text:
Alameda Corridor-East Adopts 'Local Hire' Policy
November 30, 2017 by admin · Leave a Comment
Thirty percent of workers on future construction projects for the Alameda Corridor-East must be residents of Los Angeles County under a new "Local Hire" policy adopted this week by the agency's board.
The policy applies to ACEW projects over $2.5 million in contract value, according to Sup. Hilda Solis, who in June introduced a motion to require the agency to use more local workers.
"I am pleased that ACE Construction Authority has approved this new Local Hire policy and ensuring that we keep good-paying jobs right here at home," Solis said in statement. "With the implementation of Measure M and other transit projects, we must do what we can to ensure that local dollars are spent locally, and that our communities receive the benefits of these projects from the start. Today's action will help ensure local jobs for years to come."
Under the policy, contractors must guarantee that at least 8% of jobs go to San Gabriel Valley residents, according to Solis, who represents the area.
Prime contractors will be required to make good faith efforts to reach these stated goals, the supervisor said in written statement.
Port Contract Extends Local Hire Priority
September 14, 2017 by Editor · Leave a Comment
(CNS) – The Los Angeles Board of Harbor Commissioners approved a 10-year labor agreement last week that aims for the Port of Los Angeles to continue hiring workers from the harbor area and high-unemployment communities in the city.
The Project Labor Agreement between the port and the Los Angeles/Orange Counties Building and Construction Trades Council establishes wages, benefits and rules for employees working on designated port projects while guaranteeing they will earn prevailing wages outlined in the bargaining agreements of all participating unions.
The deal still needs to be approved by the Los Angeles City Council.
Under the terms of the agreement, the port must grant almost a third of the jobs generated by most major construction projects to residents of the harbor area and high-unemployment communities in L.A. The new contract doubles the time of the previous 5-year agreement.
According to the port, the new PLA covers 38 planned and proposed infrastructure projects totaling around $780 million, with more projects likely to be added.
Amazon Looking for Second Home: L.A. Will Make a Bid
September 8, 2017 by Editor · Leave a Comment
Amazon officials announced plans today to open a second headquarters in a large city where the company will employ up to 50,000 workers, and Los Angeles is one of the cities planning to bid on the project.
"I can confirm that we are planning to bid," Alex Comisar, Mayor Eric Garcetti's press secretary, told City News Service.
The company's current headquarters is located in Seattle, where it employs more than 40,000 people. Amazon said it plans to invest $5 billion in the construction and operation of its second headquarters.
According to the company's request for proposals, it wants the new headquarters to be located in a metropolitan area with more than one million people. The deadline to respond is Oct. 19, and the final selection is set to be made sometime in 2018.
"We expect HQ2 to be a full equal to our Seattle headquarters," said Jeff Bezos, Amazon's CEO. "Amazon HQ2 will bring billions of dollars in up-front and ongoing investments, and tens of thousands of high-paying jobs. We're excited to find a second home."
Amazon, a worldwide leader in e-commerce, estimates that its investments in Seattle between 2010 and 2016 added $38 billion to the city's economy.
Los Angeles Region Needs Higher Paying Job, Study Finds
February 23, 2017 by admin · Leave a Comment
Unemployment is down and economic output is up in Los Angeles County, says an economic forecast released Wednesday, but experts said more high-paying jobs are needed to replace those giving way to lower-wage service-sector positions.
The economic study released by the Los Angeles County Economic Development Corp. reports that the county's gross domestic product grew by 2.2 percent in 2016, down slightly from 3.6 percent the previous year but ahead of the national rate. The report predicted that the county's GDP would grow by 2.7 percent over the next two years, also higher than the nation.
Unemployment, meanwhile, dipped to 5.1 percent in the county last year, reaching its lowest point since 2007. The LAEDC report estimated the unemployment figure would slowly dip further over the next two years, falling to 4.9 percent before settling at about 5 percent at the end of 2018.
"Job growth has been positive since 2011, averaging 2.0 percent since 2012," according to the report. "This is expected to slow to 1.5 percent for the next two years as there are fewer jobs needed to be added and as the labor market tightens."
But while the report painted a generally positive picture, LAEDC officials noted that the region needs to tackle a growing problem of too many lower-wage, service-sector jobs being created in place of skilled positions that pay higher salaries.
As part of that effort, LAEDC officials announced they have raised more than $1 million from a dozen institutions in support of a "Strategic Plan for Economic Development," which is aimed at creating higher-paying jobs, making the area more business-friendly and preparing the workforce for skilled positions.
Among those contributing to the effort are Bank of America, various California State University campuses, Citibank, JPMorgan Chase, Wells Fargo and the Roy & Patricia Disney Family Foundation.
According to the LAEDC, the county lost about 90,000 manufacturing jobs with an average annual wage of $52,000 since 2007. Over that same period, the county gained about the same number of positions, but they were primarily injobs such as food service, with an average wage of about $20,000 a year.
LAEDC officials said such a trajectory is "unsustainable" for the region, prompting the push for the five-year strategic plan. According to the LAEDC, the plan's goals include strengthening the area's export-oriented industries to create jobs; becoming more business-friendly; removing barriers to infrastructure development; building more livable communities; and increasing "global connectedness."
L.A. County Still Adding Jobs, Just Not As Many
February 18, 2016 by Editor · Leave a Comment
Unemployment will continue to decline and the number of jobs will continue to grow this year and next in Los Angeles County, but at a somewhat slower pace then in the past four years, according to an economic forecast released Wednesday.
The report by the Los Angeles County Economic Development Corporation predicted that the county's unemployment rate will fall to 6.2 percent this year and 5.9 percent next year — both down from the current rate of 6.7 percent.
"The county added 94,700 jobs in 2015, equivalent to a 2.2 percent annual increase," according to the report. "A majority of the county's major industries added jobs last year, as broad-based growth pushed wage and salary jobs to a record high. Los Angeles County should continue to add jobs at a 1.7 percent annual rate this year, followed by a 1 percent annual rate in 2017."
According to the LAEDC, personal income will continue an upward trajectory, with anticipated gains of 4.4 percent this year and 5.3 percent next year. Combined with a stronger dollar and weaker inflation, household purchasing power should increase as the year goes on, leading to increases in taxable sales of 5.5 percent this year and 6.8 percent next, according to the
"This means local sales and use tax revenues will climb, putting local government agencies on a sounder financial footing," according to the report.
The county is likely to add more than 100,000 residents over the next two years, even with a relatively low growth rate.
"Most of the recent population growth in Los Angeles County has been due to natural increase — births outnumbering deaths — while net migration was slightly negative again last year," according to the report. "The county's high cost of living and lack of affordable housing unites for low and middle-income households are contributing to the slowdown in population growth."
Anderson Forecast: CA Job Market Continues to Improve
June 4, 2015 by Editor · Leave a Comment
Continued improvement in the national construction and automobile industries, along with rising consumer demand, will translate into lower unemployment in California over the next 18 months, according to a UCLA economic forecast released Wednesday.
The UCLA Anderson Forecast says California will see employment growth of 2.5 percent this year, 2.1 percent next year and 1.3 percent in 2017.
"We expect California's unemployment rate to be insignificantly different from the U.S. rate at 4.9 percent during the forecast period and employment growth to then be constrained by the growth in the U.S., immigration and natural growth in the working-age population," senior economist Jerry Nickelsburg wrote in his California economic forecast.
He said the state's unemployment rate will hover around 6.2 percent for the rest of the year then fall through next year, averaging about 5.2 percent.
By 2017, the California unemployment rate will be around 5 percent, roughly the same as the national figure, according to Nickelsburg.
Nickelsburg notes in the report that ongoing economic expansion has led to a spike in long-term unemployment.
"This roughly corresponds to the decline in manufacturing, the shrinkage of a construction sector bloated by the housing bubble, and the changes in the finance, legal and professional services sector," he wrote.
He noted that the younger set of long-term unemployed still have potential to "move their skill sets into expanding sectors," but people who are late in their careers "do not have too many potential years left to recoup the cost of obtaining new or enhanced skills and therefore their incentives are much lower."
But Nickelsburg states in the report that California job creation "continues to be widespread."
"In the 12 months ending April 2015, the top sectors in job creation were health care and social services, leisure and hospitality, administrative services, professional technical and scientific services, construction, retail and wholesale trade," he wrote.
On the national front, senior economist David Schulman wrote in his analysis that despite a "weather-induced" bump in the road during the first quarter, the U.S. economy remains on track for 3 percent growth in the GDP by the third quarter, with the pace continuing through next year
"In this environment, the unemployment rate will drop below 5 percent, inflation will move above 2 percent and the Fed will embark on a gradual tightening process starting this September," Schulman wrote.
He said the money that has been saved by consumers by the drop in gas prices has not trickled into the retail market.
"Simply put, instead of spending, it appears that cash-strapped consumers are paying down debt and increasing their savings," Schulman wrote.


