Pass4sure CQIA Certified Quality Improvement Associate exam study guide

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Exam Code: CQIA Practice test 2022 by team
CQIA Certified Quality Improvement Associate

Computer Delivered – The CQIA examination is a one-part, 110-question, three-and-a-half-hour test and is offered in English only. Of these questions, 100 are scored and 10 are unscored.Paper and Pencil – The CQIA examination is a one-part, 100-question, three-hour test and is offered in English only.

Certification from ASQ is considered a mark of quality excellence in many industries. It helps you advance your career, and boosts your organizations bottom line through your mastery of quality skills. Becoming certified as a Quality Improvement Associate confirms your commitment to quality and the positive impact it will have on your organization.

Each certification candidate is required to pass an examination that consists of multiple-choice questions that measure comprehension of the body of knowledge.

A. Terms, Concepts, and Principles 1. Quality definitions Describe and distinguish between the common definitions of quality. (Apply)2. Quality planDefine a quality plan, describe its purpose and objectives to achieve the quality mission or policy. Identify the various functional areas and people having responsibility for contributing to its development. (Understand)3. Quality systemsUnderstand the difference and relationship between quality assurance, quality control, and continuous quality improvement. (Understand)4. Organizational cultureUnderstand how culture influences the success of process improvement efforts such as lean, Six Sigma, ISO 9001, Baldrige, and change management. (Understand)5. Employee involvement and empowermentDefine and distinguish between employee involvement and employee empowerment. Describe the benefits of both concepts. (Understand) 6. Systems and processesDefine and distinguish between a system and a process and describe the interrelationships between them. Describe the components of a system – supplier, input, process, output, customer (SIPOC) – and how these components impact the system as a whole. (Analyze)7. VariationDefine and distinguish between common and special cause variation in relation to quality measures. (Understand)8. StandardizationDescribe how quality systems provide consistency and standardization (e.g. ISO 9001). (Remember)Topics in this body of knowledge (BoK) include subtext explana-tions and the cognitive level at which the questions will be written. This information will provide useful guidance for both the test Development Committee and the candidate preparing to take the exam. The subtext is not intended to limit the subject matter or be all-inclusive of material that will be covered in the exam. It is meant to clarify the type of content that will be included on the exam. The descriptor in parentheses at the end of each entry refers to the maximum cognitive level at which the syllabu will be tested. A complete description of cognitive levels is provided at the end of this document. BODY OF KNOWLEDGECertified Quality Improvement Associate (CQIA)
B. Benefits of Quality Describe how using quality tools, techniques, and concepts can Strengthen processes and deliverables (including products and services), and how each benefit all parts of an organization. Describe what quality means to various stakeholders (e.g., employees, organizations, customers, suppliers, community, and interested parties) and how each can benefit from quality. (Understand)C. Foundations of QualityUnderstand the key concepts and teachings of the foundational quality thought leaders including 1) Walter Shewhart, 2) W. Edwards Deming, 3) Joseph Juran, 4) Kaoru Ishikawa, 5) Philip Crosby, and 6) Armand Feigenbaum. (Understand)II. Team Basics (16 Questions)A. Team Organization 1. Team purpose Describe why teams are an effective way to identify and solve problems, and describe when, where, why, and how teams can be used effectively. (Apply)2. Types of teamsDefine and distinguish between various types of teams: process teams, continuous improvement teams, workgroups, self-managed teams, ad hoc project teams, cross-functional teams, and virtual teams. (Apply)3. Value of teamsExplain how a teams efforts can support an organizations key strategies and effect positive change throughout the organization. (Understand)
B. Roles and Responsibilities Describe the roles and responsibilities of various team stakeholders: (Understand) 1. Sponsor 2. Champion3. Facilitator4. Leader5. Member6. Scribe7. TimekeeperC. Team Formation and Group Dynamics 1. Initiating teams Apply the elements of launching and sustaining a successful team, including establishing a clear purpose and goals, developing ground rules and schedules, gaining support from management, and obtaining commitment from team members. (Apply)2. Selecting team members Describe how to select team members based on knowledge, skill sets, and team logistics, such as an adequate number of members in relation to the size or scope of the project, appropriate representation from affected departments or areas, and diversity. (Apply)3. Team stages Describe the classic stages of team development: forming, storming, norming, performing, and adjourning. (Understand)4. Team conflict Identify the value of team conflict and recognize how to resolve it. Define and describe groupthink and how to overcome it. Determine how good logistics, an agenda, and effective training facilitate team success. (Analyze)
5. Team decision-making Describe and use different decision-making models, such as voting (majority rule, multi-voting) and consensus. Use follow-up techniques to clarify the issue to be decided, to confirm agreement on the decision, and to achieve closure. (Apply)III. Continuous Improvement Techniques (40 Questions)A. Process Improvement 1. Six Sigma concepts and toolsCompare Six Sigma concepts, tools, and techniques. Understand the DMAIC phases: define, measure, analyze, improve, and control. (Understand)2. Lean concepts and toolsCompare lean concepts, tools, and techniques. Understand lean tools used to reduce waste, including set-up and cycle-time reduction, pull systems (kanban), continuous improvement (kaizen), just-in-time (JIT), 5S, value stream mapping, and error-proofing (poka-yoke). (Understand) 3. BenchmarkingDefine benchmarking and describe how it can be used to develop and support best practices. (Understand)4. Incremental and breakthrough improvement Describe and distinguish between these two types of improvements, the steps required for each, and the type of situation in which either type would be expected. (Understand)
B. Improvement Techniques Select and utilize improvement opportunity techniques and/or methodologies: (Apply) 1. Brainstorming2. Plan-do-check-act (PDCA) cycle3. Affinity diagrams4. Cost of poor quality (COPQ)5. Internal audits C. Improvement Tools Select, interpret, and apply the basic improvement tools: (Apply) 1. Flowcharts 2. Histograms 3. Pareto charts4. Scatter diagrams5. Check sheets6. Control charts7. Decision trees D. Root Cause AnalysisUtilize root cause tools such as the 5 Whys and fishbone diagram to implement correction and corrective action. (Apply)E. Risk Management Understand the tools and techniques used to identify and communicate risks, including failure modes and effects analysis (FMEA) and Strengths, weaknesses, opportunities, threats (SWOT). Understand prioritization of activities and projects based on risk. (Understand)IV. provider Relationship (7 Questions)A. provider selectionIdentify the provider selection criteria and approval process. (Remember)B. provider relationshipUnderstand provider relationships, associated challenges, and effects of a diverse supply base. (Understand)C. provider PerformanceIdentify provider performance measures, including quality performance, on-time delivery, and level of service. (Apply)V. Customer Relationship(7 Questions)A. Customer IdentificationDistinguish between internal and external customers. Describe their influence on products, services, and processes. (Understand)B. Voice of the Customer (VOC)1. Data gathering and useDescribe various methods for collecting customer satisfaction feedback, including formal surveys, informal feedback, warranty claims, and focus groups. Understand the importance of using customer satisfaction feedback to drive continuous improvement. (Understand)2. Complaint processDefine and identify a customer complaint. Understand and apply the complaint handling process including documentation, action taken, and providing resolve to the customer. (Apply) 3. Customer needsUnderstand the key elements of quality function deployment (QFD) and how it identifies and prioritizes customer expectations and needs. (Understand)

