Community Needs Health Assessment

In 2012                         Internal Revenue Service mandated that all non-profit hospitals undertake a community health needs assessment   that year and every three years thereafter. Further, these hospitals need to file a report every year thereafter detailing the progress that the community is making towards meeting the indicated needs. This type of assessment is a prime example of primary prevention strategy in population health management. Primary prevention strategies focus on preventing the occurrence of diseases or strengthen the resistance to diseases by focusing on environmental factors generally.

I believe that it is very fortunate that non-profit hospitals are carrying out this activity in their communities. By assessing the needs of the community and by working with community groups to improve the health of the community great strides can be made in improving public health, a key determinant of one’s overall health. As stated on the Institute for Healthcare Improvement’s Blue Shirt Blog   and Beyond: Hospitals and Community Health Improvement), “There is growing recognition that the social determinants of health – where we live, work, and play, the food we eat, the opportunities we have to work and exercise and live in safety – drive health outcomes. Of course, there is a large role for health care to play in delivering health care services, but it is indisputable that the foundation of a healthy life lies within the community. To manage true population health – that is, the health of a community – hospitals and health systems must partner with a broad spectrum of stakeholders who share ownership for improving health in our communities.” I believe that these types of community involvement will become increasingly important as reimbursement is driven by value.

Historically, healthcare providers have managed the health of individuals and local health departments have managed the community environment to promote healthy lives. Now, with the IRS requirement, the work of the two are beginning to overlap. Added to the recent connection of the two are local coalitions and

The community in which I live provides an excellent example of the new interconnections of various   to collectively improve the health of the community. In 2014 nine non-profits, including three hospitals, in Kent County, Michigan conducted a of the county to assess the strengths and weaknesses of health in the county and to assess the community’s perceptions of the pressing health needs. The assessment concluded that the key areas of focus for improving the health of the community are:

· Mental health issues

· Poor nutrition and obesity

· Substance abuse

· Violence and safety

At this time the Kent County Health Department has begun developing a strategic plan for the community to address these issues. A wide variety of community groups have begun meeting monthly to form this strategic plan. There are four work groups, one for each of the key areas of focus. I am involved in the Substance Abuse as a representative of one of my clients, Kent Intermediate School District. Other members include a substance abuse prevention coalition, a Federally qualified health   a substance abuse treatment   and the local YMCA, among others. The local hospitals are involved in other  One of the treatment group representatives is a co-chair of our group. The health department wants to be sure that the strategic plan is community driven.

At the first meeting the health department leadership stated that the strategic plan must be community driven. This is so in order that the various agencies in the community will buy into the strategic plan and will work cooperatively to provide the most effective prevention and treatment services without overlap. The dollars spent on services will be more effective if the various agencies work to enhance each others’ work, to the extent possible.

At this time the Substance Abuse work group is examining relevant data from the 2014   survey and from other local resources. The epidemiologist at the health department is reviewing relevant data with the group so that any decisions about the goals of the strategic plan will be data driven. Using data to make decisions is one of the keystones of the group’s operating principles. All objectives in the strategic plan will be specific, measurable, achievable, realistic and time-bound (SMART).

Once the strategic plan is finished, the groups will continue with implementation of the plan, evaluating the outcomes of the implementation and adjusting the plan as needed in light of evaluation. As one can see, the   are following the classic Plan-Do-Check-Act process. This process has been shown time and again in many settings-healthcare, business, manufacturing, to produce excellent outcomes when properly followed.




Hands through your pet’s coat

Before brushing, run your hands through your pet’s coat from back to front to mobile dog grooming massage the skin and loosen dead hairs. This massage will help to stimulate and distribute natural oils in the skin, which gives a healthy shine to the coat. Then use the type of grooming that is best suited to your pet which can be a brush, comb or mitt to brush your pet from head to tail. Don’t forget to brush the underbelly and also between toes and pads which can collect small stones, chewing gum and other debris. To avoid scraping your pets’ skin, try not to press too hard with a wire slicker brush.

