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CME accreditation information
Increasing administrative responsibilities—due to regulatory pressures and evolving payment and care delivery models—reduce the amount of time physicians spend delivering direct patient care. Patient registration typically involves mailing registration packets to patients before their appointments and asking them to fill them out prior to their appointments; however, the patients often bring them to their appointments without filling them out, leading to delays in care and backups in the clinic's schedule. This also leads to many primary care providers not having adequate time with their new patients nor time to familiarize themselves with their patient's current health status. This calls for a new process that does not put the onus on the patient.
Patient pre-registration
Release Date: March 2016
End Date: March 2019
At the end of this activity, participants will be able to:
- Design and implement your pre-registration process for your practice
- Develop a pre-registration script
- Identify and train staff to serve as NPCs
- Evaluate the process and gather feedback from staff and new patients
Target Audience
This activity is designed to meet the educational needs of practicing physicians.
Statement of Need
The registration process can not only lead to delays in care and backups in the clinic schedule. It can also cause issues with lower patient engagement. With a patient-centered pre-registration process, the patient-centered pre-registration process can provide the physician and care team with the information they need for an efficient, effective initial visit. Patient-centered pre-registration does not use mailed registration forms; instead, a dedicated team member assists the patient with registration over the phone while they are establishing their initial visit or in person prior to their appointment. This conversation captures all of the patient's required demographic, payment and clinical information. The completed pre-registration forms prompts match the clinic's electronic health record (EHR) for easy entry by the team. This module educates providers on how to both save their practice time and engage their patients.
Statement of Competency
This activity is designed to address the following ABMS/ACGME competencies: practice-based learning and improvement, interpersonal and communications skills, professionalism, systems-based practice and also address interdisciplinary teamwork and quality improvement.
Accreditation Statement
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
Credit Designation Statement
The American Medical Association designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Claiming Your CME Credit
To claim AMA PRA Category 1 Credit™, you must 1) view the module content in its entirety, 2) successfully complete the quiz answering 4 out of 5 questions correctly and 3) complete the evaluation.
Planning Committee
- Alejandro Aparicio, MD, Director, Medical Education Programs, AMA
- Rita LePard, CME Program Committee, AMA
- Becca Moran, MPH, Program Administrator, Professional Satisfaction and Practice Sustainability, AMA
- Ellie Rajcevich, MPA, Practice Development Advisor, Professional Satisfaction and Practice Sustainability, AMA
- Sam Reynolds, MBA, Director, Professional Satisfaction and Practice Sustainability, AMA
- Christine Sinsky, MD, Vice President, Professional Satisfaction, American Medical Association and Internist, Medical Associates Clinic and Health Plans, Dubuque, IA
- Douglas K. Diehl, MD, Diplomat, American Board of Anesthesiology, VP & Executive Medical Director, Asante Physician Partners
- Brandon Lynch, MD, MPH, Family Practice Physician, Asante Physician Partners
- Bruce Budmayr, CMPE, Business Development Manager, Asante Physician Partners
- David Gilmore, MSQSM, Senior Practice Manager, Asante Physician Partners
- Bruce Bagley, MD, Senior Advisor, Professional Satisfaction and Practice Sustainability, AMA
- Christine Sinsky, MD, Vice President, Professional Satisfaction, American Medical Association and Internist, Medical Associates Clinic and Health Plans, Dubuque, IA
- John Hickner, MD, MSc, Professor and Head, Family Medicine, University of Illinois at Chicago
- Mark Potter, MD, Associate Professor of Clinical Family Medicine, University of Illinois at Chicago
- Becca Moran, MPH, Program Administrator, Professional Satisfaction and Practice Sustainability, AMA
- Ellie Rajcevich, MPA, Practice Development Advisor, Professional Satisfaction and Practice Sustainability, AMA
About the Professional Satisfaction, Practice Sustainability Group
The AMA Professional Satisfaction and Practice Sustainability group has been tasked with developing and promoting innovative strategies that create sustainable practices. Leveraging findings from the 2013 AMA/RAND Health study, "Factors affecting physician professional satisfaction and their implications for patient care, health systems and health policy," and other research sources, the group developed a series of practice transformation strategies. Each has the potential to reduce or eliminate inefficiency in broader office-based physician practices and improve health outcomes, increase operational productivity and reduce health care costs.
Disclosure Statement
The content of this activity does not relate to any product of a commercial interest as defined by the ACCME; therefore, neither the planners nor the faculty have relevant financial relationships to disclose.
Media Types
This activity is available to learners through Internet and Print.
Hardware/software Requirements
Adobe Flash 9.0.115 or above
Audio speakers or headphones
Screen resolution of 800X600 or higher
MS Internet Explorer 8.0 or higher, Firefox, Opera, Safari, etc.
Adobe Reader 5.0 or higher
- Gilmore D, Alexander S, and Robinson AC. Master's Business Project III Final Presentation on New Patient Registration Process [dissertation]. Falmouth, MA; The National Graduate School of Quality; 2014.
A streamlined pre-registration process can save time for the patient and the team. Pre-registration is conducted by a new patient coordinator (NPC)* over the phone or in person prior to the initial visit. This conversation enables the NPC to capture all of the required demographic and payment information in the registration software and enter medical information, including medication list, allergies and medical history, directly into the electronic health record (EHR) to reduce the data entry work required of clinicians at the patient's initial visit.
*This could also be a front office staff person designated to handle new patient registration as part of his/her responsibilities.
Four STEPS for integrating pre-registration into your practice
- Design your pre-registration process
- Develop a pre-registration script
- Identify and train staff to serve as NPCs
- Roll out the new process and gather feedback
Design your pre-registration process
Have a clear understanding of your current registration process so that you can incorporate pre-registration into your practice workflow. Note that with this approach, all registrations are entered directly into the registration software and EHR without the need for paper forms. Work as a team to determine the information you will need to collect from patients during pre-registration. This module's toolkit has a sample pre-registration workflow that you can adapt to meet your needs. This may be used for pre-registration over the phone ahead of the appointment, or for pre-registration in person on the day of the appointment.