Certified Quality Improvement Associate
Quality-Assurance Improvement helper
Killexams : Quality-Assurance Improvement helper - BingNews Search results Killexams : Quality-Assurance Improvement helper - BingNews Killexams : CQAPI brings ‘significant and meaningful’ change

During my time developing and researching CQAPI (Comprehensive Quality Assurance and Performance Improvement) techniques for operators, I have become enamored with the history and the process of incontinence management that still exists today with little or no innovation. 

Incontinence is a socially taboo syllabu with stigma, specifically for the generation of older adults dealing with it today. Yet, incontinence management is the backbone for caregivers of older individuals, especially those living in institutional settings. 

Over 50% of nursing home residents are incontinent, and it is considered a risk factor to be placed in an institutional setting, according to a study published in Gastroenterology Clinics of North America. It is one of the largest and most common chronic conditions that challenge post-acute and acute care in big ways. 

Incontinence was first mentioned in Egyptian manuscripts in 1500 BC. Today, in 2022, the evolution of products to help incontinence care in older adults has remained primitive and still has quite an effect on our environment. Incontinence management is a simple process yet, it greatly impacts staff being the largest work duty they are responsible for providing. 

When looking at incontinence care through the CQAPI lens, it was surprising to learn from some research that chronic conditions were found to be “associated with significantly higher odds of comorbid urinary incontinence,” according to a study published in CMAJ Open

Incontinence can and does have a negative impact on so many factors of a resident’s quality of life that it cannot go ignored as part of an ongoing CAQPI process. I have been poking around and chatting with some industry experts, operators and innovators. In this process, I came across an example of a fantastic CQAPI process, in which the team performing the process was unaware that they were in fact doing a CQAPI as opposed to the antiquated QAPI process. 

Wendy Carpenter, CEO/Executive Director of Eden Hill Communities, located in New Braunfels, Texas has been leading her community and staff through a pilot of introducing a “smart brief” that has not only changed the way they have provided incontinence care for a history of decades, but “transformed the way they provide care from reactive to proactive incontinence management.”

