Greg Poulsen, vice president of strategy for Intermountain Healthcare, gave the Salt Lake Chamber Capitol Club an inside look at the federal healthcare bill and the effect it will have on reform efforts in Utah.
A non-political, mathematical dive into the U.S. Budget gave me a clearer view of a key hidden cause, and the path toward a surprisingly easy fix. Here is what I found.
A non-political, mathematical dive into the U.S. Budget gave me a clearer view of a key hidden cause, and the path toward a surprisingly easy fix. Here is what I found.
The Real Truth About Money
1. Never Pay More Tax Than You Have To
2. Never Lose Money
3 Never Stop Compounding Your Money
4 The Shocking Truth About Retirement Plans
The Simmons Bedding Company’s Wellness Journey - John Clifton, Simmons Beddin...HR Network marcus evans
John Clifton, Simmons Bedding Company - Speaker at the marcus evans Mid-Market Corporate Benefits Summit in Las Vegas delivered his presentation entitled The Simmons Bedding Company’s Wellness Journey
Using the data sourced by Appsblogger.com, some analysis of Kickstarter projects in the entertainment categories.
All data was scrapped prior to June 2012.
David M. Schreck, MD, FACEP, FACP, FHM , Chairman, Department of Emergency Medicine at Summit Medical Group provided this presentation on health care trends as part of a community lecture series on the Berkeley Heights, NJ campus. The presentation explains the impact on patient care and how to navigate the system.
The Real Truth About Money
1. Never Pay More Tax Than You Have To
2. Never Lose Money
3 Never Stop Compounding Your Money
4 The Shocking Truth About Retirement Plans
The Simmons Bedding Company’s Wellness Journey - John Clifton, Simmons Beddin...HR Network marcus evans
John Clifton, Simmons Bedding Company - Speaker at the marcus evans Mid-Market Corporate Benefits Summit in Las Vegas delivered his presentation entitled The Simmons Bedding Company’s Wellness Journey
Using the data sourced by Appsblogger.com, some analysis of Kickstarter projects in the entertainment categories.
All data was scrapped prior to June 2012.
David M. Schreck, MD, FACEP, FACP, FHM , Chairman, Department of Emergency Medicine at Summit Medical Group provided this presentation on health care trends as part of a community lecture series on the Berkeley Heights, NJ campus. The presentation explains the impact on patient care and how to navigate the system.
On January 10th, Auburn’s Center for the Study of Theological Education hosted a webinar for financial aid officers, admissions staff and student personnel at theological schools on the latest government regulations for income-based repayment plans for federal educational loans. This information will assist financial aid officers and others who counsel students and recent graduates in repayment options as they move into ministry.
This is a great presentation of the choices before New Yorkers. Westchester for Change will be hosting a budget briefing in early February. We will have more details soon. We welcome you to join us for the briefing and follow up actions.
a part of "The Path Forward for Academic Medical Centers: Innovation", Economics and Better Health, an Economic Studies and Engelberg Center for Health Care Reform event at the Brookings Institutuion
Similar to 2010-03-24-Health Reform Update, Capitol Club (20)
The Salt Lake Chamber is a capital city chamber with a statewide mission and reach. The Chamber works as Utah’s business leader to stand as the voice of business, support our members’ success and champion community prosperity on hundreds of bills every session
The Salt Lake Chamber's 2016 Public Policy Guide outlines the business community's policy priorities for the 2016 legislative session and calendar year
“Collaborative and productive: Moving Utah forward together.” As a Chamber, we challenge the preconceptions and possibilities of business. We search for smarter ways to do things; we
bring new partners together in a productive and innovative way to discover ideas to help Utah grow economically. We use our
knowledge and experience to continually improve and consistently deliver results for our community and stakeholders. And we
do everything responsibly and considerately to help support our members and the businesses we work with.
The Salt Lake Chamber is a capital city chamber with a statewide mission and reach. The Chamber works as Utah’s business leader to stand as the voice of business, support our members’ success and champion community prosperity on hundreds of bills every session.
The Salt Lake Chamber's 2015 Public Policy Guide outlines the business community's policy priorities for the 2015 legislative session and calendar year.
The Salt Lake Chamber's annual Public Policy Guide, outlining the policy issues that the business community will be focused on during the 2014 Legislative Session.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
3. A Remarkable Series of Events Allowed the
Senate Win on Christmas Eve.
