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The Centers for Medicare and Medicaid Services (CMS) finalized plans
today aimed at reducing ” unnecessary, obsolete, or burdensome
regulations”. Among the goals of the the new rules are modifications CMS
hopes to “let CAHs partner with other providers so they can be more
efficient and ensure the safe and timely delivery of care to their
patients.” Specifically, CAHs will now be allowed to use “contract
services” or those services provided by contracted health care providers
not directly employed by the CAH. This will allow CAH administrators
increased flexibility to meet the needs of their individual facilities.
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Please join the Frontier Constituency Group. We need your help.
The Frontier CG by its title and nature is a relatively small group of individuals dedicated to recognizing the importance of access to health services even in the most remote communities in the country. The Frontier CG has been incredibly active this year and is working with the Office of Rural Health Policy Frontier Partners workgroup, the Frontier and Rural Expert Panel and the National Center for Frontier Communities on a variety of topical areas such as:
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Growing up with a highly feminist mother, I disdained the traditional girly choices. I was absolutely positively sure that I would never be a teacher, I would never be a nurse and I definitely didn’t like the color pink.
I got into the health care field by accident. An acquaintance who had been in a bad car accident and suffered severe head trauma, needed a new personal care attendant (PCA) just about the time I was deciding that I did not, after all, want to be an accountant. After a few years with her, I decided to get myself certified as a nursing assistant. I didn’t need it, but I thought it would help me be better at my job.
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The Second Mile
So, in regards to what to do with your facilities, you have your first answer, or so it appears. You have a plan, you have a budget, you have met with the staff and stirred up their expectations and the community. Everyone is dreaming the dream! You have done your community assessment, your financial feasibility plan, your strategic planning. And your needs far exceeds your means, maybe by as much as two to three times. How do you fix it?
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A Real Account
'Though I do not believe that a plant will spring up where no seed has been, I have great faith in a seed. Convince me that you have a seed there, and I am prepared to expect wonders.'
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Trajectory
A trajectory is the path that a moving object follows through space as a function of time. I will spare you the mathematical analysis of how the trajectory of a projectile can be easily defined in parabolic form utilizing Cartesian coordinates through a handful of calculus equations. Keeping it simple: it is you, two points in time connected together, and asking two questions: when will you get to where you are going? and when you get there, is that where you want to be?
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