This legal update document provides summaries of recent court decisions and agency actions impacting employment law. Key cases addressed the standard for retaliation claims, who qualifies as a supervisor, enforceability of non-compete agreements, whistleblower protections, and labor relations issues. The DOL and EEOC summaries covered same-sex spouse benefits after Windsor, wage protections for home health workers, misclassification of workers, criminal background checks, LGBT protections, and GINA.
This document discusses the oral health needs and dentist supply in Southwest Virginia. It finds that the region has poorer oral health outcomes, lower utilization of dental services, and fewer dentists per capita than the rest of the state. A dental school could help address these issues by training new dentists, some of whom may remain in the region, and through clinical education programs. However, concerns include the high cost of operating a dental school and recruiting faculty. Alternative options discussed include expanding existing community health programs and utilizing other dental providers.
This document summarizes a presentation given by Gina Capra, Director of the Office of Rural Health at the Veterans Health Administration. The presentation provided an overview of the VA, including its mission to care for veterans and strategic goals. It also discussed the rural veteran population and challenges they face accessing care. Additionally, it described the VA's efforts to engage community providers through programs like the Community Based Outpatient Clinics and the Veterans Choice Program.
This document provides an overview of attention deficit hyperactivity disorder (ADHD), including diagnostic criteria, incidence rates, treatment options, and recent Virginia Medicaid data on ADHD diagnoses and medication rates. It begins with the goals of reviewing the ADHD diagnosis, latest treatment algorithms, and Virginia Medicaid data compared to other states and nationally. Diagnostic criteria and symptoms from the DSM-V are outlined. Treatment options discussed include behavioral therapy and FDA-approved medications like stimulants. Virginia Medicaid data on ADHD diagnoses and medication rates among children and adults is presented compared to other state Medicaid plans.
This document discusses telehealth, health information technology (HIT), and mobile health (mHealth). It defines these terms and explores their use and potential benefits in rural healthcare settings for improving access to care, care coordination, patient-centered care, and physician mentorship. The document addresses challenges like patient migration, health literacy, and lack of providers in rural areas. It also discusses considerations for vendors and technologies like assessing return on investment and ensuring clinical and financial benefits. The need for pilot testing, feedback loops, and adapting implementation processes is emphasized. In summary, the document provides an overview of digital health innovations and how they can help address rural healthcare challenges if properly planned and evaluated.
The document provides information about the WIC (Special Supplemental Nutrition Program for Women, Infants, & Children) program. WIC is a federally funded program that provides nutritious foods, nutrition education, breastfeeding promotion and support, and screening/referrals to improve the health of pregnant/breastfeeding women, infants, and children under 5 who are at nutritional risk and below 185% of the federal poverty level. The document outlines WIC's income eligibility guidelines and describes the types of nutritious foods, nutrition education, breastfeeding support, and referrals provided through the program.
This document provides information and instructions for responding to an opioid overdose emergency using naloxone. It begins with an overview of the REVIVE program and training objectives. It then discusses opioid overdoses, how to recognize one, and risk factors. Myths about reversing overdoses are dispelled. The document emphasizes that naloxone is the only effective response and provides step-by-step instructions: check responsiveness and give rescue breaths if needed, call 911, administer naloxone, continue rescue breathing, and give a second dose of naloxone if needed. Proper positioning and calling for emergency help are also described.
This document provides an overview of the Balanced Living with Diabetes (BLD) program, a community-based lifestyle intervention for improving blood glucose control among people with diabetes. BLD is based on social cognitive theory and community-based participatory research principles. It involves weekly 2-hour classes over 4 weeks that teach diabetes self-management skills like healthy eating, physical activity, and goal setting using interactive lessons and activities. Pilot programs of BLD found improvements in A1c, diet, and physical activity. A large randomized controlled trial of BLD found it effective at lowering A1c levels among African Americans with diabetes in medically underserved areas when delivered in faith-based community settings.
The document discusses Virginia's health and human services programs and delivery system. It provides an overview map of the various state agencies and programs involved, including Medicaid, social services, behavioral health, public health, and more. It emphasizes moving from a program-focused model to a more coordinated, customer-centric model to better serve individuals and families. Key challenges discussed include demographic changes, technological shifts, workforce issues, balancing specialization and integration, and coordinating complex federal, state and private systems and requirements.
This document discusses the oral health needs and dentist supply in Southwest Virginia. It finds that the region has poorer oral health outcomes, lower utilization of dental services, and fewer dentists per capita than the rest of the state. A dental school could help address these issues by training new dentists, some of whom may remain in the region, and through clinical education programs. However, concerns include the high cost of operating a dental school and recruiting faculty. Alternative options discussed include expanding existing community health programs and utilizing other dental providers.
This document summarizes a presentation given by Gina Capra, Director of the Office of Rural Health at the Veterans Health Administration. The presentation provided an overview of the VA, including its mission to care for veterans and strategic goals. It also discussed the rural veteran population and challenges they face accessing care. Additionally, it described the VA's efforts to engage community providers through programs like the Community Based Outpatient Clinics and the Veterans Choice Program.
