Solari Hospice Care Outlines Why Nonprofit Status Does Not Equate to Superior

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Solari Hospice Care Outlines Why Nonprofit Status Does Not Equate to Superior Hospice Care

February 09, 2011 11:20 AM Eastern Standard Time

SCOTTSDALE, Ariz.–( BUSINESS WIRE )–The Journal of the American Medical Association (JAMA) published an article in its February 2 issue titled “Association of Hospice Agency Profit Status, With Patient Diagnosis, Location of Care, and Length of Stay.” Solari Hospice Care wants to emphasize that this article offers no supporting research or evidence that nonprofit hospice programs provide better care to terminally ill patients, are more ethical, or are more compassionate than for-profit hospices.

Solari Hospice Care would like to address the rampant misinformation regarding for-profit hospice care and stress that the fundamental principle of hospice will always be providing people with the greatest quality of life in the time they have left.

With more than one million people in the United States receiving hospice care in 2009 1. it’s apparent that hospices meet a very important need in this country — and to suggest that the primary motivation is financial does a disservice to the devoted hospice staffs caring for their patients facing life-limiting illnesses.

“Having IRS 501(c)(3) nonprofit status does not automatically equate to superior care for terminally ill patients,” said Gary W. Polsky , chief executive officer , Solari Hospice Care. “There is no correlation between the profit status of a hospice program and the quality of care provided.”

So what is similar between nonprofit and for-profit hospices? The regulations are identical. All licensed and certified hospices must comply with state law and the Code of Federal Regulations governing hospice care. In addition, Medicare’s reimbursement rate is fixed regardless of the care needs of individual patients, the services patients receive, or the tax status of the hospice providing the care.

“For those who continue to pit nonprofit hospices against for-profit hospices, it’s my opinion that you are fighting the wrong battle,” Polsky remarked. “What we all should be advocating for is helping people to live with dignity and comfort by providing comprehensive and compassionate hospice care. Hospice practices, including quality of care, depend on an organization’s staff and leadership, not tax status. In any field of business, there are ‘good’ companies and ‘bad’ companies, and hospice is no different.”

According to the National Hospice and Palliative Care Organization’s (NHPCO) recent comprehensive survey, the Family Evaluation of Hospice Care, detailed analysis of data submitted by hospices shows no difference in family caregivers’ evaluation of the quality of care based on a hospice program’s profit status.

Polsky added, “As a member of the NHPCO, I am proud to say that Solari Hospice Care exceeds NHPCO’s Standards of Practice for Hospice Programs and fully complies with all hospice regulations.”

“I am focused on and passionate about providing the highest quality of care to patients facing complex end-of-life issues,” Polsky commented. “My education in health care administration and my experience in the health care field over the years have given me the opportunity to work with some of the most skilled doctors, nurses, specialists, counselors and caring staff members. When I founded Solari Hospice Care in 2002, I knew that I wanted and expected the same level of passion and dedication from my staff in Las Vegas and Houston. Hospice patients deserve nothing less than excellent care specific to their unique needs.”

Polsky concluded, “Ultimately, the most important measure of a hospice should be the quality of care provided to patients — not its tax status.”

With this insight, you and your loved ones will be better informed how hospice care can address symptoms and pain management, ease suffering and grief, as well as provide emotional and spiritual support during the final phase of life. To learn more about the issues, opportunities and trends impacting the hospice industry, please read the new CEO Viewpoint blog from Solari Hospice Care’s Gary Polsky at http://bit.ly/f6evtE.

1 “Hospice Care in America,” National Hospice and Palliative Care Organization, October 2010

About Solari Hospice Care

Contacts





Bobbi Kristina Brown Update: Why Were Cops Called to Hospice? #discounted #hotel

#hospice cops

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Bobbi Kristina Update: Why Were Cops Called to Hospice?

As family and friends gathered at Bobbi Kristina Brown s bedside on Thursday, several police officers appeared outside of the hospice, but the reason remains a mystery.

Seven police cars were spotted at Peachtree Christian Hospice in Duluth, GA, and officers were seen conversing with staff. So far, the Duluth Police Department has not explained why they were summoned to the facility.

Bobbi Kristina has been receiving visits from family members, including her father Bobby Brown, his sisters Tina and Leolah Brown, Pat Houston, and actor-director Tyler Perry.

Perry, a longtime friend of the Brown and Houston family, was photographed Sunday exiting a blue Rolls-Royce before entering the hospice.

A somber-looking Perry was dressed all in black with a white baseball cap pulled down low over his eyes.

Pat Houston, married to Whitney Houston s brother, was photographed comforting Tina Brown outside of the facility. This marks the first time the two women have been seen together since Bobbi Kristina was admitted to the hospital in January.

Nick Gordon, who is currently being sued by Bobbi Kristina s estate, has been spotted in Orlando. He has not been permitted to see his girlfriend since the day she was admitted.





Hospice Funding: Why you need to know #hospice #rn #jobs

#how is hospice funded

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HOSPICE FUNDING:
WHAT YOU NEED TO KNOW

While the hospice’s source of funds may be the last thing on your mind, hospices are businesses. The business end of hospice can affect the care your loved one receives. Hospices receive funds from government programs or private insurance, from donations made by the public or other corporations, and from grants donated by charitable foundations. Hospices are reimbursed by Medicare, Medicaid, or private insurance for care provided to the terminally ill.

Except for continuous around-the-clock home nursing care, which is paid for on an hourly basis, all other services are reimbursed on a per-diem basis. Hospices are not reimbursed on a fee for service basis: rather, hospices are paid, on a basis of how many days the patient is enrolled in the program and received services: the per-diem basis. In return for payment, Medicare, Medicaid and private insurance companies expect the hospices to provide all services which the patient and family need which are related to the terminal illness. The Centers for Medicare Services (CMS) regulations mandate that the hospice comply with the regulations.

And the per-diem basis of payment assumes that the hospice agency will actually provide those services; this payment system places much trust in the hospice management. However, fewer services provided to a patient results in more money retained by the hospice. Obviously, the system can reward fraudulent hospices with increased income while honest, dedicated hospices provide full services as required.

Donations to Hospices

While nonprofit hospices can solicit as well as receive charitable donations, for-profit hospices can only receive donations. After the death of their loved one, some families suggest making memorial donations to the hospice they used. This is a very significant source of funds to the hospice and helps to cover expenses incurred in running the hospice.

Nonprofit charitable hospices are supposed to provide hospice services to those persons who do not have coverage and cannot afford to pay for care. So when you donate to a nonprofit hospice, there is a greater likelihood that charitable hospice services will be provided.

When you donate to a hospice, you cannot be sure that donations made to the local hospice will actually be used for the purpose you designate. Even if you designate a purpose, there are legal tricks of the trade, or accounting, which can make it possible for a hospice to shift the donated money or other money to other purposes than what you wished. Although there are laws stating that restricted donations must be used for the purpose designated by the donor, certain recent court cases have challenged the strictness with which these laws are enforced. Practically speaking, the government does not always look into what a hospice may do with any donations.

While donating directly to a nonprofit hospice allows you to claim a charitable federal tax deduction, you can only be sure that your money is used for a particular purpose if you personally buy something and donate it to the hospice. Some hospices have several branch locations covering a large area. If you donate to one hospice, the management may take the money and transfer it to a completely different location. or it may use the money to help pay for unreasonably high salaries for executives.

For-profit hospices have no obligation to provide services to anyone who does not have coverage from Medicare, Medicaid or private insurance. They can turn people away and tell people to go elsewhere. If you do choose to donate to a for-profit hospice, just remember that the for-profit corporation may take that money and pay its Chief Executive Officer many hundreds of thousands of dollars each year in salary and benefits!

No Need to Ever Pay Privately for Hospice Services

Whether or not your loved one has Medicare, Medicaid or private insurance, you should never have to pay out of your own pocket for hospice covered services. If a hospice asks you to pay for private duty nursing out of your own pocket when there are uncontrolled symptoms, when you already have Medicare, Medicaid or private insurance, it is very likely committing health care fraud illegally! It is important that you report this to your regional U.S. Office of Inspector General and U.S. Attorney’s office. Double-billing is a very real and despicable scam committed by rogue hospices taking advantage of the dying. Don’t let this happen to you!

Charitable Provision of Hospice Services

If you do not have any coverage by Medicare, Medicaid or private insurance, a nonprofit hospice can provide services to you FREE OF CHARGE as part of its charitable mission. The nonprofit status of the hospice often requires it to provide charitable services. Find a larger nonprofit hospice if you have no coverage; the nonprofit hospices are dedicated to the mission of serving those in need.





Paralegal Interview Questions, why become a paralegal.#Why #become #a #paralegal


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Paralegal Interview Questions

Paralegal interview questions with excellent sample interview answers.

Paralegals are found in many types of organizations including law firms, corporate legal departments and government offices.

Why become a paralegal

Paralegals and legal assistants work in many different areas of the law including corporate law, criminal law, labor law, family law, real estate and litigation.

These interview questions explore the core competencies required by a successful paralegal regardless of the area of specialization.

What are the most important skills for a paralegal?

