcare - Chesapeake, VA   
Sentara offers Excellent Compensation and Benefits. Sentara Home Health is currently interviewing experienced RNs for our Regulatory Affairs Manager position....
From Sentara Healthcare - Fri, 26 May 2017 02:55:44 GMT - View all Chesapeake, VA jobs
          DEAN ACADEMIC AFFAIRS Sentara College of Health Sciences - Sentara Healthcare - Chesapeake, VA   
Serves as Chief Academic Officer (CAO) of Sentara College of Health Sciences and is responsible for developing the leadership team in all aspects of academic...
From Sentara Healthcare - Thu, 25 May 2017 22:56:07 GMT - View all Chesapeake, VA jobs
          INSTRUCTOR, COHS PT Days Norfolk General Hospital - Sentara Healthcare - Chesapeake, VA   
Sentara Healthcare College of Health Sciences is currently recruiting for a Part Time days instructor for their Cardiovascular Technology program based at...
From Sentara Healthcare - Thu, 25 May 2017 22:55:48 GMT - View all Chesapeake, VA jobs
          QUALITY IMPROVEMENT NURSE - Sentara Healthcare - Chesapeake, VA   
Sentara offers excellent benefits and compensation. Sentara Home Health is seeking a full-time Quality Improvement Nurse. Great Career Opportunity!...
From Sentara Healthcare - Fri, 19 May 2017 18:30:04 GMT - View all Chesapeake, VA jobs
          ENTEROSTOMAL THERPST-CERTIFIED - Sentara Healthcare - Chesapeake, VA   
Sentara Home Health is seeking a Full-Time Registered Nurse – Enterostomal Therapist.for our Telehealth Team! Great Career Opportunity!...
From Sentara Healthcare - Fri, 19 May 2017 18:29:59 GMT - View all Chesapeake, VA jobs
          Rev. Al Sharpton Covers The Latest On The Healthcare Bill   
06/28/17 – Reverend Al Sharpton encourages people to remain steadfast in the fight against the Senate health care bill despite its latest hiccup. Like BlackAmericaWeb.com on Facebook. Follow us on Twitter and Instagram Sign Up For Our Newsletter!
          CyberWar MYID   

CyberWar between Malaysian and Indonesian HackersCyberWar between Malaysian and Indonesian Hacker due to misunderstanding between
Malaysia and Indonesia.
In this situation Indonesia hacker has set up an Operation to attack Malaysian site (OpMalaysia).

The CyberWar begin while some of Indonesian hacker start hacking malaysian site with file
fuckyou.txt with inside contain "Fuck you all" that make some of malaysian hacker get angry
with them.

Then, Eagle Eye from DACC and UMCA has started attack Indonesian site as 
retaliations.
While this happen , start the 
misunderstanding between Malaysia and Indonesia.
This attack occurred from 18/08/2013 until 19/08/2013 , below is malaysian and indonesian site defaced!

Indonesia sites
http://www.perbanas.ac.id/
http://www.sultanbangsa.com/
http://www.asuransigudang.com/
http://www.asuransimobil123.com/
http://www.intisari.co.id/
http://www.easybuy.co.id/
http://www.getmaxs.co.id/
http://www.virtuindo.com/home
http://www.voltek.co.id/
http://www.lightingxenterjakarta.com/
http://www.darulikhlas.sch.id/
http://litbang.magelangkota.go.id/images/http://www.rsijpondokkopi.co.id/
http://www.multicon.co.id/
http://www.cfcdcenter.or.id/
http://www.wpk.co.id/
http://csr.cfcdcenter.or.id/



Malaysian sites

http://pavstudio.my/
http://mynowauto.just4student.com/
http://just4student.com/
http://myilmu.edu.my/v1/
http://4u2shop.com.my/
http://proventus.com.my/
http://suxcess.com.my/
http://www.4u2search.com.my/
http://www.organo.com.my/
http://mybizmall.biz/x.php
http://krystalgraphics.com/x.php
http://suaraseniman.net/x.php
http://iskconkl.org/x.php
http://skytv2u.com/x.php
http://www.kmph.matrik.edu.my/x.htm 
http://www.cybernetics.edu.my/readme.html
http://chinmay.com.my/index.php
http://www.biga.com.my/
http://leogranite.my/
http://hanifcaterer.com.my/
http://www.yayasanfelda.net.my/
http://www.allianzeunicollege.edu.my/index.php
http://acms.edu.my/
http://rumahdijualsemarang.com/
http://www.sensonic-concept.com.my/
http://www.greenhealthcare.my/
http://qhotelperlis.com.my/
http://citylinksecurity.com/index.html
http://bestrode.com.my
http://www.adores.com.my/
http://besticmarket.com/
http://digitalsignage.my/
http://digitalsignage.com.my/
http://toshi.com.my/
http://voipshock.com/
http://smr.toshi.com.my/
http://gadgetzone.my/


After that , this CyberWar ended with apologize from Eagle Eye for attacking indonesian sites , the OpMalaysia was cancelled.






          Caddell on CNN Fake News Scandal: Networks Believe It’s ‘Their Right to Tell You Who You Must Vote For’   

Pat Caddell joined Breitbart News Daily SiriusXM host Alex Marlow on Wednesday to discuss the Senate healthcare bill, as well as the fallout for CNN as Project Veritas released undercover video of a CNN producer admitting he thinks the network's Russia coverage is "bullsh*t."
          Poll: Majority Prefer ObamaCare to Struggling Senate GOP Bill   
Paul Ryan, Mitch McConnell
As the GOP's Senate healthcare reform bill struggles to gain momentum, with Senate Majority Leader Mitch McConnell (R-KY) punting a vote beyond his previously stated July 4 deadline due to a lack of support, it seems the public is even less enthused than Republican lawmakers.
          Caddell: Senate Healthcare Bill ‘Dead as a Doornail’   

Pat Caddell joined Breitbart News daily SiriusXM host Alex Marlow on Wednesday to discuss the Senate healthcare bill, as well as the fallout for CNN as Project Veritas released undercover video of a CNN producer admitting he thinks the network's Russia coverage is "bullsh*t."
          IAM Engineer- Sailpoint, Java and Powershell Scripting - Children's Healthcare of Atlanta - Atlanta, GA   
Strong competency with one or more identity management software tools, e.g., SailPoint, Varonis, Thycotic, Courion, Dell, Oracle, Sun, Microsoft, StealthBits....
From Children's Healthcare of Atlanta - Thu, 13 Apr 2017 14:16:51 GMT - View all Atlanta, GA jobs
          Voices of Women with Host Kris Steinnes: Deborah Koff-Chapin and Kym Cumbo-Gordon sharing Women of Wisdom Conference   
EpisodeDrawing Out Your Soul: An Experience of Touch DrawingTouch Drawing is a creative practice that integrates mindfulness, therapy, and spirituality. Deborah holds a safe and sacred space while you draw with gentle drumming, crystal bowls and evocative vocal. Other expressive art forms such as movement, writing and toning enrich your experience.Touch Drawing has applications in a great range of professions; therapy, art, healthcare, hospice, education, social work, the intuitive arts and as a cr ...
          Ali Velshi destroys lying GOP Congressman as he schools him on Trumpcare (VIDEO)   
Ali Velshi destroys lying GOP Congressman as he schools him on healthcare (VIDEO)

Ali Velshi did not allow this Republican Congressman to misinform on the air. He schooled him not only on Trumpcare but healthcare in general.

The post Ali Velshi destroys lying GOP Congressman as he schools him on Trumpcare (VIDEO) appeared first on EgbertoWillies.com.


          Feeding lactose-intolerant children   

The Seville Institute of Pediatrics (IHP), in line promote training among its members and other members of the healthcare community, organizing a new training cycle.

Following the success of the course and child neurology cardiology, IHP has launched update the Days of pediatric gastroenterology, bringing together until Saturday to almost one hundred professionals in Seville.

The event will be opened by Dr. Alfonso Carmona, medical director of IHP, today at 16.30 h in the Hall Ave Maria Sacred Heart Hospital in Seville Chiron and aims to continue the ongoing training of pediatricians, in those problems that are frequently in daily practice.

Among the topics to be addressed, highlighting the peculiarities of child food desensitization (a novel method that can treat such allergies), changes in the criteria for diagnosis of celiac disease and the treatment of impaired lactose. "There is much confusion between allergy to milk protein and lactose intolerance," said Dr. Alfonso Herrera Rodríguez, responsible for addressing the latter issue in the days of the IHP.

The expert points out that the management of patients with lactose intolerance is easy to reach and warns not to remove more food than necessary, since in most cases it is sufficient to eliminate milk or milkshakes. "The amount of lactose is almost negligible in other foods, like cookies," he adds.

In addition, other topics addressed pediatric indications such as prebiotics, constipation, gastroesophageal reflux and advice on food rations to be taken by children over three years.

source: www.ihpediatria.com


          Today is the World Day of hypertension   

In Europe, less than 50% of patients on antihypertensive treatment is able to reduce their blood pressure levels below 140/90 mmHg and it is estimated that more than half of untreated hypertensives. 3.4 "To meet this challenge, the European Society of Hypertension (ESH by the acronym) has set a target that 70% of hypertensive patients achieve control of their blood pressure levels by 2015", said Professor Josep Redon, President of the ESH, adding: "Some European countries, such as Italy and France, have already committed to this initiative and soon we will meet with hypertension companies from other European countries to ensure support for the time to realize this common goal. "

To help physicians and patients achieve blood pressure targets and, thus, reduce the risk of developing serious cardiovascular events, Daiichi Sankyo continues to investigate the benefits of fixed-dose combination of olmesartan and amlodipine and developing solutions that involving health professionals and patients as part of their initiative HypertensionCare.

In this sense, soon will present new clinical data from phase 4 Sevitension study, comparing fixed-dose combination of olmesartan and amlodipine versus perindopril and amlodipine in reducing central blood pressure aórtica.5

It is estimated that between 80 and 85% of hypertensive patients may achieve blood pressure control with combinations of several fármacos.6 fixed dose combinations, which are the preferred treatment option according to the European Guidelines for management clinical simplify antihypertensive treatment, improve patient adherence and outcomes clínicos.6

Optimizing the management of hypertension will also be the focus of the satellite symposium "Ten years of olmesartan" that Daiichi Sankyo and Menarini organized within the next 23 th Congress of the European Society of Hypertension (ESH by the acronym) and will take place Milan (Italy) on June 14 from 15.00 to 17.00 hours.

MyHypertensionCare

 "In addition to our ongoing research on olmesartan-based antihypertensive therapies, we are very proud of our program HypertensionCare that helps doctors and patients to more effectively control the blood pressure levels," says Joris Versteden, Senior Medical Director at Daiichi Sankyo Europe.

As part of this initiative, last year launched the interactive portal hypertensive patient support www.myhypertensioncare.eu, available in English for all of Europe (excluding the UK). Since then, the site has evolved and contains three distinct platforms: the original site dedicated to providing tools for healthcare professionals, one with hypertensive patient information and their families and a third that specifically promotes adherence of patients.

Adherence to treatment is a challenge for hypertensive patients. It is estimated that approximately 50% of patients discontinue treatment after a year.7 and lack of adherence has been identified as a major cause of failure to achieve blood pressure goals propuestas.8 support program myHypertensionCare patient aims to improve the understanding, commitment and compliance with treatment, accompanied by changes in lifestyle, all resulting in an improvement of the results clínicos.8, 9

About Daiichi Sankyo

The Daiichi Sankyo Group is dedicated to research and innovative drug delivery in both mature and emerging markets, with the goal of addressing unmet medical diverse decks. The company was formed in 2005 through the merger of two Japanese companies with a long tradition, Daiichi and Sankyo. With net sales of close to 8,500 million euros, Daiichi Sankyo is one of the top 20 pharmaceutical companies in the world. In addition to a consolidated portfolio of drugs against hypertension, hyperlipidemia, and bacterial infections, Daiichi Sankyo seeks new therapies in cardiovascular and oncology. The Daiichi Sankyo Group has established the "Hybrid Business Model" that combines innovative and generic drugs in order to reach as many patients as possible.

The company's global headquarters is located in Tokyo. The Daiichi Sankyo's European headquarters is located in Munich and has subsidiaries in 12 European countries in addition to a global manufacturing facility located in Pfaffenhofen (Germany).

For more information, please visit www.daiichi-sankyo.es or www.daiichi-sankyo.eu

Contact

Roberto Sánchez Martín. Corporate Communications Manager

Tel +34 91 5399911 roberto.sanchez @ daiichi-sankyo.es

Forward-Looking Statements

This press release contains forward-looking statements and information on the future development of the sector and on the legal and business conditions of Daiichi Sankyo Spain, SA Such statements are not final and are subject to change at any time, especially the common changes faced by a global pharmaceutical company, including the impact of the price of products and raw materials, medication safety, changes in exchange rates, regulations government, labor relations, taxes, political instability and terrorism as well as the results of independent demands and governmental inquiries that affect the affairs of the company. All statements included in this release are certain at the time of publication. Not represent any guarantee of future performance. Actual events and developments could differ materially from the forward-looking statements expressed or implied in these statements. Daiichi Sankyo Spain, SA not assume any responsibility for updating these statements about the future development of the sector or the legal or business of the company.

References

1.      OMS. World Hypertension Day Brochure, 2013.

2.      Lawes, CM, Vander Hoorn, S. & Rodgers, A. Global burden of blood-pressure-related disease, 2001. Lancet 2008; 371 (9623):1513-8

3.      Wang YR, Alexander GC, Stafford RS, Outpatient Hypertension Treatment. Treatment Intensification, and Control in Western Europe and the United States. Arch Intern Med. 2007;167(2):141-147

4.      Wolf-Maier K et al. Hypertension Treatment and control in five European countries, Canada, and the United States.

5.      Comparison of Sevikar® and the Combination of Perindopril/Amlodipine on Central Blood Pressure. www.clinicaltrials.gov/ct2/show/NCT01101009. Accessed May 2013.

6.      Mancia G, Laurent S, Agabiti-Rosei E, et al. Reappraisal of European guidelines on hypertension management: a European Society of Hypertension Task Force document. Journal of Hypertension 2009, 27:000–000

7.      Vrijens B, Vincze G, Kristanto P, et al. Adherence to prescribed antihypertensive drug treatments: longitudinal study of electronically compiled dosing histories. BMJ. 2008; 336:1114–1117.

8.      World Health Organization Report 2003: Adherence to Long-Term Therapies. www.who.int/chp/knowledge/publications/adherence_full_report.pdf. Accessed May 2013.

9.      Corrao G, Parodi A, Nicotra F, et al. Better compliance to antihypertensive medications reduces cardiovascular risk. J Hypertens 2011; 29(3): 610–618.

10.    Scott, L. J. and McCormack, P. L. Olmesartan medoxomil: a review of its use in the management of hypertension. Drugs 2008; 68(9): 1239-1272.

11.    Fabia et al., Antihypertensive activity of angiotensin II AT 1 receptor antagonists: a systematic review of studies with 24h ambulatory blood pressure monitoring. Journal of Hypertension 2007; 25(7): 1327-1336.

12.  Stumpe, K. O. Olmesartan compared with other angiotensin II receptor antagonists: head-to-head trials. Clin Ther 2004; 26 (Suppl A)A33-7

 

Photo By hugovillarroelabrego [Public domain or Public domain], via Wikimedia Commons


          Individualized glycemic control in diabetic elderly patient   

 Zaragoza, May 27, 2013 - The prevalence of type 2 diabetes increases with age and it is estimated that, worldwide, over the next two decades the epidemic of this disease will be particularly significant in the population over 65 years .

 
In Spain, according to Di @ betes1 study, the prevalence of diabetes in elderly patients over 75 years is about 30% of the population and is almost 40% older than 85 years.
 
Given this situation and the XX Congress of General and Family Medicine, held in Zaragoza, organized the meeting Novartis 'therapeutic targets in the elderly diabetic patient' in order to discuss the main challenges in addressing elderly patient with type 2 diabetes.
 
According to Dr. Carlos Miranda Fernandez-Santos, Family Medical Health Center Buenavista Toledo, coordinator of the Spanish Diabetes Society of General Practitioners and Family (SEMG) and moderator of the meeting: "The aim of This meeting focuses on addressing diabetes and other cardiovascular risk factors in the context of the elderly patient. "
 
The elderly diabetic patient has specific as the presence of comorbidities, a high clinical heterogeneity geriatric symptoms (cognitive impairment, depression or falls) and an increased risk of morbidity and mortality, among others, that necessitate a specific approach of the pathology. In this sense, says Dr. Miranda Fernandez-Santos "when treating a patient with these characteristics is necessary to individualize each case, since as stated Consensus Document on the treatment of elderly diabetic patient, which has participated and endorsed the SEMG, therapeutic goals in diabetic elderly patients vary with age and the patient's own situation. "
 
Among the topics covered in the panel discussion included the reflection on the importance of glycemic control targets to achieve a correct approach to the elderly diabetic patient. According to Dr. Francesc Formiga, program director of Geriatrics, Internal Medicine Hospital of Bellvitge in Barcelona, ​​"the goals of glycemic control of elderly patient should be individualized and always take into account the patient's opinion and involve you in the whole process . Although therapeutic options are the same as for the young, the elderly, these options will have to be adapted to various aspects such as kidney function, frailty, decreased visual acuity, the presence or absence of a qualified, among others, always depending on the patient's profile. "
 
The duration of diabetes and total life expectancy and active patient are of great importance to the planning of therapeutic goals. So says Dr. Formiga "in deciding the therapeutic goals should be considered two different scenarios: first, in the elderly with functional and cognitive capabilities preserved without major complications or comorbidities and good life expectancy, are recommends a target HbA1c of 7% -7.5%. Moreover, in the group of frail elderly with disabilities (physical and / or cognitive) and major complications and / or comorbidities, and a short life expectancy, the control objectives should be less stringent (HbA1c 7.6 % -8.5%). Clearly, the low life expectancy disappear from view very strict control objectives that provide benefits in the medium to long term. "
 
Another issue discussed at the meeting refers to the use of dipeptidyl peptidase 4 (IDPP4) compared with sulfonylurea-based treatments in the elderly with diabetes. In the words of Dr. Concepcion Vidal, Deputy Department of Endocrinology and Nutrition, Hospital Royo Villanova Zaragoza: "The drugs IDPP4 are easy to handle in a single daily dose or in two doses in combination with metformin, with similar reductions in HbA1c and little risk of hypoglycemia. Meta-analyzes with IDPP4 in large population samples seem to show that their use reduces the risk of cardiovascular events, particularly myocardial infarction and mortality from all causes in people with type 2 diabetes, this treatment caused positioned as the optimum in all phases of the disease. In this sense, his qualification is suited to situations of renal failure and its use is becoming widespread in both elderly and in patients debutantes more evolved ".
 
Finally, experts have debated the factors that limit the elderly diabetic patient management in primary care. According to Dr. Francisco Key, Medical Primary Care Service Hospital High Resolution The Toyo Almeria, "the elderly patient with type 2 diabetes has a number of characteristics and constraints that must be considered when using or most suitable drugs: on one hand, the quality of life, to be good or acceptable in some cases, while in others there will be a significant reduction in patients instrumental abilities and high comorbidity, and secondly, chronic complications, for some patients present micro and macrovascular complications, while in others, the newly diagnosed, it will be little or no ".
 
Dr. Francisco Key has also stated that neither "can forget the major geriatric syndromes that, by themselves, can condition treatment and reduce life expectancy, such as cognitive impairment, depression, accidental falls, polypharmacy, urinary incontinence or chronic pain, to name the most common. "
 
About Novartis
Novartis AG (NYSE: NVS) provides solutions for health care consistent with the needs of patients and societies. Focused exclusively to the area of ​​healthcare, Novartis offers a diversified portfolio of products respoder these needs: innovative medicines, eye care, high quality generic drugs that help save cost, preventive vaccines and diagnostic tools, OTC; and Animal Health. Novartis is the only company that has achieved a leadership position in these areas. In 2012, the Group achieved net sales of 56,700 million USD and invested approximately U.S. $ 9,300 million (9,100 million excluding asset impairment depreciation and amortization) in R & D. Headquartered in Basel, Switzerland, the Novartis Group companies employ approximately 129,000 associates and operate in more than 140 countries worldwide. For more information, please visit http://www.novartis.com and http://www.novartis.es sites.
 
 
References:
 
1. Soriguer F, Goday A, Bosch-Comas A, Bordiú E, Calle-Pascual A, Carmena R, Casamitjana R, Brown L, Castell C, Catala M, Delgado E, Franch J, Gaztambide S, Girbés J, Gomis R, Gutiérrez G, López-Alba A, Martínez-Larrad M. T, Menéndez E, Mora-Peces I, Ortega E, Pascual-Mannich G, Rojo-Martínez G, Serrano-Rios M, Valdés S, Vázquez J. A Vendrell J. Prevalence of diabetes mellitus and impaired glucose regulation in Spain: the Di@bet.es Study. 2011

 


Image By IntDiabetesFed [Public domain], via Wikimedia Commons


          Increases eficiacia assisted reproduction treatments in Spain   

Subject matter experts will present the latest updates on treatments and reproduction techniques, in the context of fertility experts today symposium organized by MSD, held in Malaga on 10 and 11 May.

 "This symposium is an opportunity to bring together most professionals working in human reproduction to discuss current issues related to our specialty," said Dr. Buenaventura Coroleu, Head of Reproductive Medicine Dexeus University Institute and one of the speakers at the meeting. Among the novelties, Dr. Coroleu highlights "the analysis of the new options for preservation of fertility, both medical cause as the patient voluntary desire, as well as developments in diagnostic and therapeutic options for patients with poor response to Assisted reproductive cycle or ovarian stimulation treatments oocyte donors. "

As part of the symposium, Dr. Buenaventura Coroleu, Head of Reproductive Medicine Dexeus University Institute, explained that "evolution in assisted reproduction techniques in the last ten years has been very positive. Mainly by the simplicity of the treatment of ovulation stimulators, where stands for example the use of alpha coriflolitropina, which reduces the need punctures seven day to one week, a reduction in adverse effects such as ovarian hyperstimulation and multiple pregnancies. Finally, is the increase of efficiency, with a significant increase in pregnancy rates. "

Efficacy, safety profile and convenience considerations for choosing treatment

The Symposium also analyzed aspects to consider when choosing the right treatment for each patient. Dr. Coroleu notes that "the efficacy, safety profile and convenience are the most important keys to the choice of treatment. Of course, we must take into account the age of the patient, her Body Mass Index (BMI), hormone profile and ovarian reserve ". Whether the patient must be involved in the choice of treatment, Dr. Coroleu believes that "the most important is choosing the best technique and drugs for each patient. Considering this aspect, patients are concerned about the comfort of the treatment, and in these cases we have alternatives to conventional shots mean less patient. This is the case of alpha Corifollitropin. One treatment that has demonstrated efficacy and good safety profile for women who are going to be subjected to a cycle of in vitro fertilization ".

Corifollitropin alpha (ELONVA ®) is a subcutaneous injection for ovarian stimulation the patient is applied once a week1, achieving, with a single injection, the same efficiency as a daily injection of recombinant follitropin for seven days1, 2.
 
The couples come with misinformation to the first consultation

Dr. Buenaventura Coroleu noted the importance of the information given to the patient before starting any treatment: "More and more couples who come to see for reproductive problems more familiar with the different techniques. But, many times, we must clarify doubts arising from an excess of information is not always true. " Dr. Coroleu has pointed to the important work done by the scientific societies in this field "spend much of their efforts to disseminate scientifically correct".
 
About MSD

Today's MSD is a global healthcare leader working to contribute to global health. MSD is known as Merck & Co., Inc. in the U.S. and Canada. Through our medicines, vaccines, biologic therapies, and consumer products veterinarians we work with customers and operate in more than 140 countries to deliver innovative health solutions. We also demonstrate our commitment to increasing access to healthcare through far-reaching policies, programs and partnerships. For more information visit www.msd.es and follow us on Twitter, Facebook and YouTube.

Forward-Looking Statements

This press release contains "forward-looking statements" as that term is defined in the Reform Act Private Securities Litigation United States (1995). These statements are based on current beliefs and expectations of Merck's management and are subject to significant risks and uncertainties. If underlying assumptions prove incorrect or risks and uncertainties materialize, actual results may differ from those discussed in the forward-looking statements.

The risks and uncertainties include, among others, general industry conditions and competition, general economic factors such as interest rate or currency exchange rate fluctuations, the impact of pharmaceutical industry regulation and legislation health care in the United States and internationally, the global trend towards restricting pharmaceutical expenditure, advances in technology and new products and patents attained by competitors; challenges inherent in new product development, including obtaining the approval of regulatory agencies, the ability of MSD to accurately predict future market conditions, difficulties and delays in the manufacturing process, the financial instability of international economies and sovereign risk, the dependence of the effectiveness of patents and other protections for innovative products from MSD, and the exposure to litigation (including those relating to patents) and / or regulatory actions.

Merck undertakes no obligation to publicly update any forward-looking statement, whether as a result of new information, future events or otherwise. Additional factors that could cause actual results to differ materially from those described in the forward-looking statements may be found in Merck's Annual Report 2012 on Form 10-K, and other documents of the Company filed with the Commission Stock Exchange and Securities and Exchange (SEC) which are available on the website of the SEC (www.sec.gov).
 
References:

    ELONVA datasheet
    Devroey P, Boostanfar R, Koper NP, Mannaerts BM, PC Ijzerman-Boon, Fauser BC. A double-blind, non-inferiority RCT Comparing alfa and recombinant FSH Corifollitropin During the first seven days of ovarian stimulation using a GnRH antagonist protocol. Hum Reprod. 2009, 24: 3063-3072.


Fotografía: See page for author [Public domain], <a href="http://commons.wikimedia.org/wiki/File%3ASperm-egg.jpg">via Wikimedia Commons</a>


          Early antibiotic treatment of severe sepsis   

Infectious disease specialists have advocated the early use of highly active antibacterial antibiotics to reduce the number of deaths caused by severe sepsis in the scientific session entitled "Facing the dilemma of mortality and resistance in Gram-positive infections" organized by Novartis under XXIII European Congress of the European Society for Microbiology and Infectious Diseases (ESCMID). This disease, which is often confused with 'blood poisoning', is one of the leading causes of mortality in the world 4, which could be significantly reduced with the use of drugs active against Gram + from Time 0 in which active sepsis5 code.

Sepsis or sepsis is the body's response to infection, either extra-or hospital, more frequent due to the immune status of patients and increased invasive techniques, intravenous catheters, prostheses and implants intravasculares1, 6. It is a disease whose incidence increases 2% annually and that records 18 million cases per year worldwide. Only in Spain are detected daily one to two new cases of severe sepsis per 100,000 inhabitants. Has a mortality rate of 50% 2 in case of septic shock, being superior to that of prostate cancer, breast cancer and HIV / AIDS juntos3.

To reduce these numbers, Dr Alex Soriano, Infectious Diseases Unit of the Hospital Clinic of Barcelona, ​​argued in his paper "Saving your patient: the importance of early treatment" the importance of early antibiotic therapy in the treatment of serious infections "to reduce mortality, length of hospitalization and possible relapse."

Although this is an increasingly common protocol, the usual tendency is to start with a classic less potent antibiotic and increase it if necessary. The consumption of antibiotics has been linked to the selection of resistant organisms, but for Dr. Soriano "the problem is not that you use a strong antibiotic from the beginning, but that the patient take for many days as necessary. The initiation of treatment should not be delayed unnecessarily and discontinued or adjusted according to the results of the microbiology laboratory. "

In your opinion, was suspected severe sepsis is better not to take risks, as it is in the patient's life threatening. "It is true that following this protocol is possible that people who do not need treatment so strong end up getting it but it does not pose a risk to the patient," said the doctor.

Area Director Integrated Hospital Care at Novartis, Begoña Gómez, highlights the importance of efforts devoted to R & D to address issues such as sepsis. "The health and quality of life of patients is our top concern, so that our work is focused on the development of drugs that allow us to care for and heal people, not forgetting to publicize the progress made in this regard between the medical community. " Sample this commitment, Novartis has held in the Congress of the symposium on ESCMID positive infections.

This release contains certain forward-looking statements relating to the business of the Company. There are factors that could modify the current results.

About Novartis

Novartis AG (NYSE: NVS) provides solutions for health care consistent with the needs of patients and societies. Focused exclusively to the area of ​​healthcare, Novartis offers a diversified portfolio to best meet these needs: innovative medicines, eye care, high quality generic drugs that help save cost, preventive vaccines and diagnostic tools, OTC; and Animal Health. Novartis is the only company that has achieved a leadership position in these areas. In 2012, the Group achieved net sales of 56,700 million USD and invested approximately U.S. $ 9,300 million (9,100 million excluding asset impairment depreciation and amortization) in R & D. Headquartered in Basel, Switzerland, the Novartis Group companies employ approximately 129,000 associates and operate in more than 140 countries worldwide. For more information, please visit the websites http://www.novartis.com y http://www.novartis.es.

 

Referencias
1 http://www.news-medical.net/health/What-is-Sepsis-%28Spanish%29.aspx
2 http://www.intramed.net/sitios/librovirtual1/pdf/librovirtual1_52.pdf
3 http://www.cec.health.nsw.gov.au/__documents/programs/sepsis/world-sepsis-day/1_2_wsd_factsheet_english.pdf
4 http://www.biomerieux.com.mx/upload/SPANISH_Fact_Sheet_Sepsis-1.pdf
5 http://www.juntadeandalucia.es/salud/export/sites/csalud/galerias/documentos/p_3_p_3_procesos_asistenciales_integrados/sepsis_grave/sepsis_grave.pdf
6 http://www.intramed.net/sitios/librovirtual1/pdf/librovirtual1_52.pdf


Fotografía By Credit: Rocky Mountain Laboratories, NIAID, NIH [Public domain], via Wikimedia Commons


          Winners of the 2nd edition in Healthcare Management Award   

The aim is to facilitate and promote excellence benchmarking innovative experiences in health management, promoting, in a visual way, the spread of the practice. In addition to the cash prize, will be embodied experience through the development of a professional video, in order to make your experience can be as known as possible.

Healthcare Innovation is always important to constantly improve our health services but is essential in crisis environments to improve the efficiency and effectiveness of our services.

Upon completion of the Assessment process carried out by a court composed of members of Bsalut, have been awarded ex aequo the following two projects:

     Telemàtic Puerperi the Ciutat de Barcelona - Barcelona City ASSIR. Àmbit Barcelona Ciutat d'Atencià Primària (ICS). Prize of € 500 plus the editing and production of a professional video production, including filming and editing, as well as all efforts to ensure maximum exposure and success.
     Check PAMEM online: amb face no asynchronous query to the history record electrònica - PAMEM. Prize of € 500 plus the editing and production of a professional video production, including filming and editing, as well as all efforts to ensure maximum exposure and success.


          Single people have increased risk of myocardial   

The work focused on a population of people over 35 years, making the data available, from 1993 to 2002, from the registration of stroke in Finland and includes all cardiac events with or without subsequent death or cardiac syndromes (ACS) .

During the study, which lasted 10 years, there were a total of 15,330 cardiac events, of which just over half, ended with the death of the patient within 28 days. Note that the number of cardiac procedures was approximately the same for men and women.

According to the results, the incidence of heart disease was approximately 60 percent higher among single men than married men, and approximately 63 percent higher among single women than married.

Single people, both men and women were also more likely to die within 28 days of having suffered a heart problem.

There are a number of factors that could explain the finding that being single is linked to an increased risk of stroke, according to researchers. Married people usually have better health habits, have more support and are better off financially than singles, all of which help to maintain your health.

Living in couple also allows healthcare faster and more frequent. In addition, patients can get married to hospital more quickly and be more "docile" when taking the medication prescribed to prevent angina pectoris or myocardial as aspirin or beta-blockers.

Previous studies have shown that being unmarried or living alone increased the risk of heart-related death and heart disease, but many of these studies have focused on male patients and data on women and older age groups are not present or did not have enough consistency.


  Picture by J. Heuser JHeuser (Own work) [GFDL or CC-BY-SA-3.0], via Wikimedia Commons


          Smartphone Apps to detect skin cancer   

Such applications allow users to take photos of their moles and whether they can be cancerous.

Using specific mathematical algorithms, such tools calculate the shape of the mole and surrounding skin by building a structural map to discover patterns of tissue growth to help identify abnormal developments.

 All applications include a warning that should be used for educational purposes only, and can not be aimed at obtaining a diagnosis. However, people must realize that the review of these applications for mobile can not replace specialized medical evaluation.

"If a person detects an injury concern, but your smartphone's app incorrectly assessed as benign, this person will not go to the specialist," says Dr. Laura Ferris, assistant professor of dermatology at the Medical School of the University of Pittsburgh . Ferris added that the current disclaimers do not include a statement about what will happen if the melanoma is ignored because it will be more difficult to treat, and the prognosis is worse.

Avi Lasarow, president of Lasarow Healthcare Technologies, the app DEALER Detective Mole (3.93 €), states that the main objective of the application is to increase awareness about the dangers of melanoma.

 "We believe that our application is already doing to bring technology from a dermatological evaluation method in your own home," said Lasarow, referring to the analysis used by the application. The application seeks the common symptoms of melanoma, including Lunar asymmetry, border irregularity and color variations, but makes no actual diagnosis, concluded Lasarow.

Regulation is necessary for medical applications for smartphones before they become a health problem.


          Alvita expands its range of oral hygiene   

To do this, Alvita, the trademark for hygiene and patient care developed by Alliance Healthcare exclusively for the pharmacy, the market offers a new range of oral hygiene products that meet the needs of each patient. The new line launches Alvita mouth include:

· Whitening Toothpaste 75 ml. Specially formulated to help maintain the natural whiteness of your teeth and protect them from staining. Its pleasant fresh mint taste freshens the mouth and keeps breath fresh during and after brushing. Also effectively protects teeth against cavities and strengthens the enamel, achieving a healthy smile and fresh.

· Sensitive Toothpaste 75 ml. Specially formulated to protect teeth and gums suffering sensitivity to cold, heat or certain everyday situations such as eating, drinking or brushing your teeth. Besides minimizing discomfort and calm, everyday use contributes to proper oral hygiene.

· Calcium and Fluoride Toothpaste duplo 2x75 ml. With advanced formula, Calcium and Fluoride Toothpaste AlvitaÒrefuerza enamel and effectively protects against cavities, keeping teeth healthy and strong. Daily use helps to proper oral hygiene by providing a pleasant feeling of freshness of mint.

· Fresh Mint Mouthwash 500 ml. Contains fluoride salt which helps protect teeth against cavities and increases the resistance of enamel, and allantoin, which acts as a healing agent and tissue regenerator. Furthermore, to enhance the action of brushing his pleasant mint flavor provides a comfortable feeling of freshness.


With these new releases, Alvita continues in an effort to collaborate with the pharmacy savings with quality, not to mention the health care and quality of life of patients.


          Associate Sales Consultant - Area Assignment New Brunswick, NJ KYA09762   
At Quintiles we help healthcare and biopharma companies improve their probability of success. We do this by connecting our scientific, therapeutic and analytics expertise with superior delivery. From advisory through operations, Quintiles and its affiliate companies is the world’s largest provider of product development and integrated healthcare services. As one of ...
          Improvement Lead - The Canadian Foundation for Healthcare Improvement - Canada   
Characteristic Responsibilities: Technical/Specialized or Program Support to CFHI’s Collaboratives  Conduct regular analyses of team participation and
From The Canadian Foundation for Healthcare Improvement - Wed, 24 May 2017 00:26:37 GMT - View all Canada jobs
          Event Manager - The Canadian Foundation for Healthcare Improvement - Canada   
 Complete CFHI’s Event Control Sheet (ECS) for each event which includes the timing, location, costs and.  Organize facilities and manage all event’s details...
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          Orlando Health, West Orange Healthcare District Break Ground On New Ocoee Cancer Center    
Newswise imageLeaders with Orlando Health and the West Orange Healthcare District (WOHD) gathered today to break ground on a new cancer center on the campus of Health Central Hospital in Ocoee, Florida.
          Registered Nurse - Summer Cadet Camps - Bayshore HealthCare - Canada   
Contract opportunity for up to 8 weeks in multiple locations for qualified Registered Nurses to provide nursing services to cadets during their stay and the
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          Care Manager - Keenan & Associates - Torrance, CA   
CCM (Certified Case Manager) preferred. We have an exciting career opportunity for a Care Manager/ Healthcare Coordinator in our corporate Torrance office....
From Keenan & Associates - Fri, 12 May 2017 21:46:42 GMT - View all Torrance, CA jobs
          Senior Account Manager - Keenan & Associates - Torrance, CA   
Assist with training of Administrative Assistants and Account Managers. Account Manager, Healthcare based out of our Torrance, CA office....
From Keenan & Associates - Fri, 12 May 2017 21:46:41 GMT - View all Torrance, CA jobs
          Senior Claims Examiner, Workers' Compensation - Keenan & Associates - Torrance, CA   
Report excess files to the Reinsurance Manager in a timely manner. Experience in handling healthcare and/or school district claims is a plus....
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          Healthcare Business/System Analyst   
Microexcel Houston, TX
          Clinical Care/MDS Coordinator - Madison Lutheran Home - Madison, MN   
Benefits include Health, Dental, Life/AD&amp;D, Short-term Disability, Flex, and Retirement. Madison Healthcare Services is currently seeking a Clinical Care/MDS...
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          Cook - Madison Lutheran Home - Madison, MN   
Benefits include Health, Dental, Life/AD&amp;D, Short-term Disability, Flex, and Retirement. Madison Healthcare Services has an opening for a Full-time Cook...
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          Executive Assistant to the VP, Corporate Services - The Canadian Foundation for Healthcare Improvement - Canada   
Excel, PowerPoint, Outlook, SharePoint, Skype for Business and advanced database. Technical/Specialized or Program....
From The Canadian Foundation for Healthcare Improvement - Fri, 19 May 2017 00:12:44 GMT - View all Canada jobs
          Executive Director - Hospice Operations   
AR-Batesville, I believe that the care we give can make every moment count. Compassionate care, uncompromising service and clinical excellence – that’s how our Hospice improves quality of life in the final stages of life. By delivering palliative care by hospice professionals, our patients can spend their remaining days in comfort and peace. Kindred at Home, a division of Kindred Healthcare Inc., is the nation’s
          Executive Director - Home Health Operations   
IL-Chicago, I believe that better care begins at home. Compassionate care, uncompromising service and clinical excellence – that’s what our patients have come to expect from our clinicians. Kindred at Home, a division of Kindred Healthcare Inc., is the nation’s leading provider of comprehensive home health, hospice, and non-medical home care services. Kindred at Home, and its affiliates, including Gentiva, de
          Team Leader 3rd shift - Thermo Fisher Scientific - Asheville, NC   
Fisher Scientific provides a complete portfolio of laboratory equipment, chemicals, supplies and services used in healthcare, scientific research, safety and...
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          Statistician for Resource Management Planning, Systems Design and Practice   
TX-Dallas, Statistician for Resource Management Planning, Systems Design and Practice You can look at the data, and make sense of it. You notice the patterns and trends where others don’t. You are able to take these discoveries and communicate them to management. This might be the role for you. Our client is looking for an experienced Statistician to support healthcare analytics for a dynamic company. Locati
          Avalon - Unit Manager - RN - Woodland Park Care Center - Salt Lake City, UT   
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          Respiratory Therapist - Full Time - Woodland Park Care Center - Salt Lake City, UT   
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          RBW Consulting Solutions Ltd: Advertising Account Executive - Healthcare Communications   
Up to £25k DOE: RBW Consulting Solutions Ltd: Advertising Account Executive - Healthcare Communications An award winning, A creative London based Advertising agency is currently seeking an Account Executive to join their thriving team. Although this agency specialises in, tech, digital and consumer, London
          RBW Consulting Solutions Ltd: Artworker   
£2700 - 33000 Depending on portfolio: RBW Consulting Solutions Ltd: Are you a Artworker from an Agency Background with a Portfolio that includes some Healthcare or Pharma work?We are currently working with an innovative and forward thinking Healthcare Advertising Agency who are looking for a Integrated Creative Artworker. London
          Pentland House: Medical Editor   
£30k - £40k pa + DOE: Pentland House: Medical Editor - Digital Healthcare Agency - Central London - Up to £40K Depending on experienceThe CompanyWe're working a very strong creative marketing communications agency based in London. They're based in over 24 countries with 36 different offices w London
          Healthcare Natural Language Processing (NLP) Market Poised for a Stellar Growth Ahead   
Healthcare Natural Language Processing (NLP) Market Poised for a Stellar Growth Ahead Global Healthcare Natural Language Processing Market: Snapshot Natural language processing (NLP) technologies allows humans to interact with computers through conventional languages such as English and German instead of artificial languages such as Java and C++. These technologies use a computer to

          Healthcare Business Intelligence (BI) Platform Market to Reach US$3.91 bn by 2023, Driven by Cloud Solutions and Self-service BI Trends   
Healthcare Business Intelligence (BI) Platform Market to Reach US$3.91 bn by 2023, Driven by Cloud Solutions and Self-service BI Trends Business Intelligence (BI) platforms enable healthcare organizations to build applications that help them understand their processes and use technology to help ensure healthcare quality and control cost. BI platforms provide information delivery, integration, and analysis capabilities to healthcare organizations. The global

          Artificial Intelligence Market Shows Signs of Growth in Healthcare and Finance Sectors   
Artificial Intelligence Market Shows Signs of Growth in Healthcare and Finance Sectors Global Artificial Intelligence Market: Snapshot Globally, there is a wave of artificial intelligence across various industries, especially consumer electronics and healthcare. The wave is likely to continue in the years to come with the expanding base of applications of the

          Nursing Assistant - Neuro (LIMITED-TERM, Full-Time, Day Shift) - Sutter Health - Sacramento, CA   
Valid Basic Life Support (BLS) certification &quot;for healthcare providers&quot;. Certification as a nurse assistant is preferred and in long term care is required....
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          Healthcare Interpreter - Interlingva - Sacramento, CA   
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          Healthcare Clerical Assistant   
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          22 Million Americans Could Lose Health Insurance Under Senate Bill   

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The Congressional Budget Office says the number of uninsured people in the United States would rise to 22 million within the next ten years under the Senate health care bill.

The Senate’s bill would replace the Affordable Care Act, a law that former President Barack Obama supported. The Affordable Care Act is often called Obamacare. Republicans have spent about seven years attempting to cancel Obamacare.

The CBO said in a study released Monday that the Senate bill would decrease the federal budget deficit by $321 billion by 2026.

This is the second health care bill to be considered in Congress. Both the House and the Senate have different health care bills. In order for a bill to become law, it needs to pass both the House and the Senate and be signed by the president.

Senate leaders plan to vote after the July 4th holiday on their version of the bill. Currently, Americans are required to buy health insurance or pay a fine if they do not. The Senate’s bill would end that requirement.

In addition, the bill would end subsidies meant to help lower-income people buy insurance. It would also decrease some taxes on higher-income people. And it would cut billions of dollars of government funding for the health care program for poor and disabled people over the next few years.

Senate Minority Leader Sen. Chuck Schumer of N.Y. and his fellow Democratic Senators, hold photographs of constituents who would be adversely affected by the proposed Republican Senate healthcare bill Senate Minority Leader Sen. Chuck Schumer of N.Y. and his fellow Democratic Senators, hold photographs of constituents who would be adversely affected by the proposed Republican Senate healthcare bill

Opposition to the bill

To pass a bill in the Senate, a majority of senators must vote for the bill. If there is a tie, the vice president can vote to break the tie. Currently Republicans hold 52 of the 100 seats in the Senate. All 46 Senate Democrats are expected to vote against the bill. In order for the bill to pass, Republicans can risk losing only two of their senators.

A group of Republican senators has already said they will not vote for the bill in its current form.

When Obamacare became law in 2010, it passed without any Republican votes. Since the 2016 elections, Republicans gained control of the presidency, the House and the Senate. A change to Obamacare could be possible now.

About 20 million people have received insurance with Obamacare. Many of those people are covered under the government’s Medicaid program for the poor and disabled.

The two bills to change Obamacare propose to cut about $800 billion in federal funds for Medicaid over the next few years. President Donald Trump had stated during his campaign for office that he would not cut Medicaid funding.

Senate Democratic leader Chuck Schumer told ABC that he hopes that Republicans will talk with Democrats and work together on a solution to make Obamacare better.

I’m Mario Ritter.

And I’m Olivia Liu

Olivia Liu adapted this story for Learning English from VOA News and AP reporting. Mario Ritter was the editor.

Words in This Story

uninsured –adj. not having an agreement with a company or agency that helps pay for the cost of a service such as health care

subsidiesn. government payments to producers or individuals that reduce the cost of a good or service to make it easier to get

We want to hear from you. Write to us in the Comments Section.


          Mitt's Pyrrhic Victory   

Most people agree: Mitt won the first debate against the President. The question, therefore is, how did he win it?
Governor Romney and President Obama
He was clearly the aggressor and people generally like their President to be aggressive. Romney correctly figured out that if he was to have a shot at the presidency, he would have to take the fight to the incumbent. Just like in boxing, the challenger has to clearly put the champ on the defensive.
But how did he do it?
In short, he did it by changing his positions one more time, by re-inventing himself. If one is keeping track of Romney's positions over his career you could be forgiven if you thought he had multiple personalities. Since Mr. Romney does not have the burden of leading the free world, he is free to change his positions on just about anything to suit his purpose. His hammering away at Obama may have consequences that may not be helpful to the challenger, however. For one, there will be increased scrutiny of Romney’s more outlandish claims.
Let's start with the opening of the debate. Romney and Ryan both have been talking about lowering taxes on the “job creators.” [for a discussion about job creators, read “The Real Job Creators” on this blog] It is practically Republican gospel that lowering taxes on wealthy people is the path to job creation. George W. did it with disastrous results and, while Obama wants to let the Bush tax cuts die, Romney has indicated that not only does he want to keep the Bush cuts to the very rich, but then lower them even more.