Who should I include in my discussion about new patient registration?
You should seek input from everyone involved. This includes front desk staff who answer patient questions about the current registration forms and the nurses or MAs who handle rooming. The perspectives of physicians and health IT staff will be integral to the planning process as well. If your practice has a patient advisory council, include them in the discussion if possible.
How will I be able to tell if pre-registration is making a difference?
Establish metrics that will allow you to compare your current registration process to the new pre-registration process. Consider using this metrics worksheet to identify inefficiencies and set targets. The same worksheet can be used to compare your baseline metrics to measurements made after the pre-registration process is in place in order to evaluate the impact of the new process. The STEPS Forward™ quality improvement module can help you tackle this change in a stepwise fashion.Pre-registration metrics worksheet Download See all downloadable tools
Can pre-registration save my practice time and money?
Yes. Administrative time spent at check-in and during the clinical visit should be significantly reduced. One practice estimated that they could save over $200, 000 in physician and team time per 1,000 patients pre-registered using this process.
How can we prepare our patients to provide their medical history?
You can send patients a welcome letter with pre-registration prompts, asking them to prepare a list of their medications, and allergies, and their medical history. This will save time and improve accuracy whether the pre-registration occurs over the phone or in person.Pre-registration welcome letter Download See all downloadable tools
Develop a pre-registration script
Create prompts to guide the conversation between the NPC and the patient. Organize this pre-registration script so that it matches the fields in your registration software and EHR. The NPC will save time and make fewer errors if he or she can enter the information in the same order and in the same fields during the pre-registration discussion with each new patient. Use the script as a training tool. Laminate one copy and post it near the phone where the NPC sits as a reminder until the pre-registration conversation becomes second nature.Pre-registration script Download See all downloadable tools
In the past, I would receive daily complaints from [primary care physicians] and medical assistants about the lack of completeness of new patient paperwork. In the last two weeks since implementing patient-centered registration, I have not received any complaints from the physicians or [medical assistants].
Does the NPC have to manually enter the information into the registration software and EHR?
The NPC should be trained to enter patient information directly into your practice's systems during the conversation with the new patient so he or she is not filling out a paper form then re-entering or scanning the information into the record.
While this approach may seem time-consuming, it may benefit your team in several ways:
- Higher quality data will be gathered and entered into the chart because your team will have more ownership of the information
- This interactive approach gives the NPC the opportunity to explain why certain information is important to the practice and the patient's medical care
- Patients may feel more comfortable asking questions about their upcoming visit or about the registration information that the practice needs
- Getting to know someone in the practice before their appointment puts patients at ease before meeting a new medical team
Identify and train staff to serve as NPCs
NPCs should have exceptional customer service and telephone skills, as well as competency with your practice registration software and EHR. The NPC can be a current MA or patient service representative (PSR). Depending on your practice specialty and patient complexity, a nurse may be a more natural fit for this position.
The NPC's responsibilities include:
- Guiding patients through the pre-registration process
- Informing the patient about any items to bring to the appointment
- Obtaining accurate and complete demographic, insurance and medical information
- Checking patient insurance eligibility and informing the patient of any co-pay amounts that will be due at the time of service
- Scheduling the patient's appointment, giving the patient a copy of the appointment date/time and directions to your practice
- Scheduling any laboratory or other tests based on your practice's protocols
- Answering questions about the registration process, practice and medical team
What training should I provide for my MA or PSR to transition into the NPC role?
MAs often need some procedural or workflow training regarding the registration process. PSRs may need training on basic medical terminology and documenting in the EHR. Shadowing can be an effective way for MAs and PSRs to learn from your check-in team, schedulers, physicians and nurses. If you have a Medical Assistant Professional Development Program, consider adding a session on pre-registration to train your MAs. Using the same format, your PSRs could learn from your MAs about the essential clinical information to be entered into the chart before the patient visit.
Where should the NPC sit given that he or she will be talking to patients about their medical history?
If possible, the NPCs should have a small office with a door that could be closed for privacy, but with enough room for a family member to be present if requested by the patient. This is particularly helpful if your practice serves a large elderly population that is more likely to have family members or caregivers with them at their appointments.
Can the NPC collect insurance information at the time of pre-registration?
Yes. The NPC should run an insurance eligibility check and/or review the patient's benefits to explain his or her co-pay responsibility. If you are not in the patient's network, the NPC can explain what that means and confirm that the patient wants to keep the appointment.
How many NPCs will my practice need?
The number of NPCs will depend on the number of new patients you anticipate. By way of example, two coordinators worked well in a practice of seven physicians. In that setting, three of the seven physicians were new and needed to build their patient panels, so they needed additional support to pre-register new patients. The second NPC covered lunch breaks and assisted walk-in patients to minimize or eliminate wait time. Your practice may find that only one NPC is needed. You may also consider cross-training another MA or PSR to be able to cover for a single NPC.
Will all of the NPC's time need to be dedicated to pre-registration, or can he or she fulfill another role on my team?
The NPC should have sufficient uninterrupted time to thoroughly collect all important information, accurately enter it into the registration software and EHR and most importantly, make new patients feel welcome at the practice. If a NPC also has other responsibilities in the practice, you may find that the best approach is dedicating one day a week or half of each workday to pre-registration tasks. If you choose to do some or all of the pre-registration over the phone you will be able to batch the work more easily than if pre-registration is done only in person, at the time of the visit.
Roll out the new process and gather feedback
Start implementing the pre-registration process with new patients who still need to be scheduled. As time permits, reach out to new patients who have already been scheduled.