In your paralegal interview answer include organization and planning, research and analytical skills, writing skills, judgment and decision-making skills, attention to detail, strong communication skills, patience and perseverance, confidentiality and sensitivity.

What tools and methods do you use for the day to day organization and planning of your work?

Describe the systems you use to stay organized. How do you prioritize your workload? How do you plan and schedule your work tasks and activities? How do you stay focused and productive despite interruptions and conflicting demands on your time?

This is a good opportunity to highlight the paralegal software you are familiar with such as Lexis/Nexis, Concordance, CaseMap.

Give me an example of having to organize large volumes of data in order to prepare a report by a tight deadline.

A paralegal must research and analyze volumes of data in order to prepare written reports and summaries. They also have to be able to work under pressure.

Describe the steps you took, using a specific example, to identify key issues from a base of information. Highlight how you applied relevant legal principals to the facts in your analysis of the information.

Tell me about a time you had to interact with a difficult client.

You represent the company to the public and your ability to act professionally at all times is important. Discuss the specific techniques you use to handle a difficult interaction including staying calm, getting all the necessary facts and information, discussing options and coming to agreement.

Describe a complex legal decision you had to make. Take me through the process you took to reach your decision.

As a paralegal you need to be able to make sound decisions independently. Steps include gathering all relevant information and pertinent facts, generating and exploring good alternatives, selecting the best alternative and checking the decision. Focus on presenting a logical and systematic decision-making process.

Tell me about your experience dealing with confidential and sensitive information.

A paralegal needs to use tact and diplomacy when dealing with sensitive and confidential issues and situations. Provide a specific example.

How do you check the accuracy of your work?

Highlight your attention to detail and your focus on all areas involved in the task no matter how small. Describe the systems and processes you use to check your work for accuracy and completeness.

Why are you the right person for this job?

Focus on what you can do for the organization – your legal knowledge, abilities, legal experience and skills.

Highlight your particular strengths (analytical ability, specialist knowledge, research skills, e-discovery) and how they meet the needs of the job. Give examples of your past experience that relate directly to this job.

Why did you choose to become a paralegal? Why did you choose to specialize in this area of the law?

In your paralegal interview be convincing about your passion for the law. A paralegal position offers an opportunity to participate meaningfully in the legal process. It allows you to think critically and analytically and to optimize your communication skills.

As a paralegal you will be constantly learning and growing. Look at your particular specialization – litigation, criminal, corporate, insurance, family law etc – and consider what it is about the specific demands of the job that you enjoy.

These detailed descriptions of paralegal duties for different areas of specialization will help you.

Do your preparation. Use your company research during the paralegal interview to convince the company that you are a serious and committed candidate.

Expect questions in your paralegal interview that explore your legal training and qualifications and knowledge. Show how your training has prepared you for this specific job. Direct your answer to what you know about the organization and the position and relate your training to their needs. The detailed information at What Does a Paralegal Do? can help with this.

Prepare for common interview questions using the sample interview answers.

Prepare for behavioral questions in your paralegal interview. These behavioral interview answers show you what is required from you.

Why become a paralegal


10 Benefits of Social Media for Business #why #use #social #media #for


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10 Benefits of Social Media for Business

There was a time when social media was considered by some as a passing fad. Something that “the kids” were using that businesses could never really benefit from. Over time, the skeptics were proved wrong. There are over 3 billion internet users—and over 2 billion of them have active social media accounts. Popular social platforms have become marketing giants, offering businesses valuable data about their customers and a (mostly) free way to reach them. The jury has spoken: social media for business is no longer optional.

If you’re wondering how social media can benefit your business, look no further. We’ve outlined key points below.

Bonus. Get the step-by-step social media strategy guide with pro tips on how to grow your social media presence with Hootsuite.

1. Gain valuable customer insights

Social media generates a huge amount of data about your customers in real time. Every day there are over 500 million Tweets. 4.5 billion Likes on Facebook. and 95 million photos and videos uploaded to Instagram. Behind these staggering numbers is a wealth of information about your customers—who they are, what they like, and how they feel about your brand.

Through daily active engagement and social listening. you can gather relevant customer data and use that information to make smarter business decisions. With Hootsuite Insights. for example, you can gather information across all your social networks in real time—allowing you to gauge customer sentiment, find the conversations happening around your brand, and run real-time reports.

2. Increase brand awareness and loyalty

When you have a presence on social media, you make it easier for your customers to find and connect with you. And by connecting with your customers on social, you’re more likely to increase customer retention and brand loyalty. A study by The Social Habit shows that 53 percent of Americans who follow brands on social are more loyal to those brands .

3. Run targeted ads with real-time results

Social ads are an inexpensive way to promote your business and distribute content. They also offer powerful targeting options so that you can reach the right audience. For example, if you run an ad campaign on LinkedIn. you can segment by things like location, company, job title, gender, and age—the list goes on. If you’re running a Facebook ad. you can target based on location, demographics, interests, behaviors, and connections. You can track and measure the performance of your social ads in real time.

4. Generate higher converting leads

Social media increases sales and customer retention through regular interaction and timely customer service. In the 2015 Sales Best Practices Study from research institute MHI Global, world-class companies rated social media as the most effective way to identify key decision makers and new business opportunities. In the State of Social Selling in 2015, nearly 75 percent of companies that engaged in selling on social media reported an increase in sales in 12 months.

5. Provide rich customer experiences

Even if you aren’t on social media, most of your customers expect you to be. Over 67 percent of consumers now go to social media for customer service. They expect fast response times and 24/7 support —and companies that deliver win out. A study by Aberdeen Group shows that companies engaging in social customer service see much bigger annual financial gains (7.5 percent YOY growth) vs. those without (2.9 percent) .

6. Increase website traffic and search ranking

One of the biggest benefits of social media for business is using it to increase your website traffic. Not only does social media help you direct people to your website, but the more social media shares you receive, the higher your search ranking will be. For example, if every person who follows Hootsuite on Twitter Retweets this post, it’s more likely to rank higher in Google’s search engine results page for variations of “social media for business.”

7. Find out what your competitors are doing

With social media monitoring you can gain key information about your competitors. This kind of intel will allow you to make strategic business decisions to stay ahead of them. For example, you can create search streams in Hootsuite to monitor industry keywords and mentions of your competitors’ names and products. Based on your search results, you can improve your business to offer product enhancements, service, or content that they may be missing.

Learn how to get even more out of Hootsuite with free social media training from Hootsuite Academy.

8. Share content faster and easier

In the past, marketers faced the challenge of ensuring their content reached customers in the shortest possible time. With the help of social media, specifically when it comes to sharing content about your business or for content curation. all you need to do is share it on your brand’s social network accounts.

9. Geotarget content

Geo-targeting is an effective way to send your message out to a specific audience based on their location. Social networks like Facebook and Twitter have tools that allow you to communicate the right kind of content to your audience. For example, in Hootsuite you can target Twitter messages to followers in specific countries. or send messages from Facebook and LinkedIn company pages to specific groups based on geographical and demographic parameters. You can also use Hootsuite geotargeting to find conversations relevant to your brand.

Learn how to get even more out of Hootsuite with free social media training from Hootsuite Academy.

10. Build relationships

Social media isn’t about blasting your company’s sales pitch on social, it’s a two-way channel where you have the opportunity to enrich relationships with your customers. For example, social media allows tourism brands to create dialogue with travellers, therefore creating relationships with customers before, during, and after they have booked a trip with the company. This kind of social media dialogue between brands and customers is something traditional advertising cannot achieve.

Get started on social to grow your business

Social media has a treasure trove of benefits to help you grow your business. By using it to learn more about your customers, engage with your audience, and extend your brand reach, you’ll be converted before you know it.

Are you ready to start reaping the benefits of social media for your business? Hootsuite can help you schedule posts, engage with customers, and monitor your success. Try it free today.

This is an updated version of a post originally published in July 2014. With files from Kristina Cisnero .


Locks of Love – Official Website #why #should #i #donate #to #charity


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What is Locks of Love?

Locks of Love is a public non-profit organization that provides hairpieces to financially disadvantaged children in the United States and Canada under age 21 suffering from long-term medical hair loss from any diagnosis. We meet a unique need for children by using donated hair to create the highest quality hair prosthetics. Most of the children helped by Locks of Love have lost their hair due to a medical condition called alopecia areata, which has no known cause or cure. The prostheses we provide help to restore their self-esteem and their confidence, enabling them to face the world and their peers.

Fraud Alert:

Solicitations often occur on behalf of Locks of Love as part of an event being held to benefit Locks of Love. These events are normally registered with Locks of Love and have obtained approval to use our trademark name and logo in association with promoting the event. However, it has been brought to our attention that unauthorized solicitations are occurring from time to time. The organization Locks of Love does not solicit for hair or financial donations through any means including but not limited to: social networking sites such as Facebook, MySpace, Twitter, etc. telemarketing or direct mailers other than the official Locks of Love newsletter. Unless part of an event, all donations should be mailed to: 234 Southern Blvd. West Palm Beach, FL 33405. This is Locks of Love’s only office and anyone instructing you to mail your donation to a differing location is most likely fraudulent.