“I will not reduce the taxes paid by 
high income Americans.” - Mitt Romney

During the initial exchange of last night's debate, however, we learned that no, no, no, the Governor is not about to give any breaks to the rich. His exact words were “I'm not going to reduce the share of taxes paid by high income people.” I did a double take so fast that I think I sprained my neck. Later on, in the same segment he said that he wants to bring tax rates down “both for corporations and for individuals.” Romney has raised flip-flopping to a new height -- he is now flip-flopping within the space of five minutes! He topped his thought when he boldly stated that he would not introduce any tax cut that would “add to the deficit.” He doubled down when he reiterated “I will not reduce the taxes paid by high income Americans.” Well, that clears it up then. I guess if you have this level of shamelessness, and you don't care about math, it is easier to score debate points.
This is not some small detail in an otherwise great plan. It is the core of Romney's plan, similar to Ronald Reagan's and both Presidents Bushes' plans which gave us astronomical deficits. The older Bush had to actually renege on his “no new taxes” pledge just to prevent the deficits from getting any steeper.
But the whoppers did not end there and we haven't even left the first segment yet. Romney has found a new love for the middle class and wants to lower taxes on them too because he knows that is what people want to hear. And to top it off, he wants to raise defense spending, a cute trick on the way towards his claim of balancing the budget.
In the next segment, when the President repeated his desire to end any tax incentives for companies to ship jobs abroad, Romney played dumb and said he never heard of such a thing in his years in business when his company, Bain Capital took full advantage of that loophole. After many attempts to eliminate the loophole failed in Congress due to Republican opposition it is the height of hypocrisy for Romney to pretend he never heard of this tax break. Again, when you don't have the responsibility of governance, you can make outrageous remarks like this.
On the hot topic of Medicare, after lambasting the President for finding savings in the program, he vaguely alludes to younger recipients that they will be taken care of without specifying how. He is telling young people to just trust him.
On healthcare, Romney elevated hypocrisy to a another level. He finally came across praising his own “Romneycare” which he had been ducking until now and had the gall to say how well it worked in Massachusetts and how “Obamacare,” which is based on the Massachusetts model was going to be a disaster for the Nation. He had previously avoided talking about his own healthcare success for fear of being compared to the President's reform. Last night, he threw caution to the wind and just boldly stated that what worked so well in Massachusetts could never serve as a model for the Nation.
When Obama made his case for the federal government having a role in helping education, Romney replied by assuring Americans that he too, supported education, not exactly in the same way as the President, but he too was a believer in teachers, in quality education even though his budget belies his allegations. Obama actually put resources and programs to work to help education, including taking away billions the banks were making at the expense of students seeking college loans. Romney would never have supported that, but claims he is a strong supporter of education. There was no end to the Romney double talk.
One of the truisms Romney uttered last night was that the private marketplace in order to work properly needs rules and regulations. The same applies to debates, one of the ultimate expressions of the free market of ideas. But unlike in boxing, in debates there is no referee. There is nobody taking away points for sucker punches. In boxing, the ref can even disqualify a fighter for fighting dirty. No such things happen in a political debate. There are no rules, no points taken away for low blows, or even for bringing a knife to the fight. Anything goes in politics.
There is an important difference between boxing and debates, however. In boxing the decision is made immediately after the fight and that's all she wrote. In politics winning a debate is more like winning one round. The people are the ones who will ultimately decide what the impact of this first round win will be. There will be at least two weeks of poll numbers to judge whether Romney moved the numbers significantly in his direction. Will the celebrated swing states swing in his direction or will they stay with the President, for example. The next debate between the two Presidential candidates will be round two and you can bet that it will go differently depending on where the two stand in the battleground states.
I think Romney may yet regret that he got what he wished for. Winning the first round can produce many unpredictable consequences.



Link to C-SPAN for debate archives and more.


          Why We're Voting for Obama   



Brenda A.

MELBOURNE, FL



I gained great inspiration from President Obama to take a chance on opening my wine shop, and hope and change have been very good to me.

We just hit the three-year mark on my business, and it's paid off! President Obama is making sure that small business owners like myself can succeed. I know the economy needs to continue improving, and he's doing everything he can for small businesses.

I remember when I saw Barack Obama speak in 2008 in Kissimmee, I knew then that he would be elected president. I've had his back ever since. I believe in Barack Obama.

Tom C.

WEST PALM BEACH, FL

I just graduated from the University of Florida with a Bachelor of Science in Business Administration from the Warrington School of Business. But the four years of rigorous, demanding coursework and the sacrifice I made isn't the real story here. Nor is the fact that the school is ranked 11th overall nationally for its distinguished finance program, an industry I plan to work in. Neither is the story about how I worked full-time throughout the last four years while studying, exchanging vacations and socialization, nice dinners, time with friends and family, and so much more for life as a student.

No, the real story is this: that without the combination of low cost federal loans and federal Pell grants, as well as state grants, I wouldn't have my degree today. What an abomination and stunt to American ingenuity, cultural and socio-economic progress cutting these funds for future generations would be. Although I'm through college, I care deeply, perhaps now more so than before I started on my degree, about the importance of ensuring Pell grants and low-cost loans are widely available, and stay available to any and all who seek them.

I'm confident a vote for President Obama this year is a vote towards protecting our commitment to future students that depend on these social nets. I, for one, am happy to pay my taxes throughout my lifetime to do my part. Unfortunately, not everyone feels that way. But my convictions simply come from my experience - nothing else.

Thank you, President Obama, and members of Congress, who champion, in the face of unadulterated and unrelenting populist pressure, that our long tradition of helping to fund higher education needs to continue to preserve opportunity for all, and investments in the next generation of ambitious innovators, thinkers, and doers are just too important to simply “give up”.

Susan R.

BONNIE DOONE, NC

My story isn't going to be about economics, or healthcare. It's not going to be about anything that catches the eyes of a news reader. My story is a simple, but my life depends on people like President Obama.

I am a military spouse. I am a proud Air Force wife. I am a mother, an advocate, a supporter, and I too take orders and try not to question those in charge. Though I don't actually own a uniform, I put one on every day.

In my lifetime, I have never witnessed and now been a part of an administration that focuses so much on the military and the military family.

I would like to thank President and Mrs. Obama, for caring about us. For putting into place initiatives like Joining Forces that really do help military families. I would like to thank the First Family for listening to us.

Not many have had to experience the military life and though this is a life that we choose, it is still one that is fraught with fear, anxiety, depression, and stress.

I truly believe that if our nation works hard and joins forces that good people like President Obama can continue making change!

Kim J.

ORANGE, CA

I wasn't a supporter of President Obama in 2008. I didn't go to any phone banks or attend any rallies, and there was one simple reason for that: I was a Republican.

Raised in Orange County in a staunchly Republican family, naturally I became very involved in GOP politics. By the end of my junior year in college, I had volunteered on a Republican campaign and interned twice for a Republican member of Congress. Those experiences were meant to be stepping stones toward my dream job: a political career in Washington, D.C., working for a GOP congressman. But after working so hard for Republicans for so long, I came to a very humbling realization – I had been fighting for the wrong side the entire time.

Last summer, it finally struck me how much this administration's policies helped me as a young woman in her college years. From student loan reform to the Affordable Care Act, I have benefited tremendously from the work of President Obama. I re-registered as a Democrat and soon after, jumped at the chance to work for Obama as an organizing fellow with the campaign. I have been volunteering ever since.

Four years ago, I never would have thought I would be a supporter of President Obama, much less a volunteer on his campaign, but I now understand how much the President has fought for me, even when I wasn't fighting for him.


Joyce B.

MC KINNEY, TX

Our adult son was born with the birth defect, Spina Bifida, 44 years ago, and in his 20's was diagnosed with leukemia. We were fortunate enough to have health insurance through an employer that covered the cost of 38 surgeries due to his birth defect, a bone marrow transplant to cure the leukemia, wheelchairs, leg braces, many doctor's vists, therapy sessions, etc. We know firsthand the tremendous expense parents have when faced with the birth of a child with birth defects. Our son was helped first by the government program, Supplemental Security Income, before he had worked enough to qualify for Social Security Disability Income. He has never been able to obtain a full time job because of his physical and learning disabilities, but has worked part-time for many years in minimum wage jobs. He now qualifies for Medicare which is life-saving for him, since he is uninsurable under current law due to his pre-existing conditions. The Affordable Health Care Law will now allow those with pre-existing conditions to obtain health insurance. Although we were fortunate to have healthcare coverage for these many surgeries, we know there are many families with children with disabilities who do not have adequate insurance. Those who oppose this law need to step into the shoes of those who aren't able to obtain health insurance due to pre-existing conditions. President Obama stood by his promise to pass the Affordable Health Care Law which will benefit many people, and we with many other families thank him. He has accomplished many things during his presidency even though he has had tremendous opposition from the Republican party membership. We believe he is leading our country in the right direction on all the major issues facing our country. We will support President Obama during this campaign by volunteering and by our financial contributions as we did in 2008.

David & Joyce B.

Jillian M.

DEER TRAIL, CO

My husband & I live in a VERY rural area in eastern Colorado. We're pretty much surrounded by people who support the republican point of view. We proudly drive our pick-up around with our Obama sticker on it, and do all we can to support "our" President. Things are tough out here...our daughter is a teacher & can't find a job. We believe in what Obama stands for...what our country needs to support for all of our futures. We donate whenever we can & you have all our support. Thanks for all you have done for us and for what you continue to do for Americans.


















Link to C-SPAN for debate archives and more.


          Ryan's Medicare Problem   
In the point, counter-point world of campaigns, much is lost in the hyperbole and obsession over details. Most issues are not black and white, so to reduce them to slogans based on one esoteric point over another, doesn't give voters a chance to properly evaluate the competing claims.
Representative Paul Ryan
The Medicare debate is particularly complicated because it involves scores of factors, many of which are difficult to control. Most slogans actually say very little that is useful to the voter. “End Medicare as we know it” is a truism that says nothing just as “government takeover of healthcare” is a falsehood that doesn’t provide any information. The first slogan, used by Democrats, is true but meaningless. It tells us nothing about what the Republicans are up to. Its intention is to scare people afraid of change, nothing more. It actually begs the question as to whether the Republican changes to Medicare are an improvement or not, thereby shutting down any effective debate. “Government takeover of healthcare” is a slogan used by Republicans to denigrate “Obamacare” (the Affordable Care Act) which not only is a falsehood, since the ACA is actually a reform of the already existing private health insurance system, but equally shuts off debate by scaring voters into believing that the President is a closest Socialist hell bent on turning America into a big gulag.
So what then happens is the commentary class then will go into excruciating detail trying to unravel a most complex issue that requires reams of documents to explain. The result is that the public is as confused as ever, not knowing who or what to believe.
The intent of this piece is not to be an exhaustive analysis of the issues but to make a few observations as to what the philosophies are behind the various reforms. It is really up to the individual voter to read as much as possible about the various plans and their critics and come to his or her own conclusion.
However, as one who leans towards the liberal side of the equation I cannot help but notice that Mr. Ryan's Medicare reforms, where he wants to weed seniors away from the admittedly government-run current system to a private insurance based system much like the rest of us have, has the peculiarity of being reliant on the success of the President's Affordable Care Act. An interesting twist since his partner, Mitt Romney, is staking his candidacy in large measure on the repeal of ACA. I predict that if Mr. Romney is elected president, repealing ACA will be his first official flip-flop since he will find out it will not be easy to unravel such a large piece of legislation whose many individual parts are more popular than the whole. In a word, he will find out, as President Obama did, the power of the filibuster rule (in the case the Democrats should lose the Senate) or the power of the Senate (should the Democrats remain in the majority).
But the problems for Ryan don't end there. There is a real difference in philosophy between the two major parties and in particular between the Obama/Biden and the Romney/Ryan teams. The President is all about spreading the risk among all Americans. Unlike the caricature of his “spreading the wealth,” he genuinely believes that 1) all Americans should have medical insurance regardless of income level and 2) a single risk pool should be the strength of the American people as a whole. One can disagree with this philosophy, but that is what the man believes in.
The private insurance businesses, however, believe in creating risk pool groups. This is how they manage their business. Lower risk groups, therefore, pay the lowest premiums and the higher risk groups pay increasingly higher premiums because their risk is higher. It makes perfect sense as a business model which is why the business minded Romney and Ryan support this type of approach. This is what they call the free market.
The problem with this free market approach to human services is that, although great for business, it is not so great for people who end up sick and old. The free market is a wonderful mechanism to deliver most goods and services. No one has come up with a better economic system that is more innovative, nimble, and efficient. But healthcare is in a different class. One might even say it is in a unique class because as we all get old we all use healthcare disproportionately. Young, healthy people rarely need medical intervention unless they get involved in a catastrophic accident or contract an unpredictable disease. Consequently, as a group they are in a rather low risk pool.
So here's where the differences in philosophies clash. By insisting that everybody is in the same boat, the President is telling younger people that they should pay more now in insurance in order to have a guarantee that they won't pay significantly more when they get old. That is the bargain that Obama would like to see for America. The Republican alternative (when you get deep in the weeds with Ryan's reforms) is to rely on the private sector for seniors. This means, of course, they will get caught up in increasingly higher and more expensive risk pools. To his credit, Ryan left the public option open for seniors -- after howls of protest from Democrats and senior groups like AARP -- but all that will accomplish is to push the really sick into the government plan, making it even more expensive than it is now. Ironically, it is Obama's cost saving ACA that can palliate the effect somewhat. No matter what, though, the highest risk people will cost the most, because the population as whole was treated unequally to start with.


Mr. Ryan's Medicare reforms, where he wants 
to weed seniors away from the admittedly 
government-run current system to a 
private insurance based system 
much like the rest of us have, has 
the peculiarity of being reliant on the success of the 
President's Affordable Care Act.

People who see the market as some sort of religion that has to be correct for everything will embrace the Republican philosophy until it will be too late if they find themselves out of luck. We have been living in a mixed economy for some time now. We have maintained a market economy that works well (with a few exceptions) but have also embraced government intervention in certain areas of common good. Most Republicans have accepted that the free market in its purest form cannot meet all of people's needs. Services like fire, police, public works, primary and secondary education, have been in public hands for a long time and although not without problems, are considered by most best done through a public service, not private enterprise. Nobody in his right mind would suggest we turn the fire departments into a private insurance scheme where premiums are optional and varied. And if you chose not to participate, well, your house will just burn down as the fire department would limit itself to protecting those who paid their insurance premiums.
Healthcare is not very different from protection against fire. We all need it. It is not an “option” unless you are so heartless as to think people should be allowed to die at the scene of an accident or from a curable disease. Fortunately, very few people think that.
There is much to reform in healthcare. The costs are too high. There are many inefficiencies in the system. There is too much corruption. The list is quite long. All ideas that contribute towards solving these problems should be welcomed, and it should not matter who comes up with them. But America has a choice to make. Should the private insurance companies be allowed to make up the rules that satisfy their bottom line? Or should the public sector create rules that are in everyone's interest that take into account that as we grow older our needs are greater and costs are higher? Are we all in this together? Or should each group be forced into fending for itself?



Link to C-SPAN for debate archives and more.


          The Dysfunction Myth   

Democracy is not pretty to look at. It's messy. It was always messy from the very formation of the United States. The Founding Fathers argued about everything but ended up with great compromises like the Declaration of Independence and the Constitution.
And now we have the Affordable Care Act, a badly needed beginning of healthcare reform almost one hundred years in the making.
Underscoring this historical moment is the myth of American dysfunctionality. Every major accomplishment has been fought tooth and nail and that is when statesmen step up to the plate. Jefferson, Lincoln, Roosevelt, JFK, and LBJ were among the many who moved the ball forward. Too early to say about Obama, but in the case of healthcare reform the statesman this time around is Chief Justice John Roberts.
Chief Justice John Roberts
Roberts confounded everybody. The Liberals thought he was a lost cause, a hopeless partisan in the same league as the most partisan Justice on the Supreme Court, Antonin Scalia. But the Liberals were wrong. When Roberts famously said, “My job is to call balls and strikes and not to pitch or bat,” many Liberals did not really believe him. Since he was appointed by a Republican President, the nefarious George W., it was feared he was bound to be another partisan judge like Scalia, Alito, and Thomas. But something mysterious usually happens on the way to powerful positions. People become more realistic and more importantly, more responsible. It is one thing to be on the outside, throwing rocks; it is another thing to accept a position of great responsibility and have the fate of one's fellow citizens in one's hands.
Conservatives also got Roberts wrong, much like they did Earl Warren. Conservatives thought that Roberts was going to be a “team player” and play for their team regardless of what was in the interest of the Nation. But Roberts surprised the Conservatives too. We may never know what Roberts' personal view of the Affordable Care Act (Obamacare) is, but that does not matter because he correctly understood that his job is to find a way to validate the will of Congress and the President.

America has much to celebrate. Not only has healthcare 
taken a big step forward, but the political system 
has been proven to work as the Founders intended.

Predictably, the right-wing noise machine is going to go into overdrive and badmouth Justice Roberts. They will call him traitor and worse. There will undoubtedly be calls for his impeachment from the Tea Party types and their sycophants. These extreme ideologues claim to be patriots but do not really understand how our country works, how democracy works, or even what the meaning of the Constitution is. Then there will be the inevitable conspiracy theories, casting Roberts as a stooge or an evil genius. There will be much cynicism spread because so many of us cannot believe that honorable men still exist.
America has much to celebrate. Not only has healthcare taken a big step forward, but the political system has been proven to work as the Founders intended. Justice Roberts showed us all that he has a deep understanding of American history, that he understands the great responsibility that comes with being Chief Justice of the Supreme Court, that it is not a trivial job for trivial people. That he, along with the President, does not have the luxury of letting his emotions get the better of him. That he is not part of some ideological “side” which if it doesn't get its way will stamp its feet like a three-year old. No, Roberts showed us that along with Obama, he was one of the few adults in the room and rose to the occasion.
This is the stuff of history! It is not the time to play a sleazy game to get a great headline in the Drudge Report or praise from the professional bloviators. This is America at its finest, when people from different backgrounds, different philosophies come together for the benefit of all of the American people. It is so rare these days that too many people will miss it, which is why it deserves a special mention.
And, to paraphrase the great Mark Twain, “Reports of the death of American democracy are greatly exaggerated.”



Link to C-SPAN for debate archives and more.


          Blue Cross And Blue Shield Of Minnesota And Gillette Children's Specialty Healthcare Announce Contract Extension Through 2020   


          Public Relations/Marketing Coordinator - Castle Medical Labs - Smyrna, GA   
Job Description Castle Medical, a leading toxicology laboratory and healthcare organization, is seeking a highly-motivated, self-starter with extensive web
From Castle Medical Labs - Wed, 28 Jun 2017 19:44:58 GMT - View all Smyrna, GA jobs
          Healthcare debate highlights the split that threatens to paralyze Republicans   
Six months after taking control of the White House and both houses of Congress, Republicans who campaigned for years on repealing Obamacare still can’t agree on how to do it.

A chief reason that the struggle has been so hard is the growing importance in the party of populist blue-collar voters,... Reported by L.A. Times 5 minutes ago.
          Rich people in America have too much money, says multi-billionaire Warren Buffett   
The wealthy investor also criticised the GOP's healthcare plan as a 'Relief for the Rich Act'
          Trump blasts 'Fake News' over claim he is not involved in healthcare bill push saying he wants 'victory for US'   
Mr Trump tweets that he 'knows the subject well' in rant about coverage of healthcare bill
          PRN Hospice Medical Social Worker - Emerald Coast Hospice   
FL-Panama City, I believe that the care we give can make every moment count. Compassionate care, uncompromising service and clinical excellence – that’s how our Hospice improves quality of life in the final stages of life. By delivering palliative care by hospice professionals, our patients can spend their remaining days in comfort and peace. Kindred at Home, a division of Kindred Healthcare Inc., is the nation’s
          Per Diem Chaplain - Emerald Coast Hospice   
FL-Panama City, I believe that the care we give can make every moment count. Compassionate care, uncompromising service and clinical excellence – that’s how our Hospice improves quality of life in the final stages of life. By delivering palliative care by hospice professionals, our patients can spend their remaining days in comfort and peace. Kindred at Home, a division of Kindred Healthcare Inc., is the nation’s
          Per Diem Chaplain - Emerald Coast Hospice   
FL-Pensacola, I believe that the care we give can make every moment count. Compassionate care, uncompromising service and clinical excellence – that’s how our Hospice improves quality of life in the final stages of life. By delivering palliative care by hospice professionals, our patients can spend their remaining days in comfort and peace. Kindred at Home, a division of Kindred Healthcare Inc., is the nation’s
          Per Diem Hospice Aide- Emerald Coast Hospice   
FL-Milton, I believe that the care we give can make every moment count. Compassionate care, uncompromising service and clinical excellence – that’s how our Hospice improves quality of life in the final stages of life. By delivering palliative care by hospice professionals, our patients can spend their remaining days in comfort and peace. Kindred at Home, a division of Kindred Healthcare Inc., is the nation’s
          Registered Nurse Aberdeen - Healthcare 1st Limited - Westhill   
Excellent time management. We are looking for an RGN/RMN/RNLD part time to work in a Care Home which provides care for learning disability, younger adults.... £15.15 an hour
From Healthcare 1st Limited - Sat, 15 Apr 2017 05:28:50 GMT - View all Westhill jobs
          Women's Health Market: Global Attitudes Towards Health, Fitness and Wellbeing Among the Under 30s and Market Impact   

The women's healthcare market report offers an analysis on women’s health covering details about the current market trends and issues that help in driving the treatment decisions.

Pune, Maharashtra -- (SBWIRE) -- 02/09/2017 -- Health of women market diagnostics market is segmented on the basis of application and end user. On the basis of application, the market is segmented into nine segments namely, osteoporosis testing, ovarian cancer testing, cervical cancer testing, breast cancer testing, pregnancy & ovulation testing, prenatal genetic screening & carrier testing, infectious disease testing, sexually transmitted disease testing, and ultrasound. The osteoporosis segment is further divided into bone densitometry and in vitro blood tests. The ovarian cancer segment is divided into tumor marker tests, diagnostic imaging tests and others.

The report also encompasses overview on personalised practices that can alter the ways in which certain conditions are treated. Women's health treatment market report will offer a vision for holistic treatment of women's conditions.

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Women's Health Market Report Scope:

The women's healthcare market report offers an analysis on women's health covering details about the current market trends and issues that help in driving the treatment decisions. The report also throws light on how the health of women is evolving with time along with diagnostic and treatment practices and inventions in line.

The women's healthcare treatment market report provides introduction to key diseases and conditions that are related to women's health, including psychological issues, cancers, cardiovascular diseases and sexual dysfunction. Further, the report talks about how certain illnesses affect females in various ways and in large numbers. Also as mentioned above, the report shall talk about medicinal approaches for the cure of these conditions and the ways in which quality of life can be improved.

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Healthcare report will allow clients to have an understanding about market opportunities and competitive analysis and forecast on the women's healthcare industry. Interested clients will get a view on how therapies are developing for changing conditions and all the key factors that play together to affect or improve women's health.

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Detailed TOC of Women's Health - Assessing the Need for a Targeted and Specialized Approach

- Executive summary
- Methodology
- Women's Health: an overview
- Segment overviews
- Personalized medicine will herald a new era for hormonal conditions
- New innovations in reproductive medicine will continue to advance treatment
- The development of treatments for lifestyle conditions have stalled in recent years
- Several risk factors converge at specific points in a woman's life to increase the likelihood of suffering from serious health issues
- The future outlook
- Appendix

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          Big Data Market: Embracing Data to Transform Healthcare and Pharma Commercial Strategy - Featuring Expert Panel Views from Industry Survey 2016   

Big Data: Embracing Data to Transform Healthcare and Pharma Commercial Strategy - Featuring Expert Panel Views from Industry Survey 2016"" provides a comprehensive analysis of the Big Data landscape. GBI Research conducted an extensive industry survey of 73 experts from the pharmaceutical and healthcare industries.

Pune, Maharashtra -- (SBWIRE) -- 02/09/2017 -- Big Data Market Embracing Data to Transform Healthcare and Pharma Commercial Strategy - Featuring Expert Panel Views from Industry Survey 2016"" provides a comprehensive analysis of the Big Data Market landscape.  Report conducted an extensive industry survey of 73 experts from the pharmaceutical and healthcare industries - including both organizations that already utilize Big Data Market and those that do not. Our survey gathered experience and opinion on the use of Big Data Market, and insights on key trends for the present and future use of the technology within healthcare.

Big Data Market refers to any data set that is too large to store, process or analyze using traditional database software and hardware. It can have a significant impact on all aspects of the pharmaceutical and healthcare sector, and companies are making large investments to leverage the technology more effectively.

Browse more detail information about Big Data Market

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The report features an overview of Big Data Market and its place within healthcare. It examines the factors driving and necessitating the use of the technology within this industry, and provides detailed examples of how different Big Data Market sources and analytics techniques could be used to provide direct benefits to pharmaceutical companies, healthcare institutions and patients.

Big Data Market Scope:

- What is Big Data Market? What is its place within healthcare, and what are the main data sources?

- How prevalent is the use of Big Data Market in healthcare?

- What are the main driving factors necessitating the use of Big Data Market in healthcare? What is the relative importance of these factors according to industry?

- What are examples of the commercial benefits that the use of Big Data Market and analytics can provide, in different aspects of the industry?

- What are the main challenges associated with Big Data Market in healthcare? What is the relative importance of these factors according to industry? For the organizations that do not yet utilize Big Data Market, what specific reasons have led to their decision not to do so?

- How do major pharmaceutical and healthcare companies use Big Data Market in the real world? What are some of the main partnerships between Big Pharma and technology companies? What is the underlying technical architecture of Big Data Market in healthcare?

- What is the likelihood that organizations that already use Big Data Market will increase their investment within the next five years? Will those that do not currently invest in the technology begin doing so in the next five years?

- How can Big Data Market be effectively implemented within an organization?

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Healthcare report will allow clients to have an understanding about market opportunities and competitive analysis and forecast on the women's healthcare industry. Interested clients will get a view on how therapies are developing for changing conditions and all the key factors that play together to affect or improve women's health.

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Detailed TOC of Big Data Market - Assessing the Need for a Targeted and Specialized Approach

1 Big Data Market Overview 9
- What is Big Data Market? 9
- The 'Three Vs' of Big Data Market: Volume, Velocity and Variety 9
- The Sources of Big Data Market in Healthcare 10
- Big Data Market Lifecycle 12
- How Prevalent is the use Big Data Market in Healthcare? Results from our Industry-Wide Survey 13

2 Drivers of Big Data Market in Healthcare 17
- Advances in Technology: Explosion in Data Generation 17
- Next-Generation Sequencing Technologies: Outpacing Moore's Law 17
- Proteomic Databases: ProteomicsDB Designed with Big Data Market Analytics in Mind 18
- Electronic Health Records: A Form of Big Data Market 19
- Social Media: Information That Cannot Be Found Anywhere Else 19
- Devices: Smartphones, Wearables and Telemedicine Devices Represent a Continuous Source of Big Data Market 20
- Cloud Technologies: Often Integral to Big Data Market 20
- Needs and Trends Driving the Use of Big Data Market in Healthcare 21

3 Commercial Implications of Big Data Market in Healthcare 27
- Predictive Modeling: Fundamental Source of Big Data Market's Power 27
- Using Big Data Market for Patient-Specific Modeling: Potential for Huge Healthcare Savings 28
- Big Data Market Unlocks the Potential of Personalized Medicine and Targeted Therapies 28
- Utilizing the Unique Big Data Market Provided by Wearables and Fitness Trackers 29
- Big Data Market for a More Systemic Approach to Drug Repositioning 29
- Drug Discovery and Pre-Clinical Trials: Big-Data-Guided Drug Development 29

4 Appendix 63
- GBI Industry Survey: Breakdown of Respondents by General Industry 63
- GBI Industry Survey: Breakdown of Respondents by Specific Sector 63
- GBI Industry Survey: Breakdown of Respondents by Region 63
- GBI Industry Survey: Proportion of Healthcare Organizations that Currently Utilize Big Data Market 64
- GBI Industry Survey: Big Data Market Utilization in Healthcare, Comparison of Expert Panels from Europe, North America and Asia 64
- GBI Industry Survey: Most Important Factors Promoting the Use of Big Data Market in Healthcare 65
- GBI Industry Survey: Most Important Factors Promoting Big Data Market, Pharmaceutical Expert Panel vs Overall Healthcare Expert Panel 65
- GBI Industry Survey: Most Important Factors Promoting Big Data Market, Regional Breakdown 66
And Continue..

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          Market Insight: Optoelectronics Market Globally Grow at a CAGR of 16.84% by Revenue During the Forecast Period 2017-2021   

Global Internet of Things (IoT) Market in Healthcare Sector 2016-2020, has been prepared based on an in-depth market analysis with inputs from industry experts. The report covers the market landscape and its growth prospects over the coming years.

Pune, Maharashtra -- (SBWIRE) -- 02/09/2017 -- Optoelectronics Market research report provides granular analysis of the market share, segmentation, revenue forecasts and geographic regions of the market. Optoelectronics Market report 2017-2021 focuses on the major drivers and restraints for the key players. The Optoelectronics Market research report is a professional and in-depth study on the current state of Optoelectronics Warming Devices Industry.

Optoelectronics is the study of combined technology of electronic device and light. It is a sub-field of photonics. The study includes visible light as well as X-rays, gamma rays, ultra-violet (UV) rays, and infrared (IR) rays. Optoelectronic devices act as optical-to-electrical or electrical-to-optical transducers. LED, image sensors, optical switches, laser diodes, and optical isolators are some of the optoelectronics. Analysts forecast the global Optoelectronics Warming Devices market to grow at a CAGR of 16.84% during the period 2017-2021.

Browse more detail information about Optoelectronics Market Report at: http://www.absolutereports.com/global-optoelectronics-market-2017-2021-10533722

The research report covers the present scenario and the growth prospects of the global Optoelectronics industry for 2017-2021.

Key Vendors of Optoelectronics Market:

- Cree
- GE Lighting
- LG Innotek
- Lumileds Lighting
- NICHIA
- OSRAM
- Samsung
- Seoul Semiconductor
- Sony
- Samsung Semiconductor
- OmniVision
- Canon
- ON Semiconductor

Other prominent vendors

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The Optoelectronics Market report also presents the vendor landscape and a corresponding detailed analysis of the major vendors operating in the market. Optoelectronics Market report analyses the market potential for each geographical region based on the growth rate, macroeconomic parameters, consumer buying patterns, and market demand and supply scenarios.

Optoelectronics Market Driver:

- Growing adoption of LED for lighting due to government subsidies and projects undertaken
- For a full, detailed list, view our report

Optoelectronics Market Challenge:

- Challenges associated with deployment of fiber optics
- For a full, detailed list, view our report

Optoelectronics Market Trend:

- Upcoming technological trends in LED
- For a full, detailed list, view our report

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Geographical Segmentation Of Optoelectronics Market:

- Optoelectronics Market in Americas
- Optoelectronics Market in APAC
- Optoelectronics Market in EMEA

The report provides a basic overview of the Optoelectronics industry including definitions, segmentation, applications, key vendors, market drivers and market challenges. The Optoelectronics Market analysis is provided for the international markets including development trends, competitive landscape analysis, and key regions development status

Through the statistical analysis, the report depicts the global Optoelectronics Market including capacity, production, production value, cost/profit, supply/demand and import/export. The total market is further divided by company, by country, and by application/type for the competitive landscape analysis.

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Key questions answered in Optoelectronics Market report:

- What will the market size be in 2021 and what will the growth rate be?
- What are the key market trends?
- What is driving this market?
- What are the challenges to market growth?
- Who are the key vendors in this market space?
- What are the market opportunities and threats faced by the key vendors?
- What are the strengths and weaknesses of the key vendors?

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List of Exhibits in Optoelectronics Market report:

- Exhibit 01: Product offerings
- Exhibit 02: Impact of drivers
- Exhibit 03: Impact of drivers and challenges
- Exhibit 04: Key countries in each region
- Exhibit 05: Global Optoelectronics Market shares by geographies 2017
- Exhibit 06: Global Optoelectronics Market shares by geographies 2021
- Exhibit 07: Geographical segmentation by revenue 2017

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          Internet of Things Market in the Healthcare Sector Market Overview, Manufacturing Cost Structure Analysis, Growth Opportunities & Restraints to 2020   

Global Internet of Things (IoT) Market in Healthcare Sector 2016-2020, has been prepared based on an in-depth market analysis with inputs from industry experts. The report covers the market landscape and its growth prospects over the coming years.

Pune, Maharashtra -- (SBWIRE) -- 02/09/2017 -- The Global Internet of Things Market in the Healthcare Sector Market report covers the present scenario and the growth prospects of the Internet of Things Market in the Healthcare Sector Market for 2020. IoT is a web of physical devices connected to the Internet, enabled by sensors and software to collect and transmit data. Using IoT users can collect massive amount of data and convert into meaningful information by with the help of advance analytics techniques. To calculate the market size, the report considers both the direct revenue and the indirect revenue of the vendors.

The global internet of things (IoT) market in healthcare sector to grow at a CAGR of 36.5% during the period 2017-2020.

Browse more detail information about Internet of Things Market in the Healthcare Sector at: http://www.absolutereports.com/global-internet-of-things-market-in-the-healthcare-sector-2017-2020-10338864

The report provides a basic overview of the Internet of Things Market in the Healthcare Sector Market including definitions, classifications, applications and market Sales chain structure. The Internet of Things Market in the Healthcare Sector Market report enlists several important factors, starting from the basics to advanced market intelligence which play a crucial part in strategizing.

Internet of Things Market in the Healthcare Sector Market Opportunities:

With a purpose of enlightening new entrants about the possibilities in this market, this report investigates new project feasibility. Various details about the manufacturing process such as market drivers, impact of drivers, market challenges and impact of drivers and challenges, market trends, vendor landscape analysis and so on, is discussed in the report.

Key players in Internet of Things Market in the Healthcare Sector Market 2020
- Cisco Systems
- GE Healthcare
- Philips Healthcare
- IBM
- Qualcomm

Other prominent vendors

The Internet of Things Market in the Healthcare Sector Market is divided into the following segments based on geography:
- Americas
- APAC
- EMEA

Get a PDF Sample of Internet of Things Market in the Healthcare Sector Market Research Report at: http://www.absolutereports.com/enquiry/request-sample/10338864

In the end, the report makes some important proposals for a new project of Internet of Things Market in the Healthcare Sector Market before evaluating its feasibility. Overall, the report provides an in-depth insight of 2020 global Internet of Things Market in the Healthcare Sector Market covering all important parameters.

Market driver
- Highly competitive IoT market
- For a full, detailed list, view our report

Market challenge
- High cost of implementation
- For a full, detailed list, view our report

Market trend
- Developments in sensor technologies and communication devices
- For a full, detailed list, view our report

Key questions answered in this Internet of Things Market in the Healthcare Sector Market report
- What will the market size be in 2020 and what will the growth rate be?
- What are the key market trends?
- What is driving this market?
- What are the challenges to market growth?
- Who are the key vendors in this market space?
- What are the market opportunities and threats faced by the key vendors?
- What are the strengths and weaknesses of the key vendors?

Have any query? Ask our expert @ http://www.absolutereports.com/enquiry/pre-order-enquiry/10338864  

List of Exhibit of Global Internet of Things Market in the Healthcare Sector Market 2020

Exhibit 01: Countries covered for market analysis

Exhibit 02: Product offerings

Exhibit 03: General architecture of healthcare IoT applications

Exhibit 04: Segmentation of IoT market in the healthcare sector

Exhibit 05: Global IoT market in the healthcare sector 2015-2020

Exhibit 06: Five forces analysis

Exhibit 07: Global IoT market in the healthcare sector by product 2015

And Continue…

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About Absolute Report
Absolute Reports is an upscale platform to help key personnel in the business world in strategizing and taking visionary decisions based on facts and figures derived from in depth market research. We are one of the top report resellers in the market, dedicated towards bringing you an ingenious concoction of data parameters.

For more information on this press release visit: http://www.sbwire.com/press-releases/internet-of-things-market-in-the-healthcare-sector-market-overview-manufacturing-cost-structure-analysis-growth-opportunities-restraints-to-2020-769487.htm

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          NHS privatisation: People with learning disabilities to become a 'commodity' in a profit-fillled healthcare industry, finds study   
Patients who have been in care for five years generate close to a million pounds in income
          Latest Burkholderia Infections Therapeutics Drugs and Companies Pipeline Review, H1 2020   

Latest Pharmaceutical and Healthcare disease pipeline guide Burkholderia Infections – Pipeline Review, H2 2016, provides an overview of the Burkholderia Infections (Infectious Disease) pipeline landscape.

Pune, Maharashtra -- (SBWIRE) -- 02/09/2017 -- Burkholderia Infections Therapeutics Market - Pipeline Review, H1 2020, provides an overview of the Burkholderia Infections pipeline landscape.

The Burkholderia Infections Therapeutics Market report provides comprehensive information on the therapeutics under development for Neuropathic Pain, complete with analysis by stage of development, drug target, mechanism of action (MoA), route of administration (RoA) and molecule type.

Browse Detailed TOC, Tables, Figures, Charts and Companies Mentioned in Burkholderia Infections Therapeutics Development Market Report at: http://www.absolutereports.com/burkholderia-infections-pipeline-review-h2-2020-10512142   

Burkholderia Infections Therapeutics Market Report Highlights:

The Burkholderia Infections Therapeutics Market report also covers the descriptive pharmacological action of the therapeutics, its complete research and development history and latest news and press releases. Additionally, the Burkholderia Infections report provides an overview of key players involved in therapeutic development for Burkholderia Infections and features dormant and discontinued projects.

Keyplayers in Burkholderia Infections Therapeutics Market - Pipeline Review, H1 2020
- Novabiotics Ltd
- Aridis Pharmaceuticals LLC
- NanoBio Corporation
- iQur Ltd.
- Among others

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Scope Burkholderia Infections Therapeutics Market Pipeline Review Report-

- The pipeline guide provides a snapshot of the global therapeutic landscape of Burkholderia Infections (Infectious Disease).

- The pipeline guide reviews pipeline therapeutics for Burkholderia Infections (Infectious Disease) by companies and universities/research institutes based on information derived from company and industry-specific sources.

- The pipeline guide covers pipeline products based on several stages of development ranging from pre-registration till discovery and undisclosed stages.

- The pipeline guide features descriptive drug profiles for the pipeline products which comprise, product description, descriptive licensing and collaboration details, R&D brief, MoA & other developmental activities.

- The pipeline guide reviews key companies involved in Burkholderia Infections (Infectious Disease) therapeutics and enlists all their major and minor projects.

- The pipeline guide evaluates Burkholderia Infections (Infectious Disease) therapeutics based on mechanism of action (MoA), drug target, route of administration (RoA) and molecule type.

- The pipeline guide encapsulates all the dormant and discontinued pipeline projects.

- The pipeline guide reviews latest news related to pipeline therapeutics for Burkholderia Infections (Infectious Disease)

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The Burkholderia Infections Therapeutics Market report helps in identifying and tracking emerging players in the market and their portfolios, enhances decision making capabilities and helps to create effective counter strategies to gain competitive advantage.

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About Absolute Report
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          Discover Liver Cancer Therapeutic Pipeline H1 2020, Drug Profile and Major Key Players   

Latest Pharmaceutical and Healthcare disease pipeline guide Liver Cancer – Pipeline Review, H2 2016, provides an overview of the Liver Cancer (Oncology) pipeline landscape.

Pune, Maharashtra -- (SBWIRE) -- 02/09/2017 -- Liver Cancer Therapeutics Market- Pipeline Review, H1 2020, provides an overview of the Liver Cancer pipeline landscape.

The Liver Cancer Therapeutics Market report provides comprehensive information on the therapeutics under development for Neuropathic Pain, complete with analysis by stage of development, drug target, mechanism of action (MoA), route of administration (RoA) and molecule type.

Browse Detailed TOC, Tables, Figures, Charts and Companies Mentioned in Liver Cancer Therapeutics Development Market Report at: http://www.absolutereports.com/liver-cancer-pipeline-review-h2-2020-10512140   

Therapeutics Market Report Highlights:

The Liver Cancer Therapeutics Market report also covers the descriptive pharmacological action of the therapeutics, its complete research and development history and latest news and press releases. Additionally, the Liver Cancer report provides an overview of key players involved in therapeutic development for Liver Cancer and features dormant and discontinued projects.

Keyplayers in Liver Cancer Therapeutics Market- Pipeline Review, H1 2020
- NF-B
- STAT3
- Signaling Transduction
- Inflammation
- Carcinogenesis
- Liver Cancer
- HCC
- Others

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Scope Liver Cancer Therapeutics Market Pipeline Review Report-

- The pipeline guide provides a snapshot of the global therapeutic landscape of Liver Cancer (Oncology).

- The pipeline guide reviews pipeline therapeutics for Liver Cancer (Oncology) by companies and universities/research institutes based on information derived from company and industry-specific sources.

- The pipeline guide covers pipeline products based on several stages of development ranging from pre-registration till discovery and undisclosed stages.

- The pipeline guide features descriptive drug profiles for the pipeline products which comprise, product description, descriptive licensing and collaboration details, R&D brief, MoA & other developmental activities.

- The pipeline guide reviews key companies involved in Liver Cancer (Oncology) therapeutics and enlists all their major and minor projects.

- The pipeline guide evaluates Liver Cancer (Oncology) therapeutics based on mechanism of action (MoA), drug target, route of administration (RoA) and molecule type.

- The pipeline guide encapsulates all the dormant and discontinued pipeline projects.

- The pipeline guide reviews latest news related to pipeline therapeutics for Liver Cancer (Oncology)

Sample PDF of Liver Cancer Therapeutics Market Pipeline Review H1 2020 Research Study at: http://www.absolutereports.com/enquiry/request-sample/10512140

The Liver Cancer Therapeutics Market report helps in identifying and tracking emerging players in the market and their portfolios, enhances decision making capabilities and helps to create effective counter strategies to gain competitive advantage.

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- Procure strategically important competitor information, analysis, and insights to formulate effective R&D strategies.

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- Formulate corrective measures for pipeline projects by understanding Liver Cancer (Oncology) pipeline depth and focus of Indication therapeutics.

- Develop and design in-licensing and out-licensing strategies by identifying prospective partners with the most attractive projects to enhance and expand business potential and scope.

- Adjust the therapeutic portfolio by recognizing discontinued projects and understand from the know-how what drove them from pipeline.

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About Absolute Report
Absolute Reports is an upscale platform to help key personnel in the business world in strategizing and taking visionary decisions based on facts and figures derived from in depth market research. We are one of the top report resellers in the market, dedicated towards bringing you an ingenious concoction of data parameters.

For more information on this press release visit: http://www.sbwire.com/press-releases/discover-liver-cancer-therapeutic-pipeline-h1-2020-drug-profile-and-major-key-players-769422.htm

Media Relations Contact

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          Insights of Hypertriglyceridemia Pipeline Review H1 2020 and Therapeutic Development   

Latest Pharmaceutical and Healthcare disease pipeline guide Hypertriglyceridemia – Pipeline Review, H2 2016, provides an overview of the Hypertriglyceridemia (Metabolic Disorders) pipeline landscape.

Pune, Maharashtra -- (SBWIRE) -- 02/09/2017 -- Hypertriglyceridemia Therapeutics Market - Pipeline Review, H1 2020, provides an overview of the Hypertriglyceridemia pipeline landscape.

The Hypertriglyceridemia Therapeutics Market report provides comprehensive information on the therapeutics under development for Neuropathic Pain, complete with analysis by stage of development, drug target, mechanism of action (MoA), route of administration (RoA) and molecule type.

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Hypertriglyceridemia Therapeutics Market Report Highlights:

The Hypertriglyceridemia report also covers the descriptive pharmacological action of the therapeutics, its complete research and development history and latest news and press releases. Additionally, the Hypertriglyceridemia report provides an overview of key players involved in therapeutic development for Hypertriglyceridemia and features dormant and discontinued projects.

Keyplayers in Hypertriglyceridemia Therapeutics Market- Pipeline Review, H1 2020
- Obesity
- Inflammation
- Insulin Resistance
- Dyslipidemia
- Nonalcoholic Fatty Liver Disease
- Adipose Tissue
- Adipokine

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Scope Hypertriglyceridemia Therapeutics Market Pipeline Review Report-

- The pipeline guide provides a snapshot of the global therapeutic landscape of Hypertriglyceridemia (Metabolic Disorders).

- The pipeline guide reviews pipeline therapeutics for Hypertriglyceridemia (Metabolic Disorders) by companies and universities/research institutes based on information derived from company and industry-specific sources.

- The pipeline guide covers pipeline products based on several stages of development ranging from pre-registration till discovery and undisclosed stages.

- The pipeline guide features descriptive drug profiles for the pipeline products which comprise, product description, descriptive licensing and collaboration details, R&D brief, MoA & other developmental activities.

- The pipeline guide reviews key companies involved in Hypertriglyceridemia (Metabolic Disorders) therapeutics and enlists all their major and minor projects.

- The pipeline guide evaluates Hypertriglyceridemia (Metabolic Disorders) therapeutics based on mechanism of action (MoA), drug target, route of administration (RoA) and molecule type.

- The pipeline guide encapsulates all the dormant and discontinued pipeline projects.

- The pipeline guide reviews latest news related to pipeline therapeutics for Hypertriglyceridemia (Metabolic Disorders)

Sample PDF of Hypertriglyceridemia Therapeutics Market Pipeline Review H1 2020 Research Study at: http://www.absolutereports.com/enquiry/request-sample/10512139

The Hypertriglyceridemia report helps in identifying and tracking emerging players in the market and their portfolios, enhances decision making capabilities and helps to create effective counter strategies to gain competitive advantage.

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- Procure strategically important competitor information, analysis, and insights to formulate effective R&D strategies.

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- Formulate corrective measures for pipeline projects by understanding Hypertriglyceridemia (Metabolic Disorders) pipeline depth and focus of Indication therapeutics.

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About Absolute Report
Absolute Reports is an upscale platform to help key personnel in the business world in strategizing and taking visionary decisions based on facts and figures derived from in depth market research. We are one of the top report resellers in the market, dedicated towards bringing you an ingenious concoction of data parameters.

For more information on this press release visit: http://www.sbwire.com/press-releases/insights-of-hypertriglyceridemia-pipeline-review-h1-2020-and-therapeutic-development-769416.htm

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          Discover Colon Cancer Therapeutic Pipeline H1 2020, Drug Profile and Major Key Players   

Latest Pharmaceutical and Healthcare disease pipeline guide Colon Cancer – Pipeline Review, H2 2016, provides an overview of the Colon Cancer (Oncology) pipeline landscape.

Pune, Maharashtra -- (SBWIRE) -- 02/09/2017 -- Colon Cancer- Pipeline Review, H1 2020, provides an overview of the Colon Cancer pipeline landscape.

The Colon Cancer Therapeutics Development Market report provides comprehensive information on the therapeutics under development for Neuropathic Pain, complete with analysis by stage of development, drug target, mechanism of action (MoA), route of administration (RoA) and molecule type.

Browse Detailed TOC, Tables, Figures, Charts and Companies Mentioned in Colon Cancer Therapeutics Development Market Report at: http://www.absolutereports.com/colon-cancer-pipeline-review-h2-2020-10512136   

Report Highlights:

The Colon Cancer Therapeutics Development Market report also covers the descriptive pharmacological action of the therapeutics, its complete research and development history and latest news and press releases. Additionally, the Colon Cancer Therapeutics Development Market report provides an overview of key players involved in therapeutic development for Colon Cancer and features dormant and discontinued projects.

Keyplayers in Colon Cancer Therapeutics Development Market - Pipeline Review, H1 2020
- Cancer Screening
- Colorectal Cancer
- Rural
- Health Inequities
- Social Networks
- Qualitative

Purchase a Report Copy at: http://www.absolutereports.com/purchase/10512136   

Scope Colon Cancer Therapeutics Development Market Pipeline Review Report-

- The pipeline guide provides a snapshot of the global therapeutic landscape of Colon Cancer (Oncology).

- The pipeline guide reviews pipeline therapeutics for Colon Cancer (Oncology) by companies and universities/research institutes based on information derived from company and industry-specific sources.

- The pipeline guide covers pipeline products based on several stages of development ranging from pre-registration till discovery and undisclosed stages.

- The pipeline guide features descriptive drug profiles for the pipeline products which comprise, product description, descriptive licensing and collaboration details, R&D brief, MoA & other developmental activities.

- The pipeline guide reviews key companies involved in Colon Cancer (Oncology) therapeutics and enlists all their major and minor projects.