Solicit quarterly feedback from new patients and your team. Anecdotal feedback from physicians, nurses and MAs about the quality of the clinical information entered during pre-registration will help improve the process. Prepare continuous training or education for the NPCs based on this feedback. Review the metrics worksheet from Step 1 to determine how pre-registration has impacted your practice. Consider using run charts to visually display the results.
It [the registration process] was wonderful, very professional, thorough and informative. I was in health care for 30 years and I much prefer a face-to-face interaction.
How long should it take to complete registration with the new process?
Pre-registration by a NPC should take approximately 15 to 20 minutes
What about walk-in new patients?
Patients who walk into the clinic can meet with the NPC in person for 15 to 20 minutes to complete pre-registration before they see the medical team. This will ease the burden on the PSRs who are checking other patients in, and it will ensure that the clinical team has all of the information they need for an efficient, effective visit.
The same approach can be applied to established patients who need to update demographic or insurance information before their appointments.
What results could I see with pre-registration?
Results of using pre-registration may include increased patient satisfaction, increased provider and staff satisfaction, reduced new patient appointment times, reduced new patient check-in times and more efficient use of resources.
How quickly would we see results with pre-registration?
It depends. The efficiency of your current registration practice, practice size and NPC resources are all factors. One practice reported that it took approximately three months to achieve consistently accurate pre-registration data entry on the first try with no follow-up needed to fill in missing information that would be essential for the patient's first visit.
Pre-registration saves time and reduces paperwork
Helping patients with registration saves the patient time trying to understand and accurately answer registration questions presented to them in paper form. Physicians and other care team members can also spend more time on the visit and less time on paperwork while being confident they have a complete medical history.
Use technology to your advantage
Eliminating paper and entering information directly into your practice's registration software and EHR prevents mistakes. Emerging technologies may further streamline patient registration, including patient portals or kiosks that allow patients to enter a great deal of registration information themselves.
Standardizing and streamlining new patient visits with pre-registration can save your practice time and money while providing a better experience to patients and staff alike. The NPC can be a welcoming presence, and having a NPC reach out to new patients before their first appointment can help everyone have more efficient visits.
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- Gilmore D, Alexander S, and Robinson AC. Master's Business Project III Final Presentation on New Patient Registration Process [dissertation]. Falmouth, MA; The National Graduate School of Quality; 2014.
STEPS in practice
Case 1
How's it working in Grants Pass, OR?
Before November 2015, patients who were new to the Asante Physician Partners Family Medicine practice in Grants Pass, OR, had to complete a complicated and inefficient six-page registration packet before their first visit. In addition, the volume of new patients increased suddenly as more people received insurance coverage. Providers, staff and patients were dissatisfied with this tedious registration process; thus, the practice decided to transition to an all-electronic pre-registration system.
David Gilmore, Director of Operations and a Lean Six Sigma Black Belt noted, "Too many patients were arriving without complete registration paperwork, which delayed not only their visit but also had a trickle-down effect on the next visits on the schedule. The care team was documenting items in the exam room that should have been covered before the patient arrived. This process created time and cost concerns for both the patients and the medical practice. We needed to reengineer our value proposition for providers and patients alike, so we applied Lean principles to help us eliminate paper-based registration forms and switch to an entirely electronic process."
The practice calculated the expected volume of patients who would require registration in the next two years. They discovered that they would need to hire two full-time employees to support the new pre-registration process. Using cost-driver analysis, they also examined the cost implications of staying with the paper-based registration process (Table 1). Assuming that 1000 new patients would be registered over the course of the next year, they estimated that the total savings for their seven-physician practice if they switched to electronic pre-registration could be as much as $216,760 per year —including the costs of new staff they would need to hire to perform data entry.
Table 1. Cost implications of a traditional paper approach to new patient registration
|Completing paper new patient registration forms at the clinic
|$50 for each new patient registration packet completed after the patient arrives at the clinic
|Receiving, scanning and abstracting medical history into EHR at the time of the visit rather than before
|MA verbally completes history: $8 each patient ($.40 per minute)MD verbally completes history: $32 each patient ($1.60 per minute)
|Accommodating late arrival for check in if forms are not filled out in advance
|Each minute the patient is late costs the practice money: delay in visit with MD costs $1.60 per minute, which can be multiplied by the time each additional appointment is delayed.Secondary effects and costs must be considered: potential for no-show, patient completing forms at the clinic, MA/MD verbal completion of history, other patient appointments delayed.
|Accommodating patient no-shows for appointment
|Loss of scheduled patient's appointment - $100
Loss of two potential appointments for established patients - $200
Total: up to $300 lost because of a single no-show
|Completing registration by MA during pre-visit rooming
|Delay in visit with MD costs $1.60 each minute, which can be multiplied by the time each additional appointment is delayed
Asante built the electronic pre-registration process into the daily routine and set aside time to train the entire team on an ongoing basis: first on what the electronic process would entail, then on how to accurately enter the relevant patient details and finally how to measure and report on progress. It took approximately one month to fully implement the new process.
In the electronic pre-registration process, a new patient coordinator (NPC) speaks with patients in person or on the phone to collect all the necessary information prior to the first visit, including their medication list, allergies and medical history. The NPC enters the patient's responses directly into the EHR, ensuring accuracy and completeness of patient records. The process creates a strong connection with the patient and engages them early in their own health management. Patients appreciate the one-on-one attention from the new patient coordinator.
In order to justify the time and financial investment, Asante started collecting baseline data before they rolled out the process, tracking new patient registration processing time, number of new patient registrations completed and work allocation with costs per full-time employee (FTE). All of these metrics improved, as did provider and team satisfaction. Additionally, the practice found that pre-registration made everyone's workday more efficient and enjoyable. The physicians, nurses and MAs were no longer taking precious time away from the patient visit to collect missing information or do data entry.