text:
(604) 742-0111
2184 W Broadway Vancouver, BC V6K 2E1
We pride ourselves in providing honest and sincere user reviews. We can't allow clinics to manipulate or remove reviews.
Work Here? Claim your clinic
You might also consider...
Work Here? Claim your practice
Claim your practice microsite to take control of your page.Claim now

subset: commoncrawl


text:
The role of the principal is in constant flux and the number one external influence is change to school regulations that alter the duties of the principal. According to the "The Future of Principalship in Canada," over 70 percent of principals who participated in a Canada-wide study felt that the changes in school regulation had made a significant impact on their school. With new accountability policies and the standardized evaluation of students, principals have more and more demands on their plate. The general duties of the Principal are outlined in the Education Act that can be found in the OPC Handbook or www.e-laws.on.ca. However, it is essential that board policies are followed to avoid corporate liability.
Corporate Liability: Court, tribunal, or other body with oversight determines that there was a failure of some sort, the "fault" may deemed to be that of the corporation, that is, the district school board. It may be that the principal carried out duties in good faith, even if imperfectly, or that the board direction was seen to be insufficient or somehow flawed. The board, therefore, would bear any costs arising out of such a finding, usually through an insurance policy. Common examples of corporate liability can include lawsuits, complaints to the Ontario Human Rights Tribunal, and grievance/arbitration.
The employment contract of a principal contains an indemnification clause that provides legal support to a principal at the board's cost whenever a complaint arises that pertains to the principal's professional duties. This support also provides the payment of any monetary penalties. It is important to remember that a complaint is just that until the claim is determined to have merit. Anyone can file a lawsuit if they feel that they have suffered a loss. The "Statement of Claim" describes that person's view of the cause/effect of the alleged actions or inactions. An investigation will determine merit. This is why documentation is a crucial expectation of the principal. Documentation showing that the principal called the appropriate board personal to seek advice shows due diligence in an investigation. As indicated in OPC's Handbook: A Practical Guide for Principals and Vice-principals, "develop the documentation habit [by] ensuring that forms, reports, records (detailed) are objective and make sure that tracking, filing and retention of information is precise and up-to-date". Communication with the SO is also very important to determine clarity when making important decisions.
So what happens when a principal fails to comply with board policy or acts unprofessional? When a principal is "in trouble", it is deemed that his/her behaviour/actions have been negligent, unprofessional, irresponsible, and having "failed to comply with the board's policies and procedures". The Principal is held accountable by the school board and is liable for their actions.
Personal Liability: A principal is responsible for their own actions. A principal who is alleged to have deliberately violated board policy or to have committed professional misconduct could be found personally liable if those allegations were found to be true. In that case, the principal would bear the consequences of those actions such as discipline, demotion, dismissal. Common examples of personal liability are complaints to the Ontario College of Teachers, complaints to the employer-board of misconduct, or criminal charges. A Member of the Ontario Principals' Council is entitled to the support of the Protective Services Team for assistance in responding to such allegations. The indemnification clause does not pertain to wilful acts of negligence or misconduct.
How do we make time to thoroughly acquire the knowledge and skills while covering all the bases expected in the role of the principal?
There are so many resources that a principal must be familiar with and take into account when making decisions:
- Board Policies and Procedures
- Collective Agreements, Labour Laws
- Ontario Human Rights Code and Legislation
- Safe Schools Act
- Health and Safety
- Family Child Services, VTRA, First Aid Training
Those are just a few I'm sure you could think of more to add to the list. It is absurd to think that the average principal would be able to cite policy and regulation related to every decision that they make. What is important is that unless it comes to immediate safety of students or staff a decision does not have to made immediately. Take your time, rely on your colleagues and supervisor for advice and act in good faith and put the student first. Remember that you are part of a team even if you are a sole principal you are not alone!!


text:
Season 2000
Season 2001
Season 2002
Season 2003
Season 2004
Season 2005
History Articles
Football 101
Dawg Food
Links Page
Site Development
About This Site
Contact Us
Are the Huskies rising from the dead?Malamute, 25 November 2005
I'm into
negative stats afflicting moribund programs, I compared last season's U-Dub
numbers with this season's and made a diagnosis. Is the patient still alive? The
UW is slowly stirring in its projected grave with a barely discernable heartbeat. However, the undertaker, Tyrone
Willingham, must bring in a strong recruiting class to fully bring his corpse to life.
To have a successful season in 2006, the Huskies must rebuild their offensive
line, replace some outstanding linebackers and bring in a lock-down cover corner
or two.
Thirty-three of the 44 players on the two-deeps for the Apple Cup will be back
next season, including nine starters on defense and six on offense; Scout.com
ranks the current recruiting class 24th in the country.
Since Willingham is from the old school, emphasis this spring will most likely
be on the running game, as it was last season.
"Our identity on offense will come from our ability to run the football,"
offensive coordinator Tim Lappano said, early into the 2005 spring practices.
"When we throw, we'll get the ball off quickly and throw what should be a
high-percentage pass…I think we need to make a commitment to the run. The
players have to believe in it. The coaching staff has to believe in it. We have
other stuff and we will do some of that other stuff. But we are going to be a
power-run football team first."
To his credit, Lappano stayed with his plan throughout the season. After the
losses began to mount, it would have been easy to junk his "Spread Coast
Offense," with an emphasis on running, and go with a pure West Coast Offense,
with an emphasis on quick drops and short short passes.
"Russian" to the Red Zone
Head coach Tyrone
Willingham says that Washington won't be successful until it can run and stop
the run when needed. This season's rushing numbers seem to bear that out. The UW
had better rushing numbers than four of its opponents: Idaho (win), UCLA (loss),
Arizona (win) and Arizona State (loss). Against UCLA and Arizona State, one can construct one or more scenarios
in which the Huskies win. In its losses to Cal, USC, Notre Dame, OSU, and WSU,
Washington averaged just 57.2 yards rushing, while allowing 197.6 yards on the ground, being blown out at the line of
The bottom line is that the Huskies both ran the ball and stopped the run better
than a year ago. Rebuilding the offensive line and replacing DL Manase
Hopoi are critical goals. Four of the five offensive linemen who started in the
Apple Cup will be lost to graduation.
The Huskies gave up fewer plays of 20 yards or more that went for touchdowns
than they did in 2004 (16 versus 18) and were able to make more big plays that
went for touchdowns than a year ago (12 versus 7).
The Huskies incurred less penalty yards than last season, coughed the ball up
less (20 turnovers compared with 42) and improved on offensive pass efficiency.
Is there Life after Death?
In UW's last two games, signs of life after death came from the football Gods who delivered
two of the most bizarre plays UW fans have witnessed over the last 10 years. In
the penultimate game against Arizona, life seemingly began with a Hail Mary pass to
end the first half, a 69-yard pass from Isaiah Stanback to WR Craig Chambers, one that
traveled 70 yards in the air. That pass tied the score and sparked a 38-14
victory. A second heartbeat was detected in the Apple Cup when RB Kenny James completed a 65-yard touchdown pass
-- with interception written all over it --
to Sonny Shackelford, who caught the ball standing among three Washington State defenders, then raced 20
yards for the score. However, the Huskies lost 26-22.
Living vicariously through improving stats
During the season, the UW (2-9, 1-7)
improved in 13 out of 21 statistical categories when compared with data
available at the end of last season's debacle (1-10, 0-8). Seven statistical categories
were worse and one was about the same. Overall, the offensive categories
improved while the defensive categories
sloughed off. (See the table below).
Total defense took a
significant dive as did the number for redzone defense
(90.9%). The Dawgs led the conference last year in pass defense; this season,
they ranked seventh in the Pac-10, allowing 275.7 yards per game.
Pass efficiency offense (123.3) improved markedly over
last year's number (78.7) thanks to the continued improvement of Isaiah Stanback
(128.8), who took snaps from center on a regular basis.
Washington's average conference ranking for this year is
7.38, compared with a 7.62 ranking last season. Although the Dawgs improved
on their stats this season, so have many other teams in the conference.
Lux Sit (Let there be light). When all is said and
done, when the numbers have been crunched and spun, the bottom line is that the
Huskies scored more points than they did last year while allowing about the same
number of points.
What Improved (13): rushing offense,
passing offense, rushing defense, passing efficiency offense, total offense,
third-down conversions, penalties, turnover margin,
field goals, punt returns, redzone offense, points scored and kickoff returns.
What went down (7):
time of possession,
passing defense, pass efficiency defense, total defense, punting, kickoff
coverage, and redzone defense.
What was about the same (1): points against
In the table below, the 2005 stats are on the left, with
the stats for 2004 on the right; the ranking number (e.g., 9th) relates to the Dawgs'
place in the conference). The bold numbers indicate improvement. The purple
number means the stat is about the same.
1. Ball Control
Time of Poss.
2. Blocking and Tackling
Rushing Offense
Passing Offense
Rushing Defense
Passing Defense
Pass Eff Defense
Pass Eff Offense
Total Offense
Total Defense
3rd Down Conv.
3. Mistakes
Turnover Margin
4. Field Position
Kickoff Returns
Punt Returns
Punting net/punt
Kickoff cover. *
5. Scoreboard Baby
Field Goals
Redzone Offense
Redzone Defense
Points For
Points Against
* The stats for 2005 involves the net average, while the
2004 stats involve the average.
Richard Linde (a.k.a., Malamute) can be reached at
Original content related to this site, including editorials, photos and exclusive materials
© 4malamute.com, 2001-2005, All Rights Reserved


