36 Burst results for "CMS"
How to Create Legendary Content When Youre Short on Time
"I'm Eric Su and I'm Neil Patel and today we are going to talk about how to create legendary content when you're short on time. So this is something I've been thinking about for a while if you're busy, let's say you're a busy founder you're just starting up right now everyone's talking about Oh, my God you know. We're talking got to create content. You have people like Gary Con content's but how do you have time for contents redoing all these different things? Right you have other operational things to worry about. So I can kind of go over my process first and then this is what I've been thinking about recently, and then we can kind of go back and forth so. For me recently, I just kind of had this epiphany man. There's some leverage that's built maybe I should take advantage of that leverage and then right more. So you see a lot of people for me I look at the people that follow on twitter. It's a lot of entrepreneurs. It's a lot of investors as well, and their twitter game is just really strong and I'm like men I haven't blog for awhile talk into neo about this. I've been blog for a while but when I wrote my first blog post in about three or four years last week I felt really energized by I. Miss that feeling but I don't always have time to do that. But what I can do capture my thoughts in a tweet so if you're short on time. Start with a tweet I, 'cause years writing these tweets and if you WANNA come back to later to write legendary content, the tweet is the foundational piece that is your little sprout content, and then you can decide where you want to take that piece. Later because I have a couple tweets that I saved up after this recording, the reason I have my hair done. The reason why I'm actually dressed up time is I feel so motivated because of those tweets and let go make some legendary content go on Youtube. So Neil, what are your thoughts? So I liked that I have a simple process to create good content and a short period of time and I've been using it for years. So, there's really two steps in the first is finding the idea i. just go to all my competitors websites and most of them have solar sharing buttons on there and comment counts and some have up votes in down votes and I looked to see what's hot in my space because that'll give me ideas. All right. Once you have idea you don't WanNa Copier Competition. But if you know topic like on Seo or link building as you can create your own version of it, that's better more thorough. That's on a different viewpoint than there right again, you don't WanNa copy them. You WanNa do something that's better and then I just get into writing and the way I write is very simple. Headline I tried to vote curiosity or use a how to or lists based title than outlined I. Write the introductory paragraph with a Hook, right state some questions in their Hook Gum, and then for example, if I'm writing an article on Yoga be like. What would it be cool to do yoga like a advance Yogi? You know of course, it would. Who really has a patient's practice yoga for ten years? Why can't I learned the moves and get them done right now? Well, you know what I figured out a way one hundred and one ways to advance yoga as a Newbie and keep in mind I don't do yoga. So I have no clue what a Yogi any of that is Linda yogis postal teaches yoga. So my context is probably off but that. Should give you idea of how I hope people than I outlined my body. I list the main subheadings of all the sections that I want to cover, and then I'll put a sentence or two underneath each one. Then all right to conclusion and the conclusions that summarizes everything and then I end the conclusion with question that encourages more comments and then I go back in I fill up the middle I'll reread it. But that stuff on where pressure put my content up on wordpress are uploaded to your cms have editor some review it make sure you had your pictures from your stock targeted decided schedule it and boom. You're good to go like that. Literally is my process sometimes on writing and unsure some things all Google for the answer and then all linked to it within my article I'm deciding my sources but that really is my process. Cool. That's great process. I think by the way just because you know we're talking about tech space content on this podcast it doesn't necessarily mean you have to do text based right when we talk about legendary content, it could be at it could be a facebook ad it could be a youtube video it could be a podcast, right but neil touch on something it is. If you guys have in Glengarry Glen Ross, you have to watch that. Ad Section where he talks a idea just go find that one but this silly? Tent Patel So. A idea right. A is awareness interest D is decision as action right? The Hook that Neil is talking about you want to get them immediately. Right you want to dress Oh, while that's awareness right there right and then you want to get them interested right. Then in some cases when you're any educational content, you might not try to get them to make a decision maybe you wanted to opt into a your e book or get onto your mailing lists and then they can you know given decision there maybe to take an action, right but. Point here is human beings are still the same. You gotTa Hook, them, somehow, keep them interested because people's attention is so all over the place right and then the framework that Neil gave you or the one. I gave you a little earlier on how to start creating legendary content. Everyone has different processes but I think the foundational piece again is thinking about, okay. How do I get their attention first and how do I bring them all the way taking
Fresh update on "cms" discussed on Carolina Focus
"Big news Last night, the CMS School board voting to go forward with a phased transition to in person learning, and before I bring on my next guest, this is how the superintendent reacted to things last night after it passed 6 to 3. I also want to say that I completely understand our board members and members of our public who wants us to move with greater speed. I completely get it. There are no wrong or right viewpoints in this challenging, uh, decision so I completely get it also understand?.
"cms" Discussed on Software Engineering Daily
"Beginning we talk developers just because we will develop at the beginning, so it was just the best way to target this audience. And, we actually realized that develop roles have very became back in the decision process when a company as to show the less so most of the time it's inside a team which is managed by a product manager, so we are to interact with manager, and then when the project is down, the developers give access to the content details. Securely. We still focused on developers. That's what we do, so it's a number. and. Then we were to see a lot of poetic managers contacted us. For All of this enterprise features, and that's where we got to fall. Questions related to continue doors. So, that's the typical Wofford so developers I then managers, and then continue. Thought got it. So the. Static site generators like Gatsby and Jekyll these have also become popular. What's the Bill Path for strappy instance? Does it get to a completely static site or is there some dynamic element that still has some latency associated with? As a stripy dynamic. It's in the application. You can bolt it. Like aesthetic website generator. And, so you actually Narrow for example, but not on Netflix, because it. Doesn't support the notification, and that's all you need a database for frustration, and so there are some heat based CMS's, but the problem is that it doesn't really scale. Because when you start having lots of content and lots of relations between content than it's not really good, even if it can be adjusted. On a static thing provider, so that's why we decided to dynamic with me just to revisit the question of other Siham S.'s when you look at strappy and its architecture and the differentiation from the other cms platforms. What do you think you've done right? What has differentiated you the most from those other platforms? Something developers and again they have a very big impact in this young process, so we did something which is very good for developers. We would have picked. Houston the developer experience, and so that's why we we've both such a big community. So. On this! And, tell me more about the engineering of the back end. So what is the architecture like? And what are the problems? They working on right now. Yes, Oh, under back in the main challenges are definitively plugin system were so we do have bald very scalable plug in system, so anyone can use internally, Api. That's quite a challenge and the we are to did a lot of improvements in the last few weeks for the stable of scrappy, so we trusted us. The number of fights in this report checked so it's much more lightweight, and it makes updates easier because when we reason your version of strappy, it has to be easy to date current project. And so the next challenges I think would be to make things even more simple and again. It's really about bringing system dummy more with the plug system. How do you create the right ecosystem? The right hooks in to plug any goes system. I think you have to start from the root and manage it like a product, which means you start? tweet the need from users, and so for example someone is going to say I need to build this plug in so i. need to look to you specifically at this moment, so for example it can be before Kentucky's created. And so, the developers going to ask you the specific Luke and Ernie. If someone ask you this. You have to build it, and then you have to documented I think so. You can do documentation I development. And then you're going to develop the specific. And what are some examples of plug? INS and the architecture? Plug INS. Yeah so if he wants to for example applicant for Algeria. Need to know that every time contentious created the dated or deleted. He need to get the type of content, so you need to know that post has been dated, and then you need to in the content of this post. You need to all the continents. And at this specific moment chugging synchronize with our Gloria. So that's some UK's. You would need an example, so that's very back in Oregon plugging because your niche content. But then if you want for example to add specific things in the bar of twenty, that's another thing and one thing ragging to focus on in the next few months. If the Houston field so that way, you don't only have access to the default fields such as text image, and so on, but you can also at the Houston field should. Should be by and that way. INS torpey, you can set it to product, which is actually from show. If I- API and you just don't realize it's coming from somewhere else, you just select the product and into the. Repeats going to save the Buffet productivity and that's it. That's something we really want to focus on. Example for this is E. G. Jason Field to have some kind of maps so in a content you can set a specific location. That's will be focused. You probably do not enjoy searching for a job. Engineers don't like sacrificing their time to do phone screens, and we don't like doing whiteboard problems.
"cms" Discussed on Software Engineering Daily
"Kind of make dynamic specific person of all the entire website, and in this case, itchy remix to connect the tend to cms, and the good thing is that the developer can steal us all of their February technologies. and. The typical customer use case, so take me through a typical customer use case or some of the prototypical customer use cases for people who are working with strappy. Yes, sure so the mainstays we have is digital websites. People are going to manage blockposts must of the time in a way more way, but you know it's typically the blog use case, so for example there was an entire section of IBM that come which is powered by twenty, and they do manage content to publish it on their website. This? Use Case is crop points website, so it's really the DOT com website of company where you are going to manage content and the page, and then for example is released, a features some stimulus in this kind of things. And the third or on his. Website where people are going to manage products in store. And display it on our website on vacation, and they will under the payment system must of the time we something like snip guard for example one. Let's see three main uses, but we also do have some use cases, which is very. and. The headless ems is definitely open noodles for this use cases so some users. Mobile application. And device for firemen, and when the fire is going to device, actually get some information, and it is linked to stripe interesting so the I. O t use case like blessed a publishing use case. That's more like. Almost like a low code application use case yeah exactly but to give you another example, which is probably more. easy to understand either the MIT decided to build a connected device which is in the street. In case a for quake, this connected device is going to support a message, and the message comes from stripy, amazing and to that point. You have plug INS. You have integrations with Reddish and Sindh grid and alcohol and. The integration workflow for these different plug INS. Where did they hook in? So we truly believe in the of begins because if you take a look at what point for example, what made the six, which is not what was he served it, tweety the ecosystem of Plug Ins. I wanted so. That's part of our strategy from the beginning, and we already have some plug ins made by the team in the community. So you can develop your own begin using internal API is, and so you can extend both the API for example to synchronize your data with Alexandria, And Suzy Dashboard so you can, for example, added on tyrod section and at baby dodgeball to analytics about your content can be something that I guess. I've.
Pine Ridge Indian Health Service regains accreditation
"This is national native news I'm Antonio Gonzalez the Pine Ridge Indian Health Service Hospital in south, Dakota has regained accreditation and can now bill Medicare for services. Jackie Henry has more the Centers for Medicare and Medicaid. Services ended its provider agreement with the Pine Ridge IHS facility in two thousand, seventeen, citing the facilities failure to meet care standards. Losing that agreement meant the facility couldn't reimburse treatments through those programs by November of last year. A CMS survey team reported the hospital to be one hundred percent compliant with standards. Last month. The Joint Commission awarded the hospital full accreditation after a virtual survey. James Driving Hawk is the Great Plains area director for Indian Health Services? Services he says the Pine Ridge team has demonstrated, it can consistently meets standards. We have expanded leadership oversight from the office to the hospital and improve staffing levels, and we have increased requirements for medical staff, credentialing education of our staff were quality standards and implemented new checks and balances to ensure new issues that arise are addressed promptly. He says the agreement with CMS will help. The facility maintained and expanded services going forward now that all of our visits that we have a with our our patients are are able to be reimbursed, fully reimbursed now and so those the hospitals will receive that additional revenue, and then we take that revenue investment back into to. Into Services Driving Hawk says one of those investments planned renovation of the Pine Ridge IHS Emergency Department I'm Jacky, Henry in Sioux Falls South Dakota native people, their allies and city officials took part in a celebration in Santa Fe. New Mexico Thursday after a statue a Spanish governor Don. Vargas was taken down. They also called for the removal of a war monument, bearing racist inscription. The celebration followed demonstrations earlier this week in Albuquerque and Rio Arriba. County were statues of Spanish. One day on Yati were removed autumn. Roseville a CO founder of three sisters collective spoke to the crowd about the atrocities. Committed against Tacoma people in the late fifteen hundreds, hundreds of people passed away dirty, not massacre, and the men who survived the were enslaved, and had the right foot amputated. And that's why you saw the statue. In the late nineteen ninety S, Donlon Yahtzee with his right foot cutoff. Because we still remember native people say the removal of statues of colonizers in new. Mexico is a long time coming including tribal leaders who've worked with politics on removing the stone pillar, honoring military actions Jorge Rivera former governor of a Pueblo and has been involved in talks about its removal. MONUMENT CARVED IN MARBLE We're referred to as savages and savage has a lot of meaning both legally and culturally. Has a lot of meaning, and it was not appropriate for it to be used. In describing are people. I. Think are people are. the public people touch people now hope people create the image of the southwest, and everybody knows that you know that tribes are still alive and vibrant in this area. The mayor of Santa Fe Ellen Weber spoke at Thursday's event, calling the removal of statues part of healing and justice. He did not mention if for when the monument would be taken down or a statue of Soldier Kit Carson. The Hilo River Indian community has closed its casinos for two weeks due to recent spikes of covid nineteen in Arizona. The tribe halted gaming operations in March due to Cova nineteen and reopened in May after the state lifted stay at home orders. The second closure comes after a casino employee reportedly died recently due to complications of Covid nineteen I'm Antonio Gonzalez.
