503 Matching Annotations
  1. Last 7 days
    1. So long as there are still predatory, for-profit, financial-aid thieves masquerading as colleges and universities, online courses will still be held in suspicion in many quarters of academe.

      We can't merely ensure that we're looking at the services provided by the leaders of the field and do our best to match those efforts, we also need to make sure what we're providing doesn't look like that provided in the for-profit sector. There should be an obvious distinction. This was a big takeaway for me.

  2. Oct 2019
    1. "The Fifteenth Amendment stated that people could not be denied the right to vote based on “race, color, or previous condition of servitude.” This construction allowed states to continue to decide the qualifications of voters as long as those qualifications were ostensibly race-neutral. Thus, while states could not deny African American men the right to vote on the basis of race, they could deny it to women on the basis of sex or to people who could not prove they were literate." Before the 15th amendment women and colored men and women were not allowed to vote but the 15th amendment allowed these privileges and prevented discrimination amongst the rights of someone based on their race and gender and states cannot deny these rights to the people because it is a constitutional law.

    1. black Americans have been making rapid progress along most important dimensions of well-being since the turn of the millennium.

      testing annotatioins

    1. First, government did not always engage with the market early in running procurements or establish a sufficient understanding on both sides about the service that were being outsourced. This often led to problems over the lifetime of a contract, such as disputes and cost overruns.Second, an excessive focus on the lowest price and an insufficient assessment of quality in selecting bids undermined many contracts. While outsourcing can reduce costs, government must balance this against the minimum level of quality it needs in a service. Too often, it has outsourced services in pursuit of unrealistic savings and without a realistic expectation that companies would deliver efficiencies.Third, large contracts have failed when government has transferred risks that suppliers have no control over and cannot manage, rather than those which suppliers can price and manage better than government. Government should also not think that it has outsourced risks that will revert to it if a supplier fails – as the provision of public services will always do.

      Three case study themes on why contracts failed or worked

    2. It must also understand why different outsourcing projects succeed or fail. The Institute for Government has previously showed that there are several conditions that make outsourcing more likely to succeed.2 Above all, these include: •the existence of a competitive market of high-quality suppliers•the ease of measuring the value added by the provider •the service not being so integral to the nature of government as to make outsourcing inappropriate.*

      Outsourcing conditions

  3. Sep 2019
    1. How to Start a Snow Plowing Business in 2019You are here:HomeStartupsHow to Start a Snow…

      Start your own Uber for snow removal Business by launching a snow plow app. A complete guide to digitize your snow removal business.

    1. Find one of the best manufacturers of portable sinks to get portable sinks for classrooms. MONSAM Portable Sinks offer a wide range of portable sinks for the science lab workstations. Visit their website, to order one for your science lab.

    1. At MONSAM Portable Sinks, get a wide range of portable sinks. They offer portable changing stations for baby, day care portable sinks and toddler sinks. Their range of child-friendly portable sinks that are perfectly suited for preschool, kindergarten and child care centers.

    1. There are relationship apps to help improve your bonds with your significant other. These apps aren’t just for fixing a fight, or for learning how to rekindle your lost flames; they are for couples who want to grow stronger together and plan life.

  4. Aug 2019
    1. And they have largely moved beyond the mental model of universal design (UD) in the physical environment, which is static, bounded, and predictable—instead designing interactions according to UDL, which sees interactions as dynamic, open, and emergent.

      Really interesting point here about the limit of the "curb cut" metaphor.

    1. I was so fed up of the mega amounts of boilerplate with Redux and the recommendation of keeping your data loading at view level. It seems to me that things like this, with components being responsible for their own data, is the way to go in the future.
    1. Integrating social media accounts with websites and Apps is the latest trend in the field of web designing. Wouldn’t the whole process of creating usernames and passwords for your website get simplified when users can easily connect to your website with their Facebook credentials? Enabling Facebook Login for WordPress website helps you in targeting your website visitors more effectively on Facebook. Also at the same time, it brings a wealth of information about the user such as demographic attributes, interests and other characteristics. It speeds up the whole process of user registration without having to worry about forgotten passwords, misspelled email addresses, or unreliable data sources. It is a transparent way to gather user information after their consent, where the users don’t have to remember a bunch of usernames and passwords to log into your website. 