Locks of Love provides permission for groups and individuals to sponsor events to benefit our charity. The event organizers have registered and received permission to use our name and logo for a limited time. Registered events may be confirmed by contacting our office. If you believe that you have been solicited for a donation by an unauthorized Locks of Love representative, please contact the Locks of Love office at 561-833-7332. Locks of Love also encourages that you report any fraudulent activity to your local police.

Mission Statement

Our mission is to return a sense of self, confidence and normalcy to children suffering from hair loss by utilizing donated ponytails to provide the highest quality hair prosthetics to financially disadvantaged children. The children receive hair prostheses free of charge.

How Can You Help?

  • Make a Hair Donation or Financial Contribution
  • Plan an Event to Benefit Locks of Love
  • Register as a Participating Salon
  • Volunteer in our National Headquarters
  • Other Ways to Help

Learn How to Get Involved

Apply For a Hairpiece

If your child needs a hairpiece, please fill out the application and send the requested information via Certified Mail or your preferred carrier (Federal Express, UPS, DHL, etc.).

Locks of Love is a Member of The Following Organizations:


Business proofreading services and copyediting #business #proofreading, #proofreading #services, #copyediting, #internet #proofreading,


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Clients Love the Convenience, Speed, and Accuracy of
Internet Proofreading from BusinessProofreading.com

Internet Proofreading Is Convenient

In this “I need it yesterday” world, you’re sure to agree with my clients that Internet proofreading is a blessing. The convenience of being able to simply email a message or attachment and have it returned to you polished and ready to impress is an absolute necessity. With Internet proofreading, all your copyediting can be handled quickly and professionally.

“In the advertising/copywriting business, I always hear from customers who are in a hurry for copyediting. It’s such a blessing to know that BusinessProofreading.com is available to help me out in a pinch. The convenience factor of being able to email or fax a project to Cathy and have it returned in just a short while is a real lifesaver!”

Internet Proofreading Is Fast

I constantly hear my clients’ kind words about quick turnaround. Internet proofreading, in and of itself, speeds up the process. And I always strive to meet your deadlines even if you have a rush job.

“Cathy Kessler has proven time and again to be a valuable asset in enhancing the effectiveness of many of my different types of written communications. I know that when I send something to Cathy for copyediting, not only will it be returned to me in a prompt manner, but also the document will be grammatically correct. Cathy’s helpful insights in the area of business proofreading have enabled me to clearly state what I want the reader to know, while doing it in a very straightforward, professional manner. I would highly recommend Cathy to anyone who understands the value of the well-edited written word.”

Internet Proofreading Is Accurate

Most of my clients rave about the accuracy of Internet proofreading. Because the copyediting is done in digital format, the results are more reliable than marking the changes on paper and then having to make adjustments on your document later. If you’d like to see the changes I’ve made while copyediting, just ask, and I’ll gladly mark them for you.

“It’s really hard to find your own mistakes, especially when you know how text/copy should read. I always run all my projects past Cathy’s meticulous eyes before releasing a project to press or production. On more than one occasion, she has found typos or grammatical errors that would have cost me money and aggravation to reprint, not to mention client dissatisfaction as a result, I’ve never had to reprint a project. I would highly recommend Cathy’s copyediting and proofreading services to anyone who writes or uses text/copy of any kind. She’s the best!!”


What is cloud broker? Definition from #why #move #to #the #cloud


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cloud broker

1. A cloud broker is a third-party individual or business that acts as an intermediary between the purchaser of a cloud computing service and the sellers of that service. In general, a broker is someone who acts as an intermediary between two or more parties during negotiations.

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The broker’s role may simply be to save the purchaser time by researching services from different vendors and providing the customer with information about how to use cloud computing to support business goals. In such a scenario, the broker works with the customer to understand work processes, provisioning needs, budgeting and data management requirements. After the research has been completed, the broker presents the customer with a short list of recommended cloud providers and the customer contacts the vendor(s) of choice to arrange service.

A cloud broker may also be granted the rights to negotiate contracts with cloud providers on behalf of the customer. In such a scenario, the broker is given the power to distribute services across multiple vendors in an effort to be as cost-effective as possible, in spite of any complexity that negotiations with multiple vendors might involve. The broker may provide the customer with an application program interface (API ) and user interface (UI ) that hides any complexity and allows the customer to work with their cloud services as if they were being purchased from a single vendor. This type of broker is sometimes referred to as a cloud aggregator .

In addition to acting as an intermediary for contract negotiations, a cloud broker might also provide the customer with additional services, facilitating the deduplication. encryption and transfer of the customer’s data to the cloud and assisting with data lifecycle management (DLM ). This type of broker is sometimes referred to as a cloud enabler. Another type of broker, sometimes referred to as a cloud customizer or white label cloud service. selects cloud services on behalf of a customer, integrates the services to work together and sells the new offering under their own brand.

The business model for cloud brokerage is still evolving. At its simplest, the customer may hire a broker at the beginning of a project and pay the broker an hourly fee for their time. A broker providing more robust services, however, may charge the customer on a sliding scale, depending on what services the customer contracts for. A broker may also partner with one or more cloud service providers and take a small percentage of the cloud provider’s profit as remuneration once the customer has arranged service.

2. A cloud broker is a software application that facilitates the distribution of work between different cloud service providers. This type of cloud broker may also be called a cloud agent .

This was last updated in September 2013

Continue Reading About cloud broker

Related Terms

cloud services Cloud services is an umbrella term that may refer to a variety of resources provided over the internet, or to professional. See complete definition managed hosting Managed hosting is an IT operations model in which a service provider leases dedicated servers and associated hardware to a. See complete definition multi-cloud computing Multi-cloud computing is the use of more than one cloud environment to satisfy business requirements. These clouds may be all of. See complete definition

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Pex Repiping #los #angeles #repipe, #los #angeles #repiping, #long #beach #repipe, #long


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PEX REPIPE SPECIALIST

Uponor Pex Repipe – The World’s First, Best, And Most Widely Used System For Single Family Homes And Residential Units.

What is PEX?

PEX is an acronym for crosslinked polyethylene. It is a flexible, durable, proven piping product that has been used in plumbing systems for more than 20 years. PEX tubing won’t pit, scale or corrode and, because of its flexibility, it also offers potential freeze-damage protection.

Residential Commercial Pex Plumbing. Call Toll Free 877-473-7473

Uponor Pex plumbing systems feature PEX-a tubing, which is considered the superior PEX tubing manufacturing method in the industry. PEX-a is the most flexible of all PEX types, and because of its shape and thermal memory, it can use ProPEX expansion fittings which are the only fitting system that actually gets stronger over time – making it highly leak resistant.

1) Repiping in a home begins at the transition point.

2) The transition point is the point where the potable water system enters the building from the exterior of the building.

3) Repiping a potable water system means you totally abandon the existing potable system and replace it with a new system.

4) The first step in repiping your home is masking or “covering” the floors, and this must be completed before the walls are masked off. This overlap “ enveloped ” system allows the plastic sheeting to be rolled up in one continuous motion.

5) Cutting the sheetrock: You will be shocked at how little sheetrock has to be removed for the layout and installation of a new potable water system. A real Pex Plumber is an expert at HVAC, framing, plumbing, and electrical layout, and will lay out the home pex repipe in the most effective route. The better the repiper. the smaller and fewer the drywall holes!

6) A “GREEN REPIPE” potable water system refers to a Pex repipe potable system only – such as UPONOR or ZURN with corrosion resistant fittings. CPVC and copper systems are not green systems.

7) The drywall pieces that are removed must be used in the patching process as each texture is a little different in thickness. This gives you a uniform surface thickness as you start the repair process. Each piece goes back in the hole it came from.

8) Repipe with an approved material. There are currently three main materials used in pex repiping jobs across the US: copper pipe and fittings, CPVC pipe and fittings, and PEX repipe and fittings. (DO NOT USE CPVC, IT IS THE NEXT POLYBUTYLENE)

9) Repipe inspections must be performed by the local building inspectors after the repipe is completed, with the system under full water pressure.

10) The signed inspection card must be given to the homeowner after the PEX repipe inspection is completed.

11) Drywall repair begins after all the necessary backing has been installed. Backing supports the drywall pieces that were removed to access the potable water pipes and accommodate the repiping of a new Pex repipe or copper potable water system.

12) The fiberglass mesh tape must be used 100% of the time.

13) The patches must be pre-filled with quick set patching compound. The compound comes in 18lb bags, and because it is a powder, it must be mixed with water. This locks the perimeter of each patch and will make the area of the patch stronger than it was before the work process began. The reason this is important is that when you close the doors in the house, the walls flex just a little bit, and if you do not perform this method of repair, the patch will fracture over time from the flex/vibration caused by shutting the doors.

14) Do not coat the drywall patches with regular all-purpose joint compound on the repipe patches.This is a common practice and the patches will crack later 100% of the time, even if it’s years later.

15) Coat all the repipe drywall patches with quick set patching compound only. USG will do and you can find it at any home and hardware store, or you will have fractures in the walls at the patch locations.

