Cloud Services & Consulting #paas, #iaas, #cloud #backup, #cloud #services, #cloud #security,

Cloud Professional Services

Realize the full potential of the cloud – with cloud services and consulting from SAP

Simplify and accelerate your journey to the cloud with expert guidance from SAP. Our cloud services support the entire adoption lifecycle – from cloud design and strategy to deployment and operations. Leverage flexible, value-driven consulting engagements to develop a solution road map, execute your migration, securely manage your hybrid or cloud infrastructure, and move to cloud-managed services like PaaS and IaaS.

  • Services supporting the entire lifecycle
  • Flexible, fast and secure engagement
  • Value-driven engagements driving ROI and time-to-value
  • Consistent, compliant and accessible global delivery

Explore our cloud services

Cloud advisory and strategy services

The cloud advisory and strategy service evaluates your business priorities and establishes a solution road map that outlines how to use the right technologies – in the right way – to get you to the cloud with the best return on investment.

  • Identify key business areas that will benefit most from a cloud-based solution
  • Assess your cloud readiness and get guidance on cloud computing architecture and principles
  • Develop a concrete plan that maps out priorities, transitional steps, and milestones

Cloud design and assessment services

Our cloud design and assessment services will help you develop a strategy to accelerate your company’s transition to a virtualized environment – and set a course for moving into the cloud.

Cloud computing catalyst service

Get the holistic support you need to make your cloud vision a reality. We’ll help you streamline your IT architecture, reduce the total cost of operations, and shift your focus from operations to innovation and value creation.

Cloud implementation and migration services

Our cloud migration experts provide end-to-end consulting services and support for moving your on-premise SAP applications and software landscape to a virtualized, cloud infrastructure – with minimal impact on system performance.

SAP Cloud Platform

Drive innovation with SAP Cloud Platform, the industry’s only in-memory cloud platform-as-a-service (PaaS). The platform integrates seamlessly with your existing systems, allows you to customize applications and create new ones, and choose which processes to run in the cloud and which to keep in house. Our service offering gives you the support you need to get started.

Cloud integration services

Ensure that your on-premise legacy applications and processes remain fully integrated with those you move to the cloud. Our cloud integration experts will make sure your global IT landscape continues to run in an efficient, secure, and scalable way.

Application management services for cloud

Reduce the demands on your IT staff and lower operation costs with our cloud application management services. We’ll take care of day-to-day operations so you can focus on innovation and growth.

Application management services for cloud

Reduce the demands on your IT staff and lower operation costs with our cloud application management services. We’ll take care of day-to-day operations so you can focus on innovation and growth.

NC Domestic & International Adoption Home Study Agency #adoption #agencies #in #fayetteville


Types of Adoptions

These are our Azerbaijan babies – five children adopted from Azerbaijan by different families in NC. When possible, we will introduce our clients to other local families who are pursuing a similar type of adoption – often creating long-lasting friendships for both the parents and the children!

Domestic Adoption
Domestic adoption refers to the adoption of a child living in the United States. It generally follows one of three routes:

  • The placement of a child through a public agency (such as the Department of Social Services) which primarily deals with children in the foster care system, older children, and children with “special needs.”
  • The placement of a child through a licensed private adoption agency. Typically, private domestic agencies place newborn babies, although they can place older children as well.
  • The independent placement of a child by the child’s birth parents directly with the prospective adoptive parents, often assisted by an attorney. This process requires the prospective parents to locate a child available for adoption.

Why domestic adoption?
Many people select domestic adoption because it is possible to adopt a newborn baby domestically. Also, you may have information about the prenatal care of the child, health of the birthmother, the medical history of the birthparents and an opportunity to meet your child’s birthparents.

International Adoption
International adoption involves adopting a child from outside the United States. In a majority of international adoptions, children are adopted from orphanages, although sometimes they come from a foster care situation.

After you have selected your home study agency and child placing agency, the process of international adoption involves three things:

  1. Begin the home study process.
  2. Apply for approval from the United States Citizenship and Immigration Services (formerly INS) to bring the child home.
  3. Prepare your dossier. The dossier is the packet of documents that is sent to the other country to support your request to adopt. You will work closely with your child-placing agency to prepare your dossier. There can be a lot of paperwork involved, but it is manageable and your agency will help you every step of the way.