Because of their success and the strong business case for a streamlined approach to new patient registration, this process will be spread across 21 practices in the Asante network in 2016, including primary care, medical and surgical sub-specialties. In the future, the organization hopes to utilize the patient portal to populate their EHR with discrete data in each patient's medical record.
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Downloadable toolsGo to Resource Library
The tools and resources here can offer implementation support for your practice. You can download and modify them to fit your specific needs.
Individual tools
Starting pre-registration module
Download a printable PDF version of this module.
PDF, 417 KBPreview
Adopting a patient pre‑registration process PowerPoint
Use this PowerPoint presentation to review this module with your team.
PPT, 920 KBPreview
Pre-registration metrics worksheet
Use this metrics worksheet to help you evaluate your current registration process and measure improvements after the pre-registration process is in place.
MS WORD, 49 KBPreview
Pre-registration script
Use this pre-registration checklist to ensure you collect all the information needed for an efficient and effective first visit.
MS WORD, 38 KBPreview
Pre-registration process map
This tool shows the "before and after" processes for traditional registration and pre-registration.
PPT, 1,356 KBPreview
Pre-registration welcome letter
This welcome letter will help patients recall important information that the new patient coordinator will need to register them; send this to patients before the coordinators speak with them.
MS WORD, 35 KBPreview
Run chart
Use this tool to track and display your initiative's progress over time.
MS EXCEL, 18 KBPreview
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If you would like to learn about available resources for implementing the strategies presented in this module, please call us at (800) 987‑1106 or send us a message.
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AMA PRA Category 1 Credit™ will be available for the activity. Physicians should claim only the credit commensurate with the extent of their participation in the activity. In order to claim AMA PRA Category 1 Credit™, you must: 1) view the module in its entirety, 2) successfully complete the quiz by answering 4 out of 5 questions correctly and 3) complete the evaluation.
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4 Tips To Help You Have A Positive Mental Attitude
Posted by Bernie Maroto on
Having and maintaining a positive attitude is not only vital for success in business but also in life. Having a positive attitude towards life will increase your rate of success in besides making you a happier person. Unfortunately, many people it difficult of always maintain a positive mental attitude. In this article, we are going to give you tips that will help you have a positive mental attitude.
- Focus on the present.
One of the main reason why people find it difficult to maintain a positive mental attitude is because they always focus on things that have already passed. People always tend to focus on negative things that have happened in the past and think that it will happen in the future. If you want to maintain a positive mental attitude, then it is time you stop dwelling on things that happened in the past especially things that don't impact positively in your life. Instead channel your all your efforts on the present as well as the future. By focusing on the present you will minimize the worries and fears that lead to negative emotions.
- Always use positive language.
Do you know that what comes out of your mouth is what is in your mind? If you always speak negative things then negatives things will always happen. For instance, if you are that type of person who always like to complain about weather, your work, your spouse or your neighbors, you will never establish a positive relationship with people as well as yourself. Having a positive mental attitude means that you stay positive and that include using positive language. What you say is a reflection by your thoughts and the more you look for positive things to say the more positive your thoughts will become.
- Associate yourself with positive people.
The people you associate with will determine your mental attitude. If your friends always have negative thoughts, then you will definitely have the same thoughts. On the other hand, if you associate yourself with friends who have positive attitude, you will also have a positive mental attitude. You therefore need to be very careful with the people you associate with. Try as much as possible to always associate yourself with people who have positive mental attitude.
- Read positive and inspiring books.
One of the best ways to maintain a positive mental attitude is by reading positive and inspiring books. These books will not only encourage you but will also inspire you. They will also teach you important life skills that will help maintain a positive mental attitude.
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Day of the Dead | Chiapas 2017 | Student Book
We are so excited to share the book layout and the photos from our Chiapas Dia de los Muertos photo tour/workshop. We had four enthusiastic photographers with us for seven days at the end of October and the first couple of days of November in San Cristóbal de las Casas.
After an orientation and getting-to-know each other evening over wine and tapas at the always good El Cau, we spent the next seven days exploring some of the indigenous communities nearby and documented their daily lives as well as some of the family preparations for the Dia de los Muertos (Day of the Dead).
Dia de los Muertos is a little different in Chiapas than it is in other parts of Mexico. The main difference is that it is still a local observance and has not turned into a tourist attraction, like it has in Oaxaca and Michoacán. In every cemetery we visited, we were the only "gringos."Also, the local indigenous communities hold their observances on November 1 in the morning and it is not a night ritual. Most of the people in the city observe Dia de los Muertos on November 2. Of course, some of the U.S. traditions have appeared and the kids dress up and parade along San Cristobal's pedestrian streets on the 31st, just like they would in the United States. We'll have to learn the trick-or-treat song in Spanish this year!
In addition to our visits with weaving families and cemeteries, we spent part of one day visiting an USDA Certified Organic coffee plantation. All coffee here is high-altitude and shade grown. We had coffee and lunch with the family who runs the cooperative in the hills about 30 kilometers outside of the city.
During one of our last editing sessions, we talked about our favorite images, and started working on the layout for the book you see below. The cover and most of the photos were shot by the students. Jennifer and I only added a few of our photos when we felt the flow of the book needed a photo that the other photographers did not have in their coverage.
We look forward to returning next year for the Chiapas Dia de los Muertos photo tour and we hope that you will consider joining us. Don't forget to take advantage of early bird pricing until August 1, 2018.


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do you have any more suggestions? please help!! Noticed in the above screen shots that TLS 1.1 and TLS 1.2 not checked. When RESET the IE settings, etc, the become enabled again… This 2 options MUST be disabled!
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Starbucks case study harvard
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If there is one thing that viewers can take away from the FX Network's Atlanta, it is the fact that the show's creator Donald Glover has a deeply rooted passion for hip-hop music which tends to influence both his writing and acting on the show.