6. If you come across matted hair, first hold the matt close to the skin. Next insert the end tooth of the comb into the matt and try working the matt loose. If you find this isn’t possible you might want to cut out a matt so you don’t cause your pet any unnecessary discomfort. After your pet is matt-free, comb down to the skin. Remember to comb or brush your dog against the lay of the coat.

7. To brush a long-haired cat, start by combing your cat’s belly and legs with a wide-toothed comb, untangling any knots you might find. Then brush its body fur all over in an upward motion from scalp. Make a part down the middle of your cat’s tail and brush out the fur on either side.

Pet grooming can be a normal daily routine. It’ll be much easier when your pet finds it enjoyable; you’ll have less hair to clean up on carpets rugs and furniture.


Why Install Exhibition Display

As a business, what can you get from participating in exhibitions and trade fairs? Here are some reasons why businesses look forward to these events:


  • To sell their products and services
  • To connect with potential distributors, suppliers, or investors
  • To generate buzz for a soon-to-be launched product or even for the actual launch of a new line of products


Whether is it selling, networking, or launching for your business, participating in trade shows and exhibitions can help amplify brand awareness.

How Event Management Companies Can Help You

To make the most of this marketing strategy, you need all the help you can get from the best events company. You need their designers to install exhibition display stands for you. Event management companies are able to design and construct a sturdy exhibition stand that will help you achieve your objectives. Below are some things they consider when setting up:


    • The focus would be on making the exhibition stand attractive or even conducive to making sales pitches if your company’s goal is to increase brand awareness or find distributors and wholesalers.


    • The exhibition stand company should focus on maximising space, allowing the most number of people to get a glimpse of the product without feeling cramped if the goal of your company is to demonstrate the features of your product.


  • The company exhibiting its goods should also take this as an opportunity to increase brand awareness through effective use of lights, imagery and other marketing collaterals if the objective is to sell products.


How can you take full advantage of exhibitions and trade events?


    • If your company has previously participated in such events, it is worthwhile to look back into those instances and analyse which things worked, which can be improved upon, and which should be entirely avoided. That includes stand design.


  • It is also worthwhile to look into what your industry peers are doing with their exhibition stands. By looking at what they are doing right, you might pick up a few ideas worth replicating. Conversely, if you take the time to look at their mistakes, you’ll be able to avoid these.

Designing Training Backwards

My curriculum design process for clients typically begins by meeting with a subject matter expert (SME). We work together to identify the goals and the learning objectives. I may take the lead in proposing the learning activities, but the SME provides the focus and context.

I then organize everything into a lesson plan that is sufficiently detailed so that both the SME and I know what content is necessary for both the reference pages and learner activities.

It is a logical step-by-step collaborative process that usually operates very smoothly. I may have to refocus some content and ask for clarification on occasion, but the SME actually does the heavy lifting.

I tell the SME what I need (a questionnaire, a case study, etc.) and the SME provides the raw material I can use to design the activities. The SME also provides multiple choice questions for any quizzes as well as the answer keys for all activities, including the quiz.

That is my typical curriculum design process when I am creating client-specific technical learning programs.

But not this time. This time it is essentially a paper process. The SMEs have provided written lesson information sheets with proposed learning goals, objectives and key content that are broad and all encompassing. They have also sent me various documents (including previous training materials) containing both relevant and non-relevant content. I do have access to SMEs if I have questions and they will provide case studies upon request.

However, it has been essentially left to me to do most of the work- of sifting through content, paring it down to a manageable amount of information, identifying a logical flow, and creating the reference materials, learning activities, quizzes and answer keys.

To do all this, I have found that I need to work backwards.