Why International Adoption?
People choose international adoption for a variety of reasons. They may feel an affinity for a certain country or culture. Some people take the humanitarian approach of wanting to give a home to a child from an orphanage in an impoverished area of the world. Others are more comfortable with no connection to the child’s birthparents.
Factors to consider when deciding what type of adoption is best for you:

  • Time factor, how long you will have to wait
  • Health of the child
  • Age of the child
  • Ethnicity/race of the child
  • Knowledge of parental health, and the child�s family health history
  • Ability to meet the birth parents
  • Comfort with international travel
  • Cost
  • Comfort with risk- both emotional and financial

Craig and Connie, Wilmington

We found Nathanson Adoption Services to be very efficient and worry free. Our homestudy was an enjoyable experience and we will use Nathanson Adoption Services again should we ever adopt another child.

Ten Step Overview #adoption #agencies #va


Ten Step Overview

If you want to adopt a child from the foster care system in this country, follow these 10 steps to your new family!

1. LEARN about Adoption

Being here is a good first step. Read through all of the information available here and in the All About Adoption sections. Check out our online course “Foster Family to Forever Family”.

You may also want to look for books and magazines about adoption at bookstores, libraries and on other websites. Attend an adoptive parents’ support group or adoption conferences. Visit adoption agencies’ websites.

NAC offers a social networking site for adoptive families and those interested in adoption.To view or share information with this adoption community, click here ( )

2. SELECT an Agency
You must work with an agency licensed in the state where you live. Contact several agencies to ask about the type of children they place, their fee structure, how they assess and prepare families, and how long it will take. Get references: speak with other parents who have used the agency you are investigating. Check whether the agency is licensed by your state to provide adoption services. You do not need an attorney at this point, but you may want to ask which legal services will be provided by your agency and which services you may be responsible for on your own. Visit AdoptMatch for agencies in your area.

3. COMPLETE a Homestudy
A homestudy is a series of meetings between you and an agency social worker. Think of it as an ongoing conversation which is part of the adoption process and prepares you for parenting. The social worker who prepares your homestudy will need to ask you for certain documents such as birth certificates, marriage license, child abuse clearances and personal references before finalizing his or her report. At least one meeting will be at your home. All individuals who live in your home will need to attend. The social worker is not there to do a “white glove” inspection of your home, but is there to ensure that you and your family are prepared to have a child or youth in your home and that you are ready to parent. Your social worker can also answer questions for you and point you in the direction of further resources to support you as you move along on your journey.

4. SEARCH for a Child
You begin the search for a child, teenager or sibling group when your homestudy is complete. Your agency will have children in its care or your worker will search for a child for you by networking with other child placing agencies. You can also be active in the search. View our waiting children. Explore other exchanges’ or agencies’ photolistings of children.

5. EXCHANGE Information with Child’s Agency
When you locate a child who seems like the right match to all parties involved, your worker and the child’s worker exchange information. Your homestudy is sent. If the child’s worker is interested in your family, you may then receive the child’s profile. This step of the process may take some time and calls for both patience and persistence.

6. LEARN that You Have Been Selected for a Child
You and several other families may be considered at the same time. The child’s worker makes the final decision on which family can best meet the child’s needs. When you are selected, more confidential information is shared, so that you can be sure this is the child for you. If the child’s parental rights are not legally terminated, it will be done at this time.

7. MEET and VISIT with the Child
The first meeting with the child is followed by several visits over a few weeks or months. If the child lives in another state, the child’s agency will work with you to arrange for at least one or two visits. Paperwork, such as the Interstate Compact or adoption assistance agreement, is completed. You are getting ready to add a new child to your life.

8. RECEIVE a Placement
The placement date is when the child comes to live in your home. Your agency will visit and work with you for several months in post-placement supervision. During this time you file a legal intent to adopt petition.

9. FINALIZE Your Adoption
Your child or teenager becomes a legal part of your family when you attend a court session where a judge finalizes your adoption. You will receive an amended birth certificate that names you as parents and a certificate of adoption.

Adoption doesn’t end after finalization. You will continue to learn about adoptive parenting. Talk with your child and others about adoption, find support and services for your child’s needs, and connect with other adoptive parents. And, when you are ready, consider adopting again.