Each episode features an abundance of music, ranging from pop, R&B, and hip-hop oriented songs to more indie, funk, experimental, and even some jazz. The show centers around Earnest "Earn" Marks (played by Glover), his cousin the up-and-coming rapper Alfred "Paper Boi" Miles (played by Brian Tyree Henry), his cousin's gun-toting right-hand man Darius (played by Lakeith Stanfield), and his on-again, off-again baby momma Vanessa "Van" Keefer (played by Zazie Beetz).
Apart from introducing listeners to a variety of new music, the show also features a couple of original recordings that were written specifically for Henry's character, Paper Boi, including his namesake track, "Paper Boi," which is first heard at the end of the first episode. But the song itself wasn't actually written or performed by Henry. The song, along with tracks "Spray" and "Justin Bieber" were actually written by Glover's younger brother, Stephen, under the pseudonym Steve G. Lover III.
To promote the first season of the show, FX Networks ran promotional ads back in 2016 featuring Rihanna's cover of "Same Ol' Mistakes," originally performed by Tame Impala, and "Sleepless" (feat. Jezzabell Doran) by Australian producer Flume. The soundtrack also features a variety of top-selling musicians sprinkled in with some classic jazz, soul, and funk tracks, which really help make the show what it is.
Now, back for its second season, already in progress, there is sure to be a bounty of music to pick from to adequately portray the soundtrack and the musical depth of Atlanta. Apart from featuring plenty of local artists, including Migos, Gucci Mane, OJ Da Juiceman, the soundtrack features a number of memorable moments, which made it difficult to pick just one. For this reason, we decided to load up the playlist with everything… even the "Robbin' Season" promos which featuring the track "Gap in the Clouds" by Yellow Days.
But instead of sitting and listing off all the songs from the show, Salute Magazine put together a list of our favorite episodes and moments from Atlanta, and some of the songs that influenced them.
Episode 1 – "The Big Bang"
#1) OJ Da Juiceman – "No Hook"
The very first song introduces viewers to the show with this track by hometown native, OJ Da Juiceman, from his 2013 mixtape, Juice World 2.
#2) The System – "Don't Disturb This Groove"
Towards the end of the episode we see Earn and his daughter riding the bus when they're confronted by a man making a Nutella sandwich. Apart from the aforementioned tracks, the first episode also featured songs by Doe B, Sango & Waldo, Emanuel "Vo" Williams, and SNS.
Episode 2 – "Streets on Lock"
#3) Yo Gotti ft. E-40 – "Law"
The second episode opens with Paper Boi getting released on bail, while his cousin, Earn, remains locked up in police custody. It also features the track "Running Threw It" by Rich the Kid and "Grandma's Hands" by Bill Withers.
Episode 3 – "Go For Broke"
#4) Cheryl Lynn – "Encore"
Probably one of the most brilliant moments in the show is when we see Paper Boi and Darius singing along to the 1983 R&B classic, "Encore," performed by Cheryl Lynn and produced by Jimmy Jam and Terry Lewis. The episode also features tracks by Migos, Kodak Black, Cousin Stizz, Lloyd, Shabazz Palaces, and Max P.
Episode 4 – "The Streisand Effect"
#5) Beach House – "Space Song"
Earn contemplates the gun sitting on the table in front of him as the Baltimore dream-pop duo Beach House plays this track from their 2015 album, Depression Cherry.
#6) Keith Ape – "It G Ma" (Remix)
Darius and Earn enter the Warehouse wielding a sword was an appropriate time for this posse cut-style remix featuring A$AP Ferg, Father, Dumbfoundead, and Waka Flocka Flame.
The episode also featured music by legendary jazz musician Lee Fields, Eearz, and Michael Kiwanuka.
Episode 5 – "Nobody Beats the Biebs"
Around mid-way through the series, the episodes started to take on names that would occasionally include a throwback to a classic song. For episode 5, the title is a reference to the 1988 track "Nobody Beats the Biz" by Biz Markie and DJ Marley Marl.
#7) SYPH feat. Tracy T – "The Bag"
We hear the track play throughout the basketball game and again when Paper Boi tries to tackle Justin Bieber. The episode also features tracks by Billy Paul, Nappy Roots, Rex Schnelle, Martyn Laight, and Terry Day.
Episode 6 – "Value"
#8) Funkadelic – "Hit it and Quit it"
The classic funk track from Maggot Brain (1971) plays as we see Van attempt to siphon "clean" urine from an infant in order to pass her drug test. The episode also features tracks by The Ebonys, George Benson, and Jeremih.
Episode 7 – "B.A.N."
The Emmy winning episode features Paper Boi in an interview with Montague, a fake talk-show host on the Black American Network (B.A.N.) The term has also been used elsewhere in hip-hop music, such as the 2008 track by David Banner on his album The Greatest Story Ever Told.
#9) 21 Savage – "Red Opps"
Episode 8 – "The Club"
#10) Young Thug – "Digits"
The track plays as Paper Boi starts to talk to the girl in the VIP section. The episode also features music by Future, Young Dro, Young Dolph, Crime Mob, Dreezy, Adamn Killa, The New Bloods, Baby Huey, Black Dave, and Little Beaver.
Episode 9 – "Juneteenth"
#11) Kamasi Washington – "Change of the Guard"
This jazzy intro is one of two tracks from the saxophonist, composer, and bandleader Kamasi Washington, who first started to gain critical acclaim for his 2015 breakthrough album, The Epic. The episode also included music by Sam Cooke, the Belmont Silvertone Jubilee, Jack Trombey, and James Cleveland.
Episode 10 – "The Jacket"
#12) D.R.A.M. ft. Lil Yachty – "Broccoli"
Dedicated to the city that bears this show's name, the Platinum-certified single was appropriate to start off the season's final episode. The episode also includes tracks by ILOVEMAKONNEN, Erykah Badu, Outkast, Cool Amerika, Daye Jack, Nelly, and Jennifer Lopez featuring Ja Rule.