16) Float all the walls with quick set patching compound and use a 12″ drywall knife and stagger each coat until the walls become smooth and flat. The next step is wet sanding the patches and this must be done if you want the patches to blend in perfectly after the texture is applied. The reason you’ve seen bad patches in the past is that repairmen do not know how to “kill the edges.” This is an old drywall term that means you must do the detail wet sanding work and there is no short cut.

17) Texture to match the existing texture, and this is not as easy as you might think. This is a real art form for the few that know what they are doing. Also, if the texture is spray texture, you must sponge off the overspray for the texture to match. Nothing gives away the location of a patch more than overspray that is painted over and not “killing the edges.”

18) Paint to match the existing paint. All repipe companies color match the same way. They run down to their local hardware store and have the computer color matching done by the man behind the counter. This is beginner color matching. The proper way to color match is hand color matching. First, match the paint sheen. Second, computer match for the base color. Third, tint for color adjustment. Fourth, match the color and sheen after the paint sample has dried. Repeat if necessary. Did you know that the paint color on the wall after it dries will be different than the paint color while it is wet and in the can?

19) If you follow the basic repiping rules, after a very short time you will not be able to point out all the drywall patches from the repair. You will simply forget where the holes were due to the patches receiving the proper floating, texture and painting techniques. Your friends, neighbors, relatives, and even plumbing contractors will not be able to find the patches.

20) This is a basic guideline for a home repipe. and if done, properly you will have a repipe that was done as well as a repipe can be done.

At Integrity Repipe. we provide total abandonment of your existing potable system, and there are never hidden extras, and we don’t hire subcontractors. You’ll receive nothing but the finest, most complete and professional job in the industry. The scope will be for a lead-free and yellow brass -free potable “GREEN SYSTEM” with a full lifetime warranty that covers material and labor.

Contact Your Local Burbank Repiping Company


Solari Hospice Care Outlines Why Nonprofit Status Does Not Equate to Superior

#solari hospice

#

Solari Hospice Care Outlines Why Nonprofit Status Does Not Equate to Superior Hospice Care

February 09, 2011 11:20 AM Eastern Standard Time

SCOTTSDALE, Ariz.–( BUSINESS WIRE )–The Journal of the American Medical Association (JAMA) published an article in its February 2 issue titled “Association of Hospice Agency Profit Status, With Patient Diagnosis, Location of Care, and Length of Stay.” Solari Hospice Care wants to emphasize that this article offers no supporting research or evidence that nonprofit hospice programs provide better care to terminally ill patients, are more ethical, or are more compassionate than for-profit hospices.

Solari Hospice Care would like to address the rampant misinformation regarding for-profit hospice care and stress that the fundamental principle of hospice will always be providing people with the greatest quality of life in the time they have left.

With more than one million people in the United States receiving hospice care in 2009 1. it’s apparent that hospices meet a very important need in this country — and to suggest that the primary motivation is financial does a disservice to the devoted hospice staffs caring for their patients facing life-limiting illnesses.

“Having IRS 501(c)(3) nonprofit status does not automatically equate to superior care for terminally ill patients,” said Gary W. Polsky , chief executive officer , Solari Hospice Care. “There is no correlation between the profit status of a hospice program and the quality of care provided.”

So what is similar between nonprofit and for-profit hospices? The regulations are identical. All licensed and certified hospices must comply with state law and the Code of Federal Regulations governing hospice care. In addition, Medicare’s reimbursement rate is fixed regardless of the care needs of individual patients, the services patients receive, or the tax status of the hospice providing the care.

“For those who continue to pit nonprofit hospices against for-profit hospices, it’s my opinion that you are fighting the wrong battle,” Polsky remarked. “What we all should be advocating for is helping people to live with dignity and comfort by providing comprehensive and compassionate hospice care. Hospice practices, including quality of care, depend on an organization’s staff and leadership, not tax status. In any field of business, there are ‘good’ companies and ‘bad’ companies, and hospice is no different.”

According to the National Hospice and Palliative Care Organization’s (NHPCO) recent comprehensive survey, the Family Evaluation of Hospice Care, detailed analysis of data submitted by hospices shows no difference in family caregivers’ evaluation of the quality of care based on a hospice program’s profit status.

Polsky added, “As a member of the NHPCO, I am proud to say that Solari Hospice Care exceeds NHPCO’s Standards of Practice for Hospice Programs and fully complies with all hospice regulations.”

“I am focused on and passionate about providing the highest quality of care to patients facing complex end-of-life issues,” Polsky commented. “My education in health care administration and my experience in the health care field over the years have given me the opportunity to work with some of the most skilled doctors, nurses, specialists, counselors and caring staff members. When I founded Solari Hospice Care in 2002, I knew that I wanted and expected the same level of passion and dedication from my staff in Las Vegas and Houston. Hospice patients deserve nothing less than excellent care specific to their unique needs.”

Polsky concluded, “Ultimately, the most important measure of a hospice should be the quality of care provided to patients — not its tax status.”

With this insight, you and your loved ones will be better informed how hospice care can address symptoms and pain management, ease suffering and grief, as well as provide emotional and spiritual support during the final phase of life. To learn more about the issues, opportunities and trends impacting the hospice industry, please read the new CEO Viewpoint blog from Solari Hospice Care’s Gary Polsky at http://bit.ly/f6evtE.

1 “Hospice Care in America,” National Hospice and Palliative Care Organization, October 2010

About Solari Hospice Care

Contacts





What is a medical home? Why is it important? #hotels #in #san

#home medical care

#

What is a medical home? Why is it important?

The medical home is a concept first introduced by the American Academy of Pediatrics (AAP) in 1967. In its initial version, the AAP defined the medical home as the center of a child’s medical records. At the time, the care of children with special health care needs was the primary focus of the medical home concept. Over time, however, the definition of the medical home has evolved to reflect changing needs and perspectives in health care.

The modern medical home expands upon its original foundation, becoming a home base for any child’s medical and non-medical care. Today’s medical home is a cultivated partnership between the patient, family, and primary provider in cooperation with specialists and support from the community. The patient/family is the focal point of this model, and the medical home is built around this center. Another key factor is that the focus of the medical home has shifted to include all children and adults, not just children with special health care needs. In the 2002 revision (PDF – 45KB) of its 1992 statement (PDF – 32KB) on the medical home, the AAP reiterated and enhanced its explanation of the medical home’s crucial characteristics. These guidelines stress that care under the medical home model must be accessible, family-centered, continuous, comprehensive, coordinated, compassionate, and culturally effective. In 2007, the AAP joined with the American Academy of Family Physicians (AAFP), the American College of Physicians (ACP), and the American Osteopathic Association (AOA) to form the Joint Principles of the Patient Centered Medical Home . Under this collaborative effort, the characteristics of the medical home have been defined within these 7 principles:

1. Personal physician:

  • Each patient has an ongoing relationship with a personal physician trained to provide first contact, continuous and comprehensive care.

2. Physician directed medical practice:

  • The personal physician leads a team of individuals at the practice level who collectively take responsibility for the ongoing care of patients.

3. Whole person orientation:

  • The personal physician is responsible for providing for all the patient’s health care needs or taking responsibility for appropriately arranging care with other qualified professionals. This includes care for all stages of life; acute care; chronic care; preventive services; and end of life care.

4. Care is coordinated and/or integrated:

  • Across all elements of the complex health care system (e.g. subspecialty care, hospitals, home health agencies, nursing homes) and the patient’s community (e.g. family, public and private community-based services). Care is facilitated by registries, information technology, health information exchange and other means to assure that patients get the indicated care when and where they need and want it in a culturally and linguistically appropriate manner.

5. Quality and safety are hallmarks of the medical home:

  • Practices advocate for their patients to support the attainment of optimal, patient-centered outcomes that are defined by a care planning process driven by a compassionate, robust partnership between physicians, patients, and the patient’s family.
  • Evidence-based medicine and clinical decision-support tools guide decision making.
  • Physicians in the practice accept accountability for continuous quality improvement through voluntary engagement in performance measurement and improvement.
  • Patients actively participate in decision-making, and feedback is sought to ensure patients’ expectations are being met.
  • Information technology is utilized appropriately to support optimal patient care, performance measurement, patient education, and enhanced communication.
  • Practices go through a voluntary recognition process by an appropriate non-governmental entity to demonstrate that they have the capabilities to provide patient centered services consistent with the medical home model.
  • Patients and families participate in quality improvement activities at the practice level.

6. Enhanced access to care:

  • Is available through systems such as open scheduling, expanded hours and new options for communication between patients, their personal physician, and practice staff.
  • Appropriately recognizes the added value provided to patients who have a patient-centered medical home. The payment structure should be based on the following framework:
  • It should reflect the value of physician and non-physician staff patient-centered care management work that falls outside of the face-to-face visit.
  • It should pay for services associated with coordination of care both within a given practice and between consultants, ancillary providers, and community resources.
  • It should support adoption and use of health information technology for quality improvement;
  • It should support provision of enhanced communication access such as secure e-mail and telephone consultation;
  • It should recognize the value of physician work associated with remote monitoring of clinical data using technology.
  • It should allow for separate fee-for-service payments for face-to-face visits. (Payments for care management services that fall outside of the face-to-face visit, as described above, should not result in a reduction in the payments for face-to-face visits.)
  • It should recognize case mix differences in the patient population being treated within the practice.
  • It should allow physicians to share in savings from reduced hospitalizations associated with physician-guided care management in the office setting.
  • It should allow for additional payments for achieving measurable and continuous quality improvements.