In discussions with her about this process improvement, her statements were very profound. 

“Significant and meaningful change…everyone should be excited about this revolutionary innovation in incontinence care, “ Carpenter stated. They executed the pilot quickly due to the ease of implementation, just changing the type of brief they were using to the “smart” ones but using them in the same way. 

As a result, Eden Hill found that the staff were no longer having to do time-wasting rounds to check if residents’ briefs were wet. Instead they were able to be informed real time that a resident has had an incontinence episode and were able to address those in need immediately as opposed to every two hours upon rounding. 

Providing a proactive approach, they anticipate that ability to reduce falls, risk for pressure ulcers as well as quicker detection of Urinary Tract Infections with quicker, more appropriate treatment. This can potentially reduce the risk of further infection along with pain and/or confusion that can come with UTIs in older adults. All of this positive change could be attributed to one small procedure and supply change. It was a game changer for Eden Hill and can be for all long term care providers who are willing to just dive into innovation. 

The entire premise around CQAPI is going back to basics, bottom up, and broadening your team beyond the usual players. The Eden Hill team leveraged a relationship with the “smart brief” manufacturers and suppliers in order to utilize best practices learned by others before them. They also determined how to track change or impact as well as determining procedures for incontinence management that can directly relate to other quality measures. 

The comprehensive oversight is what made this pilot successful. Don’t know how to connect your team with those that can assist in providing comprehensive oversight? You can start by contacting the companies that manufacture products you use, community resources (i.e., wound care clinics, home health companies) and others that can provide multiple perspectives on operational procedures or systems. You can also connect with associations, organizations or supply chain vendors. 

This gap in connectivity is exactly why I started the first and only virtual Global Agetech Innovations Laboratory (GAIL) in collaboration with Aging 2.0 and Austin’s Chapter of Aging 2.0. The GAIL officially launched in October 2022, accepting membership for free. Several innovative start-ups and gerontologists are out there looking for opportunities to connect and collaborate on CQAPI teams but are not sure how to find each other, or they do not realize they have similar missions and visions. 

The CQAPI process can be an effective tool to allow operators to broaden their teams’ perspectives on quality and problem-solving globally as a member of the GAIL. Education and resource materials will be available towards the end of the year on the GAIL website for members as well as showcase opportunities on projects happening within the virtual laboratory. I can’t wait to see how this concept can help innovation grow in the field of aging while helping operators realize that they are not alone! There are passionate people out there that care and want to help. 

Do you have a CQAPI story/experience? Please drop me a line at, I would love to hear more about it!

Amy Chidester, LNHA, is a certified gerontologist and caregiver advocate,  a licensed nursing home administrator/preceptor in skilled nursing and assisted living, and provides consulting services to caregivers, operators, innovative Agetech start-ups, and educational institutions. Most recently, Amy is the founder and director of the Global Agetech Innovations Lab (GAIL).

The opinions expressed in McKnight’s Long-Term Care News guest submissions are the author’s and are not necessarily those of McKnight’s Long-Term Care News or its editors.

Tue, 29 Nov 2022 06:59:00 -0600 en-US text/html
Killexams : How to overcome cost complexities and drive quality improvement

Accessing accurate data to support decisions throughout the care continuum is critical to providing better quality care and better patient experience, and improving outcomes. It is also important to improving margins in today's financially stressed healthcare system.

In a November Becker's Hospital Review webinar sponsored by Syntellis Performance Solutions, Deb Bulger, vice president of strategic partners, and Jay Spence, vice president of healthcare industry solutions, both of Syntellis, discussed the importance of actionable data and an advanced analytic framework for success.

Three key takeaways were:

  1. As health systems struggle with financial challenges, margin improvement efforts must shift from operational to clinical areas. According to Mr. Spence, operating margins have decreased 47 percent while the total expense per adjusted discharge has increased nearly 10 percent. "Financial pressures are real and margin improvement continues to be a critically important, strategic imperative for organizations," he said. "We need to realize that this work is going to be shifting into more challenging areas. It's increasingly moving away from operational areas into more clinically focused areas."
  2. Having access to actionable data that drives quality improvements is critical to improving margin. "Data governance must bring together financial and clinical information to help organizations understand quality dynamics, create transparency around cost variation and adverse clinical events and appreciate the financial impact of all that," Mr. Spence said. "The question is, 'How do we put this information in the hands of the folks who can drive change in the organization?'"
  3. Syntellis proposes an advanced analytical framework focused on enterprise decision support. "Everything done for a patient comes at a cost," Ms. Bulger said. "How you manage that cost has a direct impact on your margin." She recommended a patient-centered framework to understand costs and margin, just as health systems use a patient-centered approach in delivering quality care.