Episode 1 – "Alligator Man"
#13) Tay-K – "The Race"
We hear this track playing as a car pulls up to the "Mrs. Winner's" Chicken Drive Thru.
#14) The Delfonics – "Hey! Love"
To try and adequately sum up the episode in a single track, the classic soul song plays when Alligator walks out of the house and we see Willy running down the street. The episode also features music by Death Grips, UGK, Jay Critch & Rich the Kid, Yung Bans, Breakwater, Donnell Pitman, L.T.D., and Curtis Mayfield.
Episode 2 – "Sportin' Waves"
#15) Jeezy – "All there" feat. Bankroll Fresh
Paper Boi walks back to his car after getting robbed by his dealer. The episode also features tracks, "Coronus, The Terminator" by Flying Lotus, and "4L Gang Shit" by Young Nudy.
Episode 3 – "Money Bag Shawty"
#16) Slugga Black – Rake it Up
The gang walks into the club as the track plays. The episode also features music by 2 Chainz, Lil Wayne, King Krule, Berhana, Rayana Jay, Gucci Mane, 6Lack, Miguel Fresco, and the single "Marsupial Superstars" from Sahbabii feat. T3 of Slum Village.
Only a portion of the way through Season 2, there is certain to be much more music featured in the series as it continues. To see more Atlanta, be sure and tune into FX every Thursday night at 10 p.m. EST.


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Kill Me if You Can
James Patterson
Boken är slut online
Andra format:
- Inbunden 619:-
- Häftad 189:-
- Pocket/Paperback 139:-
- Pocket/Paperback 139:-
- Pocket/Paperback 359:-
- Visa fler Visa färre
Matthew Bannon, a poor art student living in New York City, finds a duffel bag filled with diamonds during a chaotic attack at Grand Central Station. Plans for a worry-free life with his gorgeous girlfriend Katherine fill his thoughts--until he realizes that he is being hunted, and that whoever is after him won't stop until they have reclaimed the diamonds and exacted their revenge. Trailing him is the Ghost, the world's greatest assassin, who has just pulled off his most high-profile hit: killing Walter Zelvas, a top member of the international Diamond Syndicate. There's only one small problem: the diamonds he was supposed to retrieve from Zelvas are missing. Now, the Ghost is on Bannon's trail--but so is a rival assassin who would like nothing more than to make the Ghost disappear forever. From "America's #1 storyteller" ("Forbes") comes a high-speed, high-stakes, winner-take-all thrill ride of adrenaline-fueled suspense.
- Format: Pocket
- Språk: Engelska
- Antal sidor: 400
- Utgivningsdatum: 2013-01-03
- Förlag: Random House UK


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150mm Self Adhesive Sanding Discs BX100 no hole
150mm Self Adhesive Sanding Discs BX100 available in 2 grits only as they are being discontinued P40 & P120.
Due to the new GDPR regulations all user accounts have been removed and you will be required to re-register for the new site.
We apologise for any inconvenience this may cause.
Wholesaler of Automotive, Marine & Industrial refinishing consumables


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In Germany a marriage is legal, when both fiancées were married in the registry office. That's why you have to register your marriage at the registry office.
In Hamburg, there are many counselling and support services for families.
Hamburg offers parents a wide range of daycare. Here you get an overview of the different childcare types.
We provide information on how to find a suitable daycare place for your child and apply for a daycare voucher.
The state supports families in raising children with child benefit (Kindergeld).
Families with low income are supported by the state through the child supplement (Kinderzuschlag).
Parental leave is a period of unpaid leave from work after the birth of a child.
In Germany, the state supports you in raising your children. Learn about parental allowance.
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Beneteau Oceanis 40 For Sale - 1 ads found
2008 BENETEAU Oceanis 40 Fort Lauderdale FL2008 Beneteau Yachts Oceanis 40 - Fort Lauderdale, Florida, USA | 3 years agoThis well equipped Beneteau 40 Oceanis has had many recent upgrades but the owner's sailing plans have changed. Conveniently located in Fort Lauderdale. New sails, New canvas, New 6 KW Northern Lights generator, Dinghy and Outboard. This is a great value considering her age and a - 2008 BENETEAU Oceanis 40 Fort Lauderdale FLBeneteau Yachts Oceanis 40


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CHICAGO -- Sea lions have been making headlines lately for some pretty bizarre behavior. Earlier this month, a sea lion pup wandered into a California fish market and last month, shoppers snapped pictures of a larger sea lion who wandered into seaside store. Neither seemed fazed by the proximity of humans.
Kurt Heizmann works with the sea lions at the Shedd Aquarium and is fresh off a trip to southern California where he was trying to save the struggling sea lion population in Ventura and Santa Barbara counties.
"Their first instinct should be to flight, go back to the water and a lot of times these animals are in such poor shape they don't want to move," Kurt says.
Kurt spent two and a half weeks at Channel Islands Marine & Wildlife Institute, or CIMWI, as they call it, an organization seeing an unprecedented number of stranded sea lions.
"What scientists believe is that because of El Nino, weather patterns and the warmer water temperatures (are impacting) the food the sea lions are looking for. It's further out off the coast so it's not as prevalent for them," Kurt says.
"When they come in, they're very sick, they're emaciated. A typical animal of this age is usually between 40-50 pounds. These animals coming in are between 20- 25 pounds so they're almost half what their body weight should be."
Kurt's first job each day was fish prep. He would try to get the very sick to eat and help those already on their way to gain weight. CIMWI workers are constantly rescuing and rehabbing and hopefully releasing animals.
Unfortunately that doesn't always happen. Both rescues Kurt took part in did not survive.