This document provides an overview of attention deficit hyperactivity disorder (ADHD), including diagnostic criteria, incidence rates, treatment options, and recent Virginia Medicaid data on ADHD diagnoses and medication rates. It begins with the goals of reviewing the ADHD diagnosis, latest treatment algorithms, and Virginia Medicaid data compared to other states and nationally. Diagnostic criteria and symptoms from the DSM-V are outlined. Treatment options discussed include behavioral therapy and FDA-approved medications like stimulants. Virginia Medicaid data on ADHD diagnoses and medication rates among children and adults is presented compared to other state Medicaid plans.
This document discusses telehealth, health information technology (HIT), and mobile health (mHealth). It defines these terms and explores their use and potential benefits in rural healthcare settings for improving access to care, care coordination, patient-centered care, and physician mentorship. The document addresses challenges like patient migration, health literacy, and lack of providers in rural areas. It also discusses considerations for vendors and technologies like assessing return on investment and ensuring clinical and financial benefits. The need for pilot testing, feedback loops, and adapting implementation processes is emphasized. In summary, the document provides an overview of digital health innovations and how they can help address rural healthcare challenges if properly planned and evaluated.
The document provides information about the WIC (Special Supplemental Nutrition Program for Women, Infants, & Children) program. WIC is a federally funded program that provides nutritious foods, nutrition education, breastfeeding promotion and support, and screening/referrals to improve the health of pregnant/breastfeeding women, infants, and children under 5 who are at nutritional risk and below 185% of the federal poverty level. The document outlines WIC's income eligibility guidelines and describes the types of nutritious foods, nutrition education, breastfeeding support, and referrals provided through the program.
This document provides information and instructions for responding to an opioid overdose emergency using naloxone. It begins with an overview of the REVIVE program and training objectives. It then discusses opioid overdoses, how to recognize one, and risk factors. Myths about reversing overdoses are dispelled. The document emphasizes that naloxone is the only effective response and provides step-by-step instructions: check responsiveness and give rescue breaths if needed, call 911, administer naloxone, continue rescue breathing, and give a second dose of naloxone if needed. Proper positioning and calling for emergency help are also described.
This document provides an overview of the Balanced Living with Diabetes (BLD) program, a community-based lifestyle intervention for improving blood glucose control among people with diabetes. BLD is based on social cognitive theory and community-based participatory research principles. It involves weekly 2-hour classes over 4 weeks that teach diabetes self-management skills like healthy eating, physical activity, and goal setting using interactive lessons and activities. Pilot programs of BLD found improvements in A1c, diet, and physical activity. A large randomized controlled trial of BLD found it effective at lowering A1c levels among African Americans with diabetes in medically underserved areas when delivered in faith-based community settings.
The document discusses Virginia's health and human services programs and delivery system. It provides an overview map of the various state agencies and programs involved, including Medicaid, social services, behavioral health, public health, and more. It emphasizes moving from a program-focused model to a more coordinated, customer-centric model to better serve individuals and families. Key challenges discussed include demographic changes, technological shifts, workforce issues, balancing specialization and integration, and coordinating complex federal, state and private systems and requirements.
This document discusses the challenges facing rural healthcare in the United States. It notes that rural residents generally have worse health outcomes and less access to care compared to urban residents, due to issues like physician and specialist shortages. Many rural hospitals are financially vulnerable and at risk of closure. The document outlines advocacy efforts by the National Rural Health Association to raise awareness of the crisis of rural hospital closures and develop legislative solutions to stabilize rural healthcare.
Virginia hospitals face serious financial challenges that threaten their ability to continue serving their communities. Rising costs of caring for an aging population combined with inadequate Medicare and Medicaid reimbursement have led to annual funding shortfalls approaching $1 billion for Virginia hospitals. This has resulted in one-third of Virginia's acute care hospitals operating in the red. If these challenges are not addressed, further hospital closures and service reductions are possible. A public awareness campaign called "Virginia Hospitals: Our Lifeline" aims to educate lawmakers and the public about these issues facing local hospitals.
Melody Counts, M.D., M.H.M. presented information on resources for affordable prescription medications. The presentation identified multiple patient assistance programs (PAPs), 340B programs, private organizations, and pharmacy discount programs that provide low-cost or free prescription drugs. It provided details on eligibility requirements and application processes for several specific programs and resources patients and doctors can access. The goal was to help participants identify affordable prescription medication options to provide to patients and understand why this is an important service.
1) The document provides guidance on federal and state loan repayment programs for healthcare practitioners and practice sites.
2) It discusses Health Professional Shortage Areas (HPSAs), their structure and types, and how they are used to determine eligibility for programs like the National Health Service Corps Loan Repayment Program and Virginia State Loan Repayment Program.
3) The National Health Service Corps Loan Repayment Program and Virginia State Loan Repayment Program are described in detail, including eligibility requirements for participants and approved sites, available funding amounts, and application processes.
Joshua Kaywood discusses interstate telehealth regulation and licensure issues. He outlines the current status, including common issues around medical board jurisdiction over residents. Landmark decisions established that providers must be licensed in the state where the patient resides. Rules generally require knowing a patient's residency and obtaining licenses in multiple states. Virginia extends reciprocity to bordering states, while others may require full licensing or allow exemptions. The FSMB Compact and PSYPACT aim to enhance license portability across states through compacts, but telehealth regulation remains complex due to varying state laws.