Nearly 26,000 Nursing Home Residents Have Died From COVID-19, Federal Data Show
"New federal data show nursing homes have reported more than sixty thousand coronavirus infections and almost twenty six thousand deaths but appears on A. Jaffe reports the data do not account for all nursing homes according to the centers for Medicare and Medicaid services known as CMS about eighty percent of nursing homes reported data to the CDC as required nursing homes that don't report their figures could be fined the data will be available on the government's website called nursing home compare CMS also found that the nursing home was with the lowest ratings have the largest outbreaks of covert nineteen in March CMS ordered states to inspect nursing homes for proper infection control but figures released show that nationwide a little over half of those inspections have been completed CMS also announced that nursing homes that don't meet infection standards will face larger
"cms" Discussed on WNYC 93.9 FM
"A savings of roughly five hundred billion dollars which makes two hundred fifty billion dollars for testing look pretty affordable uber has a plan to ramp up production the first thing to do is get prices aligned we basically need the federal government to set a payment rate for over a test that applies to all parties in the healthcare system right now you've got Medicare paying a different rate from Medicaid which is paying a different rate from each private insurer that needs to change because it just drives contracting frictions as you likely know economists aren't typically in favor of fixing prices at least under normal market conditions but plainly these are those so that's one solution single price the second is that payment rate really needs to be quite high on proportion to the social value of testing yeah I think in many ways it would be almost impossible to understand on testing right now at the outset the centers for Medicare and Medicaid services CMS was paying between thirty and fifty dollars per call the test it is since raise payments two hundred dollars a test no I think they should be paying dramatically more you know I I think if you're paying two hundred fifty dollars protests that would be crazy frankly I think if you're paying a thousand dollars per test given the scale of harm or facing that itself would be crazy either the price alone Cooper says won't increase the supply of test kits there are going to be supply chain problems in the production of tests and in the material necessary to support testing and so one of things that we've called for is using the defense production act to guarantee the production of some of the inputs to testing like reagents and like swaps in case you haven't been following the news lately and reading about the defense production act defense production act broadly allows the federal government to steer the behavior of private firms to produce necessary supplies and then there's a mechanism for those firms to get reimbursed so this is a crude way to think about as we stated GM but GM we are going to force you into the production of coke at testing swabs the trump administration has already invoked the defense production act to get several firms to make mechanical ventilators although as we discussed in a recent episode ventilators haven't been in a shorter supply is predicted.
Krista Drobac Discusses Sweeping Changes in Federal Telehealth Policy In Response to the COVID-19 Pandemic
"Let me just for background asked why had the Congress or what's your understanding of why the congressman CMS head up into recent strictly limited Medicare telehealth. And I'll throw in of course we'll get to more patient monitoring or these benefits. The long term challenge has always been the congressional budget. Office really does not look favorably on telemedicine. They believed that. It increases costs overall rather than replacing in person visit their underlying. Thinking is that people use telemedicine and then also on top of that also go in person so Our challenge up until now has always been The cost and the perceived worries about fraud. The we find it very interesting that people at the Office of Inspector General or CMS Program Integrity Office. Think that it easier to commit fraud by telemedicine because really the fraud that takes place in Medicare's often making up fake patients and it's a lot harder to track that down than it is in telemedicine to see a trend quickly And also you have an actual. It addressed the IP address. And tell them so. It seems to us that. Be Easier to detect and root out fraud in the online environment than it would be in the In the in person environment. So we think we've got Good arguments on the fraud piece. And we're collecting data now on the Kospi's okay. The I heard it explained in part by the view. It's duplicative and not substitutive. That's one variation of ood acclimation. Yes thank you. So let's go to Let's go to were at so obviously The Congress house past four so called Kobe. Nineteen related Bills or sometimes referred to as supplemental bills The first The first supplemental and of course the third the Care Act had telehealth provisions in them and then of course in late March early April. Cms published in interim final rule and Proxima. I forty pages of that discussed Regulatory Waivers SMS would grant In relation to their health policy. Can you provide some more top of line? Where the Moore's substantive congressional legislative and regulatory changes to the policy yes. Congress started with authority in the first couple mental hugh allow for the waiver of the originating site in rural restrictions in Medicare and to see us followed through with that and lifted those restrictions The subsequent bills actually gave the authority to cms to lift the entirety of eighteen. Thirty four in any part of eighteen. Thirty four M so that they went ahead and also lifted the restrictions on Speech therapists physical therapists occupational therapists. So now pretty much All of the Practitioners who bill Medicare can practice telemedicine and the patient can be anywhere and the provider can be anywhere they clarified the use of technology. So you can use a art hall And when advocates asked for audio only cms did add some em codes. That are audio. Only there are some codes that you can use for Phone only telemedicine they also Added a a lot of new codes so Most of the primary care codes are now cover. Behavioral Health is covered They sort of assessed what you might need to do. During a a cove emergency and added those codes. So there's a lot more that he'd be reimbursed The Office of Civil Rights at HHS way the Hesse requirements in terms of what kind of platform? You can use the. You don't have to have a hippo compliant platform you can use facetime or skype The waved the Co pays on Telemedicine So that You know for both remote monitoring and telehealth which is really advantageous especially for by train because remote Copays has been a barrier or remote monitoring up They actually most Medicare advantage. Plans have now waved. The Co pays for both tele-medicine and remote monitoring On the state side there have been significant. Changes about forty nine states have weighed some part of their state. Licensure rules Medicaid has started covering things that weren't covered previously State medical boards have allowed for the waiver of existing relationship. Requirements face requirements There's been some scope of practice changes so that For example supervision of nurses can be done virtually Some some states that didn't specifically allow nurses and physical therapists and physicians assistant to practice telemedicine. are now allowing it so there have been changes at both the federal and the state level so quite a lot To say the Least Napoli let me ask as as follow up. There has been some Sweetie question realized relative to tell health as relates to a stark or Physician self referral a law What's what's the intersection there. You know the kinds that hit it has come up. The stark laws from me has been between the vendor and the providers so we weighed the telemedicine restrictions and medicare but most of the capacity in the marketplace telemedicine is through vendors because in the past medical offices haven't been reimbursed for them so they didn't invest in televised. So when you want it to go and get a visit visit your employer or insurer had generally Then did that out in order to make that happen. So you've got a lot of doctors in their homes Doing telemedicine visits all day long. But they're the they're the employee of an American well or an empty live. There are not a physician office. Therefore they're not an enrolled in Medicare so that means that those vendors can't actually provide telemedicine services directly to patient. 'cause they're not medicare enrolled providers so the way that it's happening in the marketplace. Now is that a lot of telemedicine. It'd being done through. Hospitals and other Medicare enrolled providers but they have vendors helping them under a white label. So one of the questions that we've had about dark kickback. Is Can a vendor Provide a referral to a hospital. So that if they get a patient that set you know obviously needs being. Can they refer that patient to the hospital? Who is there a quiet and right and the answer? Yes they can because it's not a self referral Those are the types of scenarios where this is coming up Just because of the strange way That telemedicine his grown up over time and mainly as a response to the regulatory challenges Medicare so in some sense to follow up. It's it it. Turns out to be convenient. That the vendor is not under the Medicare program thereby being able and that's an accident history. Meaning the Medicare provider wasn't doing the service themselves they farmed it out and as a result of that. This referral is now allowed. Is that correct correct? Okay sort of accident of history. I
Interview with Oki Mek, Special Advisor, HHS
"Hello and welcome to the AI. Today podcast I'm your host Kathleen Walsh and I'm your host Schmeltzer. Our guest today is okay. Mack who is the senior advisor to the chief information officer at the US Department of Health and Human Services? Hhs So okay thank you so much for joining us on Ai Today. Thank you for having caffeine wrong. Yeah thank you so much for joining us. You'd like to start by having you introduce yourself to our listeners. And tell them a little bit about your background and your current role at HHS. I am a. I am the senior adviser to Sasebo. And I'm also the technical integration. Lead but edgy reimagined but my background is really cybersecurity but my principal around cybersecurity. That just knowing cyber alone is not enough. You really need to know and understand the business I've been with. Hr FINANCE BUDGET GRANTS ACQUISITIONS. I was leaving sponsored to help onboard new employees for personnel security and badges and laptops. So I find that to be very critical and crucial in terms of modern nine station in the government just knowing to three sixty just understanding what you know what budget stream is coming through. What is the budget calendar Audi acquisition services and products and even just getting people on board with badges an laptop? Just getting that three sixty view and been very critical in terms of you know modernizing trying to innovate in trying to change the landscape Embracing Emerging Tech and dealing with big data paradigm shifts excellent. Yeah it's definitely the government's been very interesting. Adopter not just technology in general but especially with artificial intelligence. Because you know is is a transformative technology. Just like You know many of the other big transformative waves in the Internet and mobile and big data and the cloud and now five G. and then blockchain so all of these technology transformative right. They had changed a whole lot of things or multi. System the multidisciplinary and so obviously there are many ways that we see being applied to government agencies organizations. And we've been very impressed. One of the things that been talking about here a lot today is sort of the many ways in which is being adopted. Not only an industry as a whole but especially in government very impressive actually some of these ways that hopefully it's making the government more responsive more efficient more effective more. Give it more visibility into things. So can you tell us some of the ways that? Hhs is currently adopting AI and various solutions. And maybe how those ways are unique to. Hhs or perhaps similar to what other of different governmental agencies are doing in this space so we start of area to the CIO. And I started a program like celery leveraging ai machine learning and blockchain. It was the first watching network that had been authorized to operate in the federal government but in terms of a I think we are using similar to agency mainly we use it to clean and format the data and as you know you deal with a lot of data set the day. I need data. The biggest thing is cleaning the data. Ninety five I believe ninety percent of it is cleaning the data. People WanNa do they WANNA do machine learning they WANNA do. But they don't focus on they're gonna up a root of baking because Clinton. The data is the biggest component of that process. So we use a machine learning to basically normalize the data from different data sets using supervised and unsupervised learning to normalize the data. And then we also get into linear regression as well in terms of predictive analysis. One of the main thing that we'd do accelerate is looking at prices paid and just as so large we do about twenty five billion in spending on products and services just minding data and cleaning the data at it was a big call just to look at. Why are we buying things that different prices and a good example is? I'm just throwing the example while we buy that. Dobie pro at cms for aided aqua- eighty dollars per license and buying that CDC thirty dapper night or licensed an opportunity to mind data to come to the table to be able to negotiate a different price. You can't come to table to negotiate without having that insight so data claiming and looking at data mining and looking at predictive analysis the three main usage for a for us. That's great you know Melinda. We produced a report last year. And then we did a follow up report this year Dataprep prep and data labeling and I think that a lot of people underestimate how long it's going to take to actually get their data into a usable state so it's great that you pointed that out because I think that people underestimate the time and the difficulty that sometimes it can be actually get data in a usable state. Data's the heart of AI. So you need that. For these systems to learn as a government agency adoption of new technologies such as artificial intelligence can bring its own unique set of challenges that sometimes the private sector doesn't always run into. These can be issues around privacy data usage. What can and can't be used where it can be stored so can you tell us some of the challenges you've seen with Ai. Adoption in your agency and how you're overcoming them by the biggest mistake that people do is looking at the technology before they look at the business and the mission of agency. I always say that does no such thing at it. Project and the business project with it components. You have to start with the business. And what are you trying to saw? Most of these challenges that the EPA my experience I've been in a government close to twenty years half awaiting contractor in private industry and also have in federal government. The challenge is not the technology challenges to culture is leaning chain change management and. I don't think we do not a strategic planning. Just because we have one hundred idea doesn't mean we pursued ideas. We need to look at you know strategic planning comes into play. You may have one hundred ideas but you should only pursue one idea through strategic. Planning you know. The first thing is really feasibility studies. I didn't even feasible to at any regression issue. Anani downstream impact. Accountability is big. I think in terms of trying to modernize. Can you prove a concept just because you have this idea? People might think is a crazy idea but if you do it at a tangible way that you could prove that idea is feasible and it's scalable because you wanNA start small and scale that big as well. Sustainability is huge as well just because the project is a success. Doesn't mean that sustainable as your culture your agency your privacy mature enough to take on this new shining toy you know this new technology but the important part is marketability I we. I can't overemphasize that did not marketability is people. Don't think that the government market but you have to market you ideas. You have to win. The hearts and minds of the workforce the people that They coders you have to be able to market in different ways to senior leadership to middle managers workforce. I think culture is the biggest obstacle. But I think doing a thorough strategic planning analysis and putting emphasis on marketability analysis is key and the biggest part of marketability is human design is really engaging the workforce I'll model in terms of accelerated that. We're not building the solution. We are allowing the workforce to go to solution getting them engaged yet here at thoughts and pain point incorporating agile depth. Bob You know building something. Every two weeks and bring him back to them is a Saab issue and we cycled out every two or three weeks and that really is the key of getting people to lean in and to win the heart and mind of people.