"A lot of times animals that are found in need of rescue are in such poor shape they don't make it much longer at all. Some of them it's like their last stand which is really sad to see," he says.
At any given time about 40 sea lions call CIMWI home. Each is marked so experts can track their food and medical treatment without allowing the animals to get too comfortable.
"You have to be hands off with them. When we do go in with them, there is no talking with those animals. (When we feed them) it never comes directly from our hand. It's always using tongs."
Kurt took part in the release of four healthy animals during his work at CIMWI. Another eight are nearly ready for release but it is just the beginning.
Last year CIMWI rescued 359 sea lions. In just the first two and a half months this year there have been 172, a roughly 130% increase.
Conservationists get up to 50 stranding reports a day.
Back in Chicago, Kurt can still marvel at CIMWI's work. The youngest of Shedd's four sea lions, Laguna, came from a facility in 2013 after re-stranding in Southern California.Kurt plans to boost the health of CIMWI's sea lions again an another trip next year.
More information at


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text: The owner of this property needed to expand his 3-bedroom house to 5 bedrooms. This necessitated the expansion of their existing septic system. Upon further research, inspection and coordination with the local Board of Health, it was determined that the existing system was designed under the old 1978 Title 5 code and that sufficient area for the addition of an extra concrete pit was not available. Therefore, it was more appropriate to design a full replacement of the existing system and re-utilize the area of the existing pits as well as the area between the existing pits with a more traditional trench system under the current Title 5 design criteria. By working with the Board of Health throughout the process, Greg Driscoll was able to get design approved promptly and with no revisions requested by the Board of Health.


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VigilantInc.com Tip: Wine cellar design can be a great deal of fun. A cellar is like a private den for your wine collection. Although there are important factors to consider in wine cellar design -- space, location, aesthetic elements and types of storage needed or desired -- you really can be as imaginative as you want in creating a display for your collection that suits you and your personality. Consulting wine cellar designers is a good first step. Those who are more hands-on, may wish to invest in some wine cellar design software to develop a perfect layout.
Now one of the top on-line publishers in the world, LifeTips offers tips to millions of monthly visitors. Our mission mission is to make your life smarter, better, faster and wiser. Expert writers earn dough for what they know. And exclusive sponsors in each niche topic help us make-it-all happen.
Welcome to the Vigilant Wine Storage Newsletter. This newsletter is intended to provide valuable information that will help readers better understand the important role that wine storage plays in protecting your fine wine. Whether you have a single bottle of expensive Bordeaux or cases of your favorite wine, Vigilant has a wine storage solution that will work for you. Vigilant specializes in the design and creation of luxury wine cellars for homes, restaurants, and retail stores. Visit our website and our tips to learn more on the value of wine storage.
|Guru Spotlight
|Heidi Splete


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Major Institutions Get Most Of the Hot Initial Offerings
It is known that individual investors seem rarely to get a piece of those hot initial public offerings of stock.
Now, here is the hard evidence.
A review of a half-dozen "pot lists" -- the secret Wall Street lists showing which investors get IPO allocations -- underscores how the giant institutional investors that do most trading with the big securities firms get by far the most shares.
But there is a twist. Fidelity Investments, the Boston mutual-fund giant, routinely demands -- and obtains -- an allocation twice the size of the next-biggest allotment, according to the lists and Wall Street investment bankers. "They're everybody's best customer," says analyst Steve Galbraith, who follows securities firms at Sanford C. Bernstein & Co.
How does Fidelity exercise its considerable muscle to gain the outsize allocations? By demanding to know if it is getting twice the allocation of the next-biggest customer and at times threatening to reduce temporarily its trading with the securities firm in question, according to Wall Street underwriters involved in the process.
The allocation lists are closely guarded by the underwriters to minimize the scope of such investor demands. But Wall Street investment bankers say Fidelity staffers at times ask: "Is that two times? If I find out it's not, I'm pulling the wire" -- referring to the phone line hot-wired from Fidelity to that firm's trading desk. Fidelity, the bankers say, also isn't as forthcoming as other institutions about whether it plans to hold the shares or "flip" them by reselling them immediately for a quick profit.
A Fidelity spokesman says the numbers of shares it receives in IPOs "tend to follow" its trading volume and assets under management, which are "substantially higher" than those of its competitors. "We do believe we should get a bigger allocation," he adds. The spokesman declines to comment, however, on whether the firm demands twice the allocation of other fund groups.
Of course, it isn't earth-shattering news that underwriters make most of the shares in hot IPOs available not to the little guy but to institutions such as mutual funds and pension funds that provide much of trading commissions and other business. But the lists rarely have been made public. In addition, it isn't widely known outside Wall Street just how much Fidelity exerts such clout.
Lists of institutional investors in IPOs are known as pot lists because underwriters collect the orders and fees for such investors in a shared "pot." By contrast, orders from individual investors are solicited and received broker by broker.
Take the IPO of StarMedia Network , a New York online network targeting Spanish and Portuguese Web users. The company went public in a $120 million IPO led by Goldman Sachs Group on May 25. A list of institutional investors that got shares in the hot deal (the stock price quadrupled in the first four trading days) shows Fidelity got 250,000 shares, while three other mutual-fund groups -- Janus Capital, Putnam Investments and Wellington Management -- got 125,000 shares apiece. Seven additional institutional investors each received 100,000 shares.
A similar pattern holds for five other recent pot lists. In four of the five deals, Fidelity got roughly twice as much stock as any other institutional investor. In one case, another institution received the same number of shares as Fidelity, while the each of the remaining institutions got half that amount or less.
The allocation of IPO shares is a focus of some attention by investors because such stocks have typically risen 10% to 25% immediately after the IPO starts trading. But the scrutiny has intensified in the past year, a turbocharged period in which it has become commonplace for Internet IPOs to rise twofold, threefold or more in price on their first day of trading.