- The pipeline guide evaluates Colon Cancer (Oncology) therapeutics based on mechanism of action (MoA), drug target, route of administration (RoA) and molecule type.

- The pipeline guide encapsulates all the dormant and discontinued pipeline projects.

- The pipeline guide reviews latest news related to pipeline therapeutics for Colon Cancer (Oncology)

Sample PDF of Colon Cancer Therapeutics Development Market Pipeline Review H1 2020 Research Study at: http://www.absolutereports.com/enquiry/request-sample/10512136

The Colon Cancer Therapeutics Development Market report helps in identifying and tracking emerging players in the market and their portfolios, enhances decision making capabilities and helps to create effective counter strategies to gain competitive advantage.

Reasons to Buy Colon Cancer Therapeutics Market Report:

- Procure strategically important competitor information, analysis, and insights to formulate effective R&D strategies.

- Recognize emerging players with potentially strong product portfolio and create effective counter-strategies to gain competitive advantage.

- Find and recognize significant and varied types of therapeutics under development for Colon Cancer (Oncology).

- Classify potential new clients or partners in the target demographic.

- Develop tactical initiatives by understanding the focus areas of leading companies.

- Plan mergers and acquisitions meritoriously by identifying key players and it's most promising pipeline therapeutics.

- Formulate corrective measures for pipeline projects by understanding Colon Cancer (Oncology) pipeline depth and focus of Indication therapeutics.

- Develop and design in-licensing and out-licensing strategies by identifying prospective partners with the most attractive projects to enhance and expand business potential and scope.

- Adjust the therapeutic portfolio by recognizing discontinued projects and understand from the know-how what drove them from pipeline.

Ask Discount on Colon Cancer Therapeutics Companies Review H1 2020 Research Report at: http://www.absolutereports.com/enquiry/request-discount/10512136

About Absolute Report
Absolute Reports is an upscale platform to help key personnel in the business world in strategizing and taking visionary decisions based on facts and figures derived from in depth market research. We are one of the top report resellers in the market, dedicated towards bringing you an ingenious concoction of data parameters.

For more information on this press release visit: http://www.sbwire.com/press-releases/discover-colon-cancer-therapeutic-pipeline-h1-2020-drug-profile-and-major-key-players-769401.htm

Media Relations Contact

Ameya Pingaley
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Email: Click to Email Ameya Pingaley
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          Latest Gaucher Disease Therapeutics Drugs and Companies Pipeline Review, H1 2020   

Latest Pharmaceutical and Healthcare disease pipeline guide Gaucher Disease – Pipeline Review, H2 2016, provides an overview of the Gaucher Disease (Genetic Disorders) pipeline landscape.

Pune, Maharashtra -- (SBWIRE) -- 02/09/2017 -- The Gaucher Disease Therapeutics Market report provides comprehensive information on the therapeutics under development for Neuropathic Pain, complete with analysis by stage of development, drug target, mechanism of action (MoA), route of administration (RoA) and molecule type.

Browse Detailed TOC, Tables, Figures, Charts and Companies Mentioned in Gaucher Disease Therapeutics Development Market Report at: http://www.absolutereports.com/gaucher-disease-pipeline-review-h2-2020-10512134

Gaucher Disease Therapeutics Market Report Highlights:

The Gaucher Disease Therapeutics Market report also covers the descriptive pharmacological action of the therapeutics, its complete research and development history and latest news and press releases. Additionally, the report provides an overview of key players involved in therapeutic development for Gaucher Disease and features dormant and discontinued projects.

Keyplayers in Gaucher Disease Therapeutics Market - Pipeline Review, H1 2020

- Actelion Ltd
- Bioorganic Research and Services S.A.
- Genzyme Corporation
- greenovation Biotech GmbH
- JCR Pharmaceuticals Co., Ltd.
- Lixte Biotechnology Holdings, Inc.
- Neuraltus Pharmaceuticals, Inc.
- Okklo Life Sciences BV
- Pharming Group N.V.

Purchase a Report Copy at: http://www.absolutereports.com/purchase/10512134  

Scope Gaucher Disease Therapeutics Market Pipeline Review Report-

- The pipeline guide provides a snapshot of the global therapeutic landscape of Gaucher Disease (Genetic Disorders).

- The pipeline guide reviews pipeline therapeutics for Gaucher Disease (Genetic Disorders) by companies and universities/research institutes based on information derived from company and industry-specific sources.

- The pipeline guide covers pipeline products based on several stages of development ranging from pre-registration till discovery and undisclosed stages.

- The pipeline guide features descriptive drug profiles for the pipeline products which comprise, product description, descriptive licensing and collaboration details, R&D brief, MoA & other developmental activities.

- The pipeline guide reviews key companies involved in Gaucher Disease (Genetic Disorders) therapeutics and enlists all their major and minor projects.

- The pipeline guide evaluates Gaucher Disease (Genetic Disorders) therapeutics based on mechanism of action (MoA), drug target, route of administration (RoA) and molecule type.

- The pipeline guide encapsulates all the dormant and discontinued pipeline projects.

- The pipeline guide reviews latest news related to pipeline therapeutics for Gaucher Disease (Genetic Disorders)

Sample PDF of Gaucher Disease Therapeutics Market Pipeline Review H1 2020 Research Study at: http://www.absolutereports.com/enquiry/request-sample/10512134

The Gaucher Disease report helps in identifying and tracking emerging players in the market and their portfolios, enhances decision making capabilities and helps to create effective counter strategies to gain competitive advantage.

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- Procure strategically important competitor information, analysis, and insights to formulate effective R&D strategies.

- Recognize emerging players with potentially strong product portfolio and create effective counter-strategies to gain competitive advantage.

- Find and recognize significant and varied types of therapeutics under development for Gaucher Disease (Genetic Disorders).

- Classify potential new clients or partners in the target demographic.

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- Plan mergers and acquisitions meritoriously by identifying key players and it's most promising pipeline therapeutics.

- Formulate corrective measures for pipeline projects by understanding Gaucher Disease (Genetic Disorders) pipeline depth and focus of Indication therapeutics.

- Develop and design in-licensing and out-licensing strategies by identifying prospective partners with the most attractive projects to enhance and expand business potential and scope.

- Adjust the therapeutic portfolio by recognizing discontinued projects and understand from the know-how what drove them from pipeline.

Ask Discount on Gaucher Disease Therapeutics Companies Review H1 2020 Research Report at: http://www.absolutereports.com/enquiry/request-discount/10512134

About Absolute Report
Absolute Reports is an upscale platform to help key personnel in the business world in strategizing and taking visionary decisions based on facts and figures derived from in depth market research. We are one of the top report resellers in the market, dedicated towards bringing you an ingenious concoction of data parameters.

For more information on this press release visit: http://www.sbwire.com/press-releases/latest-gaucher-disease-therapeutics-drugs-and-companies-pipeline-review-h1-2020-769389.htm

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          Thermoplastic Elastomers Expected to Grow by 2022: Key Driver, Top Vendors, Industry Application Analysis and Outlook   

The global TPE market is highly fragmented with the four key vendors accounting for around 25% of the global market share in terms of capacity. The market experienced high levels of capacity additions and is currently facing the issue of overcapacity and supply.

Pune, Maharashtra -- (SBWIRE) -- 02/09/2017 -- The Global Thermoplastic Elastomers Market report covers the present scenario and the growth prospects of the Thermoplastic Elastomers for 2016-2020. To calculate the market size, the report considers both the direct revenue and the indirect revenue of the vendors.

Browse more detail information about Thermoplastic Elastomers Report at: http://www.absolutereports.com/thermoplastic-elastomers-tpe-market-2015-2019-10336428

Thermoplastic Elastomers market to witness a steady growth at a CAGR of around 8%, in terms of revenue, during the forecast period. The increased use of Thermoplastic Elastomers products as a replacement for traditional materials in the automotive industry is driving the market growth. TPE, in comparison to natural rubber and EPDM, provides the manufacturer with increased design flexibility and reduced cost and enhanced long-term weather-resistance advantages.

The report provides a basic overview of the Thermoplastic Elastomers including definitions, classifications, applications and market Sales chain structure. The Thermoplastic Elastomers report enlists several important factors, starting from the basics to advanced market intelligence which play a crucial part in strategizing.

Top Key vendors in Thermoplastic Elastomers Industry

-Dynasol Elastomers
-PolyOne
-LCY Chemicals
-Dow Chemical

Get a PDF Sample of Thermoplastic Elastomers Research Report at: http://www.absolutereports.com/enquiry/request-sample/10336428

Thermoplastic Elastomers Market Opportunities:

With a purpose of enlightening new entrants about the possibilities in this market, this report investigates new project feasibility. Various details about the manufacturing process such as market drivers, impact of drivers, market challenges and impact of drivers and challenges, market trends, vendor landscape analysis and so on, is discussed in the report.

The Thermoplastic Elastomers is divided into the following segments based on geography:

-Americas
-APAC
-EMEA

In the end, the report makes some important proposals for a new project of Thermoplastic Elastomers Industry before evaluating its feasibility. Overall, the report provides an in-depth insight of 2016-2020 global Thermoplastic Elastomers industry covering all important parameters.

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The report offers an analysis of each of the following segments and discusses its impact on the overall market growth -

-Transportation
-Construction and infrastructure
-Consumer electronics and appliances
-Healthcare
-Packaging
-Footwear

The report offers an analysis of each of the following segments and discusses its impact on the overall market growth -

-Styrenics
-Polyolefin blends and alloys
-Polyurethanes
-Copolyesters
-Polyamides

Have any query? ask our expert @ http://www.absolutereports.com/enquiry/pre-order-enquiry/10336428

Detailed TOC of Global Thermoplastic Elastomers Market 2017-2021

-PART 01: Executive summary
-PART 02: Scope of the report
-PART 03: Thermoplastic Elastomers Market research methodology
-PART 04: Introduction
-PART 05: Benefits of Thermoplastic Elastomers
-PART 06: Thermoplastic Elastomers Market landscape
-PART 07: Thermoplastic Elastomers Market segmentation by end-user
-PART 08: Geographical segmentation
-PART 09: Thermoplastic Elastomers Market drivers
-PART 10: Impact of drivers
-PART 11: Thermoplastic Elastomers Market challenges
-PART 12: Impact of drivers and challenges
-PART 13: Thermoplastic Elastomers Market trends
-PART 14: Five forces analysis
-PART 15: Vendor landscape
-PART 16: Key vendor analysis
-PART 17: Other prominent vendors
-PART 18: Assumptions
-PART 19: Appendix
-PART 20: Explore

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          Global Urinary Catheters Market Growth, Drivers, Trends, Demand, Share, Opportunities and Analysis to 2021   

Global Urinary Catheters market research report is a resource, which provides current as well as upcoming technical and financial details of the industry to 2021.

Pune, Maharashtra -- (SBWIRE) -- 02/09/2017 -- The Global Urinary Catheters Market Research Report covers the present scenario and the growth prospects of the Global Urinary Catheters Industry for 2017-2021. Global Urinary Catheters Market, has been prepared based on an in-depth market analysis with inputs from industry experts. The report covers the market landscape and its growth prospects over the coming years and discussion of the key vendors effective in this market. To calculate the market size, the report considers the revenue generated from the sales of Global Urinary Catheters globally.

In urinary catheterization a latex, polyurethane, or silicone tube known as a urinary catheter is inserted into a patient's bladder via the urethra. Catheterization allows the patient's urine to drain freely from the bladder for collection. It may be used to inject liquids used for treatment or diagnosis of bladder conditions. A clinician, often a nurse, usually performs the procedure, but self-catheterization is also possible. The catheter may be a permanent one (indwelling catheter), or an intermittent catheter removed after each catheterization.

Browse more detail information about Global Urinary Catheters Report at: https://www.absolutereports.com/global-urinary-catheters-market-by-manufacturers-regions-type-and-application-forecast-to-2021-10280842  

The Global Urinary Catheters Market Report is a meticulous investigation of current scenario of the global market, which covers several market dynamics. The Global Urinary Catheters market research report is a resource, which provides current as well as upcoming technical and financial details of the industry to 2021.

This report focuses on the Urinary Catheters in Global market, especially in North America, Europe and Asia-Pacific, Latin America, Middle and Africa. This report categorizes the market based on manufacturers, regions, type and application.

Key Vendors of Global Urinary Catheters Market:
-Teleflex
-Bard Medical
-ConvaTec
-B.Braun
-Coloplast
-AngioDynamics
-Boston Scientific
-Cook Medical Inc.
-Medtronic and Covidien
-Hollister
-Terumo
-Amsino
-Pacific Hospital Supply
-Sewoon Medical
-WellLead
-Star Enterprise

And many more……

Get a PDF Sample of Global Urinary Catheters Research Report at: http://www.absolutereports.com/enquiry/request-sample/10280842  

Global Urinary Catheters market report provides key statistics on the market status of the Global Urinary Catheters manufacturers and is a valuable source of guidance and direction for companies and individuals interested in the Global Urinary Catheters industry.

Global Urinary Catheters Market Segment by Type, covers:
-Indwelling or Foley Catheters
-Intermittent or Temporary Catheters
-Male External or Condom Catheters

Global Urinary Catheters Market Segment by Applications, can be divided into:
-Urinary Retention
-Urinary Incontinence
-Spinal Cord Injury

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Geographical Segmentation of Global Urinary Catheters Market:
Global Urinary Catheters in Americas
Global Urinary Catheters in APAC
Global Urinary Catheters in EMEA

The Global Urinary Catheters report also presents the vendor landscape and a corresponding detailed analysis of the major vendors operating in the market. Global Urinary Catheters report analyses the market potential for each geographical region based on the growth rate, macroeconomic parameters, consumer buying patterns, and market demand and supply scenarios.

Have any query? ask our expert @ http://www.absolutereports.com/enquiry/pre-order-enquiry/10280842

List of Exhibits
-Exhibit 01: Product offerings

-Exhibit 02: Types of cardiopulmonary diseases

-Exhibit 03: Peri-operative period and its different stages

-Exhibit 04: History of Global Urinary Catheters

-Exhibit 05: Global Urinary Catheters systems for other surgeries

-Exhibit 06: Process of Global Urinary Catheters

-Exhibit 07: Components of cardiopulmonary Global Urinary Catheters system

-Exhibit 08: Cost analysis of cardiopulmonary Global Urinary Catheters

-Exhibit 09: Cost breakdown of CABG surgery and cardiopulmonary Global Urinary Catheters 2015

-Exhibit 10: Global cardiopulmonary Global Urinary Catheters systems market 2015-2020 ($ millions)

-Exhibit 11: Five forces analysis

-Exhibit 12: Global cardiopulmonary Global Urinary Catheters systems market segmentation by end-user 2015

-Exhibit 13: Global cardiopulmonary Global Urinary Catheters systems market segmentation by geography 2015

-Exhibit 14: Global cardiopulmonary Global Urinary Catheters systems market segmentation by geography 2020

-Exhibit 15: Global cardiopulmonary Global Urinary Catheters systems market segmentation by geography 2015-2020

-Exhibit 16: Global cardiopulmonary Global Urinary Catheters systems market segmentation by geography 2015-2020 ($ millions)

-Exhibit 17: Cardiopulmonary Global Urinary Catheters systems market in Americas 2015-2020 ($ millions)

-Exhibit 18: Comparison of US healthcare system: Before and after reforms

-Exhibit 19: Implements amended in ACA

-Exhibit 20: Number of coronary bypass surgeries per 100,000 people in Europe 2013

Get Discount on Global Urinary Catheters Research Report at: http://www.absolutereports.com/enquiry/request-discount/10280842

The report then estimates 2017-2021 market development trends of Global Urinary Catheters market. Analysis of upstream raw materials, downstream demand, and current market dynamics is also carried out. In the end, the report makes some important proposals for a new project of Global Urinary Catheters market before evaluating its feasibility.

And continued….

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For more information on this press release visit: http://www.sbwire.com/press-releases/global-urinary-catheters-market-growth-drivers-trends-demand-share-opportunities-and-analysis-to-2021-769292.htm

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          Global Pediatric Healthcare Market by Top Key Vendors, Trends, Sales, Supply, Demand, Analysis & Forecasts to 2021   

The Global Pediatric Healthcare Market Report is a meticulous investigation of current scenario of the global market, which covers several market dynamics.

Pune, Maharashtra -- (SBWIRE) -- 02/09/2017 -- The Global Pediatric Healthcare Market Research Report covers the present scenario and the growth prospects of the Global Pediatric Healthcare Industry for 2017-2021. Global Pediatric Healthcare Market, has been prepared based on an in-depth market analysis with inputs from industry experts. The report covers the market landscape and its growth prospects over the coming years and discussion of the key vendors effective in this market. To calculate the market size, the report considers the revenue generated from the sales of Global Pediatric Healthcare globally.

Pediatrics is the branch of medicine that deals with the medical care of infants and children, the age limit usually ranges from birth up to 7 years of age. Correspondingly, it is obvious that pediatric healthcare mainly involves in nutritionals, vaccines and drugs, all of which the purpose is to help children to grow up healthily. Millions of pedia die from disease, malnutrition and virus each year, as a consequence, it is quite significant to study pediatric healthcare.

Browse more detail information about Global Pediatric Healthcare Report at: https://www.absolutereports.com/global-pediatric-healthcare-market-by-manufacturers-regions-type-and-application-forecast-to-2021-10462819  

The Global Pediatric Healthcare Market Report is a meticulous investigation of current scenario of the global market, which covers several market dynamics. The Global Pediatric Healthcare market research report is a resource, which provides current as well as upcoming technical and financial details of the industry to 2021.

This report focuses on the Pediatric Healthcare in Global market, especially in North America, Europe and Asia-Pacific, South America, Middle East and Africa. This report categorizes the market based on manufacturers, regions, type and application.

Key Vendors of Global Pediatric Healthcare Market:
-Abbott
-AstraZeneca
-GlaxoSmithKline
-Merck & Co.
-Pfizer
-Sanofi
-Perrigo
-Mead Johnson
-Nestle
-Danone

And many more……

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Global Pediatric Healthcare market report provides key statistics on the market status of the Global Pediatric Healthcare manufacturers and is a valuable source of guidance and direction for companies and individuals interested in the Global Pediatric Healthcare industry.

Global Pediatric Healthcare Market Segment by Type, covers:
-Vaccines
-Drugs
-Nutritionals

Global Pediatric Healthcare Market Segment by Applications, can be divided into:
-Prophylactic Products
-Therapeutic Products

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Geographical Segmentation of Global Pediatric Healthcare Market:
Global Pediatric Healthcare in Americas
Global Pediatric Healthcare in APAC
Global Pediatric Healthcare in EMEA

The Global Pediatric Healthcare report also presents the vendor landscape and a corresponding detailed analysis of the major vendors operating in the market. Global Pediatric Healthcare report analyses the market potential for each geographical region based on the growth rate, macroeconomic parameters, consumer buying patterns, and market demand and supply scenarios.

Have any query? ask our expert @ http://www.absolutereports.com/enquiry/pre-order-enquiry/10462819

Key questions answered in Global Pediatric Healthcare market report:
- What are the key trends in Global Pediatric Healthcare market?
- What are the Growth Restraints of this market?
- What will the market size & growth be in 2020?
- Who are the key manufacturer in this market space?
- What are the Global Pediatric Healthcare market opportunities, market risk and market overview?
- How revenue of this Global Pediatric Healthcare market in previous & next coming years?

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The report then estimates 2017-2021 market development trends of Global Pediatric Healthcare market. Analysis of upstream raw materials, downstream demand, and current market dynamics is also carried out. In the end, the report makes some important proposals for a new project of Global Pediatric Healthcare market before evaluating its feasibility.

And continued….

About Absolute Report
Absolute Reports is an upscale platform to help key personnel in the business world in strategizing and taking visionary decisions based on facts and figures derived from in depth market research. We are one of the top report resellers in the market, dedicated towards bringing you an ingenious concoction of data parameters.

For more information on this press release visit: http://www.sbwire.com/press-releases/global-pediatric-healthcare-market-by-top-key-vendors-trends-sales-supply-demand-analysis-forecasts-to-2021-769287.htm

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Absolute Reports
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          Global Circulating Tumor Cells Market Expected to Grow by 2021- Key Driver, Trends, Sales, Supply, Demand Top Vendors, Industry Application Analysis and Outlook   

The Global Circulating Tumor Cells Market Report is a meticulous investigation of current scenario of the global market, which covers several market dynamics. The Global Circulating Tumor Cells market research report is a resource, which provides current as well as upcoming technical and financial details of the industry to 2021.

Pune, Maharashtra -- (SBWIRE) -- 02/09/2017 -- The Global Circulating Tumor Cells Market Research Report covers the present scenario and the growth prospects of the Global Circulating Tumor Cells Industry for 2017-2021. Global Circulating Tumor Cells Market, has been prepared based on an in-depth market analysis with inputs from industry experts. The report covers the market landscape and its growth prospects over the coming years and discussion of the key vendors effective in this market. To calculate the market size, the report considers the revenue generated from the sales of Global Circulating Tumor Cells globally.

Report analysts forecast the Global Circulating Tumor Cells Warming Devices market to grow at a CAGR of 18.9% during the period 2017-2021.

Browse more detail information about Global Circulating Tumor Cells Report at: https://www.absolutereports.com/global-circulating-tumor-cells-market-by-manufacturers-regions-type-and-application-forecast-to-2021-10471471

The Global Circulating Tumor Cells Market Report is a meticulous investigation of current scenario of the global market, which covers several market dynamics. The Global Circulating Tumor Cells market research report is a resource, which provides current as well as upcoming technical and financial details of the industry to 2021.

This report mainly covers Circulating Tumor Cells products, by types (CTC enrichment, CTC detection and CTC analysis), by applications (Prostate Cancer, Breast Cancer, Colorectal Cancer Diagnosis and Treatment and Others).

Key Vendors of Global Circulating Tumor Cells Market:

-Roche
-Thermo Fisher Scientific
-Illumina
-Agilent Technologies
-Laboratory Corporation
-Promega
-GE Healthcare
-QIAGEN
-LGC Forensics
-Morpho (Safran)
-NEC
-ZyGEM

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Report Scope

The scope of this study is clinical testing, prognostic and monitoring markets for CTCs in cancer. The report also includes the clinical segment, currently approved CTC tests and their markets, the regulatory environment, current technologies, new technologies, cancer incidence, market projections and market share along with the latest trends and new developments in this area. This report does not include the segment's research market including reagents, or any accessories used for CTC isolation or studies. The research segment of the market includes numerous competitors with different capabilities, developing and commercializing products such as CTC isolation devices and protocols, CTC characterization reagents, assay and instrumentation, and various identification technologies based on cell imaging. These market players include specialized or research-based companies that contribute considerably to the technological advancements in the field of CTC technologies. The data collected for the report is focused on breast, prostate and colorectal cancers for which clinical data and tests are available currently on the market. CTCs in other cancers are being researched and some are in clinical trials; these are not included within the scope of this report.

Global Circulating Tumor Cells Market Segment by Type, covers:
-CTC enrichment
-CTC detection
-CTC analysis

Global Circulating Tumor Cells Market Segment by Applications, can be divided into:
-Prostate Cancer
-Breast Cancer
-Colorectal Cancer
-Others

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Geographical Segmentation of Global Circulating Tumor Cells Market:
- Global Circulating Tumor Cells in Americas
- Global Circulating Tumor Cells in APAC
- Global Circulating Tumor Cells in EMEA

The Global Circulating Tumor Cells report also presents the vendor landscape and a corresponding detailed analysis of the major vendors operating in the market. Global Circulating Tumor Cells report analyses the market potential for each geographical region based on the growth rate, macroeconomic parameters, consumer buying patterns, and market demand and supply scenarios.

Have any query? ask our expert @ http://www.absolutereports.com/enquiry/pre-order-enquiry/10471471

List of Exhibits
-Exhibit 01: Product offerings

-Exhibit 02: Types of cardiopulmonary diseases

-Exhibit 03: Peri-operative period and its different stages

-Exhibit 04: History of Circulating Tumor Cells

-Exhibit 05: Circulating Tumor Cells systems for other surgeries

-Exhibit 06: Process of Circulating Tumor Cells

-Exhibit 07: Components of cardiopulmonary Circulating Tumor Cells system

-Exhibit 08: Cost analysis of cardiopulmonary Circulating Tumor Cells

-Exhibit 09: Cost breakdown of CABG surgery and cardiopulmonary Circulating Tumor Cells 2015

-Exhibit 10: Global cardiopulmonary Circulating Tumor Cells systems market 2015-2020 ($ millions)

-Exhibit 11: Five forces analysis

-Exhibit 12: Global cardiopulmonary Circulating Tumor Cells systems market segmentation by end-user 2015

-Exhibit 13: Global cardiopulmonary Circulating Tumor Cells systems market segmentation by geography 2015

-Exhibit 14: Global cardiopulmonary Circulating Tumor Cells systems market segmentation by geography 2020

-Exhibit 15: Global cardiopulmonary Circulating Tumor Cells systems market segmentation by geography 2015-2020

-Exhibit 16: Global cardiopulmonary Circulating Tumor Cells systems market segmentation by geography 2015-2020 ($ millions)

-Exhibit 17: Cardiopulmonary Circulating Tumor Cells systems market in Americas 2015-2020 ($ millions)

-Exhibit 18: Comparison of US healthcare system: Before and after reforms

-Exhibit 19: Implements amended in ACA

-Exhibit 20: Number of coronary bypass surgeries per 100,000 people in Europe 2013

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The report then estimates 2017-2021 market development trends of Global Circulating Tumor Cells market. Analysis of upstream raw materials, downstream demand, and current market dynamics is also carried out. In the end, the report makes some important proposals for a new project of Global Circulating Tumor Cells market before evaluating its feasibility.

About Absolute Report
Absolute Reports is an upscale platform to help key personnel in the business world in strategizing and taking visionary decisions based on facts and figures derived from in depth market research. We are one of the top report resellers in the market, dedicated towards bringing you an ingenious concoction of data parameters.

For more information on this press release visit: http://www.sbwire.com/press-releases/global-circulating-tumor-cells-market-expected-to-grow-by-2021-key-driver-trends-sales-supply-demand-top-vendors-industry-application-analysis-and-outlook-769284.htm

Media Relations Contact

Ameya Pingaley
Absolute Reports
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          Global Cardiopulmonary Autotransfusion System Market Growth, Drivers, Trends, Demand, Share, Opportunities and Analysis to 2021   

The Global Cardiopulmonary Autotransfusion System Market Report is a meticulous investigation of current scenario of the global market, which covers several market dynamics.

Pune, Maharashtra -- (SBWIRE) -- 02/09/2017 -- The Global Cardiopulmonary Autotransfusion System Market Research Report covers the present scenario and the growth prospects of the Global Cardiopulmonary Autotransfusion System Industry for 2017-2021. Global Cardiopulmonary Autotransfusion System Market, has been prepared based on an in-depth market analysis with inputs from industry experts. The report covers the market landscape and its growth prospects over the coming years and discussion of the key vendors effective in this market. To calculate the market size, the report considers the revenue generated from the sales of Global Cardiopulmonary Autotransfusion System globally.

Report analysts forecast the Global Cardiopulmonary autotransfusion system is a sophisticated device with an exceptionally effective design that provides autologous blood during surgical procedures.

Browse more detail information about Global Cardiopulmonary Autotransfusion System Report at: https://www.absolutereports.com/global-cardiopulmonary-autotransfusion-system-market-by-manufacturers-regions-type-and-application-forecast-to-2021-10435057

The Global Cardiopulmonary Autotransfusion System Market Report is a meticulous investigation of current scenario of the global market, which covers several market dynamics. The Global Cardiopulmonary Autotransfusion System market research report is a resource, which provides current as well as upcoming technical and financial details of the industry to 2021.

Key Vendors of Global Cardiopulmonary Autotransfusion System Market:
-Haemonetics
-Medtronic
-LivaNova
-Fresenius Kabi
-Terumo
-Wandong Health Sources

Get a PDF Sample of Global Cardiopulmonary Autotransfusion System Research Report at: http://www.absolutereports.com/enquiry/request-sample/10435057

Global Cardiopulmonary Autotransfusion System market report provides key statistics on the market status of the Global Cardiopulmonary Autotransfusion System manufacturers and is a valuable source of guidance and direction for companies and individuals interested in the Global Cardiopulmonary Autotransfusion System industry.

Global Cardiopulmonary Autotransfusion System Driver:
-Rise in cardiac surgeries
-Complications of allogenic blood transfusion
-Advances in autotransfusion technology

Global Cardiopulmonary Autotransfusion System Challenge:
-Limitations of autotransfusion technology
-Use of allogenic blood transfusion
-Stringent regulatory framework and medical policies

Global Cardiopulmonary Autotransfusion System Trend:
-Development of ultrafiltration systems
-Significant opportunities in emerging countries
-Public awareness

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Geographical Segmentation of Global Cardiopulmonary Autotransfusion System Market:
- Global Cardiopulmonary Autotransfusion System in Americas
- Global Cardiopulmonary Autotransfusion System in APAC
- Global Cardiopulmonary Autotransfusion System in EMEA

The Global Cardiopulmonary Autotransfusion System report also presents the vendor landscape and a corresponding detailed analysis of the major vendors operating in the market. Global Cardiopulmonary Autotransfusion System report analyses the market potential for each geographical region based on the growth rate, macroeconomic parameters, consumer buying patterns, and market demand and supply scenarios.

Have any query? ask our expert @ http://www.absolutereports.com/enquiry/pre-order-enquiry/10435057

List of Exhibits

-Exhibit 01: Product offerings
-Exhibit 02: Types of cardiopulmonary diseases
-Exhibit 03: Peri-operative period and its different stages
-Exhibit 04: History of autotransfusion
-Exhibit 05: Autotransfusion systems for other surgeries
-Exhibit 06: Process of autotransfusion
-Exhibit 07: Components of cardiopulmonary autotransfusion system
-Exhibit 08: Cost analysis of cardiopulmonary autotransfusion
-Exhibit 09: Cost breakdown of CABG surgery and cardiopulmonary autotransfusion 2015
-Exhibit 10: Global cardiopulmonary autotransfusion systems market 2015-2020 ($ millions)
-Exhibit 11: Five forces analysis
-Exhibit 12: Global cardiopulmonary autotransfusion systems market segmentation by end-user 2015
-Exhibit 13: Global cardiopulmonary autotransfusion systems market segmentation by geography 2015
-Exhibit 14: Global cardiopulmonary autotransfusion systems market segmentation by geography 2020
-Exhibit 15: Global cardiopulmonary autotransfusion systems market segmentation by geography 2015-2020
-Exhibit 16: Global cardiopulmonary autotransfusion systems market segmentation by geography 2015-2020 ($ millions)
-Exhibit 17: Cardiopulmonary autotransfusion systems market in Americas 2015-2020 ($ millions)
-Exhibit 18: Comparison of US healthcare system: Before and after reforms
-Exhibit 19: Implements amended in ACA
-Exhibit 20: Number of coronary bypass surgeries per 100,000 people in Europe 2013
-Exhibit 21: Cardiopulmonary autotransfusion systems market in EMEA 2015-2020 ($ millions)
-Exhibit 22: Cardiopulmonary autotransfusion systems market in APAC 2015-2020 ($ millions)
-Exhibit 23: Impact of drivers

Get Discount on Global Cardiopulmonary Autotransfusion System Research Report at: http://www.absolutereports.com/enquiry/request-discount/10435057

The report then estimates 2017-2021 market development trends of Global Cardiopulmonary Autotransfusion System market. Analysis of upstream raw materials, downstream demand, and current market dynamics is also carried out. In the end, the report makes some important proposals for a new project of Global Cardiopulmonary Autotransfusion System market before evaluating its feasibility.

About Absolute Report
Absolute Reports is an upscale platform to help key personnel in the business world in strategizing and taking visionary decisions based on facts and figures derived from in depth market research. We are one of the top report resellers in the market, dedicated towards bringing you an ingenious concoction of data parameters.

For more information on this press release visit: http://www.sbwire.com/press-releases/global-cardiopulmonary-autotransfusion-system-market-growth-drivers-trends-demand-share-opportunities-and-analysis-to-2021-769280.htm

Media Relations Contact

Ameya Pingaley
Absolute Reports
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Email: Click to Email Ameya Pingaley
Web: https://www.absolutereports.com/global-cardiopulmonary-autotransfusion-system-market-by-manufacturers-regions-type-and-application-forecast-to-2021-10435057


          Healthcare RCM Market 2020- Trends, Drivers, Strategies, Applications and Competitive Landscape   

Healthcare Revenue Cycle Management Market in US 2016-2020, has been prepared based on an in-depth market analysis with inputs from industry experts. The report covers the market landscape and its growth prospects over the coming years. The report also includes a discussion of the key vendors operating in this market.

Pune, Maharashtra -- (SBWIRE) -- 02/09/2017 -- The Healthcare RCM Market Research Report covers the present scenario and the growth prospects of the Healthcare RCM Industry for 2017-2021. Healthcare RCM Market, has been prepared based on an in-depth market analysis with inputs from industry experts. To calculate the market size, the report considers the revenue generated from the sales of Healthcare RCM globally.

Healthcare service providers had deployed automated systems to address the RCM processes and to fill the payment gap, resulting from the complex processes of medical billing and collections. IT applications such as hospital information system and EHR have outdated technology platforms that lack the advanced functionalities needed to address RCM issues. The inefficient manner of medical billing and collections resulted in revenue loss for many healthcare organizations.

Report analysts forecast the global Healthcare RCM Warming Devices market to grow at a CAGR of 12.89% during the period 2017-2021.

Browse more detail information about Healthcare RCM Report at: https://www.absolutereports.com/healthcare-rcm-market-in-us-2016-2020-10338197  

The Healthcare RCM Market Report is a meticulous investigation of current scenario of the global market, which covers several market dynamics. The Healthcare RCM market research report is a resource, which provides current as well as upcoming technical and financial details of the industry to 2021.

The report covers the market landscape and its growth prospects over the coming years and discussion of the key vendors effective in this market. Healthcare Revenue Cycle Management Market in US 2016-2020, has been prepared based on an in-depth market analysis with inputs from industry experts. The report covers the market landscape and its growth prospects over the coming years.

Key Vendors of Healthcare RCM Market:
-Allscripts
-Cerner
-GE Healthcare
-McKesson
-SSI Group

Other prominent vendors
-Adreima
-Alleviant
-Avadyne Health
-Cardon Outreach
-Health Systems Management Network
-MediRevv
-Precyse Solutions

Get a PDF Sample of Healthcare RCM Research Report at: http://www.absolutereports.com/enquiry/request-sample/10338197

Global Healthcare RCM market report provides key statistics on the market status of the Healthcare RCM manufacturers and is a valuable source of guidance and direction for companies and individuals interested in the Healthcare RCM industry.

Healthcare RCM Driver:
-Rise in recovery audits due to changing healthcare regulations
-For a full, detailed list, view our report

Healthcare RCM Challenge:
-Frequent changes in healthcare compliance requirements
-For a full, detailed list, view our report

Healthcare RCM Trend:
-Strong clinical network connectivity with medical practitioners
-For a full, detailed list, view our report

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Geographical Segmentation of Healthcare RCM Market:
- Healthcare RCM in Americas
- Healthcare RCM in APAC
- Healthcare RCM in EMEA

The Healthcare RCM report also presents the vendor landscape and a corresponding detailed analysis of the major vendors operating in the market. Healthcare RCM report analyses the market potential for each geographical region based on the growth rate, macroeconomic parameters, consumer buying patterns, and market demand and supply scenarios.

Have any query? ask our expert @ http://www.absolutereports.com/enquiry/pre-order-enquiry/10338197

Key questions answered in Healthcare RCM market report:
- What are the key trends in Healthcare RCM market?
- What are the Growth Restraints of this market?
- What will the market size & growth be in 2020?
- Who are the key manufacturer in this market space?
- What are the Healthcare RCM market opportunities, market risk and market overview?
- How revenue of this Healthcare RCM market in previous & next coming years?

Get Discount on Healthcare RCM Research Report at: http://www.absolutereports.com/enquiry/request-discount/10338197

The report then estimates 2017-2021 market development trends of Healthcare RCM market. Analysis of upstream raw materials, downstream demand, and current market dynamics is also carried out. In the end, the report makes some important proposals for a new project of Healthcare RCM market before evaluating its feasibility.

About Absolute Report
Absolute Reports is an upscale platform to help key personnel in the business world in strategizing and taking visionary decisions based on facts and figures derived from in depth market research. We are one of the top report resellers in the market, dedicated towards bringing you an ingenious concoction of data parameters.

For more information on this press release visit: http://www.sbwire.com/press-releases/healthcare-rcm-market-2020-trends-drivers-strategies-applications-and-competitive-landscape-769256.htm

Media Relations Contact

Ameya Pingaley
Absolute Reports
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Web: https://www.absolutereports.com/healthcare-rcm-market-in-us-2016-2020-10338197


          Global Big Data Infrastructure Market Growth, Drivers, Trends, Demand, Share, Opportunities and Analysis to 2020   

Global Big Data Infrastructure Market 2016-2020, has been prepared based on an in-depth market analysis with inputs from industry experts. The report covers the market landscape and its growth prospects over the coming years. The report also includes a discussion of the key vendors operating in this market.

Pune, Maharashtra -- (SBWIRE) -- 02/09/2017 -- The Global Big Data Infrastructure Market Research Report covers the present scenario and the growth prospects of the Global Big Data Infrastructure Industry for 2017-2021. Global Big Data Infrastructure Market, has been prepared based on an in-depth market analysis with inputs from industry experts. The report covers the market landscape and its growth prospects over the coming years and discussion of the key vendors effective in this market.

Big data refers to a wide range of hardware, software, and services required for processing and analyzing enterprise data that is too large for traditional data processing tools to manage. In this report, we have included big data infrastructure, which includes mainly hardware and embedded software. These data are generated from various sources such as mobile devices, digital repositories, and enterprise applications, and their size ranges from terabytes to exabytes. Big data solutions have a wide range of applications such as analysis of conversations in social networking websites, fraud management in the financial services sector, and disease diagnosis in the healthcare sector.

Report analysts forecast the Global Big Data Infrastructure Warming Devices market to grow at a CAGR of 33.15% during the period 2017-2021.

Browse more detail information about Global Big Data Infrastructure Report at: https://www.absolutereports.com/global-big-data-infrastructure-market-2016-2020-10337627  

The Global Big Data Infrastructure Market Report is a meticulous investigation of current scenario of the global market, which covers several market dynamics. The Global Big Data Infrastructure market research report is a resource, which provides current as well as upcoming technical and financial details of the industry to 2021.

To calculate the market size, the report considers the revenue generated from the sales of Global Big Data Infrastructure globally.

Key Vendors of Global Big Data Infrastructure Market:
- Dell
- IBM
- HP
- Fusion-io
- NetApp
- Cisco

 

Other prominent vendors
- Intel
- Oracle
- Teradata

And many more……

 

Get a PDF Sample of Global Big Data Infrastructure Research Report at: http://www.absolutereports.com/enquiry/request-sample/10337627  

Global Big Data Infrastructure market report provides key statistics on the market status of the Global Big Data Infrastructure manufacturers and is a valuable source of guidance and direction for companies and individuals interested in the Global Big Data Infrastructure industry.

Global Big Data Infrastructure Driver:
- Benefits associated with big data
- For a full, detailed list, view our report

Global Big Data Infrastructure Challenge:
- Complexity in transformation of procured data to useful data
- For a full, detailed list, view our report

Global Big Data Infrastructure Trend:
- Increasing presence of open source big data technology platforms
- For a full, detailed list, view our report

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Geographical Segmentation of Global Big Data Infrastructure Market:
· Global Big Data Infrastructure in Americas
· Global Big Data Infrastructure in APAC
· Global Big Data Infrastructure in EMEA

 

The Global Big Data Infrastructure report also presents the vendor landscape and a corresponding detailed analysis of the major vendors operating in the market. Global Big Data Infrastructure report analyses the market potential for each geographical region based on the growth rate, macroeconomic parameters, consumer buying patterns, and market demand and supply scenarios.

Have any query? ask our expert @ http://www.absolutereports.com/enquiry/pre-order-enquiry/10337627

Key questions answered in Global Big Data Infrastructure market report:
- What are the key trends in Global Big Data Infrastructure market?
- What are the Growth Restraints of this market?
- What will the market size & growth be in 2020?
- Who are the key manufacturer in this market space?
- What are the Global Big Data Infrastructure market opportunities, market risk and market overview?
- How revenue of this Global Big Data Infrastructure market in previous & next coming years?

Get Discount on Global Big Data Infrastructure Research Report at: http://www.absolutereports.com/enquiry/request-discount/10337627

The report then estimates 2017-2021 market development trends of Global Big Data Infrastructure market. Analysis of upstream raw materials, downstream demand, and current market dynamics is also carried out. In the end, the report makes some important proposals for a new project of Global Big Data Infrastructure market before evaluating its feasibility.

And continued….

About Absolute Report:

Absolute Reports is an upscale platform to help key personnel in the business world in strategizing and taking visionary decisions based on facts and figures derived from in depth market research. We are one of the top report resellers in the market, dedicated towards bringing you an ingenious concoction of data parameters.

For more information on this press release visit: http://www.sbwire.com/press-releases/global-big-data-infrastructure-market-growth-drivers-trends-demand-share-opportunities-and-analysis-to-2020-769211.htm

Media Relations Contact

Ameya Pingaley
Absolute Reports
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          Global Pediatric Cranial Remolding Orthoses Market Expected to Grow by 2021- Growth, Opportunities, Analysis Key Driver, Top Vendors, Industry Application, Analysis and Outlook   

The Global Pediatric Cranial Remolding Orthoses market research report is a resource, which provides current as well as upcoming technical and financial details of the industry to 2021.

Pune, Maharashtra -- (SBWIRE) -- 02/09/2017 -- The Global Pediatric Cranial Remolding Orthoses Market Research Report covers the present scenario and the growth prospects of the Global Pediatric Cranial Remolding Orthoses Industry for 2017-2021. Global Pediatric Cranial Remolding Orthoses Market, has been prepared based on an in-depth market analysis with inputs from industry experts. The report covers the market landscape and its growth prospects over the coming years and discussion of the key vendors effective in this market.

Pediatric Cranial Remolding Orthoses is a device used to treat head shape deformities such as plagiocephaly, brachycephaly and scaphocephaly. The helmet treatment is effective in infants from 3-18 months of age, but optimal when started younger due to the decrease in growth rate as the child ages. To calculate the market size, the report considers the revenue generated from the sales of Global Pediatric Cranial Remolding Orthoses globally.

Browse more detail information about Global Pediatric Cranial Remolding Orthoses Report at: https://www.absolutereports.com/global-pediatric-cranial-remolding-orthoses-market-by-manufacturers-regions-type-and-application-forecast-to-2021-10265307  

The Global Pediatric Cranial Remolding Orthoses Market Report is a meticulous investigation of current scenario of the global market, which covers several market dynamics. The Global Pediatric Cranial Remolding Orthoses market research report is a resource, which provides current as well as upcoming technical and financial details of the industry to 2021.

This report focuses on the Pediatric Cranial Remolding Orthoses in Global market, especially in North America, Europe and Asia-Pacific, Latin America, Middle and Africa. This report categorizes the market based on manufacturers, regions, type and application.

Key Vendors of Global Pediatric Cranial Remolding Orthoses Market:
-Orthomerica
-Ballert Orthopedic
-Cranial Technologies
-Becker Orthopedic
-Hanger Clinic
-BioSculptor
-Boston Brace
And many more…..

Get a PDF Sample of Global Pediatric Cranial Remolding Orthoses Research Report at: http://www.absolutereports.com/enquiry/request-sample/10265307  

Global Pediatric Cranial Remolding Orthoses market report provides key statistics on the market status of the Global Pediatric Cranial Remolding Orthoses manufacturers and is a valuable source of guidance and direction for companies and individuals interested in the Global Pediatric Cranial Remolding Orthoses industry.

Global Pediatric Cranial Remolding Orthoses Market Segment by Type, covers:
-Active helmets
-Passive helmets

Global Pediatric Cranial Remolding Orthoses Market Segment by Applications, can be divided into:
-Plagiocephaly
-Brachycephaly
-Scaphocephaly

Purchase report @ http://www.absolutereports.com/purchase/10265307

Geographical Segmentation of Global Pediatric Cranial Remolding Orthoses Market:
Global Pediatric Cranial Remolding Orthoses in Americas
Global Pediatric Cranial Remolding Orthoses in APAC
Global Pediatric Cranial Remolding Orthoses in EMEA

The Global Pediatric Cranial Remolding Orthoses report also presents the vendor landscape and a corresponding detailed analysis of the major vendors operating in the market. Global Pediatric Cranial Remolding Orthoses report analyses the market potential for each geographical region based on the growth rate, macroeconomic parameters, consumer buying patterns, and market demand and supply scenarios.

Have any query? ask our expert @ http://www.absolutereports.com/enquiry/pre-order-enquiry/10265307

List of Exhibits
-Exhibit 01: Product offerings

-Exhibit 02: Types of cardiopulmonary diseases

-Exhibit 03: Peri-operative period and its different stages

-Exhibit 04: History of Global Pediatric Cranial Remolding Orthoses

-Exhibit 05: Global Pediatric Cranial Remolding Orthoses systems for other surgeries

-Exhibit 06: Process of Global Pediatric Cranial Remolding Orthoses

-Exhibit 07: Components of cardiopulmonary Global Pediatric Cranial Remolding Orthoses system

-Exhibit 08: Cost analysis of cardiopulmonary Global Pediatric Cranial Remolding Orthoses

-Exhibit 09: Cost breakdown of CABG surgery and cardiopulmonary Global Pediatric Cranial Remolding Orthoses 2015

-Exhibit 10: Global cardiopulmonary Global Pediatric Cranial Remolding Orthoses systems market 2015-2020 ($ millions)

-Exhibit 11: Five forces analysis

-Exhibit 12: Global cardiopulmonary Global Pediatric Cranial Remolding Orthoses systems market segmentation by end-user 2015

-Exhibit 13: Global cardiopulmonary Global Pediatric Cranial Remolding Orthoses systems market segmentation by geography 2015

-Exhibit 14: Global cardiopulmonary Global Pediatric Cranial Remolding Orthoses systems market segmentation by geography 2020

-Exhibit 15: Global cardiopulmonary Global Pediatric Cranial Remolding Orthoses systems market segmentation by geography 2015-2020

-Exhibit 16: Global cardiopulmonary Global Pediatric Cranial Remolding Orthoses systems market segmentation by geography 2015-2020 ($ millions)

-Exhibit 17: Cardiopulmonary Global Pediatric Cranial Remolding Orthoses systems market in Americas 2015-2020 ($ millions)

-Exhibit 18: Comparison of US healthcare system: Before and after reforms

-Exhibit 19: Implements amended in ACA

-Exhibit 20: Number of coronary bypass surgeries per 100,000 people in Europe 2013

Get Discount on Global Pediatric Cranial Remolding Orthoses Research Report at: http://www.absolutereports.com/enquiry/request-discount/10265307  

The report then estimates 2017-2021 market development trends of Global Pediatric Cranial Remolding Orthoses market. Analysis of upstream raw materials, downstream demand, and current market dynamics is also carried out. In the end, the report makes some important proposals for a new project of Global Pediatric Cranial Remolding Orthoses market before evaluating its feasibility.

And continued….