This is my process right now as I am designing the participant manuals:

1. I identify and define acronyms.

2. I identify and define terms as accurately but simply as possible.

3. I look through all of the content and distill it down.

4. I think about how it can be logically organized.


Quick Facts About LED Lights

White-light-emitting LEDs are rare, and most LED bulbs, which consist of clusters of individual LEDs, have phosphor coatings that glow with white light when excited by light from the LED clusters. LED bulbs sometimes contain complex solid-state circuitry

Economic Efficiency

CFLs produce light via the excitation of gas inside the curved tube that forms the bulb, which is more efficient than producing light by heating a filament — the process that occurs inside an incandescent bulb. By comparison, the production of light by an LED is even more efficient. To produce 800 lumens of light, an incandescent bulb consumes 60 watts, a CFl 13 to 15 watts, and an LED only 6 to 8 watts. Moreover, LEDs produce virtually no heat and last six times longer than CFLs and over 30 times longer than incandescent bulbs. The initial cost of an LED can be 5 times, or more, greater than that of a CFL, however.

Light Quality

One of the drawbacks of LED clusters is that they are directional. This makes them ideal for spotlights, but not as well suited for ambient lighting. Their directionality isn’t as noticeable inside a phosphor-coated casing, because the entire casing glows, but the bulk of the light still emerges from the top of the bulb. The quality of light that an LED emits depends on the circuitry of the bulb, and there’s a large difference between bulbs. The best bulbs, which include high-powered circuitry, produce full-spectrum white light comparable to that produced by halogen bulbs — high-temperature incandescent. Lower-quality LEDs can be comparatively dim.

Health Considerations

The Occupational Safety and Health Administration has identified flickering from fluorescent bulbs as a health hazard, but because LEDs convert alternating to direct current, they never flicker. Moreover, LEDs contain no mercury — a component of CFL bulbs — and can be safely discarded. A third advantage of LEDs over CFLs is that the former emit no ultraviolet light, and you can place one on a desk next to you without fear of absorbing radiation. Compared to incandescent bulbs, LEDs generate virtually no heat, and an unattended LED presents little risk of starting a fire.

Commercial LED Applications

One the most cost effective applications of LED lights is in businesses where the lights are on all day long in a typical office or warehouse commercial environment. The return on investment for these typical applic


Beware the LED Killers – Over-Heating & Over-Voltage

LEDs are the greatest lighting source available, but in the RV environment they have two Achilles Heels — Over-Heating and Over-Voltage

LEDs are tiny slivers of semi-conductor material (p-n junctions for the geeks who want to know), a piece of silicon doped with rare earths that is mixed to emit photons in the visible spectrum whenever a proper voltage is applied across the junction such that an electrical current runs through the semiconductor. Like a true diode, LEDs resist letting current run in the wrong direction. The chemical composition of the p-n junction determines the wavelength of the emitted photons, so you can have red, amber, green, and blue LEDs, among others.

White LEDs are most often made using a native blue LED that shines blue photons into a phosper that in-turn re-emits a spread spectrum of light across a range that looks like white light to the human eye (for the geek, that is Stokes radiation).

Comparing regular lights to LEDs, the standard incandescent light bulb is only 15% efficient in converting the wattage into useful light. Fluorescent lighting is at best 50% efficient. LEDs have an efficiency of 85% or higher in converting the electrical energy into useful photons. This light source is the most efficient of all the choices we have for light in our RVs, boats, and homes.

None of our light sources are 100% efficient — there is always some residual heat. And it is the heat energy that destroys the light source. With incandescents, the 85% wasted energy is heating the filament to a temperature between 600 and 1200 degrees Fahrenheit. At those high temperatures the filament is literally vaporized away over time, most often within a thousand hours or so, and the bulb simply burns out.

LEDs, too, are heated by the flow of current through the circuit. LEDs will immediately fail when the junction temperature exceeds 185 degrees Fahrenheit. Properly designed LED circuits require two very important features to be successful: protection from over-heating and protection from over-voltage. Often the over-heating is related to over-voltage.

Even when an LED is operated at a carefully controlled voltage, it still generates some heat. This heat must be removed from the LED device at a rate that ensures the junction temperature does not exceed the operating limit. The best way to do this is to place the LED device on a “heat sink” that has the capacity to soak up the generated heat from the LED and move it to a place where it can be radiated into the air or some surrounding heat pit. Early generation LEDs did not bother with this problem since the printed circuit board they were used on was generally large enough to serve as a sufficient heat sink.