This document provides an overview of telehealth and the Mid-Atlantic Telehealth Resource Center (MATRC). It discusses what telehealth is, including videoconferencing, store-and-forward, remote patient monitoring, and mobile health. Models that effectively use telehealth for rural healthcare are presented, such as telestroke, Parkinson's care, and high-risk obstetrics. The document outlines MATRC's goals of assisting rural sites in developing telehealth programs and describes the technical assistance they provide through their website, social media, in-person meetings, and email support.
This document discusses challenges facing rural healthcare providers. It notes that 62 million patients rely on rural providers who face unique population, geographic, cultural and healthcare delivery challenges. Rural providers and patients are disproportionately dependent on federal programs like Medicare and Medicaid. Recent federal policies have enacted Medicare cuts that negatively impact rural hospitals. The document examines characteristics of rural hospitals that have closed since 2010 and potential factors contributing to closures. It also reviews characteristics of rural hospitals that have merged with other providers and whether mergers improved financial performance. The document advocates policy solutions to stabilize rural hospitals and ensure their future viability.
This document summarizes resources for conducting research on rural populations in Virginia. It identifies several key public data sources for studying chronic disease in central Appalachia, including the Appalachian Regional Commission, Centers for Disease Control and Prevention, and various state-level sources. It also describes a case study using Virginia College of Osteopathic Medicine's study of chronic health conditions in central Appalachia as an example. This involved collecting both primary data through medical record reviews and secondary data from sources like the U.S. Energy Information Administration and Virginia Department of Health. It concludes by discussing future directions for continuing this research.
This document outlines a framework for population health management. It discusses fundamentals of population health including individual behavior, community health outcomes, and managing population health. It describes benefits of population health management like prevention and chronic disease management. Critical access hospitals can play a role as conveners by collaborating with local health departments and EMS providers. They can assist with developing population health plans and focus community engagement on key local health issues. The document provides templates for community engagement plans and implementation timelines.
This document provides an overview and summary of Virginia's public behavioral health system challenges and opportunities presented by James M. Martinez Jr., Director of the Office of Mental Health Services at DBHDS, to the Virginia Rural Health Association on December 11, 2014. The presentation discusses the current environment of behavioral health reform in Virginia, new laws affecting behavioral healthcare in the state, and DBHDS's vision, mission and transformation process. Key points include the drivers of recent reforms, current demand and utilization of services, new laws on emergency custody, temporary detention facilities, and the psychiatric bed registry.
This document summarizes differences between rural and urban health care and challenges facing rural areas. Key points include: infrastructure and resources are more limited in rural areas; poverty and health disparities are higher; and the aging population presents issues. Federal programs aim to address rural needs, but top-down solutions have had mixed results. Ensuring a rural voice in policymaking is important. Upcoming opportunities include the 2015 open enrollment period under the Affordable Care Act and workforce development programs.
The document discusses the evolving rural healthcare environment, including increased affiliations between rural and urban providers, changes to payment models under the Affordable Care Act, and a transition to value-based and managed care. It notes pressures on state budgets, the growth of high-deductible health plans, reduced readmissions, and declining inpatient volumes. The document also summarizes the expansion of Medicaid, Medicare payment reductions, quality reporting programs, accountable care organizations, and the financial challenges rural hospitals may face in this changing environment if they maintain a fee-for-service model.
The document summarizes the New River Valley Livability Initiative, a 3-year regional planning process that developed a vision and strategies for the future of the New River Valley region. It describes the funding and team involved, including working groups on topics like housing, economic development, and health. Public outreach included surveys and meetings. The final report identifies trends in areas like housing, transportation and demographics, and establishes goals and strategies to enhance living and working environments and preserve rural character in the region.
This document provides guidance on getting a telehealth program started. It recommends assessing needs, use cases, priorities, best practices, and technology solutions. Key steps include evaluating organizational readiness, connectivity requirements, compliance with HIPAA, and establishing an implementation timeline, business plan, and technology infrastructure. The document emphasizes starting small with a pilot, then growing the program through quality improvement efforts. It provides resources from the Mid-Atlantic Telehealth Resource Center to help organizations launch a telehealth initiative.
The document discusses the Salem VA Medical Center's Rural Health program which aims to improve access to healthcare for rural veterans. Key points:
- The program provides outreach and health education in 5 community clinics and 26 counties to over 112,500 veterans.
- In 2014, the program's goals were to develop community partnerships, provide 184 educational sessions to 375 veterans, and contact 90 partners.
- The program partnered with Virginia Wounded Warriors to host a conference for 70 community partners to improve coordination of care for rural veterans.
- In FY14 they exceeded goals by providing 184 sessions to 631 veterans and 1078 non-veterans on topics like diabetes, heart health, and CPR
Rural Development provides loans, grants and loan guarantees to support essential services such as housing, economic development and infrastructure in rural areas. Their programs help finance affordable housing and utilities for rural communities. They work with local governments and non-profits to fund projects like libraries, hospitals, schools and broadband infrastructure that improve quality of life. Rural Development seeks to increase economic opportunity and prosperity in rural America through their business, housing and community assistance programs.
This document provides an overview of a presentation given at the Virginia Rural Health Association Annual Conference on December 11, 2014 about the REVIVE! project in Virginia. The presentation discusses the high rates of opioid overdose deaths in the US and Virginia, describes how naloxone works to reverse opioid overdoses, and outlines the development and implementation of the REVIVE! pilot programs which trained laypeople to administer intranasal naloxone to reverse overdoses.
