Electronic system lowers wait times for access to specialists

first_img Read Full Story Low-income patients served by the Los Angeles County Department of Health Services (DHS) waited significantly less time to receive specialty care after DHS implemented an electronic system aimed at expediting access to specialists, according to a new study from Harvard T.H. Chan School of Public Health.The findings provide some of the first evidence suggesting that using a web-based platform could improve access to specialists for underserved patients in any health system with significant constraints on specialty supply and access.The study was published in the March issue of Health Affairs.“In the Department of Health Services, primary care providers often had enormous difficulty getting timely specialty care for their low-income patients,” said lead author Michael Barnett, assistant professor of health policy and management at the Chan School. “We found that adoption of a centralized, electronic system for specialty care led to sustainable improvements in access to care.”In 2012, the Los Angeles County DHS rolled out eConsult, an electronic system that enables primary care providers to request assistance from specialists via a web-based platform with rapid specialist review and triage. eConsult replaced the old system, which often left patients waiting months for face-to-face appointments.After three years of steady growth, the eConsult system was in use by over 3,000 primary care providers, and 12,082 consultations were taking place each month. By 2015, median time to an electronic response from a specialist was one day, and one quarter of e-consults were resolved without a specialist visit.last_img read more

Planting Mistakes.

first_imgToo many plants for the site. In a few years, overcrowded plants will need to be replaced.Shrubs that will get too tall for the site. A 1-gallon Burford holly will soon cover the windows and require severe pruning to keep it in check.Plants that prefer dry soil in wet areas, or sun in shade, or vice versa. If they’re not adapted to where you put them, plants won’t ever be as healthy as they could be.Shrubs too close to the house. Put them one-half of their mature diameter plus 1 foot away from the foundation.Trees and shrubs at random in the yard. Group plants to enhance the home. And put them in mulched beds to ease mowing and maintaining them. Here are the top five planting mistakes in landscapes, say University of Georgia Extension Service experts.Never plant:last_img

Counting Birds

first_imgBecome a citizen scientist Saturday, Feb. 15 and help Rock Eagle 4-H Center take an inventory of its wild bird population.Expert and beginner birders alike are invited to walk the 4-H center’s property and scout for waterfowl, songbirds, woodpeckers, raptors and other birds. The bird-scouting event is part of The Great Backyard Bird Count, an annual four-day event set for Feb. 14 through Feb. 17. All sightings at Rock Eagle will be submitted to the GBBS website, www.birdcount.org. Researchers at the Cornell Lab of Ornithology and the National Audubon Society use the information to learn more about how birds are doing and how to protect them and the environment. “Our count will be part of a global event as birders from all over the world submit checklists. All participants will be a part of a fun, international research experience,” said Rock Eagle Environmental Educator Matt Schenck.Last year, participants across the nation turned in more than 134,000 online checklists, creating the world’s largest instantaneous snapshot of bird populations.Participants to the Rock Eagle event can bring binoculars and field guides or borrow them from the center. Appropriate clothing and footwear should be worn for two hours of birding outdoors. Sessions are appropriate for all ages and cost $5 per person. The program runs from 9:30 to 11:30 a.m. and includes an optional visit to Rock Eagle’s natural history museum. Call Laura Kent at (706) 484-2881 or email her at lmkent@uga.edu to register. Different programs take place each Saturday at Rock Eagle, excluding December. A complete list of Saturday at the Rock sessions can be found online www.rockeagle4h.org/ee/community/SaturdayattheRock.html.last_img read more

Anita Hill to reflect on ‘Choosing America’s Better History’ at Bennington Center for the Arts on April 23