Tim Neutkens - Continuing to Innovate with Next.js 9.3
"The reason I wanted to have you on. The show is next chess. Nine point three came out recently which Just looking at the version number sounds like it might just be a small incremental change but in practice actually introduces some really kind of paradigm changing features. But the way people use next at least in the way that I understand it so Maybe I think the best place to start would be talking a little bit about the major sort of new editions that came in In nine point three and what they do and then we can just Kinda have some discussions around that. Because there's a lot of questions that I have about that stuff So how do you explain to people? What kind of the major Improvements are in next nine point. Three right so Basically this whole shift started with the release of next nine Ravi released basically Like Firdaus who don't know it next is a framework for react That makes it really easy. To build a web applications Psychos from websites so et CETERA. But from the very first release like the main thing that we focused on was making it really easy to use react but also to use server side rendering unabomb trend ring like every request comes in a a new render the react APP happened server. Sides said that allows you to like optimize for a search engine optimization To like got a foster pain to vie basically like sending the full html on the amount but Starting from next nine we Bisley started focusing on also providing you dislike not rendering only but rendering a dull time so static generation basically Like the first feature that we released to the chief dot is that patients that didn't have blocking data requirements. That you've got initial props. At the time Route to be exported statically medically at built time. The reason for that is if you didn't have a blocking data requirements. The facials already studied goes rerun ring the same thing every time on demand That would obviously like sources Be Slower Etcetera So basically that wasn't optimization so he called it the automatic static optimization And that means that if you don't have block and data requirements it's that yes. So maybe they like to get into that a little bit so people are clear on it at least the way I understand. It is like prior to that feature Basically you are paying like a penalty on any really simple pages Because everything was trying to be rendered the same way so everything was sort of working with this like lowest common denominator. Assuming like Oh we're going to need to be able to make. Api calls to fill in holes on the page before we render it and stuff like that so when we want to render are static marketing page or something. Now that has to go through. This node process on demand. That's going to boot up. React and figure out what the final rendering should be sending back so that where whereas reality. That wasn't necessary because it's never changes between deploys. So why not figure out how to just like cash that on a cdn basically somewhere and have that page delivered instantly? Essentially the people not what you can do as of next nine basically automatically it just detects whether or not you even need kind of run time server side code or not. Yes so basically the Like the example if you took a create very simple yet component that is like your page with like just exporting. Hello will like. Hey Sean will. That's it right Then that would have been rendered on the month for every request that comes in which makes like little sentence of course because It can be Expert Bill Time Using the same rendering as usual just generating steady. Html that can be served from like either a CD or from your Like edge network or something like that And that was like the first like initial step and in Next ONE TREE. Bisley like took that a step further by allowing you to do blocking data requirements so when I say booking day requirements I mean like fetching some posts from like your cms or fetching data from your database or something like that the lobbying you to make those static also so to do that. We introduced get stomach. Drops and get service at props ambitiously. The the way that works is it. Generates it statically adult Means Static Bill type and then get service site. Prompts means you've got the only manned when a request comes in it's rendered so that's mostly what we did before basically But we still like. We went a bit fitter and we made some adjustments in how semantics works says not exactly like get initial props which we had before a main difference is that for example. I should to do like actually call note. Functions like s or like extra set shows or something like that or even direct database We see people experimenting with that. Right now. Like doing a database query inside of gut service props inside of trump's Which is pretty cool. 'cause actually allows you to like get rid of overhead from fetching. Api calls for example like focusing on crops. I basically the way that it wreck says once you export function from page it will generate that page as steady interesting adult time and then If you have dynamic pot segments like Pages block slug for example right like dynamic date. I basically You can actually return. You can export another function that is called pods that Elisha to basically give back the pods left to be rendered adult time and yeah. That's the way directs like in a nutshell But there's a bunch of other optimizations that we did around. That's cool so I think maybe a good place to start would be kind of digging into some of these in. I can ask some questions about them. If that's cool and make sure that Everyone understands exactly kind of a cool benefits that you get from some of the stuff. So the way I understand it gets get static. Props anyways is trying to solve this problem that existed prior to next nine point three not really a problem per se but trying to help optimize for this situation where so next nine introduces disability for things to be automatic automatically statically generated if they don't have any data requirements so like a marketing page. No data requirements can be statically generated. When you try to deploy up thrown on the cdn somewhere goes works instantly but then like sometimes you have these like inbetween pages. I guess that or not like an internal application page to have real time data that needs to be we kind of refashioned every time you refresh the page or whatever but they do have things that change every sort of like Deploy it's possibly so like a good example of what people do a lot of the times with like headless. Cms's now and they want to build like a static output where all the articles are pre generated. But they're still coming from an API or a database at the end of the day it prior to next nine point three. You had to just use the get initial props to get that and that would be calculated every single time but get static. Props is giving you the opportunity to say. Well if you do have data requirements will let you get them once at Bildt's time but then from that point forward we're going to serve as a static pre generated page until you sort of intentionally want to refashion rebuild because like you know that the underlying. Data's changed show really. I guess it's optimizing for for for dynamic data that just changes very infrequently I
PoolCreationsInc.com | Making a Splash by WOWing Your Customers with PoolCreationsInc.com Founder, Jeff Landburg
"Yes yes yes. And yes now kindle for today's show I do not want you to fill me. I want you to film the Glorious Pool so you have to get out of here and go film the pool because on today's show we're talking to a man who's making a big splash in the also pool industry. Jeff Landsberg welcome onto the lifetime. Show how are you sir? I'm doing great. I appreciate yes. Can I am so fired up to have you on the show in Devon is it okay if I tell you a little story that are you. Are You Mike? They're doing okay. Is it okay if I tell you a little story? Go for it okay here. Here's a little story. My wife and I we decided we were going to put a pool outside which kindles filming right now and I am. This is how I roll this Devon. I like to call a lot of different people at one time. I like to call four five six vendors. Whatever true I do if I'm going to hire a key employee interview ten people for the position if I'm going to hire someone to remodel a house salt of the interview five or six contractors so I asked multiple people who I like and trust Said who is the pool. Guy That you would recommend and do you know. Do you know Devon did the name I kept hearing over and over and over and over. Who Was it by the way around those fantastic youthful? I kept hearing that Jeff. Lindbergh was the guy. He was like the Unicorn. Now let me tell you who all said he. I should use this guy. Dr Joe Lie and did you build a pool for Dr Joe There? I did did April call you or did Joe Call You. I believe Joe Is when initially contacted me but then we met with April to make sure. We're doing exactly what she wanted. I WanNa make sure shows hip compliance. I'm not asking for any more secrets. They're all I can say. Is that April once. She heard that Joe had recommended you. She got on the bandwagon and she goes no no no. No no no no no no. He's the best like you need to stop talking to other people and you've been around misled by. She's a dentist. She's a hardworking lady. And you know when she's passionate about something. I mean she was like stop. Don't even stop the conversation. Stop talking to other people and I'm like April. Let's your wonderful client. I did her wedding years ago. I'm GONNA keep shopping. I just saw I called asked for other references and then Dr Kirkpatrick who works with Dr Lie. He recommended you and then somebody at the. What is the golf course? What is the golf course in a Wassot Patriot? Golf course those guys recommended you and then somebody who I knew knew. Somebody said that you built the pool for Shangri law. Is that correct? That is correct. Yes sir how in the world have you built such a great reputation or are you paying these people? Unfortunately that was a case we'd been out of business a long time ago. Okay well you're having a lot of success now so I wanNA start off at the very beginning. What was your life like a growing up as a kid and you know where. Where did you grow up? Actually I grew up in the East Tulsa area in a town cockatoos which is where we still live and it's actually our businesses located. I'm one of four brothers We were a I would say low to middle income family and what that equates to basically is. I fortunate I was the second oldest brother so I only had to wear my older brothers. Close unfortunately my youngest brother. He had four groups close. Oh wow the time it got down to him and that was Kinda how it was back in those days but but we learned early on that my parents care of our needs but any time we wanted something at that point we had to go out and we had to work for it. What did your parents do? My Dad was an instructor at a at an avionics school here in Tulsa and my mother was actually a nurse. So when did it occur to you that you wanted to become the pool guy you know because a lot of people out there that don't ever unfortunately find they're calling or something they enjoy doing? A winded occurred to you. I love pools. Well it's it's a little bit of a story if I can kinda start at the beginning and you can make a short story long if you want to. Because that's the podcast and our listeners. Love the story so you can give it anyway. What happened was whenever I graduated high school. Actually join the military. I went to the Army Aviation Division of the military went through my training and when I got out of my training I was nineteen years old and I was in the army reserves. And I didn't know what I wanted to do. I thought I wanted to have an aviation career but the more I looked into the more I thought well. I'm not sure that's right for me. And so it's kind of ironic. Because my brother was the store manager of a local company here in Tulsa and said. Hey we're hiring people. Would you like to come to work at this company and I said sure why not you know I? I wasn't afraid of work and so I went to work. There is actually as a laborer digging ditches for this company and I ended up staying with this company for ten years really. Yeah and I worked my way up to a foreman with the company and at that point I was twenty eight years old twenty nine years old and I had an opportunity. Economy tanked a little bit in Tulsa. This is back in ninety eight or nine hundred ninety. Excuse me and so a friend of mine was a ups driver and he said. Hey you know what? Why don't you come dry forests because we hire people at Christmas time? You know Christmas drivers for the extra load and so I actually went to work for them driving back in nineteen ninety and they hired me permanently as a ups driver. I did that for two years driving. And then the next six years I wanted to management with them and I was actually in operation supervisor for ups. What did you learn at ups? I've read case studies about ups. I LOVE UPS. We WE GET PACKAGES. Devon the ups packages delivered every day. No Yeah I'm always high five in my guy giving I love that guy. What did you learn during your time at? Ups You know. The biggest thing learned there was how to run a company efficiently especially when I got into the management side of the company. It's a joke when you go into management. Ups If you cut yourself you better bleed brown if you don't believe Brown. They don't want you in management and that was kind of the joke. I think they were kind of serious too about it at some point so but that was kind of how it got along with their but at the age of thirty five years old my wife and I've been married for probably a year to at that time. I always kind of look over at her to confirm everything correctly but I decided I did not want to be part of Corporate America got. I decided and my wife. She was in corporate America too. She had quit her job About six months earlier she a lifeguard in corporate America actually. She has been a lifeguard at this time. She was a vice president for a computer training center in Tulsa got it and so anyway so whenever I told her I said you know what I said. If you want to quit your job Stay home pursue your career. Because she's an accountant she's GonNa take on accounting with different companies and stuff. I'll continue to work for two more years and then at that point we'll make a decision what we WANNA do their life well unfortunately or fortunately have you. WanNa put it about two months after that promise I made to our came home and said guess what honey. I just gave my thirty day. Notice it work and I'm I'm leaving. Ups really and so. You didn't ask her about this. I I don't know if she shaking your head. No so I'm going to say I did not is that a pro tip. Is that a pro tip. Are you recommending for the listeners? Out there to not tell their spouse before they switched careers. It's always better to ask for forgiveness than permission. Okay now I want to ask this because I started my first business. When I was sixteen years old and my parents basement we started what became. Dj CONNECTION DOT COM at the time it was called CMS DJ service. So I don't know I don't really know what it's like to not have my own thing on the side when I worked at Applebee's target and direct. Tv I always worked. I've always had my own thing. Was It scary for you? With what the age of thirty five starting your own thing. And how old were you now? Thirty six I was thirty five years old when you started your own thing at the age of thirty five. Uber had that thought of what have I done just about every day every day. So how did you go out and get the funding to start the Pool Company? Well what we did was Since I've been a management at ups for six years. I'd acquired some stock that was part of the Management Center program that they had and so whenever I left. Ups cashed all that stock in and we figured we could survive on it for probably maybe six to nine months then at that point if things were taken off we were. GonNa go to the line. So how did you? How did you avoid the super? How did you get your ten customers if you can remember well what we did? When we started the company I started out subcontracting to other pool companies. So I I knew how to tile on knew how to excavate a tie rebar so I thought hey I can market myself to these other companies until I can kind of get a foothold on the industry and get things going on our own and I thought why could do that for several months where we did it for about a month then at that point then someone heard about us and next thing I knew we had a pool sold and then another and then another. And then another it just snowballed from there.