True, individual investors can get the benefit of Fidelity's IPO allocations by investing in Fidelity mutual funds. But the impact is spread out over scores of different Fidelity funds. That doesn't help the individuals who trade stocks online in ever-rising volume.
What also is striking about the pot lists is how much they are dominated by institutional investors-mutual funds, hedge funds and other professional money managers. In the case of StarMedia, 59.4% of 8.1 million shares sold in the IPO went to a total of 524 institutions. But in the other five deals, the percentages allocated to institutions ranged from 70% to 80%.
One reason individual investors may have received more stock in the StarMedia IPO than the others is that one of the co-managers helping sell the stock was the Salomon Smith Barney unit of Citigroup , which ranks third in brokers serving individual investors.
Another piece of evidence that IPO allocations follow trading relationships is that the Capital Research & Management arm of American Funds Group, Los Angeles, got only 60,000 shares of the StarMedia deal while Janus Capital, which has less assets in equity mutual funds, got 125,000 shares.
Morningstar Inc., the Chicago funds-data service, ranks American Funds No. 3 among fund groups, with $263.8 billion in equity funds; it ranks Janus No. 5, with $186.4 billion. But turnover data indicate Janus trades its funds more than twice as much as Capital Research. Fidelity has $569.5 billion in equity funds. Vanguard Group, Valley Forge, Pa., No. 2 with $414.7 billion, doesn't generally ask for IPO shares, a spokesman says. Putnam ranks No. 4 in equity funds with $207.4 billion.
Fidelity, Putnam and Janus are among mutual-fund groups that often are able to wangle a bigger proportion of shares in any new issue. Putnam is a unit of Marsh & McLennan , New York. Janus is majority owned by Kansas City Southern Industries , Kansas City, Mo. Those groups include funds that pursue high-growth, or "momentum," investment strategies that seek the type of stocks often offered in IPOs, and they trade such issues actively enough to generate sizable commissions.
Institutional investors that are smaller or trade less actively sometimes may grumble privately about their inability to get the kind of allocations they want, but they say they understand how the system works and accept it isn't likely to change.
"Allocations are based on trading volume, first and foremost, and secondly on how good your relationship is with the syndicate desk that's leading the deal," says Erik Gustafson, a portfolio manager with Stein Roe & Farnham in Chicago. "The trend has been for buy-side firms to focus their trading with fewer brokers, and that has helped get higher allocations in IPOs -- and also better service generally."
Although institutional investors may compare notes on how much stock they got, the IPO allocations aren't disclosed publicly. The fund groups must report their holdings periodically, but that often is weeks or months after the offering, leaving outsiders uncertain whether their shares were purchased at the offering or later.
The companies that issue the stock get a report on the pot list from the underwriters but generally exercise only an advisory role in choosing what institutions get stock. Some investors say the companies would be better served by finding the most appropriate long-term holders instead of mechanically allocating shares based on trading volume.
Fred Taylor, vice chairman of New York money manager U.S. Trust , says he believes his firm is a "perfect buyer, a good recipient" of shares sold through IPOs, because it holds stock for long-term gains. "But because our volume is low, because we're a low-turnover-type account, our allocation is low," he adds.
Mr. Taylor says one way institutions can boost their allocations is to indicate a willingness to buy more stock after the IPO. "Your willingness to provide backup orders or, as it's put, to say 'you've done the homework and you're willing to invest in this stock' can make bankers put a bit more effort into helping us increase our allocation," he says.
Write to Randall Smith at firstname.lastname@example.com and Suzanne McGee at email@example.com


text: The title for this post, battle of the jeans, was Sylvia's idea. Sylvia (40+Style) and Anja (Curly Traveller) are both back in Haarlem and we are spending some time together. We know each other for quite a few years now and have lots of laughs together. We share the serious stuff too as that is what friends do. Only I don't spill any (serious) beans on this blog. Not somebody else's beans in any case. View Post


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Matthew and Anna's love story is one that could be told through a movie, I'm convinced. They met as educators at the school they both taught at. But it's their coaching positions over the Track + Field team that took their acquaintanceship to the next level. After the spring season Anna made the first move. She set up a time to debrief their coaching season together. That little "debrief" turned into a three hour long dinner that forever change the course of their story.
Matthew and Anna were married at the church that Anna grew up in. Their ceremony was a beautiful portrayal of Christ' s love for us and His desire for us to know and love Him. They invited many of their students to attend their ceremony which made the clear presentation of the gospel even more beautiful!! Most of their students sat right beside where I was filming from my tripod and it was amazing to see all of them gathered together supporting these two!!
I mentioned in our last blog when I shared their sneak peek that my favorite moment from their day was when Anna walked down the aisle and Matthew saw her for the first time. But another one of my favorite things about their day was the dance party that ensued at their reception!! The dance floor was bumping all night long, which you'll see in their film!! SO much so that there was barely any room to move around it!! So fun!!!
Matthew + Anna, we are so thankful for you guys and grateful to have had the opportunity to document your beautiful day!! We hope this film serves as a memoir of "day one" of a new chapter in your story together and that you'll cherish it for years to come!! Enjoy!!!
Ceremony – Stony Point Presbyterian Church
Reception – Willow Oaks Country Club
Photographer – Klaire Dixius Photography
Florist – Deedee Anthony
Dress – Tiffany's Bridal
Dress Designer – Essence of Australia
Bridesmaids Dresses – Alfred Angelo
Groomsmen attire – Joseph A. Banks
Band– Groove Motive, East Coast Entertainment
Hair – Mango Salon
Makeup – Makeup by Meghan
Cake – Pearl's Bake Shoppe & Shyndigz
Caterer – Willow Oaks Country Club
Officiant – Pastor Steve Constable
Wedding Coordinator – Deedee Anthony
Stationer – Minted