text:
Revolutionary socialists gave critical support to Hugo Chavez when he came to power in 1999. He promoted a leftist alternative to the parties of capitalism. But after 14 years, the old guards of big money have rebuild their strength. Under the charismatic; Henrique Capriles Radonski, the capitalist opposition has been able to win many voters back. This is not because socialism does not work, it is because Hugo Chavez never created socialism!
The first three years of Chavez were moderate and not very radical. It was only after the failed 2002 coup ( supported by the Bush administration in the USA ) that Hugo Chavez started to turn more radical in his propaganda. Yet his economic politics were rather social democratic and not socialist in his first years. This changed after 2006, when he and the western world started to collide. Western imperialism supported the undemocratic 2002 coup against Chavez and kept calling him a ''dictator'' although he won every election. Only the state media was positive about him, while the private media were all negative!
With the founding of the United Socialist Party of Venezuela in 2007, revolutionary socialists hoped that Hugo Chavez would turn socialist and give power to the working class. The government indeed nationalized some businesses, but the economy remained based on the capitalist system. Also workers found out they had nothing to say in state owned enterprises. Capitalist owners were replaced by state managers who acted just the same as their old bosses!
Many workers faced the might of the state bureaucracy as they went on strike to oppose low wages and stressful workload in state owned enterprises. Instead of supporting workers, the supposed ''socialist'' government attacked the workers and broke up many strikes. Some trade unionist leaders were arrested and jailed for supporting workers strikes. Ruben Gonzalez was one trade unionist who was jailed for leading an ''illegal'' strike. He was sentenced by the government to spend seven years in jail. But thanks to workers, revolutionary socialists and trade unionists he was freed. But his case is not the only one, many workers in state owned businesses face intimidations, if they criticize today's Maduro government!
Revolutionary socialists say that voting on the United Socialist Party of Venezuela will not bring socialism. After 14 years it is clear that the Chavez camp is not planning on brining the working class to power. Many workers have already switched sides and are now supportive of Henrique Capriles. We think this is not good, since the capitalist opposition does not serve the needs of workers. However because of the bureaucratic and sometimes authoritarian rule of Maduro, many feel that Henrique Capriles is a better alternative. This is also because the capitalist opposition is now using leftist rhetoric to beat the United Socialist Party of Venezuela. Henrique Capriles is not talking about privatisations and deregulation of markets. No, he talks about keeping the social programs active and that he will make sure that capitalism will be fair and balanced!
What Venezuela needs is a true workers party. A party based on genuine Marxist socialism, that can led the workers and the poor against the capitalist opposition and the Maduro government. Workers have nothing to gain by supporting either Henrique Capriles or Nicolas Maduro. As a result of his losing popularity, president Maduro is turning more paranoid. Claiming that the USA are behind the death of Hugo Chavez and the failing economy. Blaming others for the failures of your own bureaucratic government is typical for people who are afraid of losing power. We saw it in Libya were Gaddafi blamed Al-Qaeda for the 2011 revolution. In Syria, dictator Bashar Al-Assad says the same thing. Blaming others for their own failures!
The Chavez cult of personality
will not aid Nicolas Maduro!


text:
All new at Marionberry Cottage
This was an early spring project for me and I finally got them completed. These are handcrafted with all vintage pieces of glassware, guaranteed to sparkle in your garden!
for more details on how to purchase go to
Hi Debbie,
I just love your vintage glass bird feeders. They must surely sparkle in the sunlight.
Debbie, I love those, adorable idea for our cottage gardens! Thanks for the tip on making bigger jacket sizes, I would like to make a few sets to sell and you are so right!


text:
|Free hosted galleries
|Zipped sets
|Banners & Links
My zip sets are perfect for those wanting to make their own galleries.
INSTRUCTIONS: Simply click the thumbnail of each set that you wish to download.
Webmasters, I can supply you with other zipped sets, just ask.
I can be contacted
for support via:
You necessarily have to possess a Web site.


text:
Far Out Space Nuts was Sid and Marty Krofft's seventh (or sixth) television show; sixteen episodes aired on Saturday mornings in 1975. The show was co-created by Chuck McCann & Earle Doud.
Plot Edit
One day, while loading up a NASA space shuttle for an upcoming mission, two bumbling maintenance workers, Junior and Barney accidentally launch themselves into outer space (while Barney loaded the astronauts' meals, Junior pressed the launch button when Barney said lunch). The two later crashland on a strange planet, where they meet with an alien they name Honk (who communicates by honking, rather than speaking); each episode features them trying to get back home, only to crashland on a different alien planet.
Notably one of the Krofft's' weakest shows, Fat Out Space Nuts channeled the spirit of earlier Krofft shows, not only featuring characters trying to get home, but because of the heavy slapstick comedy; Sid Krofft even said in an interview the show relied on the Laurel and Hardy-esque banter between Junior and Barney.
Cast Edit
- Bob Denver - Junior
- Chuck McCann - Barney
- Patty Maloney - Honk
Episodes Edit
Far Out Space Nuts was produced for sixteen episodes for CBS's Saturday morning lineup for the 1975 TV season.
- Main article: Far Out Space Nuts Episodes
Production NotesEdit
Far Out Space Nuts was the first Krofft show produced for CBS; previous Krofft shows were produced for NBC or ABC.
- Was the first series completely executive produced by Sid and Marty Krofft (they previous executive produced the final season of Land of the Lost(1974).


text:
I shouldn't have.
But I had to.
I needed to see people, spend time with people, and experience a normal night with… people.
With the unending stress and mayhem that life has seemed to be for the past few months, and with so much work to get moved, and unpacked, and settled, and with the pictures hung, and no more trips back and forth to our old house, or our storage unit, or the trash dumpsters, or to Goodwill…
I was just at that point. I needed to see people. I'm an extrovert. It's how I get right mentally and emotionally once more.
"This can't wait. Let's get you into surgery first thing, Monday."
In that moment, it wasn't the word "surgery" that gave me pause. Oh heck, no. I would have handed the doctor a hacksaw, held out my arm, and declared "take it off now!" if I thought it would end whatever this is I've been going through.
What gave me pause was realizing just how bad it was, just how bad it was getting, and that I probably should cancel my friends coming over that weekend.
But, I had to see people. Doped up? Sure. Unable to move much? Why not? A complete turd of a vegetable sitting on the couch when they came over? Most likely. But I had to see people. So, I told my friends Devin and Daniela what was going on. I told 'em I'd still love to see 'em. And I told 'em we'd have to keep it super low-key and chill. "Bring your bathing suits!" I said. "Let's hot tub it up."
Why not? With all my sits-baths I've been taking, I saw no harm in hot tubbing. In fact, it'd probably help my bum.
I just didn't expect to wake up after the hot tub, with my head resting on the ground next to a public toilet, staring into the faces of my friends as they frantically repeated my name, "Dan, Dan, Dan. Come back to us, Dan."


text:
2326 18th StreetColumbus, IN
Fighting breast cancer can be a physical and emotional roller coaster. As specialists in this field we understand our patients' multi-faceted needs on any given day and have found that a personalized approach gives patients an advantage. Modern technology helps us a great deal, but so does our compassion.
Breast cancer will affect an average of one in eight women sometime in their lifetime. Fortunately, early detection is the key to successful treatment. Studies have shown that, when detected early, the chance for successful treatment of breast cancer is nearly 100%.
An annual mammogram plays a central part in the fight against breast cancer because it can detect changes in the breast that may otherwise go unnoticed. In most cases, mammography can identify an abnormal breast mass as much as two years before it can be detected by touch.
The earlier breast cancer is found, the more treatment options are available, including MammoSite, advanced technology for targeted radiation therapy. At the Breast Health Center, we also have at our disposal the full range of diagnostic capabilities available to doctors today:
Having all of these options means good news for patients, as we are now catching problems earlier and earlier, enabling us to more effectively prevent the spread of cancer. Better tools and promising new drug therapies also help us help treat and stop cancer, if you have been diagnosed.
Our staff consists of kind, caring and passionate people who are only focused on breast health. We want you to feel comfortable, and we want to assist you in any way possible. We understand the special fears and anxieties women have about mammography and breast cancer. Here, you will never feel like a number. The atmosphere is relaxed, and we will meet with you in private consulting and exam rooms. You will not be rushed, and you will have the opportunity to ask as many questions as you need.
Our tireless efforts on behalf of women in this community also include outreach activities like workplace and clinical screening programs, communication with area medical practices, partnerships with community clinics, and educational programming.
Language isn't a barrier to comprehensive care at the Breast Health Center. We have an on-staff bilingual technician, who speaks English and Spanish. If translation is needed for other languages, we will seek the assistance of a qualified medical professional that speaks those patients' language, too.
Nurse Navigators
As the area's first provider of digital mammography, our commitment to providing top quality care is clear. We were the first hospital in the area to offer a Breast Health Navigator program to support our breast cancer patients with a warm, familiar face and someone who consistently assists throughout breast cancer treatment and recovery; from keeping track of appointments to keeping spirits up, and everything in between. Always looking to innovate, we were the first breast health center in the area to have professional, certified breast care nurses to offer extensive education to our breast cancer patients, their families and the community.
Breast Health Navigators are specialized registered nurses who work with patients diagnosed with breast cancer to help them through treatment and recovery. They provide education and support to meet the physical, emotional and social needs of the patient.
Our Breast Health Navigators are all Certified Breast Care Nurses (CBCN). CBCN is the only accredited certification program that is available exclusively to registered nurses and encompasses the entire spectrum of breast care nursing practice.
Board Certified Radiologists work closely with the Breast Health Center team to interpret exams and work with patients to provide results quickly.
Board Certified Breast Surgeons from Southern Indiana Surgery (SIS) are knowledgeable and experienced and work closely with our Breast Health Center staff. SIS has offices on the Columbus Regional Health campus, making them conveniently available for consultation.
We understand the fears and anxieties that women have about mammography and breast cancer. If you need a screening mammogram, you can be seen within one week. Diagnostic mammograms, performed to resolve a particular question related to the breast, can usually be scheduled within 24-48 hours. These diagnostic images will be reviewed by a board certified radiologist and discussed with you during that visit. If a biopsy is necessary, it can often be performed the same day, decreasing the time you have to wait for an answer. Do you have signs or symptoms of breast cancer? Find out what to watch for and learn about breast cancer screening guidelines using the helpful links below.
Symptoms and Signs of Breast Cancer
Breast Cancer Screening Guidelines
Through support from the Columbus Regional Health Foundation, the Breast Health Center is able to offer the Mammogram Assistance Program. Thanks to that support, we can provide qualifying women a screening mammogram for the nominal payment of just $5.
Women who qualify for Mammogram Assistance Program (MAP) have household incomes too high to be eligible for government assistance but do not earn enough to afford screening mammograms through employee health insurance or by direct payment. MAP funds cover the clinical costs of the initial screenings, while the Center's nurses, mammography technologists, and office staff donate their time and expertise toward the effort. We will work with individuals on a case-by-case basis to resolve any barriers and obstacles that are preventing getting care that's needed.
To find out if you qualify, call the Breast Health Center at 812-376-5064.
(Click to enlarge)
Looking at slices from the 3D mammogram exam, the doctor can now determine if the tissue is in fact normal
breast tissue creating the illusion of an
abnormal area. In situations like these patients likely avoid a callback for an additional
Sue Wallace doesn't look like a stereotypical cancer patient. That's because Sue can't help but project who she really is – a strong woman who sees herself as a survivor every day she continues her fight.
Watch the video
Cheryl Kenyon knows first-hand how important it is to get an annual mammogram. Despite not showing any symptoms, her mammogram showed a mass that was cancerous. Read "Healthy and Thriving: Cheryl's Story" on the CRH Healthy Tomorrow blog.
Our Breast Health Doctors
Our team understands that a well-coordinated treatment plan is beneficial for our patients. Follow the link below to learn more.