About Absolute Report
Absolute Reports is an upscale platform to help key personnel in the business world in strategizing and taking visionary decisions based on facts and figures derived from in depth market research. We are one of the top report resellers in the market, dedicated towards bringing you an ingenious concoction of data parameters.

For more information on this press release visit: http://www.sbwire.com/press-releases/global-pediatric-cranial-remolding-orthoses-market-expected-to-grow-by-2021-growth-opportunities-analysis-key-driver-top-vendors-industry-application-analysis-and-outlook-769294.htm

Media Relations Contact

Ameya Pingaley
Absolute Reports
Telephone: 408-520-9750
Email: Click to Email Ameya Pingaley
Web: https://www.absolutereports.com/global-pediatric-cranial-remolding-orthoses-market-by-manufacturers-regions-type-and-application-forecast-to-2021-10265307


          VP, Digital Marketing - Minnetonka, MN - USA-MN-Minnetonka   
Job Description: No industry is moving faster than health care, and no organization is better positioned to lead than UnitedHealthcare. Research shows a strong and steady demand from seniors looking t...
          INSTALLATION TECHNICIANS   
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          Retirement of Things   
The actual retirement, you know the part of not going to work anymore is awesome and hasn't worn off yet, but (and this is a big BUT) everything else seems to have hiccups or large stop signs.

I am medically retired and made it to about 246 months, give or take a day or two.  That should mean something in the veteran world, at least,!  don't you think?
I can't complain too much about Tricare that was a big winner for all that time in service, but they haven't lived up to there part of the deal either.
The DAV actually has helped me more while I was active duty than retired thus far and I'm a paid in full life member. There are 2 organizations that helped us out big time that first month, the Semper Fi Fund and  SALUTE, Inc.
Then there is the VA, if you've just got a glimpse of my handicap issues then you'd know I need the healthcare part.  Just a quick side note, where did all that money go that Congress gave them a few years ago?
We thought that at least the dental part would be helped, since I have TMD, grinding and  clenching, and tooth and gum problems.  The last time I had dental work I had to have it in the Operating Room at a hospital, just to make sure I didn't die during the dental work, and I still went info the ICU and was kept overnight.  So in short, I need massive dental "insurance".
I have slew of other issues that I haven't even been seen by an initial doctor.  Big one is orthopedics, if I could get a hip replacement, then maybe just maybe I could walk with a "walker".  But the longer VA waits the more my legs aprotree(sp.) and walking may never happen.
Really I could go on and on, but using this software I have to type for me is fucking difficult,  and the punctuation is a bitch.  Plus I slur my words alot after seizures and right after I get up in the morning.
I'll say this if care doesn't improve real soon my caregivers' and I will probably have depression as our or your main worry.
          Affordable Health Insurance Top Rated Companies Save 40%-60 (Oodle) $120   
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          Save up to 80% on health care for under $40 month (Oodle)   
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          TRACIE: Your Gateway to Smarter Emergency Preparedness Information   

This blog is a repost from the U.S. Department of Health and Human Services, Assistant Secretary for Preparedness and Response - ASPR Blog.
Whether you work for a hospital, are part of a healthcare coalition, or are a healthcare provider, emergency manager or a public health practitioner, you are probably looking for a smarter way to keep the people who rely on you healthy, safe, and informed when disaster strikes. Finding information is easy – finding the right information can be a lot harder.


          The Evolution of EMS   

MORE THAN 40 YEARS have passed since the first episode of “Emergency!” aired on television, and in some ways, things haven’t changed all that much. In the January 1972 pilot episode, which offers a dramatized account of the early days of Los Angeles County paramedics, emergency physicians are skeptical that paramedics can safely provide medical care in the field. Frustrated firefighters wonder why they try so hard to save lives when they don’t have the necessary tools and training for the situation. And legislators grapple with how to regulate these new healthcare providers.


          National Nurse Act of 2017 Introduced in Senate   

DURING NATIONAL NURSES WEEK, MERKLEY STANDS UP FOR NURSES WITH BIPARTISAN LEGISLATIVE PACKAGE

Bills would update nursing workforce programs and create a National Nurse for Public Health

WASHINGTON, D.C. – This National Nurses Week, Oregon’s Senator Jeff Merkley [merkley.senate.gov] is standing with nurses in Oregon and across America by introducing bipartisan legislation to support nurses and strengthen the nursing profession.

Merkley on Thursday introduced the National Nurse Act of 2017 and the Nursing Workforce Reauthorization Act of 2017, both with bipartisan support. The National Nurse Act is co-led by Senator Shelley Moore Capito (R-WV), and the Nursing Workforce Reauthorization Act is co-led by Senators Richard Burr (R-NC), Tammy Baldwin (D-WI), and Susan Collins (R-ME).

Merkley, whose wife works in Oregon as a registered nurse, also introduced a bipartisan Senate resolution with Senator Roger Wicker (R-MS), officially honoring May 6-12 as National Nurses Week.

“As the husband of a nurse, I hear firsthand about the challenges and successes that come with working on the frontlines of our health care system,” Merkley said. “Every day, nurses take on difficult, essential, and often thankless tasks that keep our health care system running and that have a huge impact on the patient experience. Each of us has a story about the nurse who made all the difference at a frightening or difficult time for our families. I’ll keep fighting to improve federal policy to fully recognize and support the essential role of nurses in our health care system, and I invite all Oregonians to join me in recognizing the tremendous work of our Oregon nurses this National Nurses Week.”

The National Nurse Act of 2017 (S. 1106) The bipartisan National Nurse Act of 2017 would elevate the role of nurses in America’s public health by designating a National Nurse for Public Health.

The National Nurse position would be created by transforming and elevating an existing position within the U.S. Public Health Service, the Chief Nurse Officer. Similarly to the Surgeon General, the National Nurse for Public Health would help raise awareness among the American public about disease prevention and healthy living. The position would provide leadership by a publicly visible nurse who would collaborate with other health care leaders to address health disparities and set goals for improved public health. Nurses represent the largest single component of the health care profession with more than 3.3 million registered nurses. With a National Nurse for Public Health providing a uniting voice and national leadership, American nurses’ power to transform their patients’ lives and to improve public health outcomes would be even greater.

Chronic conditions such as heart disease, cancer and obesity pose the single greatest threat to the health of Americans and a serious threat to our nation's economy. Nurses provide key services for the prevention and management of these conditions. The National Nurse for Public Health will promote prevention; help improve outcomes; and guide national, state and local efforts in addressing the nation's health.

The National Nurse Act of 2017 is supported by the American Nurses Association, AFT Nurses and Healthcare Professionals, the Case Management Society of America and 105 other national and state nursing organizations and key stakeholders.


          Please Support The National Nurse Act of 2017   

Please Support The National Nurse Act of 2017

Written By Kathy Quan BSN, RN, PHN (and posted with permission)

Nurses were once again voted the Most Trusted Professionals in the 2016 Gallup Poll. This marked the 15th year in a row that nurses have topped the list. It’s indeed an honor to call ourselves nurses and to be able to impart our knowledge on our patients to improve their quality of life and health status.

Today we face uncertainties with the new administration who promises to “repeal and replace” the Affordable Care Act as soon as possible. We need to stand strong together in a bipartisan effort to ensure Americans continue to receive the very best health care. This starts with prevention and nurses are in a unique position to lead the way. With chronic conditions on the rise that continue to bankrupt our federal and personal healthcare dollars, educating patients about their life style, health issues, chronic illness conditions and how to PREVENT complications become even more important today.

Nurses Advance Wellness As nurses we have long been charged with the responsibility of patient education. Now more than ever before we need to advocate for our patients, ourselves and the health status of our country. The American Nurses Association too recognizes the important role nurses serve in advancing wellness and at the beginning of 2017 kicked off its “Healthy Nurse, Healthy Nation” campaign. The vision is to create a healthier nation by maintaining the well being of America’s 3.6 million nurses.

Dream Becomes Grass Roots Effort In 2005, a nurse educator and patient advocate from Oregon named Teri Mills MS, RN, CNE had a dream and wrote an Op-ed in the New York Times calling for unification of the nursing profession in America with a National Nurse. In early 2015, the National Nurse Act (HR 379) was introduced in the House of Representatives by Reps. Eddie Bernice Johnson (a nurse) (D-TX) and Peter King (R-NY). The Senate companion bill (S 1205) was co-led by Senators Jeff Merkley (D-OR) and Shelley Moore Capito (R-WV). The beauty of this non-controversial legislation is that it required NO additional funding for implementation.

The National Nurse Act of 2015 received strong bi-partisan co-sponsor support from 97 Representatives and 5 Senators in addition to 119 nursing organizations including the American Nurses Association, the National Federation of Nurses, and the Federation of Healthcare Professionals. Five state legislative bodies (MA, OR, NJ, NY and VT) overwhelmingly passed resolutions urging Congress to enact this bill.

H.R. 1651 The National Nurse Act of 2017 Introduced Twelve years later the legislation that grew from that grass roots effort known as H.R. 1651 The National Nurse Act of 2017 was reintroduced to the 2017 Congress. This legislation designates the Chief Nurse Officer of the U.S. Public Health Service as the National Nurse for Public Health to raise visibility and increase public and nursing support for health promotion and disease prevention.

The CNO/National Nurse for Public Health would:

1. Function alongside of the Surgeon General and focus on priorities of promoting health, improving health literacy, and decreasing health disparities

2. Serve as a visible national spokesperson for engaging nurses in Leadership, Policy and Prevention efforts

3. Encourage health professionals work and/or volunteer with community programs to improve health

4. Provide guidance and leadership for activities that will increase public safety and emergency preparedness

The National Nurse Act of 2015 came very close to passing. It is hoped 2017 will be year it passes so that the office of the Chief Nursing Officer/National Nurse for Public Health will be better able to guide the nursing profession in promoting, protecting and advancing the nation’s health.

YOU Can Help A small action on your part can go a long way in helping to bring the National Nurse Act to fruition. Please take a moment to contact your elected officials and request that they sign on NOW to support and co sponsor HR 1651. To create the change we want and need, it is imperative that nurses stand together to advocate for health promotion and prevention via a National Nurse for Public Health.


          Now is the Time for a National Nurse   

With the myriad of health-related concerns our country is currently facing, you may be wondering if now is the time to advocate for the designation of a National Nurse for Public Health? The answer is emphatically YES! A National Nurse for Public Health, as proposed by the National Nurse Act, would capitalize on the expertise of nurses in health promotion and prevention of chronic illnesses like heart disease, type 2 diabetes, stroke, and cancer to strengthen the health of the U.S. population.

Why is now the time for a National Nurse? The burden of chronic illness on our society continues to grow. According to the CDC website, chronic diseases account for the majority of healthcare costs in the US. Chronic diseases are responsible for 7 of 10 deaths each year, and treating people with chronic diseases accounts for 86% of our nation's health care costs (CDC, 2017). As we engage in a continued national dialogue about how to decrease healthcare costs and improved health outcomes, enhanced chronic illness management arises as a top priority. Nurses are experts in and champions of chronic disease management.

Yet, the appointment of a National Nurse would do more than improve health outcomes. In the words of Congresswoman Eddie Bernice Johnson (TX-30) in a recent interview , regarding the National Nurse Act of 2015, Johnson stated, "What we want to do is make sure that nurses have the proper labeling, so that they can influence at that level. The more we can upgrade nurses in decision-making capacities, the more they'll be respected for what they really are and they more utilization we can make of their talents."

The National Nurse Act's history of strong bipartisan backing offers another compelling reason to support a National Nurse at a time when political unity is increasingly rare. At the conclusion of the 114th Congress, The National Nurse Act boasted 5 Senate co-sponsors and 97 House co-sponsors from both sides of the aisle, with representation of over 32 different states across the nation. These past accomplishments strongly position the National Nurse Act for passage in 2017 during the 115th Congress. The designation of a National Nurse is a relevant cause behind which we can rally in unison. Yes, the US currently faces many pressing health policy issues. Who better to navigate these healthcare challenges than a National Nurse for Public Health? Plans are already underway for the introduction of the National Nurse Act of 2017. Stay tuned for an upcoming announcement!


          Adventist Health Care Recognizes NNNO Advocacy Member   

Pictured: NNNO Advocacy Team Member Shevaun German MSN, RN and NNNO President Teri Mills MS, RN, CNE

Shady Grove Medical Center (SGMC) in Maryland is proud of nurse advocate and SGMC’s Critical Care Educator, Shevaun German. Recently Shevaun’s work was highlighted in her hospital’s May-June 2016 edition of RNNews. The newsletter accurately reported the proposed National Nurse role has the potential to address healthcare disparities by communicating disease prevention information to nursing associations that, in turn, would trickle down to its members.


          Ten Co-Sponsors Join in Support of H.R. 379    

Thank you to the following members of the U.S. House of Representatives for joining the now 95 co sponsors for H.R. 379 The National Nurse Act of 2016. It's exciting to see the progress being made for this bill.

Representative Peter DeFazio (OR-4-D) is now the longest serving House member in Oregon’s history. Rep. DeFazio is committed to reining in the escalating costs of health care and ensuring access to quality health care for all Americans. He is a member of the House Nursing Caucus.

In June 2008, Representative Donna Edwards (MD-4-D) became the first African American woman elected to Congress. Rep. Edwards has enjoyed a diverse career as a nonprofit public interest advocate and in the private sector on NASA’s Spacelab project. In 1994, as co-founder and executive director of the National Network to End Domestic Violence, she led the effort to pass the Violence Against Women Act that was signed into law by President Clinton.

Representative Scott Garrett (NJ-5-R) serves as a senior member of the House Budget Committee. Rep. Garrett believes we need meaningful health care reform that decreases costs, increases accessibility and improves on what is already the best health care system in the world.

In the House of Representatives, Representative Gregg Harper (MS-3-R) serves on the influential House Committee on Energy and Commerce. Mississippi’s senior House Republican also sits on the select Committee on House Administration, a special appointment made by former House Speaker John Boehner.

On April 29th, 2016 upon the urging of her constituents, Representative Ann Kirkpatrick (AZ-1-D) signed on as a co sponsor to H.R. 379. Representative Kirkpatrick serves on many health-related caucuses including the Healthcare Innovation Task Force, Youth Drug Prevention Caucus, the Congressional Diabetes Caucus, and the Mental Health Caucus.

The family of Representative Rick Larsen (WA-2-D) has been building a legacy in the Second Congressional District for more than a century. Throughout Representative Larsen’s tenure in Congress he has advocated for health care that fits Northwest Washington’s specific needs, including funding for critical access hospitals, better health services for veterans and Medicare beneficiaries, and health care that fits families’ budgets.

Representative David McKinley (WV-1-R)has represented the First District of West Virginia since January 3, 2011. As one of two professional engineers in Congress, he has a seat on the Committee on Energy and Commerce. Representative McKinley’s wife is a nurse and he is a member of the House Nursing Caucus.

Representative Martha McSally (AZ-2-R) proudly represents the people of Arizona’s Second Congressional District. Prior to serving in Congress, Representative McSally served 26 years in the U.S. Air Force, retiring in 2010 as a full Colonel. She is the first female fighter pilot to fly in combat and first to command a fighter squadron in combat in United States history.

Currently serving his third term in Congress, Representative Patrick Meehan (PA-7-R) serves on the influential House Ways and Means Committee, as well as the Committee on Ethics. Representative Meehan is the husband of a nurse practitioner and is well aware of the need for quality care and access to our health care system.

According to The Lowell Sun, Representative Niki Tsongas (MA-3-D) has convinced constituents of a core common goal: “As long as she is in Congress, the best interests of constituents will always come ahead of party politics. Since 2010, Tsongas has proven she is one of the more independent lawmakers in Massachusetts’ 9-member House delegation. She has shown a willingness to work with Republicans to advance the cause of a stronger economy and military defense system.”


          More Co Sponsors Added for H.R. 379   
Co-Sponor logo

Thank you to the following members of the House of Representatives who recently signed on in support to H.R. 379 The National Nurse Act of 2015.

Representative Don Beyer (VA-1-D)

Representative Don Beyer (VA-1-D) is serving his first term in Congress. He believes that all American families should have access to quality health care and is fighting for improvements in the U.S. healthcare system, especially for the neediest populations. Representative Beyer committee assignments include Science, Space, and Technology, Natural Resources, and the Joint Economic Committee.

Representative Gus Bilirakis (FL-12-R)

Representative Gus Bilirakis (FL-12-R) serves on the House Energy and Commerce Committee, additionally assigned to the Health Subcommittee. Working in a bipartisan manner, his main priorities include controlling government spending, creating jobs for middle class Americans, finding ways for government to operate smaller and smarter, and lowering taxes. He is also committed to strengthening homeland security, improving education, increasing access to quality health care, protecting veterans’ benefits, and ensuring the long-term viability of Social Security and Medicare.

Representative Tom MacArthur (NJ-3-R)

Earlier this month Representative Tom MacArthur (NJ-3-R) joined the growing list of co sponsors for H.R. 379 The National Nurse Act of 2015. Serving in his first term in Congress, Representative MacArthur serves on a number of committees including the House Armed Services Committee and the House Natural Resources Committee. Last year, he introduced The Excellence in Medicare Act to motivate providers to better serve seniors through performance incentives that would also reduce premiums and copays for seniors. Representative MacArthur and his wife also run In God’s Hands Charitable Foundation in memory of their daughter Gracie. This charity funds a variety of programs from helping wounded veterans to caring for children affected by AIDS in Africa.

Representative Bill Pascrell (NJ-9-D)

Representative Bill Pascrell (NJ-9-D) has built a life of public service upon the principles he learned while growing up on the south side of the Silk City. As the co-Chairman and founder of the Congressional Brain Injury Task Force, Representative Pascrell has raised the nation’s awareness of the dangers of traumatic brain injury (TBI). He is a nationally recognized leader in Congress on the issue of fire safety, having proudly authored the F.I.R.E. (Firefighter Investment and Response Enhancement) Act, which became law in 2001. Representative Pascrell also serves on the House Nursing Caucus.

Representative Adam Smith (WA-9-D)

The top priorities of Representative Adam Smith (WA-9-D) are to encourage broad-based economic opportunity by ensuring all Americans have access to a high-quality education and job-training opportunities, building a stronger transportation infrastructure, reforming our tax code, and supporting social programs that provide a bridge for struggling families to get back to work. Representative Smith is a long time supporter of the National Nurse Act. He also serves on the House Nursing Caucus.

Representative Rob Wittman (VA-1-R)

Representative Rob Wittman (VA-1-R) serves on the House Armed Services Committee and the Committee on Natural Resources, where he is well-positioned to represent the needs of Virginia's First District. He has quickly earned a reputation for being an advocate for our men and women in uniform and for being a champion of the Chesapeake Bay. Representative Wittman is the Co Chair of the recently formed Commissioned Officers Association Public Health Service (COAPHS) Congressional Public Health Caucus.


          ANA-Michigan Endorses National Nurse Act   

May 23, 2016

To The Michigan Congressional Delegation:

On behalf of the American Nurses Association (ANA)-Michigan, representing 147,234 registered nurses in Michigan, we are writing to request your co sponsorship of the National Nurse Act of 2015 (H.R. 379) (S. 1205) and express our full support for this legislation.

Designating the Chief Nurse Officer position as the National Nurse for Public Health will help strengthen efforts by nurses in every community to assist in bolstering a nationwide shift to prevention to yield improved health outcomes. The National Nurse for Public Health’s support for the Surgeon General’s focus on prevention, developing nurses as community health advocates, and promoting professional nursing is key to the role nursing plays in our nation’s healthcare infrastructure.

The projected total coat of chronic disease from 2016-2030 in Michigan is $1.3 trillion. In 2015, 6.1 million people in Michigan had at least 1 chronic disease and 2.4 million had 2 or more chronic diseases. Most of these conditions are largely preventable. By promoting health awareness increasing health literacy, and reducing health disparities, the National Nurse for Public Health would play an important role in improving our nation’s health.

Now more than ever, nurses must continue to be proactive in the fight against illness and disease. We recognize the potential of having the National Nurse for Public Health as a representative who would meet with health care leaders to determine ways to address continued health disparities and access issues for the country’s most vulnerable.

As we continue to transform our health systems at the state and national level, it is important that we work to elevate the role of public health nursing to create community level systems, identify public health concerns, and achieve early intervention for identified needs. A philosophical and cultural shift to focus on wellness here in Michigan and on the national level that is reinforced by nurses in every community would go a long way in promoting health, reducing costs, and saving lives.

We request your co sponsorship for the National Nurse Act of 2015 and are ready to work with you to help move this legislation forward.

Respectfully,

MaryLee Pakieser
President
ANA-Michigan


          Lactation Counselor, per diem - BAYSTATE HEALTH SYSTEM - Springfield, MA   
Will consider incumbent who will obtain certification within 6 months of employment CPR-Healthcare Provider or Basic Life Support required....
From Baystate Health - Thu, 20 Apr 2017 11:35:23 GMT - View all Springfield, MA jobs
          Healthcare debate highlights the split that threatens to paralyze Republicans   

Six months after taking control of the White House and both houses of Congress, Republicans who campaigned for years on repealing Obamacare still can’t agree on how to do it.

A chief reason that the struggle has been so hard is the growing importance in the party of populist blue-collar voters,...


          Single-payer healthcare advocates protest at Capitol with a message for California's Assembly speaker: 'Shame on you!'   

          Trump claims GOP has a 'big surprise' on healthcare (Olivia Beavers/The Hill)   

Olivia Beavers / The Hill:
Trump claims GOP has a ‘big surprise’ on healthcare  —  President Trump claimed Wednesday that Senate Republicans have a “big surprise” on their healthcare bill, while also declaring the measure is coming “along very well.”  —  “Healthcare is working along very well,” Trump said after meeting …


          South Bay Hearing & Balance Center   

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South Bay Hearing & Balance Center - SouthBayHearingampBalanceCenter1_zps37466799.jpg

e offer a full range of diagnostic & preventative hearing healthcare professional services, including hearing aid screening, evaluations, hearing aids sales, rehabilitative & preventative… South Bay Hearing & Balance Center 3734 West Sepulveda Blvd Torrance, CA 90505 Phone: (310) 803-9496 Contact Person: Sunni McBride Contact Email: southbayhearing@gmail.com Website: www.southbayhearing.com You Tube URL: http://www.youtube.com/watch?v=uvkuHdQFGHw Main Keywords: agx hearing aids, oticon hearing aids, starkey hearing aids, phonak hearning aids, hearing aid service, hearing aid, hearing screening, hearing loss, hearing test, audiologist


          South Bay Hearing & Balance Center   

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South Bay Hearing & Balance Center - SouthBayHearingampBalanceCenter3_zps8d33ce02.jpg

e offer a full range of diagnostic & preventative hearing healthcare professional services, including hearing aid screening, evaluations, hearing aids sales, rehabilitative & preventative… South Bay Hearing & Balance Center 3734 West Sepulveda Blvd Torrance, CA 90505 Phone: (310) 803-9496 Contact Person: Sunni McBride Contact Email: southbayhearing@gmail.com Website: www.southbayhearing.com You Tube URL: http://www.youtube.com/watch?v=uvkuHdQFGHw Main Keywords: agx hearing aids, oticon hearing aids, starkey hearing aids, phonak hearning aids, hearing aid service, hearing aid, hearing screening, hearing loss, hearing test, audiologist


          South Bay Hearing & Balance Center   

SouthBayHearingampBalanceCenter5_zps1e8b6ecd.jpg
South Bay Hearing & Balance Center - SouthBayHearingampBalanceCenter5_zps1e8b6ecd.jpg

e offer a full range of diagnostic & preventative hearing healthcare professional services, including hearing aid screening, evaluations, hearing aids sales, rehabilitative & preventative… South Bay Hearing & Balance Center 3734 West Sepulveda Blvd Torrance, CA 90505 Phone: (310) 803-9496 Contact Person: Sunni McBride Contact Email: southbayhearing@gmail.com Website: www.southbayhearing.com You Tube URL: http://www.youtube.com/watch?v=uvkuHdQFGHw Main Keywords: agx hearing aids, oticon hearing aids, starkey hearing aids, phonak hearning aids, hearing aid service, hearing aid, hearing screening, hearing loss, hearing test, audiologist


          South Bay Hearing & Balance Center   

SouthBayHearingampBalanceCenter2_zpsa641471c.jpg
South Bay Hearing & Balance Center - SouthBayHearingampBalanceCenter2_zpsa641471c.jpg

e offer a full range of diagnostic & preventative hearing healthcare professional services, including hearing aid screening, evaluations, hearing aids sales, rehabilitative & preventative… South Bay Hearing & Balance Center 3734 West Sepulveda Blvd Torrance, CA 90505 Phone: (310) 803-9496 Contact Person: Sunni McBride Contact Email: southbayhearing@gmail.com Website: www.southbayhearing.com You Tube URL: http://www.youtube.com/watch?v=uvkuHdQFGHw Main Keywords: agx hearing aids, oticon hearing aids, starkey hearing aids, phonak hearning aids, hearing aid service, hearing aid, hearing screening, hearing loss, hearing test, audiologist


          South Bay Hearing & Balance Center   

SouthBayHearingampBalanceCenter6_zps1757a37f.jpg
South Bay Hearing & Balance Center - SouthBayHearingampBalanceCenter6_zps1757a37f.jpg

e offer a full range of diagnostic & preventative hearing healthcare professional services, including hearing aid screening, evaluations, hearing aids sales, rehabilitative & preventative… South Bay Hearing & Balance Center 3734 West Sepulveda Blvd Torrance, CA 90505 Phone: (310) 803-9496 Contact Person: Sunni McBride Contact Email: southbayhearing@gmail.com Website: www.southbayhearing.com You Tube URL: http://www.youtube.com/watch?v=uvkuHdQFGHw Main Keywords: agx hearing aids, oticon hearing aids, starkey hearing aids, phonak hearning aids, hearing aid service, hearing aid, hearing screening, hearing loss, hearing test, audiologist


          South Bay Hearing & Balance Center   

SouthBayHearingampBalanceCenter3_zps8d33ce02.jpg
South Bay Hearing & Balance Center - SouthBayHearingampBalanceCenter3_zps8d33ce02.jpg

e offer a full range of diagnostic & preventative hearing healthcare professional services, including hearing aid screening, evaluations, hearing aids sales, rehabilitative & preventative… South Bay Hearing & Balance Center 3734 West Sepulveda Blvd Torrance, CA 90505 Phone: (310) 803-9496 Contact Person: Sunni McBride Contact Email: southbayhearing@gmail.com Website: www.southbayhearing.com You Tube URL: http://www.youtube.com/watch?v=uvkuHdQFGHw Main Keywords: agx hearing aids, oticon hearing aids, starkey hearing aids, phonak hearning aids, hearing aid service, hearing aid, hearing screening, hearing loss, hearing test, audiologist


          South Bay Hearing & Balance Center   

SouthBayHearingampBalanceCenter1_zps37466799.jpg
South Bay Hearing & Balance Center - SouthBayHearingampBalanceCenter1_zps37466799.jpg

e offer a full range of diagnostic & preventative hearing healthcare professional services, including hearing aid screening, evaluations, hearing aids sales, rehabilitative & preventative… South Bay Hearing & Balance Center 3734 West Sepulveda Blvd Torrance, CA 90505 Phone: (310) 803-9496 Contact Person: Sunni McBride Contact Email: southbayhearing@gmail.com Website: www.southbayhearing.com You Tube URL: http://www.youtube.com/watch?v=uvkuHdQFGHw Main Keywords: agx hearing aids, oticon hearing aids, starkey hearing aids, phonak hearning aids, hearing aid service, hearing aid, hearing screening, hearing loss, hearing test, audiologist


          South Bay Hearing & Balance Center   

SouthBayHearingampBalanceCenter4_zpsdf90aa91.jpg
South Bay Hearing & Balance Center - SouthBayHearingampBalanceCenter4_zpsdf90aa91.jpg

e offer a full range of diagnostic & preventative hearing healthcare professional services, including hearing aid screening, evaluations, hearing aids sales, rehabilitative & preventative… South Bay Hearing & Balance Center 3734 West Sepulveda Blvd Torrance, CA 90505 Phone: (310) 803-9496 Contact Person: Sunni McBride Contact Email: southbayhearing@gmail.com Website: www.southbayhearing.com You Tube URL: http://www.youtube.com/watch?v=uvkuHdQFGHw Main Keywords: agx hearing aids, oticon hearing aids, starkey hearing aids, phonak hearning aids, hearing aid service, hearing aid, hearing screening, hearing loss, hearing test, audiologist


          A.I. starts to deliver in the enterprise, at last   

Computers soon could deliver smarter healthcare to patients at Massachusetts General Hospital (MGH).


          Trump says we could see a "Big Surprise" regarding the GOP Healthcare bill. Surprise You're dead [Murica]   
Murica [link] [62 comments]

          Radiographer - Clare Park - Spire Healthcare - Clare   
You’ll also play your part in delivering clinical leadership and education to the team. Spire Healthcare – Clare Park (Farnham).... £30,000 - £36,000 a year
From Spire Healthcare - Fri, 16 Jun 2017 14:45:23 GMT - View all Clare jobs
          Paediatric Lead Nurse - Clare Park - Spire Healthcare - Clare   
It’s a hugely successful model – and one that you can now be part of. Paediatric Lead Nurse.... £34,000 a year
From Spire Healthcare - Sat, 13 May 2017 00:02:33 GMT - View all Clare jobs
          Scrub Nurse / ODP - Clare Park - Spire Healthcare - Clare   
This is your chance to be part of a team that’s not about treating patients, but about looking after people.... £32,500 a year
From Spire Healthcare - Fri, 12 May 2017 12:02:03 GMT - View all Clare jobs
          Staff Nurse (Wards) - Clare Park - Spire Healthcare - Clare   
Working at the Spire Clare Park Hospital, you will be a crucial part of the Wards team, bringing your high clinical standards to the patients who pass through... £29,500 a year
From Spire Healthcare - Fri, 12 May 2017 12:02:02 GMT - View all Clare jobs
          Senior Staff Nurse (Wards) - Clare Park - Spire Healthcare - Clare   
Comfortable working independently and as part of a team, managing a ward and mentoring others comes naturally to you.... £32,000 a year
From Spire Healthcare - Fri, 12 May 2017 12:02:02 GMT - View all Clare jobs
          Physician - Rheumatologist - Medical Group - Vinings, GA   
WellStar is the first United States integrated healthcare network for multiple diseases to be awarded certification from the Joint Commission on Accreditation...
From WellStar Health System - Mon, 05 Jun 2017 13:26:07 GMT - View all Vinings, GA jobs
          Physician - Endocrinologist - Vinings Health Park - Medical Group - Vinings, GA   
WellStar is the first United States integrated healthcare network for multiple diseases to be awarded certification from the Joint Commission on Accreditation...
From WellStar Health System - Sun, 26 Mar 2017 08:03:15 GMT - View all Vinings, GA jobs
          The Human Factor   

Today on the 5: Tyler Kokjohn recently wrote about applying software screening to Alzheimer's patients. I worry about a future where all of healthcare is pushed into software.


          Female activists wear ‘Handmaid’s Tale’ costumes to protest planned parenthood   

HandmaidsActivists dressed up as handmaid’s from The Handmaid’s tale this week in a protest against Trump’s healthcare bill. Planned Parenthood and MoveOn.org collaborated on Tuesday in Washington against the Senate Republicans’ healthcare bill. The new healthcare bill in the U.S would leave an estimated 22 million Americans without health insurance. Women’s reproductive rights would suffer...

Read More

Source: WeAreTheCity - Information and jobs portal for business women


          Peluncuran Vitacimin White dan Vitacimin Nutriglow oleh Takeda Indonesia   


Peluncuran Vitacimin White dan Vitacimin Nutriglow oleh Takeda IndonesiaSaya selalu kagum dengan ibu pekerja. Sangat. Melihat diri saya sendiri yang masih mengurusi diri sendiri dan pekerjaan saja, terkadang membuat saya lelah. Apalagi, ibu pekerja dengan anak yang aktif, serta harus mengurus suami dan rumah. Bisa dibayangkan, bagaimana lelahnya ibu pekerja. Lelah pikiran, tenaga dan emosi.

Karena sekarang sudah banyak perempuan yang aktif dan tidak hanya berdiam diri di rumah. Tentunya, dengan segudang kegiatan mereka, mereka tak melupakan untuk mengurus keluarga. Untuk itulah, Vitacimin White dan Vitacimin Nutriglow hadir untuk menunjang segala kegiatan perempuan Indonesia.

Pada tanggal 13 Mei 2017 di Surabaya, PT  Takeda Indonesia mengumumkan peluncuran Vitacimin White dan Vitacimin Nutriglow, dua suplemen vitamin terbaru untuk membantu menjaga kesehatan para wanita Indonesia yang dibangun oleh merek Vitacimin C yang telah hadir di Indonesia dari generasi ke generasi, Vitacimin.


Diproduksi oleh Takeda Healthcare Products Co., Ltd., Kyoto, Jepang uang dikenal memiliki standar kualitas tinggi, Vitacimin White dan Vitacimin Nutriglow merupakan suplemen makanan dalam bentuk tablet salut gula yang praktis untuk dikonsumsi setiap hari, membantu menjaga kesehatan. Vitacimin White yang dikemas dalam kemasan warna putih dan biru mengandung Vitamin C, Vitamin E, Vitamin B2, L-Cysteine dan Vitamin B5. Sementara Vitacimin Nutriglow dengan kemasan berwarna putih dan merah mengandung Vitamin C, Biotin, Vitamin B6, Vitamin B2, L-Cysteine dan Nicotinamide. Menurut Mbak Inge Meliana Samadi, Head Of Consumer Health Care, bagi kamu yang memiliki kulit berminyak dan cenderung berjerawat sebaiknya mengkonsumsi Vitacimin Nutriglow. Karena Vitacimin White mengandung Vitamin E, yang biasanya bisa mengakibatkan munculnya jerawat.



“Takeda sangat berterima kasih atas kepercayaan dan kesetiaan yang ditunjukkan konsumen Indonesia terhadap produk Tablet Hisap Vitacimin. Vitacimin telah diakui sebagai pemimpin di pasar Vitamin C tunggal di Indonesia dan kini, tersedia dalam berbagai rasa. Sebagai bagian dari komitmen kami dalam mendukung Indonesia Sehat yang diwujudkan dalam semangat ‘Sehati Indonesia’, Takeda memutuskan untuk memperluas portofolio suplemen makanan kami dengan menghadirkan produk baru: Vitacimin White dan Vitacimin Nutriglow,”tutur Inge Meliana Samadi.

Acara yang digelar di Surabaya pun menghadirkan dua brand ambassador Vitacimin, yaitu Vidi Aldiano dan Ruth Sahanaya alias Mbak Uthe. Seperti yang sudah kita ketahui, kedua brand ambassador tersebut merupakan penyanyi cukup dikenal di Indonesia dengan segala kegiatan mereka. Mereka membutuhkan suplemen makanan yang mampu menunjang kegiatan mereka. Vidi Aldiano mengaku, sudah mengkonsumsi Vitacimin C sejak belia.”Jadi, Vitacimin bagi saya bukan lagi suplemen makanan, tetapi sudah seperti permen bagi saya,”tuturnya. Karena seringnya Vidi mengkonsumsi Vitacimin C, sehingga tablet hisap itu sudah seperti permen. Saya pribadi, setuju dengan Vidi. Saya pun suka menghisap Vitacimin C rasa jeruk kala badan lesu.



Tak jauh berbeda dengan Vidi Aldiano, Ruth Sahanaya pun mengkonsumsi Vitacimin, bahkan sudah diterapkan kepada anak-anaknya untuk mengimbangi kegiatan anaknya yang penuh. “Wanita seperti saya yang harus menjadi seorang ibu dn pekerja dalam satu waktu tentunya menghadapi berbagai tantangan setiap harinya. Oleh karena itu, saya sangat memperhatikan penampilan fisik dan tubuh yang sehat. Selain gejala umum selain flu, saya juga sangat emmeprhatikan keseluruhan penampilan fisik yang sangat penting dalam mendukung performa saya sebagai seorang penyanyi di industri hiburan. Langkah Takeda dalam mempersembahkan Vitacimin White dan Vitacimin Nutriglow serta kampanye ‘Make the Wordl C You’ menunjukkan komitmen mereka terhadap kesehatan dan kesejahteraan kaum wanita Indonesia.”

Menandai peluncuran dua produk terbarunya ini, Takeda Indonesia juga menjalankan kampanye bertajuk “Make the World C You” sebagai dukungan bagi para wanita Indonesia yang bersemangat dalam menjalani hidupnya secara maksimal. Inisiatif untuk menghadirkan kampanye lahir dari pemahaman mengenai semakin berkembangnya peran kaum wanita Indonesia di era modern ini.

Pustika Rucita, B.A., M.Psi., Psikologi dari Tiga Generasi yang berpartisipasi dalam acara peluncuran mengatakan,” Walau kegiatan sehari-hari mereka dipenuhi dengan beragam peran, para wanita tetap menjalani setiap perannya dengan tulus dan tanpa pamrih. Meskipun demikian, mereka tetap membutuhkan dukungan dari orang-orang sekitarnya. Apresiasi dari orang-orang sekitar dapat membuat mereka merasa dihargai dan diakui sehingga membantu mereka untuk lebih percaya diri dalam menjalani hidup.”


Tentang Takeda Pharmaceutical Company


Takeda Pharmaceutical Company Limited merupakan perusahaan farmasi global yang didasarkan pada penelitian dan pengembangan, yang berkomitmen untuk menciptakan kesehatan yang lebih baik dan masa depan yang lebih cerah dengan memanfaatkan ilmu pengetahuan sebagai obat yang dapat mengubah hidup.

Takeda fokus pada uaha penelitian dan pengembangan dalam onkologi, gastreonterologi dan sistem syarat pusat, area terapi serta vaksin. Takeda melakukan penelitian dan pengembangan baik secara internal maupun bekerjasama dengan rekanan untuk menjadi yang terdepan dalam inovasi. Inovasi produk, terutama dalam onkologi dan gastroenterologi, serta kehadiran dalam pasar yang berkembang, merupakan pendorong bagi Takeda untuk terus maju.

Vitacimin White dan Vitacimin Nutriglow memberikan pelengkap nutrisi bagi perempuan Indonesia. Vitamin yang terkandung dalam kedua suplemen makanan ini merupakan pelengkap untuk kebutuhan tubuh sehari-hari.

Acara peluncuran Vitacimin White dan Vitacimin Nutriglow ditutup dengan acara doorprize bagi yang beruntung.





          Activities Director - Madison Lutheran Home - Madison, MN   
Safety and security—observes safety and security procedures and uses equipment and materials properly. Madison Healthcare Services is currently seeking a full...
From Madison Lutheran Home - Tue, 20 Jun 2017 17:31:33 GMT - View all Madison, MN jobs
          Low Volatility Increasing Market Tension for the S&P 500 in Week 3 of June 2017   

For a market where the S&P 500 isn't changing very much, there's a remarkable about of tension building up in it. Or more accurately, there is tension building in the halls of the big investment banks where big bets are being made, such as JPMorgan, whose top quantitative analyst is seeing great cause for concern that hasn't translated into market volatility (via ZeroHedge):

After getting virtually every market inflection point in 2015, and early 2016, so far 2017 has not been Marko Kolanovic's year, whose increasingly more bearish forecasts have so far been foiled repeatedly by the market, and the same systematic traders that he periodically warns about. As a reminder, his most recent warning came last week, when he cautioned that even a modest rebound in VIX could lead to dramatic losses for vol sellers. As a reminder, here is the punchline from his latest note:

Days like May 17th and similar events "bring substantial risk for short volatility strategies. Given the low starting point of the VIX, these strategies are at risk of catastrophic losses. For some strategies, this would happen if the VIX increases from ~10 to only ~20 (not far from the historical average level for VIX). While historically such an increase never happened, we think that this time may be different and sudden increases of that magnitude are possible. One scenario would be of e.g. VIX increasing from ~10 to ~15, followed by a collapse in liquidity given the market’s knowledge that certain structures need to cover short positions.

So in light of a market that refuses to post even the smallest of drawdowns (we are not sure if the words "selling", "correction" or "crash" have been made illegal yet), has Kolanovic thrown in the towel and declared smooth seas ahead? To the contrary: in a note released late last night, he echoes warnings made recently by both Citi and BofA, and predicts that receding monetary accommodation from ECB and BOJ will likely lead to "market turmoil, and a rise in volatility and tail risks" and just in case there is some confusion, he reiterates what he said last week, namely that the "key risk of option selling programs is market crash risk."

What Kolanovic is describing is a realistic mechanism by which stock prices might suddenly change dramatically for the worse. But is there anything to it?

That's where we have an angle on the story. Going by our dividend futures-based model, we would see that kind of potential plunge in stock prices as a sudden shift in investor focus from 2017-Q4, where our model suggests that investors are largely holding their attention at this time, to instead focus on 2017-Q3, where if such an event happened, it would likely coincide with a 300-350 point decline in the value of the S&P 500.

Alternative Futures - S&P 500 - 2017Q2 - Standard Model - Snapshot on 23 June 2017

Now, here's the catch. For that to happen, something would have to fundamentally change in the expectations that investors have about the future to compel them to focus on 2017-Q3 instead of 2017-Q4.

One entity with the power to do just that is the Federal Reserve, which can in effect "command" investors to focus on 2017-Q3 through the statements its officials make about their plans for the timing of the Fed's next change in the Federal Funds Rate, which would affect all short term interest rates in the U.S. At present, our model suggests that investors only see a 16% probability of them taking that kind of action in or by its September 2017 Federal Open Market Committee meeting, but some Fed officials have been pushing in that direction, which explains why investors are not 100% focused on 2017-Q4 as the most likely timing for the Fed's next interest rate adjustment.

Another factor that can shift the attention of investors is the changing expectations for future earnings in the companies that make up the S&P 500. For example, should oil prices fall even further than they have in the last several weeks, that could reignite the concern that the oil and gas sector of the U.S. economy is in for a new round of economic distress, which could lead investors to focus on these companies in the near term, pulling the index down along the way.

Or, oil prices could rise sharply, which would both boost the oil and gas sector of the U.S. economy while straining other sectors, which would also have the same effect. Or, they could rise just enough, contributing to the kind of inflation that would potentially prompt the Fed to pull the trigger on its next rate hike sooner than investors are expecting today.

In all this, the random onset of new information is the potential trigger for unleashing a significant change in the S&P 500, where the interactive dynamics are both very complex and periodically chaotic.

And that's just considering how changes in how far forward in time investors are focusing their attention might affect stock prices. If the expectations for future dividends themselves change, that would very directly affect stock prices, which adds a whole other level of complexity in how stock prices behave.

Speaking of which, if you want to know which scenario might apply before Kolanovic's mechanism becomes engaged, you might want to keep up on the information coming into the market....

Monday, 19 June 2017
Tuesday, 20 June 2017
Wednesday, 21 June 2017
Thursday, 22 June 2017
Friday, 23 June 2017

Elsewhere, Barry Ritholtz summarized the positives and negatives for the economy for Week 3 of June 2017.


          Software Developer - Device Integrations - QHR Technologies - Kelowna, BC   
Our Virtual Care patient platform leverages that connects patients to their healthcare providers and offers virtual visits, secure messaging and online...
From QHR Technologies - Wed, 14 Jun 2017 23:51:12 GMT - View all Kelowna, BC jobs
          Scientist I - Roche - Los Gatos, CA   
At Roche, 91,700 people across 100 countries are pushing back the frontiers of healthcare. Roche is an equal opportunity employer and strictly prohibits...
From Roche - Thu, 15 Jun 2017 05:04:03 GMT - View all Los Gatos, CA jobs
          Facilities Operations & Maintenance Lead - Roche - Los Gatos, CA   
At Roche, 91,700 people across 100 countries are pushing back the frontiers of healthcare. Roche is an equal opportunity employer and strictly prohibits...
From Roche - Tue, 13 Jun 2017 23:03:00 GMT - View all Los Gatos, CA jobs
          Senior Scientist - Roche - Los Gatos, CA   
At Roche, 91,700 people across 100 countries are pushing back the frontiers of healthcare. Roche is an equal opportunity employer and strictly prohibits...
From Roche - Mon, 05 Jun 2017 13:59:25 GMT - View all Los Gatos, CA jobs
          Senior Clinical Research Associate - Roche - Los Gatos, CA   
At Roche, 91,700 people across 100 countries are pushing back the frontiers of healthcare. Roche is an equal opportunity employer and strictly prohibits...
From Roche - Mon, 24 Apr 2017 09:11:25 GMT - View all Los Gatos, CA jobs
          Market Development & Sales Executive (Northeast and Mid Atlantic Regions) - Roche - Massachusetts   
At Roche, 91,700 people across 100 countries are pushing back the frontiers of healthcare. Consult and develop sales opportunities by aligning customer needs...
From Roche - Fri, 17 Mar 2017 21:14:20 GMT - View all Massachusetts jobs
          Sr. Customer Relationship Specialist - Channel Operations - Kentucky - Roche - Kentucky   
At Roche, 91,700 people across 100 countries are pushing back the frontiers of healthcare. Roche is an equal opportunity employer and strictly prohibits...
From Roche - Thu, 30 Mar 2017 08:42:59 GMT - View all Kentucky jobs
          Scientist Imaging Senior - Digital Pathology - Roche - Mountain View, CA   
Together with Roche, Ventana is driving personalized healthcare through accelerated drug discovery and companion diagnostics....
From Roche - Thu, 01 Jun 2017 02:03:14 GMT - View all Mountain View, CA jobs
          Single Payer   

Today on the 5: Obamacare has finally started rolling out in force, and the opinions on it are endless. Following suit, here are my views on healthcare in America.


          Trump interrupted a call with the Irish prime minister to tell a reporter in the Oval Office that she 'had a nice smile'   

donald trumpAP Photo/Evan Vucci

President Donald Trump interrupted a diplomatic phone call with newly elected Irish Prime Minister Taoiseach Leo Varadkar to tell a reporter she had a "nice smile."

During a phone call with Varadkar on Tuesday, Trump noted that he was joined in the Oval Office by "all of this beautiful Irish press," and asked RTE White House reporter Caitriona Perry to come over closer to his desk.

"She has a nice smile on her face, so I bet she treats you well," Trump said to the prime minister.

The moment quickly went viral after Perry shared it on Twitter.

Watch the clip:

NOW WATCH: 'I'll ask it one more time': Kellyanne Conway won't say whether Trump thinks climate change is a hoax

See Also:

SEE ALSO: 10 months ago, Univision bought Gawker in a fire sale, and it's been messy ever since


          Digital disruption driving force behind 4th industrial revolution   
  From SAVIOUS KWINIKA in Sun City,SUN CITY, (CAJ News)– THE meteoric rise in connectivity, spearheaded by the internet of things (IoT) and digitisation, is set to revolutionise the face of manufacturing, energy, transportation, agriculture and healthcare,among crucial sectors in the next decade.This has been the prevailing theme at the Saphila 2017, this year’s edition of […]
          Wall Street stocks surge as banks, tech sectors spark rebound   

By Lewis Krauskopf

(Reuters) - Wall Street stock rallied sharply on Wednesday, with the benchmark S&P 500 index scoring its biggest one-day percentage gain in about two months, as financial and technology stocks led a broad market rebound.

The Nasdaq posted its best session since Nov. 7, the day before the U.S. presidential election.