LED Boat Lighting Development

LEDs have been around for over 50 years, and in that time they have been subjected to a somewhat erratic and intermittent development curve. The period during which the creation and development of LEDs originally took place was a time of plentiful and cheap fuels and electrical power, and high electrical efficiency was a relatively unimportant aspect of energy use infohatworld

For the most part, lighting has been dominated by the cheap and easy to produce incandescent bulb. Although extremely inefficient and short lived, the cheapness and effectiveness of incandescent bulbs coupled with the then low cost of energy made them well suited for their time period. LEDs saw very slow development and advancement as a result, and were relegated to minor applications such as indicator lighting on appliances or pocket calculators.

By the 1970’s however, the energy landscape began a dramatic shift which saw massive increases in the cost of fossil fuels and a matching increase in the cost to produce electrical power. In very short order, the importance of energy efficiency and conservation began to take center stage, and developers of electrically powered devices began a shift towards development of products which could utilize energy more efficiently. This was very apparent in the appliance, air conditioning, and industrial manufacturing markets as manufacturers began turning out products which touted their improved efficiency over older designs as a selling point.

One area where energy efficient technological development lagged however was the lighting industry. Although more efficient fluorescent lamps began to rise to prominence during the 1970’s, their odd design and higher cost limited their practicality, with the biggest areas of use being within the commercial and industrial markets. By the 1980’s, it became clear that lighting efficiency was lagging far behind most other forms of electrical technologies, and some type of more effective lighting technology was needed. It is at this point that development of the LED began again in earnest, although during the period of the 1960’s through early 1980’s LED development did see some significant improvements, most notably in the ability to produce white light output LEDs and better semi conducting materials with which to manufacture LEDs.

By the mid to late 1990’s LEDs were becoming available which could fill a variety of general illumination applications effectively. One of the applications where LEDs began to meet with great success was in boat lighting. With their very high efficiency and cool operation, LEDs were a natural fit for use onboard boats where power is limited and maintaining safe battery power reserves critical. LEDs offered the ability to provide illumination while cutting onboard energy use by up to two thirds. There were some problems however, the most significant of which included poor light quality and proper installation. Although LEDs in the 1990’s were now more powerful and able to produce white colored light, the light tended to be rather cold in appearance, and since LEDs require precise voltage levels to operate properly, boaters had to figure out how to install the proper circuitry to maintain safe voltage levels.

By 2005 most of the problems with LEDs had been addressed well enough to allow LED boat lights to surpass incandescent bulbs by almost every measure of performance. Light quality was now manageable and LEDs became available in cool white, warm white and natural white color temperatures in much the same way as fluorescent lamps. LED boat light manufacturers began including built in voltage regulating circuitry which allowed LED fixtures to be run from a variety of power sources including both common 12 and 24 volt systems without any worries of uneven voltages or spikes damaging the lamps. Output power for LEDs was up as well, with LEDs now able to fill almost any role onboard a boat be it cabin lighting or exterior spotlight applications with great effectiveness.


Choosing the Right LED Lights for Your Boat

As LED lighting continues to grow in popularity and with many boat manufacturers now including them in place of the old incandescent lamps that were once standard equipment, many owners of older boats are finding themselves considering switching to LEDs as well. And why not? LEDs use less power, they’re small, they produce little heat, they last a very long time, and they won’t break filaments or shatter when subjected to rough conditions or handling like glass bulbs LED Display

In fact, LEDs almost seem as if they were created with the boating industry in mind, so what could be simpler than switching to LEDs?