Arlington, VA Family Law Divorce, Child Custody, Immigration Attorney #arlington #va #family


Dedicated and Passionate Northern Virginia Family Law Attorney

Celebrating 25 years serving the families of Northern Virginia – Martindale Hubbell Client Appreciation Award. read more

If you are going through a challenging family law matter such as divorce, separation, or a child custody dispute, family law attorney Claudia Zucker is here to help. Ms. Zucker is a lawyer who is dedicated to listening to your needs and learning about your concerns. When you choose her to represent you, she will help you focus on solutions for your immediate issues while helping you develop a long-term plan to deal with any future needs.

To discuss your case with her, please send her an e-mail or call (703) 596-1005. English, French, and Spanish are all spoken in her office.

“You will understand the process because I will take the time to outline it for you. I do not believe in setting unrealistic expectations. I only provide sincere, straightforward guidance so that you truly understand what you will be going through. I will guide you throughout your journey.”

Articles by Attorney Claudia Zucker

The firm is available to help people throughout Virginia, including those in Arlington, McLean, Alexandria, Falls Church, Fairfax County, Loudoun County, and Prince William County.

When you turn to an attorney for help, you want honest answers to your questions. Claudia Zucker will provide them. She has more than 15 years of experience dealing with all types of complex family law matters, including those involving multi-jurisdictional and international issues.

The hiring of a lawyer is an important decision that should not be based solely upon advertisement. Before you decide, ask us to send you information about our qualifications and experience. For honest and practical legal advice, contact the Law Offices of Claudia Zucker at (703) 596-1005. Our firm is committed to the highest level of integrity while resolving your family law matter.

All of the materials within this website have been prepared by Attorney Claudia Zucker is for informational purposes only and it is not to be deemed, in any manner, legal advice.

The Law Offices of Claudia Zucker represents people throughout Northern Virginia. including those in Arlington, Fairfax, McLean, Alexandria, Falls Church, Vienna, Manassas, and residents in all cities within Fairfax County. Loudoun County. Arlington County. and Prince William County .

Attorney Advertising | The information you obtain at this site is not, nor is it intended to be, legal advice. You should consult an attorney for individual advice regarding your own situation.

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Cradle Of Life Adoption Agency #cradle #of #life #adoption #agency



We want to wish all of our Birth Mothers and Adoptive Mothers a very happy Mother s Day weekend. You both will always have such a special bond in that you have cared for, protected, and love the same child. Birthmothers make the ultimate sacrifice and give the gift of life to adoptive mothers, and those adoptive mothers care for and raise those children in love as a way to honor that sacrifice and the woman that made it. Adoptive families should make sure to take some time this weekend to remind…

6 мая 2016 г. в 13:50 · Доступно всем

Cradle Of Life Adoption Agency обновил(-а) фото обложки.

23 марта 2016 г. в 14:38 · Доступно всем

Cradle Of Life Adoption Agency обновил(-а) фото профиля.

23 марта 2016 г. в 14:38 · Доступно всем

We should remember every day to value and appreciate the selflessness and love of our birthmothers, adoptive families and adoptees!

Adoption at the Movies: The Boss Baby (SPOILERS) Adoption Movie Review #pregnant


Tim Templeton has the perfect life for a seven-year-old boy. His parents dote on him, play games with him, engage his imagination, and send him to bed each night with stories, hugs, and a special song. One day, Tim s parents ask him if he would like a baby brother he says that he doesn t want one because after all, he is enough. But, the baby shows up anyway. Tim s new baby brother The Boss dresses sharp and, as Tim finds out later, can talk. The Boss is concerned that there will not be enough love for babies in the world because people are starting to love puppies. In the meantime, Tim starts to fear that there will not be enough love for him in his parents hearts because they re falling in love with the new baby.


The Adoption Connection

There is no talk of adoption in the film. However, any child who has welcomed a new sibling into their family might relate to Tim s fear that his parents won t be able to love him enough. The movie harps on that fear. The Boss Baby tells Tim, (roughly paraphrasing) You re seven and a half. You re old. It s time to make way There s only so much love to go around. Tim suggests that they could share, but the Baby says, There s not enough love to go around, and if you don t adjust, there eventually won t be a place for you. This leaves Tim wondering whether he can be fired from his own family; in order to protect his place in his parents hearts, Tim sets out to rid himself of the new baby, first by trying to prove that the Baby is sinister, and then by trying to catapult him out of a window.