first_imgIn 1991, Anita Hill was thrust into the public spotlight when she testified before the Senate Judiciary Committee during then Supreme Court nominee Clarence Thomas confirmation hearing. The legacy of her testimony includes an increased awareness of sexual harassment in the workplace today. Hill, now a law professor at Brandeis University, has continued to speak widely on social and political issues facing our world. On Thursday, April 23, at the Bennington Center for the Arts, she will reflect on a premise from President Barack Obama s inaugural address in a lecture open to the public entitled, Choosing America s Better History: The Supreme Court, Civil Rights and the Promise of Citizenship.Anita Hill s visit to Vermont is part of the annual Four Colleges Issues Forum, sponsored by Bennington College, Massachusetts College of Liberal Arts, Southern Vermont College and Williams College. Prior to the upcoming lecture, the four colleges will hold related learning events, including a gathering of students and faculty to discuss Hill s 1995 biography, Speaking Truth to Power. The April 23 lecture, which begins at 7:30 pm in the BCA auditorium, is free and open to the public, with a brief reception following. Seating for this event is limited and tickets are required, which will be available at BCA s box office by calling 802-442-7158.   Hill has taught law and social policy for 25 years and has lectured in the US and abroad.  She has also written commentary for Time, Newsweek, The New York Times, The Boston Globe and Ms. Magazine and appears regularly on programs including Good Morning America, Meet the Press, The Today Show and Larry King Live.Inspired by President Obama s inaugural speech in which he asked every American to choose our better history, Hill s talk will explore the role of the Supreme Court and other federal courts in enforcing civil rights and passing on the promise of meaningful citizenship from generation to generation. Her talk will address how this administration can choose members of the federal courts, including a Supreme Court Justice, in ways that promote equality and diversity.Southern Vermont College President Karen Gross, a former full-time law professor who worked with Professor Hill, remarked, We are honored to welcome Anita Hill to our community. For many of us, her powerful testimony at the Clarence Thomas confirmation hearings is seared in our memories. We look forward to hearing her reflections on the past and her thoughts for improving our future at this extraordinary time in our nation s history. I am delighted that students, faculty and staff from the institutions participating in the Four College Issues Forum will have an opportunity to meet Professor Hill and listen to her inspiring personal and professional story.  A faculty member at Brandeis University, Hill is currently on leave as a visiting scholar at Wellesley College where she is working on an analysis of the more than 20,000 letters and e-mails she has received since the Thomas hearings.Hill is the recipient of many awards, grants and honorary degrees. She received the Ford Hall Forum s First Amendment Award for promotion of race and gender equality and the Fletcher Fellowship for work aimed at ending educational disparities among poor and minority students. She also holds positions in many civic organizations, including Tufts Medical Center, National Women s Law Center and the Boston Area Lawyers Committee for Civil Rights.For more information about the Anita Hill lecture on April 23 at Bennington Center for the Arts or about the Four Colleges Issues Forum, please call the Southern Vermont College Office of Communications at 802-447-6388.last_img read more

Shumlin joins other governors in opposing Medicaid spending shift

first_imgGovernor Peter Shumlin joined Governors from 16 other states calling on congressional leaders to reject a plan to turn Medicaid into a block grant program, essentially eliminating states’ ability to reduce costs in the program while maintaining Medicaid’s integrity.”The current Medicaid financial structure is a partnership between federal and state government that provides basic access to health care for the poor and disabled,” the Governors wrote in a letter to the Majority and Minority Leaders in the U.S. House and Senate. “A Medicaid block grant imposed unilaterally by Congress on all states that would cap the federal government’s share of costs and provide fixed annual funding below the projected growth of program costs in simply unacceptable.”Gov. Shumlin and the other Governors said states are already using innovative methods to control Medicaid costs, adding, “We need federal policy that creates cost savings, not cost shifting.” Critics fear a block grant program would restrict cost-saving innovation and cap spending on Medicaid regardless of caseload changes.The letter was sent Monday to Sens. Harry Reid and Mitch McConnell, and Reps. John Boehner and Nancy Pelosi. Today House Budget Committee Chairman Paul Ryan is expected to introduce a 2012 spending plan that proposes the Medicaid block grant change.In addition to Gov. Shumlin, the letter was also signed by the Governors of Arkansas, Colorado, Delaware, Illinois, Maryland, Minnesota, Oregon, California, Connecticut, Hawaii, Kentucky, Massachusetts, North Carolina, the Virgin Islands, Washington and West Virginia.Shumlin’s office. 4.5.2011last_img read more