    The components of this framework are:

    • Opportunity analysis. While 80 percent of finance leaders rate cost reduction among their most important activities, 64 percent are not confident in the accuracy of their cost accounting solutions. Flexible, accurate and advanced costing methodologies such as Syntellis' Profitability Dashboard are critical to identifying the highest priorities.
    • Physician variation. More than one-third of healthcare waste is attributed to care delivery issues such as poor care coordination, over-utilization and low-value treatment. One study claimed that 21 percent of healthcare activities are unnecessary. "External comparisons looking at what's happening with utilization and productivity among other physicians in the same service can help you understand the variation in your market," Ms. Bulger said. An excellent example is looking at implant utilization and cost.
    • Clinical complexity. Up to 35 percent of treatment variability costs are attributed to patient severity. By understanding the complexity of patients, health systems can better determine whether certain procedures are appropriate for those who have a very high severity of illness as well as a higher likelihood of mortality.
    • Process inefficiency. Inefficient patient flows, delays and supply availability can increase cost. For example, the three-month cost of idle OR time due to first-case delays exceeds $300,000. Integration of timestamps that examine duration sequencing can help identify improvement areas.
    • Unexpected outcomes. During a six-month period, $74 million dollars were spent in the U.S. healthcare system due to central line infections. By looking at the continuum of care between care settings, health systems can analyze patient safety indicators and quality measures in conjunction with costs.
    • Patient experience. "Those conditions in which patients live, work and play such as housing and food insecurity, as well as factors such as race, ethnicity, income and education levels, can impact up to 80 percent of healthcare outcomes," Ms. Bulger said. For example, one health care provider found that addressing food insecurities was associated with a 38% decreased rate of 30-day readmissions compared to baseline."1 Health systems can change how they care for those patients to address these factors by integrating data into decision support.
    • Payment impact. Negotiating payer contracts and managing pay-for-performance programs carry a cost. "Currently 50 percent of the commercial and government payer programs use some kind of alternate payment system where incentives and penalties are based on the quality measures," Ms. Bulger explained. "By 2030, all Medicare beneficiaries will be covered under an accountable care model with shared risk and increased value-based care capabilities for providers."

By providing actionable data to decision-makers throughout the care continuum, healthcare systems can Strengthen the quality of care and Strengthen financial margins for a more sustainable future.

To register for upcoming webinars, click here.

1 Martin SL, Connelly N, Parsons C, Blackstone K. Simply delivered meals: a tale of collaboration. The American Journal of Managed Care. 2018 Jun;24(6):301-304. PMID: 29939505.

Mon, 05 Dec 2022 01:04:00 -0600 en-gb text/html
Killexams : Automation Can Drive Post-Covid Healthcare Revenue Recovery

The worst of Covid-19 may be behind us, but the pandemic continues to have a negative impact on margins and healthcare revenue with 2022 poised to be the worst financial year since the beginning of the pandemic. Costs for everything are up, inflation is at around 7.7% and all health systems are facing staffing shortages in both clinical and administrative positions. A latest study indicates that 92% of revenue cycle teams are understaffed with 1/3 understaffed by more than 20 positions.

The healthcare worker shortage has deeply impacted revenue cycle operations. Kaufman Hall survey respondents cited increased rates of claims denials (67%), a lower percentage of commercially insured patients (51%), and an increase in bad debt/uncompensated care (41%).

Given these alarming numbers, it’s no surprise that nearly half (46%) of U.S. hospital and health system finance leaders responding to another survey said their organizations currently are behind their 2022 revenue goals.

The labor shortage is here to stay. Staffing experts indicate that the shortage will remain for at least five years, leaving chief financial officers and rev cycle vice presidents struggling to fill positions left vacant by overworked, burned-out employees who quit over the past two strenuous years. When 30% to 40% of receivables aren’t being worked because of staffing shortages in the revenue cycle, it leads to lower collections, payment delays or less cash on hand that can devastate a hospital or health system’s finances.

Increased competition for patients from Walgreens, CVS and other disruptors are further squeezing margins for hospitals and health systems. Healthcare labor costs have skyrocketed because of overtime pay and travel nurses, both of which can add roughly 50% to a typical employee’s hourly rate.

Consultants will tell you that any problem can be solved through people, process and technology. Well, hospitals don’t have enough people, while processes in healthcare are largely antiquated and sometimes broken. That leaves technology as the best strategy for success.

An automation strategy

The good news is that hospitals and health systems are embracing automation as a solution to their operational challenges, particularly in the revenue cycle. Much of the work in the revenue cycle involves critical but redundant tasks.