Some kids who have been neglected prior to coming into foster care might connect with a question that Tim asks The Boss Baby, You missed childhood? You never had someone to love you?

Eventually, Tim and The Boss Baby come to care about each other, and see the value of family. Tim is ultimately assured that he ll never be fired from his family.

Tim eventually comes to nurture his brother; he even sings his baby brother the song that his parents used to sing to him.

In a heaven-like celestial baby factory, The Boss Baby is designated for management instead of belonging to a family because he doesn t quite fit in, and doesn t appear to be ticklish.

The Baby s words to Tim are very unkind, and they could be painful for some kids to hear. Tim s attempts to defeat his new baby brother could be very dangerous if a young child mimicked them with a real-life baby; in particular, after the baby threatened to destroy Tim s treasured stuffed animal, Tim prepares to use his baby brother s swing chair to catapult the baby from a second story window onto the street.

Tim s parents don t seem particularly sensitive to Tim s feelings; they cover Tim s pictures on the fridge with pictures of the new baby. Tim feels rejected when his parents don t do his regular bedtime routine with him.

Tim wishfully remarks that his parents might be able to return the baby to the store and get their money back. It s a quick remark, but it could catch some sensitive ears by surprise.

At one point, Tim expresses a sentiment that other big siblings probably have said or thought at times, but it still could be hard to hear; he tells the baby, My life was perfect till you showed up. I wish you d never been born. The baby, who did not appear hurt by other things Tim said, appears cut by this remark, and walks off.

One character intends to make it so that no one will ever want a baby again.

A kid behind me cried during a scene when it appeared that an infant was imperiled.

BIG SPOILER ALERT: When the Boss Baby leaves Tim s home, small kids wave magic wands to make Tim s parents forget that he ever existed. Although they do this to Tim s parents without their consent, Tim is given the option whether to forget The Boss; he chooses to remember his brother. Later, The Boss decides to be born into Tim s family. It s nice to see that the brothers have chosen to accept each other, but it could be hard for some kids to think that their parents could easily forget them this could be particularly painful for kids who wonder whether their birth parents remember them, or who fear losing their adoptive parents. On a side note, Tim has a very active imagination, and it s possible that his entire experience with The Boss Baby was imagined in response to his mother s apparent pregnancy; the film doesn t make that clear, though, and most kids probably won t make that assumption. END SPOILER

The Boss Baby had some funny moments and ultimately ended happily, but it didn t live up to the hopes I had for it, and it s got some aspects that make it hard to recommend for young or sensitive viewers. Most kids 11 and up should be fine, but younger kids especially those for whom permanency hasn t always been a sure thing might find certain aspects of this one very troubling. It would be helpful for parents to directly remind their children that the children will never be fired from the family, and that there is enough love to go around, no matter how many kids come into the home.

Questions for Discussion

Can parents love more than one child with all of their heart? Can a child love more than one parent (or more than one pet) with all of their heart?

Where does love come from? Do you only have a certain amount to give, or can you make (or find) more?

What are the good parts of having a new brother or sister? What parts scare you?

This movie is not about a baby being adopted.
Notice the night before he came the parents were putting Tim to bed when the mother is pregnant and the baby is kicking.
Also, when the Boss Baby comes back into the world, he enters through a spiral or figuratively the birth canal.
This is a story of loss of a baby sibling.
Also note that when he goes back, he falls into an angel decorated cake and makes angel wings. Thus implying the child had died and went back to heaven or baby Corp where babies come from.

Hi! Thanks for your comment. Your perspective is interesting, and you might be right. I don t think the story intended to be about adoption, although I did see some similarities to adoption.

What I think was actually going on in the story, and I wonder your take on it, is that Tim has a pretty active imagination. I think the Boss Baby never happened, and it was just how Tim was processing getting ready for a baby brother. That s why no one but Tim remembers the Boss Baby — what do you think?

EMR Adoption Model #himss #analytics #emr #adoption #model


EMR Adoption Model

Created by the HIMSS Analytics group in 2005, the EMR Adoption Model (or EMRAM) is a tool that scores healthcare facility’s levels of IT systems adoption in the United States and Canada. The Purpose of EMRAM is to promote and support hospitals and other health care systems to implement technology in their practice to improve healthcare delivery. This includes improved patient safety, quality care, health information exchange and a paperless environment.


