This document provides an overview of an Integrated Care Network (ICN) project proposed by five partner organizations in Manatee County, Florida. The three main programs of the ICN are: 1) A Mobile Integrated Healthcare Program that will provide case management and primary care using community paramedics. 2) A Mobile Clinic that will deliver medical services to underserved areas. 3) Expanded Behavioral Health Services through integration with emergency services and primary care. The goal is to increase access to care, prevent unnecessary emergency room visits, and lower healthcare costs for uninsured and underinsured residents.
Current State of Digital Content - April 2011ValueNotes
As e-book sales offer a substitute for sales of print editions, the gap between digital and print is closing. Publishers have had to revisit their production and distribution functions to address the growing digital market. The report establishes the impact of digitization on the publishing industry.
Current State of Digital Content - April 2011ValueNotes
As e-book sales offer a substitute for sales of print editions, the gap between digital and print is closing. Publishers have had to revisit their production and distribution functions to address the growing digital market. The report establishes the impact of digitization on the publishing industry.
It’s a project based on generic view of Scholarship Database Management System but we have considered a case of WAPDA and then create a database on a basic level.
Besides this me and my group fellows cover the following topics WAPDA, INCORPORATION:, RESPONSIBILITIES, SEGMENTS, POWER Wing, WATER Wing, ORGANOGRAM, EXPERIENCE, CASE SCENARIO:, ENTITIES:, ASSOCIATIONS:, QUESTIONNAIRE, ERD BEFORE NORMALIZATION, NORMALIZATION:, ERD AFTER NORMALIZATION, SCRIPT, DESCRIBE STATEMENTS;, CONTACT, ADDRESS, BIRTH, COURSE, CHILDREN, DEPARTMENTS, ORGANIZATION, STUDENT, INCOME, EMPLOYEES, APPLICANTS, SPONSORS, EVENTS, DONORS, SCHOLARSHIP, ISTALLMENTS, PAYMENT, FUNDS, SELECT STATEMENTS, Views, SIMPLE VIEWS, COMPLEX VIEWS, SQL Queries, USER_OBJECTS, USER_CONSTRAINTS.
If you want to access complete package of word file, Visio file, Script and etc. related to this project then contact me.
This comprehensive document was created by Dr. Craig Brown. This document is a walking road map to what a single person could use to create, improve, rejuventate or otherwise lead a local BDPA chapter. Revised: March 2013
A background of the companies, the type of research that will be conducted and some of the more basic assumptions and scope for the research are presented in the introduction section.
Basic Thinking Tool for E-Services PlanningJohn Macasio
Thinking tool to elicit, elaborate and document the kind of information in composing the e-services plan and architecture of aligning the use of information and communications technology to realize the performance goals of the organization.
ReadySetGO is a toolkit to help you explain to church and agency leaders the simple potential of sports ministry. It contains information, training sessions and links to the entire library of sports movement resources. The North America Gathering is focused on multiplying this resource across North America.
It’s a project based on generic view of Scholarship Database Management System but we have considered a case of WAPDA and then create a database on a basic level.
Besides this me and my group fellows cover the following topics WAPDA, INCORPORATION:, RESPONSIBILITIES, SEGMENTS, POWER Wing, WATER Wing, ORGANOGRAM, EXPERIENCE, CASE SCENARIO:, ENTITIES:, ASSOCIATIONS:, QUESTIONNAIRE, ERD BEFORE NORMALIZATION, NORMALIZATION:, ERD AFTER NORMALIZATION, SCRIPT, DESCRIBE STATEMENTS;, CONTACT, ADDRESS, BIRTH, COURSE, CHILDREN, DEPARTMENTS, ORGANIZATION, STUDENT, INCOME, EMPLOYEES, APPLICANTS, SPONSORS, EVENTS, DONORS, SCHOLARSHIP, ISTALLMENTS, PAYMENT, FUNDS, SELECT STATEMENTS, Views, SIMPLE VIEWS, COMPLEX VIEWS, SQL Queries, USER_OBJECTS, USER_CONSTRAINTS.
If you want to access complete package of word file, Visio file, Script and etc. related to this project then contact me.
This comprehensive document was created by Dr. Craig Brown. This document is a walking road map to what a single person could use to create, improve, rejuventate or otherwise lead a local BDPA chapter. Revised: March 2013
A background of the companies, the type of research that will be conducted and some of the more basic assumptions and scope for the research are presented in the introduction section.