The S&P 500 had suffered its biggest one-day drop in about six weeks on Tuesday after a healthcare bill was delayed in the U.S. Senate.

The healthcare legislation is the first major plank of President Trump's domestic policy agenda, with investors eager for him to move onto his other plans including tax cuts, infrastructure spending and deregulation.

Investors may be reevaluating the impact of the Senate's delay on the market and Trump's agenda, said Rick Meckler, president of LibertyView Capital Management in Jersey City, New Jersey.

"The market has had trouble really appreciating, but it has had even more trouble declining," Meckler said. "It seems like any negative period is very quickly met with new buyers."

"Interest rates are still very low and a lot of investors see little opportunity to invest anywhere but in stocks," he added.

The Dow Jones Industrial Average <.DJI> rose 143.95 points, or 0.68 percent, to 21,454.61, the S&P 500 <.SPX> gained 21.31 points, or 0.88 percent, to 2,440.69 and the Nasdaq Composite <.IXIC> added 87.79 points, or 1.43 percent, to 6,234.41.

The small-cap Russell 2000 <.RUT> ended up 1.6 percent.

Financials <.SPSY> were the best performing S&P sector, rising 1.6 percent.

Bank stocks including JP Morgan Chase and Bank of America helped boost the S&P 500, both rising more than 2.0 percent. The interest rate-sensitive group was helped by an increase in yields for 10-year Treasuries and by a widening spread between shorter- and longer-dated U.S. bonds.

"We have had the statements from various Fed officials that they are still on board with the tightening cycle and that has been a big driver for finance names," said Peter Jankovskis, co-chief investment officer at OakBrook Investments LLC in Lisle, Illinois.

Bank stocks also were higher ahead of stress test results from the Federal Reserve and added to those gains in after-hours trading as the Fed approved plans from the 34 largest U.S. banks to use extra capital for stock buybacks, dividends and other purposes.

Tech stocks <.SPLRCT> gained 1.3 percent, surging back from their worst day in more than two weeks. The sector has led the S&P 500's 9-percent gain this year, but has pulled back recently as some investors question whether the group is too expensive.

The tech-heavy Nasdaq bounced off its 50-day moving average.

With second-quarter U.S. corporate earnings reporting set to begin in earnest in July, investors are looking for results to support equity valuations. The S&P 500 is trading at nearly 18 times forward earnings estimates, above its long-term average of 15 times.

In earnings news, General Mills shares rose 1.6 percent after the Cheerios cereal maker reported a better-than-expected quarterly profit.

Staples shares rose 8.4 percent. The company will announce its sale to private equity firm Sycamore Partners, a person familiar with the matter said on condition of anonymity.

Advancing issues outnumbered declining ones on the NYSE by a 3.18-to-1 ratio; on Nasdaq, a 3.29-to-1 ratio favored advancers.

About 6.7 billion shares changed hands in U.S. exchanges, below the 7.2 billion daily average over the last 20 sessions.

(Additional reporting by Kimberly Chin in New York and Tanya Agrawal in Bengaluru; Editing by Arun Koyyur and Nick Zieminski)


          US STOCKS-Wall Street stocks surge as banks, tech sectors spark rebound   

* S&P 500 best day in two months; Nasdaq best day since Nov7

* Bank stocks gain after hours after Fed clears capitalplans

* General Mills shares rise after quarterly earnings

* Indexes up: Dow 0.68 pct, S&P 0.88 pct, Nasdaq 1.43 pct(Updates to add bank stocks rising after Fed stress tests inparagraph 13)

By Lewis Krauskopf

June 28 (Reuters) - Wall Street stock rallied sharply onWednesday, with the benchmark S&P 500 index scoring its biggestone-day percentage gain in about two months, as financial andtechnology stocks led a broad market rebound.

The Nasdaq posted its best session since Nov. 7, the daybefore the U.S. presidential election.

The S&P 500 had suffered its biggest one-day drop in aboutsix weeks on Tuesday after a healthcare bill was delayed in theU.S. Senate.

The healthcare legislation is the first major plank ofPresident Trump's domestic policy agenda, with investors eagerfor him to move onto his other plans including tax cuts,infrastructure spending and deregulation.

Investors may be reevaluating the impact of the Senate'sdelay on the market and Trump's agenda, said Rick Meckler,president of LibertyView Capital Management in Jersey City, NewJersey.

"The market has had trouble really appreciating, but it hashad even more trouble declining," Meckler said. "It seems likeany negative period is very quickly met with new buyers."

"Interest rates are still very low and a lot of investorssee little opportunity to invest anywhere but in stocks," headded.

The Dow Jones Industrial Average rose 143.95 points,or 0.68 percent, to 21,454.61, the S&P 500 gained 21.31points, or 0.88 percent, to 2,440.69 and the Nasdaq Compositeadded 87.79 points, or 1.43 percent, to 6,234.41.

The small-cap Russell 2000 ended up 1.6 percent.

Financials were the best performing S&P sector,rising 1.6 percent.

Bank stocks including JP Morgan Chase and Bank ofAmerica helped boost the S&P 500, both rising more than2.0 percent. The interest rate-sensitive group was helped by anincrease in yields for 10-year Treasuries and by a wideningspread between shorter- and longer-dated U.S. bonds.

"We have had the statements from various Fed officials thatthey are still on board with the tightening cycle and that hasbeen a big driver for finance names," said Peter Jankovskis,co-chief investment officer at OakBrook Investments LLC inLisle, Illinois.

Bank stocks also were higher ahead of stress test resultsfrom the Federal Reserve and added to those gains in after-hourstrading as the Fed approved plans from the 34 largest U.S. banksto use extra capital for stock buybacks, dividends and otherpurposes.

Tech stocks gained 1.3 percent, surging back fromtheir worst day in more than two weeks. The sector has led theS&P 500's 9-percent gain this year, but has pulled back recentlyas some investors question whether the group is too expensive.

The tech-heavy Nasdaq bounced off its 50-day moving average.

With second-quarter U.S. corporate earnings reporting set tobegin in earnest in July, investors are looking for results tosupport equity valuations. The S&P 500 is trading at nearly 18times forward earnings estimates, above its long-term average of15 times.

In earnings news, General Mills shares rose 1.6percent after the Cheerios cereal maker reported abetter-than-expected quarterly profit.

Staples shares rose 8.4 percent. The company willannounce its sale to private equity firm Sycamore Partners, aperson familiar with the matter said on condition of anonymity.

Advancing issues outnumbered declining ones on the NYSE by a3.18-to-1 ratio; on Nasdaq, a 3.29-to-1 ratio favored advancers.

About 6.7 billion shares changed hands in U.S. exchanges,below the 7.2 billion daily average over the last 20 sessions.(Additional reporting by Kimberly Chin in New York and TanyaAgrawal in Bengaluru; Editing by Arun Koyyur and Nick Zieminski)


          Software Engineer – JavaScript/TypeScript - Fathom - Vancouver, BC   
Fathom brings 10 years of location expertise to ensure that new beacon-based solutions for markets such as retail, logistics, healthcare or transportation are...
From Indeed - Wed, 28 Jun 2017 21:54:25 GMT - View all Vancouver, BC jobs
          Top Senate Republican expresses optimism on healthcare bill after Trump meeting   

(Reuters) - Senate Republican leader Mitch McConnell on Tuesday said a meeting between Senate Republicans and President Donald Trump on healthcare was helpful and he expressed optimism the Senate would eventually pass a bill to repeal Obamacare.

The post Top Senate Republican expresses optimism on healthcare bill after Trump meeting appeared first on Thomson Reuters Tax & Accounting.


          Senior Digital Platform Designer - Ontario Telemedicine Network - Toronto, ON   
Strong design portfolio with Bachelor’s Degree in Graphic Design, Media Arts or similar. OTN brings virtual care innovation to the healthcare system so that the...
From Indeed - Wed, 28 Jun 2017 19:22:54 GMT - View all Toronto, ON jobs
          'He doesn't seem like a serious person': Trump on Schumer   
While meeting with the World Series-winning Chicago Cubs at the White House, President Trump was asked by reporter if he would accept Senator Chuck Schumer's request to meet with the entire Senate chamber to craft a bipartisan healthcare bill. President Trump replied, 'I gotta find out if he's serious... he just doesn't seem like a serious person'. Rough Cut (no reporter narration).

          'We're going to get it over the line': Trump on healthcare   
U.S. President Donald Trump on Wednesday expressed confidence that the Republican-led Senate would ultimately prevail in passing legislation aimed at repealing and replacing the 2010 healthcare law passed under his predecessor, former president Barack Obama. Rough cut (no reporter narration).

          McConnell's Reputation as a Master Tactician Takes a Hit - New York Times   

New York Times

McConnell's Reputation as a Master Tactician Takes a Hit
New York Times
Senator Mitch McConnell on Tuesday delayed a vote on repealing the Affordable Care Act. Credit Stephen Crowley/The New York Times. WASHINGTON — Senator Mitch McConnell of Kentucky, the majority leader, has long enjoyed a reputation as a master ...
McConnell is trying to revise the Senate health-care bill by FridayWashington Post
Polls show GOP health bill bleeding outPolitico
Healthcare debate highlights the split that threatens to paralyze RepublicansLos Angeles Times
The Hill -Fox News -NBCNews.com -ABC News
all 3,861 news articles »

          Philips to buy medical device maker Spectranetics   
Dutch healthcare company Philips has agreed to buy U.S.-based Spectranetics Corp, a maker of devices to treat heart disease, for 1.9 billion euros ($2.2 billion) including debt, as it expands its image-guided therapy business. Sonia Legg reports

          Healthcare workers to be fired if they refuse flu shots, medical group demands    
Forget the U.S. Constitution. Forget basic human rights. Forget the fact that research shows flu shots don’t work most of the time (http://www.naturalnews.com/029641_v…). A group of the nation’s leading infectious disease experts are demanding forced vaccinations for all healthcare workers
          Forensic Nurse Examiner   
Dimensions Healthcare - Cheverly, MD - of hire, Forensic Nurse Examiner (adult/pediatric) Must exhibit mature judgment and professional demeanor in dealing with clients...
          Best Swing Shift Hours in Town   
Tualatin, Randstad has some great opportunities located in Tualatin!! These are positions for people looking to start a strong career with a stable manufacturing company. This is a great opportunity to make a product you can feel good about. This company makes high quality furniture, including sit-to-stand desks, mobile desks, and docking stations. They support the growing healthcare and technologies indust
          Per Diem Home Health Physical Therapist   
TX-Humble, I believe that better care begins at home. Compassionate care, uncompromising service and clinical excellence – that’s what our patients have come to expect from our clinicians. Kindred at Home, a division of Kindred Healthcare Inc., is the nation’s leading provider of comprehensive home health, hospice, and non-medical home care services. Kindred at Home, and its affiliates, including Gentiva, de
          Per Diem Home Health Physical Therapist   
TX-Humble, I believe that better care begins at home. Compassionate care, uncompromising service and clinical excellence – that’s what our patients have come to expect from our clinicians. Kindred at Home, a division of Kindred Healthcare Inc., is the nation’s leading provider of comprehensive home health, hospice, and non-medical home care services. Kindred at Home, and its affiliates, including Gentiva, de
          Per Diem Home Health Physical Therapist   
FL-Ft Myers, I believe that better care begins at home. Compassionate care, uncompromising service and clinical excellence – that’s what our patients have come to expect from our clinicians. Kindred at Home, a division of Kindred Healthcare Inc., is the nation’s leading provider of comprehensive home health, hospice, and non-medical home care services. Kindred at Home, and its affiliates, including Gentiva, de
          Per Diem Home Health Physical Therapist   
AR-Hot Springs, I believe that better care begins at home. Compassionate care, uncompromising service and clinical excellence – that’s what our patients have come to expect from our clinicians. Kindred at Home, a division of Kindred Healthcare Inc., is the nation’s leading provider of comprehensive home health, hospice, and non-medical home care services. Kindred at Home, and its affiliates, including Gentiva, de
          Full Time Home Health Physical Therapist   
MS-Hazlehurst, I believe that better care begins at home. Compassionate care, uncompromising service and clinical excellence – that’s what our patients have come to expect from our clinicians. Kindred at Home, a division of Kindred Healthcare Inc., is the nation’s leading provider of comprehensive home health, hospice, and non-medical home care services. Kindred at Home, and its affiliates, including Gentiva, de
          CV-Library: Design Manager   
£57000 - £65000/annum inc. healthcare, pension, car allowa: CV-Library: Salary: £57,000 65,000 per annum Title: Design Manager Location: Welwyn Garden City Your Future Role… You will be a Design Manager that Welwyn Garden City
          Phooneybaum Phoughts: Space-Time 0.29.AXE.333.p   

With all the advancements in technology, you think they would have improved on the shower. But no, sentient slave water is the best we can do. You can try all the expensive waxes you like, but nothing beats star lard for styling your mustache. This Andromedian Milfoil is getting out of control. Universal healthcare is […]

The post Phooneybaum Phoughts: Space-Time 0.29.AXE.333.p appeared first on The Mustache Rangers Podcast.


          Affordable Health Insurance Ohio   
If you are a resident of Ohio, then you may already have an idea of how high medical and healthcare expenditures can rise. On an average, it costs $1,8833 per day for an uninsured person to get inpatient care in a hospital.  No one plans to be ill- but in case of medical emergencies, which … Continue reading Affordable Health Insurance Ohio
          Affordable Healthcare Insurance in Florida   
Health insurance is a necessity now- it saves you a lot of hassle as you and your near ones can get treatment without worrying about the associated financial costs. With health insurance, you can ensure that this fiscal burden does not fall on you or your family during a crisis. That is not all- having … Continue reading Affordable Healthcare Insurance in Florida
          Rabo in zorginvesteringsfonds   
De Rabobank gaat voor 5 miljoen euro deelnemen in het Thuja Capital Healthcare Fund II (TCHF II). Dit fonds investeert in Nederlandse en Belgische ondernemingen die vernieuwende medische producten ontwikkelen.
          Healthcare debate highlights the split that threatens to paralyze Republicans   

Six months after taking control of the White House and both houses of Congress, Republicans who campaigned for years on repealing Obamacare still can’t agree on how to do it.

A chief reason that the struggle has been so hard is the growing importance in the party of populist blue-collar voters,...


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          University of Life   
University of Life

WHAT IS THE UNIVERSITY OF LIFE?


STRUCTURE
  • The University is a platform on which we help build long-term recovery from addiction in the community. We contribute by offering courses and experiential learning opportunities on themes that support recovery and other journeys of self-transformation. .

  • The University is a platform for exchanging the gifts of head, hand and heart of the recovery community with itself and the wider population. No one gets paid to teach on the platform, it is a gift.

  • The University is interested in whole population recovery as well as personal recovery.  The country as a whole, we feel, could benefit from undertaking its own recovery journey, not just people with addictions.

  • The University is open to all adults on such journeys; a previous history of addiction is not a requirement for participation.

  • Each University course on the platform is not for profit, self-sustaining and self-organising. It is hoped that it will soon become independent of the SRC and self determining, raising it’s own finance and decision making structures.

  • Course leaders can charge whatever they need to cover the expenses of putting on the course. Each course leader does the administration for their course. 

  • The SRC offers free use of the premises and equipment where available to support the courses and will publicise the courses through their website and social media pages.

  • The University could arise anywhere in Scotland where there is space and interest in its work and tutors in recovery willing to give their gifts of hand, heart and head.


WHAT IT DOES
  • Graduates from the school of “hard knocks” now have their own University: the University of Life in recovery. A University that offers courses tailored to help humans deal with life creatively; to realise potential, deal with difficult pasts and challenging presents. It is based around the idea that we are all flawed and imperfect humans trying to grow.

  • At this University, which is open to everyone, all the tutors have one thing in common- they have been there. They will be sharing their passions and their expertise. The will teach some of the ways and means of living that they practice actively themselves.

  • At this University we are interested in whole population recovery and personal recovery; we know that systems as well as individuals can be broken and need to heal. We know they can.

  • As the faculty of gift giving tutors grows so the range of what can be offered will grow. Anyone wishing to offer something on the platform can contact SRC.

The Challenge: 

The Question: 

How do we build - and maintain - long term recovery in the community?

The Problem: 

Spaces do not exist where people can freely offer to teach their hard earned insights.

The Solution: 

Community already has all of the answers - it just needs a framework to do so.

Channels: 


          Invisible Illnesses: Transforming Self-Care into Collective Care   
Invisible Illnesses: Transforming Self-Care into Collective Care

I was thinking about it the other day, and I think it is finally time to tell a story. For those of you who don't know me, I'm Open Care's ethnographer --- I have been reading everyone's stories, growing increasingly more inspired, and making sure that the important connections you all are making do not get lost. A lot of the time, ethnographers consider themselves to be research instruments -- so maybe think of me as another technology, like the platform itself or the cool visualisations the research team has been producing :)

But it has become increasingly difficult for me to feel I am fulfilliing my role as an ethnographer, because one of the central tenets of ethnographic practice is participant-observation. Now, I've certainly done plenty of observing. But I think I have been dropping the ball slightly on the participant part! Talking about my own positionality is important to making sure that I am filtering everyone else's through lenses that don't distort them.

So here's one of my Open Care stories.

I have two related questions: how do we care for people in our communities who aren't visibly ill, yet whose lives are made more difficult by invisible illnesses keeping them from living life the way they want to? And how can we look outside current medical frameworks to help people whose illnesses haven't been successfully helped by existing medical frameworks? This issue of invisible illness particularly affects labor, which as many of you have noted, is both a crucial part of what it means to be human (working on things that enrich us, feeling like we have autonomy and are masters of our own destiny) but also something that can cause us pain (when we have to do jobs we don't like, or can't find employment in this rapidly changing world).

These questions hit particularly close to home for me. I suffer from vestibular migraines (also called migraine-associated vertigo). This means that about three out of seven days a week, I feel dizzy for part or all of the day. If you've ever felt motion sick, you'll be able to understand the feeling, although it's difficult to describe if you haven't. The way I often laughingly put it: It's like being drunk, but without the fun parts. During these episodes, I am very nauseated and is really unpleasant to look at screens, read, or generally do anything except stare at a wall. Sometimes the episodes will be extreme: like the whole world is spinning, and I can't tell which way is up.

When this first started happening, about a year ago, it was terrifying. I would panic, which would make it much worse.

In the first six months, I tried everything. I went to my GP, who referred me to an Ear, Nose, and Throat specialist (ENT). I had to wait months to see her, and she ran all kinds of tests on me: I was put in a dark room, spun around in a chair, water was ran through my ears. Inconclusive--- I had inner ear damage, yet my body was correcting for it. I was referred on to a neurologist (another long waiting period), who told me that vertigo is really hard to do anything about. She diagnosed me with vestibular migraines, and then proceeded to try out 5 separate drugs over 5 months. For weeks I'd try something new, have terrible side effects, without improvement. I learned that most drugs have side effects, and a lot of drugs are used to treat secondary conditions but the primary use has serious effects (they tried anti-depressants, which can help but made me feel awful, for example).

Finally, after 2 trips to the emergency room in 2 months, she recommended I try a blood pressure medication. That was the last straw for me---- I looked at the bottle, read the side effects (I already had low blood pressure--- so the side effects were, you won't believe it, DIZZINESS). I decided to give up on medication for a while. I want to add here that most of this journey took place in the USA, so the medical bills were beginning to pile up.

So I turned to the internet, and found many people suffering like me, without help from medication, and with the same exact symptoms. I don't have any wonder cure to report here---- but it was nice to know that other people were there, and were also frustrated by the medical system. I also took solace in my family in the times I was able to see them, who would come and sit with me when an episode hit. Talking to others, taking my mind off of it, helped.

But one of the hardest things was not wanting to tell people, because I didn't want them to see me differently or treat me like I was infirm. I didn't want to lose my job, and I didn't want my PhD supervisors to stop pushing me and giving me new opportunities. I felt that short-term illnesses people are compassionate about, but when there is no end in sight, eventually your lowered performance is no longer a case for compassion, regardless of the cause. I empathised with this position, knowing how frustrating it would be to have a colleague or a friend who disappeared for days at a time. Perhaps most of all, I didn't want anyone to treat me like I was disabled. I didn't want anyone to treat me differently at all, and I wanted their expectations of me to remain high.

On the other hand, my illness was invisible. No one could see my suffering, so no one knew to reach out and help. Sometimes we do need to be treated differently, and sometimes we just can't go it alone. I told my supervisor at last, and told him that I wanted to move back to the UK --- my home, and a place which, though the medical system was struggling, had universal healthcare and wouldn't charge me to get the help I could need in the future. I wouldn't have to be scared to go to the emergency room after a day of excruciating pain and nausea. So he ended up supporting me immensely with my goal of transferring my PhD, and I'm moving back soon.

I've started down a new path, now. I don't know if it will be helpful, but I'm starting to acknowledge that I might never be "cured," and that maybe that rhetoric ignores the way that most people with illnesses end up living their lives despite it, rather than conquering it. I think there are a lot of us out there learning how to live in peace with our unruly bodies, and I have found a lot of support and solidarity from friends, who after I confide in them, end up telling me secrets of their own. One has IBS, and has near-constant stomach problems. She told me a story: I don't think of myself as disabled, I think of my body as a Maserati. Sure, I have to be really careful about what I fill myself up with, but that's because my body is a luxury car! I laughed when she said it, and I carry that story with me. I am filling up my arsenal with other stories of resilience in spite of medical systems which offer no answers, or the wrong ones, and in spite of bodies that don't behave.

I have also learned to be mindful of the fact that other people around me are probably struggling with something they're not saying. I don't give angry looks at people on the tube who sit in priority seats---- what do I know about their conditions? Instead of being upset with friends who cancel plans, or co-workers who seem to show up less, I give them the benefit of the doubt. Who knows what they're dealing with.

All in all, I see the stories I have heard as an ethnographer in past projects on technology and health and social care with new eyes, and I feel more strongly about projects to build social solidarity and informal networks more than ever. I for one will continue to do research and publish on these issues, and help design better systems. People are the answer. Keep up the good work, everyone :)

 

The Challenge: 

The Question: 

How do we care for those with invisible illnesses?

The Problem: 

A lot of medical issues are unsolvable, and people must go it alone.

The Solution: 

Being mindful of others, and giving support when medical systems don't offer answers. Creating care networks.

Channels: 


          Liberties Local Health Project   
Liberties Local Health Project

WHAT?

A social enterprise beer brewing club.

WHY?

St. James’ Hospital, Dublin, commissioned a service design project in search of  a non-clinical, community based service design solution to the problem of particularly poor overall personal health locally. The aim is to focus on reducing the number of inpatients over fifty years of age with entering the hospital with preventable ailments such as heart disease, high cholesterol, dementia, and lung cancer. 

The hospital is based in The Liberties in Dublin, which got its name in the 12th century due to its location just outside Dublin City's walls – lands united with the city, but still keeping their own jurisdiction (hence "liberties"). The area's history is still very relevant to the health of its residents.

Being outside the city walls, the Liberties became a hub for trade and craftsmen. The 19th century saw the Liberties become dominated by large brewing and distilling families, most notably Guinness who built the world's largest brewery there. With this industrial wealth, however, came dire poverty and slum living conditions. Today the Liberties is a city neighbourhood of opportunities and innovation, but its history - positive and negative - pervades. Although having undergone much urban regeneration as well as gentrification, the Liberties still embodies that juncture between being a centre for enterprise and commercial life as well as being home to large blocks of inner city social housing. Homelessness, drug use, and lower than average life expectancy are some of the problems facing in the Liberties today. 

On researching in the area first-hand, it was observed that there was a distinct lack of male presence in local community centres, as well as a high number of men drinking alone in pubs. The Liberties Local Health project draws on this observation to engage those lone drinkers to become members of a local brewing club, where beer is brewed by locals, for locals.

The project takes its inspiration from the highly successful Men’s Sheds mental health initiative whose motto is, “men don’t talk face to face, they talk shoulder to shoulder.”

HOW?

The brewing club for men over fifty in the locality – where they create a low percentage beer brewed by locals, for locals – harnesses existing local skill sets of the hundreds of Guinness factory retirees.

The brewing club, "Sláinte", takes it name from the Irish word for "cheers", also meaning "health". The aim of the club is to encourage more responsible drinking through appreciation of the brewing process as well as forming a sense of pride and comradery among members. The project was commended by health industry professionals after its presentation at Dublin’s Active Age Conference 2012.

With Ireland's craft beer market having hit €59 million in 2016 (up form €40 million in 2015) and volumes of beer from Irish microbreweries having increased by 415% between 2011 and 2015, the brewing club "Sláinte" has high viability potential to run itself as a social enterprise overseen by members, bringing with it a sense of pride, achievement, and overall better health.

USER JOURNEY

User becomes AWARE of serviceAWARE

 Beer mat to create awareness

User CONNECTS with the serviceCONNECT

 

User ENGAGES with the serviceENGAGE

 

User's FIRST USEFIRST USE

 

User CONTINUES USECONTINUED ENGAGEMENT

 

User pays the service forward to others who may benefit from it as they didLEAVE

 

 

Brewing Club loyalty cardClub Loyalty Card

John and Dave holding their membership cards

The Challenge: 

The Question: 

How can we improve the overall health of men over fifty living in the Liberties in Dublin?

The Problem: 

Men don't talk face-to-face, they talk shoulder-to-shoulder

The Solution: 

A members-based brewing club cum social enterprise

Channels: 


          How to share care in a living community   
How to share care in a living community

I live in a eco-cohousing community of 40 homes, and over 60 adults. we have smallish separate PassivHaus homes; car sharing; a "Common House" where people cook and eat together; shared community tasks; and organisation and governance by consensus. It's quite large as cohousing goes, and while several values are common, there is also much diversity. Some minority groups find a home here: in our case, including vegans. We try to be inter-generational, though there are more older people than younger. That's partly due to economic factors.

It is a surprisingly complex little society, and any group like this has its own life, its own character, which would take a long time to describe. For Opencare, I'd like to focus just on one of the challenges that I see here: how we engage with our own and each other's well-being. We have at present no special provision for caring for each other: it happens in some ways at some times, informally.

Sharing some non-mainstream values, and a vision that is not yet shared by the majority of people, there seems to be some kind of assumption that we will provide a safe space for "people like us", a haven from the strain of being minorities who are disregarded, or even criticised, elsewhere. This need for a sense of psychological safety does appear in various ways, sometimes surprisingly. This is often hidden in the rest of society. Otherwise, our needs are probably similar to most people's.

We do have methods for dealing with conflict, but the challenge seems to be to get people to engage with them. Recently, a small group of members underwent training in Restorative Circles [https://www.restorativecircles.org/]. If we all understood and participated in this, it might help deal with issues that have surfaced. Relatedly, several members have developed, to differing degrees, along the path of Nonviolent Communication [https://www.cnvc.org/]. If we all interacted with each other following NVC principles, maybe that would be a highly positive influence on our community culture, and the well-being of all of us. But how does one persuade a diverse group of people with different backgrounds and histories to engage in one practice like NVC? What about other practices, like co-counselling?

This brings me to outlining the challenges that I, personally, see for our cohousing group. How do we collectively approach the issue of mental and spiritual well-being, with little common ground to start with? How can we then grow (in) a culture that effectively supports the well-being of individuals, and of the group as a whole? How can we be sure that an individual will receive the care that they need? Can we rely on informal relationships, or should we organise this in some way? Part of our well-being is the sharing of common purpose: how can we frame and agree our common purposes, from members whose values diverge? Are we fixed with the vision of the founders, or can we (and do we want to) move on?

These are hard questions to answer, but I have the sense that we will need to answer them more and more, if we are to develop the resilience that we will need as mainstream politics and economics unravel. We need now to care for each other's resources of time, energy and good will, and as we age, we will increasingly need to look after our health and strength if we are to achieve what we want to achieve, being a positive transformative influence in the world.

 

The Challenge: 

The Question: 

How can we share care in a living community?

The Problem: 

There are few common background assumptions, and not all values are shared.

The Solution: 

There is no obvious solution: it is an open question. How do we explore this, and grow a shared resilient caring culture?

Channels: 


          "Butterfly Wings" A therapeutic Painting Workshop @ Cregg Castle.   
"Butterfly Wings" A therapeutic Painting Workshop @ Cregg Castle.

I discovered my passion for Art activities early in life and haven’t looked back since. Art College taught me the fundamentals of art, but it’s the journey of life that provided me with inspiration.  I feel my Paintings are very personal and reflects my own Timeline of life, In my process of painting I have found doors for me to explore and develop a greater inner spiritual connection to myself and our external  Angels.  I Love to sense and discover connections in life and with wonderful people and enjoy where and how they go…… My exhibition of original oil Paintings hangs in the two large reception rooms of Cregg Castle. I call it the “Gallery of Angels”. It’s a dream space to have my own semi-permanent solo show.

 I fell in love early in life and built a little purple cottage in the countryside of Galway.  Lorraine and I got married and had two wonderful boys, Jaeden and Zach.

My twin Ivan, a sculptor now living in Whales, and I as young artists took on spaces for exhibitions because we didn't want to charge extra to clients as in commercial galleries. I was always interested in spaces, and ended up building my second home as well, with a purpose built Montessori school which I ran with my wife Lorraine. I took care of the project management and the arty play part. I feel some choose our school because there was a male influence and contribution, and feel it helped with some of the more distant relationships between some hard working fathers and their kids.

While working on other creative projects, I also developed a therapeutic painting Workshop fusing my passion, with my training and skills in NLP (Neuro Linguistic Programming) and Timeline therapy. I call it “Butterfly Wings”. It was suddenly the time to put it into action.  I had recently separated from my wife and was seeking many new positives changes in my Life.  I started searching for a healing place to host my therapeutic workshop.

My grandfather used to own Cregg Castle and then was passed to my Aunt, so I thought I would visit Cregg and see what the new owners were doing with it. When I got there the Castle was in disrepair and had been sadly boarded up for 4 years.

I contacted the new owners to see where they stood and a few months later I sent them my strong proposal where I aimed to take on the castle as is, and start an artist’s residence and a cultural music venue. Thankfully they accepted my proposal and we have a great Win Win arrangement in place. I had a lot of red tape and restrictions holding things back however I’ve been pretty much living my dream here at the castle for 4 amazing years. It’s a perfect space /place for artists to live and work together. It certainly is for me, I love it here, so much because it just feels like the right path for me and also I got to connect with so many creative, talented people here.  When my Aunt had the Castle as B&B with a strong  traditional music energy here, Dusty Springfield, Sinead O Connor, Shane Mac Gowan from the Pogues, all stayed here on occasion, back in the day. Dusty wrote in the guest book, it was her special healing place.

I’ve had quite a few artists in residence over the years, come and go, and have hosted many music and cultural events, film and photo shoots, bush craft courses and other random stuff. I have now most parts of the castle as liveable again. Artists have helped me fix up spaces as and we needed them, each artist having a living/studio space and also use of the many large communal spaces. Last year I opened one room for Airbnb guests. I have many foreign visitors all year and they are all delighted to come and stay in a real Irish Castle. https://www.airbnb.ie/rooms/7479769?preview

https://www.facebook.com/creggcastlefriends/?pnref=lhc

My Pony - Arrow, Donkey - Houdini and Cat - Pixie are a huge contribution to the positive healing energy here.

Recently when An Ait Eile approached me about with the Monastery concept I was very interested. It was easy to see how it could map onto what my hopes and plans for the castle. So we held a PreMonastery event which was a great success. And since that I with Kashi from Cosáin, a local wellness group hosted an amazing “Butterfly Wings” weekend. (Therapeutic Painting Workshop)

Over the last year or so, I did a lot of work designing and fabricating two, 40ft high cube containers which I have created all on site at the Castle. My aim was firstly to create a purpose built mobile event venue and an alternative workshop space. The design includes a large indoor/outdoor space between them, with a mobile roof covering and a neat modular floor system.   More work is needed however to bring them to the standard required for holding events, and with the added potential as developing it further as a demo concept home. This project has me excited, motivated and inspired. I see it as a real positive alternative to the mainstream approach of building another traditional home.  I took the opportunity to create a new start in life, moving towards a positive creative lifestyle.  Freedom is my top Value and this approach has given me that sense of freedom to move.   Also it gives me the ability, to build my own home for a lot cheaper than traditional building. I feel we all need to simplify our lives, to our basic needs and have time to enjoy the - true simple pleasures and treasures in life.

I rekoned, If I care for the Castle, the Castle will Care for Me and many more to come...

Alan Murray

The Challenge: 

Channels: 


          Freeflow Creativity   
Freeflow Creativity

I’m a designer, nurse, yoga teacher, food grower and performer, currently studying Business Enterprise and Community Development with Equal Ireland. I’m lucky to have had many learning opportunities, and the freedom to let that knowledge merge.

I volunteer at a community/school garden (Soil Chroí Íosa) with Transition Galway and was a writer/editor and designer for our “A Vision for Galway 2030” document.

I’m also Resilience Coordinator with An Áit Eile (The Other Place), a cultural organisation in Galway, with an amazing network of collaborators. In 2015 I was invited to open meetings by An Áit Eile (AÁE), mapping potential groups who could potentially fill a community led cultural hub in Galway. Some of the groups I’m active with matched perfectly, so they were an easy fit. I developed the idea as part of my college work, with input from AÁE.

Next was “Pilgrim”, again collaborating with AÁE, entered for the European Capital of Culture 2020 bidbook for Galway. Working around 3 thematics, Monastery (inspired by unMonastery), Meitheal (Irish term for a work party) and Pilgrimage.

In October we done this...

Keeping momentum, we tested unMonastery/Monastery in early December, 2017. 4 days at Cregg Castle, PreMonastery; a Rural Reconnaissance. A range of skilled individuals involved with a range community groups and initiatives, and collaboration with @Nadia (EdgeRyders LBG). We’ve just submitted our report to Galway 2020. Many outcomes during and after the event including the adding of stories to Opencare.

We’re hoping to roll out Pilgrim: Year One this year. The provisional plan feels epic. Joining the med-hack revolution and design/build small spaces looks like a promising direction. Sharpening existing knowledge/skills, then application and outcomes.
freeflowcreativity.com

The Challenge: 

The Question: 

How can we improve community resilience?

The Problem: 

We're not very well prepared for shocks to systems.

The Solution: 

Add buffers and contingency while we plan, hatch and implement.

Channels: 


          Kindness and Connection Can Sustain Us Through Tough Times.   
Kindness and Connection Can Sustain Us Through Tough Times.

Hi my name is Sharon.
I’m currently working part-time in a charity shop, employed three days and in receipt of a social welfare subsidy for the other days. I am also studying a postgrad diploma part-time in Sustainable Development.

Having completed a Bachelor of Business and an honours degree in Information Systems Management in 2013, I was hopeful that I could find employment.
After completing the course, I decided however, that I did not want to work with technology on a continuous basis, as I found that the final specialised year was soulless.
During college I had done some volunteering, and so, knew that I had a leaning towards working in business for a social cause.

The other constraint I had over the years, was an accumulation of a few gaps in my C.V because of past mental health issues. I had started suffering from anxiety in my teens which really affected my self-esteem. This condition really impacted my development. So, by the time my friends were going to college at 18, I stayed at home and was happy to take care of my grandmother who needed support. I was on and off medication for a long time.
I tried lots of things, individual counselling and group therapy, which really did help me. Success really came for me through trying alternative therapies such as bio energy, acupuncture and reiki.

Unfortunately, we live in a society that places huge stigma around mental health issues so in terms of employment, people are encouraged to cover up any such issues. The C.V gaps gave me less of a competitive edge in the job market and I was 8 months unemployed after college. The emphasis placed on having experience to get jobs can be an obstacle. Even though I had experience volunteering throughout my time at college, I found that companies don’t recognise volunteer work, because you haven’t been paid for it.

I decided to return to volunteering again, for a wonderful NGO where after 3 months a shop management position presented itself. That was like winning the lotto for me, I can tell you!
I don’t like the money grabbing, I need there to be a social dimension and something more sustainable. Unfortunately,only 8 months in, this wonderful NGO working to support development overseas had to close their Irish operations, to make the charity more sustainable. I went on to get my current job as a charity shop assistant, again after an 8-month search. I love working in this environment, as you get to meet real heroes with real struggles and tales of survival.

In 2015, my Mum got cancer. My beautiful Mum has always been a brave and determined warrior. My folks have undergone a lot of problems with housing during the economic downturn in Ireland. They moved in with one of my uncles who is a diagnosed schizophrenic to take care of him. They each have always played the role of carers in both of their large families, often taking on huge burdens of care for their siblings, very selflessly and very much to their own disadvantage. The thanks they end up getting for their efforts, is having to look for a new home while Mum was in the early stages of cancer, due to one uncle behaving very aggressively and selfishly toward them.Mum did not need to be further subjected to that kind of stressful behaviour.
Thankfully, after a short search period, my folks ended up moving into a house in my neighbourhood.This was hugely beneficial to me, as I was then positioned to be of help to them, where I could, in supporting Mum on her journey to recovery.

The past few years have really been a very harsh eye opener for me, into the affects an economic crisis has on people’s lives. It has detrimental impacts on people’s health, welfare, living conditions and psyches.
The other side of the coin is, that I have fortunately come to discover, the absolute profound healing and joy that comes from people around us, the hearts and minds of people who genuinely care.

That sense of community and connection is the most important aspect to life and has certainly helped me and my family to cope through the last few years.
There is a dire need for an extension of this supportive community, in tackling the many varied and complex social issues of our time.
The most recent suicide and cancer statistics, highlight the absolute urgency, in finding alternative ways, of connecting and supporting the people who are struggling within our communities.

Thanks to all involved in Edgeryders for all your hard effort in attempting to achieve that!
I hope this community will be very successful in its reach.

Love and best wishes to you all! X

The Challenge: 

Channels: 


          Dutch Nursing Combats Social Isolation And Depression Among The Elderly   
Dutch Nursing Combats Social Isolation And Depression Among The Elderly

This is a beautiful story.

In an effort to save on rent, some Dutch college students are living at nearby nursing homes. In exchange for 30 monthly volunteer hours, the students get free housing in vacant rooms.

It seems to be a win-win for everybody. Not only are the students living in better accommodations than student housing and not racking up as much student debt, but they’re providing a better quality of life for the eldest residents by socializing, helping them with tasks, and teaching them tech-savvy skills like using email, social media and Skype. The bonding created from spending time together is incredibly important for everyone. Social relationships are key to human well-being and in the maintenance of health. The intergenerational living model started in 2012, with a few more nursing homes follow.  Regular social interaction is necessary for mental health as well as social interaction.

Read the complete story here:  https://goo.gl/LYUpPP

The Challenge: 

The Question: 

How can we bring bridge a generation between the young and the elderly in benefit of care?

The Problem: 

How can we combat social isolation and loneliness in the elderly and increase mortality?

The Solution: 

Intergenerational Living- keeping costs reasonable and providing an engaging lifestyle and improving quality of life.

Channels: 


          Vital Networks: the work of transforming experience into understanding   
Vital Networks: the work of transforming experience into understanding

How can we get better as groups at learning from the experiences we go through? I have been wondering about new approaches to care and this question has been much in my mind since interviewing members of the public during a project about the “word on the street” in Liverpool in 2015. It was a sobering month in which I came to know personally just how disaffected and disenfranchised the public felt about anything changing for the better in England.  In a comment on the Edgeryders community call on improving how we support each others mental and spiritual health, I wondered if “everyone who lives in a distributed area is in some way involved in processing the emotions experienced in that place”. I feel a great potential for technological networks to create rituals and bring people together to process experiences in new ways. Generally, I'm talking about creative networks for coming back to life: networks that invite people into a social experience to care about themselves and other people, to keep hold of their hopes, to understand beyond their own spheres of experience and to find support in being the magician of their own life. This is speculative stuff, I realise, so I’ll anchor my offering to this strand in real examples and share work that I know of and am making.

A frank admission to start: the subject of networks of care is relatively new terrain for me. I’m no expert and there are long histories and contexts that I cannot represent here.  I really welcome feedback, criticism, references and most of all, examples of working networks already in place. There are many excellent examples and the diversity of reports shared on this site - the variety of food sharing initiatives, performance and storytelling circles, maker spaces and innovative support systems - is informing my learning around this subject.

One of the areas that show most clearly the positive effects that community interventions can have are post-conflict efforts. In this post, I want to tell you about the powerful work of theTrust for Indigenous Culture and Health (TICAH) who developed a program with survivors of the Nyayo House Torture Centre and other centres in Kenya. In a follow up piece I will look more at digital systems with a mind to exploring how elements of ritual and and formalised events for expression and listening might be tapped into in new ways to support communities through online means. 

Facilitating Forgiveness: the hardest job there is?

I met Denis Ngala when I was doing some work in Timbavati, South Africa. He is a tall, radiant and infectiously joyful character, utterly grounded and with a sense of spiritual authority having spent most of his twenties studying in a seminary. He told me a lot about the work that he was doing in Kenya with TICAH and the problems that faced victims of torture returning to society after they had been released. 

Details of the intense suffering and the physical and mental abuse that went on in Nairobi’s Nyayo House torture chambers and other places of detention during President Moi’s regime are still emerging decades later. Ngala was working at facilitating meals for torture victims and their perpetrators where they could have honest discussions in an attempt to heal these old wounds. He told me that often the victims and perpetrators of the violence were people who grew up in the same village and had studied at neighbouring schools so he was often bringing together people who had known each other throughout their lives. The kind of emotional resolve and resources needed for either survivor or perpetrator to face the horror of the past and sit down together, share food and listen to each other’s stories is frankly extraordinary. But Ngala describes his methodology when convening these meetings as based on simplicity: “it is rooted in listening to one another and honouring each life story.” His role as the third party, guiding the conversation, ensuring that each person spoke and was listened to has had truly beneficial effects. He tells me that some who have gone through the process visit each other and share their childhood stories or are able to meet at public occasions.

One very illuminating aspect of this work is that the focus goes beyond the individuals directly involved. TICAH has looked to help educate the wider community to understand what had happened and how to support it. This was necessary as without  intervention communities often closed up, and rather than accepting the survivor back into social contact they viewed the returning survivor with unease and distrust, creating a situation in which survivors sometimes found themselves ostracised, left to deal with the experience alone. 

TICAH met this situation with interventions that emphasised embodied communication and the creative body. They invited those effected to walk a labyrinth together in a peace ceremony and organised body map workshops that brought together different survivors to share their stories. The body-mapping workshops use art skills to trace participants’ bodies and then map elements of their life stories onto this body map: visual elements are added that stand for the individual’s aims, what supports them, the traumas they have lived through and their strengths. These visual records are a way of introducing the details of what happened in captivity back into the community to be held by everyone. So the labyrinth walking and the body-mapping make the real lives, bodies and experiences of the victims a public experience and enable the wider community to listen to and appreciate how these survivors managed to live through painful and unbelievably challenging times. 

The Human Element

This is incredible work - through these interventions TICAH help communicate that the process of recovery is not the problem of the victim of torture alone, but is in a very real sense owned by the whole community. One striking aspect is the emphasis on accepting the seriousness of the situation - dealing with the very worst of what humans can do to each other - with vital, dramatic, expressive interactive meetings. The labyrinth walking is profoundly beautiful group ritual and the body mapping opens up the assembled individuals to listen to the challenges that others have lived through, and it does this in a joyful and creative way. Reconciliation over food feels innately right. The activities though almost timeless in their simplicity are unusual and unexpected, and generally unlike anything that any of the participants have done before. The act of doing something new is particularly suited to transforming problems as there are no painful memories attached; it opens up new horizons and is perhaps more likely to lead to a renewed present. 

When I ask Ngala what networked technologies could do to help these efforts he replies that they could help facilitate expression: “In this work there are problems, most of them could be solved through sharing. When survivors are given opportunities to share their stories they heal fast. Networks would provide a good platform for people to share their experiences. Sharing could be done through writing or be spoken. Narrations could be recorded and later could be used to make short clips.” I think of just how possible this is as it is poses a clear and actionable technological problem, but looking at Ngala I wonder whether he realises how key his presence is to the process and the quality of the interaction. What forges the profound shifts in people’s experience is how their expression is received, listened to, validated and responded to. When speaking with Ngala, a man with vast generosity of soul and focused attention, you really do feel stronger. He beams at you and honours your presence in a way that is rare. In conversation with him you feel that your words matter, your life is respected and that miraculous healing is possible. Popular culture tends to talk about purging emotions, as if emotions are toxic material that needs ejecting from your system, but what Ngala’s work shows is that the magic is in the courage to speak honestly and the grace of being heard: that’s when emotions turn into understanding. The human catalysts at TICAH are so much a part of why these reconciliation attempts have been successful and any attempt to extend the work through technology needs to factor this in at the centre. 

Simplicity of invitation, creative expression, embodied shared experience, working and listening to others, ritual time and focus, the unexpected, all these feel like good leads for designing a transformative care network. TICAH’s emphasis on shared humanity and that each person is a human being with a different story encourages survivors and perpetrators alike to stand strong in themselves, to understand the past and live a better day.  I think of post-conflict creative efforts like http://reflections.org.np/ that creatively depict the subjectivities of Nepali people in the aftermath of the earthquake. There is a courage in projects that present every person, even though they may have lived through horrendous circumstances, as a human being with a unique story and power.

Digital Networks for Creative Care

Strong mutual care is essential not only in places seeking to recover from atrocities, but generally for people working together and sharing space, especially if they are "living on the edge". Change is difficult and every group liable to conflict. E.C. Whitmont writes in The Symbolic Quest that “The seeming inevitability of conflict among the archetypal "powers" can cause us to experience life as a hopeless, senseless impasse. But the conflict can also be discovered to be the expression of a symbolic pattern still to be intuited.” There's a potential that we can reach into the intuitions that come out of difficult experience and grow understanding of group dynamics to create pathways that do not end in violence, abuse and waste. The sad cases of suicide, sabotage, ill health and conflict that we know of in digital tech, startup and hacker cultures show that forging wisdom in this area is important. 

I feel the need for strange networks of care: unusual, compelling networks that don’t attempt to fix anyone but make healing and self-understanding an adventure and help individuals back into the simple joys of communion and creativity. To explore group dynamics and coherence in recent projects I’ve been involved in, I've worked with beans http://www.rootbeans.com/, with dreams (following the method of my mentor Apela Colorado) http://oneiricarchives.tumblr.com/ and with storytelling http://www.thehaguecenter.org/pathways-project-2/.  Back up in Liverpool we're improvising on Stafford Beer's work on group dynamics in public meetings. Whether it’s VR group therapy where you experience your own body and other people in highly unusual ways or group Skype rituals for reconciliation the whole notion of care networks is wide open for innovation and renewal. As a guiding design point I think the only answer to questions like how can ritual time be held online or how can digital networks provide the intensity of feedback of live interaction is bold creativity. If you have examples of creative online systems to faciliate group communication and support that go beyond a message board or online forum and become something more vital and "live" please share them.  I’ll be at 33C3 if there’s people from the Edgeryders community who want to meet around the theme of hacking strange networks of care. There’s also an option to organise a session: https://events.ccc.de/congress/2016/wiki/Static:Self-organized_Sessions 

Learning in Doing 

There is a huge amount of trauma recovery material and contexts for group psychology that I do not know about. It is challenging terrain. As much as it’s essential to tread carefully, it is also necessary to create. The outpouring of emotional pain, anger and concern after the American election makes clear a need for strong communities of action and bold ways for participating in new stories. As worrying as is the prospect of making mistakes around mental health, the more worrying prospect is not creating networks to meaningfully connect up alienated, isolated or suffering individuals. Local actions, online networks and communities are all growing this November: each network has a different focus. Involving digital technology to reimagine group psychology and care (beyond Facebook) is just one of the potentials to help these evolving networks support themselves. 