      Enabling Facebook Login for WordPress website helps you in targeting your website visitors more effectively on Facebook.

    1. Construction businesses need working capital to bridge the gap between cash payables and cash receivables. SMB Compass offers construction business loans to contractors in the United States. One of our reliable lending advisors will help you find the best construction business loan specific to your needs.

      Construction business loans options for small business owners.

  5. Jul 2019
    1. We DID something or we CHANGED something, like creating a new policy or program that stopped the bullying atmosphere at school?

      A frustrated parent, Rathburn retaliate by confronting her son's bully and later got arrested. Many parent can understand Rathburn and may also feel they would have done the same. The natural instinct of protect their own. Still she hope to create a new policy or program that better handle these incidents before parent's retaliate.

    2. Can fining parents stop their kids from bullying other students?

      A few states have resorted to fining parents of bullies in hope to encourage their kids to stop bullying. Many may agree, but it also raise the question of how effective is it?

    1. The architecture of the platform where I published allowed authorial control of content but could not control context collapse or social interactions.

      These are pieces which the IndieWeb should endeavor to experiment in and attempt to fix. Though I will admit that pieces of the IndieWeb layers on top of platforms like WordPress can help to mitigate some context collapse and aggregate social interactions better. (eg: reply context and POSSE)

    2. There is a sense that one can cobble together a common public by overlapping various social media platforms and audiences. Many of my colleagues are doing a fine job of problematizing the intersections of private social media and the university. The larger project from which this essay is drawn is part of that emerging conversation.

      I wonder here what role an IndieWeb-based version of academe looks like in which teachers all own their content on their own websites to make a more explicit appeal of work that they've done. Compare this with the concept that what they may be doing on Twitter isn't "work" and which isn't judged as such.

  6. Jun 2019
    1. Top Reasons Why Your Website Needs An SSL Certificate

      Whether your #website is small or large, it needs an #SSL certificate. Here are the top reasons why your website needs an SSL certificate. If your website is on a shared hosting server, you can get it prepared by the web hosting company.

  7. May 2019
    1. A scarf is one such versatile fashion accessory, which is used for various purposes and can even be styled differently in both winters and summers. Of course, it is important that one should strictly avoid scarves crafted in chunky knits or heavy fabrics for summers.!

  8. Apr 2019
    1. We all know health is wealth. Protein plays an important role in keeping our body healthy and perfect. Whey protein isolate is the perfect source for protein and other essential nutrients which our body required. To help your body to get in proper shape, elements like exercise, food, and water are not enough. Whey protein isolate powder contains less than 1% lactose which helps the people who have lactose intolerance. Whey protein powder helps for weight loss and also to give shape your body.

    1. The technology stack for web applications mentioned here are not the only ones that you have to choose from. We have tried to bring you the best of the technology stacks for web development that are prevailing in 2019.

      The technology stack for web applications mentioned here are not the only ones that you have to choose from. We have tried to bring you the best of the technology stacks for web development that are prevailing in 2019.

    1. Powered by Data wrote 4 of the resources on this page. "Measuring Outcomes" is about admin data. "Understanding the Philanthropic Landscape" is about open data - sp. open grants data. "Effective Giving" is an intro. And "Emerging Data Practices" is a tech backgrounder from June 2015.