This document discusses considerations for rural healthcare providers regarding cultural competency. It begins by explaining the benefits of healthcare providers understanding their patients' history and culture, which can improve compliance. The document then outlines some benefits of "culture classes" for providers, such as becoming more culturally competent and sensitive. It also discusses key concepts like social capital, stereotypes of Appalachian culture, and barriers to healthcare in rural areas. Overall, the document emphasizes the importance of cultural awareness and sensitivity for rural healthcare providers to best serve their patients.
The document provides an overview of health insurance changes in Virginia as a result of the Affordable Care Act. It summarizes that the Bureau of Insurance regulates health insurance companies and agents, and oversees qualified health plans offered on the state's health insurance marketplace. It outlines key provisions like guaranteed issue, essential health benefits, actuarial value levels, and enrollment periods. It also describes assistance available from the Bureau of Insurance and navigators to help consumers understand their options.
This document provides a summary of Virginia's Medicaid program and the status of health care reform efforts in the state. It outlines Virginia's Medicaid eligibility levels, enrollment trends, expenditures, and service delivery structure. It then discusses the state's goals for Medicaid reform, including implementing the Affordable Care Act expansion and establishing a more efficient, coordinated system. The document reviews the progress and estimated savings of Virginia's multi-phase Medicaid reform plan, including initiatives involving the dual eligible population, program integrity, and behavioral health services.
13062024_First India Newspaper Jaipur.pdfFIRST INDIA
Find Latest India News and Breaking News these days from India on Politics, Business, Entertainment, Technology, Sports, Lifestyle and Coronavirus News in India and the world over that you can't miss. For real time update Visit our social media handle. Read First India NewsPaper in your morning replace. Visit First India.
CLICK:- https://firstindia.co.in/
#First_India_NewsPaper
Federal Authorities Urge Vigilance Amid Bird Flu Outbreak | The Lifesciences ...The Lifesciences Magazine
Federal authorities have advised the public to remain vigilant but calm in response to the ongoing bird flu outbreak of highly pathogenic avian influenza, commonly known as bird flu.
This document discusses the challenges facing rural healthcare in the United States. It notes that rural residents generally have worse health outcomes and less access to care compared to urban residents, due to issues like physician and specialist shortages. Many rural hospitals are financially vulnerable and at risk of closure. The document outlines advocacy efforts by the National Rural Health Association to raise awareness of the crisis of rural hospital closures and develop legislative solutions to stabilize rural healthcare.
Virginia hospitals face serious financial challenges that threaten their ability to continue serving their communities. Rising costs of caring for an aging population combined with inadequate Medicare and Medicaid reimbursement have led to annual funding shortfalls approaching $1 billion for Virginia hospitals. This has resulted in one-third of Virginia's acute care hospitals operating in the red. If these challenges are not addressed, further hospital closures and service reductions are possible. A public awareness campaign called "Virginia Hospitals: Our Lifeline" aims to educate lawmakers and the public about these issues facing local hospitals.
Melody Counts, M.D., M.H.M. presented information on resources for affordable prescription medications. The presentation identified multiple patient assistance programs (PAPs), 340B programs, private organizations, and pharmacy discount programs that provide low-cost or free prescription drugs. It provided details on eligibility requirements and application processes for several specific programs and resources patients and doctors can access. The goal was to help participants identify affordable prescription medication options to provide to patients and understand why this is an important service.
1) The document provides guidance on federal and state loan repayment programs for healthcare practitioners and practice sites.
2) It discusses Health Professional Shortage Areas (HPSAs), their structure and types, and how they are used to determine eligibility for programs like the National Health Service Corps Loan Repayment Program and Virginia State Loan Repayment Program.
3) The National Health Service Corps Loan Repayment Program and Virginia State Loan Repayment Program are described in detail, including eligibility requirements for participants and approved sites, available funding amounts, and application processes.
Joshua Kaywood discusses interstate telehealth regulation and licensure issues. He outlines the current status, including common issues around medical board jurisdiction over residents. Landmark decisions established that providers must be licensed in the state where the patient resides. Rules generally require knowing a patient's residency and obtaining licenses in multiple states. Virginia extends reciprocity to bordering states, while others may require full licensing or allow exemptions. The FSMB Compact and PSYPACT aim to enhance license portability across states through compacts, but telehealth regulation remains complex due to varying state laws.
This document provides an overview of telehealth and the Mid-Atlantic Telehealth Resource Center (MATRC). It discusses what telehealth is, including videoconferencing, store-and-forward, remote patient monitoring, and mobile health. Models that effectively use telehealth for rural healthcare are presented, such as telestroke, Parkinson's care, and high-risk obstetrics. The document outlines MATRC's goals of assisting rural sites in developing telehealth programs and describes the technical assistance they provide through their website, social media, in-person meetings, and email support.
This document discusses challenges facing rural healthcare providers. It notes that 62 million patients rely on rural providers who face unique population, geographic, cultural and healthcare delivery challenges. Rural providers and patients are disproportionately dependent on federal programs like Medicare and Medicaid. Recent federal policies have enacted Medicare cuts that negatively impact rural hospitals. The document examines characteristics of rural hospitals that have closed since 2010 and potential factors contributing to closures. It also reviews characteristics of rural hospitals that have merged with other providers and whether mergers improved financial performance. The document advocates policy solutions to stabilize rural hospitals and ensure their future viability.