Automation enables digital workers or ‘bots’ to do many of those repetitive tasks. A revenue cycle worker can handle about 400 accounts a week, whereas a bot can process about 4,750 accounts weekly at an average cost of $2.40 per account. That’s an 1,100% increase in efficiency combined with a 75% reduction in cost. By leaning into automation, revenue cycle leaders can attain the operational efficiencies they need to optimize revenue while saving money.

Here are three quick tips for hospitals and health systems to successfully implement automation technology in their revenue departments:

Automate with intent
Sure, when you have an automation hammer, everything looks like a nail. But your strategy shouldn’t be to automate everything. (In fact, that’s not even a strategy!)

Rather, you should pursue a data-driven approach that starts by identifying your biggest pain points. Look at the data to determine which processes bots can perform to ease those pain points. Let’s say the data shows that human errors are contributing to an unacceptably low “clean claim rate” (the metric for quality of claims data). If bots can be used to autofill information without mistakes, errors will be reduced and the claims process accelerated, meaning faster time to payment.

Experiment and learn incrementally
Once you’ve developed an automation strategy that identifies areas of priority, begin implementation on a small scale to ensure there are no unanticipated problems.

Start by automating the most mechanical tasks in the revenue cycle. Measure results and make necessary changes. Build upon your successes and gradually progress to jobs that require artificial intelligence (AI)-driven insights and analytical work to uncover patterns and detect anomalies such as coding errors.

Continue to build your automation platform incrementally, drawing on your data feedback loop to fine-tune performance.

Have a plan for rev cycle staff
Automating billing and claims tasks can ease the pressure on chronically understaffed rev cycle departments. It also presents an opportunity to free up rev cycle employees from mundane and time-consuming administrative tasks, allowing them to focus on higher-value activities that directly drive revenue.  Prior authorization is a great example for automation.  A latest American Medical Association report indicates that practices are spending an average of 16 hours per week on prior authorization submission.  Automating that process for your major payers is a critical timesaver.

Outsourcing low value but essential tasks to bots can Strengthen operational efficiency and save money by reducing the need to pay overtime or hire expensive contract workers. Automation also can reduce employee satisfaction because rev cycle workers feel that their jobs are meaningful to the organization.

Hospitals and health systems must take advantage of the opportunity automation provides them by developing a human redeployment strategy for upskilling rev cycle staff to perform tasks that involve critical thinking and judgment.


Hospital and health system revenue cycles will face a labor shortage and external economic pressures for the indefinite future. Automation can help streamline and optimize healthcare revenue cycles, but organizations must use this enabling technology with strategic intent.

Photo: Andranik Hakobyan, Getty Images

Ms. Hartsfield is a seasoned healthcare executive with almost 30 years of experience in the payer, provider and consulting arenas. She currently serves as EVP, Growth Enablement at VisiQuate, helping healthcare organizations achieve peak business health by taking command of their data to maximize revenue cycle operations.

Prior to joining VisiQuate, she served as TractManager’s Chief Data Officer, helping to monetize the organization’s strategic data asset. She built a technology-enabled services line of business using artificial intelligence/machine learning and natural language processing to mine and audit hospital contracts to ensure compliance and revenue maximization.

Specializing in hospital operations with a focus on designing and implementing value-based payment arrangements like BPCI and direct to employer contracting, she also served as a Vice President at both ECG Management Consultants and GE Healthcare Camden Group.

Prior to GE Healthcare Camden Group, Ms. Hartsfield was the Director of Enterprise Business Intelligence – Medical Informatics for Arkansas Blue Cross and Blue Shield. In addition to running all of the informatics and analytics across all lines of business for the enterprise, she was responsible for the implementation of Arkansas Health Care Payment Improvement Initiatives (“ACHPII”), a multi-payer statewide bundled payment initiative, including program development, reporting, methodology, and provider engagement.

Prior to Arkansas Blue Cross and Blue Shield, she was the Director, Provider Relations for Arkansas Children’s Hospital. There she created strategic and long-range plans for the management and development of the provider network, including new physician recruitment and all aspects of credentialing in accordance with National Committee for Quality Assurance standards.

She has utilized her experience in the healthcare industry as a frequent presenter, with over 40 national speaking engagements on a variety of syllabus including data and analytics, compliance, value-based payment models and provider cost and quality transparency.

Wed, 07 Dec 2022 00:02:00 -0600 en-US text/html
Killexams : Public Health Is Local No result found, try new keyword!Authors examine challenges that local health departments face and offer solutions to help focus their mission as early detectors and intervenors, more clearly delineate their roles amongst state and ... Thu, 01 Dec 2022 00:06:00 -0600 en-US text/html Killexams : NCQA Introduces Quality Compass® Exchange Data File

WASHINGTON, Dec. 01, 2022 (GLOBE NEWSWIRE) -- The National Committee for Quality Assurance (NCQA) today announced the inaugural Quality Compass® Exchange Data File, which provides insight into quality improvement and benchmarks through health plan performance data on Healthcare Effectiveness Data and Information Set (HEDIS®) and Pharmacy Quality Alliance measures in the CMS Quality Rating System scoring program. 