Basic Thinking Tool for E-Services PlanningJohn Macasio
Thinking tool to elicit, elaborate and document the kind of information in composing the e-services plan and architecture of aligning the use of information and communications technology to realize the performance goals of the organization.
ReadySetGO is a toolkit to help you explain to church and agency leaders the simple potential of sports ministry. It contains information, training sessions and links to the entire library of sports movement resources. The North America Gathering is focused on multiplying this resource across North America.
Kirin User Story: Migrating Mission Critical Applications to OpenStack Privat...Motoki Kakinuma
NTT Data is an IT service company.
Kirin is one of the largest beverages companies in Japan.
In this presentation, we will present the user story of migrating all applications from creaky infrastructure to OpenStack private cloud including actual challenges, know-hows and future prospects.
The key concept of this project is:
* Mission Critical: Migrate all Kirin enterprise applications to OpenStack private cloud.
* Think Big, Start Small: Start from small number of apps, and expand rapidly.
* Agility and elasticity: Adopt a PaaS-like automation approach, targeting 50% less development cost and 40% less operational cost.
In order to achieve all items above, we have decided to use OpenStack IaaS, ICO, which is an automation product by IBM, serverspec for testing, and Hinemos for monitoring management.
Starting from Aug 2014, the project expects 100 VM / 100 TB storage as the first-stage migration by end of 2015. We're planning to migrate 500 VM / 300 TB by end of 2016 and 2000 VM / 1 PB finally.
Estrategias para el desarrollo sostenible OCDE CADAnibal Aguilar
Guia Mundial para la Planificación del Desarrollo Sostenible, aprobada por Ministros de la OCDE, FUI COORDINADOR POR AMERICA LATINA EN EJERCICIO MUNDIAL
We are trying to develop our working and branding of our Brand in international markets of Denim and Leathers Products. And i hope you all my friends and supporting members are always support us. Our aim to gives you best and new generation of denim products.
Thanks To All
* Our Investor partners
* Working Partners
* Media Partners
And Our All Working Staffs........
Lauren A Nash Social Media Marketing Final ProjectLauren A Nash
The four-month social media marketing class was a crash course in all things social media. We learned how to market your personal brand. From Search Engine Optimization to strategy to blogging. we did it all. The final report was a comprehensive write up of all the things we completed during the semester.
We set up accounts across 13 platforms, including:
-WordPress
-LinkedIn
-Twitter
-Facebook
-Instagram
-Pinterest
-Gravatar
-Google+
-YouTube
-Gmail
-Google Alerts
The questions of alignment, integration, inter-operation, continual improvement and service quality of information and communications technology program and projects have caused interest in using this thinking and modeling framework called enterprise architecture. The participated and structured elicitation, visualization, analysis and agreement of the enterprise models called - intention, business, information, technology and security - are basic to doing enterprise architecture. Here is an open template to aid the thinking and visualization activities in composing the enterprise architecture of an organization and government agency..
10. 9
both directly and through collaborative community partnerships. These services include health
education, counseling, examinations, treatment, medical management, immunization, drug
assistance programs (for AIDS, diabetes, epilepsy), testing and screening (for diseases, hearing,
and vision), lab testing, and outreach.
Organization’s Capacity & Ability to Direct, Perform, and Complete the Proposed
Activities. DOH‐Manatee is a well‐respected agency, in large part due to the strong working
relationships it has forged over the past 20 years with key organizations and partners at all
levels of the community. Employing over 120 staff, with an annual budget of 12 million dollars,
DOH‐Manatee has demonstrated immense fiscal responsibility with a long history of
exceptional management. Under the leadership of Dr. Jennifer Bencie, DOH‐Manatee
Administrator, and Eddie Rodriguez, Assistant Administrator responsible for fiscal oversight,
DOH‐Manatee has demonstrated foresight in effectively managing its many programs and
funds. DOH‐Manatee’s extensive grant‐ and project management‐related experience includes
recently funded projects for Tobacco Prevention, AIDS Prevention, Breast and Cervical Cancer
Screening, WIC Breastfeeding Peer Counseling, Colorectal Cancer Screening, Chronic Disease
Prevention and Health Promotion, Family Planning, Immunization, and Teen Outreach. In the
past five years alone, DOH‐Manatee’s successes in public health administration have been
recognized at the national level by the National Association of City and County Health Officials,
the Robert Wood Johnson Foundation, the American Public Health Association, Project Public
Health Ready, the Society of Public Health Educators, and the National Institute for Children’s
Health Quality; and at the state level by the Florida Department of Health and the Florida
Sterling Board for Quality Improvement.