Guatemala Slowly Winning War Against Corruption and Impunity — CICIG

first_img Once in 2005 and again in 2006, the head of criminal investigation of Guatemala’s National Civil Police took justice into his own hands. In the overcrowded prisons of Pavón and El Infiernito, Víctor Hugo Soto Diéguez and three subordinates executed 10 prisoners. But in August, something unusual happened to the perpetrators: all four of them went to jail. Soto Diéguez and three others received sentences ranging from 17 to 33 years for the killings — marking a major success for the International Commission against Impunity in Guatemala (CICIG in Spanish) and its outgoing leader, Francisco Dall’Anese of Costa Rica. On Aug. 22, Dall’Anese told Guatemalan leaders that impunity had fallen from 93 to 70 percent since CICIG’s formation in 2007 at the invitation of then-President Oscar Berger. The UN-backed human rights body — made up of international prosecutors and judicial officials — said that its goal was “to help Guatemala disband illegal groups and clandestine security structures.” Dell’Anese, who was replaced Sept. 2 as head of CICIG by former Colombian Supreme Court magistrate Iván Velásquez Gómez, then scorned his detractors. Dall’Anese commends 23% drop in impunity “Allow me to thank all those individuals who have criticized the commission and sought to damage the public image of the institution and the commissioner, because in any prosecution office of the world, it would be taken as a sign of success,” he said. Dall’Anese acknowledged that the numbers are not optimal, but said a 23 percent reduction in impunity signaled a major step forward. In a region burdened by some of the world’s highest homicide rates, Guatemala has begun to curtail the number of killings while convicting more crime suspects. Since 2007, CICIG has removed about 2,500 corrupt officers from the national police force. The organization — which operates under the auspices of the United Nations — has forced out higher-ups including dozens of police chiefs and two attorneys general. During his tenure, Dall’Anese went after judges too. In November 2012, CICIG released “Judges of Impunity,” a report that accuses 18 judges in Guatemala of protecting criminals and corrupt government officials. In the case of the extra-judicial killings, prosecutors believe some high-ranking officials were in on the plot. They are pursuing trials against an ex-head of the Interior Ministry, a former national police chief and several others. Homicide rate falls over last four consecutive years The commission has made world headlines by solving high-profile cases, the most prominent of which occurred under previous CICIG director Carlos Castresana of Spain. Dall’Anese and his investigators probed the mysterious April 2009 murder of lawyer Rodrigo Rosenberg — an affair that nearly ended the presidency of Alvaro Colom. Dall’Anese said the efforts of CICIG as well as Guatemala’s attorney general, Claudia Paz y Paz, have led to impressive results. The homicide rate still ranks as one of the world’s highest — 35 per 100,000 inhabitants, according to the UN Office on Drugs and Crime. However, that figure has been falling for the last four years. President Otto Perez Molina praised CICIG, telling reporters that criticism leveled at the commission was a sign that things are being done correctly. “We are not condemned to live with impunity,” he said. “And therefore we are making these efforts.” CICIG will remain in Guatemala another two years. Molina has extended the organization’s mandate until September 2015, though any extension beyond that appears unlikely. Paz y Paz: ‘The justice system protects us all’ In the final two years of the commission, Interior Minister Mauricio López Bonilla wants the organization to start training Guatemala’s police force on how to better handle investigations. Paz y Paz expects CICIG leadership to vet candidates for the newly founded General Criminal Investigations Bureau (Digicri in Spanish). Since the appointment of Paz y Paz as attorney general in December 2010, “the number of cases resolved has nearly doubled,” according to a Reuters profile published May 2012. Paz y Paz, praising CICIG’s conviction of the four officials involved in the extra-judicial executions as key to demonstrating respect for human rights, she said “the sentence sent a message out that no public official or citizen can violate the rule of law, because the justice system protects us all — even individuals who break the law.” The CICIG turned out to be a problem instead of a solution. As we say in Guatemala, the remedy was more expensive than the disease. The reasons for its establishment were many, they had very high expectations, but people are very dissatisfied, starting with the work done by the first one, Castresana, and up to the departure of the second on September 2nd of 2013. By Dialogo September 09, 2013last_img read more

To build your fortune, adopt a millionaire’s mindset

first_img 21SHARESShareShareSharePrintMailGooglePinterestDiggRedditStumbleuponDeliciousBufferTumblr If I said that becoming wealthy had mostly to do with deciding to become wealthy, you’d likely stop reading this article. However, science and thousands of interviews with successful, wealthy people show that how you think and behave has more to do with future wealth than luck or birth.Can you really think and behave your way into wealth? Yes!Consider that 70% of the billionaires on Forbes most wealthy list are self-made? That means that they didn’t start with wealth, but have it now and in excess. As you study the wealthy from millionaires up to billionaires, you will find common traits and patterns among them. As Tony Robbins says, “success leaves clues.”Below you’ll find five clues the wealthy leave for us to follow to our own wealth. These key indicators may be the missing link you needed to get to the next level or to reignite your hope of achieving your own American Dream. continue reading »last_img read more

Paving the Way

first_imgTo access this article REGISTER NOWWould you like print copies, app and digital replica access too? SUBSCRIBE for as little as £5 per week. Would you like to read more?Register for free to finish this article.Sign up now for the following benefits:Four FREE articles of your choice per monthBreaking news, comment and analysis from industry experts as it happensChoose from our portfolio of email newsletterslast_img