The Quality Compass Exchange Data File includes valuable health plan performance data and benchmarks for 264 Exchange plans nationwide. Quality Compass 2022 Exchange includes Exchange/Marketplace data from measurement year 2021. 

"The point of Exchange plans is to make health insurance more accessible to consumers. This comprehensive data source brings insight into the quality and performance of Exchange health plans, so people know what they're getting and where to find good care," said NCQA Assistant Vice President, External Relations, Andy Reynolds. "NCQA exists to Strengthen health care, and Quality Compass Exchange is a key tool to support that goal. This product can also help health plans, government agencies and health IT firms monitor performance and make smart business decisions." 

Quality Compass is an indispensable tool used for conducting competitor analysis, examining quality improvement and benchmarking plan performance.

To learn more about the Quality Compass Exchange Data File, or to submit an order, call NCQA customer support at 888-275-7585 or order online via

About NCQA

NCQA is a private, nonprofit organization dedicated to improving health care quality. NCQA Accredits and Certifies a wide range of health care organizations. It also Recognizes clinicians and practices in key areas of performance. NCQA's Healthcare Effectiveness Data and Information Set (HEDIS) is the most widely used performance measurement tool in health care. NCQA's website ( contains information to help consumers, employers and others make informed health care choices. NCQA can also be found on Twitter @ncqa, and on LinkedIn at

# # #

Contact Information:
Theresa Masnik

This content was issued through the press release distribution service at

© 2022 Benzinga does not provide investment advice. All rights reserved.

Wed, 30 Nov 2022 23:05:00 -0600 text/html
Killexams : Small Businesses Play a Big Role in Supply-Chain Resilience

Shannon Fagan/Getty Images

Small and midsize companies are essential to American supply chains, but they lag in productivity and technology adoption. If government and industry can help these smaller supply chain firms upgrade their technology, it would make supply chains significantly more resilient by enabling data-sharing and collaboration.

Troy, COO of an overhead crane services company, hung up the phone and shot a thinking look at the backlog of orders on his desk. An important customer had just confirmed requirements for two large industrial overhead cranes. In normal times he would be delighted, but with a 12-month backlog totaling nearly $100 million, the company was facing a dilemma. Given the disruptions and delays in his own supply chain, the strong temptation was to increase orders to be sure at least some of the parts he was waiting for might be delivered on time. But he recalled the Beer Game, a business simulation exercise developed at MIT: students in a beer keg supply chain simulation ordered more and more from their distributors (at higher and higher prices) until the famous bullwhip effect set in, bankrupting the student teams. Troy was determined to resist the urge to over-order from his suppliers, but he knew something must change. Was there a way to create better partnerships and streamline his supply chain, creating win-win outcomes? 

Troy’s experience is a familiar one currently facing companies around the world. Global disruptions caused by the pandemic, along with extreme weather events and the Russian invasion of Ukraine, have wreaked havoc on global supply chains over the past two years. While there are some signs of improvement, the reality is that it takes a long time for disrupted supply chains to get back on track. As David Simchi-Levi of MIT has shown in his latest work on semiconductor supply chains, a 10-day disruption in a firm’s production leads to at least 300 days before its inventory is back to normal. 

The U.S. has an opportunity to do more than just get its supply chains back on track. It can prevent future disruptions by fundamentally improving how they operate. The key is to focus on small and midsize businesses that are critical to supply chains but which typically lag in costly technology investments — particularly enterprise software and advanced manufacturing innovations. The result is a lack of real-time operating connectivity between supply chain partners and their customers, leading to lower efficiency for the whole system. Research by Daron Acemoglu of MIT and colleagues has shown that in the U.S., small and midsize enterprise productivity is a full two-thirds lower than that of larger firms, in part due to their lack of investment in new technology.  

The importance of small and midsize businesses in supply chains goes far beyond a few key products or industries. Supply chain companies — defined as those that sell their output primarily business-to-business (B2B) — represent about 44% of U.S. private employment. According to Karen Mills’ recent research with Mercedes Delgado of Copenhagen Business School, these companies have an outsized impact on U.S. innovation, accounting for most of the country’s STEM jobs and patents. They represent a large share of highly skilled workers, with wages 66% higher on average than those in business-to-consumer (B2C) industries. And these businesses are largely small and midsized companies, not goliaths. Companies with fewer than 500 employees make up 98% of supply chain firms and over 20% of U.S. private employment.   