The Maternal and Child Health Bureau (MCHB) at the Health Resources and Services Administration (HRSA) has identified specific criteria to establish whether a child’s health care meets the definition of a medical home. This criteria include:

  • Whether the child has at least one personal doctor or nurse who knows him or her well and a usual source of sick care;
  • Whether the child has no problems gaining referrals to specialty care and access to therapies or other services or equipment;
  • Whether the family is very satisfied with the level of communication among their child’s doctors and other programs;
  • Whether the family usually or always gets sufficient help coordinating care when needed and receives effective care coordination;
  • Whether the child’s doctors usually or always spend enough time with the family, listen carefully to their concerns, are sensitive to their values and customs, provide any information they need, and make the family feel like a partner in their child’s care;
  • Whether an interpreter is usually or always available when needed.

A medical home is an important mechanism for uniting the many segments of a child’s care, including behavioral and oral health, to accomplish these goals. Furthermore, Drs. David Kibbe of the American Academy of Family Physicians and Joseph Kvedar of the Center for Connected Health at Partners HealthCare believe that the medical home model of care works synergistically with participatory medicine (PDF – 455KB) models in which the active role of the patient is emphasized.

Developed by the Health Resources and Services Administration as a resource for health centers and other safety net and ambulatory care providers who are seeking to implement health IT.





What Is A Nursing Care Plan and Why is it Needed? #biltmore

#hospice nursing care plans

#

What Is A Nursing Care Plan and Why is it Needed?

In nursing school, there is probably no more hated class assignment than the nursing care plan. They re assigned for every type of class, for intensive care patients, in mental health, and even for community care. Nursing students stay up all night preparing patient-specific care plans for the next day s clinical, but why is this agony inducing tool still used so universally?

  • Care plans provide direction for individualized care of the client. A care plan flows from each patient s unique list of diagnoses and should be organized by the individual s specific needs.
  • Continuity of care. The care plan is a means of communicating and organizing the actions of a constantly changing nursing staff. As the patient s needs are attended to, the updated plan is passed on to the nursing staff at shift change and during nursing rounds.
  • Care plans help teach documentation. The care plan should specifically outline which observations to make, what nursing actions to carry out, and what instructions the client or family members require.
  • They serve as a guide for assigning staff to care for the client. There may be aspects of the patient s care that need to be assigned to team members with specific skills.
  • Care plans serve as a guide for reimbursement. Medicare and Medicaid originally set the plan in action, and other third-party insurers followed suit. The medical record is used by the insurance companies to determine what they will pay in relation to the hospital care received by the client. If nursing care is not documented precisely in the care plan, there is no proof the care was provided. Insurers will not pay for what is not documented.

The purpose of students creating care plans is to assist them in pulling information from many different scientific disciplines as they learn to think critically and use the nursing process to problem solve. As a nursing student writes more plans, the skills for thinking and processing information like a professional nurse become more effectively ingrained in their practice.

The exact format for a nursing care plan varies slightly from place to place. They are generally organized by four categories: nursing diagnoses or problem list; goals and outcome criteria; nursing orders; and evaluation.

As defined by the the North American Nursing Diagnosis Organization-International (NANDA-I). nursing diagnoses are clinical judgments about actual or potential individual, family or community experiences or responses to health problems or life processes. A nursing diagnosis is used to define the right plan of care for the client and drives interventions and patient outcomes.

Nursing diagnoses also provide a standard nomenclature for use in the Electronic Medical Record (EMR), allowing for clear communication among care team members and the collection of data for continuous improvement in patient care.

Nursing diagnoses differ from medical diagnoses. A medical diagnosis — which refers to a disease process — is made by a physician and will be a condition that only a doctor can treat. In contrast, a nursing diagnosis describes a client s physical, sociocultural, psychologic and spiritual response to an illness or potential health problem. For as long as a disease is present, the medical diagnosis never changes, but a nursing diagnosis evolves as the client s responses change.

The goal as established in a nursing care plan — in terms of observable client responses — is what the nurse hopes to achieve by implementing nursing orders. It is a desired outcome or change in the client s condition. The terms goal and outcome are often used interchangeably, but in some nursing literature, a goal is thought of as a more general statement while the outcome is more specific. For example, a goal might be that a patient s nutritional status will improve overall, while the outcome would be that the patient will gain five pounds by a certain date.

Nursing orders are instructions for the specific activities that will perform to help the patient achieve the health care goal. How detailed the order is depends on the health personnel who will carry out the order. Nursing orders will all contain:

  • The date
  • An action verb like monitor, instruct, palpate, or something equally descriptive
  • A content area that is the where and the what of the order, for example, placing a spiral bandage on the left leg from ankle to just below the knee
  • A time element will define how long or how often the nursing action will occur
  • The signature of the prescribing nurse, since orders are legal documents.

Finally, in the evaluation. the client s health care professionals will determine the progress towards the goal achievement and the effectiveness of the nursing care plan. The evaluation is extremely important because it determines if the nursing interventions should be terminated, continued or changed.

To help students learn and apply their knowledge, educators often add one more category to care plans. The rationale is the scientific reason for selecting a specific nursing action. Students may be required to cite supporting literature for their plan and rationale.

Care plans teach nursing students how to think critically, how to care for patients on a more personal level, not as a disease or diagnosis. They help teach how to prioritize care and interventions. They are a necessary evil of nursing school, tried and true for teaching future nurses not to care, but how to provide care that will improve the client s health status.

Sample Careplans

Please browse and bookmark our free sample careplans below. Our careplan library has been utilized by over 100,000 visitors.

Featured Schools Nursing Healthcare Programs





Hospice Funding: Why you need to know #palace #hotel

#how is hospice funded

#

HOSPICE FUNDING:
WHAT YOU NEED TO KNOW

While the hospice’s source of funds may be the last thing on your mind, hospices are businesses. The business end of hospice can affect the care your loved one receives. Hospices receive funds from government programs or private insurance, from donations made by the public or other corporations, and from grants donated by charitable foundations. Hospices are reimbursed by Medicare, Medicaid, or private insurance for care provided to the terminally ill.

Except for continuous around-the-clock home nursing care, which is paid for on an hourly basis, all other services are reimbursed on a per-diem basis. Hospices are not reimbursed on a fee for service basis: rather, hospices are paid, on a basis of how many days the patient is enrolled in the program and received services: the per-diem basis. In return for payment, Medicare, Medicaid and private insurance companies expect the hospices to provide all services which the patient and family need which are related to the terminal illness. The Centers for Medicare Services (CMS) regulations mandate that the hospice comply with the regulations.

And the per-diem basis of payment assumes that the hospice agency will actually provide those services; this payment system places much trust in the hospice management. However, fewer services provided to a patient results in more money retained by the hospice. Obviously, the system can reward fraudulent hospices with increased income while honest, dedicated hospices provide full services as required.

Donations to Hospices

While nonprofit hospices can solicit as well as receive charitable donations, for-profit hospices can only receive donations. After the death of their loved one, some families suggest making memorial donations to the hospice they used. This is a very significant source of funds to the hospice and helps to cover expenses incurred in running the hospice.

Nonprofit charitable hospices are supposed to provide hospice services to those persons who do not have coverage and cannot afford to pay for care. So when you donate to a nonprofit hospice, there is a greater likelihood that charitable hospice services will be provided.

When you donate to a hospice, you cannot be sure that donations made to the local hospice will actually be used for the purpose you designate. Even if you designate a purpose, there are legal tricks of the trade, or accounting, which can make it possible for a hospice to shift the donated money or other money to other purposes than what you wished. Although there are laws stating that restricted donations must be used for the purpose designated by the donor, certain recent court cases have challenged the strictness with which these laws are enforced. Practically speaking, the government does not always look into what a hospice may do with any donations.

While donating directly to a nonprofit hospice allows you to claim a charitable federal tax deduction, you can only be sure that your money is used for a particular purpose if you personally buy something and donate it to the hospice. Some hospices have several branch locations covering a large area. If you donate to one hospice, the management may take the money and transfer it to a completely different location. or it may use the money to help pay for unreasonably high salaries for executives.

For-profit hospices have no obligation to provide services to anyone who does not have coverage from Medicare, Medicaid or private insurance. They can turn people away and tell people to go elsewhere. If you do choose to donate to a for-profit hospice, just remember that the for-profit corporation may take that money and pay its Chief Executive Officer many hundreds of thousands of dollars each year in salary and benefits!