Coronavirus Task Force gives updates on response
"The president announced guidelines for Americans to follow and do their part to stem the spread of the virus the task force is holding daily press conferences and meetings to provide the American people with the latest information the task force has recommended mitigation strategies to heavily impacted communities like those in New York Washington state and California about sixty percent of the cases are in those three states and most of the cases in those three states and a handful of counties and so the administration's really focusing on these counties I mean the whole country but really these counties to try and put laser focused effort to contain it the CMS announced guides to protect vulnerable elderly Americans and limit medically unnecessary visits to nursing homes in January the administration declared the corona virus to be a public health emergency by the way the president donated his fourth quarter salary to the department health Human Services to deal with this fires are you aware this you know if any other president did this they be mentioning this they don't even mention it with him did Obama ever donated salaried anything well he wasn't a billionaire was getting very close now president took action to give HHS authority
Taking a Break from the Physician Grind with Stephen Beeson, Founder of The Clinician Experience Project at Practicing Excellence
"What is it that got you into healthcare to begin with well? When I was in high school I wanted to be a musician. I was playing trumpet. My parents really like imagine start living doing that and I had after his high school. I actually spent some time with my uncle. Dr Robert Hazel Rig. Who's a neurologist? And he told me about a day in the life of being a clinician and what that's like and the ability diagnosed managed three and sometimes disease and the mastery endeavour of of learning a body of knowledge that allows you to make an impact and patient's lives and I was so intrigued by that day in a life that in that moment on that day I switch for music to a biochemistry major at university covering San Diego and the journey was it. Yeah that's a big shift but a good reason to do it. And Wow so the years have passed and now you. You've you've sort of given from the frontline and now you're you're taking a much more macro approach through what you're doing. Obviously there's a big void in what clinicians need and tell us how you're feeling that what we've seen dating back to around two thousand and one. I began and was selected. Aucoin appointed to to coach training develop clinicians in a very competitive healthcare marketplace driven by consumerism and patient choice and we as a group were in bottom. Dessau in terms of patient experience. So I was I was tasked with. How do we help and support clinicians to provide better care to patients and I really for the next fifteen years became a student of? What are the things that physicians need to really become the kind of clinicians that they wanna be and really what I discovered? That drove me into the work today. Is that clinicians. Make massive sacrifices to get into positions that they're in their ninety percent of all clinical activity eighty cents of every dollar that's spent in healthcare their principal cultural drivers and the fundamental skills by which to make health care. Better are never developed. And we're in a field. Now where over? Fifty percent of clinicians despite what I consider to be the most beautiful press profession that there is anywhere to make a difference in the lives of those we serve and over. Fifty percent are experiencing symptoms of burnout and I considered it now to be alive calling and again. The night is for the work that we're doing now is helping supporting clinicians to do their work. Extraordinarily well to connect to the patients that they serve to collaborate with their colleagues beside them and to lead in a way that brings the very best of each other and to use that to drive not only patient experience harm reduction but also at the end of the day week month. Your Life. They look back over their shoulder and they say this is everything I hoped it to be. And that's the essence of really. What we're trying to do is help drive the clinician inexperience in the clinician. Experience being a gateway to all the other healthcare imperatives in front of us and harm reduction patient experience patient. Loyalty clinical excellence. And all those things. Well you know. I think this is A truly inspirational work and and very mission driven folks when you're in the airplane and you're getting ready for takeoff. The flight attendant will tell you to put the oxygen on your mask before anybody that you love. That's next to you and really when we're working with clinicians it's so important that their gas tank before and the work that you're doing. Dr Benson is truly dedicated to keeping their gas tank full so as healthcare leaders listening to this looking for ways to improve. What would you say an example of something you and your organization has done to help Say a health care executive improve that leadership culture for physicians. It's a great question. I think it's a complicated answer. What are the conditions? And what are the personal approaches? That clinicians take so. They love the work that they do and we are able to create an generate and execute on something called the clinician experience. We find the clinic. Experience is this is everything I wanted to be. I providing the kind of care that I believe in were driven by evidence. We're getting great outcomes and on Sunday night before clinical day. I'm excited about tomorrow. That's the essence of the Clinton Is What do we have to do to help support that? And if you look at the data in terms of what are the greatest influences on the clinician experience first and foremost it is the conditions in which physicians work under. It's not personal resilience or their endurance. It's the conditions that clinicians worked under. So as I speak with leadership teams. There's a composite of what leaders do clinician say. I love it here number one. They are out front and authentic leaders are deeply committed to what's right and best for patients and they communicate in a way to their clinical body that connects with physicians value systems. So when we when we as leaders say hey you need to improve your patient satisfaction scores and cms regulations. We have to do this that and the other and the payer field is saying they have to see more patients for less money. That's not what engages us to change will in prompts us to sit in the backseat cross arms and say this is not at all what I thought was going to be. But the leadership approaches of out front authenticity of the commitment to what's right and best for patients. We found in our research at the clinic. Experience Project that when physicians feel as though they're leaders are deeply connected to what's right and best for patients. The probability of burnout among those physicians is for X. Less than went leaders are not led by that
"cms" Discussed on WBT Charlotte News Talk
"As for bathrooms at CMS the word is nasty we found fifty six percent of the schools inspected had bathrooms in need of deep cleaning inspectors citing fecal stains or urine on floors and walls a lot of filth that can spread germs to kids how much your risk is that given our current situation it is the rest because I mean if you think about the coronavirus aside and we're looking at other things like MRSA or if someone had norovirus if the flu if we're not paying close attention to those basic details then to be able to then expect that someone can step it up and do the disinfection that's needed on touch points in the classroom it's pretty unrealistic the health inspections at CMS or record of very obvious problems problems not being addressed by school staff at south Meck for example the inspector wrote the smell of urine is overwhelming Catherine's have long been an issue in CMS when we reviewed inspections two years ago a teacher at west Charlotte told us the bathrooms were so bad teachers and students just hold it for leave campus to go to the bathroom some students feel very uncomfortable they have to take the number two spot sell sometimes I'll route home Justin's restaurant west Charlotte is still being cited for bathroom problems but in the past two years they have made significant improvements after three years of health scores in the seventies their scores now in ninety one though the inspector noted in the most recent inspection multiple toilet paper dispensers broken or missing in multiple restrooms inspections also found drinking fountains in schools are consistently a source of contamination many of the fountains caked with pink and black slime thirty eight percent of the schools inspected since last April and drinking fountains that were not being cleaned Patty linger says that can also make your kids sick water from our one of those areas that they have found are not clean hello fine high levels of of contamination we asked Charlotte Mecklenburg schools for comment they could not provide anyone for an interview but in a statement said custodial staff is working with principles to address needs quickly and they encourage students not to waste supplies in years past county commissioners such as Trevor fuller have blasted the schools for having such dirty facilities when they have a multi million dollar budget for maintenance we're allocating over four hundred million dollars a year just for operations how is it that our children have to go to school and facilities where we wouldn't go into biosafety expert Patti Olinger says if the schools are doing a good job on routine upkeep it's not likely they'll do a good job with additional cleaning that they need because of the corona virus you and I both know it's a lot harder to catch up on something and then it is if you're routinely doing things and then be able to say look we need to accept it up would you suggest parents do send the kid to school with his own little hand sanitizer if you think about it I mean in those kind of situations you know our primary objective is safety you know of our children's those health inspections for CMS only done once a year to day the local health director when we asked her about it said no they're not going to step up the inspections despite the threat of coronavirus we're not doing extra inspecting at this point but we are working with the school system and they are operating under specific guidance from CDC on how to clean and to make sure that the environment for their children is a safe and further.
Archway Health's Keely Macmillan Discusses Medicare Bundled Payment Performance
"During this podcast discussed with Keely McMillan Senior Vice President of policy and Solutions Management and archway health archways latest results regarding its participation in Medicare bundled payment arrangements. And we'll discuss as well see message related evaluation findings Miss Macmillan. Welcome to the program great. Thanks very much David. Great to join you. Thank you again. Miss McMillan's bio is of course posted on the podcast website. Very briefly on background since two thousand eleven. Cms through the Centers for Medicare Medicaid innovation has been fielding episode base bundled payment demonstrations generally define. These are payment models whereby Medicare pays a provider a fixed fee for beneficiaries care usually for surgical procedure followed by a limited time limited. Rehab period for example. Cms is currently fielding bundled payment for Care Improvement Advanced CB said Vance A DEMO. That includes thirty one inpatient and four outpatient clinical episodes the comprehensive care for joint replacement demo or CJ are covers l. e. j. r.'s or lower extremity joint replacements. I E hips and knees and there is an Oncology Care Demo that addresses cancer chemotherapy treatment in January besides evaluations were published And last June a second. Cj Our evaluation listeners may recall in February twenty eighteen. I interviewed archery health. Ceo and founder. Dave Terry with meat again. Discuss archways recent bundled payment results in related? Recent evaluation findings is archways Keeley Macmillan. So that keely. Let's go to my standard Opening question that is if you can give a brief overview of archway health. Sure sure thanks very much David. Archway halls is a value based care. Solutions Company. Were headquartered in Boston Massachusetts. And our mission is to first identify. Great Care and then evangelize it and we do that. By enabling providers to achieve it empowering consumers to find it and protecting those who deliver and pay for it so that includes providers in self insured employers and we partner with hundreds providers across
CMS: Elementary student brought gun on school bus
"Bus CMS and hundreds of police investigating reports a student brought a firearm on to a school bus Thursday morning and it was shown to other students and letter home to parents the blight elementary school prince Sybil has a firearm was shown to students on a school bus was immediately reported to administrators all students and staff remains safe this is an active investigation by hunters will police appropriate disciplinary action will be taken against anyone in
Trump rule could lead to big Medicaid cuts, governors warn
"Tell folks what has happened in terms of Medicaid in particular. I guess let's start way the way you did. What are the proposed cuts to Medicare that the trump administration the station has been talking about the proposed cuts to Medicare You know I think it started with their rollout of increased privatization of Medicare with increasing Medicare advantage. uh-huh Plans Kober last year in the lakes and Florida Trump you know reported in Vanity Fair that he said it would be fun. Second Term Project to cut Medicare and then in a couple of weeks ago now in Davos Switzerland he was talking. NCNB CNBC and he said Yesterday the fact that would be on the table cutting cutting Medicare in those social security and he said that would be the easiest thing to do very strange choice of words. So that's kind of the Medicare and that's what I started with. That's why I was in Des Moines that day with the committee to protect Medicare talking about these possible Medicare cuts with you know doctors from Iowa that join me for a press conference One Press When one member of the press showed up at that press conference now you know a little bit more of the presses is listening to the line that we're calling out at my committee about these proposed cuts it's And then you know because of the news of the day. Last Thursday was Davis encounter occurred in that was the day that Seema Verma the cms administrator for trump mm rolled out these Block grant Waiver proposal. That you know everyone I can see. That is talking about this. In an honest this way tells us this will cut folks from Medicaid. Okay and so tell us. CMS The centers for Medicare and Medicaid Services when they roll out this proposal are they actually just basically introducing. They're they're basically announcing that you can you as a state Can apply for a waiver. Is that right right. Apply for a waiver. Currently Medicaid is funded by the federal government on a kind of a per person per need basis. So you know. For instance when there's a recession and more people lose jobs and more people qualify for Medicaid. The federal share of spending on healthcare for those folks will go up because of course they need that you know people with diabetes if they have a job or they lose their jobs to no fault of their own still. Have they still need three hundred dollars a month insulin slim so with block grant States could say listen Why don't you just give us a lump sum of money? And then let us in the where he used was innovate let us innovate. Ah figure out how to cover anyone cover everyone but you know if the needs go up in our state. We still get that that pot of money that you're giving us it doesn't change and yet our needs go up so more people lose out the other thing they can do is choose to cut certain services they can you know cut certain drugs that are that are. Currently they covered up a prescription drug benefit under Medicaid. So I mean I mean it is just cut. There's no way around it. And there's no way that pence didn't understand that Seema. Burma used to be his Medicaid Administrator in the state of Indiana when he was governor there so this has been a conservative dream for for ages decades thirty years. They've been trying Graham. They've been trying to block grant and and so. There's there's like you say there's multiple problems that come with the block. Granting one is that it does not act as that economic stabiliser in other words doesn't doesn't Basically expand as the the need gets greater in crises. It also does not a increase along with the cost of medicine and And like you say the states can get sort of clever because the federal government has basically said I mean this is the difference between just sort of you know me me giving ten bucks to my kid and saying you know do whatever you want with it as opposed to making sure that she spends it on you know not on on junk food or whatever it is and and she can then go out and basically spend five bucks on the. I want to keep this metaphor too much but the idea is that they can use this money in other ways that I really don't have anything to do with providing health insurance for people right and my governor is Governor Gretchen. Whitmer who gave you know. I thought an amazing response to the state of the Union last night and I was there and we talked beforehand. And she's she helped. Uh sure in expanded Medicaid under the affordable care act when she was the minority leader of the State Senate here in Michigan and got a Republican governor to expand Medicaid. And we've had you know. Nearly three three quarters of million folks in Michigan Benefit from that Their study I think Carter. Kaiser family reported recently specifically Michigan showing the economic economic benefits of expanded Medicaid. The fear was that the federal government was going to give them a hundred percent in the first year and then scaled back to I think ninety percent of eventually by next year and the reality is even though the federal share has scaled back because people are healthier because they can afford treating their chronic illnesses. They can work more they. The actual tax base has increased. I think thirty thousand jobs in Michigan created directly resulted expanded Medicaid. So I you know this is. It just doesn't make sense to me that they try and and I think that's why he dodged the question and tried to revert back to things he did. And and then eventually just said agree to disagree because He knows what it is they. They held him what it is and they know if they say what it is. People won't like it you know. It's an election year. They're trying to get reelected so they just say whatever they want they lie will and state of the Union almost solely healthcare allies again about every other aspect of healthcare. And you know I think they just say what they want they get away with it. He just wasn't expecting to meet up with a guy in tyner who you know. I mean again. I don't know this issue like a policy. Wonk I mean I just I have a biology degree in a medical degree and I work clinically as a doc but I read you know and I and I try to learn as much as I can and so you know with my limited understanding of these policies he just. He wasn't ready for that one briefed them known gave them talking points. And I think that's. That's that's what we saw unfold. Yeah he did look like a deer in the headlights and we did try to dance around it quite a bit. You were pretty easy. Road brought in on them pretty quickly I think as he tried to sort of pretend like he didn't understand what you said the first thing. It just didn't that first exchange where you said. You're going to get cuts and Medicaid. 'cause I don't think we're GONNA do cuts in Medicare and so we'll give us. I mean So you know firsthand. The implications of this expanded Medicaid and and and I WANNA get into that as just your experiences as as an emergency doctor but I also get the sense. You're on this You're you're you're you're executive director of this committee you're in Iowa so you're aware at at least some of the you know the broader politics involved in this. Where would you anticipate what states or at least you know if not specific ones than the profile of the states eight? That are going to be applying for this waiver. I mean presumably the thirteen states. Now that did not expand Medicaid under the affordable. Care Act. I would imagine would be a prime targets or prime applicants to get this waiver. Because they're going to continue you. Say we're going to expand medicaid. They certainly are interested in dismantling it as much as they can right. I think that and I think you know anywhere that there is a Republican And I guess I have to. I don't know the nuances of the directive if it's if it's an executive decision at the state level or if it requires you know something passing through their houses so we have enough house majority Republican state legislatures plus governorships. In this country that I I mean I think that would be the profile. You know certainly because those will be the places where you know folks are more likely to be in charge that share vice president pence views on you know on Medicaid in general in a and and whether or not we should be helping out poor people when it comes to healthcare That that is that's the fear now. And why should we in Michigan you you know. Why should we in Michigan? Have a different set of. I mean the whole healthcare system. So Patchwork in Hodgepodge if you WANNA call it a system a series of systems. But it's so patrick work anyways I mean I guess why should this be any different. Let's let certain states do one thing and others do the other. And if you just happen to be born in Michigan versus Alabama. Well you know good on you right Well there's so much in our society today that's determined that way it's all just a coin toss and met. I guess maybe a bunch of coins get tossed in the air. What now? There's a vote tomorrow in the house. I Don I imagine you're familiar with it. And what the what the vote is is it's under the The CRA which has been used in the past to see the Congressional Review Act. It's been used in the past undo executive the actions that have been done within a certain timeframe and the Republicans did this with a bunch of executive actions by Obama and then once they do that once they pass that to reinstitute any type of rule like that Congress has to has to authorize it with a two thirds vote right so this is like this is a this is a real this is a sledgehammer as it were and they're going to. They're going to vote on this in the house and they will probably pass yes it which would not allow the president to block grant but then it goes to the Senate and the Republicans are sure to shoot it down. How do you think this plays as has a An issue in the fall when you have a half dozen or so Republican senators running in sort of purple states on their refuse their essential like voting to allow for cuts and Medicaid right. Yeah and I and I kind of anxious to see what folks looks like Like Collins I mean she seems the only one in the purple state that I think might make along with this I think you know tell us and and MC sally the and who is a gardener I think is already toast You know maybe Joni Ernst I don't know Yeah I mean I think at least I mean the thing is having having gone record. I mean that's That's I think that's all that's what we're trying to do as a committee. I mean what we're what we're rolling out over. The next. Several months is is an accountability campaign.
