33 Matching Annotations
  1. May 2019
  2. Mar 2019
    1. ISPI offers a variety of publications, from its member-exclusive monthly and quarterly journals, "Performance Improvement Journal and Performance Improvement Quarterly,"

      International Society for Performance Improvement This is the web page of the professional association. It is similar to other professional association web pages. Some content is available only to those with a membership; individuals must log in. There are links to the publications. These include Performance Improvement Journal, Performance Improvement Quarterly, Performance Xpress. Some features of the website can become a bit difficult to drill down to but there are sometimes job aids and other immediately usable content available. This topic relates to shaping performance of adult employees on the job. Rating: 4/5

    1. Behavior Engineering Model This page has a design that is not especially attractive or user friendly but it does provide an overview of Gilbert's Behavior Engineering Model. This is a model that can be used to analyze the issues that underlie performance. A six-cell model is presented. Rating 5/5

    1. Human Performance Technology Model This page is an eight page PDF that gives an overview of the human performance technology model. This is a black and white PDF that is simply written and is accessible to the layperson. Authors are prominent writers in the field of performance technology. Rating 5/5

  3. Dec 2018
    1. Second, I have a not-very-well supported theory that’s paired with the book Thinking, Fast and Slow. The behavior design implication of that book is that you need to speak to two systems of the brain. Speaking to the rational, Slow System is easy. Just lay out the facts.Speaking to the emotional Fast System is much harder, namely because it’s so hard to see or introspect on what’s going on in there. But if you accept that difficulty (and this is the part of my theory that feels like pop brain science), then you realize that you need to start looking for ways to rewire your emotional core.Then, having accepted that rewiring your emotions is part of most behavior design, I’ve started to notice things — like that most self-improvement advice is not very rational. That’s by design. A self-improvement book is mostly emotional rewiring. That is exactly why you need to read the entire book rather than cheating with a summarized version.

      This is an interesting sounding take. Worth thinking about further.

    1. hard work and exploration are valued over always knowing the right answer.

      The open program does this, to an extent. How can this be improved upon?

  4. Nov 2018
    1. And while hospitalists have already moved into post-acute-care settings, Dr. Bessler says that will become an even bigger focus in the next 20 years of the specialty. “It’s not generally been the psyche of the hospitalist in the past to feel accountable beyond the walls of the hospital,” he says. “But between episodic care [and] bundled payments … you can’t just wash your hands of it. You have to understand your next site-of-care decision. You need to make sure care happens at the right location.”
    2. Five years ago, it was accountable care organizations and value-based purchasing that SHM glommed on to as programs to be embraced as heralding the future. Now it’s the Bundled Payments for Care Improvement initiative (BCPI), introduced by the Center for Medicare & Medicaid Innovation (CMMI) at the Centers for Medicare & Medicaid Services (CMS) back in 2011 and now compiling its first data sets for the next frontier of payments for episodic care. BCPI was mandated by the Patient Protection and Affordable Care Act (ACA) of 2009, which included a provision that the government establish a five-year pilot program by 2013 that bundled payments for inpatient care, according to the American Hospital Association. BCPI now has more than 650 participating organizations, not including thousands of physicians who then partner with those groups, over four models. The initiative covers 48 defined episodes of care, both medical and surgical, that could begin three days prior to admission and stretch 30, 60, or 90 days post-discharge. <img class="file media-element file-medstat-image-flush-right" height="220" width="220" alt="Dr. Weiner" typeof="foaf:Image" src="https://www.the-hospitalist.org/sites/default/files/styles/medium/public/images/weinerweb.jpg" title="" />Dr. Weiner “The reason this is so special is that it is one of the few CMS programs that allows providers to be in the driver’s seat,” says Kerry Weiner, MD, chief medical officer of acute and post-acute services at TeamHealth-‎IPC. “They have the opportunity to be accountable and to actually be the designers of reengineering care. The other programs that you just mentioned, like value-based purchasing, largely originate from health systems or the federal government and dictate the principles and the metrics that as a provider you’re going to be evaluated upon. “The bundled model [BCPI] gives us the flexibility, scale, and brackets of risk that we want to accept and thereby gives us a lot more control over what physicians and physician groups can manage successfully.”
    1. Many hospitalists have added value as local leaders in quality improvement, safety, and innova-tion, but some have functioned more as shift workers. For exam-ple, many community hospital-ists have a 7-days-on, 7-days-off schedule that focuses mainly on high-volume clinical work and sends an unspoken but clear mes-sage that, at the end of an inten-sive clinical “on” stint, one is “off ” and uninvolved. Our impression is that hospitalist programs pro-vide more value when hospital-ists’ inpatient assignments (clini-cal “systole”) are complemented by a systems-oriented “diastole,” dur-ing which clinical activity is limit-ed but they contribute to key in-stitutional programs. Productive diastole is more likely when hos-pitalists have strong leadership, a robust professional-development curriculum, and a mutual hospi-tal–hospitalist commitment to adding value during specified and structured nonclinical time.