text:
Routes are posted on the side and front of the jeepney. Operated by private individuals, it can be unreliable. Few jeepneys in the city operate 24 hours. Fare for the first 4 kilometers is 6.50 Pesos. Fare rates have been fluctuating for the past year. Check with the local Land Transport Department.
Important reminders. Jeepneys in Cagayan de Oro are aggressive in picking up passengers. Jeepney conductors would get into your way and ask you for your destination even though you have not asked for their assistance. Some jeepneys (specifically routes going to Carmen, Patag, Bulua, Westbound Terminal, Iponan and Opol) would wait 5 to 10 minutes for passengers in every major street intersection. If you are in a hurry, take a taxi instead.
Do not pay the jeepney driver a 100 Peso bill if you are taking a short trip (7.00 Pesos) They might have difficulty changing your money and you might end up paying more. In jeepneys you are supposed to pay in advance especially if you do not have the exact fare. Immediately ask for your change and count it. Some conductors will give you your change when you are out of the jeepney only to find out later you have been short changed by several pesos.
If there is no conductor, just say "Palihug" or "Please" to pass the money to the passenger nearest to the driver. If you want to get down, just tap a coin or knock on the jeepney ceiling and say clearly "lugar lang". Jeepneys can be fast especially along the highway and you might miss your destination. Tell the driver or conductor ahead of time to drop you off in your specific destination. Keep on reminding the driver or conductor as most are forgetful.
If a conductor tells you that there are 3 more seats available, it usually means that there is only one seat left and the rest would have to hang it out for the entire jeepney trip. Also some conductors and even drivers can be a bit unscrupulous. If you are not sure how much is the fare, ask a passenger.


text:
Shameless young teen getting banged on the sofa Shameless young teen getting banged on the sofa by a horny dude.
Lustful stupid teen getting banged in the couch Lustful stupid teen getting banged in the couch by a monster cock.
Babe banged at her campfire She's getting dirty, and getting DIRTY!
Hot brunette banged hard after tough day in college She needed to unwind after a shitty college exam and cock was the only thing that would do it.
Kei gangbanged from every direction Asian pussy is great, especially with two cocks thrusting their way inside her
Mia Rose gangbanged on the couch as she tries to sell a house One home for sale, comes with very used couch
Tiffany getting banged hard Sexy Tiffany getting banged hard on the couch
Godess getting fucked in the bangbus Charlie Sheen's ex godess getting banged in the back of the bangbus
Hot 18yo getting fucked hard Sexy blonde 18yo getting banged hard on the bed
Amateur GF getting fucked doggystyle Hot amateur getting banged from behind on cam
Cute girl getting fucked from behind Cute amateur girl getting banged from behind in the kitchen
This latina loves to fuck Busty latina getting banged hard
Hot brunette gets dicked down in the bathroom Horny brunette slut gets banged hard in the bathroom
Cute asian GF fucking on the couch Cute asian hottie getting banged in this homemade video
Black Girl Gangbanged Black girl getting gangbanged in a theater takes cumshot on her big titties.
Filthy but sexy blond babe banged Filthy but sexy blond babe banged
Beautiful blond lady banged outdoor Beautiful blond lady banged outdoor
Raven haired beauty banged on bench Raven haired beauty banged on bench


text:
Overhead Crane General Industrial Equipment
Single Girder Overhead Crane sometimes also be called bridge cranes and eot cranes, which are cranes with a hoist or winch traveling along the bridge between parallel runways.
overhead crane general industrial equipment
Product Features:
Beam crane is a kind of crane, which has the characteristics of lifting machinery. It is a kind of machine for circulation and intermittent movement. A work cycle includes: the fetching device starts from the place to pick up the goods, then moves horizontally to the designated place to drop the goods, then carries on the reverse movement, causes the extraction device to return to the original position, in order to carry on the next cycle.
Working institutions
The working institutions include the lifting mechanism, the operating mechanism, the amplitude variable mechanism and the rotating mechanism, which are known as the four major mechanisms of the crane.
Lifting mechanism is a mechanism for vertical lifting of materials, and is an indispensable part of any crane. So it is the most important and basic mechanism of cranes.
The operation mechanism is a mechanism for carrying out horizontal conveying material by running a crane or lifting car. There are two parts of trackless operation and rail operation. According to their driving mode, they are divided into self driving and traction type.
The variable amplitude mechanism is a special working mechanism for the jib crane. The amplitude change mechanism is changed by changing the length and elevation of the arm.
The rotating mechanism is to make the arm frame revolving around the vertical axis of the crane and move the material in the annular space. The crane is used to carry the material through a single movement of an organization or a combination of multiple mechanisms.