CMS' Dr. Kate Goodrich Discusses Measuring and Rewarding for Value Under Medicare's Forthcoming MVPs Program
"This podcast will discuss measuring and rewarding for value. You with Dr Kate. Goodridge Director of CMS is center for Clinical Standards and quality and cms as chief medical officer. Kate welcome to the program. Hey David thanks for having me appreciate it. Dr Goodridge's bile is of course posted on the podcast website on background. As I've noted previously Americans Americans are forced to spend over one trillion dollars annually on healthcare that is of low or no value that is healthcare that does not improve ones health status well Medicare officials have implemented numerous value based payment programs and demonstrations this year these arrangements financial reward either quality the or reduce spending growth. They do not reward value or spending efficiency defined as quality or outcomes achieved relative to spending on on November first. CMS publish the agency's final twenty twenty Medicare quality payment program rule that announced beginning in two thousand twenty one cms institute to MVP or America's incentive payments system value pathways these value pathways will be created to financially incent and reward quote unquote high value clinicians this means cms will begin to measuring reward Medicare physician performance based on value or spending being efficient Oregon. Outcomes achieve relative to spending listeners may recall I discussed measuring for healthcare value or spending efficiency with University of Michigan. Professor Besser Ryan Andrew O.. Rien excuse me. This past may eleventh and in later May I posted on the website. A related I say I wrote for Bloomberg Law again with me to discuss measuring rewarding value under Medicare specifically part B. Physician compensation cms. This is Dr Kate. Goodrich so kate With that as background. Let's get into this MVP initiative live as. You're well aware. In Twenty Twenty fifteen macro legislation replaced the Medicare sustainable growth rate formula used to update Adderley Medicare physician reimbursement with MIPS again. Nips the merit based incentive payment system MIPS measures every words physician performance using four categories quality.
Britain rolls the dice with a snap election in December Read
"Boris Johnson is rolling the dice the British prime minister had been pushing for a national election and now he's got it the vote is scheduled for December twelfth so it's back to the campaign trail for Johnson's Conservative Party to make the case for brexit polls indicate that Johnson's party is solidly ahead of the main opposition Labour Party but wait a second this is brexit and that means it's impossible to guess how this will all eventually shake out here's the world's Orla Barry in London in Britain elections do not come every four years like they do in the US politicians here set the date for a national vote strategically the idea is to choose the right time and give your party the best chance for success at the polls what could possibly go wrong the headlines this morning after two mulches election night the UK has a hung parliament to resume his decision to call an election as back followed with a conservative short of an overall Commons majority prime minister may fail spectacularly in twenty seventeen break this was ultimately her down full the bars Johnson seems to think that history will not for peace itself one way to get it done in the face of the only thing the people Mister speaker to refresh the people the choice the main opposition leader is Jeremy Corbyn from the labor party he's not just focusing on breaks us open promises a progressive future for Britain focused on income inequality climate change and improve government services I am very ready to go out there and give that message in any election whenever it comes but just how much of a risk is oldies for Boris Johnson he's the frontrunner in the polls the solid to eleven point lead for his Conservative Party over labor that might sound encouraging but rob Watson the BBC senior political correspondent says this is a high risk strategy for the conservatives brexit as admitted if you like a shock to the British political system to to vote says another fax that's worth remembering that as those of volatility and and the you campaign it used to be on there and the good old days people were amazingly loyal to that process but now people switch pots as and and and the way that they might switch kind of brands of washing powder so you know it is an inherently very risky approach cumple in day they're usually a number of key issues that influence people's decisions health care and immigration with the big ones last time around this time though it seems there really is just one issue look brexit as this oversized elephants and this very tiny room in the entire reason why the election is happening is because Britain's politicians couldn't agree on what to do about the results of the referendum in twenty sixteen certainly the governing conservatives Mister Johnson wants to make it about brexit some of those policies which house it out and see brexit Ponce's by absolutely want to make it about brexit and say this is your last chance to stop Britain leaving the E. U. to the voters says there's another problem with changing an election in mid December it's a couple of weeks before Christmas for starters but this will also be Britain's tears election in four years and it's fair to say that the public here is already suffering with considerable breaks it fatigue B. B. C. talk to some voters on the streets of Birmingham this week they're not sure another election we bring much change I think politically at the moment everything is of the CMS and it has been a mess for a couple of years I think the country just one at the instability now I'm not sure whether in an action can give that breaks is a different issue that what if it happens if it doesn't happen my main point of concern is how are we to the country forward possibly we're going to get virtually nowhere with for Christmas election campaign is only a little over five weeks long but it looks like it could be a deeply divisive one this week opposition MP Heidi Allen with the Liberal Democrats announced she's not running for reelection because of the abuse she's been guessing the unbelievable amounts of loss of privacy and no sickness that sent out that you are touched on a daily basis on the mound station media people shout to even the straight it's come up said it a vial I thought I could carry around a particular list email last week I thought you know what nobody in the working place should have to put up with this no matter what happens with the bulls in December the British public would have to put up with the brakes at issue for some time to come the latest break the deadline is January thirty first of next year and even if breaks it does happen it'll only be the beginning of a long complicated process of leaving the European Union once and for all for the wild I'm one of Bari in
NPR for Geeks with Dan Benjamin
"Is your developer origin story. Sorry you know is I started using computers in the ancient times I was eleven years old and this is back in the eighties very new thing now you had your choice you could sit through the thirty minute lecture where they talk to you about programming and then spend the next our either playing video games or writing code and I chose Writing Code because this was a really quite cool interesting thing to put this into perspective of time. Period is probably nineteen eighty two eighty three. We're talking pre MAC or as we used to call a Macintosh pre Macintosh computers apple twos and TRS eighty s stuff. I just I couldn't get enough of it. And of course we had no internet so learning was all. I'm just trying to figure stuff out talking to few people that I knew that knew it. I was still a pre teen or early team at this point and and getting any books that I could would find and of course you could go and find some cast aside book on C. Plus Plus but then you take that back to your commodore sixty like wait a minute. How do I can't just start writing c. Plus plus all basic so eventually I found my way to actually getting taking some classes and then than in highschool learn turbo pass cow. How and that was a lot of fun but by the time I was in college they were doing things like Pascal was kind of fading away they were doing things with modulation and I was actually actually a computer science major for like a whole semester before I changed it to something else because the computer science stuff back in those days and we're talking about the early nineties it was really people weren't doing interesting cool stuff outside of the field of science and math and there's a lot of very cool stuff in science and math you could do with computers computers but that's not what I wanted to do at end of the world and do it in the fact that I knew computers but he knows how to use the computer at the very least and software for development like you. There's so many great ways to learn how to write code. You can take a course online you can take course anywhere and there's so much so many ways to learn but back then then there really wasn't and so when I got out of college immediately I interviewed for a job doing development stuff and and ever since then that's what I've been doing. I spent many years doing njit stuff and and that's what I'm talking about everything from you know crawling under a desk to plug in a mouse all the way to you know building building out data centers for for big companies so I've done all of that managed teams doing that software development work my way up finally to be a CTO of a company and I've done my own business and consulting company for many many years so I've I've dabbled in a everything and what I kind of always frustrated me and also gave me a bit of an advantage was that I'm very much a generalist. I I knew people that were sober specialized and they were so much better than me whether it was better in writing code or better than me doing database stuff or building out infrastructure. Everyone was always better but I knew a little bit about everything and so that works really well. If you want to run your own business or start your own business because you have to do everything if you're running your own business but it always it was really hard hard for me because I never fit into that exact mold of like well. We need like a Java developer. Who's really good at unit tests okay well. That was certainly not me but I can rake really good Java if I wanted to you know so I it was always a struggle and I think doing web development and especially rails for me that was it was such a the joy and ruby on rails but ruby in general was really the first language that I had learned and I I've programmed in so many different languages over the years review. He was the first one that actually brought me joy when I was using it where I never felt like I was fighting against the language or I guess the I gotTa do it this swing sense the way they want me to do it. I never really felt that sure there's some of that in rails but for the most part it was very freeing kind of liberating experience and I have to thank my friend who I'm not sure if you've interviewed him or not he should his name is Damon Clink Scales and I he's he's very well known here here in the Austin Development Community and this is back before rails one dot came out and he said Dad. I know you like Doing Java on the back end. PHP HP on the front end but there's this new thing the are gonna like it's called Ruby on rails and I said that's not my favorite name in the world and he said it doesn't matter you're you're going to like it. You should try it. We should do our next project in it and so I picked it up and I loved it and the rest is history. There's there's so much to unpack their first of all. I have a very similar education history as you also did. Pascal in high school awesome I was told hold back in high school that there were too many people in computer science and they didn't need anyone else which is so hysterical because say can't get enough of that is all we need. Also I love the fact that you picked up on rails to do a project where you needed to deliver something and so you needed something to ship but also the fact back that you noted that you tend to know a little bit of everything but the thing about ruby on rails. If you know a little bit of rails that can take you so far. This is so easy eighty us it really is. I mean the there's so much in rails. I mean I remember the first rails confident I wound up getting to go to and and it wasn't that long after I'd started learning it and it there was a buzz there but it was still really small if you know if memory serves I think it was in Chicago. Oh and I think all I didn't even get to see Chicago like I went right from the airport right to the right to the little thing is is like in a hotel I mean it was so small and like the people giving talks where like three feet away from you on like a mock stage that had been set up but it was like like David was just David Hammer hands just use his walking around like approachable you could just sit next to him and talk to them in a thing and toby from shop a fire there and I got to meet all lease amazing developers and it was just so cool and we knew but you knew you got a sense like this is different like something cool is happening here and then the second rails. House conference of course it was a little bit bigger and then each year they got bigger and bigger and I think I spoke three of them in the old times but what a great crowd and in and it was also really cool because most of the rails developers had Max which was really different from the other developer conferences I went to and it just there was a vibe and it was really cool. That is so cool and it's something that you got to see re Ruby on rails in its infancy and just all the excitement that must have been around it and just understanding thing that while the framework didn't have a lot of features to it. They're just probably was a confidence across the community that those features were. GonNa Exist at some point whenever whenever ever I look at those charts that get hub and other places come out with it'll show like the trending languages and the cool languages in every and you see python going up up up up up up and you know ruby on rails is kind of just kind of there on you know everything else that came after it owes so much to ruby on rails because we just just there just wasn't the idea of a scaffold was like what it's GonNa. It's GonNa make the model. It's going to do the database migration. It's GonNa make view Anna Controller and tests and like all it just doing that for you like that was absolutely mind. Boggling back then so you tease me about best but I have to ask. Can you tell me the story of how you made the first ruby on rails. CMS Yes and I'm I'm sure there's somebody out there. Who's going to say no. No I had the first one but but I'll I'll say this. This was the first one that that I knew about and it was also the first one that was on the main page of Ruby on rails dot org when it came out a very very good friend of Mine Jeffrey Zelda men who is an amazing web developer for for many many many years and has been super helpful in in me me with me getting started in my career. One of the things they were struggling with was that they had had a custom cms built at that just it wasn't it wasn't living living up to what they needed from it. There are things they wanted to do. There was a new design. They wanted to roll out. There was a lot happening behind the scenes that they just they couldn't do with the existing system because the guy who wrote it became like a dot com millionaire. DidN'T WANNA waste time within anymore so I said I will build a new one and I'll build it in this crazy new thing called called rails and they said whatever you want you know you're the one that's going to be babysitting it so do whatever he wants so I did and it was. It was a huge you'd. I'm sure I could find the article if I can do it. I'll send it your way because I don't even remember what year it was but it was super cool because this was one of the first I things like this was out there in the world in production being used and and so you know to my knowledge it was the first or one of the very first I CMS that was ever built and then of course right after that I started building corked which my friend Dan Cedar home who is is the founder of dribble. Are I guess I guess. You're always a founder even if you leave he's. I don't think he works there anymore. I think he sold it and he's maybe kayaking out by Salem Massachusetts now but back in those days he is just a designer and no dribble existed yet and he had the idea we were friends and we used to compare tasting notes for different wind that we would try and and he said you know he says I've. I've actually had an idea that this could be a fun sort of social website website and keep in mind. This is back before like like facebook existed but it wasn't what it is today and there was no twitter really or maybe it was super early and so wild whoa wow like a social network for wine nerds who are not snobby that sounds kind of fun and he already had a cool logo for it and so we started building that and of course that was going to be rails course so. I wrote the rails and he did the design and you know and then I remember. We said to each other if we get in the in the first week if we get five hundred users that we will consider that to be a huge success. We had thousands of users in the first first month or two. We had forty thousand users on that thing. Not all of them were daily users but like active users on that was amazing and of course at Salta Gary back later on but the long story short those were like two of the first big league rails sites out in the world and and I had a hand in them and it was very very cool thing to do and and I remember I would go to the ruby on rails dot org page and see those two little screen shots of those sites there and it was always a huge inspiration to think man. I'm I like I did something in this cool new community
How to Start a Blog or Website