Ngala’s experience shows that targeted and bold ventures can reboot the community’s ability to support and that there is the possiblity of even the most horrific of violations healing. The greatest thing that I learnt from Ngala is the scale of his belief. When I ask him what has been the most illuminating discovery about human care through facilitating this work he replies: “The most amazing thing is we are all human who heal despite all the experiences we have met in life”.  His belief is born out by his experience. It is vital not to miss the transformative quality of having one person believe in another. I consider the enormous amount of work and transformation needed in the decades ahead to meet the problems of our time and then I think about three human beings sitting down for a meal in Kenya and have the sense that great tasks are possible if we learn to work together. 

Links on article: 
http://ticahealth.org/ 
http://www.ticahealth.org/files/TICAH-nyayo-house-torture-body-maps.pdfInterview with TICAH’s founder Mary Ann Burris with details on body mapping: http://practicalmattersjournal.org/2011/03/01/burris-interview/
https://twitter.com/TICAH_KE

Photo: Denis Ngala in South Africa 

The production of this article was supported by Op3n Fellowships - an ongoing program for community contributors during May - November 2016.

The Challenge: 

The Question: 

Can we create networks that encourage individual strength and understanding of group dynamics?

The Problem: 

In precarious times many people live with insufficiently mature support structures

The Solution: 

Bold creative projects that facilitate care through emphasising the humanity, agency and creative life of the individual and the group

Channels: 


          Building tweeting communities for mental health nursing with @WeMHNurses   
Building tweeting communities for mental health nursing with @WeMHNurses

[@Noemi’s note] I was happy to connect with Emma Jones, who is in her words, a third of the We Mental Health Nurses team at WeCommunities, along with Vanessa Garrity and Mark Brown. This story serves as a first encounter with Edgeryders. It also includes written reflections by Vanessa.

WeMHNurses hosts regular mental health themed twitter chats, as part of a network chat calendar, with wildly diverse topics ranging from “The use of digital technology in everyday practice” to “Workplace democracy in mental health”. The core team runs the day to day operations, on a purely voluntary basis, with the WeMHNurses account, also linking into the wider WeCommunities, which covers many different branches of Nursing and Health Care professions and specialism. Topics for chats tend to mostly emerge from topical conversations within the community or where there is, for example a national policy directive or key piece of published journalism relating to mental health. The community also run sponsored chats for national bodies such as the Dept of Health, Care Quality Commission and NHS England. The WeMHNurses team see their role as being about facilitating broader conversation in a democratised digital space, where everyone can have a voice, regardless of positional authority. The team also see their role as being to make national policy more accessible, in terms of the language being used. The community also has a particular focus on discussing the everyday implications of policy on mental health nursing practice.

The chats are generally facilitated by one of the @WeMHNurses team, with guests are often invited to participate in the chat where the person brings specific expertise to the conversation. This is an open process, whereby anyone can contact the team to suggest a chat topic or to ask to host a chat.The team provide support to individuals who want to host a chat from the @WeMHNurses Twitter handle.

Our ethos is very much that “your opinion matters” and we focus on the user point of view, getting people talking to each other and bringing a variety of perspectives to the conversation. We enjoy working with people who have previously been in services or are currently in services because we really value the lived experience perspective. As we are an independent voice, we will also cover topics that might be considered controversial, political or critical, as we believe that these conversations are important in setting the future direction for mental health nursing.

On reflection, we think that the liveliest and most informative chats are often where there is a real mixture of perspectives, including for example, clinicians, people accessing services, managers, leaders, academics, researchers and policy makers. The conversations that we have online are often very powerful for this reason as we can’t think of many examples from our own professional lives, where there has been such a variety of voices in a room to debate a topic in such a level and democratic way. An example of this is a chat that Vanessa and Mark ran with the Health Service Journal, where we discussed the reduction of inpatient mental health beds across the country. This chat was very much brought to life by people sharing their experiences of how this impacted on them personally when they needed to access inpatient care.

The demographics for our chat suggest that we have a largely UK audience. However, because of the global reach of Twitter, we do have some international representation within our community and we love to encourage this because of the dimension that it brings to the conversation

Before we run a chat, we produce some pre chat information on the wecommunities website. This is generally written in a blog style, so it is broadly accessible reading. We are also looking at how we can make our chats even more inclusive, such as by providing audio for people who struggle to read or who have visual impairment. The challenge for us is that we are all volunteers, so we have to find ways of delivering information quickly.

How come this twitter format for talking about mental health? Is there something in the medium that helps learning, or alleviation for individuals?

As with everything there are always pros and cons. Some would say “there’s only so many characters on twitter” and mental health can be a very complex topic to discuss with limited characters, especially when people are talking about personal experience. On the other hand, it can help you be more focused and concise in what you are trying to say.

I suppose using twitter to talk about mental health is quite personal, as is twitter use in general. There are many who find it hugely therapeutic and helpful, either getting involved in chats, communicating/ networking with others or for gaining support. It is a fab place for the sharing of information, including research and it's also a great forum for challenging stigma and moving the mental health agenda forward.

Bios wordcloud
Wordcloud from participants twitter bios in a recent chat - source.

Is there a cutoff number for participants in a chat? Or a number that makes it effective? I’m wondering because you have such high regularity - every week.

There is not a maximum number of people in each chat, it can be anybody using the hashtag. Often people pop into the chat with just one or two tweets, whilst at the same time, we are having a conversation with other people, who participate in the entirety of the chat. When you are facilitating a chat, which is busy, it can be a challenge responding to every single tweet, but we do try to do this and often we find that people branch off and have separate conversations with other participants, within the chat, which goes down a different path to the structured questions of the main chat. Providing they still use the hashtag, we still capture this conversation in the transcript at the end. This is an example of the latest archived chat on a Tuesday evening, counting 133 contributors, 1200 tweets and with a reach of 7,561,098! This was a joint chat with @wenurses and @weldnurses.

With our over 6000 followers, plus the wider network, I suppose it is hard to say how many people we reach constantly. However, analytics for the chat are captured within the wecommunities website. Nick Chinn is the technical person behind this at Wecommunities.

What do you think draws people in? What makes it a community for you? Is it people interacting with each other, learning, figuring out stuff?

I suppose it is all of that. Everyone involved in the chats is interested in that particular area and that shared interest drives the discussions and questions in the chat, which will often support the development of links between people. Often people in the chats might say: ‘this is a good chat’, and ‘why don’t we do one on this other topic area?’ It then keeps expanding, and there are more things that we get involved in. So, in essence, the community is about sharing knowledge and learning, being open to thinking in different ways and developing a support network as well.

What for the future and how can we support your work?

We are very aware that people establish relationships and friendships offline with people who they have connected with on Twitter and that these relationships are often a great source of strength and support for people. Vanessa and Teresa Chinn, Founder of WeCommunities organised an unConference earlier in the year, through crowdfunding, which brought together 300 people from the community into a physical space to get together and to debate and discuss the future direction of social media in health care. We also provided a parallel online agenda throughout the day, so that the twitter community could still very much be part of it, even if they couldn’t physically attend. Vanessa and Mark from WeMHNurses and Mental Elf on Twitter are also in the process of setting up a Digital mental health conference service, which we are launching at #PDDigital16 later in November.

The Challenge: 

The Question: 

How can we support anyone with an interest in mental health to participate in a conversation?

The Problem: 

Delivering relevant information and support to a broad and diverse group and people

The Solution: 

Regular Twitter chats!

Channels: 


          Future tools   
Future tools

Our challenge is to rewire neighbourhoods to take care of teenagers tending to the specific needs of their age, addressing the formation of social emotions, vocation and self knowledge.

Europe's population decline must be addressed not only regarding maternity and natural population decrease, but also promoting the dynamic and innovative qualities the younger generations always contribute to society. Making young people relevant, inviting them to our social life, giving them a frame to belong in a European future is the necessary counterbalance for our aging and shrinking population.

The rate of cultural change linked to technology has been constantly increasing and initiatives to educate our people must overcome institutional slowing down, if our societies are to participate significantly in the future.

Education, learning & the value of teenagers

Traditional educational systems are failing to take social changes into account. The inertia of national states behind educational institutions is failing to answer to the reality of communities that are experiencing social change at a faster than ever rate. The future we imagine cannot be reached following old pathways.

Teenagers are left out of social life, with no appropriate spaces or other activities expected from them, apart from attending compulsory school until an age that keeps rising as the human life cycle prospers. In a phase of life characterized by passion and vocation, loads of energy and bluntness, teenagers in Europe find themselves institutionalized and irrelevant.

«Future Tools» project is an acknowledgment of the value teenagers have for society: they hold our future in their hands. «Future Tools» is a space designed with caring attention to fit the needs of our young generation, aiming to connect them to a new world of opportunities by inviting them to work, to collaborate, to participate and to have a voice in their own community. We can now apply our knowledge about adolescence to provide a comprehensive environment in which teenagers can develop healthy social emotions, autonomous and egalitarian participation.

Provide an alternative to corporate uses of technology through the culture of the commons; spread collaborative habits in neighborhoods; build activities rooted in intrinsic motivation that bloom in communal benefit are some of the ways «Future Tools» will engage people in fostering a society with greater equality, solidarity and sustainability.

«Future Tools» is a common learning lab for teenagers. By offering youngster a place to gather and pursue their interests while promoting their autonomy, we aim to empower them to work for a better future. Sharing resources and interests in an alternative learning space, the culture of collaboration and the democratizing possibilities of technology, this place will have its roots in the neighborhood’s daily activities and funnel the parents’ interest in social promotion for their kids towards a more inclusive society.

The abundance of open resources that can be freely accessed through personal learning environments to learn digital skills —such as computational thinking, governance software, UX design, in fact any skills that we may need to implement our projects in the world— is an opportunity, never known before to such a widespread extent, to empower our youngsters to build a better future.

Neighboring environment

The neighborhood as a community comes to relevance in the task of «helping grow adults». The age group that most closely matches the Secondary Education stage in our culture has in the neighborhood its spatial range of freedom, just one step away from the wide world they will live in as adults. Connecting these neighboring communities to the global emergence of the digital culture as makers and participants through their own teenagers is a pertinent, strengthening link between local and broader communities.

It is urgent for these generations of parents and offspring to leap forward over institutional stagnancy and give ourselves the shared resources we can provide for our own borough, in every neighborhood, nurturing our tribe-prone teens from the gang to the team, by building around them the common ground for community.

It is sometimes sad hear stating that what is being promoted for innovation in the field of education —on the basis of empathic personal exchange, attention to the tempo, sensibility for intrinsic motivations, in short: the wisdom of caring for each other— are outdated methodologies. Digital tools offers a new breeze to these methodologies, an opportunity to enhance the soft aspects of learning and allow us to cast aside production-line techniques when it comes to our kids: lecturing, memorizing, exams, ringing bell schedules, curriculums and subjects. We can now afford those luxuries our industrialized schools didn't plan for and, dragged by institutional inertia, won't anytime soon.

The Challenge: 

The Question: 

How to create places for the youngsters to meet and learn?

The Problem: 

Teenagers are institutionalized in an out of date educational system that gives them no practical chance to participate in society.

The Solution: 

Establish neighboring spaces where teenagers can socialize while engaging in autonomous/assisted learning activities.

Channels: 


          A Bus Tour for a Trauma-informed World   
A Bus Tour for a Trauma-informed World

'Are you on a mission? And how come that trauma - such a heavy word, such a serious matter - is your passion?' That is what people ask me when they hear about my tour, about me and my bus traveling through Europe to talk and teach about trauma and to try to soften the pain of trauma. 'No, I am not on a mission (that is a far too 'religious word for me to befriend with) - and yes, trauma is my passion, and I do have a message.

I really believe that pain should come in the open. That it should be de-tabooed: we should know more about it, understand better what traumatic pain is, how it functions, how it takes possession of us, we should be able to look at it more closely, to be with it (for a while). Trauma, pain, fear ... we'd rather not experience it or watch it happen in someone else's life. It is like with 'death': we know it is part of our lives, we all have to deal with it, and yet we don't - because it's (too) uncomfortable. How to talk about human mistreatments, heavy physical pain, profound disrespect of your person, or situations where you felt like if your life was in danger? How to share the feelings of loneliness and hopelessness that go with such pain? We often do not know how to do that, and try to ban painful events and feelings from our minds, we want to forget about it.

It is something in pain itself too. We're hardwired to avoid and suppress pain. It helps us survive, it helps us to go on. Avoiding, minimizing and denying pain is our most natural, short term solution to deal with pain. It is a survival mechanism. It often takes a while, from seconds to minutes, to physically feel the pain caused by an accident, a car crash or a broken leg. Not feeling the pain gives us more time to save ourselves, to get away from danger.  Out of the car, walk away and call the ambulance f.ex. On the long term, however, not feeling isn’t very effective. Because it is impossible to heal from something we don't acknowledge. On the long term, suppressed pain comes back to us, like a boomerang. That is what trauma and traumatic pain is about: it is pain that doesn't seems to go away, pain that stays with us far too long, as a residue of what happened to us.

I believe that this residual pain needs to be addressed more openly.  

Traumatic pain can be softened - and it should be. Because unresolved trauma makes us sick, depressed and heavy-hearted. It deregulates us, deeply and on many levels: mind, heart and body. We know that traumatic pain lies at the heart of most contemporary diseases, be they mental or physical, we know that trauma adds to almost every sickness as a major contributing factor. And yet ... the knowledge about trauma and how to address it to lower its dramatic impact on our lives is far from common.

That is what my tour is about: I want the world to be trauma-informed.

I want people to come and look at the pictures on the bus and ask questions. I want them to learn about trauma and realize that healing is possible. We can all learn best practices regarding talking and coping. We can all learn to calm down and regulate a body in fight, flight or freeze modus. We can all learn techniques to stop nightmares and flashbacks. We can all learn to help traumatized persons recover. It often takes not more than 15 minutes to help people sleep better: help them release tension before they go to bed, by offering a relaxing breathing exercise, or teach them to intervene in their dreams by using their imagination, by rehearsing a different ending for their nightmare f.ex.

We are all on a mission: to a certain degree we all need to become trauma specialists. First, we need to deal with our own trauma's and those of the people around us. We need to dare to feel and face our pain instead of running away from it. Second, there's too much suffering in the world as to leave its resolution to the clinical field or therapeutic setting. Therapeutic knowledge should be accessible to all of us, it should not be protected and copyrighted. Therapeutic knowledge should be alive in the world, not only in shrinks’ offices. That is why I do what I do: share my knowledge about trauma with you, share insights, methods and techniques from the field of trauma healing ... so that we can all, together, ease and soften the pain in our world.  

I don’t know of any other projects sharing therapeutic knowledge in the way Trauma Tour does. But the idea of a trauma-informed world is related to a growing field of ‘self care’: taking responsibility for one's own (mental) health by reading self help books, attending self help groups, becoming experience experts, … It is long known that helping on this ‘equal’ level, is often more effective than any method or technique. It is also known that the relationship between ‘therapist’ and ‘patient’ is a major factor when it comes to healing. If we combine both, ‘helping expertise’ and ‘being equal’, it seems a very natural thing to come out of our offices and share therapeutic knowledge with those who suffer. It makes ‘us’ helpers and ‘them’ traumatized people equal human beings, fellow human beings. It restores humanity.

I’m now in the middle of planning my first big tour: driving down the Balkan route and visit Greece in December 2016 / January 2017. If you’re reading this and you want to support Trauma Tour, please check out my website, there’s a list of things you can do to help me : call me in for a training, be my local host on my way down to Greece, put me in contact with people who might need me … An easy and very effective way to support Trauma Tour is to make a financial contribution - I thank you for that!

The production of this article was supported by Op3n Fellowships - an ongoing program for community contributors during May - November 2016.

The Challenge: 

The Question: 

There's too much suffering in the world as to leave its resolution to the clinical field or therapeutic setting

The Problem: 

How can we help each other cope with pain & trauma

The Solution: 

A trauma-informed world

Channels: 


          Rev. Al Sharpton Covers The Latest On The Healthcare Bill   
06/28/17 – Reverend Al Sharpton encourages people to remain steadfast in the fight against the Senate health care bill despite its latest hiccup. Like BlackAmericaWeb.com on Facebook. Follow us on Twitter and Instagram Sign Up For Our Newsletter!
          Fox News Ignores The Republican Healthcare Disaster, And Instead Attacks The Obama Family   

At the height of the healthcare debate this week, Fox News devoted only a few minutes to the issue that Republicans have been pushing for years. Instead, the network chose to attack the Obama family for going on vacations, claiming that the Left was furious at Obama for having fun. Ring of Fire’s Farron Cousins

The post Fox News Ignores The Republican Healthcare Disaster, And Instead Attacks The Obama Family appeared first on The Ring of Fire Network.


          Sanders Seeks Short-Term Healthcare Solutions While Working Toward Single Payer   

In the long-term, America is heading toward a single-payer, medicaid-for-all system brought to the public attention like never before by Senator Bernie Sanders in 2015 and 2016. Unfortunately, that is in our distant future. In the short term, America has to deal with a malignant Congress and Executive branch intent on forcing through a murderous

The post Sanders Seeks Short-Term Healthcare Solutions While Working Toward Single Payer appeared first on The Ring of Fire Network.


          Paul Ryan: Not My Problem 22 Million Will CHOOSE To Lose Healthcare – The Young Turks   

Paul Ryan feels extra comfortable lying about the AHCA to Brian Kilmeade, who will believe anything. Cenk Uygur, host of The Young Turks, breaks it down.

The post Paul Ryan: Not My Problem 22 Million Will CHOOSE To Lose Healthcare – The Young Turks appeared first on The Ring of Fire Network.


          Technology Jobs Called Best of 2014; Hound.com Has Thousands Advertised   

Technology, business, and healthcare jobs are the most popular for 2014. Hound.com has thousands of these jobs advertised and users can take advantage of the fact that Hound advertises directly from employer’s sites.

(PRWeb February 25, 2014)

Read the full story at http://www.prweb.com/releases/news/hound/prweb11614319.htm


          Hiring Trends on Granted Echo Boom in Finance and Healthcare 100K Jobs   

Improvements in the stock market and health care industries have resulted in the growth of several 100K jobs in the U.S. Granted mirrors this job growth.

(PRWeb February 22, 2014)

Read the full story at http://www.prweb.com/releases/news/granted/prweb11605308.htm


          EmploymentCrossing Concierge Helps Clients Find Jobs in the Expanding Construction, Healthcare, Hospitality, and Leisure Sectors   

The job market is increasing in many areas, especially in healthcare and construction. Employment Crossing has many open jobs in these areas, and the concierge program they offer helps clients apply to and get jobs others don’t have access to.

(PRWeb February 20, 2014)

Read the full story at http://www.prweb.com/releases/news/employmentcrossing/prweb11601333.htm


          EmploymentCrossing Concierge Helps Clients Find Jobs in the Expanding Healthcare and Technology Markets   

The job market is increasing in many areas, especially healthcare and technology. Employment Crossing has many open jobs in these areas, and the concierge program they offer helps clients apply to and get jobs others don’t have access to.

(PRWeb February 06, 2014)

Read the full story at http://www.prweb.com/releases/news/employmentcrossing/prweb11560753.htm


          Government Socialized Healthcare: Health Insurance Stocks Hit All Time Highs at Your Loss   

from McAlvany Financial:


          Morning News Brief For June 28, 2017   

As you start your day, it can be overwhelming to try to make sense of everything you missed while you were getting on with your life. Morning Minute is here to bring you the news you need to know to start your day, all broken down into tidbits you can consume before you finish your morning constitution. Here are this morning's headlines.

The Senate Healthcare Bill Is In Shambles

After angering se...


          Full Time Home Health Physical Therapist - $5,000 Sign on Bonus!   
CA-Modesto, I believe that better care begins at home. Compassionate care, uncompromising service and clinical excellence – that’s what our patients have come to expect from our clinicians. Kindred at Home, a division of Kindred Healthcare Inc., is the nation’s leading provider of comprehensive home health, hospice, and non-medical home care services. Kindred at Home, and its affiliates, including Gentiva, de
          Account Manager   
CA-Vacaville, I believe that better care begins at home. Compassionate care, uncompromising service and clinical excellence – that’s what our patients have come to expect from our clinicians. Kindred at Home, a division of Kindred Healthcare Inc., is the nation’s leading provider of comprehensive home health, hospice, and non-medical home care services. Kindred at Home, and its affiliates, including Gentiva, de
          Senate health care bill negotiations: These are the big issues on the table   
A provision that makes one person happy could bleed votes on the other side.
      
 
 

          Data Analytics Outsourcing Market Will Drive Growth at CAGR of 30.54% by 2019 Market Size, Share, Trends and Forecast   

Latest market research report, size, share, trends and forecast on "Global Data Analytics Outsourcing Market 2015-2019"

Albany, NY -- (SBWIRE) -- 06/28/2017 -- Organizations have a huge amount of data in different departments such as HR, procurement, production, sales, and marketing. To use these data efficiently, data analysis is required. Data analytics allows organizations to gain powerful customer and market-related insights and take business decisions based on these actionable insights. Data analytics outsourcing is the process in which organizations employ service providers to perform analytics on organization-wide data. This increases the efficiency of organizations and also helps them strategize their decisions based on the outcome of data analysis.

The global data analytics outsourcing market to grow at a CAGR of 30.54% over the period 2014-2019.

Covered in this report

The report covers the current scenario and the growth prospects of the global data analytics outsourcing market for the period of 2015-2019. To calculate the market size, the report considers revenue generated from data analytics outsourcing services.

The following are the major end-users of the market:
Manufacturing and retail/wholesale sector
BFSI sector
Healthcare sector
Telecom sector
Others

Request To Get The Sample Copy Of This Report : https://www.marketresearchreports.biz/sample/sample/376556

Technavio's report, Global Data Analytics Outsourcing Market 2015-2019, has been prepared based on an in-depth market analysis with inputs from industry experts. The report covers the Americas, APAC, and EMEA; it also covers the landscape of the market and its growth prospects in the coming years. The report includes a discussion of the key vendors operating in this market.

Key regions
Americas
APAC
EMEA

Key vendors
Accenture
Capgemini
Fractal Analytics
TCS
Wipro
ZS Associates

Other prominent vendors
American Express
Blue Ocean Market Intelligence
Citi
Cognizant
CRISIL
Evalueserve
eClerx Services
EXL Service
Genpact
Gramener
HP
IBM
iGate
Infosys
LatentView Analytics
MuSigma
Opera Solutions
Pfizer
Shoppers Stop
UBS
Vodafone
WNS Global

Browse More Details : https://www.marketresearchreports.biz/reports/376556/global-data-analytics-outsourcing-market-research-reports.pdf

Key market driver
Exponential growth in data
For a full, detailed list, view our report

Key market challenge
Shortage of skilled professionals
For a full, detailed list, view our report

Key market trend
Software as a service business analytics model
For a full, detailed list, view our report

Key questions answered in this report
What will the market size be in 2019 and what will the growth rate be?
What are the key market trends?
What is driving this market?
What are the challenges to market growth?
Who are the key vendors in this market space?
What are the market opportunities and threats faced by the key vendors?
What are the strengths and weaknesses of the key vendors?

For more information on this press release visit: http://www.sbwire.com/press-releases/data-analytics-outsourcing-market-will-drive-growth-at-cagr-of-3054-by-2019-market-size-share-trends-and-forecast-826146.htm

Media Relations Contact

Mr Nachiket
Business Head
MarketResearchReports.Biz
Telephone: 518-621-2074
Email: Click to Email Mr Nachiket
Web: http://www.marketresearchreports.biz/


          Target's Pulitzer-losing strategy   
The success of Target over the past two decades has been built by offering better quality merchandise at lower prices, creating a unique position (and loyal following) between traditional discounters and higher-end retailers. As with other discount retailers, Target has partnered with higher end brands, providing volume in exchange for their cachet.

The latest effort was Sunday, when Target offered an exclusive collection from Lilly Pulitzer, a line of colorful women’s clothing originally based in South Florida. My teen tells me this is the brand of sorority girls and other Southern Belles. The line is normally sold in expensive boutiques, and thus Target provided both convenient distribution and the promise of better prices.

However, the demand vastly exceeded Target's expectations. As with healthcare, the initial focus was on the crashing. However, as it turns out, the more systemic problem occurred in the retail stores.

At the two stores nearest to our home, the clothing sold out in the first hour, with cosmetics and accessories lasting about a day — a pattern repeated around the country. It was a one-time deal, with no restocking planned. Target later admitted that it expected that the sales (and traffic) would last weeks and not hours.

Instead, enterprising shoppers cleaned out the stores — one shopping cart at a time — to resell the products upon eBay. By our count, there are 38,000+ “Lilly Pulitzer for Target” products on eBay at 3x the original price. Lilly’s fans have vowed to boycott the online sales with their own hashtag (#LillyforeBay).

Avoiding this problem isn't rocket science. Our generation knows this as the Rolling Stones (or Springsteen) concert ticket problem — limit 2 per customer. The former newsmagazine Newsweek reports that H&M imposes limits on similar promotions.

Per Fortune, Target claims that only 1.5% of the merchandise is being resold, but I suspect that includes the less desirable accessories. The fashionistas denied even a single copy of the iconic Lilly Pulitzer shift dress — despite being there when the doors opened at 8 — would consider the problem more serious than Target wants us to believe.

The Pulitzer fiasco has certainly undercut Tarzhay’s image of chic fashion and operational efficiency. And apparently this happened four years ago when Target sold the Missoni designer brand. A brand is a shortcut for quality — including reliability and predictability – which is the opposite of what this weekend’s shoppers experienced.

If they were targeting boomer geezers it wouldn’t be a big deal, but irritating the pre-teens and teens that are its future customers is equivalent to pissing in the soup. It’s a perfect plan to send these young shoppers back to mall for H&M and other specialty realtors.

So — as in so many other aspects of business — here is another example where the execution is more important than the strategy.
          Why some fear Google -- and others should, too   
Excerpts from a 4,000 word letter by the CEO of a leading German publisher to the company that once promised “don’t be evil”:
An open letter to Eric Schmidt
Why we fear Google
17.04.2014, von MATHIAS DÖPFNER
Frankfurter Allgemeine
Dear Eric Schmidt,

In your text “Die Chancen des Wachstums” (English Version: “A Chance for Growth”) in the Frankfurter Allgemeine Zeitung, you reply to an article which this newspaper had published a few days earlier under the title “Angst for Google” (“Fear of Google”). You repeatedly mention the Axel Springer publishing house. In the spirit of transparency I would like to reply with an open letter to highlight a couple of things from our point of view.


Google doesn’t need us. But we need Google
Google’s employees are always extremely friendly to us and to other publishing houses, but we are not communicating with each other on equal terms. How could we? Google doesn’t need us. But we need Google. And we are also worlds apart economically. At fourteen billion dollars, Google’s annual profit is about twenty times that of Axel Springer. The one generates more profit per quarter than the revenues of the other in a whole year. Our business relationship is that of the Goliath of Google to the David of Axel Springer. When Google changed an algorithm, one of our subsidiaries lost 70 percent of its traffic within a few days. The fact that this subsidiary is a competitor of Google’s is certainly a coincidence.

Not only economic, but also political

We are afraid of Google. I must state this very clearly and frankly, because few of my colleagues dare do so publicly. And as the biggest among the small, perhaps it is also up to us to be the first to speak out in this debate. You wrote it yourself in your book: “We believe that modern technology platforms, such as Google, Facebook, Amazon and Apple, are even more powerful than most people realize (...), and what gives them power is their ability to grow – specifically, their speed to scale. Almost nothing, short of a biological virus, can scale as quickly, efficiently or aggressively as these technology platforms and this makes the people who build, control, and use them powerful too.”

The discussion about Google’s power is therefore not a conspiracy theory propagated by old-school diehards. You yourself speak of the new power of the creators, owners, and users. In the long term I’m not so sure about the users. Power is soon followed by powerlessness. And this is precisely the reason why we now need to have this discussion in the interests of the long-term integrity of the digital economy’s ecosystem. This applies to competition, not only economic, but also political. It concerns our values, our understanding of the nature of humanity, our worldwide social order and, from our own perspective, the future of Europe.

The greatest opportunity in the last few decades

As the situation stands, your company will play a leading role in the various areas of our professional and private lives – in the house, in the car, in healthcare, in robotronics. This is a huge opportunity and a no less serious threat. I am afraid that it is simply not enough to state, as you do, that you want to make the world a “better place.”

You say in your article that those who criticize Google are “ultimately criticizing the Internet as such and the opportunity for everyone to be able to access information from wherever they happen to be.” The opposite is true. Those who criticize Google are not criticizing the Internet. Those who are interested in having an intact Internet – these are the ones who need to criticize Google.

Google is to the Internet what the Deutsche Post was to mail delivery or Deutsche Telekom to telephone calls. In those days there were national state monopolies. Today there is a global network monopoly. This is why it is of paramount importance that there be transparent and fair criteria for Google’s search results.

However, these fair criteria are not in place. Google lists its own products, from e-commerce to pages from its own Google+ network, higher than those of its competitors, even if these are sometimes of less value for consumers and should not be displayed in accordance with the Google algorithm. It is not even clearly pointed out to the user that these search results are the result of self-advertising. Even when a Google service has fewer visitors than that of a competitor, it appears higher up the page until it eventually also receives more visitors. This is called the abuse of a market-dominating position. And everyone expected the European antitrust authorities to prohibit this practice. It does not look like it will.

Is it really smart to wait?
Historically, monopolies have never survived in the long term. Either they have failed as a result of their complacency, which breeds its own success, or they have been weakened by competition – both unlikely scenarios in Google’s case. Or they have been restricted by political initiatives. IBM and Microsoft are the most recent examples.

Another way would be voluntary self-restraint on the part of the winner. Is it really smart to wait until the first serious politician demands the breakup of Google? Or even worse – until the people refuse to follow? While they still can? We most definitely no longer can.

Sincerely Yours
Mathias Döpfner
Via John Paczkowski at re/code
          Trump And Republicans Expect You To Die, Joe Public   
There is no Republican rhetorical ruse that works around it: Make healthcare unaffordable, and people die.
          Nursing Assistant - Emergency Department - Lifespan - Providence, RI   
Current RI registration as a Certified Nursing Assistant with current certification in Basic Life Support with Healthcare Provider....
From Lifespan - Fri, 12 May 2017 21:01:35 GMT - View all Providence, RI jobs
          Software to make pharmacists GST-ready - Times of India   

Software to make pharmacists GST-ready
Times of India
CHENNAI: Digital healthcare platform hCue has launched hCue PharmaSmart, a cloud PoS Software, exclusively designed to assist small and medium businesses (SMB), retail pharmacy shops and chains in the country to migrate to GST. ... technologies such as ...


          Listen: What you need to know about the new health care bill   
What is in the new Republican healthcare bill? Does it live up to President Trump's promises? What does it mean for Americans' healthcare? Will it pass in the Senate?
          The Senate healthcare bill could result in a 'nightmare scenario' for drugs   

Peter Orszag

Washington might have just solved the problem of high drug prices. But the road to that would be incredibly painful.

It's an argument laid out in an unsettling column for Bloomberg by former Office of Management and Budget head Peter Orszag titled, "One Nightmare Scenario in Senate Bill: Drug Rationing."

"Senate Republicans may not realize it, but their repeal-and-replace health-care legislation, if passed, would set the U.S. on the road to European-style price controls and rationing of prescription medications. This would follow fairly directly from the enormous cuts to Medicaid that the bill would impose," he writes.

To be clear, Orszag isn't writing this because he thinks it's a merit of the bill that's aimed at repealing Obamacare. It's an unintended consequence, he says, and Orszag is one of President' Barack Obama's guys. 

But the scenario he lays out is fairly simple: The Congressional Budget Office estimates that Federal spending on Medicare will fall by 25% by 2026 under this bill. After that Federal health care funding to states would increase at the rate of inflation, which is an estimated 2% less than the rate of healthcare cost inflation.

You can see how this problem could start to run away from state governments, especially those already suffering from budget constraints.

So Orszag, who now the global co-head of healthcare at investment bank Lazard, thinks that states will have to go into emergency mode, pulling back on big costs like prescription meds. After all, according to the Center for Sustainable Rx Pricing, prescription drugs now make up almost 20% of healthcare costs.

This would hit drug companies and patients subject to drug rationing alike. 

For more on this, read Orszag's full column>> 

Join the conversation about this story »

NOW WATCH: Science says lasting relationships come down to 3 basic traits


          Housekeeper - McKay Dee - Intermountain Healthcare - Ogden, UT   
Reports problems with equipment and facility in an appropriate and timely manner. Uses cleaning chemicals properly according to Joint Commission and OSHA...
From Intermountain Healthcare - Tue, 27 Jun 2017 16:21:58 GMT - View all Ogden, UT jobs
          Housekeeper (temp) -McKay Dee - Intermountain Healthcare - Ogden, UT   
Reports problems with equipment and facility in an appropriate and timely manner. Uses cleaning chemicals properly according to Joint Commission and OSHA...
From Intermountain Healthcare - Mon, 26 Jun 2017 22:21:17 GMT - View all Ogden, UT jobs
          Food Service Spec - McKay Dee (temporary) - Intermountain Healthcare - Ogden, UT   
Performs housekeeping functions including cleaning and sanitizing surfaces, floor care, and equipment (oven, fryer, hoods)....
From Intermountain Healthcare - Wed, 07 Jun 2017 19:02:50 GMT - View all Ogden, UT jobs
          Food Service Spec - McKay Dee - Intermountain Healthcare - Ogden, UT   
Performs housekeeping functions including cleaning and sanitizing surfaces, floor care, and equipment (oven, fryer, hoods)....
From Intermountain Healthcare - Sun, 04 Jun 2017 07:00:08 GMT - View all Ogden, UT jobs
          Food Service Spec (temp) - McKay Dee - Intermountain Healthcare - Ogden, UT   
Performs housekeeping functions including cleaning and sanitizing surfaces, floor care, and equipment (oven, fryer, hoods)....
From Intermountain Healthcare - Mon, 20 Mar 2017 19:03:34 GMT - View all Ogden, UT jobs
          Light Housekeeper - Healthcare Services Group - Washington Terrace, UT   
The light housekeeper performs a variety of tasks, such as dust mopping and damp mopping floors in all areas including entry ways, corridors, etc. Is...
From Healthcare Services Group - Thu, 11 May 2017 03:58:09 GMT - View all Washington Terrace, UT jobs
          Light Housekeeper - Healthcare Services Group - Roy, UT   
The light housekeeper performs a variety of tasks, such as dust mopping and damp mopping floors in all areas including entry ways, corridors, etc. Is...
From Healthcare Services Group - Wed, 17 May 2017 04:12:28 GMT - View all Roy, UT jobs
          Housekeeper - Intermountain Healthcare - Layton, UT   
Reports problems with equipment and facility in an appropriate and timely manner. Uses cleaning chemicals properly according to Joint Commission and OSHA... $11.31 an hour
From Intermountain Healthcare - Thu, 18 May 2017 18:44:13 GMT - View all Layton, UT jobs
          Senior Collector   
MO-Kansas City, RESPONSIBILITIES: Kforce has a client in Kansas City, MO that is currently searching for a Senior Collector. Duties Include: A/R follow up Working directly with the insurance companies (Government and Commercial) Working with the patients since some of them are self-pay REQUIREMENTS: At least 5 years of healthcare collections experience Any relevant education and/or training will be considered a p
          Full Time Home Health Occupational Therapist   
MO-Kansas City, I believe that better care begins at home. Compassionate care, uncompromising service and clinical excellence – that’s what our patients have come to expect from our clinicians. Kindred at Home, a division of Kindred Healthcare Inc., is the nation’s leading provider of comprehensive home health, hospice, and non-medical home care services. Kindred at Home, and its affiliates, including Gentiva, de
          Vehicle Technician / MOT Tester / Car Mechanic - Preston Deeodale   
We are currently looking for experienced Car Mechanic / Vehicle Technician / MOT tester in Preston Deepdale. If you are currently looking for a new opportunity and would like to be contacted about our upcoming vacancies please register your interest by applying. Once a suitable vacancy arises we will be in contact to discuss with you further. The desired candidate will possess the skills and experience to carry out all aspects of light vehicle maintenance including light and heavier engine work. The ideal Car Mechanic / Vehicle Technician / MOT Tester will possess: • NVQ Level 3 or Equivalent / Time Served Experience • A valid class 4 and 7 MOT testing licence • A Full UK driving licence with no more than 9 points (you will be subject to licence checks) • Experience in a professional workshop environment • A good approach to customer service • Flexibility towards working hours (40-48 hours per week) • Halfords Autocentres strive to be there for all of life's journeys, in order to deliver this some of our Autocentres are open 6/7 days a week. In return, we will offer the successful Car Mechanic / Vehicle Technician / MOT Tester a competitive salary, based on a technical grading system, a fantastic bonus scheme and extensive benefits including; • Numerous recognised training courses available such as Hybrid / Fgas / ATA Level 3 (linked to increasing your technical grade) • E-learning hub • Discounted Professional Tools Scheme • Discounted Trade Bike scheme • Contributory pension scheme • Colleague discounts • Deals on Wheels (High street discounts) • Save As You Earn share scheme • Discounted child care vouchers • EAP (Employee Assistant Programme) – Up to £10k worth of sessions. • Healthcare cash plan (self and family) also includes Dental plan • Long service awards • Annual leave starting at 30.8 days including bank holidays Halfords are a Top 25 Sunday Times employer, we offer our employees a wealth of training and development opportunities to develop the best Car Mechanics / Vehicle Technicians and MOT Testers in the industry. Our Technical Grading system ensures our technicians are fairly assessed and given every opportunity to improve their skill set on an ongoing basis
          Distilled: Content Strategist   

(London, UK)

Content strategy and creative ideation plays a crucial role at Distilled. We are seeking a passionate storyteller and conceptual thinker who can collaborate with a team of creatives to develop innovative digital campaigns.

As a part of the Creative team, this role reports to the VP of London and will lead creative campaigns from ideation to completion. A successful Content Strategist will understand how to translate client objectives into compelling brand stories that drive results. S/he will present these ideas with confidence and effectively manage the creative process ensuring client expectations are exceeded.

About the Role

Each day as a Content Strategist will be different, but a typical day could include:

  • Participating in client meetings to understand clients’ business objectives and marketing goals
  • Working with consultants to define project scope, costs, timelines and expectations
  • Developing creative briefs to ensure the marketing strategy and creative direction are aligned
  • Leading the ideation of story-driven creative campaigns alongside consulting and promotions teams
  • Assessing the feasibility of concepts and developing pitch decks to present finalised campaigns to clients
  • Developing messaging strategy, competitive analysis and content framework to guide creative campaigns
  • Oversee the creative process from concept to completion. Leading the design and user experience process ensuring the campaign matches the client’s brand and story.
  • Collaborating with Consultants to report campaign updates and results
  • While the core responsibilities of this role will center around creative ideation and project management, a Content Strategist may also deliver:
  • Content development plans including developing voice and tone guidelines, editorial calendars and content distribution plans
  • Managing content production with in-house writers and freelancers
  • Content audits and gap analysis
  • Audience research and persona analysis
  • Customer journey maps through discovery strategies such as focus groups, interviews and surveys
  • Copywriting and editing for short and long-form content
  • Content development trainings

About You

  • 3+ years in a digital environment with an emphasis on content strategy and managing interactive campaigns
  • You’ll understand the value of content and how to communicate that through appropriate KPIs
  • Well-rounded portfolio of digital campaigns showing an understanding of content and digital marketing strategies
  • Well-versed in content distribution channels; their associated audiences and limitations
  • Strong understanding of how to lead and direct creative ideation
  • Understanding of how to use qualitative and quantitative research to develop successful pitches and campaigns
  • Proven capability to translate creative concepts to compelling client presentations
  • Ability to manage multiple projects/teams at once while staying within timeline and budgets
  • Ability to balance creative and operational needs
  • Excellent copywriting skills
  • Excellent written and verbal communication
  • Effective project management and reporting skills

Job Perks: 25 days annual leave plus 8 bank holidays, Subsidised private healthcare and life insurance, 5% pension matching, Subsidised gym membership, A £750 happiness budget so you can buy stuff to make you happier at work such as a new flashy monitor or training, and drinks and snacks on Friday.

Apply:


          Republican Healthcare Bill Contains $50 Billion Insurer Bailout   
The Senate Republican healthcare bill contains a $50 billion slush fund for insurance companies that the CMS Administrator gets to dole out. Maybe this is the equivalent of a "surge" in a war to protect healthcare markets, but standardless delegation and corporate welfare is not the answer.
          Tax Cuts In Republican Senate Health Bill Undercut Its Best Justification   
Senate Republicans would have a stronger case for their healthcare bill if they could plausibly argue that, yes, it may cover fewer, but it is something the federal government can actually afford. By simultaneously cutting taxes for the wealthy, however, Republicans undercut that justification.
          Republican Senate Healthcare Bill Creates Scary Marginal Tax Rates   
The new healthcare reform bill from Senate Republicans imposes extremely high marginal tax rates on many Americans. And that's not an unintended bug, it's actually a feature. Explore here just how bad the situation is.
          Error in CBO Report Hurts Debate Over Healthcare Reform   
The CBO Report just issued shows 23 million more uninsured under the AHCA and only a small reduction in the national debt. That's both devastating and wrong. I expose here both the wrong assumption made by the CBO in evaluating the ACA and why that error matters to the future of healthcare reform.
          Healthcare Benefits Specialist - USA-ME-Portland   
Portland, ME Description: Strong Healthcare benefits company is seeking hard workers to work in our careers divisions. This is a telecommuting position. NO background necessary as we provide full trai...
          Massage, Traction, and Manipulation   

Massage, Traction, and Manipulation

 MASSAGE


Worldwide, various forms of massage, traction, and manipulation have been used for several thousand years. Each modality represents a treatment for pain, and steadily increasing numbers of people are seeking these treatments.

Although research on each of these approaches or modalities continues, a long-standing variable unites them all, that is, the concept of touch. In the 1940s, Rene Spitz reported on infants in foundling home who, though they were otherwise healthy and well taken care of, failed to thrive and often died in the absence of being held or touched. Kunz and Krieger additionally defined and taught the principles behind the related concepts of healing touch and therapeutic touch in the 1970s.

Although no consensus exist regarding the complete physiology of massage, traction, or manipulation, these treatment approaches are generally thought to involve more than just the interaction of mechanical forces and human anatomy. The history of touch as a natural and essential component of healing and health maintenance is long.

Throughout history, massage has been woven into the cultural context of medicine. Massage consists of both Eastern and Western variants. In the West, the practice and popularity of massage has varied over time. In recent years, the previous decline in the popularity of massage (probably related to technologic advancements in medicine), has been reversed into a resurgence of interest. In the United States, approximately $2-4 billion is spent each year for visits to massage therapists; these costs account for approximately 26% of the $11.7 billion spent on nontraditional healthcare in the 1990s.

Increasing numbers of Americans are pursuing massage for various reasons (eg, relief of pain, relaxation, conditioning). Although little doubt exists that massage is beneficial for certain conditions, additional research is needed to establish its profile of efficacy. For excellent patient education resources, visit eMedicine's Muscle Disorders Center. Also, see eMedicine's patient education article Chronic Pain.

Definition of basic massage concepts

Massage is a therapeutic manipulation of the soft tissues of the body with the goal of achieving normalization of those tissues. Massage can have mechanical, neurological, psychological, and reflexive effects. Massage can be used to reduce pain or adhesions, promote sedation, mobilize fluids, increase muscular relaxation, and facilitate vasodilation. Massage easily can be a preliminary treatment to manipulation; however, it clearly targets the health of soft tissues, while manipulation targets joint segments.

Massage primarily consists of hand movements, some of which may be traction based. Traction is defined as the act of drawing or pulling or application of a pulling force. Traction sometimes involves equipment, but it can also be applied manually. In addition, traction affects changes in the spinal column itself, with soft tissues only secondarily changed. Effects of massage, like those of traction, tend to be fairly nonspecific.

Types of massage

Western massage

Western massage is the most common type of massage practiced in the United States today. Western massage organizes variations of soft-tissue manual therapy into several categories. Pare of France introduced the basic terminology for Western massage to the United States. The essence of Western massage is use of the hands to apply mechanical forces to the skeletal muscles and skin, though the intent may be to affect either more superficial or deeper tissues.

Types of basic Western massage are characterized by (1) whether the focus of pressure is moved by the hands gliding over the skin (ie, effleurage), (2) by whether the soft tissue is compressed between the hands or between the fingers and thumb (ie, petrissage), (3) by whether the skin or muscle receives repetitive and compressive blows (ie, tapotement), or (4) s by whether hearing stresses are created at tissue interfaces below the skin (ie, deep friction massage).

  • Effleurage
    • In this approach, the practitioner's hands glide across the skin overlying the skeletal muscle being treated.
    • Oil or powder is incorporated to reduce friction; hand-to-skin contact is maintained throughout the massage strokes.
    • Effleurage can be superficial or deep.
    • Light strokes energize cutaneous receptors and act by neuroreflexive or vascular reflexive mechanisms, whereas deep-stroke techniques mechanically mobilize fluids in the deeper soft tissue structures.
    • Deep stroking massage is performed in the direction of venous or lymphatic flow, whereas light stroking can be in any direction desired.
    • Effleurage may be used to gain initial relaxation and patient confidence, occasionally to diagnose muscle spasm and tightness, and to provide contact of the practitioner's hands from 1 area of the body to another.
    • The main mechanical effect of effleurage is to apply sequential pressure over contiguous soft tissues so that fluid is displaced ahead of the hands as tissue compression is accomplished.
  • Petrissage
    • Petrissage involves compression of underlying skin and muscle between the fingers and thumb of 1 hand or between the 2 hands.
    • Tissue is squeezed gently as the hands move in a circular motion perpendicular to the direction of compression.
    • The main mechanical effects are compression and subsequent release of soft tissues, reactive blood flow, and neuroreflexive response to flow.
  • Tapotement
    • This percussion-oriented massage involves striking soft tissue with repetitive blows by using both hands in a rhythmic, gentle, and rapid fashion.
    • Numerous variations can be defined by the part of the hands making an impact with the body.
    • The therapeutic effect of tapotement may result from compression of trapped air that occurs on impact.
    • The overall effect of tapotement may be stimulatory; therefore, healthy persons with increased tolerance for this approach are more likely to find this type of massage useful.
  • Deep friction
    • Pressure is applied with the ball of the practitioner's thumb or fingers to the patient's skin and muscle.
    • The main effect of deep friction massage is to apply shear forces to underlying tissues, particularly at the interface between 2 tissue types (eg, dermis-fascia, fascia-muscle, muscle-bone interfaces).
    • Deep pressure keeps superficial tissues from shearing so that shear and force are directed at the deeper tissue surface interface.
    • Deep friction massage frequently is used to prevent or slow adhesions of scar tissue.

Eastern massage

Over the centuries, Eastern massage systems have been an integral part of the cultures where they are practiced. Systems for evaluation, diagnosis, and treatment are generally not grounded in conventional Western neurophysiology.