This document summarizes resources for conducting research on rural populations in Virginia. It identifies several key public data sources for studying chronic disease in central Appalachia, including the Appalachian Regional Commission, Centers for Disease Control and Prevention, and various state-level sources. It also describes a case study using Virginia College of Osteopathic Medicine's study of chronic health conditions in central Appalachia as an example. This involved collecting both primary data through medical record reviews and secondary data from sources like the U.S. Energy Information Administration and Virginia Department of Health. It concludes by discussing future directions for continuing this research.
This document outlines a framework for population health management. It discusses fundamentals of population health including individual behavior, community health outcomes, and managing population health. It describes benefits of population health management like prevention and chronic disease management. Critical access hospitals can play a role as conveners by collaborating with local health departments and EMS providers. They can assist with developing population health plans and focus community engagement on key local health issues. The document provides templates for community engagement plans and implementation timelines.
This document provides an overview and summary of Virginia's public behavioral health system challenges and opportunities presented by James M. Martinez Jr., Director of the Office of Mental Health Services at DBHDS, to the Virginia Rural Health Association on December 11, 2014. The presentation discusses the current environment of behavioral health reform in Virginia, new laws affecting behavioral healthcare in the state, and DBHDS's vision, mission and transformation process. Key points include the drivers of recent reforms, current demand and utilization of services, new laws on emergency custody, temporary detention facilities, and the psychiatric bed registry.
This document summarizes differences between rural and urban health care and challenges facing rural areas. Key points include: infrastructure and resources are more limited in rural areas; poverty and health disparities are higher; and the aging population presents issues. Federal programs aim to address rural needs, but top-down solutions have had mixed results. Ensuring a rural voice in policymaking is important. Upcoming opportunities include the 2015 open enrollment period under the Affordable Care Act and workforce development programs.
The document discusses the evolving rural healthcare environment, including increased affiliations between rural and urban providers, changes to payment models under the Affordable Care Act, and a transition to value-based and managed care. It notes pressures on state budgets, the growth of high-deductible health plans, reduced readmissions, and declining inpatient volumes. The document also summarizes the expansion of Medicaid, Medicare payment reductions, quality reporting programs, accountable care organizations, and the financial challenges rural hospitals may face in this changing environment if they maintain a fee-for-service model.
The document summarizes the New River Valley Livability Initiative, a 3-year regional planning process that developed a vision and strategies for the future of the New River Valley region. It describes the funding and team involved, including working groups on topics like housing, economic development, and health. Public outreach included surveys and meetings. The final report identifies trends in areas like housing, transportation and demographics, and establishes goals and strategies to enhance living and working environments and preserve rural character in the region.
This document provides guidance on getting a telehealth program started. It recommends assessing needs, use cases, priorities, best practices, and technology solutions. Key steps include evaluating organizational readiness, connectivity requirements, compliance with HIPAA, and establishing an implementation timeline, business plan, and technology infrastructure. The document emphasizes starting small with a pilot, then growing the program through quality improvement efforts. It provides resources from the Mid-Atlantic Telehealth Resource Center to help organizations launch a telehealth initiative.
The document discusses the Salem VA Medical Center's Rural Health program which aims to improve access to healthcare for rural veterans. Key points:
- The program provides outreach and health education in 5 community clinics and 26 counties to over 112,500 veterans.
- In 2014, the program's goals were to develop community partnerships, provide 184 educational sessions to 375 veterans, and contact 90 partners.
- The program partnered with Virginia Wounded Warriors to host a conference for 70 community partners to improve coordination of care for rural veterans.
- In FY14 they exceeded goals by providing 184 sessions to 631 veterans and 1078 non-veterans on topics like diabetes, heart health, and CPR
Rural Development provides loans, grants and loan guarantees to support essential services such as housing, economic development and infrastructure in rural areas. Their programs help finance affordable housing and utilities for rural communities. They work with local governments and non-profits to fund projects like libraries, hospitals, schools and broadband infrastructure that improve quality of life. Rural Development seeks to increase economic opportunity and prosperity in rural America through their business, housing and community assistance programs.
This document provides an overview of a presentation given at the Virginia Rural Health Association Annual Conference on December 11, 2014 about the REVIVE! project in Virginia. The presentation discusses the high rates of opioid overdose deaths in the US and Virginia, describes how naloxone works to reverse opioid overdoses, and outlines the development and implementation of the REVIVE! pilot programs which trained laypeople to administer intranasal naloxone to reverse overdoses.
This document discusses considerations for rural healthcare providers regarding cultural competency. It begins by explaining the benefits of healthcare providers understanding their patients' history and culture, which can improve compliance. The document then outlines some benefits of "culture classes" for providers, such as becoming more culturally competent and sensitive. It also discusses key concepts like social capital, stereotypes of Appalachian culture, and barriers to healthcare in rural areas. Overall, the document emphasizes the importance of cultural awareness and sensitivity for rural healthcare providers to best serve their patients.