- Democrats gained a shocking (even to them)
9 Senate seats in the 2008 election
- Ted Steven’s loss in a very conservative state
- Al Franken’s very tight win
5. News Flash: January 10, 2010
“Democrat Martha Coakley,
buoyed by her durable statewide
popularity, enjoys a solid, 15-
percentage-point lead over
Republican rival Scott Brown as
the race for US Senate enters
the homestretch, according to a
new Boston Globe poll of likely
voters.”
5
6. News Flash: January 15, 2010
“…in the last two days the
bottom has fallen out of her poll
numbers.”
6
8. Are We Almost There Yet?
July 28: Healthcare Endgame on Capital Hill (AP)
August 21: Healthcare Endgame Near But Uncertain
(Reuters)
October 14: Senate, Administration Begin
Healthcare Endgame (NBC)
October 27: Health Care Endgame is in Sight
(Politico)
November 23: Healthcare Endgame is Here (NPR)
January 10: Senate and House in Healthcare
Endgame (Reuters)
March 10: Obama Pushes for Healthcare endgame
(AP)
March 13: Health Care Endgame Begins (WSJ)
March 21: This time we were not kidding
9. The Process – Where Are We Now?
- House passed the Senate bill 219 – 212 (Mar 21)
- House “Corrections” package passed 220 – 211
- “Deem and Pass” was not utilized
- Bill now goes to the President for signature – The
Senate bill will become law (at least temporarily)
- The Senate will take up the Corrections bill
- Republicans will certainly challenge anything that is
not directly budget related since it uses
“reconciliation”
- If even a single word is changed in the Senate, then
the bill must go back to the House
- Idaho, South Carolina and Virginia have enacted
legislation pushing court challenges on the legality of
federal mandates. 34 other states are considering
similar legislation
12. What’s In The Bill: Insurance
• Individual mandate
• Employer responsibility
• “Guaranteed Issue”
• Insurance exchange
• Premium and cost-sharing subsidies
• Expand Medicaid/CHIP
• Payment reform
13. Trend in the Number of Uninsured Nonelderly,
2012–2019:Current Trend the Reconciliation Bill
Millions
80 Current Trend
Reconcilliation
60 53 53 54
50 51 51 51 51 51 52
50 51 50 50
40
32
26
22 22
20 22 22
0
2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
Note: The uninsured includes unauthorized immigrants. With unauthorized immigrants
excluded from the calculation, nearly 94% and 96% of legal nonelderly residents are
projected to have insurance under the Senate and House proposals, respectively.
Data: Estimates by The Congressional Budget Office.
14. Family Premiums Under Reconciliation Bill
After Premium Subsidies (National Average)
$12,000
$10,000
$8,000 $8,644
$6,000 $6,483
$4,000
$2,778
$2,000 $1,505
$0
$0
100% 133% 150% 200% 250% 300% 350% 400%
($22,050) ($29,327) ($33,075) ($44,100) ($55,125) ($66,150) ($77,175) ($88,200)
Income for a Family of Four
% FPL (Annual Income)
* For a family of four in a medium-cost area in 2009 (age 40). Premium estimates are based on: Senate Silver Plan, actuarial value = 0.70; House Basic Plan, actuarial value =
0.70. Actuarial value is the average percent of medical costs covered by a health plan.
** Senate bill exempts individuals with premium contributions in excess of 8 percent of income from requirement to buy insurance.
Note: FPL refers to Federal Poverty Level. Under the Senate bill, people are eligible for Medicaid up to 133% FPL; under the House bill, people are eligible for Medicaid up to
150% FPL. CBO estimated an average family premium of $14,400 in 2016 for the Senate Finance bill, approximately $10,000 in 2009.
Source: Commonwealth Fund analysis of proposals. Premium estimates are from Kaiser Family Foundation Health Reform Subsidy Calculator – Premium Assistance for
Coverage in Exchanges/Gateways, http://healthreform.kff.org/Subsidycalculator.aspx.
15. Penalties for Noncompliance with the Individual
Mandate Reconciliation Bill
$4,000
Penalty per Person
$3,000 $3,000
2016 Rule
$2,000 $1,750
$1,250
$900
$1,000 $750
2014 Rule = $95
$0
$20,000-$30,000 $40,000-$50,000 $50,000-$75,000 $75,000-$100,000 $100,000-$200,000
Income
Note: The penalty under the Reconcilliation bill is implemented at $95 in 2014 and increases to $325 in 2015 and the greater of $695 or up to 2.5% of income, capped at the
average national bronze plan premium, in 2016.
Source: Commonwealth Fund analysis of the proposals; Urban-Brookings Tax Policy Center, “Average Modified Gross Income and Average Modified Adjusted Gross Income
Across Cash Income Levels, 2009”, Oct 15, 2009 available at http://www.taxpolicycenter.org/numbers/displayatab.cfm?Docid=2486&DocTypeID=1.