Despite all their benefits, many boaters considering installing them onboard their vessels still find themselves with a lot of questions. Perhaps they tried some bargain LED fixtures, and found that they lasted little more than a month before they stopped working. Maybe they are confused by all the choices now available and find that because LEDs produce light differently than the trusty incandescent, choosing the right kind of LED for their boat is difficult. Whatever the case may be, these are legitimate issues that a boater is right to consider before making the switch to LEDs. Fortunately, boaters are in luck as understanding the how’s and whys of choosing LEDs continues to get easier as LED manufacturers continue to rapidly advance and improve their offerings.

One of the big problems many boaters have encountered with LEDs is that although LEDs do indeed last much longer than incandescent lamps, they have found that LEDs installed on their vessels lasted little more than a month before ceasing to operate. Confused and disappointed, these boaters go back to the incandescent bulbs used previously and assume LEDs just aren’t their cup of tea. This is unfortunate, because this is an easily addressed problem that can be solved with little more than some attention to the type of LED fixtures they install. Most boaters who find LEDs did not last nearly as long as advertised when installed on their boat, made the mistake of assuming the only important aspect of LED boat lighting is the LED itself. However, in order for LEDs to not only operate properly when installed on watercraft, but reach their actual operational life as well, it’s necessary to consider LEDs as part of a lighting system rather than as just another light bulb.

The electrical systems on boats are self contained affairs that when broken down to their simplest configurations, include a power generating source, a power storage device, and power distribution systems. The whole system is independent of outside power sources, and usually not designed to provide a high degree of precise power delivery. While boat electrical systems are generally safe and reliable, they do tend to have current levels that can fluctuate a great deal, with short voltage spikes and varying current levels actually being quite common. For most types of electrical equipment such as light bulbs or electric motors, these variations are not severe enough to cause any notable issues. With sensitive electronics like radar, computers, or similar equipment that relies on smooth power delivery for proper operation however, these variations can have serious consequences.

As you might by now guess, LEDs are sensitive to fluctuations in electrical current delivery. While they are indeed rugged and powerful, they require precise voltages, and when the voltage delivered to them exceeds their maximum tolerances, they can abruptly fail or ‘burn out”. Combine this with the less than precise voltage control of a boat’s electrical system, and it is obvious that problems can arise. Most electronic devices destined for marine applications onboard vessels are designed to withstand the fluctuations in voltages that occur with use on a boat. Solid state electronics with special controls are added to these devices which manage the flow of current the device uses, in essence regulating the current and keep it to a consistent level. This is true with many voltage sensitive boat systems, and as you can imagine, applies to LEDs as well.

Most boaters who install LEDs onboard their vessel and find they last for a very short period of time made the mistake of assuming that all LED lights are the same, and so purchased the cheapest LEDs they could that looked as if they would install easily. However, these LEDs were not intended for marine applications, and thus lack the electronics needed to manage voltage levels fed to the LEDs themselves. With LEDs, these electronic regulating systems are known as Drivers, and they perform a host of functions depending upon the application the LED is destined to for. LED drivers can regulate current, allowing an LED light fixture to operate over a wide range of electrical voltages. Some LED marine lights can be simply wired directly into a boat’s electrical system regardless of whether that boat as a 12 volt, 24 volt, or even 36 Volt electrical system, because the included drivers automatically sense the current fed to the device and convert it to the proper levels for the LED. These drivers constantly monitor the voltages, and regardless of whether the voltage fed into the device spikes to high levels or drops too low, they maintain the actual voltages fed to the LED at a constant level.


Which Weight Loss Pills Are Best? Natural Vs Pharmaceutical

Who should take weight loss pills?
Weight loss pills are suitable for anybody that either wants to lose weight, or has difficulty maintaining the weight that they desire. Losing or maintaining weight with diet and exercise alone can sometimes be difficult and weight loss pills will give that extra boost to your efforts. Strict diet and exercise regimes often fall by the wayside, especially after the initial few weeks. At first, you will lose weight quickly, which is great, but when all your good work is undone with one blow-out weekend, it is easy to feel defeated and give up altogether! This is where weight loss pills come in, making dieting a lot easier.