    1. ​Technology is in constant motion. If we try to ignore the advances being made the world will move forward without us. Instead of trying to escape change, there needs to be an effort to incorporate technology into every aspect of our lives in the most beneficial way possible. If we look at the ways technology can improve our lives, we can see that technology specifically smartphones, have brought more benefits than harm to the academic and social aspects of teenagers lives, which is important because there is a constant pressure to move away from smart devices from older generations. The first aspect people tend to focus on is the effect that technology has on the academic life of a teen. Smartphones and other smart devices are a crucial part of interactive learning in a classroom and can be used as a tool in increasing student interest in a topic. For example, a popular interactive website, Kahoot, is used in many classrooms because it forces students to participate in the online quiz, while teachers can gauge how their students are doing in the class. Furthermore, these interactive tools are crucial for students that thrive under visual learning, since they can directly interact with the material. This can be extended to students with learning disabilities, such as Down Syndrome and Autism,​ research has shown that using specialized and interactive apps on a smart device aids learning more effectively than technology free learning. Picture Picture Another fear regarding technology is the impact it has on the social lives of young adults, but the benefits technology has brought to socializing outweighs any possible consequences. The obvious advantage smartphones have brought to social lives is the ability to easily communicate with people; with social media, texting, and calling all in one portable box there is no longer a struggle to be in contact with family and friends even if they are not in your area. Social media can also be used for much more In recent years, social media has been a key platform in spreading platforms and movements for social change. Because social media websites lower the barrier for communicating to large groups of people, it has been much easier to spread ideas of change across states, countries, or the world. For example, after Hurricane Sandy tore apart the northeastern United States, a movement called "Occupy Sandy" in which people gathered to provide relief for the areas affected was promoted and organized through social media. Other movements that have been possible because of social media include #MeToo, March for Our Lives, #BlackLivesMatter, and the 2017 Women's March. ​

    2. The music we listen to highly impacts our decision making, especially as adolescents. Adolescents are extremely impressionable, and the music they listen to has a great impact on how they decide to live their day to day lives. Popular musicians are seen as role models by the people who idolize them, and adolescents may try to represents the songs in which they favor through their actions every day.

      Recent studies have found that adolescents who listen to music that supports substance abuse and violence have a greater chance to act upon what they listen to. What young adults and teenagers listen to through music and popular media will affect their decision making process. Specifically with substance abuse, and there is a direct uptake in use of illegal substances by adolescents who listen to music that promotes such activities. This can cause a whole societal problem considering most of todays popular music among adolescents touches upon substance abuse and violence. Adolescents are extremely impressionable and the music they listen can shape how a person tries to act, or represent themselves.

    1. It’s high time to establish your taxi startup with the next amazing taxi booking app like Uber developed with the best Uber Clone App source code.

      It’s high time to establish your taxi startup with the next amazing taxi booking app like Uber developed with the best Uber Clone App source code.

    1. Give your users a seamless experience in booking trucking facility from both the native apps; iOS and Android. Your trucking app will have all the right ingredients to serve your users.

      Give your users a seamless experience in booking trucking facility from both the native apps; iOS and Android. Your trucking app will have all the right ingredients to serve your users.

    1. 16 Additional eye-readable text not part of main work

      New annotation created

    1. An artist impression of the Kogarah North Precinct wih Georges River Girls High School on the right.

      These sort of renders have a lot to answer for.

    1. organisms require physical lysis mainly based on heat,(31) pressure,(32) sonication with sound waves,(33) and bead milling.(34)
  9. Mar 2019
    1. They lie there stretched out by the captive roads, along the ………..roads of disaster The lean poplars, the statues of the dark gods ………..draped in their long gold coats Senegalese prisoners miserably lying ………..on the French land.

      In vain they cut your laughter, in vain the blacker the flower, the ………..blacker your flesh. You are the flower of beauty among the first absence ………..nude flowers Black flower blossom and its somber smile, diamond of a time ………..immemorial. You are the mud and plasma of the world’s leafy ………..spring From the primitive couple, you are the flesh of the womb, the ………..belly fertilizing milt You are the sacred profusion of bright, blissful gardens And the sovereign forest, victorious of fire and lightning

      The vast song of your blood will defeat machines and canons Your speech throbbing deceptions and lies No hate in your soul, you are not hateful, no cunning ………..soul without cunning. O Black Martyrs, immortal race, let me say the ………..words that forgive.