text:
Keeping up the good work
By Alex Cormos
If there was one thing that the city of Baltor had plenty of, it was its population: it just so happened that most people living in the area were its inhabitants. The odd thing about all that, though, was the town's population registry: if anyone had bothered to consult the official papers, they would've seen that while the birth rate kept on growing throughout the years, progressively, the mortality rate would've been nowhere to be found. Anyway, this ever-growing abundance of people could not have been any more useful for the biggest factory that place had ever seen – BLM.
The locals could hardly say anything about BLM, probably for the same reason they couldn't say much about the river that passed through Baltor: they were both part of the scenery, of the structure of Baltor, so deeply set in the anatomy of that town, that it seemed like they both belonged to it since the very beginning of time – inquiring about BLM would've been for the locals as absurd an effort as thinking about when and how to breathe or blink. This could've been the reason for the confused looks they would've given to anyone who might've thought them odd for not knowing what that factory was producing, why it was there, or for how long it had been part of Baltor. Things were simple for the locals: Baltor was BLM.
The factory, occupying an overwhelming space right in the center of Baltor, was composed of two long and narrow halls, where people worked in shifts. Amidst those two buildings towered the headquarters of Human Resources, the tallest building in all of Baltor, a grey cube, with numerous little windows, always covered by their plastic blinds; it was the first building anyone heading towards the town would've noticed; if the locals wanted to know the time, they looked not at their watches, nor did they search for the church's short tower: instead, they looked for the electronic clock, placed on all four sides of the grey cube, so that it could been seen from literally anywhere. Then there was the long and shrilling sound of the factory's siren: besides commanding the rotation of the three shifts, it was also the sound which told all people of Baltor how to organize their life, the one which guided them hour by hour, day by day, telling them when it was time to open and close their eyes.
Each Wednesday morning, long before the break of dawn, tens of people got out of their houses into the mist, reddened by the light of the electric clocks, and joined the already long queue which finally led to the Human Resources' building. Those were the new employees, waiting in line, one by one, until it was their turn to step in an office, where they received their work uniform bearing their newly assigned number; from that moment on, that unique number became their signature, their name.
Unlike those who were already employed, the people still waiting in line to be called into the office talked to one another, from time to time, and all those separate, small conversations had a common, recurring subject, a certain "number 4", one of the first numbers of BLM. Each time it was mentioned, people looked towards the left end of the bifurcated corridor. Rumors said that, in order to get to its office, one had to turn left yet again and keep walking, but nobody knew anything less vague. It was said that one time some angry workers tried to get to his office: they had just been made redundant and, instead of going the right way, as they were supposed to, they headed left, to find number 4's office and seek answers and revenge, but they never came back and nobody ever asked anything about them.
Working hand in hand with the head of Human Resources, number 4, the archivist, was often visited by him, who always brought along a thick pile of files. Some said that he was the only one who knew exactly where the archivist's office was and that he was his only link to the exterior. Aside from that, nobody had ever heard or seen number 4, and nobody knew if he had ever left his office.
Three invariable, immutable sounds could be heard in the round, tall, but crammed room: the buzz of powerful white neon lights, which were always turned on, being the room's only source of light – it had no windows at all; the noise of the broken air vent in the ceiling, which barely pumped air in the jammed room; and finally, the mechanical, powerful, sudden sound of a stamp which incessantly counted page after page. The archivist was so sure-handed, that even a metronome could not compare with the precision and regularity of his stamping. Page after page, he quickly went over number 25671's file, numbering his entire life, using the stamp the same way a judge would use his mallet: he stamped his birth certificate; his I.D. card; his high school and college diplomas; his official transcripts; his military book; his marriage certificate; his son's birth certificate; his discharge papers. After he had finished with his file, number 4 put it away without even looking at it – it ended up on the top of the pile of those who had just been made redundant – and moved on to the next one.
The room was filled with heaps of folders which were placed in the smallest corner: in cases, on cases, all over the floor, piled up in heaps that reached the ceiling. If he had ever bothered to look around him, he would have seen himself besieged by files – but he didn't. His eyes were always staring at the file that needed his stamping. The only time he ever looked anywhere else was when he needed to pick up the new files which were brought to him. Other than that, he knew his duty so well, that his hands independently took care of everything. As for the new folders that kept coming in regularly, they were brought to him by the head of H.R. every Wednesday – he'd knock on the door, to alert number 4. After the archivist heard the signal, he'd stamp 10 more pages before he went and get the trolley with the new files. He'd find it at the threshold, standing on some thick, old water pipes and contained both the usual piles, as well as his weekly wage.
The archivist and the head of H.R. only saw each other once and it was said that they'd only see each other one more time, but number 4 had stopped thinking about that moment long ago.
Even though new filed employees were brought in every Wednesday to be disposed of, the room never seemed to be any more crowded than it already was: the air inside that chamber was so wet, that it gradually softened the old files, slowly turning them into a yellowish paste. Pile after pile, the papers dissolved and leaked slowly into the drainage hole.
In the crammed, narrow, tall room, the noises made by the neon lights and the stamp were louder than usual, because the air vent had broken completely and stopped working. Yet number 4 kept numbering page after page, without breaking his rhythm, without looking elsewhere besides the papers in front of him. As the time passed, the noises coming from the neon lights and from the stamp were again just as loud as when the air vent was working, because another type of sound had found its way into the room: growing in intensity, it was a terrible wheeze, uncannily alike to the one the air vent used to make. When it first began, it was almost indistinguishable and number 4 noticed nothing, but as the freshly stamped files kept piling up on the archivist's desk, that timid sound grew into something rough, abrupt, louder and louder; soon enough, it was louder than all the other sounds in the room; soon enough, it interfered with the stamp's rhythm, making it weak, hesitant, powerless, irregular.
Hands trembling, the archivist threw it on the desk and then he tried to loosen his collar as quickly as possible, to set his neck free – his neck which was moaning terribly, uncontrollably – to liberate his chest which was violently gasping for air. Eyes wide opened, blinking and rotating like a mad man's, with his hands still clinging to his shirt, number 4 desperately kept looking for something. He got up and started moving about, stumbling over the folders, breaking their order, mixing them in one chaotic pile. Trying to find his balance by hanging on to the heaps of files which slipped as soon as he touched them, gasping for air, he kept looking for something. When he finally looked up at the ceiling, he saw the air vent. He then got up, feet on his desk, and tried to fix it. Just as he made it work again, he stepped on an enormous, slimy file which just happened to be on his desk and he fell flat on the cold, cemented floor.
After he came back to his senses, the man got up, sat on his seat and took a deep breath. He rubbed his bones, which started aching, he wiped the narrow trace of blood off his forehead, he massaged his temples, ending up holding his head, keeping his eyes closed. He then remembered something and looked around his desk, until he discovered the folder which had made him slip and fall – it was so heavy and sticky that he almost could not move it. It did not have any sort of code, nor any numbers or letters by which he could have recognized it. He also could not recall ever seeing it.
When he opened it, he saw that it had already been completely stamped. The first few hundred pages were almost incomprehensible, because the wet air had dissolved the printing, making it unreadable. As he kept on turning the pages and as the writing became clearer, the man's eyes grew more and more restless, alert, big, as if they wanted to pop out. He figured out that all those who had been archived there had been fired a long time ago, but what he did not understand was why they all had the same number, the number 4. Page after page, the employees were different, but the number remained hauntingly recurrent. Moreover, their files were different from the ones he had stamped so far, because the ones he had just found had no mentioning of how long the employees have worked at BLM, before they got fired. He then realized that even he could not remember for how long he had been working there – that was when he started loosening his collar again, gasping for air.
Wiping out his forehead to clean up his blood, he turned back to the file, frantically turning the pages until he stopped abruptly: he had got to his own papers and they had been already numbered. Before he started reading them, he stared at his own photo, at his own face and he couldn't remember when was the last time he'd seen himself. He turned a few more pages, just to convince himself that he was right, that the file kept on going, others having already taken his place, their pages already having been stamped, even though…
He didn't have time to turn back to his own pages, because he was interrupted by a gentle knock on the door. Turning pale, with that knock so violently pulsating inside his head that he had to open the door, he closed the folder. He had to leave the room and follow the head of H.R. What he didn't know and what he never found out, just as none of them before him, or after him knew either, was that everything had been planned out by the head of H.R.: he was the one who had broken the air vent and had placed the folder on his desk, so the man would step on it, fall, get hurt and then read it, just before he'd have been made redundant. Company's policy.