Eastern massage includes, Shiatsu (ie, a Japanese system based on traditional Chinese Meridian theory with principles of Western science), among other approaches. The theory of Shiatsu is based on the system of the 12 traditional Chinese meridians (ie, major channels) of the body in which the energy or life force, or Chi, circulates. Acupressure points situated along the course of channels allow access to these channels. In acupressure massage forces are applied, largely by means of digital pressure, to the same points treated with acupuncture needles. Imbalances of energy along the meridians are believed to cause disease and can be rectified by localized finger pressure.

Reflexology and auriculotherapy systems of massage that share the same meridian concept as that of Shiatsu. In these approaches, the meridians are believed to have whole-body representations on the extremities (similar to the homunculus of the brain). The feet (in reflexology) and the ear (in auriculotherapy) have been mapped in detail.

Massage technique

The practitioner controls several variables of massage, including milieu. Actual application of treatment includes rhythm, rate, pressure, direction, and duration. Most massage approaches involve a friction-reducing medium, so that the hands of the practitioner move along the patient's skin with minimal friction. Powders or oils are often used. Massage strokes also should be regular and cyclic. The rate of application for massage varies with the type of technique.

In some approaches (eg, tapotement, percussion), the rate is several times per second while in others it is much slower. The amount of pressure depends on the technique and the desired results. Light pressure may produce relaxation and relative sedation and may decrease spasm; breakdown of adhesions and intervention at a deeper tissue level may require heavier pressure. Treatment of edema and stretching of connective tissue generally requires intermediate amounts of pressure. Direction of massage often is centripetal to provide better mobilization of fluids toward the central circulation. The sequence of tissues treated often is performed in centripetal fashion.

When muscles are treated, motions generally are kept parallel to muscle fibers. If the treatment goal is to reduce adhesions, shearing forces are circular or at least include cross-fiber components. The area to be treated with massage depends upon the condition being treated and may vary from a well-circumscribed area to treatment of contiguous areas.

Duration of treatment depends on the area being treated, desired therapeutic goals, and patient tolerance. Wide variation exists regarding treatment duration, which often is guided by changes occurring to tissue during massage application. If massage is performed before other treatments, duration may be determined by the result needed to optimize the next treatment step. Duration of a massage therapy program can range from 1 wk to months and depends on verifiable therapeutic goals. Patients must be reexamined from time to time, depending on the diagnosis and the therapeutic goals, to ensure satisfactory progress.

 

MASSAGE EFFECTS, INDICATIONS, CONTRAINDICATIONS, AND RESEARCH


Physiologic effects of massage

Massage produces some mechanical effects. Mechanical pressure on soft tissue displaces fluids. Fluid moves in the direction of lower resistance under the static forces of the practitioner's hands, but a moving locus of pressure creates a pressure gradient. Assuming no significant resistance, pressure is decreased proximal to the practitioner's advancing hand. Once mobilized fluid leaves the soft tissues, it enters the venous or lymphatic low-pressure systems. The amount of fluid mobilized in any single treatment is likely to be small; however, the physiatrist must be aware of this physiologic effect in patients with significantly compromised cardiovascular or renal function. When lymphedema is treated, massage is performed more proximally and then moves distally, based on the belief that proximal blockage in the lymph channels must be opened first to allow for subsequent distal mobilization of fluid and protein.

Kneading and stroking massage decreases edema; compression converts nonpitting to pitting edema. In addition to strictly mechanical effects, these massage approaches release histamine, causing superficial vasodilation to assist in washing out metabolic waste products. Venous return increases, which subsequently increases stroke volume.

Some evidence suggests that massage increases blood flow contralaterally; however, the mechanism of this postulated action has not been well established. These effects on mobilization of fluids are more important in flaccid or inactivated limbs because normal compression supplied by skeletal muscle contraction usually is not present in those cases. Studies in recent years suggest that massage may decrease blood viscosity and the hematocrit and increase circulating fibrinolytic compounds. Preliminary data suggest an explanation for the success of massage in decreasing deep vein thrombosis (DVT). Massage may be contraindicated in the presence of existing thrombosis.

Other blood compounds that show increases through massage include myoglobin, creatine kinase, lactate dehydrogenase, and glutamic oxaloacetic transaminase. Temporary increases in these substances represent local muscle cell leakage from applied pressure. Lactate decreases in massaged muscles as well. Massage may decrease muscle spasm and increase force of contraction of skeletal muscle. Decreased spasm and increased endurance may result from wash out of metabolic waste products by fluid mobilization and increased blood flow. Decreased muscle soreness probably results from metabolic wash out.

Reflexive changes

Massage can stimulate cutaneous receptors, spindle receptors, and superficial skeletal muscle as well. These structures produce impulses that reach the spinal cord, producing various effects, including moderation of the facilitated segment. Somatovisceral reflex changes to the viscera are possible in this model.

 Psychological effects of massage

Massage generally increases feelings of relaxation and well being in patients. Whether this is from placebo effect or the result of some previously undiscovered reflex is not fully understood. Practitioners often incorporate a variety of psychophysical techniques, such as guided imagery, into massage treatment. A recent non-randomized prospective trial of massage therapy at a major U.S. cancer center sought to examine massage therapy outcome in a large group of patients. Over 3 y, 1290 patients were treated with regular (Swedish), light touch, or foot massage, based on the request of the patient. The patients filled out symptom cards before and after an average 20-min massage session. Symptom scores were reduced by approximately 50%, with outpatients demonstrating about 10% greater benefit than inpatients. Anxiety, nausea, depression, and pain demonstrated the greatest improvement in symptom score.

Therapeutic goals and indications for massage therapy

Massage may be used as primary therapeutic intervention or as an adjunct to other therapeutic techniques. Uses include, but are not limited to, (1) mobilization of intertissue fluids, (2) reduction or modification of edema, (3) increase of local blood flow, (4) decrease of muscle soreness and stiffness, (5) moderation of pain, (6) facilitation of relaxation, and (7) prevention or elimination of adhesions. Massage may be used to alter pathophysiology of a primary condition (eg, contracture) or to prevent or modify deleterious effects of a previously used treatment modality.

Hospitalized patients who receive massage express improvements in mood, body image, self-esteem, and perceived levels of anxiety. This phenomenon is facilitated by reduction in physical symptoms and distress and may be accompanied by decreased tension, anxiety, and pain perception.

Another therapeutic effect derived from massage is muscle relaxation. Massage appears to reduce tone and enhance circulation to the area. Muscle relaxation also may result from increased sensory stimulation caused directly by massage. This increased sensory input to the spinal cord may result in changes in reflex pathways, leading to central modulatory decreases of muscle tone.

Massage can affect both local and remote circulation in skin and subcutaneous tissue. Studies suggest that massage also may decrease the likelihood of DVT by decreasing the hematocrit and overall blood viscosity and by increasing circulating fibrinolytic compounds.

Other effects of massage are enkephalin release, endorphin production, promotion or absorption of fibrous tissue, restoration of connective tissue pliability, improvement of lymphatic flow (in some studies up to 7-9 times), and increased levels of natural killer (NK) cells. Tanabe and Nakayama have provided animal data that suggest that mechanical stimuli, such as massage, to adipocytes may inhibit expression of adipogenic transcription factor peroxisome proliferator-activated receptor, which is independent of systemic energy consumption. They postulate that such stimuli can assist in reducing the body's fat stores, and may help to reduce obesity.

Contraindications to massage

Massage is contraindicated when it could cause worsening of a particular condition, unwanted tissue destruction, or spread of disease. Massage can spread malignancy, thrombi, atherosclerotic plaques, and infected tissue.

Absolute contraindications to massage include (1) DVT, because increased blood flow in a limb could cause thrombus to detach from the vessel wall, creating an embolism; (2) acute infection; (3) bleeding; and (4) new, open wounds. Relative contraindications include (1) incompletely healed scar tissue, (2) fragile skin, (3) calcified soft tissue, (4) skin grafts, (5) atrophic skin, (6) inflamed tissue, (7) malignancy, (8) inflammatory muscle disease, and (9) pregnancy.

The physiatrist should be aware that massage must be used carefully in patients with chronic pain. The direct hands-on nature of massage may potentiate strong psychophysical effects and unintentional reliance of passive treatment modalities. In all patients, treatment end points must be established at the beginning, and treatment should be terminated when those end points are achieved.

Research in massage

Although many studies of the clinical utility of massage have been conducted, the quality of these efforts has been somewhat variable. Studies of massage have considerably varied in sample size and constitution, use of adequate controls, methodologic errors, and other limitations. The long-term efficacy of massage has not been validated.

Future inquiry must establish the long-term efficacy of massage in a rigorous scientific fashion. Future studies must have valid experimental design that allows both pretesting and posttesting, appropriate sample sizes and statistical analysis, and reliable and valid measurement tools, and they must provide some degree of standardization of duration and frequency of treatment.

 

TRACTION


Traction is the act of drawing or pulling and relates to forces applied to the body to stretch a given part or to separate 2 or more parts. Traction is used effectively in treatment of fractures. In physiatric practice, traction is often limited to the cervical or lumbar spine with the goal of relieving pain in, or originating from, those areas. Since the days of Hippocrates, correction of scoliosis has also involved traction. Various methods of traction have been performed that include having the patient apply pulling force manually with free weights and a pulley, by using motorized equipment, inversion techniques, or an overhead harness.

Physiologic effects of traction

In the cervical spine, the most reproducible result of traction is elongation. In a classic study, Cyriax reported manually applying force of 300 lb, with a resultant 1-cm increase in cumulative lumbar spinal interspace distance. Studies have shown that optimum weight for cervical traction to accomplish vertebral separation is 25 lb. In addition, 2- to 20-mm elongation of the cervical spine has been shown to be achievable with 25 or more pounds of traction force. Studies have shown that anterior intervertebral space shows the most increase in cervical flexion of 30°. Traction in the extended position generally is not recommended because it is often painful and may increase risk of complications from vertebral basilar insufficiency or spinal instability.

Once friction is overcome in the lumbar spine, the major physiologic effect of traction is elongation. Investigators have reported widening of lumbar interspaces requiring between 70-300 lb of pull. This widening averaged up to slightly more than 3 mm at 1 intervertebral level. The length of time that the separation persists remains indeterminate with studies documenting distraction durations of 10-30 min after treatment.

Data on dimensional and pressure changes of lumbar disks caused by traction are not conclusive. Decreases in interdiskal pressure with 50-100 lb of traction have been documented, but evidence exists that some applications actually cause increase in interdiskal pressure. Therefore, evidence is inconclusive, with much information favoring at least temporary reduction of the herniated component of an abnormal lumbar disk with concomitant traction.

Outcome studies related to traction

Few scientifically rigorous studies have been performed to allow us to distinguish the effect of traction from the natural history of pathology (eg, radiculopathy). Criteria have been suggested that would allow the true effects of traction to be delineated. These criteria include (1) randomized controlled trials, (2) blind outcome assessments, (3) equivalent co-interventions, (4) monitored compliance, (5) minimal contamination and attrition, (6) adequate statistical power and description of study design and interventions, and (7) relevant functionally oriented outcomes.

No traction outcome study to date has incorporated these criteria. Despite inadequacies in the literature, randomized controlled trials that meet some of these criteria do provide insight into the efficacy of traction as a treatment modality. One review of randomized controlled trials of traction analyzed English-language studies done between 1966 and 2001. The only conclusion that could be drawn was that the evidence to support the effectiveness of traction for back pain relief is poor. What can be reasonably derived from these studies is that more work is needed to make evidence-based recommendations on the application of traction for back pain.

Lumbar traction

The Agency for Health Care Policy and Research (AHCPR) review of the literature on traction resulted in a conclusion that "spinal traction is not recommended in the treatment of acute low back problems." Studies that claim improvement after traction report modest and short-term improvements with limited or no improvement in overall function. In addition, these studies have significant design flaws. Although a particular group of patients may benefit from a particular type of traction for short- or long-term improvement in functional outcome, the current literature does not identify this patient population.

Cervical traction

Few randomized controlled trials address patient outcomes after cervical traction. Although many studies have revealed statistically significant findings, the clinical importance of those findings is not clear. Studies on emerging protocols for cervical traction, as well as on new devices for applying traction have been reported. The evidence for the efficacy of these devices and methods appear to need further study before widespread application can be recommended.

Techniques for applying traction

Cervical traction is generally accomplished with a free-weight-and-pulley system or an electrical motorized device. Adequate pull is achieved by using a head or chin sling attached to a system that can provide pull in a cephalic direction. Motorized devices are applied easily but require the patient to be attended. Free-weight-and-pulley systems often are used in the home with 20 or more pounds of water or sand and a pulley system attached to a door. If a traction force of only 20 lb is possible, the system is likely to fail to achieve therapeutic results. Advise patients not to attempt cervical traction at home alone because they may find themselves in uncomfortable positions and may need assistance removing the traction devices.

Most home traction systems are difficult for patients to set up without assistance. Home cervical traction may cause increase in pain or may fail to produce significant pain relief unless professionally monitored on a periodic basis. At the initiation of home traction, the patient is required to demonstrate proper use of equipment to the satisfaction of the prescribing physician or therapist.

In the lumbar spine, adequate pull with weights and pulleys or motorized devices to achieve vertebral distraction usually can be obtained with the proper apparatus. Generally, a harness is attached around the pelvis (to deliver a caudal pull), and the upper body is stabilized by a chest harness or voluntary arm force (for the cephalad pull). Motorized units have the advantage of allowing intermittent traction with less practitioner intervention. If the goal of traction force is to distract lumbar vertebrae, 70-150 lb of pull are usually needed. Friction between the treatment table and patient's body usually requires traction force of 26% of the total body weight before effective traction to the lumbar spine is possible. Many traction devices use a split table that eliminates the lower body segment friction.

Body weight should theoretically provide enough pull to distract lumbar vertebrae and eliminate mechanical devices. Gravity traction is applied almost exclusively in the lumbar region. After 10 min of inversion traction, documented increases in intervertebral separation are noted; however, adverse effects also are reported frequently, including increased blood pressure, periorbital and pharengonal petechiae, headaches, blurred vision, and contact-lens discomfort.

Other traction technique considerations

In cervical traction, determine sitting versus supine position based on patient's comfort and ability to relax. Maximal distraction generally occurs between 20-30° of flexion without rotation or side bending.

Supine position is chosen most commonly for lumbar traction since the sitting position may result in outcome limiting discomfort from the harness. Hip flexion of 15-70° is routinely incorporated to cause relative lumbar spine flexion; this may facilitate optimal vertebral separation.

Studies have shown that, in the cervical spine, intermittent traction of 20 lb peak (10 seconds on, 10 seconds off, for a total of 15 min of treatment time) provided improvement in range of motion (ROM) with less accompanying pain than did 15 min of manual or static traction of 25 lb. Constant cervical distraction forces of 30 lb generate maximum vertebral separation in 7 seconds or less, and no further separation is gained with applications of up to 60 seconds.

In addition to patient preference, data suggest that some relative advantage exists to an intermittent versus continuous protocol of cervical traction. Some studies report that continuous traction is necessary in the lumbar spine to fatigue muscles and allow strain to fall on joints; however, no statistical difference has been observed with either continuous traction of 100 lb for 5 min or intermittent traction of 100 lb, peaking for 15 min. As in traction on the cervical spine, improved patient tolerance favors an intermittent protocol.

In the sitting position, application of approximately 10 lb is required to counterbalance the patient's head in cervical traction. Traction of 30 lb applied to a neck flexed up to 24° can cause vertebral separation, but increase of force to 50 lb produced no clear-cut additional separation. In the lumbar spine, a pull, which equals approximately 50% of the weight of the body part, is needed to overcome friction. As previously noted for the lower body, this amounts to approximately 26% of total body weight.

The optimal duration of traction has not been clearly demonstrated. Studies have revealed recommendations varying from 2 min to 24 h in the cervical spine. Duration of approximately 15-25 min commonly is prescribed. Cervical traction generally is prescribed at a frequency of daily for the first week and then every other day (ie, 3 times per week) for total treatment duration of approximately 3-4 wk.

In the lumbar spine, treatment generally is recommended in the 8- to 40-min range per session, daily for the first week, and then every other day (ie, 3 times per week) for a total of 3-4 wks. In both cervical and lumbar traction, goals of treatment determine the time course, as well as the end point of treatment. Possible treatment end points may include pain relief, achievement of normal ROM, return to work or other desired activity, lack of improvement and symptoms, and inability of the patient to cooperate with treatment.

Indications for traction

The literature does not give clear indications what types of neck or low back pain (LBP) may improve from traction. Studies strongly suggest that traction does not produce significant influence on long-term outcome of neck pain or LBP. Practitioners who rely on sound scientific advice ma

          Figure 1 Home   
Figure 1 Home:

This is delightfully horrifying, and educational. Like going to see a horror move that is also a documentary. Because it is.  


          Obamacare Continues to Collapse – 19th Co-Op Goes Under   
We are all watching Obamacare collapse before our eyes, leaving our finances and ability to get quality healthcare waning. Thanks to the regulations, taxes, and government interference in the healthcare industry, we are now reaching the end of the road. It’ll soon be time for the government to “fix” the healthcare system that they themselves
          Pharmacy Technician - HealthCare Pharmaceuticals, Inc. - Salt Lake City, UT   
Required license or certification:. Fast paced, longstanding, long term care pharmacy has a full time opening for a pharmacy technician....
From Indeed - Fri, 23 Jun 2017 23:34:43 GMT - View all Salt Lake City, UT jobs
          Benefits Professional   
NV-Virginia City, Benefits Advisor Never before has there been a more important time to be an Aflac Benefits Advisor. As the healthcare landscape continues to change and out of pocket costs increase, Aflac’s Benefits Advisor role is becoming more important than ever in helping business owners ensure their people have the coverage they need. Do you have what it takes? At Aflac, we are driven by the conviction that b
          Re: The Skinny   
It doesn't help that the public has been lied to about the healthcare replacement bill. The CBO has NO ability to forecast health insurance rates in 2026.
Posted by Healthnut
          Senate healthcare bill: the healthtech community speaks out   
A vote on the bill has now been delayed in order to get conservative Republicans on board

There are few issues more contentious in our politics than healthcare, and for good reason. It represents literal life and death for millions of people, and they rightfully get scared when anyone tries to change it. Right now, the Republicans in the Senate are looking to pass the Better Care Reconciliation Act, which is basically an updated version of the American Healthcare ... [Read more]

          Welltok's Michelle Snyder reveals new healthcare paradigm    
Keys to building a consumer centered healthcare platform: Interview with Reena Jadhav

Reena Jadhav interviewed Michelle Snyder of Welltok at Vator Splash Health on the new paradigm of building a consumer centric healthcare platform. Welltok is a leading consumer health enterprise SaaS company with a mission to empower consumers to achieve and sustain their optimal health. As a health optimization platform they reward consumers. Check out the interview to learn: - What is the secret to working with ... [Read more]

          Podcast: Dr. Robert Pearl on his new book Mistreated   
Innovation opportunities in Digital Health & the Truth about why we are not getting care we deserve

Reena Jadhav interview with Dr. Pearl, who offers every American critical information on how to get better healthcare as a consumer and how to pick the right doctor among other key insights. Packed with revealing truth about our healthcare crisis, how it effects every one of us and what can we do to fix it. You can read the show ... [Read more]

          Your guide to accelerators focused on the healthcare space!   
Dreamit, Blueprint Health and Healthbox are among those programs focused only on healthcare

For startups, there are numerous paths for getting their name out there. One way, which Vator has been covering recently, are startup competitions, but another popular method to get a foot in the door, as well as some funding and traction, are accelerators. These are programs that provide companies advice, guidance and various forms of support for startups in their ... [Read more]

          Physical Therapist Assistant - Healthcare Jobs USA - Solomons, MD   
We staff SLP/SLPA, OT/COTA, PT/PTA, RN, LVN, CNA, SPED Teachers and School Psychologist all over the country.*....
From Indeed - Thu, 15 Jun 2017 19:40:52 GMT - View all Solomons, MD jobs
          Physical Therapist - Healthcare Jobs USA - Solomons, MD   
We staff SLP/SLPA, OT/COTA, PT/PTA, SPED Teachers and School Psychologist all over the country.*. General Statement of Duties:....
From Indeed - Thu, 15 Jun 2017 19:33:14 GMT - View all Solomons, MD jobs
          Paediatric Lead Nurse - Clare Park - Spire Healthcare - Clare   
With good teaching, auditing and assessment skills, your team-playing abilities will ensure this vibrant unit continues to provide exceptional levels of... £34,000 a year
From Spire Healthcare - Sat, 13 May 2017 00:02:33 GMT - View all Clare jobs
          New: Energy Star Toolkit for Houses of Worship   
The EPA now provides Energy Star toolkits to help houses of worship become more energy efficient. (it was news to me that the EPA already has free Energy Star toolkits for other facilities like schools, retail businesses and the healthcare industry).

The toolkit helps building managers track energy usage, climate change emissions, set goals for emissions cuts and energy efficiency, and prioritize investments in efficiency upgrades. They also get:
  • Technical support from Energy Star
  • “How-to” guide for analyzing and upgrading the facility (including a detailed Building Upgrade Manual)
  • Energy equipment and service contractors and utilities
  • Information about Energy Star labeled products
  • National and local recognition
  • Public relations materials to promote your efforts
  • Marketing Resources

There are about 370,000 houses of worship in the U.S.; if they improved their energy efficiency by 10 percent, they would prevent more than 1 million tons of climate change emissions and represent a cost savings of about $315 million a year.

Houses of worship that use the Energy Star toolkit and meet standards for the program could earn a performance rating and the Energy Star label for their congregation buildings.

via Energy Star and GreenerBuildings.com


          Healthcare debate highlights the split that threatens to paralyze Republicans   

Six months after taking control of the White House and both houses of Congress, Republicans who campaigned for years on repealing Obamacare still can’t agree on how to do it.

A chief reason that the struggle has been so hard is the growing importance in the party of populist blue-collar voters,...


          Single-payer healthcare advocates protest at Capitol with a message for California's Assembly speaker: 'Shame on you!'   

          Seventh Midcoast Breast Cancer Classic tees off Aug. 11   
In an ongoing partnership between the Rockland Women’s Golf Association and Pen Bay Healthcare Foundation, the seventh annual Midcoast Breast Cancer Classic golf tournament will tee up on Friday, Aug. 11 at the Rockland Golf Club. The four-golfer scramble will begin with a shotgun start at 9 a.m. In seven years, the golf association has raised more than $75,000 to benefit breast cancer support services in the ...
          CV-Library: Estimator - Civils   
£45000 - £50000/annum car, pension, healthcare etc: CV-Library: Due to increasing workload our client have created a new position for an Estimator in their Civil Asset Management team based in Suffolk Reporting to Dartford, Kent
          Casual Chiropodist Diabetes Foot Care Program - Halton Healthcare Services - Canada   
All personal information is collected under the authority of the Freedom of Information and Protection of Privacy Act....
From Halton Healthcare Services - Thu, 08 Jun 2017 16:28:35 GMT - View all Canada jobs
          Casual Physiotherapist Rehab Services Multi-Site - Halton Healthcare Services - Canada   
All personal information is collected under the authority of the Freedom of Information and Protection of Privacy Act. Posting # 2017-800569....
From Halton Healthcare Services - Thu, 30 Mar 2017 17:14:31 GMT - View all Canada jobs
          Casual Occupational Therapy Assistant/PTA OTMH/MDH - Halton Healthcare Services - Canada   
All personal information is collected under the authority of the Freedom of Information and Protection of Privacy Act....
From Halton Healthcare Services - Thu, 16 Mar 2017 17:42:04 GMT - View all Canada jobs
          HealthCare.gov's EZ form not for legal immigrants   

HealthCare.gov's simpler online application is being touted as a big win for consumers. But it can't be used by legal immigrants and naturalized U.S. citizens, who represent millions of potential new health insurance customers.

That's prompting worries that many Hispanics and Asians will end up in long enrollment queues when the second sign-up season for coverage under President Barack Obama's health care law gets underway next month.

The administration says immigrants are not being overlooked, and points to other improvements in the application process. Officials say what they can do is limited by the law's requirements.

Advocates aren't buying that explanation.

"The whole idea was that HealthCare.gov was going to be a seamless and easy process, but that doesn't seem to be the case for immigrants," said Alvaro Huerta, an attorney at the National Immigration Law Center in Los Angeles. "I think this is happening because the federal government hasn't taken the steps necessary to resolve issues with their verification system."

The White House wants more Latinos to sign up under the health care law for 2015. As the nation's largest minority group, Hispanics tend to be younger and more likely to be uninsured.

The law offers taxpayer-subsidized private health insurance for people who don't have access to coverage on the job. Open enrollment for 2015 starts Nov. 15. It's estimated that 6 million more people will sign up for next year, bringing the total to about 13 million.

The federal HealthCare.gov website will be the sign-up platform in 38 states, two more than it served last year. States in the federal marketplace include immigrant-rich Florida, Texas, and Nevada. The remaining states are running their own insurance exchanges.

While immigrants living in the country illegally cannot get coverage through the law, millions who are lawfully present are entitled to benefits, as well as people who were born overseas and later became U.S. citizens.

The new easy online application for most consumers will feature 16 screens, instead of the 76 that people muddled through last year. But immigrants and naturalized citizens are a major exception, a category the administration calls "complex cases."

Andy Slavitt, the official who oversees HealthCare.gov operations, said there have been several improvements to help immigrants, including expanding the list of documents that people can use to establish eligibility and updating the computer system so it won't get hung up on special characters used in some names.

"I wouldn't say by any means that we have achieved the best we can, but I do think we have taken appropriate steps across the board," Slavitt said. "I would suspect in future years we will be able to do more and more electronically."

Consumers navigating the new HealthCare.gov will encounter early on a screen with a series of questions, the gateway to the streamlined application. But legal immigrants, naturalized citizens, and families in which someone is an immigrant or naturalized citizen will have to work through more screens and answer more questions.

About half of Latino adults were born abroad, according to research from the Pew Hispanic Center. Of those who have become U.S. citizens, 21 percent lack health insurance. That's well above a 15 percent uninsured rate among naturalized U.S. citizens who are not of Hispanic origin. Latinos are also more likely to be married to an immigrant.

"Immigrants could be unjustly excluded even though they are eligible," Huerta said.

Asian-American groups are also concerned.

"The problems will persist for our communities," said Bonnie Kwon, health law program manager for the Asian & Pacific Islander American Health Forum in San Francisco. "It shows a lack of commitment to provide adequate access for immigrants."

Many immigrants need help to get through the application, said Kwon. Trained helpers are in short supply. So the more time it takes to finish one application, the fewer uninsured people can be helped.

Slavitt disagreed that the administration has overlooked immigrants. The law's requirements mean that some people have to answer more questions and supply more documentation. He also said immigrants will benefit indirectly from the EZ application because it may free call-center operators from handling routine cases.

"The immigrant community has been a particular thrust, and more of a passion, for us," Slavitt said. "These are the people our team spent time with all of the year. If we don't make it easier for them on the front end, it will mean spending more time with them on the back end."


          Finding Healthcare for RVers (And Why We Don’t Have Health Insurance)   

Ah, healthcare. This is probably my least favorite subject to talk about. It invites so much controversy, confusion, and rip-your -hair-out hassle. Not to mention finding healthcare for RVers is ten times more complicated. We’ve been RVing for three years … Read More

The post Finding Healthcare for RVers (And Why We Don’t Have Health Insurance) appeared first on Heath and Alyssa.


          Biotech Stocks Are Soaring, Todd Hagopian Leads The Way   
Todd Hagopian’s Biotech Fund is up over 30% as many of his stock picks have taken off after President Trump and Senate Republicans turned their attention to healthcare.
          Marketing Coordinator - nVoq Incorporated - Boulder, CO   
The company was founded in 2000 by CEO Charles Corfield, a successful entrepreneur and investor. Channel Marketing Coordinator – Healthcare*....
From Indeed - Fri, 02 Jun 2017 19:00:06 GMT - View all Boulder, CO jobs
          Housekeeping / Laundry - Healthcare Services Group - Scranton, PA   
The light housekeeping duties are very important in maintaining infection control and become like family to the residents we serve....
From Healthcare Services Group - Fri, 16 Jun 2017 19:26:44 GMT - View all Scranton, PA jobs
          CEA FACS ADMINISTRATOR - Change Healthcare - Tennessee   
Please contact HR Manager or Recruiter for details. See attached job...
From Change Healthcare - Wed, 28 Jun 2017 02:39:24 GMT - View all Tennessee jobs
          Veteran hiring fair, town hall coming to North Las Vegas   
The VA Southern Nevada Healthcare System and Southern Nevada Veterans Community Engagement Board will co-host a Veterans Hiring Fair and Veterans town hall meeting July 13 at the VA Southern Nevada Healthcare System Medical Center, 6900 North Pecos Road in North Las Vegas. * The Veterans Hiring Fair runs from noon to 3 p.m. and...
          Quality Associate   
MA-Mansfield, About the Company: Our client, a distinguished integrated healthcare leader, is searching for a Quality Associate IV to fill a vacancy at their Mansfield location. A prospective candidate will be afforded the opportunity to work for a multi-national pharmaceutical company, who is dedicated to the fostering of ground-breaking advancements in the healthcare industry. Their steadfast commitment towar
          Director of Nursing - DON - Woodland Park Care Center - Salt Lake City, UT   
Today’s aging population means there’s a growing demand for healthcare professionals in post-acute care, and a wave of career opportunities available at Avalon...
From Avalon Health Care Group - Fri, 23 Jun 2017 16:45:53 GMT - View all Salt Lake City, UT jobs
          The Captain's AMERICA - Third Watch For June 28th...   
itunes pic
Simply The BEST Overnight Live Talk Radio Show! When You Really NEED To Know, We Are THE Place To Go! Listen To "Tomorrow's News, TONIGHT!".... "The Captain's AMERICA - Third Watch" with Retired Captain Matt Bruce is LIVE Wednesday June 28th from 2-6 AM ET across America broadcasting from Tampa, FL on our Salem Media Group Flagship Station #AM860TheAnswer & also heard on the Red Nation Rising & Talk America Radio Networks! Breaking News as it happens all night long! Informing those hard working people on the 'Third Watch' who keep America going! You'll also hear the latest Military News updates coming from Africa, Afghanistan, Iraq, Libya & Syria plus the latest Veterans VA News... Tonight, Senate Republicans delay healthcare Vote until after July 4th! The Dems are going NUTS over the SCOTUS decision on the 'Travel Ban'! Sarah Palin sues NYT over Editorial tying her to Gabby Giffords shooting! Intel has reached the White House about Syria planning another Chemical Weapons Attack! Reuters is reporting the USS Fitzgerald may have been totally at fault when it collided with the ACX Crystal! The War on Terror rages on in Afghanistan, Iraq, Syria & many other places around the World... Guests tonight are: Christopher Buskirk - Am Greatness & AM 960 The Patriot Host, Rosemary - The Prayer Intercessor, Scott James - GA Talk Radio Host in DC, Mark Walters - Armed American Radio & Chris Markowski - The Watchdog On Wall Street. Listeners are always invited to CALL 1-877-969-8600 to opine... We are currently heard on 55 radio affiliates in 28 States & are adding more new affiliates! Atlanta, you can hear us on #am920theanswer, also heard on our Salem Media Group stations #am930theanswer, #am1380thebiz, FM 103.1 Bradenton, FM 93.7 Bayshore Gardens, Talk 92.1 WDDQ FM in Valdosta, GA, Talk 107.5 WJHC in Jasper, FL, AM 1330 WLBB in Carrollton, GA, #Megatalk 920 KGTK AM and 1400 KITZ AM in Seattle-Olympia-Tacoma-Bremerton WA, Red Nation Rising Radio Network, AM 1180 KCKQ - Reno, Cowboy Logic Radio, Freedom In America Radio, iCRN - The Conservative Radio Network, iHeart Radio, IPBN-FM, iTunes, RadioWays Radio - Germany, ROKU, Talk Stream Live, Top Talk Radio & TuneIn. Download our FREE app for your iPad, iPhone, Laptop or Personal Computer by going to the AM 860 The Answer website... Tell your friends to tune in & get informed! Coming SOON to more NEW radio stations! Breaking News when it happens with great guests! it's ALL about America on this show & you have a VOICE on "The Captain's AMERICA - Third Watch." Stay SAFE, Be VIGILANT, God Bless America... The Captain's AMERICA - Third Watch is a Veteran & First Responder Owned Radio Show brought to you by these sponsors: #MausNissan , #FloridaFirearmsAcademy , #FrankiesPatriotBBQ , #DomenicksBlinds , #FreedomBoatClubTampaBay. , #Xtendovite, #NationalAviationAcademy & #SunCountryCleaners. Please check out our Sponsors! Some are Veteran Owned but ALL give Active Duty Military, Veterans & First Responder discounts... #Afghanistan #Congress #DonaldTrump #Intel #Iran #Iraq #ISIS #Leaks #Military #NKorea #Politics #Radio #Syria #Terrorism #USA #Veterans
          Case Manager - Meridian Behavioral Healthcare, Inc. - Florida   
Minimum Qualifications: Must have clean driving record and be eligible for an approved Meridian Center Driver Bachelor's degree from an accredited
From Meridian Behavioral Healthcare, Inc. - Mon, 12 Jun 2017 02:51:47 GMT - View all Florida jobs
          UPDATE 4-U.S. Senate Republicans struggle to salvage healthcare effort   
WASHINGTON, June 28- The top U.S. Senate Republican struggled on Wednesday to salvage major healthcare legislation sought by President Donald Trump, meeting privately with a parade of skeptical senators as critics within the party urged substantial changes. Acknowledging demands from fellow Republicans for increased input into retooling the...
          UPDATE 1-Despite healthcare setback, Trump says big surprise on bill could come   
WASHINGTON, June 28- Despite a major setback in the U.S. Senate, President Trump said on Wednesday that the Republican healthcare bill was moving along well and predicted a "surprise" was yet to come. In a big hit to a seven-year quest to undo Democratic former President Barack Obama's signature legislative achievement, U.S. Senate Majority Leader Mitch McConnell...
          UPDATE 3-With U.S. healthcare bill in disarray, Republicans demand revamp   
WASHINGTON, June 28- Senate Republican leaders faced calls from critics within the party on Wednesday for substantial changes, rather than mere tinkering, to a major healthcare bill if they are to salvage their effort to repeal major parts of the Obamacare law. In a big setback to the seven-year Republican quest to undo Democratic former President Barack...
          Despite healthcare hit, Trump says big surprise on bill could come   
WASHINGTON, June 28- Despite a major setback in the U.S. Senate, President Trump said on Wednesday that the Republican healthcare bill was moving along well and predicted a "big surprise" was yet to come. In a big hit to a seven-year quest to undo Democratic former President Barack Obama's signature legislative achievement, U.S. Senate Majority Leader Mitch...
          UPDATE 2-With U.S. healthcare bill in disarray, Republicans demand revamp   
Acknowledging demands from fellow Republicans for more input into retooling the legislation, McConnell said on the Senate floor, "Senators will have more opportunities to offer their thoughts as we work toward an agreement." With Democrats unified against it and Republicans controlling the Senate by a slim 52-48 margin, McConnell can afford to lose only two...
          UPDATE 1-With U.S. healthcare bill in disarray, Republicans demand revamp   
Acknowledging demands from fellow Republicans for more input into retooling the legislation, McConnell said on the Senate floor, "Senators will have more opportunities to offer their thoughts as we work toward an agreement." With Democrats unified against it and Republicans controlling the Senate by a slim 52-48 margin, McConnell can afford to lose only two...
          With U.S. healthcare bill in disarray, Republicans demand revamp   
Acknowledging demands from fellow Republicans for more input into retooling the legislation, McConnell said on the Senate floor, "Senators will have more opportunities to offer their thoughts as we work toward an agreement." With Democrats unified against it and Republicans controlling the Senate by a slim 52-48 margin, McConnell can afford to lose only two...
          Senate Republican leaders want health bill revised by Friday -Cornyn   
WASHINGTON, June 28- U.S. Senate Majority Whip John Cornyn on Wednesday indicated Republican leaders want changes to their draft healthcare legislation completed this week so lawmakers could review the revised plan over next week's congressional recess.
          Staff Accountant   
VA-Richmond, Randstad Professionals is currently hiring for a Staff Accountant with a healthcare organization in Richmond, VA. This company has a reputation for providing exemplary therapeutic work in Richmond for over 15 years. This is a fantastic, mission driven organization and a chance to work with a fulfilling and impactful company. This position will be a well rounded, hands on Staff Accountant with the
          PRN Hospice RN Case Manager   
PA-Trevose, I believe that better care begins at home. Compassionate care, uncompromising service and clinical excellence – that’s what our patients have come to expect from our clinicians. Kindred at Home, a division of Kindred Healthcare Inc., is the nation’s leading provider of comprehensive home health, hospice, and non-medical home care services. Kindred at Home, and its affiliates, including Gentiva, de
          Management Sciences for Health, Vietnam: Connecting Experts    

How a user interface connects modelers and healthcare providers in service of HIV/AIDS prevention.


          From the floor of Cisco Live: IoT Threat Defense in Healthcare   
What are IoT devices in healthcare?  In my experience talking with customers, I don’t believe I’ve ever received the same answer twice. Most often, they call out patient home monitoring devices and consumer-grade fitness trackers. But to me, an IoT device is anything that you connect to the network. And in healthcare, we are certainly connecting more […]
          archives olivia/Tr : Salut, I.[...], Mardi le 28 Septembre 2010 ; le 29 juin 2016   
archives olivia/Tr : Salut, I.[...], Mardi le 28 Septembre 2010 ; le 29 juin 2016


Objet :
archives olivia/Tr : Salut, I.[...],
De :
Olivia Marcov (Olivia Marcov@yahoo.fr)
À :
...
Date :
Mercredi 29 juin 2016 21h30

olivia

Le Mardi 28 septembre 2010 23h31, I.T. <...> a écrit :

Draga Olivia!
Excelenta ideea ta cu acel tonic cerebral...ma interesez si i-l cumpar!
Multumesc.
Draga mea nimeni, nici macar Georgeasca nu au spus ca tata ar fi cazut in dementa senila.Ea i-a dat toate nebuniile alea de medicamente ca sa nu mai fie depresiv.Iar tata care in viata lui nu a luat asa ceva...medicatia a reactionat  neasteptat de agresiv. Acum realizez si eu mai ales ca Horia...medicul de la Elias i-a facut si tomografie cerebrala si RMN in august...el dupa atacul cerebral a ramas cu niste leziuni ireversibile dar nu in asa masura sa-i afecteze luciditatea. Horia i-a prescris Prozac...o forma imbunatatita...tot pentru a-i alunga depresia si a-l face sa aiba incredere in el. Azi a fost mai bine...si-afacut baie...merge greu dar a reinceput sa mearga...maninca sanatos si deajuns... Doamne ajuta!
Iti multumesc ca esti linga mine si ma sprijini moral.
Miine aflu cind va fi fixata in grila emisiunea mea. Doamna Culcer a reusit sa o fixeze tot vinerea , cum era stii tu la 21 sau 21 30.Iti comunic. 
Te pup si sa ai numai reusite!
I.[...]


--- On Tue, 9/28/10, Olivia Marcov <...> wrote:

From: Olivia Marcov <...>
Subject: Salut, I.[...],
To: "I.T." <...>
Date: Tuesday, September 28, 2010, 10:03 AM
Am primit mesajul tau, eu intelesesem de la tine ca tatal tau nu este bolnav psihic,insa  ti-am pus si am vrut sa iti pun o alta intrebare :
daca vreunul din medicii cu care el a venit in legatura, ca pacient, mai ales dr Georgescu Maria sau dl. neurolog cel tanar - au spus, ti-au spus, sau au dat de inteles ca ei ar identifica o boala de acest gen la tatal tau.

De asemenea, eu am inteles din mesajele tale anterioare de pe  FACEBOOK, pe care ni le-am scris, ca tatal tau a suferit un atac cerebral, nu stiam cand s-a intamplat exact aceasta insa tu ma lamuresti prin ultimul si cel mai recent mesaj al tau : acum 4 ani de zile este raspunsul pe care nu il aveam.

Ei bine, stiu ca nu te pot incuraja astfel, dar  situatia in care se afla tatal tau reflecta o realitate trista : nu demult, la predica de la sfarsitul unei slujbe, preotul ne-a spus, ori se stie, daca nu ai cum sa stii, iti spun eu, preotul cunoaste familiile din parohia lui, cat de cat cel putin, daca nu cu toata istoria lor de viata,  pentru ca la mari sarbatori preotii din parohie intra in casele noastre cu crucea, icoana sfanta a mantuitorului la craciun si cu busuiocul sfintit la boboteaza si botez - astfel  la predica tinuta de unul din preoti, acesta ne-a spus ca nu ne putem imagina  cati dintre credinciosii din parohie sunt  oameni aflati in casele lor in mare suferinta,  MULTI  FIIND PARALIZATI SI IMOBILIZATI LA PAT, mai multi decat ne-am putea astepta, daca ne-am da cu parerea.

In alta ordine de idei, astazi din diferite boli,  de inima, boli cardiovasculare, cancere uterine si alte boli, mor foarte multi tineri, baieti si fete  cu varste catre 24 de ani, am auzit de tinere fete pe la varste intre 22- 25 cu cancer genital in ultima faza !

Tatal tau nu este batran, dar el are o varsta si la varsta aceasta organismul efectiv e mai fragil decat in tinerete, intervine uzura lui, si e o minune ca el a scapat cu viata, pentru ca nu se prea scapa din asa ceva,  chiar daca a ramas partial paralizat, ar fi putut ramane paralizat si complet imobilizat la pat.

Pe la 52 de ani  bunica mea paterna a paralizat, nu stiu toate datele exacte, ea a murit inainte de casatoria tatalui meu, iar eu am fost conceputa la ceva timp bun de la incheierea casatoriei parintilor mei - deci nu mi-am cunoscut bunica paterna,  Feodosia / Teodora  ea insa spre 50 de ani a paralizat complet, tatal meu o ingrijea, si eu si mama mea stim asta din povestirile tatalui meu.
Povestea asta din pacate e destul de complicata si neelucidata, dar bunica a muncit prea mult, a fost supusa unui stres, datorita grijilor, a fost razboiul,  a fugit si s-a refugiat u un copil in brate si cu alt copil mic, mic, de mana , a luat trenul care a fost bombardat in plin camp pe ruta Chisinau -Bucuresti.... la ea in final, aproape ca intr-un fel se explica, desi, fireste  nu poti accepta asa suferinta si atata nedreptate, viata e nedreapta.
La 52 de ani ea a murit de fapt in plina suferinta. Se imbolnavise de inima.

Dupa o paralizie, organismul cel mai adesea nu se mai reface, cand se reface insa procesul e lung si dureaza oricum de la ordinul lunilor, pana la cel al anilor.
Depinde de gradul de pareza suferita.

In ce te priveste tu ai scris intr-unul din mesajele tale pe FB ca tatal tau e depresiv, e deprimat pentru ca se afla in aceasta stare, avand in vedere faptul ca a fost un om sportiv si cu o memorie buna si foarte lucid.

Asa incat asa s-ar explica grija neurologului de a-i administra prozac, acesta se administreaza in depresii. Sau, ceva asemanator cum ai spus tu.

Insa. sau : dar :

Mai devreme ti-am aratat ce am gasit pe internet,  si anume despre PROZAC :  acesta se administreaza in depresii, insa acolo in acel text despre Prozac se facea trimitere la  DSM IV - si la depresii mai grave.

Deci se da in depresii mai serioase sau mai grave.

Este foarte bine daca tu si mama ta nu i l-ati dat efectiv tatalui tau pentru ca el sa il ia.

Intr-adevar este stupefiant cum ai luat pe targa pe tatal tau, dupa ce l-ai dus pe picioare cu o mana si un picior paralizat si l-ai internet la Institutul " Ana Aslan ", l-ati luat inapoi acasa, de acolo, dupa o perioada de timp, pe targa spui tu, deci nu mai era nici macar sa ma ierti pe un picior.....

Si asta socheaza.

In acelasi timp si cu privire la medici, ei administreaza si prescriu medicamente, dar in mod sigur si clar ei isi vad si observa pacientii si dupa ani de experienta ei stiu sigur care este efectul si care sunt semnele clare si vizibile ale medicamentului pe pacientul care l-a luat.
Adica ei isi observa pacientii si stiu exact ce efect si ce rezultat are cutare medicament, lut o zi, doua zile, sau o luna.

Prozacul  se administreaza o perioada de cateva saptamani, am vazut intr-o carte.

Sigur, ca daca vrei iti mai pot arata ce am citit, numai sa ai tu timp sa citesti.

Deci medicii ar trebui sa se gandeasca cand prescriu un medicament, sau ar trebui sa se gandeasca daca in locul lui si din start, ei pot recomanda un ceai din plante sau de pilda, un medicament naturist.

La policlinica la care am fost de curand la dr. Veronica Mare Gheorghita in Bd Timisoara 15, sector 6,  am gasit pe masa si stiam de la ea, dar acum am luat si eu un pliant care face publicitate  la medicamente naturiste din gama sau marca   HIMALAYA HERBAL HEALTHCARE : str. Agatha Barsescu nr. 15 B, sector 3, Bucuresti, tel : 021 322 01 70 / 72, e-mail : office@prisum.ro
Importator unic pentru Romania al produselor Himalaya Healthcare : PRISUM INTERNATIONAL SRL.

In acest pliant am gasit un medicament numit : MENTAT  si uite ce scrie in dreptul lui :
tonic cerebral herbomineral, 50 tablete,  creste capacitatea de concentrare, memorare si rezistenta la stres. Amelioreaza tulburarile de comportament ( furie, agresivitate, ostilitate ) si este benefic in sindromul hiperkinetic la copii. Imbunatateste articularea cuvintelor si corecteaza defectele de vorbire. Asigura o buna oxigenrare a tesutului nervos fara sa produca agitatie sau insomnii.
Este facut dintr-o planta care se numeste BACOPA MONNIERI  recunoscuta pentru proprietatile ei antianxioase , antistres si de memorare a informatiei.

olivia




          Public Relations/Marketing Coordinator - Castle Medical Labs - Smyrna, GA   
Job Description Castle Medical, a leading toxicology laboratory and healthcare organization, is seeking a highly-motivated, self-starter with extensive web
From Castle Medical Labs - Wed, 28 Jun 2017 19:44:58 GMT - View all Smyrna, GA jobs
          RN/Registered Nurse Clinical Supervisor (Full/Part-time)-BONUS PAID! - Premier Healthcare Services - Laguna Niguel, CA   
Premier Healthcare Services, a leading provider of skilled homecare services, is seeking a dedicated, passionate, and committed individual to join our Laguna
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          Senate GOP Delays Healthcare Vote for Sausage-making Time   

The GOP sausage-making machine is busy trying to pull the Senate’s “repeal and replace” bill out of the trash bin, with many promises of candy in return for good behavior.

The post Senate GOP Delays Healthcare Vote for Sausage-making Time appeared first on Non Profit News For Nonprofit Organizations | Nonprofit Quarterly.


          Healthcare debate highlights the split that threatens to paralyze Republicans   

Six months after taking control of the White House and both houses of Congress, Republicans who campaigned for years on repealing Obamacare still can’t agree on how to do it.

A chief reason that the struggle has been so hard is the growing importance in the party of populist blue-collar voters,...


