Showing posts with label make. Show all posts
Showing posts with label make. Show all posts
Sure Accountable Care Organizations ACOs Can Save Money But Can They MAKE Money
Tuesday, May 13, 2014
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| ACOs at work. |
All three institutions are using two key ingredients:
1) information technology-based risk stratification to identify the persons at greatest risk and
2) dedicated full-time nurses who perform telephonic and in-person outreach, coordinate care and provide patient coaching that, in turn, is tailored to that risk.
To the DMCB, the good news is that ACOs are using the two approaches that define modern-day disease and population health management. That industrys success will be Mt Sinais, Coastal Carolinas and Hackensacks success.
The bad news is that the news release only addresses half the question: did any savings exceed the institutions cost of the risk stratification and the nurse-FTEs? If the early answer is no, then avoided ER visits and reduced costs could turn out to be much like Governor Christies lap band: so far so good but its still risky and could ultimately be all for naught.
And on an unrelated note, this just-published New England Journal article makes note of "not made in America" health care innovations from overseas that could hold important lessons for the United States. In particular, the authors point out that Germanys DRG hospital payment system includes 30-days of post-discharge care and includes the physician payment. Readmissions within that 30 day window are, with a few exceptions, not covered and physician payment is possible because docs are often employees of the hospitals.
"Interesting!" says the DMCB, but is reminded that Germany is hardly a model for reducing inflationary cost trends. It also specifically recalls hearing Germanys Minister of Health, Daniel Bahr, express impatience with his countrys DRG system just last week. He criticized it for not advancing enough quality in his keynote address at the HauptKongress in Berlin.
Homemade Shampoo Make Shampoo at home
Friday, May 9, 2014
Homemade shampoo
Making your own shampoo at home is a good idea if you are tired of using various shampoos that have ruined your hair. Homemade shampoo is worth a try because if it wont help your hair, it will not harm your hair too.
The ingredients required to make homemade shampoo are easily available in the market as well as online.
Homemade Reetha - Shikakai Shampoo Recipe
Things you will require:Amla (India gooseberry) 100 gms
Reetha (Soap nut) 100 gms
Shikakai (Acacia Concinna) 75 gms
water 2 lts
Also Read : Homemade hair conditioner recipe
Method:
Soak all the three ingredients in water overnight.
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| Shikakai - Homemade Shampoo |
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| Reetha/Aritha - Homemade Shampoo |
Boil the mixture next morning till the water reduces to half.
cool it to room temperature.
your natural shampoo is ready.
How to use Reetha Shikakai homemade shampoo
Rub the reetha, amla and shikakai between your palms this will form lather apply this lather to your scalp and clean your scalp as you do with normal shampoo.This homemade shampoo prevents hair fall and makes you hair healthy
While shampoo cleanses and nourishes your hair, conditioner gives that shiny silky look to the hair. Shampoo must be followed by hair conditioning. You can make your hair conditioners by using homemade hair conditioner recipe.
Homemade Egg Shampoo Recipe
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| Castile Soap (Liquid)- Homemade Shampoo |
Egg 1
Canola oil 1 tsp
Lemon Juice 1 Tsp
Castile Soap 1 tbs
Blender
Essential oil as perred
Method
Beat the egg.
Combine all the ingredients with the beaten egg
Put the mixture into the blender and blend it all.
upcoming
Soap Bark (Quillaja saponaria) Shampoo
The Homemade Egg shampoo is ready for use. This will leave your hair clean and shiny.
Be careful the surf beaches can also make an injury!
Friday, May 2, 2014
Be caul, the surf beaches can also make an injury! - Waves play a compulsory activity for all those who traveled to the coast. The bigger the waves sometimes even more fun. Many travelers take advantage of this for swimming, surfing, or other.
But you should be caul if other times playing the waves at the beach. A study in Delaware show that the number of people injured in coastal waves increasing. Types of wounds are also getting worse now.
The power of the ocean and the waves seemed to be quite large, even though the beach is shallow. One researcher suggested to swim at beaches that have guards. Also, do not ever come back to the waves.
Over the last three years, more than 1,100 travelers visiting the Emergency department unit (ICU) due to exposure to ocean waves. Wounds vary, ranging from scratches or wounds deep enough, a broken bone, organ trauma, until death.
The most common injury was a broken collarbone, dislocated shoulder, neck pain, or ankle and knee sprains. Most accidents occur in places that are commonly used for surfing and the surf area began to emerge and fall. Waves can hit people swimming or surfing, as well as the slam em into the sand. This is why the injury occurred.
"Historically, most of the injuries caused by the waves rarely reported. This is the first study to record all types of injuries that occur due to waves in the ocean," said Paul Cowan of Beebe Medical Center in Lewes, as reported by U.S. News.
Cowan also further explained that despite injuries and back or neck fractures are rare, but some patients experience severe accident to change their lives. Through this research should begin to be aware of the power possessed by the sea, and remain alert while playing there.
But you should be caul if other times playing the waves at the beach. A study in Delaware show that the number of people injured in coastal waves increasing. Types of wounds are also getting worse now.
The power of the ocean and the waves seemed to be quite large, even though the beach is shallow. One researcher suggested to swim at beaches that have guards. Also, do not ever come back to the waves.
Over the last three years, more than 1,100 travelers visiting the Emergency department unit (ICU) due to exposure to ocean waves. Wounds vary, ranging from scratches or wounds deep enough, a broken bone, organ trauma, until death.
The most common injury was a broken collarbone, dislocated shoulder, neck pain, or ankle and knee sprains. Most accidents occur in places that are commonly used for surfing and the surf area began to emerge and fall. Waves can hit people swimming or surfing, as well as the slam em into the sand. This is why the injury occurred.
"Historically, most of the injuries caused by the waves rarely reported. This is the first study to record all types of injuries that occur due to waves in the ocean," said Paul Cowan of Beebe Medical Center in Lewes, as reported by U.S. News.
Cowan also further explained that despite injuries and back or neck fractures are rare, but some patients experience severe accident to change their lives. Through this research should begin to be aware of the power possessed by the sea, and remain alert while playing there.
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