No Need to Ever Pay Privately for Hospice Services

Whether or not your loved one has Medicare, Medicaid or private insurance, you should never have to pay out of your own pocket for hospice covered services. If a hospice asks you to pay for private duty nursing out of your own pocket when there are uncontrolled symptoms, when you already have Medicare, Medicaid or private insurance, it is very likely committing health care fraud illegally! It is important that you report this to your regional U.S. Office of Inspector General and U.S. Attorney’s office. Double-billing is a very real and despicable scam committed by rogue hospices taking advantage of the dying. Don’t let this happen to you!

Charitable Provision of Hospice Services

If you do not have any coverage by Medicare, Medicaid or private insurance, a nonprofit hospice can provide services to you FREE OF CHARGE as part of its charitable mission. The nonprofit status of the hospice often requires it to provide charitable services. Find a larger nonprofit hospice if you have no coverage; the nonprofit hospices are dedicated to the mission of serving those in need.





Bond coupon #hsbc #bonds, #bonds, #what #are #bonds, #wide #range #of #bonds,


#

Bonds

Discover a gateway to earning steady returns among our wide range of bonds. Investors who are looking for regular and stable interest income can find suitable options according to their risk profiles and needs.

What are bonds?

Bonds are issued by governments, companies and other bodies seeking to raise capital from the public. When you purchase bonds, you are essentially lending money to the bond issuer. Therefore, you are likely to receive a steady stream of coupon payments (also known as interest payments) at periodic intervals throughout the tenure of the bond. The amount you receive each time is expressed as a percentage of the face value of the bond. At the end of the bond’s tenure (when the bond reaches maturity), you would be paid 100 percent of the bond’s face value. For bonds that do not offer coupon payments (zero-coupon bonds), they are priced at a discounted rate from their face value. When the bond reaches maturity, you will receive the face value of the bond, along with the accumulated interest.

Do note that a bond’s yield is dependent on the credit quality of the bond issuer. The top quality bonds are usually issued by the government, followed by bonds from government-linked companies, banks and corporations. However, you should also take the country’s economic stature and stability into consideration. For example, an emerging market government bond may not necessarily be safer than a well-rated corporate bond.

Why invest in bonds?

Stable interest income

Bonds provide investors with regular and stable interest income in return for funds provided to the issuer.

Bond prices can change and may provide investors with a capital gain.This can be caused by changes in the market interest rate and the credit reputation of the issuer.

Currency exchange gain

Investors may enjoy a gain if the currency the bonds are purchased in appreciates.

Types of bonds offered by HSBC

We offer a variety of bonds to serve different needs, investment strategies and risk profiles. This is also useful for diversifying a portfolio as different types of bonds will respond differently to each market cycle.

Like any other investment, bonds may be affected by conditions such as market fluctuations, inflation and exchange rate movements.

Interest rate risk

The coupon rate of a bond may be fixed or floating, and the coupon rates of new bonds being issued can have an effect on the value of current bonds. It is important to note that the interest rate risk increases proportionately with the length of bond maturity.

Inflation risk

Investment-grade bonds may offer lower coupon rates as they carry lower risk. As coupon rates are fixed, income from the bond is affected by inflation over time, with greater inflation risks over a longer term.

Currency risk

Exchange rate movements may cause changes in returns for bonds that are denominated in foreign currencies.

Risk of issuer default

If an issuer fails to make income and principal repayments due to financial difficulties, bondholders run the risk of losing their capital. Default risks tend to be higher for corporate bonds, although governments can also default.

Key considerations

Bonds offer different coupon rates, risks, payout and maturity options. It is important to choose one that best matches your investment objectives and risk profile.

Coupon rate

Income from bonds can be fixed or floating, and the payments may be made periodically or at maturity. Most debt securities carry a coupon rate that is fixed as a percentage of the principal amount, with investors receiving payments quarterly, semi-annually or annually.

Credit quality

Assessed by credit rating agencies, credit quality reflects the abiity of a bond issuer to repay its debts. Investment-grade bonds have ratings from AAA to BBB, and usually offer lower coupon rates because default risk is lower. Higher coupon rates are usually offered with lower credit quality.

Maturity

A bond reaches maturity at the specific future date when the investor’s principal will be repaid. A greater length of time to maturity is usually proportional with a higher coupon rate.

Price

Bond prices are influenced by coupon rate, maturity, credit quality and interest rate movements. Bond prices tend to rise when interest rates are low and vice versa. Bonds can be sold at a premium when market price is above face value, and at a discount when traded below face value.

Time of investment

Bonds are mainly for medium to long-term investment. Investors should be prepared to commit for the full investment tenor as part or all of the investment could be lost if sold before maturity.

This document is provided for information only and is not intended as an offer to buy or sell securities. Opinions and estimates expressed are subject to change without notice and HSBC expressly disclaims any and all liability for representation or warranties, expressed or implied, contained herein or for omissions. As this document is circulated to all clients, the specific investment objectives, personal situation and particular needs of any specific person have not been taken into consideration. HSBC does not but may from time to time have an interest in the securities and may hold long or short positions for its own account or those of its clients.
The price of bonds can and does fluctuate, and any individual bond may experience upward or downward movements, and may even become valueless. There is an inherent risk that losses may be incurred rather than profit made as a result of buying and selling bonds. The holder of the bonds bears the credit risk of the issuer and has no recourse to HSBC unless the latter is the issuer itself. The decision to place the investment should be based on your own judgement without relying on any material provided or advice given by the bank or its representative.

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What types of bond are available through HSBC?

Bonds from HSBC can be categorised by:

  • Types of issuers – corporate bonds, supranational bonds and government/quasi-government bonds
  • Coupon – fixed rate bonds, floating rate bonds and zero-coupon bonds
  • Credit quality – investment grade bonds
  • Currency – USD, AUD, CAD, CNH, EUR, GBP, NZD and SGD

HSBC offers you a wide selection of investment grade bonds with tenors ranging from 1 to 30 years.

Do I need a large sum of money to invest in bonds?

HSBC lets you invest in a wide range of bonds with a minimum investment amount of SGD200,000++.

++ Please note the minimum and incremental investment amount varies from bond to bond. Please consult us for more details.
Call us on 1800-HSBC NOW (4722 669) in Singapore or (65) 6-HSBC NOW (4722 669) from overseas.

Do I have to hold bonds until maturity?

No. You can sell your bond before it matures and benefit from capital appreciation if the selling price is higher than the original buying price. Under normal market circumstances, HSBC will repurchase bonds bought through us at the prevailing market price. However, the buying price offered by HSBC may differ from the original selling price due to changes in market conditions. There are no exit fees if you choose to sell your bond before maturity

Example:

Assume you purchase a 5-year bond at a face value (the principal) of $10,000 and a specified annual rate (coupon rate) of 6%.

You will receive $600 (6% of the principal) per year for five years. Upon maturity, you will get your principal of $10,000 back.


Why book with Yeego? Just Go! Hotels reservations worldwide #leeds #hotels

#book now pay later hotels

#

Why book with Yeego?

Huge Selection – over 250.000 hotels!

Our product includes over 250.000 one start to five star hotels with instant availability and maximum room allocation.

Make Huge Savings!

The unique global business model of Yeego.com, being a network of market-leading local specialists and worldwide most powerful travel wholesalers, enables enormous buying power and ultimately allows us to offer incredibly low rates directly via our website. It is the duty of these providers to continuously negotiate special deals and last minute offers at the keenest and most competitive prices with hotels for Yeego.com portfolio. These deals are passed directly on to you. As hotels generally only sell “rack rates” to the public you will find that booking through Yeego.com service will save you money.

Further, our sophisticated behind the scenes comparison engine compares offers from over 35 wholesale service providers bringing you the very best available deals on hundred thousands of hotels around the world. Additionally our XML technology that drives Yeego.com enables cost effective operations allowing us to keep hotel rates low and pass on massive savings to our customers.

Best Deals Special Offers!

The Yeego.com Travel Management team persistently strives to negotiate special deals such as “stay 3 nights, pay for 2”, “discounted rates for long stays”, “free airport transfer” and promotional prices depending on the seasons and occupancy of hotels.

Full Price Upfront!

All Yeego.com rates are final and include all services and taxes. No surprises, no hidden charges. Absolute final rates before you book!

Unique Bonus Reward Program – Travel Save!

With our unique Bonus Reward Program, booking via Yeego.com (and its sister sites) will enable you to collect 3 % Bonus points which may be used against future bookings to obtain further discounts.

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Yeego.com offers a unique opportunity to those wanting to earn easy cash. Simply refer friends and family and earn 3% Referrer Commission on all the bookings your referred accounts make. Yes that’s right, we pay commissions each and every-time one of your referred customers make a booking.

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Security!

Your credit card details are not stored on yeego.com servers at all, preventing unauthorized users from having access to them. When using Yeego.com website to send credit card details, your transmission will be forwarded directly to our banks payment gateway and will be encrypted and protected by 128-bit Secure Socket Layer (SSL). SSL is a technology that encrypts your information before secure transmission.

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What is a medical home? Why is it important? #hotel #finder

#home medical care

#

What is a medical home? Why is it important?