          Healthcare debate highlights the split that threatens to paralyze Republicans   

Six months after taking control of the White House and both houses of Congress, Republicans who campaigned for years on repealing Obamacare still can’t agree on how to do it.

A chief reason that the struggle has been so hard is the growing importance in the party of populist blue-collar voters,...


          PT-Physical Therapist - Voyage Healthcare - Morrisville, PA   
Position requires applicant to travel as position is not local - compensation for this position will account for travel and be significantly higher than a local...
From Voyage Healthcare - Sat, 27 May 2017 13:21:35 GMT - View all Morrisville, PA jobs
          Front Office Specialist - Ear, Nose, Throat, Vinings - Medical Group - Vinings, GA   
WellStar is the largest not-for-profit healthcare system in Georgia, priding itself in investing back into the communities that we serve....
From WellStar Health System - Wed, 28 Jun 2017 16:49:24 GMT - View all Vinings, GA jobs
          Accountable Care Organizations Give Capitation Surprise Encore   
Cover Story

Accountable Care Organizations Give Capitation Surprise Encore

Many see ACOs as the model for reform, but if provider groups dole out payment, then what roles will health plans play?

There was a time when change in the managed care world rolled eastward from California. The Golden State launched public-private initiatives, experimented with payment systems, and forged unique relationships between payers and providers.

These days, however, what is cutting edge gets tried in Massachusetts, from universal coverage to new approaches to heart treatment encouraged by the Framingham Heart Study to whatever it is that the consistently pioneering Harvard Pilgrim Health Care happens to be doing.

Provider-centric

Now, Massachusetts legislators are considering doing away with fee-for-service care and replacing it with accountable care organizations (ACOs), a provider-centric system buoyed by global capitation. The ACO model is far from a sure thing, inasmuch as it would entail more concessions from physicians, health plans, hospitals — and others. The state’s Special Commission on the Health Care Payment System, which pushes ACOs, admits that they won’t become the mainstay of the state’s health care infrastructure for five years at least.

Still, the Congressional Budget Office — in the midst of all the attention given health reform and rising costs — recently cited ACOs as a possible money-saver. The House version of health care reform calls for a three- to five-year Medicare ACO pilot. Each ACO would be operated by a group of doctors and hospitals that would be paid by Medicare to care for all the health needs of at least 5,000 elderly or disabled people.

In addition, the Dartmouth Atlas Project is running studies. “We are working with four sites very closely, and we will have two launched by the end of this year,” says Elliott Fisher, MD, who runs the project and is the nation’s foremost proponent of ACOs. “We have another 50 sites across the country that have expressed an interest, and 35 have joined a learning collaborative designed to get sites ready to go in the next year or two.”

Just what is being cooked up? The House definition of an ACO is malleable, to say the least, mandating that it be “a group of physicians or other physician organizational model” that meets criteria that the Department of Health and Human Services will establish.

The Massachusetts commission left the details to legislators and a new authority to be installed that will oversee the payment system. “The thing that’s right about what they did is that they didn’t say, We know exactly how ACOs should be structured in 2015 and that’s what we’re going to decide at this moment,” says Peter V. Lee, executive director of national health policy for the Pacific Business Group on Health.

Global capitation

Still, for our purpose, a definition is helpful, and we’ll use the one supplied by Fisher. An ACO is a provider-led company willing to be accountable for the full continuum of care for its patients. Key elements:

  • Legal entity (e.g. IPA, physician-hospital organization, hospital, physician group)
  • Willing to report performance measures
  • Big enough to be actuarially stable

Global capitation will be used. A report by the Dartmouth Institute for Health Policy & Clinical Practice and the Engelberg Center for Health Care Reform at Brookings Institution outlines how providers in an ACO would be paid. “Spending benchmarks must be projected with sufficient accuracy based on historical data (or other comparison groups) and savings thresholds to provide confidence that overall savings will be achieved. Sufficient measures of quality to provide evidence of improvement are also essential.”

In other words, if the costs for treating the entire population of primary care patients assigned to the physicians in the ACO are expected to increase 5 percent next year in a specific geographical area, and the ACO keeps that hike to 2 percent, the providers get to keep some portion of the extra 3 percent. (See “ACOs Might Break Down Silo Walls,” below.)

ACOs might break down silo walls

Treatment in an accountable care organization (ACO) would be a departure from the way things are done now, says Justine Handelman, executive director for legislative and regulatory policy at the Blue Cross & Blue Shield Association.

Say you are diagnosed with congestive heart failure. The primary care physician will run tests and then refer you to a cardiologist. “So you make an appointment with the cardiologist and basically your PCP is out of the picture at that point,” says Handelman of the current traditional health care system. “You go see your cardiologist and he or she examines you, runs the same tests and says, ‘I think you need to have surgery. I’m going to recommend you go see a thoracic surgeon.’ You go see that thoracic surgeon. You go to the hospital and you have your surgery. Then you get discharged and your cardiologist comes and follows up with you.”

All done in silos, in other words.

“Today’s system mostly pays fee for service,” says Handelman. “Physicians submit their claim and get paid for the service that is provided.”

Paid by the episode

In an ACO, or a virtual ACO (since the countryside isn’t populated with Geisinger-type delivery systems), the entire team will be paid for the episode of care, says Handelman. “They have incentives to make sure that they are not duplicating tests for the sake of duplicating. The primary care physician, cardiologist, and surgical team are all talking and coordinating and deciding what other medical conditions might be a factor. Then they have incentives to make sure they do all the right care to prevent readmissions because they know that they are getting paid a capped global fee based on the average cost of that treatment.”

The care team has incentives to follow every checklist to prevent infection and error. “They think: We want to do this right so that there are not unnecessary complications that are going to cost more money because we might not get paid. If it is a complication that couldn’t have been foreseen, then that’s factored in and health plans aren’t just going to deny the extra payment.

“But if you got a site infection because people didn’t wash their hands or change tubes at the appropriate intervals, then that’s a different story.”

It is an entirely co-operative approach, says Handelman. “There is buy-in on everything that’s being used by the entire care delivery team. It is not the health plan saying, “This is the way it is going to be. It is sitting down with the medical community and seeing what are the best guidelines and practices that we should be looking at as we move forward.”

Princeton University economist Uwe Reinhardt, PhD, says that ACOs are a good idea “as ideas go.” However, “it is not at all a new idea. It’s the Kaiser model, the Ellwood-Enthoven model.”

Jan Berger, MD, president and CEO of Health Intelligence Partners and a member of MANAGED CARE’S editorial advisory board, says, “As much as many say that this is different from old capitation models, I do not clearly see the difference. Again, it will depend on the details.”

Specifics, please

Marylou Buyse, MD, president of the Massachusetts Association of Health Plans, would like to see more details as well. As far as she can tell, just as in the capitation system of old, gatekeepers will be necessary. “This will be a challenge for preferred provider organizations and self-insured plans because they don’t have a gatekeeper,” says Buyse. “And how will they function under an ACO model if an individual doesn’t identify a primary care provider or practice? How an entity will be designated to coordinate the care and determine where payment goes is a very open question.”

This will be daunting on several levels. The New York Times, reporting on Massachusetts’s exploration of ACOs, points out that “Global payments are hardly a new idea, as the concept closely resembles the capitation model that incited a backlash by consumers who accused health maintenance organizations of skimping on care.”

Patients will notice if ACOs actually do change how care is provided, says Jeff Goldsmith, PhD, the founder and president of the consulting company Health Futures. “To assume that the patients are going to be oblivious to this, or not be affected by the actions of the ACO, is naïve,” says Goldsmith. “When someone signs up for a managed care plan there is, for better or worse, a contract with employers and employees that states what it is that they are entitled to. If none of those stipulations and conditions exist in an ACO arrangement, well then how is the ACO actually going to change anything?” (See “An Argument Against ACOs,” below.)

An argument against ACOs

Jeff Goldsmith, PhD, isn’t straddling the fence when it comes to accountable care organizations (ACOs) which, among other things, have been touted as a fix for Medicare. “It is the most bizarre thing to hear all of this discussion about Medicare directly contracting with provider communities that have no infrastructure — none — to change how care is provided,” says Goldsmith, president of the consulting company Health Futures. “The idea that you can squash hospitals and physician communities together and expect to change practice patterns and incomes is a fantasy.”

Goldsmith emphasizes that he very much respects the Dartmouth Atlas Project and Elliott Fisher, MD, the man who runs that operation and who is a main advocate of ACOs.

However, the idea that hospitals and physicians together constitute virtual organizations “is one of the silliest ideas I’ve ever heard in my life. In most of the places I’ve worked, they can’t function in any meaningful way as virtual organizations.”

Goldsmith collected data on a large hospital in the Sunbelt (he declines to identify it) that shows that most of the treatments and tests that patients are prescribed occur at places other than the hospital.

Bombproof

“When the ACO gets its spending targets and says, ‘Oh, I want to control my cost for radiation therapy,’ the radiation oncology monopoly in town is going to go, ‘Oh, fine, well here is our price. Meet it or go pound sand,’” Goldsmith says. “A lot of the clinicians that you want to be influencing are in bombproof economic positions. This is something which, if you are sitting up at Dartmouth, you don’t get.”

However, the main reason ACOs won’t work in most places is what Goldsmith describes as a “thundering absence of collegiality” among doctors today. “Where did IPAs succeed?” he asks. “They succeeded where there was strong medical leadership and physicians were willing to delegate responsibility for making difficult choices about rates and utilization control to a group of their colleagues. It is really the medical directorate and board at that IPA where the hard stuff goes on.

“And if you haven’t reached the point in a medical community where people are willing to trust that medical director and board to determine what is fair and the negotiating process and all the rest of it, you don’t get anywhere. My point is that most physician communities are really more like coral reefs than they are like sentient beings. They are like a colorful ecology.”

Maybe it will be different this time, says Justine Handelman, executive director for legislative and regulatory policy at the Blue Cross & Blue Shield Association. “What we realized from back in the 1990s and capitation is that you really do need to bring the providers on board and work with them on what makes sense.”

Higher level

It is “sort of back to the capitation model, but at a higher level,” says Ronald A. Paulus, MD, MBA, executive vice president for clinical operations and chief innovation officer at Geisinger Health System. “I think what we found is that it is not just being at financial risk; it is about the collaboration and partnership between the plan and the delivery system.”

If ACOs are to be globally capitated, then the question arises: Just where do health plans fit? “In most places, I would suspect that the big boys would develop new ways of contracting effectively with ACOs,” says Fisher. “Massachusetts is the example here. The need for the big insurers to play along is that they can provide data and manage the insurance risk — as well as make it possible for bills to be paid when people travel. The big insurers could also help structure benefits so that incentives for patients are part of the equation. Medicare could be a payer just like any other, with a global payment or shared savings approach for the ACOs. Medicaid too.”

Goldsmith can’t see it. If Fisher is the ACOs’ champion, then Goldsmith is probably its most vocal critic. Goldsmith doesn’t like ACOs for many reasons, not least of which is what he sees as the lack of a clearly defined role for health plans.

“To dismiss the fact that health plans are fundamentally in the risk-managing business, and to ignore 35 years worth of institutional learning and just have Medicare go directly to, in effect, capitating provider communities, just raises a whole bunch of policy and, frankly, common sense questions,” says Goldsmith.

He adds that risk-sharing arrangements that have worked, such as Health Care Partners Medical Group in Los Angeles, required “a degree of collaboration and thoughtfulness that you just can’t plunk down on Salem, Ore., like some alien spacecraft.”

Buyse acknowledges that the role of insurers in an ACO world seems vague right now, but she points out that the Special Commission on the Health Care Payment System took care in its report to state that ACOs should not bear insurance risk. That leaves an opening for insurers to play a critical role in the development and ongoing financial wellbeing of ACOs, she believes.

In addition, ACOs will need plenty of data. “Health plans are in a much better position to be able to capture such information on larger populations than any individual ACO will be in,” says Buyse. “Collaboration and data sharing between physicians and providers within the ACO will be necessary so that we can avoid multiple administrative build-outs across providers that duplicate what health plans are already doing.”

“Health plans,” Lee says, “are very likely in most cases to be the organizers of the payment systems for the ACOs. They will be providing the glue that will hold ACOs together.”

That’s if they decide to get together. Buyse thinks that “not all physicians and hospitals will be able to join a model ACO or would be interested in being part of an integrated system.”

Fisher noted that an ACO needs to be big enough to be actuarially stable, a necessary foundation for capitation. “I think what Geisinger found is that it is not just about financial risk,” says Paulus. “It is about the collaboration and partnership between the plan and the delivery system.”

Financial responsibility

Fisher says that Geisinger qualifies as an ACO and Paulus understands why. “We’ve found that the area where we both provide the insurance and therefore have the financial responsibility and provide most of the care — i.e., we can influence the clinical workflows and delivery to the greatest extent possible — is where we can make the biggest impact and do the most interesting things,” says Paulus. Those interesting things will do a lot to champion the ACO model. For instance, the local daily newspaper in Columbia County, Pa., the Press Enterprise, recently reported that teachers in the Central Columbia School District would see their average annual salary jump by $7,000 under a new three-year contract.

“Back in April, Central was predicting a big rise in insurance premiums,” the Press Enterprise reported on July 26. “To lower costs, the district switched from Capital Blue Cross to Geisinger Health Plan for all employees.... While other school districts are facing 7 to 8 percent increases in insurance costs, Central is dealing with just a 2.5 percent increase...”

Things don’t happen magically at Geisinger because it is an integrated delivery system, says Paulus. “We spent a lot of time and energy trying to figure out how we can better align incentives to do the right thing and ensure that people, along the course of delivering that right thing, actually get rewarded and not penalized.”

MBAs welcome

Most hospital/physician partnerships that have been successful have very strong business infrastructure, says Berger. ACOs will have to be stocked with MBAs. She cites Partners in Care, an 850-physician medical group in New Jersey. “They have businesspeople who have partnered with their medical people to make that work,” says Berger. “Now a Cleveland Clinic, a Mayo Clinic, they have all done that as well.”

In addition, ACOs will need to take a new approach to DM vendors, says Berger.

“Disease management companies have always looked to partner with physicians. Physicians wanted little to do with that.” Now, however, the DM vendors seem to be making headway with new pitches. “The DM population health management companies say we really do want to be part of the medical home, or accountable care organizations, because we do have most of the infrastructure that many physician groups may not.”

Technology is vital because it allows the care coordination game plan to “travel with the patient,” says Berger. “Capture all the care knowledge: what the doctor did, what the nurse practitioner did. All the care.”

Reinhardt believes that the ACO model is worth a try. “It may fly, once Americans get desperate enough about health care costs,” he says. “I personally believe that it will take another five years. Then Americans will really be desperate.”

It won’t fly before it walks, says Buyse. “Today in Massachusetts, only about 20 percent of hospitals and physicians practice in anything like an integrated system. The infrastructure, the skill set, the experience, the technology to really understand how to run an ACO would be a challenge for the current delivery system.”

There is something even more pertinent going on, however. Or not going on. If the ACO is such a good idea, how come the health system isn’t evolving in that direction?

“Frankly, there is nothing about an ACO that requires legislation,” says Buyse. “If the delivery system here in Massachusetts wanted to be organized that way, it could do so now. The fact that you need legislation to push it in this direction shows that this is not necessarily something that the delivery system is naturally organized around or is designed to work with.”

Managing Editor Frank Diamond can be reached at FDiamond@ManagedCareMag.com

For further reading

“Fostering Accountable Health Care: Moving Forward In Medicare,” January 2009. Health Affairs. Available at: http://content.healthaffairs.org/cgi/content/abstract/hlthaff.28.2.w219

“Reforming Provider Payment: Moving Toward Accountability for Quality and Value,” March 2009. Dartmouth Institute for Health Policy & Clinical Practice, and the Engelberg Center for Health Care Reform at Brookings. Issue Brief. Available at: http://www.brookings.edu/events/2009/0311_aco.aspx

“Recommendations of the Special Commission on the Health Care Payment System,” July 16, 2009. Special Commission on the Health Care Payment System. Available at: http://www.mass.gov/Eeohhs2/docs/dhcfp/pc/Final_Report/Final_Report.pdf

“Reforming the Delivery System,” June 2008. Report to Congress by the Medicare Payment Advisory Commission. Available at: http://www.medpac.gov/documents/Jun08_EntireReport.pdf.

Hackbarth G, Reischauer R, Mutti A. Collective accountability for medical care — toward bundled Medicare payments. 2008. N Engl J Med. 359(1):3–5.

“Budget Options Volume 1: Health Care,” December 2008. Congressional Budget Office. Available at: http://www.cbo.gov/doc.cfm?index=9925

Costs hospitals don’t control could sink ACOs

ACOs won’t be able to control costs unless they can control the tests and procedures that doctors routinely order. Unfortunately, those services are often performed outside the hospital, says the futurist Jeff Goldsmith, PhD. He looked at data at a large hospital in the Sunbelt in 2007. “If there is one anesthesia group in town, you pay it what it feels you owe or you don’t have any anesthesia services. It is just that simple.”

‘Xanadu Health System’ doesn’t perform many outpatient services

••% of revenue going to Xanadu (pseudonym)

• % of revenue going to physicians and freestanding providers

Source: Health Futures

CBO sees some potential

In a December 2008 report titled “Budget Options Volume 1: Health Care,” the Congressional Budget Office presented “115 options for reducing ... federal spending on health care, altering federal health care programs, and making substantive changes to the nation’s health insurance system.” It found that some of the options actually increased spending.

One of the options to reduce costs in Medicare is what the CBO called a bonus-eligible organization (BEO), which the agency said “is similar to the accountable care organization models proposed by some researchers.”

$5.3 billion saved

The CBO concluded that “In estimating the budgetary effects of this option, [we] assumed that approximately 20 percent of FFS Medicare beneficiaries would be assigned to PCPs participating in a BEO by 2014, and 40 percent would be assigned by 2019. This option would reduce Medicare spending by an estimated ... $5.3 billion over the 2010–2019 period.”

Included are arguments pro and con. For instance, “If this option was implemented, providers would have incentives to develop coordinated systems for delivering care and would be rewarded to the extent that those activities reduced beneficiaries’ overall spending.”

On the other hand, “providers participating in a BEO might object to their remuneration being tied to decisions made by patients (for instance, their deciding to see a specialist outside of a BEO), which they might feel are beyond their control.”

Difference between ACOs and medical homes

The terms are often used synonymously but they are not the same, says Elliott Fisher, MD, professor of medicine and community and family medicine, and director of population health and policy at the Dartmouth Institute for Health Care Policy and Clinical Practice. He is considered the nation’s biggest proponent of the accountable care organization model.

A medical home is a clinical setting designed to improve care coordination, particularly for people with multiple chronic conditions. It gives additional payments to primary care physicians who establish practices that meet the criteria. The criteria vary (there are differences, for instance, between NCQA criteria and those used in some pilots), but most include ensuring 24-hour access, use of electronic or other methods to maintain patient registries, and care coordination. There are generally no rewards for reducing overall costs and no true accountability for what happens outside the physician’s office. The Medicare Payment Advisory Commission has characterized a medical home as “a clinical setting that serves as a central resource for a patient’s ongoing medical care.”

In Colorado, WellPoint, UnitedHealthcare, Cigna, Aetna, Humana, and the state’s Medicaid program launched a medical home pilot on May 1. Physicians are paid both on a fee-for-service basis and with a per-member, per-month fee set by individual insurers.

ACOs are integrated delivery systems that are globally capitated to control the cost and quality of care for a population of patients. MedPAC says: “This concept could complement medical homes, which in some cases may be too small to support full accountability, and hospital-physician bundling, which creates no incentive to control the volume of initial admissions.”

“The idea that you can squash hospitals and physician communities together and expect to change practice patterns and incomes is a fantasy,” says the futurist Jeff Goldsmith.

Good things didn’t happen magically at Geisinger just because it is an integrated delivery system, says Ronald A. Paulus, MD, a Geisinger executive. It took a lot of work.

Health plans are in the position to supply the data ACOs will need, says Marylou Buyse, MD, of the Massachusetts Association of Health Plans. Insurers’ roles have yet to be defined.

ACOs offer incentives for not duplicating tests and for success in reducing readmissions, says Justine Handelman of the Blue Cross & Blue Shield Association.

Tags: 
Frank Diamond
Managing Editor

          Cigna Colorado Ends Capitation For Most Primary Care Physicians   
News and Commentary

Cigna Colorado Ends Capitation For Most Primary Care Physicians

In a strategic move aimed at retaining and recruiting top physicians, Cigna HealthCare of Colorado has dumped capitation. In late February, the insurer began paying most of its physicians in the state on a discounted fee-for-service basis. The move came after Cigna talked with its physicians and found that most didn't like practicing under capitation.

Colorado is a high-octane market with several health plans vying for members. Cigna, whose 270,000 Colorado enrollees make it the sixth-largest health insurer in the state, hopes its game plan may give it a competitive edge over some rivals that continue to capitate primary care physicians. Its closest competitor, Aetna U.S. Healthcare, has no plans to move away from capitating primary care physicians.

Cigna says its move away from capitation is not a return to the fee-for-service days of overutilization; rather, it will monitor utilization closely to keep costs in check.

Tags: 

          On the Economics of Small Theatre   
My friend Karen replied to my earlier blog post about small theatre companies who don't/can't offer compensation to their cast/crew by offering an intriguing question. What if these companies gave audiences the option to pay an extra $5 per ticket, and all that extra money was then split amongst the artists?

The practicality of this solution is debatable. But it did get me thinking. Although much of our audience is each other - our fellow theatre colleagues, our families, friends and co-workers - the rest is the general public, who by and large are unaware of the economics of small theatre.

And I should take this moment to talk more about those economics, lest my previous post be considered to be a blanket indictment against these small companies.

It costs a lot to produce a play in Boston.

A three-week rental of the area's various blackbox and small spaces costs between $2,400 (Factory Theatre) to over $6,000 (BCA Plaza Theatre). Dramatists' Play Service's average royalty rate for a full-length play is $75 per performance. Then there's budget for set construction, costume budget, and props. There's publicity - postcards and/or posters and occasionally advertizing space. There are other miscellaneous expenses, particularly if they're utilizing the theatre's in-house tech staff or equipment.

How much is our audience aware of the expense in producing the play they're watching? Are they aware that in many cases, nobody (actors, crew, designers, director, or even producers) gets paid?

What benefit would there be, if any, if these small companies were transparent with their audiences about where their ticket prices go? If they approached their audience with the dilemma they face - wanting to keep ticket prices low but then having little or nothing left for the artists - would they be open to paying a few dollars more? Would they be more open to making donations? Would they be willing to be more supportive of small theatre in general? Get their employers to underwrite productions? Lobby their state/local politicians to create more arts funding?

You never know if there's a theatre lover in your audience who has a lucrative job at one of the Boston area's tech, finance, legal or healthcare companies, who has no idea that box office income never covers the cost of production and the artists involved are largely working without compensation.  This transparency could be the start of productive dialogue that could be a watershed moment for Boston theatre.
          Philips to buy medical device maker Spectranetics   
Dutch healthcare company Philips has agreed to buy U.S.-based Spectranetics Corp, a maker of devices to treat heart disease, for 1.9 billion euros ($2.2 billion) including debt, as it expands its image-guided therapy business. Sonia Legg reports

          Infusion RN - Bayshore HealthCare - St. John's, NL   
Strong track record in health teaching. Arrange and/or provide client care by utilizing the skills of observation, assessment, nursing diagnosis, counseling and...
From Bayshore HealthCare - Sat, 17 Jun 2017 10:00:33 GMT - View all St. John's, NL jobs
          RPN/LPN - Bayshore HealthCare - St. John's, NL   
Provide client care by utilizing the skills of observation, assessment, nursing diagnosis, counseling and health teaching;...
From Bayshore HealthCare - Wed, 19 Apr 2017 07:50:25 GMT - View all St. John's, NL jobs
          Registered Nurse - Bayshore HealthCare - St. John's, NL   
Strong track record in health teaching. Arrange and/or provide client care by utilizing the skills of observation, assessment, nursing diagnosis, counseling and...
From Bayshore HealthCare - Wed, 19 Apr 2017 07:50:14 GMT - View all St. John's, NL jobs
          Chamber, church and city join to save tool they call crucial to combatting city's gun violence   
St. Louis is joining a legal fight to retain a criminal charge officials say is necessary to control the gun violence plaguing the city. The city, the Archdiocese of St. Louis, SSM Healthcare, the Demetrious Johnson Charitable Foundation, and the St. Louis Regional Chamber are joining together in a amicus curiae brief (friend of the court) to the state Supreme Court. In three cases, St. Louis judges threw out unlawful possession of firearms charges based on their reading of Amendment 5.
          Director HCP Marketing, Sarilumab - Sanofi US - Cambridge, MA   
Job Title: Director, Kevzara® ® US Healthcare Professional Marketing Job Description: The Director, Kevzara® US Marketing, reports directly to the Head of
From SanofiUS - Fri, 09 Jun 2017 15:12:34 GMT - View all Cambridge, MA jobs
          UCLA: Great Recession may mean more Californians eligible for Medi-Cal expansion   
Community Health Center Provides Services To Needy As Supreme Court Debates Healthcare Reform Law

Researchers from UCLA say a demographic shift among California's uninsured means that the Affordable Care Act's Medi-Cal expansion may "encompass a larger number of people than was anticipated" before the law was enacted.; Credit: John Moore/Getty Images

José Martinez

The economic recession that began in California in 2008 may have implications for the Medi-Cal expansion scheduled to take place at the beginning of next year under the Affordable Care Act. According to the authors of a new brief from the UCLA Center for Health Policy Research, this means the Medi-Cal expansion under the ACA may "encompass a larger number of people than was anticipated" before the law was enacted.

State legislators have currently opted to expand Medi-Cal to an additional 1.4 million Californians. The South Los Angeles area is home to roughly 209,000 of those people, according to separate data provided by UCLA.

Further, the number of  those who were uninsured swelled, from 6.4  million in 2007 to 7.1 million in 2009. And more jobs may not necessarily help. Even a worker with wages at or near minimum wage working full time may be eligible for MediCal under the expansion (depending on family size).

The Great Recession that also swept across the country "did not affect all counties in California equally." The report says Los Angeles County, for example, saw a "moderate impact." In 2009, this meant:

  • More than 40 percent of L.A.'s uninsured were between the ages of 26 and 44. Another 22 percent were between 45 and 64.
  • More than 44 percent earned 133 percent of the federal poverty level or less; another 42 percent made between 134 percent and 400 percent of the federal poverty level.
  • About 63 percent were U.S.-born or naturalized citizens.

Statewide, by 2009, the recession meant that uninsured Californians were more likely to be U.S.-born citizens, more likely to have lower household incomes and more likely to be unemployed.

Unauthorized immigrants are not eligible for Medi-Cal.

The authors concluded with a note that it "remains to be seen" whether the change in demographics of the uninsured population is only temporary.

This content is from Southern California Public Radio. View the original story at SCPR.org.


          'A critical moment': Officials talk preparations for implementation of health care reform   
12 - UMMA Clinic Nursing 28

A medical assistant at UMMA Community Clinic in South L.A., checks on a patient's progress. On Monday morning, Congresswoman Maxine Waters hosted a roundtable discussion with local and state officials and workers to focus on one question: What's the status of health care reform implementation in California and L.A. County?; Credit: Christopher Okula/KPCC

José Martinez

Congresswoman Maxine Waters convened federal, state and county leaders on Monday morning to discuss the status of health care reform implementation in California and, more specifically, Waters' congressional district.

The verdict? There's still a whole lot of work to be done.

"Getting the word out is perhaps the greatest challenge we face over the next six months," said Waters, speaking to representatives from a host of agencies and groups, including the California Endowment, Covered California, the Insure the Uninsured Project and the Community Clinic Association of Los Angeles County.

Editor's Note: OnCentral receives financial support from the California Endowment.

Dr. Robert Ross, the president and CEO of the California Endowment, called it a "critical, critical moment."

"This is our Super Bowl," he said. "Certainly nothing this big has happened since Medicare or Medicaid. That was 50 years ago, so you do the math."

There's plenty of math to do. David Panush, the external affairs director for Covered California, offered the following figures:

  • There are 40 "working days" until open enrollment for Covered California begins.
  • Los Angeles County has contracted with six health insurance plans: Anthem Blue Cross, Blue Shield of California, Kaiser Permanente, L.A. Care, Molina Healthcare and Health Net.
  • In California, there are approximately 5.3 million uninsured.
  • Covered California will require its plans to cover 10 essential health benefits.
  • The City of Bell has the highest concentration of any zip code in the state of folks who are eligible for a Covered California subsidy.
  • 2 in 3 potential Covered California consumers live in Southern California.

Panush pointed out that only about 30 percent of those who are eligible will self-enroll in Covered California, meaning outreach is going to be a major part of getting people into the program.

Getting the word out

Sherrie-Ann Gordon, the manager of multicultural markets and specialty programs for the AARP, was also present at Monday's meeting. She detailed what she calls her organization's "ground game."

"For us, it's not just about educating people with the right information," she said. "It's about debunking the myths."

Gordon mentioned an "ACA (Affordable Care Act) Academy," AARP's informal way of teaching people the "basics" of health care reform.

"It's just the things you need to know if someone asks you a question," she said, pointing to places where that sort of conversation may happen – a church, for example.

Gordon said AARP's national office is also putting out materials – complex information pared down to "its simplest form" – and creating webinars designed to inform folks on the ins and outs of health care reform.

"Not everybody has digital access, but everybody has access to hubs," she said, referring to community spaces where a webinar could be shown to a lot of people at once. That's the same idea behind "tele-town halls," where AARP wants to get thousands of people on the phone at once to explain health care reform and take questions.

"For us, it's about scaling up," said Gordon. "Educating 50 [people] is great, but we've got to get to 50,000."

The doctors are 'nervous'

Sherrie-Ann Gordon was speaking figuratively, but in Los Angeles, that number will be closer to 500,000. That's according to Rockard Delgadillo, the CEO of the L.A. County Medical Association, which represents area physicians.

"The doctors are ready to help," said Delgadillo. "And they are nervous. There will be 500,000 newly-insured coming our way."

He offered some context to the figure.

"Well, that's the size of the entire city of Sacramento," he said.

The U.S. is in the midst of a physician shortage, said Delgadillo, and doctors are getting older. When the Affordable Care Act inevitably complicates things, he explained, those older doctors may just retire.

"Going to see your doctor is not the easiest thing to do today," he said. "Now add 500,000 newly-insured on top of that."

The concern of community clinics

Safety-net clinics like South Bay Family Health Care want to make sure some of those newly-insured come through their doors. John Merryman, the health center's senior director for marketing and public relations, says it is South Bay's mission to provide care to people who can't afford it. In order to provide that sort of uncompensated care, the clinic also needs to treat people who can afford it.

But before those patients can pay for care, they have to enroll – and that's the challenge, especially with a patient population that tends to be more transient than it is in other places.

"We have phone numbers that are out of order, we have addresses that aren't accurate anymore," said Merryman. "We have to find a way to reach these folks."

That may mean making appearances at – again – their churches, for example.

"We know everyone gets their information differently," said Louise McCarthy, the president and CEO of the Community Clinic Association of Los Angeles County. "The clinics really want to make sure the clinics remain the providers of choice once [patients] get insurance."

This content is from Southern California Public Radio. View the original story at SCPR.org.


          10 South LA clinics get more than $1.6 million for patient outreach   
01 - UMMA Clinic Nursing

UMMA Community Clinic was one of 33 L.A. County health centers to receive federal funding to help patients learn about their insurance options under the Affordable Care Act.; Credit: Christopher Okula/KPCC

José Martinez

The federal government is giving a lot of money to community health centers so they can teach patients about the ins and outs of health care reform – and Los Angeles is no exception.

The U.S. Department of Health and Human Services announced on Wednesday that more than 1,100 health centers across the U.S. were awarded grants totaling $150 million in order to fund the effort to enroll millions of people into health insurance.

Thirty-three of those grants went to L.A. County, which collectively received more than $6.2 million. Of those 33 health centers, 10 are either located in South L.A. or serve patients from the area. The list includes:

  • Central City Community Health Center, Inc. ($143,612)
  • Eisner Pediatric & Family Medical Center ($185,456)
  • JWCH Institute, Inc. ($282,245)
  • Northeast Community Clinic, Inc. ($99,326)
  • South Bay Family Health Center ($136,814)
  • South Central Family Health Center ($171,574)
  • St. John's Well Child and Family Center ($300,769)
  • T.H.E. Clinic, Inc. ($120,391)
  • UMMA Community Clinic ($94,000)
  • Watts Healthcare Corporation ($142,710)

That adds up to more than $1.6 million for South L.A. All eight member sites of the Southside Coalition of Community Health Centers were among L.A. County's recipients.

Louise McCarthy, the president and CEO of the Community Clinic Association of Los Angeles County, said the clinics will use that money to both train existing staff on how to do effective outreach and hire new staff to expand outreach capacity.

"Each clinic that received this funding received an amount based on the number of patients they serve, the number of folks they have who are uninsured and their capacities related to enrollment," she explained. "They are going to be catering their efforts to the individual community they serve, because every community is going to respond to [outreach efforts] a little bit differently."

For the most part, people who are uninsured are looking at two options: Covered California, the statewide health insurance marketplace, or Medi-Cal, which is slated to expand its rolls by more than 1 million Californians starting in 2014.

In South L.A., more patients are expected to benefit from the Medi-Cal expansion than from Covered California. An estimated 1.2 million currently uninsured Angelenos are expected to become eligible for one of the two.

McCarthy noted that this latest grant brings the total health care reform-backed funding for L.A. County's health centers to $72 million.

"What's good about this [grant] is it's not just about [Medi-Cal], its not just about Covered California," she said. "It's about whatever people are eligible for, and helping them navigate."

In other words, clinics can use this money to help patients get health insurance through whatever means possible.

There are 51 community health centers across L.A. County, and each year they collectively provide care for more than 1 million patients, most of whom are uninsured.

The Health Resources and Services Administration has the full list of the 125 health centers in California that received funding through this grant.

This content is from Southern California Public Radio. View the original story at SCPR.org.


          Obamacare delay will have 'some impact' on South LA patients, says clinic CEO   
Healthcare Stock

Medical records. A one-year delay in the Affordable Care Act's requirement that large and medium companies provide their employees with health insurance will have "some impact" in South Los Angeles, according to St. John's Well Child and Family Center CEO Jim Mangia.; Credit: Mae Ryan/KPCC

José Martinez

Covering California series icon 2013

Large and medium companies will have one more year until they're required to provide their employees with health insurance under Obamacare, the Obama Administration announced last Tuesday, which gives those companies until 2015 to fulfill the requirement or face fines.

The requirement — which is part of the Affordable Care Act (ACA) and was originally set to go into effect on the first day of 2014 — means that companies with 50 or more workers must provide affordable health insurance to their full-time employees or else risk tax penalties.

In South Los Angeles, the delay will have "some impact." That's according to Jim Mangia, the president and CEO of St. John's Well Child and Family Center.

"There are patients of St. John's who will have to have insurance through their employers that are not currently providing it," he said. "A large number of our uninsured patients are currently employed."

Meaning those South L.A. patients who work in companies with at least 50 employees would have received health insurance through their employers by the beginning of next year. Now, because of the delay, that likely won't be the case until at least 2015.

"I think you'll see another year of significant numbers of people who are employed and are not being provided insurance by their employers," said Mangia. "And community health centers will continue to eat the cost of that. And hopefully, the Medicaid expansion and other parts of health care that will be implemented will help offset some of that, but I think providers are going to be carrying this for an additional year in serving the uninsured before businesses are forced to insure them."

According to Mark Mazur, the U.S. Treasury's assistant secretary for tax policy, the reason for the delay is the level of concern among business groups "about the complexity of the requirements and the need for more time to implement them effectively."

Mangia called the delay "unfortunate," adding that St. John's "will continue to provide the services and the care to the population."

"But we want to see this law implemented," he said.

This content is from Southern California Public Radio. View the original story at SCPR.org.


          Game therapy: serious video games can help children with cerebral palsy   

Cerebral palsy (CP) is the most common childhood physical disability, affecting more than 34,000 Australians, and more than 17 million people worldwide.

The condition results when there is an injury to the developing brain that goes on to affect a child’s movement and posture, but can also include the senses (vision, hearing, touch) and cognition (thinking). On average, the incidence of CP means that a new case occurs every 500 live births, or approximately once every 18 hours. There is no cure for CP and it is a life-long condition.

Most children with CP require ongoing therapy and exercise to maintain or improve their function. Typical therapy programs target the legs, meaning the child can be independently mobile, and the hands and arms, so the child can be independent with activities of daily living, like dressing, feeding and manipulating objects.

These exercises are necessary to improve muscle and limb coordination, control and range of motion. However, engaging children with CP in meaningful therapy can be difficult, despite the merits of the exercise and the potential therapeutic benefits. Like most exercises, they are seen as work.

My interest in this area, and the subject of my doctoral studies, relates to how children with CP use their hands. Most children with CP typically have a dominant hand, the one they use all the time for all activities, and a non-dominant hand. The non-dominant hand is the target for most therapy, as improving the function of that particular hand should lead to greater independence for the child overall.

It’s also generally acknowledged that children with CP are less sensitive to tactile cues. That is, they are less sensitive to touch, find it difficult to know where their hand is in space – called proprioception – and have difficulty manipulating and identifying objects in their hands through touch alone.

I wondered if it was possible to improve hand sensation and function through an activity that would require a child with CP to actively use and focus their attention on both their hands. To do this, I needed a highly engaging yet accessible activity. Like gaming.

Serious games

These days, most of us have at least one gaming console at home, be it a Microsoft Xbox or Sony PlayStation. However, we probably play it for fun.

But what if gaming could have a different purpose? What if it wasn’t about high scores but more about participation? What if we could game to improve our health and physical ability?

Welcome to the world of “serious games”: games for which the primary purpose is not pure entertainment. One sub-category is health gaming – also called “exer-games” – which are made specifically to improve physical ability and health.

According to research, serious games have been used with children with CP since the late 1990s and have been shown to increase motivation.

None of these previously reported studies attempted to actually improve tactile sensation, though. Instead they focused on motor function. So that became the focus for my PhD, because there is evidence that adequate motor and sensory function is required for good functional outcomes. I elected to design and trial a gaming system to improve hand sensation and function for children with CP.

I led a team that developed what we called the “OrbIT” gaming system. This is a custom designed, home-based, accessible gaming system for children with limited hand function.

The system comes in two parts: a laptop that runs all the custom-made computer games, and a spherical or orb-shaped controller that promotes accessibility, and is how the child interacts with each game.

One of the games requires the player to guide a squirrel up a never-ending tree to collect acorns and coins while avoiding tree branches. Another requires the player to fly their 1922 biplane through the countryside while avoiding barns, windmills, silos and other aircraft.

The controller is easy to manipulate and doesn’t require fine finger control. It has smart-sensors built into it that monitor hand position on the device, and vibrates in response to various game activities.

If the child removes their hands from the smart-sensors during game play, the system pauses, requiring them to re-position their hands on the controller if they want to continue playing. We’ve found this to be a very powerful way to ensure that both hands are always engaged with the controller, which is a requirement for therapy.

Game therapy

We trialled OrbIT with a number of children with CP and their families for six weeks in Adelaide.

A common theme was that OrbIT improved social interaction amongst siblings, presumably because it was the first gaming system that provided an equal playing field. Due to the design, children with and without hand impairment could play OrbIT, and children with CP didn’t have to worry about poor performance caused by their limited hand function.

The author and his son Thomas use the OrbIT controller. Photo courtesy of the South Australian Department of State Development

Most children loved having OrbIT at home and didn’t want to return it at the end of the trial. Parents made some encouraging observations following the experience: one child talked more during the trial as he would talk game strategy with his sister to improve her game play. Another child began to talk to visitors about disability and “his CP” when they saw OrbIT on the dining room table as it became a talking point. Another parent noted that her son learnt considerable hand control through using the controller.

From a research perspective, our study was underpowered in terms of detecting a change in tactile sensation, meaning we need to conduct a larger trial before a definitive conclusion can be drawn. However, our research identified a positive outcome following analysis. Overall, the children’s non-dominant hands performed better during tests of manual manipulation and hand function after the trial compared to before the trial started.

Gaming is being used for many different applications and the upside is bright, particularly if accessibility is considered. When combined with augmented reality, we see examples of amazing uptake (think of the mass appeal of Pokemon Go).

As technology improves and smart devices become ubiquitous, so will gaming, but not just because players want to get a high score. People will be gaming for their health, well-being and personal development.

The Conversation

David Hobbs, Lecturer and PhD candidate in Rehabilitation Engineering, Flinders University

This article was originally published on The Conversation. Read the original article.


          Housekeeper/Laundry Aide - Madison Lutheran Home - Madison, MN   
Our healthcare campus includes a 65-bed skilled nursing facility, a 12-bed critical access hospital, home care services, fully staffed medical clinic, secure 36...
From Madison Lutheran Home - Tue, 27 Jun 2017 17:39:21 GMT - View all Madison, MN jobs
          Certified Nursing Assistant – Hospital (Casual – As Needed) - Madison Lutheran Home - Madison, MN   
Our healthcare campus includes a 65-bed skilled nursing facility, a 12-bed critical access hospital, home care services, fully staffed medical clinic, secure 36...
From Madison Lutheran Home - Sun, 28 May 2017 08:24:11 GMT - View all Madison, MN jobs
          CNA Certified Nurse Assistant - Julia Ribaudo-Saber HealthCare - Lake Ariel, PA   
Do you like helping them put on their favorite lipstick or talking about last nights big game? SPEND YOUR SUMMER HAVING A BLAST WITH OUR RESIDENTS!!!*....
From Indeed - Fri, 16 Jun 2017 14:37:02 GMT - View all Lake Ariel, PA jobs
           Vulnerability: Too Vague and Too Broad?    
Schroeder, Doris and Gefenas, Eugenijus (2009) Vulnerability: Too Vague and Too Broad? Cambridge Quarterly of Healthcare Ethics, 18 (02). p. 113. ISSN 0963-1801
          Pressconference @diamantis banking insurance healthcare education wordt de-monitized (gratis). Hoe gaan institutions down?   
Mobypicture.com Shoot 'n Share

          Healthcare Recruiter   
Sr. Recruiter (Healthcare)
Location: McLean, VA


6 Month + full life cycle recruiting support for not-for-profit organization that operates research and development centers sponsored by the federal government.

Client operates FFRDCs federally funded research and development centers which are unique organizations that assist the United States government.

Build and shape a pipeline of highly skilled applicants (Clinical Quality Analysts, Healthcare Policy Analysts, Healthcare Administration Consultants). Create trusted relationships with hiring managers and help them shape their workforce. Be a part of a highly professional, centralized recruitment team in attracting, engaging and employing new talent.

Provide close coordination on sourcing strategy, interviewing, selection, and offer/negotiations. Responsible for analytics and reporting.

Qualifications:
- Bachelors degree preferred
- 5+ years of full life cycle recruiting experience in healthcare domain a must
- Prior experience with Kenexa/BrassRing or similar applicant tracking systems


To Apply:
Please send your resume to ian@jvtadvisors.com

Founded in 1997, JVT Advisors (www.jvtadvisors.com) has over 250 years of combined Technical and HR Recruiting experience.
We are top results oriented, highly respected and experienced professionals who pride ourselves in elevating the careers of talented people.
We are dedicated to matching the right candidates to the right companies.
          "Fast Money" final trades: LULU, THC and more   
The “Fast Money” traders discuss their final trades for the day including Lululemon, HDFC Bank, Avis, and Tenet Healthcare.
          Project Manager-Master Scheduler   
<span>(1) Master Scheduler: URGENT NEED. Need an expert/Super User in MS Project. This person needs to be able to identify when testing is needed in a project, what the impact would be on the project if there is a delay. *Combining project schedules together. Needing someone who has scheduled in a clinical environment- hospitals, Enterprise environments. Ideally would like someone with Epic experience. If you can find someone who has done scheduling for Boeing- that is the person they are looking for and will train. **Resource MUST sit in Tacoma or Omaha- NO travel will be reimbursed.**<br>Responsible for developing and managing all aspects of an Integrated Master<br>Program and component project schedules.<br>&bull; Assure all project schedules meet and adhere to EPMO standards and<br>guidelines for schedule development relative to dependencies, successors,<br>predecessors, task duration, resource assignment and similar attributes.<br>&bull; Track schedule baselines for all supported programs and projects.<br>&bull; Apply an earned value management system (EVMS) that track current cost<br>and schedule metrics and makes variance projections to the end of the fiscal<br>year and end of the project. EVMS must be consistent with EPMO process<br>and tool standards.<br>&bull; Define and manage a cross project (program wide) critical path which provides<br>visibility into program&rsquo;s key tasks, milestones, and interfaces. Identify impact<br>of project schedule changes on program critical path. Monitor detailed short<br>term (&lt;90 days) and high level long term critical path performance.<br>&bull; Work with finance, project managers, and related resources to integrate<br>program costs into program schedule for cost performance controls.<br>&bull; Develop and maintain program level metrics to report plan versus actual<br>performance. Support program manager/director and EPMO program<br>reviews.<br>&bull; Perform &ldquo;what if&rdquo; analysis on project schedules in collaboration with<br>program/project managers to assess impacts of potential changes and delays.<br>&bull; Apply EPMO standard tools and processes to evaluate quality and<br>comprehensiveness of project schedules and EVMS. Collaborate with the QA<br>manager on applying QA standards.<br>&bull; Work with the process excellence and portfolio management team to help<br>develop dashboards and reports that reflect program IMPS status for reporting<br>to organizational leadership and program governance.<br>&bull; Plans and conducts program level schedule and earned value reviews;<br>prepares (or oversees the preparation of) schedule progress/status/problem<br>resolution/change request reports and related material for management<br>review. Support phase gate reviews and project updates.<br>&bull; 3-8 years of total project management experience required.<br>3 + years experience managing project schedules<br>3 + years experience in developing/applying earned value management<br>systems<br>3 + years experience in managing projects tasks, schedules, and budgets<br>&bull; Healthcare and/or IT industry experience is preferred.<br>&bull; Experience with project management applications (e.g., Microsoft Project<br>Pro/Server, Clarity, Primavera) and ERP system experience preferred.<br>&bull; Experience in at least one project management methodology is required.<br>&bull; Knowledge of project management best practices and frameworks such as<br>PMI&rsquo;s Body of Knowledge or System Development Lifecycle is preferred.<br>&bull; PMI PMP and Scheduling certification preferred.<br>&bull; Bachelor of Science degree in business administration or equivalent<br>preferred.<br>&bull; May substitute an equivalent combination of education and experience.<br>&bull; Ability to communicate effectively to direct, influence and motivate moderate<br>size group of functional mid management or project team; maintaining a<br>persuasive and credible presentation style at all levels of the organization.<br>&bull; Strong analytical skills and process focus required.<br>&bull; Develop and manage Integrated Master Program Schedules that are fully<br>resource loaded. Include major milestones, Go Lives dates, cross project<br>dependencies, and external program dependencies. Identify project and<br>program level critical path and potential resource constraints.<br>&bull; Develop and apply a program level earned value management system<br>(EVMS) that is consistent with EPMO EVMS standards and tool use.<br>&bull; Support program and project reviews by providing schedule and earned<br>value managements status and issues.<br>&nbsp;<br>&nbsp;<br></span>
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