Jens Lehmann reveals Nike ball was to blame for Arsenal’s Champions League defeat against Chelsea

first_imgAdvertisement Comment He told beIN Sports: ‘I didn’t understand and sometimes it still happens to big teams that the Premier League puts you on a schedule where you have to perform at the end of the season. In 10 days what happened at the time (we had to play) against top, top teams.‘No team, however good it is, can perform every two or three days on such a high level. It was our disadvantage against Chelsea. More: Arsenal FCArsenal flop Denis Suarez delivers verdict on Thomas Partey and Lucas Torreira movesThomas Partey debut? Ian Wright picks his Arsenal starting XI vs Manchester CityArsene Wenger explains why Mikel Arteta is ‘lucky’ to be managing Arsenal‘I remember I made a mistake against Chelsea because we played with a brand new Nike ball and it came swerving like that and I couldn’t stop it. I couldn’t catch it.‘It was a draw then with Frank Lampard and then in the last minute all of a sudden, because we were so tired, we couldn’t defend a draw and we lost that game.’MORE: Wojciech Szczesny takes dig at Arsenal after Aaron Ramsey’s Juventus moveMORE: RB Leipzig chief hints at summer exit for Arsenal and Man Utd target Dayot Upamecano Advertisement Jens Lehmann reveals Nike ball was to blame for Arsenal’s Champions League defeat against Chelsea Jens Lehmann believes Nike’s Total 90 Aerow ball was to blame for Arsenal’s Champions League defeat against Chelsea in 2004 (Picture: Getty)Arsenal’s Champions League quarter final defeat against Chelsea represented one of the most significant of Arsene Wenger’s entire reign and goalkeeper Jens Lehmann has claimed Nike’s Total 90 Aerow ball was partly to blame.Wenger’s side had swept all before them on the domestic front and were well on their way to claiming the league title, completing an unprecedented unbeaten campaign in the process.Their hopes of progressing in Europe, however, hinged on defeating Chelsea. The first leg ended in a 1-1 draw at Stamford Bridge and Arsenal remained favourites to progress despite having been knocked out of the FA Cup four days earlier by Manchester United. AdvertisementAdvertisementJose Antonio Reyes gave Wenger’s men the advantage before the break at Highbury, but the turning point of the tie arrived six minutes after the interval when Lehmann spilled Claude Makelele’s long-range strike and Frank Lampard gobbled up the rebound. ADVERTISEMENTWayne Bridge’s late goal sealed Chelsea’s place in the semi-final against Monaco and although Lehmann acknowledged the gruelling schedule played a part in Arsenal’s demise, he also claimed the decision to ditch the Merlin Vapour ball, which was used during the group stages of the competition, also contributed to his downfall. Metro Sport ReporterSunday 3 May 2020 8:40 pmShare this article via facebookShare this article via twitterShare this article via messengerShare this with Share this article via emailShare this article via flipboardCopy link2.3kShareslast_img read more

Couple counts lucky blessings after landing quality, affordable home in Cairns suburbia

first_imgAgent Vanessa Robinson with Don and Di McFall, Mike and Silas Platz and Clare Ferguson. PICTURE: JUSTIN BRIERTYA CHANGING of the guard is afoot in a quiet suburban Cairns cul-de-sac.Retirees Don and Di McFall are downsizing, and have sold their much-loved Manoora home to a young family making its first foray into the property market.Local real estate agent Clare Ferguson and her husband Mike Platz bought the large three-bedroom house at 70-74 Upper Perkins St for just over $400,000. “I’m from here, but Mike and I met in Brisbane,” she said. “We wanted to buy down there but were priced out of the market.“We looked up here and realised there was a lot more available in our price range.“We still had a lot of obstacles to overcome before we could buy and we were very lucky to have the support of my mother and family.” In a leafy street, the home has an immaculate backyard and ample living space.Such a classy property would almost certainly carry a far higher price tag in the state’s capital.More from newsCairns home ticks popular internet search terms3 days agoTen auction results from ‘active’ weekend in Cairns3 days ago“We never thought we’d have a great house like this as our first home – we’re stoked,” Ms Ferguson said.“It’s been so well looked after. Don is an ex-builder and you can see all the attention to detail he and Di have put into the house. “We feel quite privileged to be able to own the property.” The deal was struck with the help of Vanessa Robinson from LJ Hooker Cairns Edge Hill. Mr and Mrs McFall bought the property about eight years ago after moving to the tropics from rural NSW. “We’re close to family here and we love the climate,” Mrs McFall said.The couple has bought a smaller property in the nearby Village Edge residential estate.“The stairs were becoming a bit of a hassle for us,” she said. “But we have really loved this place, it is full of happy memories, but it’s now time for someone else to enjoy it.”The average selling price for houses at Manoora, according to CoreLogic, was $302,500 as of February.last_img read more