The document provides an overview of health insurance changes in Virginia as a result of the Affordable Care Act. It summarizes that the Bureau of Insurance regulates health insurance companies and agents, and oversees qualified health plans offered on the state's health insurance marketplace. It outlines key provisions like guaranteed issue, essential health benefits, actuarial value levels, and enrollment periods. It also describes assistance available from the Bureau of Insurance and navigators to help consumers understand their options.
This document provides a summary of Virginia's Medicaid program and the status of health care reform efforts in the state. It outlines Virginia's Medicaid eligibility levels, enrollment trends, expenditures, and service delivery structure. It then discusses the state's goals for Medicaid reform, including implementing the Affordable Care Act expansion and establishing a more efficient, coordinated system. The document reviews the progress and estimated savings of Virginia's multi-phase Medicaid reform plan, including initiatives involving the dual eligible population, program integrity, and behavioral health services.
13062024_First India Newspaper Jaipur.pdfFIRST INDIA
Find Latest India News and Breaking News these days from India on Politics, Business, Entertainment, Technology, Sports, Lifestyle and Coronavirus News in India and the world over that you can't miss. For real time update Visit our social media handle. Read First India NewsPaper in your morning replace. Visit First India.
CLICK:- https://firstindia.co.in/
#First_India_NewsPaper
Federal Authorities Urge Vigilance Amid Bird Flu Outbreak | The Lifesciences ...The Lifesciences Magazine
Federal authorities have advised the public to remain vigilant but calm in response to the ongoing bird flu outbreak of highly pathogenic avian influenza, commonly known as bird flu.
17062024_First India Newspaper Jaipur.pdfFIRST INDIA
Find Latest India News and Breaking News these days from India on Politics, Business, Entertainment, Technology, Sports, Lifestyle and Coronavirus News in India and the world over that you can't miss. For real time update Visit our social media handle. Read First India NewsPaper in your morning replace. Visit First India.
CLICK:- https://firstindia.co.in/
#First_India_NewsPaper
projet de traité négocié à Istanbul (anglais).pdfEdouardHusson
Ceci est le projet de traité qui avait été négocié entre Russes et Ukrainiens à Istanbul en mars 2022, avant que les Etats-Unis et la Grande-Bretagne ne détournent Kiev de signer.
16062024_First India Newspaper Jaipur.pdfFIRST INDIA
Find Latest India News and Breaking News these days from India on Politics, Business, Entertainment, Technology, Sports, Lifestyle and Coronavirus News in India and the world over that you can't miss. For real time update Visit our social media handle. Read First India NewsPaper in your morning replace. Visit First India.
CLICK:- https://firstindia.co.in/
#First_India_NewsPaper
#WenguiGuo#WashingtonFarm Guo Wengui Wolf son ambition exposed to open a far...rittaajmal71
Since fleeing to the United States in 2014, Guo Wengui has founded a number of projects in the United States, such as GTV Media Group, GTV private equity, farm loan project, G Club Operations Co., LTD., and Himalaya Exchange.
Why We Chose ScyllaDB over DynamoDB for "User Watch Status"ScyllaDB
Yichen Wei and Adam Drennan share the architecture and technical requirements behind "user watch status" for a major global media streaming service, what that meant for their database, the pros and cons of the many options they considered for replacing DynamoDB, why they ultimately chose ScyllaDB, and their lessons learned so far.
18062024_First India Newspaper Jaipur.pdfFIRST INDIA
Find Latest India News and Breaking News these days from India on Politics, Business, Entertainment, Technology, Sports, Lifestyle and Coronavirus News in India and the world over that you can't miss. For real time update Visit our social media handle. Read First India NewsPaper in your morning replace. Visit First India.
CLICK:- https://firstindia.co.in/
#First_India_NewsPaper
Shark Tank Jargon | Operational ProfitabilityTheUnitedIndian
Don't let fancy business words confuse you! This blog is your cheat sheet to understanding the Shark Tank Jargon. We'll translate all the confusing terms like "valuation" (how much the company is worth) and "royalty" (a fee for using someone's idea). You'll be swimming with the Sharks like a pro in no time!
Slide deck with charts from our Digital News Report 2024, the most comprehensive exploration of news consumption habits around the world, based on survey data from more than 95,000 respondents across 47 countries.
Recent years have seen a disturbing rise in violence, discrimination, and intolerance against Christian communities in various Islamic countries. This multifaceted challenge, deeply rooted in historical, social, and political animosities, demands urgent attention. Despite the escalating persecution, substantial support from the Western world remains lacking.
12062024_First India Newspaper Jaipur.pdfFIRST INDIA
Find Latest India News and Breaking News these days from India on Politics, Business, Entertainment, Technology, Sports, Lifestyle and Coronavirus News in India and the world over that you can't miss. For real time update Visit our social media handle. Read First India NewsPaper in your morning replace. Visit First India.
CLICK:- https://firstindia.co.in/
#First_India_NewsPaper
लालू यादव की जीवनी LALU PRASAD YADAV BIOGRAPHYVoterMood
Discover the life and times of Lalu Prasad Yadav with a comprehensive biography in Hindi. Learn about his early days, rise in politics, controversies, and contribution.