    1. This page, Top Tools for Learning, is updated every year. It lists and briefly describes the top tech tools for adult learning. For the current (2018) list, they are YouTube, PowerPoint, and Google Search. The list proceeds through the top 200 and there are links to each tool. The purpose of this page is to list them; tutorials, etc. are not offered. Rating 4/5

    1. Edutech wiki This page has a somewhat messy design and does not look very modern but it does offer overviews of many topics related to technologies. Just like wikipedia, it offers a good jumping off point on many topics. Navigation can occur by clicking through categories and drilling down to topics, which is easier for those who already know the topic they are looking for and how it is likely to be characterized. Rating 3/5

    1. This is one of many discussions of Kirkpatrick's four levels of evaluation. More of the page is taken up with decoration and graphics than needs to be the case but this page is included in this list because it offers a printable guide and because the hierarchy of the four levels is clearly shown. The text itself is printed in black on a white background and it is presented as a bulleted list (the bullets are not organized as well as they could be). Nonetheless it is a usable presentation of this model. rating 3/5

    1. This page offers general guidelines for facilitating class discussions. It is written for college environments and in usable in adult learning and training settings also. The presentation is straightforward but the content is not in depth. Part of the value of the page is links on the left side that address other teaching topics related to course design and course management. Rating 2/2

    1. If you are considering creating a food ordering app then this list of 5 best food delivery apps of 2018 & 2019 will inspire and guide you to bring your dream startup into reality.

      If you are considering creating a food ordering app then this list of 5 best food delivery apps of 2018 & 2019 will inspire and guide you to bring your dream startup into reality.

    1. offline society

      "Offline Society" I like this phase. It should be included in the language about the teach-outs. Most logically, related to the actionable items section.

    2. joint teach-out will showcase a selection of individual voices and personal narratives of those from Puerto Rico affected by the crisis

      I think that this is important. It's nice for the audience to view and experience the voices and experience of people. I wonder how this can also be applied to other teach-outs. Maybe the teach-out on climate change for example could involve a visit to a local farm. Farmer(s) could be interviewed and that material could enrich the conversation. I puts a face on the issue. Climate change alone is not inspiring enough but when the face by someone who is drastically impacted by it is a child or low-income farmer, it has a more impact.

    1. She felt out of place.

      Ей было не по себе.

    2. for starters orders

      сигналов стартеров

    3. Of course, we've had our ups and downs

      Конечно, у нас бывало то лучше, то хуже

    4. processed kind

      консервированный

    5. Jean put the ruler down on the conveyor belt.

      Джин положила линейку на конвейер. (Прим.: В западных супермаркетах для экономии времени несколько покупателей выгружают продук­ты на конвейер одновременно. Для того, чтобы кассир видела, где граница, покупатели кладут пластиковую линейку яркого цвета между своими и чужими покупками.)

    6. Think of all the oriental foods you can get into

      Как по­думаешь, каких только ни бывает восточных продуктов

    7. her individual yoghurt seemed to say it all

      казалось, что её единственная упаковка йогурта говорит сама за себя.

    8. a gross offish fingers

      оптовая закупка рыбных па­лочек

    9. You can always tell a person by their shopping

      Всегда можно определить, что за человек перед тобой, по его покупкам

    10. when I turned up?

      когда я бы вдруг пришла?

    11. a see-through tray of tomatoes which fell casualty to the rest.

      прозрачный лоток с помидорами, придавленный другими покупками.

    12. the quick till

      касса-экспресс

    13. Jean felt her patience beginning to itch.

      Джин чувствовала, что её терпение заканчивается.

    14. giving an accompaniment of nods and headshaking at the appropriate parts.

      в такт словам то кивала, то качала го­ловой.

    15. why I should have to put up with her at family occasions.