text:
I'm going to describe the proceedings of a fairly typical Prefects' Meeting at my school - specifically, the one that occurred soon after the occasion I caned Alan Pike for bullying, described in a previous post. As part of the agreement between Alan and myself that meant I did not force him to see the Headmaster, I had decided to refer him to the Prefects' Meeting for further punishment above and beyond that I was permitted to inflict myself.
The Prefect's Meeting consisted of 18 boys - it was chaired by the Captain of the School, the five House Captains also attended, as did 12 School Prefects. The six Captains were considered to be Prefects, but also more than Prefects. We Captains had our own real disciplinary powers in that we could administer the cane to those under our authority - the Captain of the School to any boy in the School, the House Captains to any boy in their house. The only exception was that the Captains couldn't cane Prefects - nor could most staff members - Prefects were technically subject to corporal punishment by the Headmaster, his Deputy, their Housemaster, and the Matron, but in practice this was extremely rare - and if it did happen, you were fairly likely to lose your position as well.
With the exceptions of the Captains, Prefect's didn't have any official disciplinary powers of their own - but they could refer a matter to the Prefects' Meeting where after a vote determining whether we believed the accused to be guilty or not, the School Captain could hand out all sorts of punishments including the cane. Prefect's could use this power to unofficially impose other punishments - "I won't refer you to the meeting, if you write out 50 lines." But all their authority really came from their power to refer people. The Captain's could refer people to the Meeting - but rarely did, because they didn't need to do that to punish someone.
We took the meetings pretty seriously - for someone to be brought up in front of the meeting, we had to file charges with their House Captain, who was then responsible for making sure they knew they had to attend. Failure to attend, without a very good excuse, would result in referral to the Headmaster who would almost certainly administer a flogging.
In this case, because I myself was leveling the charges, I ensured Alan Pike knew when he had to attend, and I was responsible for setting up the meeting.
Prefects' Meetings were held in the Prefects' Room - which had been the Masters' Dining Room at some point in the past. It was a pretty nice room with a long table which could accommodate all of us, and over the years assorted chairs and tables had been crammed into the corners. None of the furniture was in the best condition, which was a pity, because it was probably very expensive when it was purchased.
Setting up for a Prefects' Meeting was pretty simple - but we only bothered doing it properly when someone was facing charges - for just a normal administrative meeting, we basically just put up with the mess - and there was a lot of it. Personally I wonder if the requirement placed on those leveling charges to clean up the room wasn't some sort of attempt to make sure it wasn't done frivolously. Basically I had to clean away all the papers (typically stuffed them into drawers), make sure all the seats were in the right place, and sent up the block and dock. I've mentioned the block in a previous post - basically an old kneeler from the school chapel. It was stored in a storeroom next to the Prefects' Room, and it came out for use at the Prefects' Meeting and in public beatings - I've described its use for those in that previous post. When used at the Prefects' Meeting, it served two purposes - we placed it in a corner, and the accused stood behind it, during their hearing - it basically served as a court room dock. If the Meeting decided on corporal punishment as a penalty, the condemned would be caned while bending over it in its block incarnation.
It probably took me about half an hour to get the room ready - but when it was, it was a reasonably impressive place designed to highlight our importance in the school. The last step was to place chairs outside the door for the accused - a chair for each person accused at the meeting (sometimes there was more than one) with a card with their name on it sitting on it. Disciplinary Hearings were held after we'd been through the administrative business - and the accused owed it to himself to be waiting in that chair when we were ready for him.
On this day - administrative issues probably went for about twenty minutes - I can't remember any details of that, and they are not really relevant. Everybody knew there was a 'trial' on because of the way the room was set up. Nobody, except me, knew much of the details - I hadn't told anyone. Finally, as administration ended, the School Captain asked the Prefect nearest the door to let the accused in.
Alan came in - he knew the routine, he'd obviously been called up before. He walked straight across the room to the dock. The Captain spoke:
"Pike - you've been summoned hear to face charges. Do you give your word of honour to speak the truth in these proceedings?"
"Yes, I do."
"Who brings the case?"
I stood up. "If it pleases this meeting. I wish to refer Alan Pike to this meeting's decision. There is one charge at issue..."
A Prefect spoke up. "Point of Order."
The Captain: "What is the Point of Order?"
"Mister Rysher is Pike's House Captain. He has no need to use the Prefects' Meeting as a disciplinary forum."
The Captain: "That's not a Point of Order. The issue is not whether Mister Rysher had the need to use this meeting, it is whether he has the right. He is a prefect. He has the right. We move on."
The Prefect concerned - who was a member of the same sporting teams as Pike - didn't look too happy about that, but I continued.
"There is one charge at issue. Pike is charged with directing abusive behaviour at a Prefect. Is there any need for detail?"
The question on 'need for detail' had two purposes. First of all, if the charge seemed frivolous, any Prefect could call for an immediate vote on dismissal of charges. That very rarely happened - and certainly wasn't going to happen on a charge of abusing a prefect. But it also gave the School Captain the chance to ask the accused whether he admitted the charge - if he did, we might be able to avoid the whole meeting.
The Captain looked at Pike. "Pike - you have heard the charge. Do you admit to the charge?"
"Yes, I do."
"Do you wish to offer any statements in mitigation?"
I held my breath - I really hadn't thought this through very well. I'd expected to be able to present my case in full - explaining that I had tried to talk to Pike informally about a potential problem I saw and he had started abusing me, and threatening me, and had come very close to hitting me. And that when I'd refused to back down, and had told him I was going to cane him, initially speaking his abuse had continued. By admitting the charge, he'd taken the wind out of my sales. By the rules, he could now give his version first, and I didn't know what he would say.
Pike looked at me. "No, I do not wish to offer any mitigation, beyond formally apologizing to Nathan Rysher for my behaviour."
The Captain started passing out sheets of paper to each of us. "Guilt is admitted, and so is not at issue. All I need from all of you is to write down what punishment you believe Pike deserves for this infraction."
Pike's friendly Prefect spoke up again: "Hang on - I still want to know why Rysher has called Pike before this meeting - he can cane himself. I think we need..."
The Captain snapped at him. "That matter is resolved. There is no point of order. Pike has offered no mitigation - if he had a concern he could have raised it. You know the rules. Assess punishment."
When my sheet came to me, I simply wrote on it: "Cane: 6" which is what I felt was deserved, and passed it back. Most of the others passed theirs back very quickly as well - a few (there were 17 of us writing) took quite some time writing fairly long pieces before they passed theirs back.
The Captain looked at every sheet. "Pike, the assessed penalty of this meeting is that you receive three strokes of the cane. Do you wish to appeal to the Headmaster?"
Three strokes - that didn't impress me. Three strokes was what fourth formers got for smoking - this fellow was a sixth former who'd threatened to beat me up. Now, all right, I'd already given him six strokes - but officially none of my fellow prefects knew that, and if they knew it unofficially, they shouldn't have let it influence their vote. I wasn't too happy about this - but I held my tongue.
The Captain went to a cupboard, unlocked it, and took out the cane kept in the Prefects' Room for these meetings. I went down and placed my hand on Pike's arm, as two other prefects moved the block into a more central area at the base of the table. A couple of others began pulling the curtains of the room closed.
The Captain came down the room to the foot of the table, where the block sat.
"Bend over, Pike." He slashed the cane through the air a couple of times. Alan Pike bent over the top of the block while the Captain swished his cane through the air a couple of times. He wasn't held down - that was done over the block for public beatings, but not in the Prefects' Meeting.
The Captain took up position next to Pike. He set his legs slightly apart, and probably stood three feet away or more from his target. He lifted the cane above and over his head, reaching so far back that it was pointing almost at a point on the ground behind his feet, and then slashed it up and forward and down, his arm straightening with a final, almost a whip crack motion, just as the cane struck its target area.
Pike jerked on the block. I winced. I think most people in the room did - I don't know if the Captain had been practicing, but that was a savage stroke. I'd seen plenty of caning at this age - the Captain was probably in the top five of all the caners I'd seen in terms of effectiveness, which was truly impressive as he'd only had the power to cane for a period of weeks at this time, and some of the others I'd seen had been doing it for probably forty years.
The Captain raised the cane again, and repeated the stroke - there might have been five seconds between the two strokes. Pike yelped at that stroke. And I remember thinking that three strokes wasn't a bad price at all to pay if they were strokes like this.
The third stroke was the equal of the first two. Pike didn't call out again, but when he was asked to stand, he was pretty much fighting to hold back tears.
"You can go." The Captain turned to everyone else. "We'll close the meeting. Rysher, I'll need you to witness the notes." Normal procedure since I'd brought the charges.
Everybody else trooped out - I drew back the curtains while the Captain filled out the large ledger that recorded all the punishments of the Prefects' Meeting. And I went up to sign it.
"Nathan, don't you ever do that again? Or I'll report you to the Headmaster."
"You know what I mean. You caned him, didn't you? And then you referred him to the meeting for more punishment."
"Well, yes, I did, but..."
"Shut up. Look, you can't do that. You can't give your top whack and then still want more. If top whack isn't enough for you - you need to refer him to the Head."
"Hang on - I had my reasons."
"No - I don't want to hear. Listen, three of the chaps think you went too far - they want me to look into this. I'm not going to."
"Why not? Look, I didn't the chance to put my side of the story..."
"Nathan. I don't want to hear it. Look, Nathan - consider this from my point of view. All right, maybe you had a reason for doing this. Maybe. Maybe there's a good reason that you did this, and you could tell me, and I'd agree. But maybe not. I don't want you to tell me what happened, because if you do, and I don't agree, I will have to see the Headmaster about this. I'd have to report you. And you'd probably get a flogging and you'd probably lose your position. I backed you up, all right. I did the deed. I'm giving you the benefit of the doubt on this occasion, that you did have a good reason. I don't want to hear anything that might change that opinion. But don't do this again. If you bring someone up before the meeting again, and you've already punished them - well, I'll have to report it, before somebody else does."
"All right. But I did have a reason."
"Yeah, well, I believe you probably did. But let's not tempt fate."
I decided he was right. The fact is he'd backed my authority - he really had to, because his authority came from the same place. And if he'd felt the need to report me - well, regardless of whether or not the Headmaster believed my story, he'd probably back the School Captain over me, as well - if he believed me, I might not lose my position, but I'd almost certainly still suffer the indignity of being the first Prefect in at least a dozen years to get the cane.
Sometimes you have to play for a draw.
Back to the index.


text:
Brown University officer accused of assaulting student fired
PROVIDENCE, R.I. (AP) — A Brown University police officer accused of assaulting a student from another college has been fired.
The Providence Journal reports (http://bit.ly/1R7ovIV ) the school announced the firing Tuesday in a campus-wide email.
A disciplinary hearing found the officer didn't follow departmental policies and procedures. The officer hasn't been named.
A Dartmouth College student told the Brown Daily Herald student newspaper that the officer slammed him against a wall, threw him to the ground and handcuffed him Nov. 14. It happened during an annual conference that brings together Ivy League students to discuss race, gender and socio-economic issues.
Brown President Christina Paxson has apologized to the campus community for the "fear and pain" the encounter caused.
The student didn't respond to requests for comment from The Associated Press.
Information from: The Providence Journal, http://www.providencejournal.com
Sorry we are not currently accepting comments on this article.


text:
T-REX® Ferociously Strong Clear Repair Tape - Clear, 1.88 in. x 9 yd.
Designed with extreme adhesion to rough and wet surfaces, T-Rex® Clear Repair Tape is built with an all-weather crystal clear construction, making it ideal for repairs over a wide range of temperatures and weather conditions. Built with long-lasting holding power and a durable puncture resistant backing, this clear repair tape provides a waterproof, and UV- resistant seal to almost any repair. Add a see-through finish to a cracked cell phone screen, fix a cracked or damaged headlight or fix nearly anything with a durable repair when camping or fishing. No matter the fix, big or small, T-Rex® Clear Repair Tape is up to the challenge for the most ferocious projects.
- Aggressive adhesive sticks to wet surfaces
- All-weather for use on indoor and outdoor repairs
- Applies at below freezing temperatures
- Hand tear-able for easy application
- Waterproof backing for water-resistant repairs (after application to surface)


text:
upgrade from vle 1.0.3 to vle 1.1
Upgrade vle to vle 1.1
On linux: install missing packages, see the building from source page. Then install from sources.
On Win32, remove the
Mingw and
CMake software since they are now
embedded into VLE, unless you use it for other applications.
And install vle-1.1.
Upgrade your package developped under vle-1.0.3
First of all you should save your package before trying to update it. The modifications to perform on your package proposed here rely on the fact that you did not modified the mentioned files. While updating these files, you should also take into account the modifications you performed.
Update the cmake scripts.
a) In the directory
mypkg/cmake, remove all files and add all files are here:
b) Replace the file
mypkg/CMakeLists.txt by this one
Update the project name : replace
MyProject into the line
by your package name. Uncomment all extensions you need for your package, eg.
remove the symbol # in front of
VLE_CHECK_PACKAGE(DIFFERENCE_EQU vle.extension.difference-equation)
if (NOT DIFFERENCE_EQU_FOUND)
message(SEND_ERROR "Missing vle.extension.difference-equation")
endif (NOT DIFFERENCE_EQU_FOUND)
c) Replace the file
mypkg/src/CMakeLists.txt with the file here
Into this file declare the dynamics you compile for example replace the line
DeclareDevsDynamics(Simple "Simple.cpp") by :
DeclareDifferenceEquationDynamics(Mymodel "Mymodel.cpp")
DeclareFsaDynamics(MymodelFsa "MymodelFsa.cpp")
Update the cpp files into
a) replace macros
DECLARE_NAMED_DYNAMICS with
Only one dynamic can be defined into a library. If you have more than one of
these macro (for example also
DECLARE_DYNAMICS_DBG), you should split them
into different cpp files and declare as many as dynamics as those files
(see 1.c).
b) if the dynamic uses the random number generator
utils::Rand, it has to be
declared as a class member of the dynamic because PRNG is not provided at the
level of the simulation. So add a class member to your dynamic.
#include <vle/utils/Rand.hpp>
vle::utils::Rand mrand;
c) replace all occurences of
vle::devs::Time::infinity with
d) many includes have changed : no more global include for value, utils, devs… For example :
#include <vle/value.hpp> with
#include <vle/value/Matrix.hpp> if
you intend to use matrices.
#include<vle/utils.hpp> with
#include <vle/utils/DateTime.hpp> if
you need to convert dates
This is also true for extensions, which are now part of packages: For example,
#include <vle/extension/DifferenceEquation.hpp> with
#include <vle/extension/difference-equation/Multiple.hpp>.
e) replace the call to
output.addEvent(evt) by
(mainly in Decision and Executive extensions)
Update the vpz files into
a) using a text editor, remove the xml tag for replicas, remove a line which looks like :
<replicas seed="581869302" number="1" />
b) update the output tag to point output plugins to vle.output ; e.g : replace
<output name="vueHorloge" location="" format="local" plugin="file" >
<output name="vueHorloge" location="" format="local"
package="vle.output" plugin="file" >
c) update the dynamics : set the name of the package and the library. The tag "Model" is no more used because there is only one dynamic by library