"First question that are you might ask yourself is that which platforms would you too so this is one of the question that you should ask yourself before you start your own website the first question of course so. I had a comment your platform. Let me tell you some states that I own own on the Internet so on the Internet. Although athletes that you see ir made fifty one thousand nine percent ninety six percent up the the vet said that you see on the Internet are created using place where it is open source cms software that use use that is used to create fifty one point nine six percent of the Internet's website so that's cool and next is Vicks we just seven point zero pipe percent than doom love open to one percent and squarespace three point nine six percent sand and there are also some completely accorded websites which are made on over st panel so that stupid open three six percent and then we three point one percent and then sites like Gordon Gordon decide etc which is one point six percent so you can see that are majority of the websites are over wordpress which is fifty one point nine six percent. Oh senso is huge and of course I'm to recommend you platform so obviously my suggestion is workplace. If you are starting a dynamic website which can do anything you want. I mean you can do whatever you want with all our website. If you buy a your own hosting so that's I would recommend this though platform that I would recommend what Bruce I'm not talking about what dot com I'm rocking World War Brisk Dot. Org which is called self hosted wordpress so you should open or start your website on self hosted wordpress art press platform so yeah. That's burt is still if you don't want to use wordpress and create if you want to create just a static website with few dynamic teachers are you're not simple website then our recommend whibley or dot com so you can use these these tools to create all with a side window and it will be easier to create the these websites but it won't be a very customizable it will be a static website and not completely static but you get the idea is it's not a super customizable so oh and not easy of course so you may not want to use this if you are trying to explore things and want to create bigger business to customize the website a lot so my recommendation will be workplace and even if you don't want to. Oh you is what praised you can use or start calm so let's move on so if you will if you use wordpress take recommend then you will need hosting to host your website so let's talk about all hosting so everything is basically flat that one where you back for more stories where you host or keep your website on the Internet so that they are a couple of platforms assumes that I would recommend you but let's let's talk about. two things reported okay what you should be looking king in your hosting in hosting company or hosting package or whatever so plus will you should look for apptime or who don't they should be great or. I'm inventor like Landon and poor nine percent and hundred percent hundred one hundred percent impossible or maybe sports but our state hosting the never gives you a hundred percent up time so that's that's an issue off said hosting plans I haven't I haven't tried dedicated hosting so I'll talk about it later but you should look for up aim is it it should be somewhere around ninety nine percent and of course if Dr and will be higher than the downtime. We'll below that means your site will be online for the most of the time so second thing that you should be taking this story a lot of our hosting sites. This are hosting companies. They'll that you get unlimited hosting but they are all lying. There are no unlimited story stories available and I taught blues is very honest and they will. They'll give you unlimited. It is terrific. Give actually but your side will pass them will not function properly when you reach the rich are certain point point reaches for PD beautifully made so they don't talk about it on their suspense was clearly they're lying and similarly. There are a lot of companies with who are retired are lying about their plan. They all say that you get on unlimited stories but none of them are giving you actually unlimited storage. Unlimited story is ally so you must take other stories you get I will. I won't recommend blue hose order anything any websites which still sued that you have access to unlimited storage because clearly they're lying and I don't want you recommend our company that lies and you may all also know that I I recommend bluest alert on my website myrtle soon. NBA replacing them with Oblivion Zine or cloud with hosting or something like that because they simply lies and I don't like how companies that lie so I'll remove them are and replaced with side grout groping Zine or cloud based hosting so oppose I'll be a good hosting. That doesn't life so yeah you SORTA look for a storage homages stories are getting Macaws. Almost Aubrey hosting companies are lying and saying that you get unlimited storage but you won't get it trust me and of of course there are companies which are which are clearly telling you how much storage you will get so I'll I'll talk about that in a moment and the targeting that will start in our hosting company is customer support so customers of old would be better and I think all the companies have good customer support. I never had any any sue with the customer. Support have tried to hosting side grow laws. Even blue host is good with customer support and then and then you all look for features like catching speed as certificated et cetera so these are the things that you should look for look in your hosting packages or hosting company and now Nick Men and it's Maya condition for web hosting so I would if if budget is not a problem for you than our Iro recommend you you plowed with hosting Dublin. WB engine or side Donosti aside garnished hosting is cheaper than the the other two options since but of course cheaper options you get to quality of posting so but it's I donate not Putin or the hosting company salutes great actually and I would highly recommend US recommend to use side grown even use. I'd grown and I also I'm also trying lorries always now and I haven't read Lupien but most of the Super Creator or super blog or for whatever you would like to say out of using WPA engine so that's one of the top Oh hosting for what I saw yeah but whatever opinion super expensive so you might you may not want to buy hosting if you have budget is so in depth case in that guess you should go to cloud ways and if your budget is still bulow then you can go to side drawn hosting but none of them are our T- posting by hosting all of them are great hosting so these are three web hosting Austin comedy that I would recommend you to use if whether it is not your problem but if you are loaned by then I will recommend you to use eight to hosting I've also used this hosting and this hosting is good at at the praised day offered it's not so so great but of course it's better than bluest or hostgator et. CETERA on the very phrasing and still their services are pretty good so you can if you're long visor. You can go go with worsening alright. So will you use of hosting company or website or to create a website. You'll also need our domain. We have already talked about how you should think about your state's name and similarly how you should buy your domain so you you want to listen to the previous episode to understand that. I'll not talk about that in this particular episode but Liquid Elliot how you can bite you can all you can buy it while buying the hosting for your website or you can buy it separately if you buy it separately then you will have to connect it with the DNA records so it's izzy she's just so if you'll just search on Google or I also have all video on my youtube channel you. If you want to do these things so it's easy to connect your domain your hosting so that's not a problem you will you'll be able to do it so I'll just talk about the platform that I would recommend if you want to buy domain separately not from the hosting companies so named Dot Com because of course aw like the name suggests you'll get the cheapest domains here name to his best player. Pont du by domain cheapest rate and the second option that I would recommend his Gore daddy most of the Indian stews Gordy because it accept payments are with Indian Indian Muslims Indian cards so that's one of the go-to option for Indians so either you can either you can. I I do you buy from your hosting company or you can buy from named deep or Gordie
Positioning a New Tailwind CSS Product
"I am joined by my friend inlands and how's it going in. Are you doing good so the reason I have you on the show today. you know you've been on the show before Kinda Hannah. I'd like to bring you on the show anytime I wanna get like I think of you as kind of like my software. Business uncle gets talking once in a while. The has all this wisdom awesome awesome. Chavis have diamond. I'm trying to figure something out and just get some get some perspective for someone who's been the game for awhile crazies offer uncle so yes so kind of what I wanted to chat with you. Today is me and Steve Showgirl who worked on at factoring. Ui with are working on this new product that we're still trying to figure out exactly exactly what it's going to be but like there's some things that were just struggling to to feel like we've made a confident decision on. I thought it'd be cool to get your input on that. So what we're trying to make is obviously. Steve Work on talents the SS furred punches reasons and people use it and it's cool or whatever but because it's like a utility framework the sort of a hole where a lot of people who try to use it Kinda get stuck because they just don't even though that like the workflow. They just don't know like what to do with it. I mean it's like this draft okay. I I WANNA make a list group. I WANNA make enough bar. It's like all right there but yea with tell when you're sorta like left your own devices so what we thought would be kind of an interesting way to try and like make the whole thing sustainable so we can actually you build a business around this tool while keeping it open source and continuing to build free stuff and everything is to kind of enter the sort of like you. I kid or themes uh-huh space kind of like bootstrap has their official theme store. We're trying to figure out like what does it look like to make a product like that for Tell when users search for aspiring toe and users even and even not positioning is kind of hard to figure out so kind of explain where we're we're thinking kind of a going and then I'm curious to get your take on idea in general and then also. I have some specific stuff that I think would be interesting to get into. Let's do so we're thinking is basically kind of like A. I guess like a Web portal. You know if you WANNA use nineteen ninety any seven lingo some sort of like logging area where like Steve of just built out tons and tons of different components and they're kind of right now. We're thinking kind of bigger components then. Maybe you might see with like traditional. CSS Framework the stuff. That's a little the more complex entire pricing section of a landing page or something with like three cards and sort of some interesting layout with like the featureless and and all that stuff and the idea would be that all the stuff would just be delivered straight up. HTML since talent is all utility classes. It's kind of Nice that you can actually just like save tears. HTML of the classes are embedded right into it. You can just copy and paste. It and you have something to start from. so we're thinking yeah. It's like some logging area. People can kinda browse all these different categories of stuff copy and paste into their projects and from a design perspective. Originally we are trying to figure out like should should it be should we try and make it like intentionally very varied and like terms how it looks like some things are like superfly. Ui with crazy colors and some things are maybe like more traditional or something's more enterprise or whatever I think we're thinking kind of make things a little bit more like consistency Stinson a little bit easier to sort of pick and choose different things knowing that like they're gonna fit together like fairly nicely but ends up making the whole thing kind of feel like kind of like one theme but not really at the same time because you still have a lot of choice and like you know okay well. I want a four card pricing greater. I WANNA PRICING TAE. They were want like a pricing thing with a variable pricing slider or like enter a bunch of inputs and you know what I mean. So there's all sorts of different ways. You could do it and the nice thing. We're hoping anyways utility approaches that since you just copying each imo he should feel pretty safe just like changing what you want to change right like oh it kind of want like to add like a second button here. We'll just copy paste the button that's already there. I WANNA use a little bit less padding here. Just change a p six to a p four. You know to go whereas I feel like if you if you look at a lot of the other tools on the market for this sort of thing you get this giant zip file. That's like the mystery box. You don't even know it's going to be in and they're gonNA come with like. Is it like a bunch of SAS files. Is it stylus files. Is it just pods the assess do they have like their own gulp scripts. It's all like just just like is asked to rate so I'm kind of hoping that like one of the value propositions here is like you sort of know what you're getting because like it's tell when stuff it's just. HTML it's all using the default tailwind classes not like anything fancier accustomed so it's very transparent and you get what you get and you kind of know what to expect so. I guess just like even based on that description like how does that a hate you well. I mean it's it's sort of interesting because it's different a little bit different than what we talked about this when you were. I thought of it so I guess there's the two sides us right. What you've described is like website template. You're building a website and it's GonNa pricing page has got like a tour tour and whatever you need lay out and whatever design and well I kinda visit as was more apt components so that's going to be there too but give me your like what is Ian. landsman is like definition of an APP component again so that's just like the you know apt APP. Dot. You know help spot dot Colorado. You know you're like the actual like you I for a B. Two B. APP. Let's say or consumer APP at the APP itself lists and table views and form control walls all that stuff so to me those are pretty different things kind of I understand them being together also in tailwind type scenario but I do think they're pretty different like I think the APP controls all seem like super clear and clean to me and like a lot of people have that need developers are like I don't WanNa build any of this stuff. It's it's terrible to build at all or you're trying to take some boots jobs saying but the really basic thing bootstrapped gives you doesn't like give you really what you need and so you need to like mess with all that and from your end it's cleaner just seems like a light version and dark version. Maybe a little build builder. You is that lets you like mess with colors or something and like it's a different variations or whatever but the front of the website doc it's all crazy over there people are going to be like we need like two hundred themes to choose from because. I don't want to have the same theme as some other people and beloit get a a lot stuff and people wanna big hero and a small hero and no hero and long form in this you know there's like all the different million variations and you have some designers involved or they're gonNa uh we want it to look like this look. Can we make this thing you got from them. Do this thing like don't like to kind of pretty different things. Some of the controls could cut across both ways and things things but I was the first thing that just kind of struck me as if you're sure you want to be in that side like the theme forest and the world like do you want to compete with theme forest in General Yeah Yeah yes. That one's kind of yeah. It's interesting that you think of it as being separate. I guess I don't think of it as being a separate as you do but maybe that's just because like I've actually been trying to hack stuff together and economy feels like more unified but I can see why you'd get that thought but yeah even with like like the marketing stuff I think the goal is to make things as sort of interchangeable as possible right so like imagine you're trying to build billick marketing say maybe we have fifteen different heroes to choose from but the idea is like all those heroes are all going to look good with all these feature section all these feature sections the again now to do that. We kind of have to make like some of course like baseline designed decisions right like do we are flat or do we go like with some shadows hazard to go square. Do we go rounded. You know the the sorts of like asked that decisions that you have to sort of carry through the whole thing for to not look like some like disaster asked here but what I was hoping and I don't know if this is going to be true and it'll be I'm curious to know it your perspective as like my hope visit people are going to feel comfortable taking a hero the has rounded buns and being comfortable getting rid of the round corners just like deleting that utility goal. We kind of want not to be square. Whatever but I also know that people are necessarily going to have the imagination necessary to even think to do that some of the time yeah well. I think that's what it was like. The semen woman in the market is so different when you're building the APP. It's like you know you have to construct all of this stuff like you're literally building everything when you're building up part of Saas Upright and and the the like marketing site part is like more variation in it because there are definitely people who just install wordpress and they wanNA download some. I'm crazy theme forest thing that's got five thousand files and seven Java script systems and just like this giant monstrosity with customers but let you do all kinds of stuff so the whole thing but obviously by the flip side. You're not in some ways. You're not really targeting not market very much at all because you're still going to be doing the people who are building the whole thing. I'm from scratch that way. It's kind of you know. I think you're pure target right. He's going to be the like somebody building. They're building the marking working page. They're building the APP belt holding a lot of times now. They're one APP these days. Some you know now usually but not you know more like a bigger business building. It would usually won't build it that way. he's like a different. CMS Say Austin differing in group that does it and it's totally unrelated to the APP stuff but that's a big concern for you necessarily and what you're doing. You know your audience really yeah yeah. I think that any sense I think like in our heads trying to figure out like is what we're providing a bunch of different like sorta like themes where like you can kind of make choices says that ended up with like totally different looking sites or do we want to pitch it more like this is like the first kind of theme you know what I mean and maybe it's an only ends up being like one you know of course we're just. GonNa Start with one and see what happens but thinking of it more like okay. Steve designed all this stuff. He designed it all consistent and so it's like sugar at scale you could buy about also like with a focus on hopefully hopefully trying to make it so that people feel comfortable making little tweaks here and there to like you know put their own spin on it like for example one of the decisions that we've made up to at this point which may or may not be a good decision. We've been designing everything using just like basically like black as sort of like the primary color so whereas something something like bootstrap like primary buns are blue links are blue and you know everything looks like a blue site where dislike associates like a dark gray. That's like really neutral but still like totally polished and let people like change that to green if they have green brand color changes to blue Febblue Branko or whatever so hopefully the people stuff still turn out different just because they're just GonNa you know in Jack their own little flavor things but again. I don't know for sure like if people are going to want to do that like it's hard to know like how off the shelf do people want things to be versus how much to they just want
Building the State Departments Website with Tracy Rotton