These companies represent an enormous opportunity to Strengthen supply chain resilience while also increasing overall competitiveness. To do this, we have three recommendations. 

More investment in new technology by small and midsize suppliers.

Digital transformation — the collection and sharing of real-time data within firms and with customers — will define successful supply chains in the 21st century by enabling greater inventory visibility, demand planning, and traceability. Software such as Enterprise Resource Planning systems (ERPs), Cloud Product Lifecycle Management, and “digital threads” across supply chains can smooth information flows. In addition, investments in advanced manufacturing technologies such as 3D printing, robotics, and AI-driven technologies such as predictive maintenance can help make suppliers more productive and supply chains more resilient and sustainable. Of course, these investments are not just about layering in digital technology: They require organizational restructuring as well. 

Increase workforce training to reskill and upskill workers.

On today’s new factory floor, digital information can be made available in real time to frontline workers so they can become knowledgeable problem solvers, using technology to Strengthen quality and output. But to realize that vision, companies need digitally savvy workers. Companies must invest in their workforce, but national and regional workforce training programs can also help to create a larger pipeline of digitally skilled workers — especially for smaller firms with fewer resources to invest in training.   

Improve access to capital and create demand assurances.

Better access to financing can help “lubricate” supply chains when there are delays and shortages as well as support investments in new technology. For example, customers can help suppliers by accelerating their payment timelines, advancing partial payments before final delivery, and by providing financing vehicles that help smaller suppliers access lower cost capital based on supply chain relationships. In addition, customers can provide demand guarantees that deliver smaller suppliers more assurance before they invest in new technology. Companies cite the high costs as the main factor limiting wider adoption of new technologies. These guarantees can Strengthen their access to credit to pay for needed technology upgrades. A latest example is Additive Manufacturing Forward (AM Forward), where companies make firm commitments to buy 3D-printed products from their suppliers, providing a solid demand signal that supports the supplier’s investments.   

New legislation presents an opportunity to invest in smaller supply-chain companies.

The global economic landscape is changing due to the disruption of global supply chains, the threat of climate change, and geopolitical dynamics. Simultaneously, in the past decade we’ve seen major advances in digitalization which are transforming offices, factory floors, and supply chains. Partly in response to these forces, the U.S. has enacted three major pieces of federal legislation: The Bipartisan Infrastructure Law, the bipartisan CHIPS and Science Act, and the Inflation Reduction Act.

These investments, totaling over $1 trillion in physical infrastructure, digital and semiconductor capacity, and clean energy over the next decade, present a massive opportunity to rebuild the country’s industrial base, including through more efficient, sustainable, and resilient domestic supply chains. Some of the funding provides incentives that will benefit small and midsize supply chain firms (including a doubling of the R&D payroll tax credit). Yet, the goals and ambitions of this legislation will not be achieved unless suppliers and their customers step up and make crucial technology investments and Strengthen their connectivity, collaboration, and trust. 

Troy knew that he would not solve his supply chain challenges overnight. Nonetheless he remained optimistic. The challenges of latest years highlighted that confrontational, disconnected, arms-length provider relationships of the past needed to change. “I told my suppliers if we exchange information real time, sync our payments schedules, and move forward with new technology then all of us can have a win-win,” Troy explained. And a win for these supply chain companies strengthens U.S. productivity, resilience, and global competitiveness. 

Tue, 06 Dec 2022 01:23:00 -0600 text/html
Killexams : Have Your Cake And Eat It, Too: How AI Can Help Ensure Health Care Organizations Don’t Have To Sacrifice Quality, Time Or Cost

Chris Fernandez is the co-founder and CEO of EnsoData, a company using AI to more accurately diagnose health conditions.

When companies think about ways to innovate and enhance the way work gets done, the first question they typically ask themselves is: How and where can we gain leverage by implementing a more technology-driven approach to our processes? That question usually goes hand-in-hand with this follow-up question: What will we have to sacrifice in order to do so?

Quality, time and cost are the three primary forces in the project management triangle that determine the success of a project, product or organization. The triangle shows how each variable interacts with one another and, in most scenarios, one of the variables is fixed and the other two will vary in inverse proportion to each other. It’s rare to have all three forces performing in tandem.

When you sacrifice quality, your outcome will be faster and cheaper. When you sacrifice time, your solution will be of higher quality and lower cost. When you sacrifice cost, your solution will be faster and produce higher-quality outcomes.

There are some scenarios, however, when one variable can’t be changed. For instance, when you are working against a specific deadline or if the project has a fixed budget, those are times when you have no choice but to sacrifice one variable over the other. When you stretch one side of the triangle too thin, the others are negatively impacted.