text:
Shyanne Girls' Cold Shoulder Short Sleeve Knit Top
Item # 2000226719
- Shyanne Girls' Cold Shoulder Short Sleeve Knit Top
- Item # 2000226719
$29.99 Original Price -$5.00 Sale Savings
$24.99 Final Price
17% Total Savings
Additional Information
Features & Description
- Knitted cotton blend
- Scoop neckline
- Cold shoulder flutter sleeves
- Screen printed floral design on front
- Regular fit
- Machine wash cold, tumble dry low
Your little cowgirl will love the style of this Shyanne Cold Shoulder Short Sleeve Knit Top. This top features cute cold shoulder short sleeves with a floral print on the front. The sleeves have a fluttering fit for added style. She'll love showing off her style in this Shyanne top.


text:
Gawker Articles: X-Post / 5 StoriesAuthor: Jon Martin | Wednesday, March 24th, 2010 |
It was a productive evening… O_O… and 2 of my pitches didn't pass.
- Gawker Articles: The Tea-Baggers/ Kyle Kinane
- Gawker Articles: Healthcare Reform Legislation Signed
- First post
- Chelsea Lately and Tiger Woods
Current Pageviews: 2,542 views
This entry was posted: on Wednesday, March 24th, 2010
Tags and Categories: news, self-promotion
Follow Article Comments: RSS 2.0
Comment/Trackback: Log in to comment.
Log in to comment
Comments Off


text:
Cork Flooring
Cork flooring's unique aluure
Cork's Construction and Eco-Friendliness
Hardwood is noted for its natural beauty and strength, but its hard surface makes it a less popular choice for certain settings. For a softer wood feel, take a look at cork flooring. Cork flooring has a unique cell structure, so its appearance and texture is different from other wood floors. It, however, does possess wood's natural durability and strength.
What's most noteworthy about cork is its special construction. Cork's construction means that it is softer than other wood floors such as hardwood and bamboo. It is therefore more comfortable underfoot, and it's also warm to the touch. Cork, however, does not sacrifice anything in terms of durability. Its elastic properties mean that indents will fully or partially recover, so it can withstand foot traffic and most drops. These properties also help cork reduce sound.
Cork is also one of the most eco-friendly flooring options available. It is made only from the bark of the cork oak tree, so the entire tree is pretty much unharmed. In addition, cork does not trap dust and allergens, so it contributes to a healthier setting. So, you can certainly rest easy knowing that your new cork floor is friendly to the environment around you.
To learn more about cork flooring, visit Benjamin's Carpet One. Our flooring experts will help you choose the perfect cork floor for your next project, and they will also walk you through the entire floor buying process.


text:
Maharashtra SSC result 2019 Declaration date: In the academic year of every school should conduct the annual exam. But for the 10th standard, the system will be varied. This is because that, the government has framed the common exam for the 10th standards. They will make the common exam for both public and the private school.
Maharashtra SSC result 2019
By this way, they can get to know about the level of the students. And this exam will be conducted for every year without fail. This exam will be organized by the public sectors. Thus the exam committee members will be public sector people. Maharashtra SSC result 2019 declaration date will be released in May 2019.
The exam committee members will take care of the exam. They will conduct the exam after every arrangement of the exam is over. Before that, they will provide the admit card for every candidate who is ready to attend the exam. In that admit card, they can get their photograph along with their unique roll number and their personal details. You can check Maharashtra SSC result 2019 from the official website. This is considered as important to appear on the exam. If the candidate is appearing without the admit card to the hall, they will not allow them to write the exam.
The exam date will be announced after this procedure. The exam date can be viewed at the official address of the exam. This website will be helpful to get every update of the exam. Only through this website, they will provide the news of the exam. The candidates can get their Maharashtra SSC result 2019 date and work according to that. The exam will be conducted on the specified date. So, they have to appear for the exam hall on that date with their admit card. Likewise, they have to appear for every exam.
Check also:- Maharashtra 10th result 2019 name wise
The question of the exam will be asked according to their syllabus. The exam will announce the Maharashtra SSC result 2019 soon after the exam gets over. The exam result will be validated by the expertise teachers. They will provide the marks based on the answer key. They will consolidate the total marks of the students and finalize their results. The Maha SSC result date 2019 will be available on the official site. The candidates can log on to the official site and know their result by using their unique roll number.


text:
Healing Brew heals for an additional 42 (+4% per level) over 3 seconds. While Fast Feet is active, this heal amount is increased by 100%.
Healing Brew (Q)
Mana: 25
Cooldown: 4 seconds
|Heal lowest Health ally (prioritizing Heroes) within 6 range for 181 (+4% per level) Health.
You need to log in before commenting.
[-] Collapse All Comments


text:
According to an article in CIO Today, most Americans don't believe everything they read online. The article cites the most recent study from USC Annenberg School's Center for the Digital Future regarding Internet trends and usage, a survey that looks back at the past decade of Internet use in the U.S. and has been taken every year since 1999.
The New York Times co-Social Media Editor Liz Heron thinks that her position at the Times is a transitional one, and may not even exist in five years, according to a post at Nieman Journalism Lab. As newsroom practices evolve, integrating social media into daily activities will become more of a team effort.
An article in MediaPost cites a Pitney Bowes study which states that social media may be one of the least effective ways to encourage customer loyalty. Only 18 percent of the 5,000 respondents to a survey said that they would buy from a business again because of interaction through social media.
A question and answer session conducted by MediaShift with Nobel Prize-winning scientist Steve Running has shed light on the two-edged sword that new media brings to the reporting of new science discoveries and developments.
"New" Definition
After almost a year of research, the Public Relations Society of America recently announced their definition of PR: "Public relations is a strategic communication process that builds mutually beneficial relationships between organizations and their publics." As noted by PR Newser, however, Trylon SMR found a remarkably similar textbook definition that has been in use since 1952, raising questions about the usefulness of the effort.
In addition, PRSA's corresponding word cloud omitted "media" and "publicity," which is like the American Bar Association defining their profession by omitting the words "jury" and "lawsuit"...
|Our newsletter is sent to those with interest in media and media relations. If you would like to receive this on a monthly basis, just click on the link above. If you would prefer to not receive future newsletters, you can use the same link to unsubscribe.


text:
What do you see as some of the most significant indicators that investors are facing increasing risk and uncertainty?
Bob Wiedemer
For more information please get in touch with a Monex Account Representative at 1-800-444-8317.
Free Prepare & Diversify with Gold & Silver Report
Many investors are faced with the challenge of having to prepare their portfolios during a time of economic uncertainty. To help investors prepare, Monex is now offering our customers and prospective customers open access to the latest available analyses, forecasts and recommendations on investment diversification with precious metals from the widely-recognized financial market analyst, author, and Managing Partner of CPM group, Jeffrey Christian. When you discover what is presented in these reports, you'll see why we here at Monex believe it is urgent to consider diversification with precious metals. For your free reports please speak to a Monex Account Representative now by calling 1-800-444-8317.
IMPORTANT NOTE: The information presented in these video clips is solely a highlight of the opinion of a third-party and is incomplete. Please visit the website and/or subscribe to the publication for the full and timely opinion of the individual and call a Monex Account Representative for any additional up-to-date information. This is not an offer to buy or sell precious metals. Investors should obtain advice based on their own individual circumstances and understand the risk before making any investment decision.
Video Transcript
Bob Wiedemer: It's interesting, you always look at the smart people sometimes in a market and what they're thinking, because well... they're the smart people and they should know. Well, some of the smart people in the markets, some of the smartest people are the people that have to buy other companies for a living. They work at big corporations and they spend their time looking for other companies to buy. This has been big business for Wall Street, for companies. This is the way they've grown, because frankly, sales growth has not been that good for a lot of companies so they need to buy companies to grow.
What I've just read is that these people are getting nervous about how expensive everything is. They're buying very carefully. The prices are high. They don't like it, but there's not much choice. It's like being in a housing market. What do you do? The prices are high, but you still buy, but at some point, they know, we all know, that it's got to go down. It can't continue at an ever-higher price, unless there's something justifying it. Just like March 2000, everything had been going up, everything looked great, internet was good, everybody agreed it's a revolution, but it just became too high priced and boom! It fell. Doesn't even necessarily need a trigger event for that to happen, a news event. When markets get high and people are worried. You know, they're all kind of looking around going... you know it, I know it, let's all hope it keeps going, and then something breaks and that's when the panic and the nervousness really starts to show. You don't see it before, of course, the pop. Just like March 2000, you didn't see it in January or February, you just saw glowing reviews, but then it hit. No trigger event needed.