Although some pills have been proven to work even without changing your diet, we highly recommend a healthy eating plan, in conjunction with any weight loss pills. Even if you have had trouble sticking to diets in the past, you will find it hugely motivating to see the pounds melt away quickly and safely. Without changing your diet, it will take a lot longer to lose weight.

What weight loss pills are available?
Weight loss pills can be divided into two groups, natural and pharmaceutical.

Pharmaceutical pills need to be prescribed by your Doctor. In the UK, surgeries will usually only prescribe pills to patients with a BMI over 30, and only if you have a weight related problem, such as diabetes. The most common types of pharmaceutical pills are Orlistat, Belviq, Phentermine and Qsymia.

Orlistat works by preventing the body from absorbing all of the fat from the foods that you eat. It is absolutely essential that you stay on a low fat diet whilst taking Orlistat, as eating high fat content meals lead to oily, uncontrollable bowel movements.

The other pharmaceutical products, Belviq, Phentermine and Qsymia act as appetite suppressants. These pills all have a long list of side effects, including heart palpitations, dizziness, chest pain, diarrhoea and depression to name but a few. Phentermine is not approved for long term use as it is a strong amphetamine, which could easily become addictive.

Natural weight loss pills do not need a prescription and are widely available online and in most good health food stores. These natural substances work in harmony with your body to enhance the fat burning capabilities. Whilst some natural weight loss pills are more effective than others, they certainly don’t have the nasty side effects that you may suffer with from pharmaceutical pills. They are perfectly safe for most healthy adults. However, you still need to be careful as some natural weight loss pills may interfere with certain prescription drugs. For example, if you suffer from Alzheimer’s or dementia, you should not take Garcinia Cambogia as it may form acetylcholine in the brain which could counteract your medication. We would not recommend weight loss pills in any form to pregnant women or children. If in doubt, always consult your doctor before taking any pills, natural, herbal or otherwise!

Natural weight loss pills
There are several different types of natural supplements, including the infamous Acai Berry, Garcinia Cambogia, green coffee bean, raspberry ketones, African Mango, Dietrine, Hoodia and Saffron extract to name but a few! They all work in different ways to help the body burn fat. The side effects from these natural products are all beneficial. They include increased energy, mood enhancement and stabilising blood pressure levels.

Natural supplements can be extremely effective too. Many people assume that natural substances are a ‘soft’ option and don’t work, but that is not true. Our top weight loss pills, Garcinia Cambogia have been proven to burn 3x more fat than dieting alone. Now there’s results anybody would be happy with! We do recommend that you look at the different types of weight loss pills available, until you find one that suits you. It is also good practice to look for evidence of clinical trials to show the effectiveness of the product in question. The Natural Supplements industry is a huge market and unfortunately there are many companies who make wondrous claims about their products, without any scientific proof to back it up.

Good natural supplements will contain at least 50% of the active ingredient, and no artificial ingredients, additives, preservatives, fillers or binders. Most are organic in nature, and will have other benefits besides weight loss. For example, the relative new-comer, Yacon Molasses (which is not a pill but a syrup) promotes healthy digestion and eases constipation as well as helping you lose weight.

If you have had difficulty in the past sticking to diets and would like to take things to hand, natural weight loss supplements will help you. There is no need for a prescription, so you can deal with matters yourself privately without the need for medical intervention. We feel that it is always better to take control of  Sex pills for men bad eating habits that have led to weight gain as soon as possible. That unsightly, excess flab will seem relatively minor when you start facing issues such as diabetes and heart failure. If your health does become affected by your weight, your options may become more limited, and the choices made for you. With obesity increasing at an alarming rate, it is important now more than ever to tackle your weight issues head on.

Whichever option you choose to help you on your weight loss journey, please be aware that nothing can substitute a healthy diet and exercise program, no matter what the claims. A healthy diet means making wise food choices and feeling free to indulge occasionally. Weight loss pills can help you along that path and make things a bit easier.



The right way to Be like An important Starlet While not Taking That Celestial satellite T

The right way to Be like An important Starlet While not Taking That Celestial satellite

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