1. 11/18/2013
VICTOR CARDWELL & TOM WINN
W W W. W O O D S R O G E R S . C O M
LEGAL UPDATE
“But For” Retaliation
Standard
University of Texas Southwestern Medical
Center v. Nassar, 133 S.Ct. 2517 (2013)
1
2. 11/18/2013
Supervisor Must Be
Empowered to Take Tangible
Employment Actions
Vance v. Ball State Univ., 133 S.Ct. 2434
(2013)
Enforceability of Non-Compete
Agreement Must Be Decided By
Arbitrator, Not Court
Nitro‐Lift Technologies, L.L.C. v.
Howard, 133 S.Ct. 500 (2012)
Private Contractor
Whistleblower Protections
Lawson v. FMR, LLC, No. 12‐3,
cert. granted, 133 S.Ct. 2387
(2013)
2
3. 11/18/2013
Labor Management Relations
Act – Neutrality Agreement
Unite Here Local 355 v. Mulhall,
No. 12‐99, cert. granted, 133 S.Ct.
2849 (2013)
“Donning and Doffing”
Sandifer v. U. S. Steel Corp., cert.
granted 133 S.Ct. 1240 (2013)
Recess Board Appointments
NLRB v. Noel Canning, No. 12‐
1281, cert. granted, 133 S.Ct. 2861
(2013)
3
4. 11/18/2013
Sleepless Lawyer May Not
Recover
Anderson v. Discovery
Communications, LLC, 2013 WL
1364345 (4th Cir. April 5, 2013)
NLRB’s Workers’ Rights Notice
Invalid
Chamber of Commerce v. NLRB,
2013 WL 2678592 (4th Cir. June 14,
2013)
Individual Liability for
Wrongful Discharge Tort
Claims Under Virginia Law
VanBuren v. Grubb, 284 Va. 584,
733 S.E.2d 919 (Va. S.Ct. 2012)
4
5. 11/18/2013
NLRB, DOL, AND EEOC
Agency Update
DOL
Developments
U.S. v. Windsor
• Edith Windsor and Thea Spyer
• Same‐sex couple married in Ontario, residing
in NY
• Spyer died in 2009, leaving entire estate to
Windsor.
• Windsor sought federal estate tax exemption
for surviving spouses
• IRS denied exemption due to DOMA and
compelled her to pay $363,053 in estate taxes
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6. 11/18/2013
U.S. v. Windsor
• Windsor filed suit against U.S. in S.D.N.Y. –
claimed DOMA unconstitutional
• District Court and 2nd Circuit agreed with
Windsor
U.S. v. Windsor
U.S. S.Ct.
• Section 3 of DOMA unconstitutional under 5th
Amendment by restricting federal
interpretation of "marriage" and "spouse" to
apply only to heterosexual unions
• Requires federal gov’t to recognize same sex
marriages if lawful under state law
Where Are Same-Sex
Marriages Lawful?
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D.C.
Cal.
Conn.
Del.
Iowa
Mass.
N.H.
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Maine
Md.
Minn.
N.Y.
R.I.
Vt.
Wash.
N.J. (Oct. 21, 2013)
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7. 11/18/2013
U.S. v. Windsor
U.S. S.Ct.
• Impact on ERISA‐covered benefit plans?
• Impact on FMLA?
DOL Technical Release No. 2013-04
September 18th, 2013
“Guidance to Employee Benefit Plans on the Definition
of ‘Spouse’ and ‘Marriage’ under ERISA and the
Supreme Court's Decision in U.S. v. Windsor”
“[S]pouse" and "marriage" … in … ERISA and in related
department regulations should be read to include
same‐sex couples legally married in any state…,
regardless of where they currently live."
DOL Technical Release No. 2013-04
September 18th, 2013
“In general, . . . the term ‘spouse’ will be read to refer
to any individuals who are lawfully married under any
state law, including individuals married to a person of
the same sex who were legally married in a state that
recognizes such marriages, but who are domiciled in a
state that does not recognize such marriages. Similarly,
the term ‘marriage’ will be read to include a same‐sex
marriage that is legally recognized as a marriage under
any state law.”
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8. 11/18/2013
DOL Technical Release No. 2013-04
September 18th, 2013
“[T]he term ‘state’ means any state of the U.S.,
the District of Columbia, Puerto Rico, the Virgin
Islands, American Samoa, Guam, Wake Island,
the Northern Mariana Islands, any other
territory or possession of the United States, and
any foreign jurisdiction having the legal
authority to sanction marriages.”
DOL Technical Release No. 2013-04
September 18th, 2013
“The terms ‘spouse’ and ‘marriage’ . . . do not include individuals
in a formal relationship recognized by a state that is not
denominated a marriage under state law, such as a domestic
partnership or a civil union, regardless of whether the individuals
who are in these relationships have the same rights and
responsibilities as those individuals who are married under state
law. The foregoing sentence applies to individuals who are in
these relationships with an individual of the opposite sex or
same sex.”
DOL Technical Release No. 2013-04
September 18th, 2013
“A rule that recognizes marriages that are valid
in the state in which they were celebrated,
regardless of the married couple's state of
domicile, provides a uniform rule of recognition
that can be applied with certainty by
stakeholders, including employers, plan
administrators, participants, and beneficiaries.”
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9. 11/18/2013
DOL Technical Release No. 2013-04
September 18th, 2013
“A rule for employee benefit plans based on state of
domicile would raise significant challenges for
employers that operate or have employees (or former
employees) in more than one state or whose
employees move to another state while entitled to
benefits.”