EMRAM Scoring Levels

There are 8 levels total, 0-7, that rate the level of a facility’s EMR capabilities(2). Provided is HIMSS Analytics’ descriptive summary of each stage, from most basic to advanced: [1]

  1. Stage 0, signifies that the “3 key ancillaries”, radiology, laboratory and pharmacy departments, have not been installed.
  2. Stage 1 indicates the 3 ancillaries have been installed at the organization.
  3. Stage 2 reflects the organization’s abilities to submit data to a clinical data repository (CDR) from key ancillary departments. The data is then available for viewing by medical staff. The CDR must have a controlled medical vocabulary, CDS, and may have Image viewing capabilities.
  4. Stage 3 the organization has installed clinical documentation flow sheets, a clinical decision support system has been executed, and there is image viewing accessibility.
  5. Stage 4 Computerized physician order entry (CPOE) has been implemented. CDS have been modified to allow evidence-based medicine (EBM) practices.
  6. Stage 5 Implementation of “closed loop medication administration environment” has occurred in a minimum of one patient service department. Auto-identification technologies have been synced with the CPOE and pharmaceutical department.
  7. Stage 6 Structured templates are used in a minimum of one patient service department. The radiology PACS system is in use, allowing providers to view all medical images through a “intranet or secure-network”.
  8. Stage 7 The organization has achieved the highest level of integration, and functions in a paperless environment. They have full sharing capabilities with other healthcare facilities and Health Information Exchanges (HIEs).

Please visit the HIMSS Analytics website for Current US and Canada EMR Adoption Model Statistics:

Current EMRAM Accomplishments

There are currently 57 of 5,000 hospitals in the United States that have achieved Stage 7. [2]

The HIMSS Analytics website has a current list of all hospitals that achieved Stage 7. [3]

ASA Satisfaction of Meaningful Use Requirements

The American Society of Anesthesiology (ASA) has determined that current systems easily meet the following criteria of stage I meaningful use requirements:

  1. Records patient demographics
  2. Contains current problem list
  3. Maintains current medication list
  4. Maintains current allergic medication list
  5. Records smoking status
  6. Implements one clinical decision support function
  7. Contains CPOE capabilities
  8. Protects patient information and secures privacy
  9. Contains lab test results
  10. Uses data for Continuous Quality Improvement (CQI) [4]

Benefits of EMR in the Intraoperative Setting

Automate Perioperative Charting

Surgical management solutions automate perioperative charting across all phases of care which include pre-admission testing (PAT), pre-operative, intra-operative and post-operative in order to streamline workflow and reduce redundancy of effort. Well-established systems such as those offered by Cerner and McKesson share data directly from their established EHR. Clinicians receive vital, real-time information at the point of care, helping to provide better, safer care in the operating room and on the floor. Information about fluids, medications, allergies, and other vital patient data is instantly updated in real time and across settings of care to bolster safe decision making and reduce complications. Real time updates which are automated not only increase efficiency, but increases accuracy as well. The care provider can focus more on taking care of the patient rather than the charts. [5]

Optimize Capacity and Throughput

The medical field ha s many opportunities for operational inefficiency. With the high cost of facilities, equipment and personnel, even the smallest waste can have a large impact on the bottom-line. Bottlenecks are reduced as inefficiencies in scheduling are identified. Underbooked facilities and overutilized personnel can be tracked in an objective manner. Procedure scheduling and operating room management activity has profound effects on impact efficiency and finances, like supply management and patient accounting. Integration be between the various hospital settings helps optimize operating room capacity and throughput, control resource utilization, lower supply costs and maximize revenue-all of which improve clinical and financial performance. [6]

Benchmarking, Analytics and Reporting Tools

Benchmarking, analytics, reporting and scorecarding are various tools hospital systems use to assess the efficacy of new processes and allow the comparison to their peers. Monitor key performance indicators and respond proactively to opportunities to improve the productivity and profitability of surgical services while enhancing patient safety in the operating room. As the public and private sector demands more benchmarking in comparing one system versus another, this data will become useful. The current trend in healthcare is to increase patient value. Patient value is defined as an increase in quality over the cost of medical treatment. To enhance patient value, either the quality must improve or the cost must decrease. Analytics will facilitate in objectively identifying strategies which can achieve both ends. [5]

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