      The hospitalists patient is the hospital

    1. In the academic setting especially, a premium will beplaced on clinical quality improvement, the develop-ment of practice guidelines, and outcomes research,not only to provide the physician with a creative out-let and a potential source of funding during thenonclinical months but also to give the academiccenter a practical research-and-development arm
    2. Oneof the advantages of the hospitalist model is that itcreates a core group of faculty members whose in-patient work is more than a marginal activity andwho are thus committed to quality improvement inthe hospital.
  5. Oct 2018
    1. We will solve large analytical problems by turning computer power loose on the hard data of the Semantic Web.

      The idea of turning something loose has the connotation that it is no longer under our control and can therefore have unpredictable outcomes. To a degree, no one can really predict what would happen if we reprogrammed the web in this new way.

  6. Sep 2018
    1. performance curves beginning to level off – because of our inability to automate the design work needed to support further hardware improvements. Wed end up with some very powerful hardware, but without the ability to push it further

      Addressing the question of singularity, the author takes on an interesting perspective. One rationalization or opposing view is that technology is only as informational and intelligent as the creator itself. Just as the Mores conclude, "the computational competence of single neurons may be far higher than generally believed" and that "our present computer hardware might be [] 10 orders of magnitude short [compared to] our heads". This means that AI cannot surpass human intelligence as popularly believed. Rather, the article conjectures the possibility that if singularity were to occur, further innovation and improvements could never be made. I assume this is a biological and anatomical argument. Thus, implying that the technological constraints of AI cause it to be inferior to the biological makeup of the human brain. Thus, the author suggests that singularity can never really be fully realized.

  7. May 2018
    1. When you contain the source of a thought, that thought can change along with you as you acquire new knowledge and new skills.  When you contain the source of a thought, it becomes truly a part of you and grows along with you. Strive to make yourself the source of every thought worth thinking.  If the thought originally came from outside, make sure it comes from inside as well.  Continually ask yourself:  "How would I regenerate the thought if it were deleted?"

      I really don't see myself being able to do anything like this

  8. Dec 2017
    1. Even super achievers like siddharth mukherjrr and sarah sze struggle with the daily grind. They cope by letting some of the trivial details slip.d oes this actually mean high achievers don't care for them while simple folks waste their time trying to perfect every minute detail? Also , if siddharth can do the daily grind, shouldn't I chin up and try to do more ?

  9. Oct 2016
    1. are parents seeking a quality education for their children and the real-life costs of English-only education

      parents wanting better education because of the developing system of teaching

  10. Apr 2016
  11. christmind.info christmind.info
    1. All the mutually agreed upon definitions have as their purpose: to protect and maintain the ongoing ignorance of your divinity, by preoccupying you with your independent status and its improvement with the promise that you can become a presence of excellence without a Source.
  12. Nov 2015
    1. If someone gave you a perfect simulation of today’s world to play in and told you that it’s all fake with no actual consequences—with the only rules being that you can’t break the law or harm anyone, and you still have to make sure to support your and your family’s basic needs—what would you do? My guess is that most people would do all kinds of things they’d love to do in their real life but wouldn’t dare to try, and that by behaving that way, they’d end up quickly getting a life going in the simulation that’s both far more successful and much truer to themselves than the real life they’re currently living.

      This seems a whole lot like what happens in MUSHs, especially ones with easily replaceable identities.

  13. Oct 2015
    1. Over time, they have created massive communi-ties with millions of inhabitants, complex lifeworlds, economic arrange-ments, cultural practices and life-styles

      The people will find a way to survive.. they always do.. but we should be able to find easier ways to make that happen that will provide better situations for them.

  14. Sep 2015
    1. it is not possible to havea combination ofthewith a nominal constituent if this constituent was not already builtup from lexical material by Merge

      Probably, it would be helpful to know why one would like to analyse fragments of phrases. Fragments are not utterances, they don't have a truth value, they only appear as parts of bigger phrases and their grammaticality can not be judged. Furthermore fragments are highly ambiguous. "und auf die" e.g. could be a part of "Er wartet auf Maria ["und auf die" Kinder"], or "Er trinkt wieder ["und auf die" Kinder hat er wieder nicht aufgepasst]." In these 2 structures, what is coordinated are completely different things (PPs or CPs). It is the complete structure which reveals the function and the combinatorial potential of its parts.

    2. cousin. He

      Coindexation of "he" with "cousin" in (7a) and "she" with "cousin" in (7b) could make it more clear that it is not an interpretation like (6b) which is intended. The same conindexation could be used in (6) to make the marking consistent.

    3. gender

      italics for emphasis? since you have talk very much about sexus.

    1. (43)

      To make the point of syncretism (and not of "portmanteau morphemes") clear, it would be better to give the example pairs that coincide "as (43a) and (43d) and (43c) and (43e) show".

    2. post

      italics for emphasis

    3. post

      italics for emphasis

    4. adverbs

      Singular

    5. above

      The number of the example would be helpful

    6. optimal

      Italics would help to understand that "optimal" is used here as an example.

    7. adjectives have comparative and superlative forms:

      adjectives have positive, comparative and superlative wordforms

  15. Jul 2015
  16. Nov 2014