"Then there are aspects of the state department's work that maybe i'm not a particular fan of of and so maybe i will you you know opted not participate in particular sub sites or whatever but that remains to be seen the next the next goal on this overall project project is to take all of the <hes> embassy websites for united states embassies around the world and move them into this new design and just one more common. I know this was like a small question with a very big answer but what are the first <hes> tweets tweets that i saw when it when it was launched but nobody made any announcements is is somebody who oh they redesigned the website to be part of the administration's propaganda or something along the way and that tweet ended up getting deleted but that sure that kinda hurt because we really didn't design zayn this with any particular political view administration ethos in mind. The design is really meant to be agnostic hostak. The content is whatever the current administration is going to put in as content you know in in two years. We may have another administration. Their priorities are gonna shift and we're going to have different content or it. May stay the same anymore who knows what the future bricks but the goal of this was not to support anyone political view support any particular party eighty ninety nine point nine percent of the people who work in the federal government in this area are career civil servants who served through the trump administration the obama administration situation bush administration back to clinton in some are in some cases so it's really not a political objective. It's <hes> you know. Let's <unk> promote. The priorities of our particular agency and the state department has priorities that i can support whereas other agencies not so much. This episode is brought to you by pantheon starting a new project looking for a better hosting platform pantheon is an integrated traded set of tools to build launch and run websites. Get high performance hosting for your wordpress sites plus a comprehensive toolkit to supercharge your routine and help you launch faster on pantheon you get expert support from real developers best in class security and the most innovative obata technology to host and manage your websites. You can sign up a new site in minutes with a free account. You only pay when it goes live. That is my second favorite feature to pantheon only to the easy ability to create dub staging and live servers and push to get hub. It's very easy to set those things up on pantheon so you can head over to pantheon dot i._o. Today again to set up a free account pay only when it goes live thanks so much pantheon for their support of this episode and this season of how i built it people think that every federal agency adopts the face of the current president didn't but i mean it's not like you put any presidential like any campaign slogan on the website right. It's this is the state department. These are like you said people like you and me. Maybe people slightly better than me 'cause they've dedicated their life to to civil service and they're they're serving the they're serving the cause and the constitution and <hes> i think that's <hes> that's a very admirable viewpoint. I'm really glad i asked that because i was hoping you you would enter in that vein and you definitely did so <hes> that's fantastic <hes> now as far as let's talk tech now right. That's why we're both talk. Talk about all absolutely so you are the technical architect for a federal agency's website <hes>. This website is probably existed since the clinton administration. I'm gonna gas in some way shape or form. What was that <hes> just in general what was that like well as i said they had a proprietary customized cms <hes> that looked look like it had been built in the clinton administration to be frank <hes> and so basically if if we just scrap that the whole thing and started from scratch there was a lot of content migration that happened because some things got preserved but you could actually see what the old sites lights look like because they archive after every administration they don't take the site down so you can go back and see the obama era <hes> website. It's all it's all archived on on sub domains and then go back to george w bush etc <hes> so those sites will still exist and will continue to exist permanently in their existing form <hes> from you know as of last week in may fifteen twenty nineteen onwards. It's it's going to have this new design. <hes> they've poured it over a lot of the content <hes> into the new format but that was a very painstaking process. There was has no automated like migration tool. It was really a bunch of people on the state department just going over documents. Ten thousand of them ended up getting moved over <hes> so that was an entire atlassian task on its own to do that well. That's wild <hes> as as you were talking. I managed to find some of the it looks like it's a year range. <hes> rights for example nineteen ninety-seven hyphen in two thousand and one dot state dot gov is the archive for the most recent clinton administration state <hes> state department website. I'm so that's that's super interesting. I think i caught the last one before your redesign which looks very interesting. I want to say big improvement. <hes> your design over the most recent one <hes> but that's not so that's a very interesting thing that was archived and i guess they hired you knowing that you were wordpress person so did did you have to make the word press cell or they knew they wanted to use where now they had they had picked the word processing technology before hey come and then had found me out because of my association with bert press part of the driving factor was that the embassy websites that i am mentioned before actually are already on wordpress and that's actually a multi instance so one sub site for every embassy around the world so about two hundred give or take so kind of using that synergies to use fancy buzzwords was one one of the driving factors of moving this word press because they had the competency in place they actually already have contractors who are responsible for the maintenance of the embassy sites so it was kind of leveraging known technology on that front gotcha and that makes sense if they want to bring the new design into the fold presumably it'll be a little bit easier since they're both on wordpress <hes> and <hes> we will talk about that when we get to the title question but <hes> as far as <hes> the research that goes into this position right because they had already chosen wordpress for a number of reasons <hes>. I'm sure they had other contractors but what how did you prepare for this job. What kind of research went into. I'm about to do a redesign. I'm going to help the redesign for a government agency. How's that going to work so a lot of it was handled by the firm that hired me and i am purposely not naming names because of all the contractual issues you know some companies are allowed to take credit for things and others are not so. I don't want to step on any of those issues so the firm that had hired in me at all ready started doing the u._s. Work a lot of the visual design work and they what they did is they were working like one sprint ahead at the tech team <hes> when that came in and this is like april of twenty eighteen so this has been thirteen months works yeah it's definitely the longest project checked ever been near us like three months move on but they had some contractors hired for for the positions that they needed so the couple of back end developers couple of front end developers who were staff of the agency and they were like looking for one more and the goodness of friend of mine who i had worked with at a previous agency <hes> was available and came on board <hes> and he was like like just instrumental so we basically that was most of the early work was putting together the team <hes> through the mixture of people who were already working for the agency and people who were brought in as contractors like myself <hes> and then it was just basically you know. Where do we start. What do we use as a starter theme well. That's where kind of it was less research and more of while you hired me so i'm going to do things my my way and that's where we used underscores as the starter theme and we used sas as the front end <hes> c._s._s. kind of processor and a lot of those kind of decisions. Were were just kind of driven by this is the way i always do things so it's going to be quickest if we just kind of keep those practices involved because they've worked for me for for years and might as well stick with what works yeah that's great and i mean you're basically coming to a blank slate right because you're switching content management systems so it's not like you're like we need to support these plug ins or we need to support. There was no legacy code to have to deal with at all the plug ins that we brought in were the ones that i've used in the past or or we researched and and we're the ones that met the needs <hes> again i we can we can dive more into tech now or we're gonna die more into tech later but i'm some other early decisions. Were not to use gutenberg which was ask actually got that question on twitter yesterday the reason in for not using who was a this was before wordpress five point zero was released. <hes> in gutenberg was not stable and for the amount of development. We had to do <hes> it. It was just not going to be a good choice to go with something that was still so much in flux and so instead we used a <hes> heavy heavy use of a._c._f. Pro advanced custom fields pro to build custom templates that the state department needed they meet a variety of different aren't templates to meet their content type so different template for bureaus which would have a particular information that we have you know different template for landing pages ages or policy issue pages or those kind of things that each require different information so it was just a better better way of sticking with the classic editor and using a c._f. Perot as basically or continental system for most cases yeah. That's i mean that sounds like an incredibly good approach approach. <hes> and i know it's something that i've heard other agencies doing right like they'll. They will generously use a._c._f. Pro- <hes> or some other her <hes> custom fields thing but i'm a big fan of a._c. Of pro- <hes> and they'll just straight up in some cases hide the editor <hes> and they'll have of you know these boxes that are specifically designed to display this information and to your point right. If you started this thirteen months ago that is when enberg and five point out we're supposed to launch and then it got delayed so kind of making that decision early on in the process tesla was probably a good one right <hes> do you do you have plans to support gutenberg in the future or not at not at this point joint. I mean at some point we can re re. <hes> you know come back to that. Maybe we also as i said we have to. The embassy see sites to work on neck. So do we go but also the amount of content just even today i have worked on other projects since then <hes> one of which i'm using gutenberg and one of which i'm not and i just find that the the content entry process using gutenberg a lot slower than it is for the kind of the old fashioned continents are classic editor way so you're dealing with the volume of data <hes> they had to migrate over slowing down if it took twice as long to enter in one page of content that was going to significantly impact further. You're not that we did have some impacts in schedule. It was the one month furlough did not help his is that state department was one of the agencies that got furloughed so that was not conducive to the time line obviously but anyway any any kind kind of slowed down like that would have just introduced more delays and at some point you just say no more delays yeah absolutely i i mean i think it's it's <hes> gutenberg is in this weird middle area between like content editor and page builder and it's it's certainly good for some things but <hes> again i it's a case by case basis and i think in this case it probably would have hurt the project more <hes> so as as we're talking talking about kind of the tech stack you mentioned underscores in sas tools. I'm a big fan of a._c._f. Pro another another great tool. <hes> let's get into the title question. How did you build it and as you answer this question. I m curious to know if you designed with the multi site project it in mind if they told you up front hey we're going to do this next or if they told you that like halfway through the project or whatever okay so first of all. We're gonna have to change the name of your podcast because because it's not how i built this. It's how we built this. This was a team a cast of dozens we had u._s. Designers continent architects rex front end developers back end developers full stack developer such as myself so it wasn't one person and i really we don't want to fall into the the the hacker news like she should like ten percent of the work. It takes one hundred percent of the credit. I'm not taking hundred presentiment presentiment anything. This was a huge team effort and so again. It was an agile process. The designs per template were happening. A sprint ahead of the development work which i really wasn't a fan of because as designers honors moved onto next template. We didn't really foresee certain modules being reused that ended up getting reused because they decided okay this macho macho works for this page in this context and so we had named things in a certain way and and <hes> constructed the file structure in a certain way and now we have to go back and change it because something that is specific one template is now shared across multiple templates so would've loved a little bit more or of a holistic approach in terms of the design but you know you we did go back and retrofit things as we had to so so so that was that part of it as far as designing with the mission and the multi site in mine that was even the cards and then was a little bit because of how the structure of the contract worked so this agency that initially hired me came in and all they were tasked with with state dot gov and not even to get it to launch basically the initial build. The contract ran until like the end of of last october. I remember going into a meeting the tape before halloween as basically this is my hand off. This is how it works. This is where the code is. This is my email if you we need to reach me by sia. I thought i was done. I thought that was it my contract with the other agency and it and and i was off to do my other things under tokyo studios then about a month later i got a call from the contracting firm a federal government contracting firm firm who had taken over the contract and they were like well. We have this project redoing the state dot gov website and we won. Ah we heard your name and we thought you might be good for this project. I'm like well. Let me tell you something about the history of this. You know i was on the team that built that right and ed. I think they were just a little coy so they ended up getting hired by the federal government contracting for that was taking this to launch and then they were the ones who were told like in the future after the state dot gov launch. You're going to be working on the embassy sites so that was my first inkling like ah after i thought i was done with this thing i was going to move on to my next thing. I'm coming back in michael corleone everything every time. I think i'm <music> out. They pulled me back in yeah yeah so so that's where we are now and actually now one of the things i'm working on. Actually in the next brand is like a piece of the site that the original agency never actually got to we just didn't have the time <hes> kept kicking connect down the road and now it's ending back on my play and guess what i'm going to be coding in about two weeks. Is this piece of functionality still being done so take with
"cms" Discussed on Rocket
"Wall Street Journal CMS, and nobody seems to have taken responsibility for it or whatever I like, you shouldn't be laughing about this because I actually know someone who did jail time because he allegedly leaked a log information in IRC that someone then briefly defaced a news organization's website. So these things can have consequences, which to me is kind of like, the the most potentially hilarious thing is I would like to see kind of like, you know, going to take us a while. You mean when you said the winner, the chicken dinner in fort night, tell us what word ain't that's what I'm saying. Like like Dow Jones really wants to haul out on this like that would actually be like really funny to have to see the brief. I would really love to read the complaint that would have to explain what all the things were. Yeah. She told the court will what what did this mean? And what was this and people like, no, no, no. It's a fortnight thing. We it's a joke. We didn't really wanna get anybody's credit card information. Oh, well, we think you did. So workshop, and you this knows, you know. Yeah. I mean it was Christmas early. Yeah. Well, played well played hackers. But also, what can you ask a point of order about this yet from this? This is why I didn't understand about this. So I get the news alert on my phone Wall Street Journal's been hacked like it's an apple news, and I'm expecting to go to the Wall Street Journal front page like say their CMS and like top story of my subscription. It's like PD pie, blah, blah, blah. But this isn't quite what happened it was harder site. So they ran an ABC through Wall Street Journal or some with the third party relationship with Wall Street Journal. Yeah. So Wall Street Journal has its own sponsored content thing that's word of It's its. advertising division. And so I guess that was like if you visit Wall Street Journal dot com might have had.
"cms" Discussed on KGO 810
"Attention from her doctor. We've all been to the doctor, and let's be honest. There is a lot more screen time going on I time and all of us at some point have waited weeks or miss work or undergone some type of inconvenience so that we can try to the doctor fill out paperwork and watch our doctor stare at a computer screen and to be fair. No brilliant physician wants to be relegated to data entry while their time. With patients continues to evaporate. It is clear that our regulations have held back innovation, and if we're going to be driving to a system that drives value lower costs and creates better health outcomes. We need to remove barriers that four this effort as part of the president's cut the red tape initiative CMS launched our patients over. Paperwork initiative to reduce unnecessary and redundant regulations. So that doctors could focus on their primary mission taking care of their patients last year. We asked providers to share with us their ideas and concerns around regulations and we've received over three thousand comments agency has been busy addressing those concerns. And one of the biggest complaints. We heard was around the burden of reporting quality measures. So we began an initiative and brilliantly. We called it meaningful measures. That's right. If there's one thing the government can really do its name something meaningful measures is about continuing to focus on evaluating quality safety program integrity, but recognizing that in our drive to value and innovation. We can't wait providers down with reporting that doesn't make sense this year. We have overhauled are measures getting rid of the ones that were duplicative talked out process oriented. Or just not meaningful to patient care. Now, I'm supportive of quality measures. That means something to providers and patients, but we also have to make sure that we have the back end processes in place to.