text:
Renewables Key to Seven Point Plan for Energy Security
A dramatic expansion of renewable energy will strengthen America's economic, energy and climate security, but it is critical for policymakers to take action this year, FPL Group Chairman and CEO Lew Hay told the nation's utility regulators today. FPL Group is the nation's leading renewable energy provider.
"Our nation is at a critical moment in history, confronted by a triple threat of challenges – an economy in recession, an overdependence on foreign energy, and a warming planet," Hay said in a speech to the National Association of Regulatory Utility Commissioners in Washington, D.C. "Simply put, we must create a clean-energy economy for the 21st century – one that will help pull our economy out of recession, strengthen America's energy security in a volatile world, and address the threat of global climate change."
Hay cautioned, however, that these important national goals can be derailed by shortsighted policies that make it financially impossible for utilities to embrace clean energy or that saddle customers with too high a cost, too quickly.
Seven-Point Plan for Energy Security
Hay charted a seven-point plan to make the transition to a low-carbon economy.
First, he called on policymakers to enact mandatory climate change legislation this year that puts a price on carbon. "We must 'make polluters pay.' Only when carbon carries a price equal to its cost to society as a whole will we have a level playing field among all forms of electricity generation," Hay said.
Second, Hay called for investment incentives for renewable electricity generation, coupled with the enactment this year of a national renewable portfolio standard (RPS). "Our current energy policy is too vulnerable to short-term fluctuations in the price of fossil fuels," Hay said. "A national RPS will put a floor under the price of renewables by ensuring demand for wind and solar energy. At the same time, it is likely to lower electric bills in competitive markets by reducing the price of natural gas, according to the Energy Information Administration."
Third, Hay urged support for a significant expansion of transmission capacity. "The current system was never intended to move lots of power over long distances or to handle the large amounts of wind and solar energy we have seen coming online in recent years," Hay said. "It was designed for a different, more provincial era – for Nikola Tesla, not the Tesla roadster."
Fourth, Hay called for converting 50 percent of the nation's automobile fleet to plug-in vehicles by the year 2030, which would reduce dramatically America's oil imports, strengthening both national security and the country's balance of trade.
Fifth, Hay said the United States should adopt a robust nationwide energy efficiency campaign that strengthens standards for buildings and appliances and provides incentives for homeowners and utilities to invest in energy efficiency.
Sixth, calling coal "too abundant, too domestic and too cheap" for America to abandon it entirely, Hay urged passage of legislation providing substantial research and development support for carbon capture and storage—specifically, the Carbon Capture and Storage Early Deployment Act introduced last year by Rep. Rick Boucher (D-Va.).
And seventh, Hay stressed the need for the country to build more nuclear power plants. "The simple truth is that any effort to combat global climate change will fail without more nuclear plants – the only current source of energy that is abundant and carbon-free," Hay said. He added that a true nuclear renaissance would rebuild a part of the energy economy in which America once led the world and create thousands of high-tech, high-paying jobs.
To support the transition to a low-carbon future, Hay urged regulators to ensure that utilities remain financially capable of investing in the clean-energy economy. The credit crisis has made it difficult for all but the most creditworthy companies to raise capital, and even they have to pay more, Hay said. "Now more than ever, establishing reasonable returns on equity is essential," he said. "Utilities cannot afford to suffer credit downgrades. Impatient capital will either find another home, or it will become far more expensive, saddling customers with unnecessary costs."
Accurate, Expert Analysis. Get the Inside
Scoop Before It's News. And it's 100% Free.
Upcoming Events
Recent Comments
With the advantage of writing a few years after this blog was originally produced, the answer seems to be Molten ...By jonno on Nuclear Energy Waste–Making Mountains Out of Mole Hills
I AM THE GREAT CORNHOLIO I NEED TP FOR MY BUNGHOLEBy cornholio on A Tour Inside Vermont Yankee Nuclear Power Plant
sometimes i sit in my closet and cry while eating vanilla wafersBy xxxexterminated on A Tour Inside Vermont Yankee Nuclear Power Plant
sepnu pues ( read it upside down)By oh yeah on A Tour Inside Vermont Yankee Nuclear Power Plant
you have to go to epic games website on your mobile device, and download the fortnite installer, from there you ...By oh yeah on A Tour Inside Vermont Yankee Nuclear Power Plant
IdkBy Whateves on A Tour Inside Vermont Yankee Nuclear Power Plant
HiBy Can on A Tour Inside Vermont Yankee Nuclear Power Plant


text: Our first stop in Costa Rica, after the wonderful grounds of the Bougainvillea Hotel outside San Jose, was the La Paz Waterfall Gardens up on the rim of the central highlands. The Gardens are famous for waterfalls and birds, but they also have many of the mammals of Costa Rica in enclosures, and a large butterfly house. Of course, hummingbirds are their speciality. We saw a dozen species easily around their feeders. This is the Black-bellied Hummingbird, among the new species for me. An elegant little fellow. 🙂 Sony Rx10iii at 600mm equivalent. Program mode. 1/250th @ ISO 1600 @ f4. Processed in Polarr.


text:
Cement a love of the cosmos with your love of alternative ear piercing in one fell swoop with our fierce Star Plug. This stellar flesh plug, which is made from horn, comes in sharp monochrome tones, with a 5-point star in black on a white background. The cool Star Plug comes in a range of sizes, going up in 2mm increments from 6mm to 25mm, meaning that whatever stage of stretching you're at you don't have to compromise on your look. We think the star is a strong, confident symbol - it's been used for millennia in flags, religious iconography, on the doors of famous people's dressing rooms and, of course, to adorn the Hollywood Walk of Fame. One thing's for sure - when you're wearing our Star Plug, you'll look out of this world.
Copyright © 2019 Dolly Mixture Clothing


text:
Sugar-free isn't the same as carb-free or calorie-free. While some sugar substitutes are carb-free, most have carbs. Sugar-free foods affect your blood sugar exactly like the sweet stuff. So read that label. Sugar alcohols are carb-heavy and cause diarrhea and stomach ache.
Vidya Sury
Vidya Sury loves her work as a writer, editor and blogger. On really busy days her time off is restricted to playing with her dust bunnies and celebrating the little things. She loves coffee, people, cooking, books, writing, photography, travel and social media - and showing her diabetes who's boss.
Latest posts by Vidya Sury (see all)
- Manage Stress, Manage Diabetes - November 10, 2018
- Tip to fight fat - July 6, 2018
- Add protein to every meal - January 10, 2018


text:
Axel River- he has been looking forward to this day for a year. our park, covered in leaves
Autumn Rain- sweet and nurturing, stealing kisses from a worn out brother
Ari Indigo- sleeping in mama"s arms is rare. such a special treat
photo of each of my kids once a week through 2013,
inspired by Jodi


text:
Bundled payment models, part of the movement away from fee-for-service and toward value-based payment, are generating positive results with industry leaders going on record to support their progress.
In fact, providers Premier is working with that are participating in bundled payment programs with the Centers for Medicare & Medicaid Services (CMS), such as the Bundled Payments for Care Improvement (BPCI) and the Comprehensive Care for Joint Replacement (CJR) programs, tell us they are encouraged by how bundled payment care redesign efforts are engaging physicians, patients and other providers, as well as leading to lower costs and better outcomes.
Bundled payment programs impact all patients
It's important to note that though bundled payment arrangements have been largely driven by federal programs, the successes providers are achieving are impacting more than just Medicare patients. In fact, the quality improvement processes required for success in CMS bundles create care delivery and other changes across the episode population that can impact all patients with similar conditions receiving care at participating organizations. This is because providers are following a care plan that doesn't differentiate between payers.
Providers achieving success in bundled payment programs with CMS can leverage these care delivery improvements by negotiating bundled payment carve outs with commercial payers (e.g. traditional commercial, Medicare Advantage). Since CMS models impact more than just Medicare patients, commercial payers are benefitting from better patient outcomes and lower costs for beneficiaries treated at participating facilities. So, it is important that providers succeeding with CMS bundled payment models seek out and partner with commercial payers to achieve additional financial success.
Smart business choice for continued economic viability
If executed properly, bundled payment models also create opportunities for providers to leverage greater financial incentives. For example, in the near future CMS is expected to announce a new voluntary bundled payment program to extend the success of the BPCI program. Providers looking to succeed in value-based payment need to be on the lookout for this new program because it represents a smart business choice to ensure continued economic viability in today's value-based healthcare environment. Success in these models enable providers to earn additional revenue from savings payments related to reducing waste and improving care across the episode. The new program is also expected to conform with the definition of an Advanced APM in the Medicare Access and CHIP Reauthorization Act (MACRA) Quality Payment Program, which allows qualified clinicians to earn additional financial rewards in exchange for taking on risk related to patient outcomes. This will also make healthcare organizations participating in the new program more attractive to physicians, enabling them to seek out and retain top talent.
Keys to successful models
Bundled payment models are an opportunity for healthcare providers and payers to work together on improving health for patients and better managing costs. Some keys to success in bundled payment include:
- Working closely and collaboratively with payers to align patient care goals, performance measures and conditions under a value-based methodology;
- Ensuring performance and processes are standardized and optimized;
- Developing a narrow and committed network of high-value providers across the continuum, including community partners; and
- Implementing robust population health data and analytics, which include cross continuum clean claims analysis and reporting.
Through successful bundled payment programs, providers can enhance their relationship with other providers in the market, as well as their market presence by delivering quality outcomes; payers reduce costs by paying for less unnecessary services and fewer healthcare complications; and, most importantly, patients receive higher-quality, more coordinated care. When these win-win-win situations are created, everyone's at the table to work together toward the same goals, helping to bend the healthcare cost curve, improve outcomes and create healthier markets.
For more information about risk-based alternative payment arrangements, such as bundled payment models, and the capabilities needed for success, download our whitepaper.