4.5 Statement of Need
Demographic and health data show a mixed picture of community health in Manatee County.
The county is comprised of coastal and other areas of relative affluence, together with areas
characterized by financial challenge, low health care access, and unmet health needs.
Focal Population Demographic Information. As noted above, the Focal Population to be
served by the ICN includes the following groups: (i) current frequent users of the emergency
department and EMS (Frequent System Users); (ii) persons currently receiving no primary care
preventive services or primary care treatment for their illness; (iii) persons recently discharged
from the hospital who would benefit from a few in‐home monitoring sessions to prevent
complications; (iv) persons with inadequately treated behavioral, mental health, or substance
abuse problems.
Also as aforementioned, five zip codes account for almost 50% of the population in Manatee
County, but 74% of Frequent System Users. These zip codes are: 34203, 34205, 34207, 34208,
and 34221. Although the Integrated Care Network will target the Focal Population throughout
the county, demographic and socioeconomic characteristics of these five zip code areas help
illustrate needs of the Focal Population.
22. 21
Proposed Staffing Profile
Program Staff Count Training or Experience Required
Mobile Integrated
Healthcare
Program
Program Manager 1 Community Paramedic training
course (below) and experience in
business development and
operations; Experience in
physician office, registration, and
front office scheduling
Medical Director 1 Board‐certified and practicing
M.D.
Community Paramedics 2 280 class hours and 140 clinical
hours divided between the acute
and behavioral health hospital
Mobile Clinic Nurse Practitioner 1 Family Practice/Internal
Medicine with training in chronic
disease management
Medical Assistant 2 Experience with health
education and promotion, Ability
to drive mobile clinic
Clinic Manager 1 Will develop protocols,
guidelines, partnerships
Mental Health Licensed Clinician 1 Motivational Interviewing, Co‐
occurring competency, Baker
Act, Marchman Act, Chronic
medical conditions, Depression
Screening, Suicide Screening and
Prevention
Supervisor 0.1 FTE Experience in supervision of
behavioral health programs
This program will also partner with local providers and organizations in the community to
encourage active participation in these programs from both a clinical and operations
perspective.
Collaboration with Stakeholders
This proposal will be supported by Manatee County EMS, Manatee Memorial Hospital, and
Centerstone of Florida. Additionally, it is supported by the Manatee Health Care Alliance
(MHA), whose broad membership under the facilitation of DOH‐Manatee includes
representatives from local governments, universities, hospital administrators, non‐profit and
private business representatives, equality advocacy organizations, and concerned citizens. With
the support of the MHA, the group will plan the initiative, conduct the study, and disseminate
study results. Patient, family member, caregiver, and organizational representative input will be
methodically solicited via focus groups and programmatic evaluation and included in program
26. 25
Budget Summary
Operating Expenses
Mobile Integrated Healthcare Program 7‐months
Program Manager and Paramedics (1) 99,462
Benefits (1) 52,956
Vehicles (2) 90,000
Portable Radio/Computer/Monitor (4) 88,795
IT Maintenance Replacement (4) 4,500
Gas / Oil (2) 11,242
Support Costs (Marketing) (3) 5,159
Training (5) 3,600
Vehicle Maintenance / Replacement (2) 14,042
Total Mobile Integrated Healthcare Program 270,294
Mobile Clinic
Mobile Unit (6) 235,000
Insurance (6) 14,000
Gas/Oil (6) 7,000
Maintenance (6) 3,000
Equipment (7) 17,500
Clinic Manager (8) 23,000
Nurse Practitioner (9) 59,500
Medical Assistants (10) 52,240
Total Mobile Clinic Program 411,240
Mental Health Program
Salaries (11)(12) 36,722
Benefits (11)(12) 10,016
Internet/ IT Replacement (13) 801
Insurance / Phone (14) 1,481
Vehicle Insurance (15) 1,138
Gas / Oil (15) 1,260
Vehicle Maintenance / Replacement (15) 4,935
Administrative costs (16) 8,000
Total Mental Health Program 64,353
Health Information Exchange
Centerstone HIE Implementation (17) 48,040
EMS HIE Implementation (17) 25,000
Total HIE Expenses 73,040
Total Operating Expenses $ 818,927
Budget Narrative
27. 26
Budget Narrative
Expenses Justification
(1) MIHP Salaries These funds will be used for salary and benefits of two of 20 hour
weekly community paramedic positions and one 40 hour Program
Manager. The positions will be filled by existing paramedics who will
each require completion of a 280 hour training class and 140 hour
clinical rotation, to be provided by Manatee Technical College, in
partnership with MMH and Centerstone of Florida. Following
training, a community paramedic will operate between the hours of
9am to 9pm, seven days a week, excluding holidays.