The medical home is a concept first introduced by the American Academy of Pediatrics (AAP) in 1967. In its initial version, the AAP defined the medical home as the center of a child’s medical records. At the time, the care of children with special health care needs was the primary focus of the medical home concept. Over time, however, the definition of the medical home has evolved to reflect changing needs and perspectives in health care.

The modern medical home expands upon its original foundation, becoming a home base for any child’s medical and non-medical care. Today’s medical home is a cultivated partnership between the patient, family, and primary provider in cooperation with specialists and support from the community. The patient/family is the focal point of this model, and the medical home is built around this center. Another key factor is that the focus of the medical home has shifted to include all children and adults, not just children with special health care needs. In the 2002 revision (PDF – 45KB) of its 1992 statement (PDF – 32KB) on the medical home, the AAP reiterated and enhanced its explanation of the medical home’s crucial characteristics. These guidelines stress that care under the medical home model must be accessible, family-centered, continuous, comprehensive, coordinated, compassionate, and culturally effective. In 2007, the AAP joined with the American Academy of Family Physicians (AAFP), the American College of Physicians (ACP), and the American Osteopathic Association (AOA) to form the Joint Principles of the Patient Centered Medical Home . Under this collaborative effort, the characteristics of the medical home have been defined within these 7 principles:

1. Personal physician:

  • Each patient has an ongoing relationship with a personal physician trained to provide first contact, continuous and comprehensive care.

2. Physician directed medical practice:

  • The personal physician leads a team of individuals at the practice level who collectively take responsibility for the ongoing care of patients.

3. Whole person orientation:

  • The personal physician is responsible for providing for all the patient’s health care needs or taking responsibility for appropriately arranging care with other qualified professionals. This includes care for all stages of life; acute care; chronic care; preventive services; and end of life care.

4. Care is coordinated and/or integrated:

  • Across all elements of the complex health care system (e.g. subspecialty care, hospitals, home health agencies, nursing homes) and the patient’s community (e.g. family, public and private community-based services). Care is facilitated by registries, information technology, health information exchange and other means to assure that patients get the indicated care when and where they need and want it in a culturally and linguistically appropriate manner.

5. Quality and safety are hallmarks of the medical home:

  • Practices advocate for their patients to support the attainment of optimal, patient-centered outcomes that are defined by a care planning process driven by a compassionate, robust partnership between physicians, patients, and the patient’s family.
  • Evidence-based medicine and clinical decision-support tools guide decision making.
  • Physicians in the practice accept accountability for continuous quality improvement through voluntary engagement in performance measurement and improvement.
  • Patients actively participate in decision-making, and feedback is sought to ensure patients’ expectations are being met.
  • Information technology is utilized appropriately to support optimal patient care, performance measurement, patient education, and enhanced communication.
  • Practices go through a voluntary recognition process by an appropriate non-governmental entity to demonstrate that they have the capabilities to provide patient centered services consistent with the medical home model.
  • Patients and families participate in quality improvement activities at the practice level.

6. Enhanced access to care:

  • Is available through systems such as open scheduling, expanded hours and new options for communication between patients, their personal physician, and practice staff.
  • Appropriately recognizes the added value provided to patients who have a patient-centered medical home. The payment structure should be based on the following framework:
  • It should reflect the value of physician and non-physician staff patient-centered care management work that falls outside of the face-to-face visit.
  • It should pay for services associated with coordination of care both within a given practice and between consultants, ancillary providers, and community resources.
  • It should support adoption and use of health information technology for quality improvement;
  • It should support provision of enhanced communication access such as secure e-mail and telephone consultation;
  • It should recognize the value of physician work associated with remote monitoring of clinical data using technology.
  • It should allow for separate fee-for-service payments for face-to-face visits. (Payments for care management services that fall outside of the face-to-face visit, as described above, should not result in a reduction in the payments for face-to-face visits.)
  • It should recognize case mix differences in the patient population being treated within the practice.
  • It should allow physicians to share in savings from reduced hospitalizations associated with physician-guided care management in the office setting.
  • It should allow for additional payments for achieving measurable and continuous quality improvements.

The Maternal and Child Health Bureau (MCHB) at the Health Resources and Services Administration (HRSA) has identified specific criteria to establish whether a child’s health care meets the definition of a medical home. This criteria include:

  • Whether the child has at least one personal doctor or nurse who knows him or her well and a usual source of sick care;
  • Whether the child has no problems gaining referrals to specialty care and access to therapies or other services or equipment;
  • Whether the family is very satisfied with the level of communication among their child’s doctors and other programs;
  • Whether the family usually or always gets sufficient help coordinating care when needed and receives effective care coordination;
  • Whether the child’s doctors usually or always spend enough time with the family, listen carefully to their concerns, are sensitive to their values and customs, provide any information they need, and make the family feel like a partner in their child’s care;
  • Whether an interpreter is usually or always available when needed.

A medical home is an important mechanism for uniting the many segments of a child’s care, including behavioral and oral health, to accomplish these goals. Furthermore, Drs. David Kibbe of the American Academy of Family Physicians and Joseph Kvedar of the Center for Connected Health at Partners HealthCare believe that the medical home model of care works synergistically with participatory medicine (PDF – 455KB) models in which the active role of the patient is emphasized.

Developed by the Health Resources and Services Administration as a resource for health centers and other safety net and ambulatory care providers who are seeking to implement health IT.





Why Hospice of the Valley #best #deal #hotel

#hospice of arizona

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602.530.6900

Why Hospice of the Valley

Hospice of the Valley is Arizona’s leading provider of end-of-life care. We are the largest not-for-profit hospice and one of the nation’s largest hospices. Yet we remain true to our original mission: Comfort and dignity as life nears its end. One patient and family at a time.

Our not-for-profit status means whatever money is leftover after paying our operating expenses goes back to patient care and program development, not to investors and executive pay.

Our unique features include:

  • 24/7/365 care by on-duty staff, never an answering service.
  • More staff with national certification in hospice and palliative care than any other hospice in the state. Our expert staff consistently wins national and state awards .
  • Specialized services for specific diseases.
  • Palliative care units Valleywide for patients who need round-the-clock care in small, home-like inpatient settings for limited periods.
  • Comprehensive grief support counseling and support groups.
  • End-of-life and respite care for seriously ill children and their families, including inpatient care at Ryan House, the Southwest’s only respite care home for children.
  • Pet therapy .

Our dedication to impeccable customer service is reflected in family satisfaction survey results. More than 98 percent of respondents say they would recommend Hospice of the Valley to others.

For assistance, call 602.530.6900, or submit our Get Help form.

Testimonials

A Hispanic family describes how their mother was cared for by Hospice of the Valley.

“Hospice of the Valley has really, really been the best decision that we made.”

“Because of your support, he died on his own terms – just the way he lived.”

Video


Hospice of the Valley received the Greater Phoenix Chamber of Commerce IMPACT Award for “Community Champion.” Find out why.

Testimonial

Toward the end of our father’s life, we were concerned about his comfort and care. Unaware of the services and options available, I stopped by your offices. The individuals we encountered over the next day or two were phenomenal. I had always heard that Hospice of the Valley was an amazing organization. We experienced that first hand. We just wanted to thank you for all that you did. We are glad to know that an organization is available to people like us who are trying their best to do right by their loved ones at the end of life.”

–Mark Kendall and Bill Kendall
Phoenix, AZ





Why Indian Americans Dominate the U #adelphi #hotel #liverpool

#motel usa

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Why Indian Americans Dominate the U.S. Motel Industry

By Aarti Virani

Nearly half of the motels in the U.S. are owned by Indian Americans.

Six years ago, Pawan Dhingra, a newly-appointed sociology professor at Tufts University, set out to examine why such an ubiquitous and distinctly American roadside fixture became so popular among this community, focusing on a surge of Gujarati motel keepers who contributed to the Patel motel phenomenon.

Mr. Dhingra chronicled the findings in his new book, “Life Behind The Lobby: Indian American Motel Owners and the American Dream.”

From participating in community volleyball games to attending local Diwali festivals, Mr. Dhingra dove headfirst into a world he described as being “uniformly generous.”

In tracing the daily lives of Indian American moteliers, Mr. Dhingra discovered a world brimming with long hours, low wages and an intense dependence on the family network.

The animated Washington D.C.-based sociologist recently spoke with India Real Time about his research process, why Indians dominate the industry and where the future generation stands.

WSJ: What sparked your interest in this particular demographic?

Mr. Dhingra. At first, I was caught by the numbers of it all: 40% of all motels in the United States are owned by Indians. After initial conversations with motel owners, I realized there was a lot more to learn: how they got started, how they afford motels, what happens to their children. There are so many layers, it becomes fascinating. I wouldn’t have pursued this project because of the numbers alone, but they were a key part of why I got started.

WSJ: What did you hope to accomplish with this book?

Mr. Dhingra: I wanted to give tribute to the owners. Of course, that doesn’t mean I could cast a blind eye—I had to be analytical and critical at times. But as I started learning about the process by which they came here, there was something about the sacrifices they made that struck me as impressive. I hope [the book] is a combination of sharing their successes, struggles and sacrifices along with seeing beyond their individual stories.

WSJ: What factors contributed to Indiansand Gujaratis in particulardominating the American motel industry?