Windsor/DOMA/DOL Guidance &
FMLA
• What about the FMLA?
State of domicile or celebration?
• DOL’s guidance speaks to ERISA and benefit
plans.
• Does not speak to FMLA leave to care for
“spouses”
Windsor/DOMA
FMLA Regs (29 C.F.R. 825-122)
“Spouse means a husband or wife as
defined or recognized under state law for
purposes of marriage in the state where
the employee resides, including common
law marriage in states where it is
recognized.”
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10. 11/18/2013
Pre-Windsor FMLA Leave
for Same-Sex Spouses
• Prior to Windsor, FMLA also controlled by
DOMA.
• Therefore, even in states that recognized
same‐sex marriage, employers could deny
employees FMLA leave to care for their same‐
sex spouse
Fact Sheet #28F: Qualifying Reasons
for Leave Under FMLA
Updated Guidance – August 9th, 2013
• Clarifies that employee who resides in state that
allows same‐sex marriage is entitled to take FMLA
leave to care for same‐sex spouse
• Note ‐ law of state of residence applies, not the law
of the state where the employee works or where
marriage celebrated. (29 C.F.R. § 825.102).
• This could mean that employer could have
employees in same company location where one
employee could be eligible for FMLA and the other
not eligible based on state of residence.
• And, separate issue as to ERISA benefits eligibility
Windsor Leads to Green Card
October 10th, 2013
In response to Windsor, visa
petitions filed on behalf of
same‐sex spouses reviewed in
same manner as those filed on
behalf of opposite sex spouses
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Virginia woman and British woman
Couple for 16 years
Lived together in England for 10 years
Married in April in Maryland
Lawful permanent resident status
approved by U.S. Citizenship and
Immigration Services on October 10th
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11. 11/18/2013
Direct Care Workers
(New Directive 9/17/13)
• Minimum wage, overtime extended to direct
care workers
• workers who provide essential home care
assistance to elderly people and people with
illnesses, injuries or disabilities
• nearly two million workers — i.e., home
health and personal care aides, CNAs
Misclassified Workers
are entitled to overtime pay at
1.5x their regular rate
What can you do?
• Consider the FWW (Fluctuating workweek”)
(When the exempt status is unclear)
• All Job Descriptions should acknowledge the
job’s
flexible scheduling
extended business hours to meet special needs
salary covers all hours worked
the regular rate of pay will vary from week to week
Misclassification of Workers
• Misclassification Initiative
o IRS and DOL are teaming up on misclassification
issue.
o Kicked off in 2011
o Focus on interns/independent contractors and
employees.
• Focus for Virginia (2012‐present)
o Construction Industry
o Overtime / use of Independent contractors
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12. 11/18/2013
20 Factor Test
IRS has 20 Factor Test for Independent
Contractor (a few highlights):
• Does company provide instructions on how to
do the work, when it should be performed and
where it should be performed?
• Training provided by Company?
• Clerical/admin support provided by Company?
• Exclusive arrangement?
• Tools and equipment provided by Company?
6 Factor Test
for “Interns”
• Is the internship similar to training which would
be given in an educ. environment?
• Is internship for benefit of Intern?
• Does intern displace regular employees?
• Employer derives no immediate advantage from
the intern activities and on occasion operations
may be impeded.
• Intern is not necessarily entitle to a job at end.
• Employer and intern understand that no wages
are to be paid for internship.
EEOC
Developments
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13. 11/18/2013
New Criminal Background Check
Guidance
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Nature of crime
Date of offense
Duties of position
Case‐by‐case
NC and VA Statutes on Expungement
Title VII Protection?
• Sexual orientation, transsexualism,
gender identity not expressly
prohibited.
• Same sex harassment
Laws & Administrative Policies to Protect
Gay/Transgender Employees
• At least 32 states, including D.C.,
have implemented protections.
• To date, not VA
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14. 11/18/2013
Employment Non-Discrimination Act
(ENDA)
• Transgender‐inclusive versions of ENDA
introduced in U.S. Congress for many years
• Proposed legislation prohibits private
employers with more than 15 employees from
discriminating on the basis of sexual
orientation or gender identity
EEOC Decision
Macy v Holder
Employer who discriminates against
transgender employee or applicant on
basis of gender identity, change of sex,
and/or transgender status violates Title
VII’s gender discrimination prohibition.
Lessons from Macy
• Be aware of expanding definition of “sex
discrimination” in workplace
• Be mindful of new legal protections (both
state and federal) afforded to transgender
employees and applicants
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15. 11/18/2013
Genetic Information
Nondiscrimination Act of 2008
“GINA”
• Applies to all employers with at least 15
employees
• Became effective November 21, 2009
• EEOC responsible for enforcement
EEOC Settles 1st-Ever Genetic
Bias Lawsuit
• EEOC on 5/17/13 filed and settled its first
complaint alleging genetic discrimination
• Suit accused Fabricut Inc. of unlawfully asking
job applicant for family medical history in
post‐job offer medical examination
Religious Discrimination &
Harassment
• Title VII prohibits religious discrimination and
harassment
• Employers required to “reasonably
accommodate” religious practices of
employees if no “undue hardship” to
employer
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