      с какой стати я должна мириться с её присутствием на се­мейных праздниках.

  10. Feb 2019
    1. While selecting the best protein supplement for muscle gain, you should consider the following things like its packaging date and freshness, ingredients contained in the protein powder, a nutritional diet of the cows. All you need to do is check your requirement and opt for the one that suits you the best. Include whey protein powder in your diet as per expert suggestion which help us to gain muscle mass quickly.

    1. There are some facts that need to be considered before choosing a protein supplement as a muscle gain supplement. While selecting it know what ingredients are used in whey protein powder, it’s packaging and freshness, nutritional diet of the cows. Now there is a rise in demand for the best protein supplement for muscle gain. But don’t confuse while selecting it. Select the one which contain all the essential qualities which you want.

    1. Professional blogging; whether that be funded by advertisers, subscribers, fans – is a big business. What are your thoughts on how Micro.blog helps or ignores people or businesses that may want to use the platform to share their content and earn a living from it?
    1. Ecoaxis introduced industrial IoT solution for plastic processing machines which help to improve efficiency, productivity and quality. Our IoT (Internet of Things) gateway helps connect your various plastic processing machines and utilities to capture and securely transfer accurate data to the cloud for advanced analytics.

    1. the melancholy mournings of the turtle,

      gilmanhernandez already linked to the video I was considering, but (according to a cursory search of YouTube at least) videos of turtle sounds are also likely to be videos of turtles mating or attempting to mate, so how 'mournful' they are is perhaps up to interpretation... 😂

    1. However, a healthy news ecosystem doesn’t just require a thriving free press, it also needs a diversity of curators, newsletters and content discovery options that enable the weird and wonderful to surface. We want to use Nuzzel as a test kitchen to see what models works for curators as well as content creators. The simple goal is a sustainable open web where the goals of creators, curators and consumers are aligned around the best possible experience.

      This sounds exciting to me and could dovetail with efforts of many with respect to IndieWeb for Journalism.

    1. real constitution, or (as it is apt to be called) essence, being utterly unknown to us, any sound that is put to stand for it must be very un· certain in its application;

      Basically, be careful about naming anything that has an essence that's unknown to us, and it seems that most everything has an uncertain essence, so...

  11. Jan 2019
    1. I mean it's just a pain to go in and I'm used to it now, but to go in on, you know, the different exchanges and each one has, has to be input different whether it's be typed in manually, whether you have to switch back and forth to look at the order book and Gemini or where you can copy and paste from below in Bittrex
    2. The only one little personal issue and this could just be me not anyone else's did the damn alarm system on trading view, just not a fan of. But everything else is great.
    3. e website. One thing I do love that you guys have the trading view doesn't have or doesn't have a good layout for in the charting, well it's still, it's still coming soon, but the order book and the trade history are really important to me.
    4. Same with trading view. I'm okay with not trading through there. I'd rather not trade through a third party if I can trade directly on the exchange. It just mitigates risks from a trading side.
    5. Gemini was easy when I first got into Crypto. Any cash you have in there has FDIC insurance up to 250. No other exchanges were providing that. I also noticed they were pretty selective about which currencies they put on there.
    6. Basically, I will definitely take a look at the total market cast, um, and the alt coin market cap. So I go to queen signals.trade, which is a neat little tool. And uh, they basically pull data from coin market cap. So I think it's the only site I know of where you can look at the total market cap.
    7. well, I was thinking like you're talking about sentiment. Is there some type of sentiment tracker? I mean, I don't know. I'm sure that's super difficult technically to do, but that would intrigue people.
    8. but I do you script on trading view. So treating you is great. Not only for the charts, but they also have an idea section and a script section.
    9. Yeah, because Gemini trusted US dollar exchange. It's actually one of the only ones regulated and licensed by the state of New York, which has some of the strictest regulations in the world.
    10. I'm trading these who has these like how to videos, video tutorials and they really go in to the nitty gritty. I think they also have like a Wiki fac or like a wiki tutorial that is just like a whole encyclopedia of trading view and have every indicator you want, you click it and it expands and you can read about everything
    11. Yeah, I mean, it really, it when I use the most trading view is 100% open all the time. So important

      b/c of charts

    12. books. You know, I don't know if it's the Mac interface thing, but it's very buggy.