Mr. Dhingra: Dating back to the 1940s, the first Gujarati motel owner, Kanjibhai Desai, who came to the U.S. via Mexico, was based in San Francisco. He managed a residential hotel, which is the present-day equivalent of a youth hostel. People who stayed there were generally down and out.

Other Gujaratis who came to the U.S. in the 40s and 50s were typically farmers back in India, and even if they didn t own land, they didn t want to work for someone else. Part of the reason they gravitated towards the motel business was related to their desire to be autonomous in their work lives. They also wanted to know people who had done it before and succeeded. Those two factors helped create motivation and triggered a domino effect where others who were interested in small business and concerned about mobility went into the same thing.

There was also the financial angle—if a new Gujarati immigrant wanted to open up a florist, for instance, his relatives wouldn t know anything about it but if he wanted to open up a motel, he would have access to experienced investors and advice.

Also, many brought in additional relatives to work – unlike other small businesses, motels allow people to live for free so they re saving money as they work. And after spending 5 years in the motel industry, it was only natural those relatives would go on to manage franchises of their own.

WSJ: What were some of the most surprising discoveries you made through your research?

Mr. Dhingra: Many parents talked about the advantages of living in a motel, which I was impressed by. One mother told me she never needed a baby-sitter. In fact, some parents felt sorry for families who had separate home and work lives. They end up creating a sense of home in innovative ways.

On the flip side, the parents are very much aware that their kids are going to see things they don’t want them to see. But without me even soliciting a comment about it, they would say, “because we did this, our kids will go to college.”

It became clear to me that for the parents, the top priority isn’t necessarily providing a home life that is idyllic. Their top priority is actually ensuring the kids have the grounding they need to succeed in this country.

WSJ: Do children eventually join the family business?

Mr. Dhingra: It’s really fascinating because these kids grow up and want to get away from it but end up going back and strengthening family bonds in the process.

The reason they want to initially get away from the motel industry is obvious—trying to deal with a difficult customer or clean a room isn t glamorous work. But many of the kids I spoke to ended up returning to the industry because they claimed that as accountants and engineers, there weren’t many entrepreneurial options.

So much of Indian culture involves the sons taking on the same occupation as the father and the motel industry has so many layers—mom-and-pop motels, lower-level budget franchises and higher-level franchises. So your parents might own a mom-and-pop place but you might own a Days Inn, which is a step up. So the kids are improving upon what their parents did by utilizing their knowledge and network. They’re taking advantage of what their parents have done without duplicating it.

WSJ: Did researching this book renew your faith in the American Dream?

Mr. Dhingra : Yes and no. It’s very hard to be cynical when you see people coming in to the country with low education levels, low fluency in English and low funds and eventually see them own a business. In this industry, you learn by doing. The idea that all entrepreneurs are risk-takers is kind of a myth because these people aren’t necessarily risk-takers. Many of them focused on motels because that’s what they know. And many have told me, “I could not do this in Britain, I could not do this in India.”

At the same time, they still have to prove they are worthy owners as there are still stereotypes of Indian owners that pervade. They still have to make sure they are seen as 100% American. They’ve moved from becoming a novelty to a trend to a problem (especially following 9/11) to being somewhat accepted. There’s a lot about it that’s very impressive and it’s a testament to America, in terms of opportunity. But once you see the sacrifices the owners make—all the family living in motels, relying on kin from India to make things work—you realize they have other things that help them move up and it’s not just about meritocracy.





Why book with Yeego? Just Go! Hotels reservations worldwide #hotels #by #me

#book now pay later hotels

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Why book with Yeego?

Huge Selection – over 250.000 hotels!

Our product includes over 250.000 one start to five star hotels with instant availability and maximum room allocation.

Make Huge Savings!

The unique global business model of Yeego.com, being a network of market-leading local specialists and worldwide most powerful travel wholesalers, enables enormous buying power and ultimately allows us to offer incredibly low rates directly via our website. It is the duty of these providers to continuously negotiate special deals and last minute offers at the keenest and most competitive prices with hotels for Yeego.com portfolio. These deals are passed directly on to you. As hotels generally only sell “rack rates” to the public you will find that booking through Yeego.com service will save you money.

Further, our sophisticated behind the scenes comparison engine compares offers from over 35 wholesale service providers bringing you the very best available deals on hundred thousands of hotels around the world. Additionally our XML technology that drives Yeego.com enables cost effective operations allowing us to keep hotel rates low and pass on massive savings to our customers.

Best Deals Special Offers!

The Yeego.com Travel Management team persistently strives to negotiate special deals such as “stay 3 nights, pay for 2”, “discounted rates for long stays”, “free airport transfer” and promotional prices depending on the seasons and occupancy of hotels.

Full Price Upfront!

All Yeego.com rates are final and include all services and taxes. No surprises, no hidden charges. Absolute final rates before you book!

Unique Bonus Reward Program – Travel Save!

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Peace Hospice Care explains why Every Day Matters #last #minute #hotel #reservations

#peace hospice watford

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Peace Hospice Care explains why Every Day Matters

Thursday, 23 June 2016

In April, Peace Hospice Care and the Watford Observer launched the Every Day Matters appeal.

The aim – to raise 120,000 towards their nurses’ salaries and much needed modernisation of the Inpatient Unit (IPU) bedrooms and bathrooms.

Director of Fundraising, Ropinder Gill, explained. “Our patients are with us at the most vulnerable time of their lives and we need to maintain the ‘home-from-home’ environment they need and deserve.

“Our nurses are indispensable and we pride ourselves on having one nurse for every two patients. If we had fewer nurses, they simply couldn’t give the level of care that they do. We’re very grateful to the Watford Observer and their readers for their support. If you can give a donation today, even a small gift will help.”

On average, patients stay in the Inpatient Unit for 13 days and 60% of those spend their final hours at the Hospice.

Every day it costs over 4,000 to run the Hospice Inpatient Unit and 170 to fund a specialist nurse.

Liz Kennedy, Inpatient Unit Matron, said: “We are immensely proud of the fantastic care that our specialist team continues to provide in the face of financial constraints and increasing demand.

“The bedrooms and bathrooms have not been renovated in over 15 years – understandably they have become tired and dated. In particular, the shower and toilet facilities can be difficult to use when a person needs assistance. The refurbishment is to reflect the standards we would like to provide for all our patients and their families.

“We want our patients to have access to the best facilities possible and so it is crucial that we raise enough money to have the bedrooms and bathrooms updated, so we can better support our patients’ needs.”

Every year Peace Hospice Care need to raise over 5 million in order to run and develop their services. It is only due to the continued generosity from the public that they are able to reach their target.

Every day really does matter to the families the Hospice help. To donate to the appeal please click here or call 01923 330340.





Hiring Private Duty Home Care Workers: Why Work through an Agency? #hotel

#homecare agencies

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One of the greatest long-term needs of older adults and those with chronic illnesses is for in-home, custodial care services. These workers are often referred to as home health aides, certified nursing assistants and custodial care workers. These in-home workers make it possible for people with functional limitations to remain at home in a comfortable, familiar environment. Home health aides (as we will refer to this class of workers) provide a wide range of assistance with activities of daily living (ADLs), such as bathing, dressing, grooming, assisting with ambulation or transferring, toileting, feeding and providing medication reminders. In addition, home health aides help with what professionals call, instrumental activities of daily living (IADLs), such as shopping, meal preparation, making medical appointments, transportation, laundry and companionship.

While it is true that most people would prefer to remain in their own homes, there are circumstances in which care in a residential or nursing facility is more appropriate and more cost-effective. For example, the individual who needs round the clock care because of treatments or behavioral issues will find a nursing facility or residential setting likely to be more affordable. The biggest proportion of people who utilize home health aide services are those who need several hours per day of assistance, as opposed to those who need full-time care.

Due to the cost and the increasing shortage of home health aides, many families seeking to hire in-home staff turn to private individuals rather than working through an agency. While at first glance this seems reasonable, it can also cause numerous problems and create unexpected liabilities for the family, who becomes the employer.

Tax Issues
As a private employer, the individual or family is required to pay Social Security, unemployment and payroll taxes. Many home health aides will represent themselves as independent contractors, ostensibly relieving the hiring individual of these tax obligations. However, it is the responsibility of the hiring individual to be sure that the aide truly is an independent contractor and is therefore paying their own taxes. In many instances, the aide will not meet the legal criteria as an independent contractor. If the aide has not met his or her tax obligations, this responsibility falls to the employer. This can be a serious obligation because it may involve interest on back taxes, civil fines and the possibility of criminal penalties. Potential private employers should seek the advice of a labor lawyer to assure appropriate hiring practices with respect to federal tax laws.

Case Example: Mr. L hired a home health aide for his mother on the basis of a recommendation from a neighbor who also employed this individual. Mrs. L needed help because of a minor stroke that left her unsteady on her feet. Initially, Mrs. L only needed four hours of help per day to assure that she had a bath, that two meals were prepared and that the weekly shopping was completed. Occasionally, the aide also accompanied Mrs. L to some of her many medical appointments.