(2) MIHP Vehicles These funds will be used to purchase, fuel, and maintain two vehicles
to support MIHP. One vehicle will be for the manager to use for
stakeholder meetings, scheduling of programs, and community
engagement initiatives. The other vehicle will be used for the
community paramedic in the field. Manager vehicle available for
other community paramedic use, as needed.
(3) Marketing These funds will be used for development and printing costs for
educational campaign to target patients for MIHP and mobile clinic.
Included in this are the plans to incorporate program into 2‐1‐1, an
easy to remember three digit phone number which connects callers
with an information and referral specialists. Participating agencies
will work with community stakeholders to develop culturally
competent and bilingual marketing and outreach materials.
(4) MIHP Equipment Costs These funds will be used to purchase equipment including computer,
monitor, portable radio, IT support, cell phone and maintenance,
marketing supplies, and other supplies (stethoscope, EKG, pulse
oximeter, thermometer, and glucometer) necessary for operating
MIHP.
(5) MIHP Training These funds will be used toward development and instruction of a
280 hour training course for four community paramedics. Current
EMS paramedics will be identified for the community paramedic
training, and will be paid salary while undergoing training. By training
four paramedics, there will always be a community paramedic
available to fill weekly hours.
(6) Mobile Clinic Unit These funds will be used to purchase a mobile clinic (specially
designed bus) which will provide accommodations for laboratory
services and comprehensive primary care, including dental,
behavioral health, health education, and OB‐GYN services. These
funds will also be used to maintain the maintenance, insurance, and
fuel for the mobile clinic over the 7 month project period.
(7) Mobile Clinic
Equipment
These funds will be used to purchase medical equipment such as
stethoscope, blood pressure cuffs, EKG, etc. for use in the mobile
clinic.
28. 27
(8) Mobile Clinic Manager These funds will be used to employ a clinic manager to manage all
mobile clinic operations including supplies, scheduling, community
engagement, and marketing.
(9) Mobile Clinic Nurse
Practitioner
These funds will be used to employ a family practice/internal
medicine nurse practitioner, who will be critical in chronic disease
management and providing primary care services for mobile clinic.
(10) Mobile Clinic
Medical Assistant
These funds will be used for the mobile health clinic to employ two
medical assistant to assist with intake, patient history, phlebotomy,
and patient health education The Medical Assistants will also be
trained and able to drive the mobile unit.
(11) Behavior Health
Licensed Clinician
These funds will be used to provide salary and benefits to a
LMHC/LMFT/LCSW who will provide behavioral health training to
MIHP and mobile clinic staff; as well as behavioral health crisis
intervention, engagement, assessment, certificate for involuntary
examination, referral and resource linkage, behavioral health
transportation, depression screening, suicide screening and
prevention to target populations via MIHP and mobile clinic.
(12 ) Behavioral Health
Clinical Supervisor
These funds will be used to offset applicable salary and benefits costs
for program collaboration and clinical oversight of behavioral health
component.
(13)Behavioral Health
Internet and IT
These funds will be used toward internet and IT costs necessary for
managing off‐site behavioral healthcare practice via MIHP and
mobile clinic.
(14)Behavioral Health
Insurance and cell
phone
These funds will be used toward cell phone and workman’s comp
insurance for behavioral health care staff being utilized for MIHP and
mobile clinic.
(15)Behavioral Health
vehicle
maintenance,
insurance, gas/oil
These funds will be used toward maintenance, insurance, and fuel
for crisis vehicle to be used when non‐emergency crisis patient
transport is needed to Centerstone behavioral health facilities, as
EMS does not have the capacity to provide transport anywhere other
than ED.
(16) Behavioral Health
administrative
costs
These funds will be used toward indirect administrative costs,
including office space, human resources, resouces, and
administrative staff support.
(17) HIE Implementation These funds will be used to develop interfaces to be built for HIE with
Centerstone and EMS, thus reducing duplicative services.