      coinagy is buggy compared to trading view

    13. I just chose it and I paid and it was only like, I want to say like 30 bucks a month maybe. I Dunno. And that was also during the bull run when I had a lot more crypto money and I was just like, whatever. I'll buy it invested in my, uh, in my education and tools.
    14. say try to focus on something that's really gonna drive you away from the competition, that people need. Because like I pay for multiple tools.
    15. gether or going back into, three commas and seeing what hit. Cause they track all that information and will tell you when it's sold, how much money you made, the bitcoin value and in USD and you'll be able to kind of see what levels of hit.
    16. I just don't like buying on there. So if I don't have to go into the application, i prefer not to. [inaudible] to Coinbase pro is also, it's poorly set up in my opinion. I don't know why i use it, but usually I'm just going in there to withdraw money.
    17. Coinagy I actually still usually prefer to use to buy on Bittrex because I'm usually signed into Coinagy for the simpllicity. And if I have money in multiple areas, I can do it all from one platform. And because I just, I hate Bittrex. They redid their entire platform. I think they dropped the ball
    18. Even though they've been having some issues in the last few weeks, um, to just get it at the price that I want immediately and then, because it's connected to my api in three commas.
    19. Purchasing. And then once I've bought into an asset, I will establish all my sale targets and stops in three commas.
    20. And as far as binance goes, they just have a track record, uh, where there was some type of hack to some degree.
    21. Uh, I have a lot of exchanges, but as the market stiped down, I only use coinbase pro, bitrix, and binance, uh, mainly because of the liquidity and safety.
    22. Um, and from a charting perspective it's better than coinagy because it allows you to put alerts on more things than just price action.
    23. Tradingview, I pay for because I want to have alerts on specific coins and you don't have the functionality and the free version.
    24. A lot of the tools I've been using the free versions because I haven't gotten to the point where, uh, I'm knowledgeable on how to maximize its value and therefore I don't pay for it because my knowledge is lacking.
    25. um, so crypto compare as it is a good place to find the volumes
    26. Whereas three commas is more structured that if you wanted to exit a position it would do so, but it be a market order and the would obviously bring with it a larger fees.
    27. I'm most likely just in the finance application itself to make sure things execute quickly.
    28. Um, three commas does that as well because it allows you to put in your targets, which is great cause it, you know, it auto sells it for you and then you can go back and look at it.
    29. But then when I kept getting, you know, uh, burned on my stops not hitting because they just moved too fast and the limits didnt fill or the orders on the flip side didn't sell.
    30. That's the one benefit of coinagy. You know, where I can actually plug in all the APIs for all the exchanges I work with and then basically operate from, from one application.
    31. An example would be three commas, my main use case for it has been the market orders
    32. hich is a reason why I would use, you know, a charting solution, which would be a tradingview or coinagy.
    33. right. But if I have one trade that sells at the proper say private level or protects my ass, you know, and uh, and a stop loss scenario, the, the monthly subscription, you know, usually ends up paying for itself at them, the matter of one trade.
    34. um, profit off of them or protect my do
    35. market order functionality, which a lot of exchanges don't have
    1. CORRESPONDENCE

      Throughout this section, Foucault characterizes correspondence as a way to reveal the self: "a certain way of manifesting oneself to oneself and to others," to "show oneself," "a decipherment of the self by the self as an opening one gives the other onto oneself."

      This sort of 'opening' is to make oneself vulnerable, to be seen by others. (cf. Marback's "A Meditation on Vulnerability in Rhetoric")

      This is characteristic particularly of writing that is intended for others (correspondence), but in what ways are other forms of writing equally--if not more--revealing of the self?