"cms" Discussed on KSFO-AM
"To an attention from her doctor. We've all been to the doctor, and let's be honest. There is a lot more screen time going on than I time and all of us at some point have waited weeks or miss work or undergone some type of inconvenience so that we can try to the doctor fill out paperwork and watch our doctors stare at a computer screen and to be fair. No brilliant physician wants to be relegated to data entry while their time. With patients continues to evaporate. It is clear that our regulations have held back innovation, and if we're going to be driving to a system that drives value lower costs and creates better health outcomes. We need to remove barriers that four this effort as part of the president's cut the red tape initiative CMS launched our patients over paper. For work initiative to reduce unnecessary and redundant regulations. So that doctors could focus on their primary mission taking care of their patients last year. We asked providers to share with us their ideas and concerns around regulations and we've received over three thousand comments Beijing has been busy addressing those concerns. And one of the biggest complaints. We heard was around the burden of reporting quality measures. So we began an initiative and brilliantly. We called it meaningful measures. That's right. If there's one thing the government can really do its name something meaningful measures is about continuing to focus on evaluating quality safety program integrity, but recognizing that in our drive to value innovation. We can't wait providers down with reporting that doesn't make sense this year. We have overhauled are measures getting rid of the ones that were duplicative talked out process oriented. Or just not meaningful to patient care. Now, I'm supportive of quality measures. That means something to providers and patients, but we also have to make sure that we have the back end processes in place to.
"cms" Discussed on KNBR The Sports Leader
"An attention from her doctor. We've all been to the doctor, and let's be honest. There's a lot more screen time going on than I time and all of us at some point have waited weeks or miss work or undergone some type of inconvenience so that we can try to the doctor fill out paperwork and watch our doctor stare at a computer screen and to be fair. No brilliant physician wants to be relegated to data entry while their time. With patients continues to evaporate. It is clear that our regulations have held back innovation, and if we're going to be driving to a system that drives value lower costs and creates better health outcomes. We need to remove barriers that fourth this effort as part of the president's cut the red tape initiative CMS launched our patients over paper. Work initiative to reduce unnecessary and redundant regulations. So that doctors could focus on their primary mission taking care of their patients last year. We asked providers to share with us their ideas and concerns around regulations and we've received over three thousand comments the agency has been busy addressing those concerns. And one of the biggest complaints we heard was around the burden of reporting quality measures. So we began an initiative and brilliantly. We called it meaningful measures. That's right. If there's one thing the government can really do its name something meaningful measures is about continuing to focus on valuating quality safety program integrity, but recognizing that in our drive to value and innovation. We can't wait providers down with reporting that doesn't make sense this year. We have overhauled are measures getting rid of the ones that were duplicative topped out process oriented. Or just not meaningful to patient care. Now, I'm supportive of quality measures. That means something to providers and patients, but we also have to make sure that we had the back end processes in place to evaluate quality without the provider..
"cms" Discussed on Newsradio 950 WWJ
"In the works by cms energy the parent company of consumers energy the utility has agreed to own an operating seventy five wind turbines in the lansing area that will generate up to one hundred fifty megawatts of electricity that wind park will be up and running by late twenty twenty the opioid crisis is a growing health concern across the country one organization recently held a summit to offer ways to reduce opioid abuse and misuse as it continues to rise in michigan mary greeley is the president of the healthcare leadership council we're asking healthcare leaders to adopt e prescribing or the electric prescribing of controlled substances like opioids and we're asking congress to make sure that they're providing coverage for treatment the michigan dnr katamon and a fourteen year old illegally hunting turkeys and osceola county in mid michigan the dnr officers saw the truck swerving down the road discovering a fourteen year old driving a loaded shotgun with an un case crossbow found in the vehicle enforcement action was taken rap mason wwe j newsradio nine fifty we're learning more now about the victims in a plane crash near detroit city airport earlier this week as newsradio nine fifty sandra mcneill reports the couple's daughters competing in a national volleyball tournaments at cobo center there was a strong show of support from different age group teams that make up the absolute volleyball academy to support krista boaz and her team her brother peyton is still hospitalized as a result of the plane crash that killed her parents parents told me they did not want to talk about the crash but say they were there to support christmas healing.
"cms" Discussed on KHNR 690AM
"That's a cms managed website and you can literally over ninety percent of the hospitals in the country report to this and it's it's it it only became mandatory recently but hospitals started voluntarily reporting to this so they could once the reimbursement started based on the satisfaction they wanted to have a good baseline of where they were so they hospital such as castle and some others on the island started reporting earlier than they were required to be quiet now let's talk about physicians that's another i mean when i was in the main and working on the east coast are hospital employed physicians so we did all the background check and all these other things i come to castle or to hawaii and i know that the physicians are affiliated not all our employees or employed by the hospital except for maybe hospitalised etcetera in general i wanna find look for a physician how do i how do i find out about a particular physician particularly when if i join and insurance let's say an insurance group and they say oh he's a list of physicians you know you can pick one of these as your primary care physician etc but how do i go around to doing research to select a position are there places i can go to see if they scored well if there's no bad background about them how do i do that there are many different ways but i would suggest no on castles website we do have a lincoln we do have a physician group that castle medical group and day work directly with us and it's a great partnership we have a lot of initiatives that we work on on a regular basis together we also employ our own hospital and they're very engaged in our process improvement and quality processes as well that's one way another way is that the insurance companies have a wealth of information regarding in their provider look up when you're looking for a physician will give you their credentials in their education and what their specialties are at there are a lot of other third party physician rating systems like health grades and things like that where it's similar to yelp where patients can go on and they can rate the physician because they went to the physician and had experience with that person of course that's very subjective but that's also very helpful and we always encourage our patients if they're looking for a physician to ask your friends and your family and for referrals and what physicians did you get good services from what's their bedside manner like and that's very very valuable information because a relationship with the physician is very intimate one and the best way for that physician to give you the best highest quality healthcare possible is to be open and honest and feel comfortable with.
"cms" Discussed on BizTalk Radio
"A customer an existing customer and build a new product for them or take an new adventure and work with them to with their designs and create the product and then manufacture the bar for them the only thing don't do is actually sell the product except for the fact that you guys create a company called cms sports in the meantime didn't you oh yeah we we actually started cms sports the forerunner to it was back in nineteen seventytwo cms sports has been an organization now going on sixteen years located here in fort talk about talk about what you guys invented because it was pretty disruptive before we anybody wanted to lift weights would have these iron flights that would either break concrete or break themselves and used to at least to have rubber pads on the forefront of course olympic competition but but now these things are everywhere talk about that talk about the product well the different rubber plates as you call it from recycled rubber and a number of companies work with us to develop it talk about who you're selling to charles because this going go and beat a c or are you going to be on this stuff most of our businesses bb in other words we manufacture products for major companies like dr joy orthopedics in sporting goods we have done worked with rawlings we've done worked with louisville slugger and many other companies we manufacture products breath brand name parts primarily for those brands so i'm looking behind you there and i'm seeing everything from what looks like a bulletproof vest to of course they took you off screen so i can't see anymore but those you have a ton of project give give us an array of what you guys have done because your new product development for for for some forty seven years you presided over companies like exelon and spalding and fred perry and such what is.
"cms" Discussed on Syntax - Tasty Web Development Treats
"Dang psyched with how effortless it's gotten lately for a little while there were so many like i don't know what to do here here here there's too many questions up in the air and i think lately the headless wordpress game has really gotten a lot more this is how to do things in this is the way so i'm pretty excited about it as that i haven't built any major client sites in it yet and i have an opportunity to build a wordpress outta just got a wordpress freelance client and who knows i have this opportunity it's gotta be wordpress so hey are gonna make a judgment and do some headless wordpress on this win and get back to you a little bit more on a on how often that is before west german here i think one lasting bluesky a one of these other things that are are could exist in this one cms is pretty cool thing one is called graph cms it's graph q l base ems that is a host i believe they have an open source version of this thing it's all graph q l based in the interfaces fantastic it looks like wordpress if it was designed today in that manner is like really modern looking and the guys behind graphs you must have really cool so grabs the mess as one of those ones that i really want to use really want to try on a bigger project that just haven't gotten to yet so that that's sort of what my thoughts on the landscape here a lot of really exciting stuff happening that's pretty cool you're on the homepage of this website do you know that yeah yeah i talked to these guys all the time in fact i'm going to do a aggressee mess satori all series for them but they were working on some big updates so waiting for those to come through will not by line yeah wow that's pretty nifty yeah so i am also pretty invested in this whole headless cms right now because my own website badly needs a redesign my the code that's running on west boss dot com was originally built in twenty eleven and it's sort of been tweaked and fudged over the years i built an less.
"cms" Discussed on Syntax - Tasty Web Development Treats
"What are your thoughts on the new age of cms latte file or headless earth database driven a versus other some blue sky dream cms basically what our thoughts on the cms bad former landscape right now as we see where we have things like flat file markdown file cms as we also database driven ones as well as maybe some potentially cool other stuff which there are some potentially cool other stuff so let's get into it i think some of it's pretty pretty cool but it requires a certain level of technical know how like i could see a markdown file driven cms being very popular for developers or people who are familiar with code but like i'm not going to tell a client who's never you know who's only used microsoft word to use a markdown file as their database or a cms i've just not gonna do that i don't think they're gonna get it i don't think they're going to have a good time and i don't think they're going to have a good experience with me as their developer if i'm saying hey you got to come in and mark edit these files a it might be a little bit different with something like netla fi cms but at the end of the day you're still requiring some build time so they're not going to see that instant feedback where when they save a file it's automatically updated for them in wordpress you say that you go to the patients there with nelly by cms and gatsby or something like that you save it and then it has to rebuild with the new markdown file and that maybe takes a second it's not as instantaneous i i think it's a great system and i really like it i just don't know how i feel about it or nontechnical clients that said the headless cms landscape is pretty sick right now lead gives me an opportunity to announce plug my new pro series coming this much with with is going to be modern wordpress where we're going to be doing all headless wordpress both with next jay s as well as gets piece i'm going to take two different front end approaches on it can be server said render statically rendered stuff i am been pretty.
"cms" Discussed on POLITICO's Pulse Check
"Keren murphy has had a three decade plus career in health care often in major positions of leadership right now she's the chief innovation officer and geyser health system lowregarded healthcare network in pennsylvania before that choose the state secretary of health and before that she was a top official at the cms innovation center overseeing the steve innovation models initiative we sat down this week to talk about cairns work in pennsylvania in the obama administration and a guys anger but i also wanted her to help me make sense of hhs secretary alex ease ours most recent remarks big topic in the news this week value based care secretary aleksandar came out with a major speech saying his priorities for valuebased care are are real and laid out what the trump administration wants to do and i do want to get to that but first not everyone is going to know the term valuebased care so majuor to cocktail party really nerdy cocktail party how would you define valuebased care and a casual conduct i think dan the best way to describe it is really in the context of how we get paid now in healthcare so we're paid for many many years and a thief or service payment schedule which means we get paid for what we do not how we do it the valuebased proposition is paying for health care delivery services and value in other words how good it is not just about how many times you do it.
"cms" Discussed on a16z
"Lawyers and the next step now is for them to actually start working directly with plans and distributing to lose plans because you get obviously much much wider distribution fortunately many if their administrators at plans and also much more sophisticated about the space it's just a matter of time and they're working directly with starts doing this is something we've seen through mud as well so once you've gone through the early adopters on self insured and player side he then to get the massmarket need to go to the regular insurance plans yep yes it reminds me of the saying that you know a federal versus state um the the and then stage of the laboratories of democracy yeah before it actually gets up to the federal level and i think that's probably true in this case and that's actually a good point because that once you go through plans actually had the the next step oftentimes is working with cms and going through medicare medicaid now people can change those steps up but that's a progression that we've seen yeah so it sounds like you know a lot of times they go from the insurance plans to the government to see amass two medicare medicaid we've also seen a lot of developments and other part of the government namely the fda or you know there have been a lot of new regulations out the first fda prove digital therapeutic new programs for pre certification can you talk about how these might have affected some of the companies and investments that we might make in space or i think from a regulatory standpoint we're gonna see across the entire spectrum incredible advances in terms of what's happening at the fda level we'll see more generics approve this year than in any year in history previously we saw this year the first.
"cms" Discussed on Marketing School
"And the easiest way to keep simple clean code is by using a cms because with cms you can destroy adjusting everything at once person having to go back in mainly in just things one by one yeah and then the toll of choice or the plug in that nearly always recommend is d joost seo plug in i mean this actually ties into my next point having breadcrumbs on your side so he owes cannon crew clue breadcrumbs i mean there are there are other plugins i can do that as well if you're using us on talk about this in the context of wordpress oh no no matter what makes sure that you're you're you have some breadcrumbs in their ideally like if you're have blog post you have internal links as well linked the related posts because that's the same thing as ecommerce site to you want to have internal links that help spyders get across your sights the other pages crossed so that you can get more organic traffic overtime thing this pretty much it for the basic seo stuff are one last thing for me is use unique title and description tags on a meta tax rate on every single page 'cause if they're duplicate they won't do as well don't worry about having him keyword optimize you can always picks out later on in the final thing and that this is a bit more controversial so you know the there are some store seo is that i've talked about this impasse but when you have your blog on your subdomain you are subject to losing run 5 to 10 percent of traffic i've seen this happened in the past but here's the thing like i i remember a long time ago when i was at tree house our site was built on on rails and you know the blog was built on oils hosted by wfia engine an you know obviously it's it's a php thing right so you're whenever we try to put an sub demeaned the site which is crashed in the blog would crash and we'd have to keep we setting it so became a pain in the by.
"cms" Discussed on WTVN
"Ex lin organizations such a great organization that there's a really big organization that is trying to take the business from them stick with the united states concealed carry association the first and they are the best killing me do this now over at zero hedge the cms administrator cms overseas medicare and medicaid and so forth and she's talking about seem a very ma oba obama care the longterm solution of obamacare that it's failed this is yet another failing report card for the exchanges she says the american people have fewer insurance choices in some counties no choice at all cms is working with state departments of insurance insurers to find ways to provide relief and so forth then we have a an organization that examines these things they said paid exchange members are down fifteen percent from 2017 this seat the centers for medicare medicaid services cms released the february effects waited enrollment snapshot these attrition levels are slightly worse than the effect uweidat enrollment levels one month following twenty in other words what's all this gobbledygook me less and less choices for people under our obamacare in increasing number of counties no choices what so ever i'll be right back three i don't know what are you on you wanna know what you wanna nunez this ever happened to you joy in.