16. Penalties for Noncompliance with the Employer
Mandate Under Reconciliation Bill
$2,500
$2,000
Penalty per Employee
$2000 penalty
$1,500
$1,000
$500
$0
10 12 18 25 50 100 500 1000
Number of Employees
Note: House bill penalty is based on aggregate payroll. It is illustrated here using 2008 median earnings to estimate firm size. A firm with an aggregate payroll of $500,000 will have an average of 12 workers and a firm with an aggregate payroll of $750,000 will have
an average of
18 workers. The payroll tax is implemented on a sliding scale from 2%–8% for payrolls between $500,000 and $750,000. The Senate bill penalty requires any employer with more than 50 full-time employees that does not offer coverage and has at least one full-time
employee receiving the premium assistance tax credit to make a payment of $750 per full-time employee. An employer with more than 50 employees that offers coverage that is deemed unaffordable or does not meet the minimum benefit standard and has at least
one full-time employee receiving the premium assistance tax credit must pay the lesser of $3,000 for each of those employees receiving the credit or $750 for each of their full-time employees total. Firms are exempt if they have: a payroll less than $500,000
(House), or fewer than 50 workers (Senate).
Data: Median earnings among workers working 50–52 weeks annually was $41,030 (Table P–43, Historical Income Data, Current Population Survey).
Source: Commonwealth Fund analysis of the proposals.
17. Trend in the Number of Uninsured Nonelderly,
2012–2019:Current Trend the Reconciliation Bill
Billions
200 Net Cost of Coverage
180
Revenues
160
140
120
100
80
60
40
20
0
-20 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
Source: CBO Report, March 18, 2010
18.
19.
20. What’s In The Bill: Delivery
• Enhance primary care payment by 10%
• Create “Comparative Effectiveness Institute”
• Develop approaches to enhanced quality
evaluation and reporting
• Payment reform pilots
• Medical Home
• Bundled Payment
• Accountable Care Organization
21. Alain Enthoven, PhD
“The United States does not have decades to wait
for health system reform; in 2009 about $1.15
trillion of the federal budget was spent on health
care. And health care expenditures are growing
2.7% per year faster than non-health care gross
domestic product. Congressional reform bills do
practically nothing to slow health expenditures.”
24. State Rankings:Health Status vs. Health Cost
Worst
MA NY AK
CT ME
DE
RI
VT
WV
PA
ND
NJ
MN
OH
WI
Health Cost Rank
NB
MD
FL
KY
TN
MO
NH
KS
IA
SD
IN
IL
WY
NC
AL
SC
WA
MT
MI MS
LA
HI
OK
OR
AR
VA
CO
CA
TX
GA
NV
NM
ID
AZ
UT
Best
Best Worst
Source:
Health Status Rank
http://www.americashealthrankings.org/measure/2009/overall.aspx and
http://www.statehealthfacts.org/comparemaptable.jsp?ind=596&cat=5
25.
26. Mortality Amenable to Healthcare
SOURCE: Aiming Higher, State Scorecard on
Health System Performance, The
Commonwealth Fund, October, 2009
27. Ethnic Disparity: Mortality Amenable to
Healthcare
SOURCE: Aiming Higher, State Scorecard on
Health System Performance, The
Commonwealth Fund, October, 2009
28. Infant Mortality per 1,000 Births
SOURCE: Aiming Higher, State Scorecard on
Health System Performance, The
Commonwealth Fund, October, 2009
29. Ethnic Disparity: Infant Mortality
SOURCE: Aiming Higher, State Scorecard on
Health System Performance, The
Commonwealth Fund, October, 2009
30. 30 Day Overall Hospital Readmission
Rates
SOURCE: Aiming Higher, State Scorecard on
Health System Performance, The
Commonwealth Fund, October, 2009
31. Number of First-Place Finishes (38 Total)
SOURCE: Aiming Higher, State Scorecard on
Health System Performance, The
Commonwealth Fund, October, 2009
32. Much of the reform of health care as
opposed to health coverage remains to be
defined, and is anticipated to be tested with
demonstration projects.
Some of those projects will attempt to
determine if the kind of care provided here
can be replicated, while others will attempt
to create new types of approaches and
incentives
33. COULD WE BE PUNISHED FOR DOING WHAT’S RIGHT?
Potentially Avoidable Use of Hospitals
SOURCE: Aiming Higher, State Scorecard on
Health System Performance, The
Commonwealth Fund, October, 2009