      (That also makes me question whether any writing is truly for the self and not intended in some way for others. Even diaries/journals are written with the possible eventuality that someone other than the writer will read it.)

    1. all signals are interchangeable so any out port can be connected to any in port

      For those of us who’ve had to deal with distinctions between audio and control signals, this is actually pretty major. However, it’s already become something in modular synthesis. People who get started in Eurorack, for instance, may not need to worry nearly as much about different types of signals as those who used Csound or, more importantly for this marketing copy, Cycling ’74 Max.

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  12. Dec 2018
    1. Guide To Boost Your Career as a Successful Web Designer

      If you are a website designer, then it might be very simple for you to be worried about learning different skills and understanding the traditional ones, like being a specialist in PhotoShop skills or maybe learning jQuery. Though, if you need to be a strong web design services, then you need much more than just having the appropriate tool or a strong grip on your designs.

      Here, we provide Guide to boost your career as a Successful Web Designer easily without any difficulties or challenges

    1. How Mobile App is Redefining your Insurance Business

      Mobile Apps have risen as the game changer for the insurance industry across the globe. Today insurance companies are no longer rely entirely on popular channels such as brokers and agents to attract their potential customers. Also, business leaders recognize the need to combine technology into their sales mix with mobile apps in the insurance industry.

    1. Fidoace is a liver support supplement for dogs. It not only helpful for dog’s liver but also develop a resistance to fight against wide range of dog diseases. It is helpful in improving digestion and liver function in dog and cat.

    1. Mobile apps is already been game changer for the IT industry and there are plethora of companies globally providing cost effective mobile app development services. This all because of the high competition among the companies and the clients can easily take benefits of this fact so they don’t have to invest much money from their pocket.

  13. Nov 2018
    1. Canada is the first case of the expansion of hospital medicine beyond the United States, and as of 2008, Canada had more than 100 hospital medicine programs.7 Currently, the estimated number of hospitalists in Canada has increased to ~3,000 (Colleen Savage, Administrator, Canadian SHM, personal communication, December 6, 2017). Yousef and Maslowski describe several drivers for the development of the hospitalist model, which are related to physicians, patients, and systems. Work–life balance and the desire for non-hospital work among primary care providers (PCPs) were leading physician factors. Two major patient-related factors were the increasing age and complexity of patients and the increasing number of “unattached” patients. Unattached patients are those who either do not have a PCP or their PCP does not have admitting hospital privileges. System drivers included PCP shortages, reduction in resident duty hours, higher need for health system efficiency, and cost reduction. Further, increasing health system complexity led to PCPs withdrawing from hospital care.7
    1. Without question, much of the growth of the hospital-ist movement has been generated by hospitals anxious tocut inpatient costs. However, the Davis study’s findingsregarding the diverse motivations for these programs aretypical. For example, in the Mississippi hospital, the mo-tivations included a desire to improve outpatient effi-ciency (and ambulatory care efficiency did increase by56%), a motivation shared by many other large multispe-cialty groups. The availability of primary care providersto their outpatients probably improved as well (althoughthese results were not reported). Freese (14) found that asimilar desire to make certain that primary care providerswere predictably available to their office patients was amajor driver of the hospitalist program at the Park Nicol-let clinic, and the program did lead to improved outpa-tient satisfaction. Other common motivations includethe desire to improve physician availability to inpatients,to have hospitalists care for unassigned patients admittedthrough the emergency department, to invest physiciansin hospital quality improvement activities, and to allowprimary care practitioners to have more predictable life-styles (15)
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    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. Older adult learning environment preferences

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    1. 25 Important Apps And Digital Learning Tools For University Students

      Excellent article offering 25 important apps to help University students and digital learning.The best part is that they are all free (so easily fits into a students' budget.

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    1. Top 10 Tools For The Digital Classroom

      This article presents a variety of new tools and apps that will enhance the digital classroom experienc