But here’s the thing: Companies may not have to compromise or sacrifice when it comes to prioritizing quality, time and cost. How exactly? Artificial intelligence (AI) solutions can help organizations restructure and rebuild the project management triangle of implementation, allowing your team to Strengthen in all three areas, instead of sacrificing one for the others.

How Organizations Can Prioritize Implementation

It’s important to emphasize and utilize existing solutions that can Strengthen one or more of the triangle’s primary forces to reach your business goals. This is where AI can play a major role because it can help Strengthen quality, reduce costs and save valuable time.

Organizations across industries, especially healthcare providers, are constantly looking for ways to help them manage budgets while providing efficient, quality service. Especially with today’s clinician and provider shortage, healthcare organizations need solutions that can help reduce costs, Strengthen quality and increase speed of delivery.

One of the areas in which healthcare providers and clinicians spend most of their time is disease testing and diagnoses. Without technology, providers have no choice but to conduct tests, analyze results in the form of reams of complicated data and diagnose the patient manually, which takes their time and attention away from other important matters that need attending to. The lack of support clinicians are able to deliver to their patients and the inconsistent clinical reporting they are conducting due to being overworked is a direct correlation to the lack of technology being used to relieve our healthcare workers.

There is AI technology that exists to help healthcare providers Strengthen consistency, patient outcomes and efficiencies while increasing provider and patient satisfaction. This kind of technology has been advancing the healthcare industry by:

• Improving scoring consistency and reporting quality.

• Going beyond providing just a diagnosis by creating a care pathway to generate better patient outcomes.

• Cutting the time it takes to generate quality results and reports.

• Reducing costs by improving efficiency with regular check-ins.

• Freeing up time which directly results in improved patient and physician satisfaction.

It's been exciting to witness AIs evolution and how it's transforming the way businesses and industries go about their day-to-day work and how they run their companies., for example, offers an AI-powered intelligent care coordination solution that improves patient outcomes, increases provider productivity through time savings, reduces the time the patient has to stay in the hospital and enhances the overall economics for the health system by enabling larger procedure volumes.

Digital Diagnostics, on the other hand, is addressing the project management triangle through its AI diagnostic platform that can make a diagnosis without physician input at the point of care. The solution shows the potential to save physicians time that would have been spent analyzing hours worth of data, enable higher-quality care by producing more consistent results and save the system money by producing more efficient workflows.

These solutions may only be scratching the surface of how AI implementation could Strengthen time, quality and cost.

Considerations When Implementing Technology

The benefits businesses, consumers and industries experience as a direct result of technology implementation are significant. Improved business agility, better staff coordination and collaboration, automation and productivity, increased revenue streams, improved customer and employee experience and satisfaction—the list could go on.

While the benefits of technology implementation generally outweigh the hesitations, there are still some important factors to consider before making the shift. When a business implements any sort of change in processes or workflows, usually some sort of training is required to get your employees up to speed. No matter how extensive the training is, it requires additional resources and expertise to be brought into the equation while taking a lot of time and energy that may be hindering other aspects of the business.

Similar to when your favorite restaurant changes the menu, people who are used to doing things a certain way are resistant to change. Implementing new technology comes with a learning curve for most, so it's important to have clear communication to make sure your entire team is on the same page and understands how it benefits the way that they work.

Regardless of your organization’s goals, a balance between quality, cost and time is necessary to ensure your customers' expectations are met or exceeded. By implementing AI technology, you will no longer have to sacrifice one for the others. Or in other words, you can have your cake and eat it, too.

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Sun, 27 Nov 2022 10:00:00 -0600 Chris Fernandez en text/html
Killexams : Buy Alpilean Online: Review Official Website Customer Discount

Brief Alpilean Official Website Overview: The demand to buy Alpilean pills online has never been higher. Since its initial launch in October earlier this year, up until now in the last month of the year - the question of where to buy Alpilean is one of the most important user warnings that need to be properly addressed in order to ensure customer safety and consumer protection. Thankfully, not only is the Alpilean official website of the only place to buy the alpine weight loss ice hack pills, but it has incredible end of the year customer discounts of up to 70% off or more while supplies last. There is a catch though. Every Alpilean order must be placed at the official website to secure the amazing savings that are happening as we approach January 2023. The urgent buyer beware customer warning about only purchasing Alpilean pills directly from the manufacturer is of vital significance considering just how many fake offers there are on the likes of Amazon, eBay and Walmart to name a few. There are multiple offers up on all of these various marketplaces but to keep the cost the absolute lowest the creators fo the alpine ice hack pills wanted to keep it in-house and allow for ultimate quality assurance protocols and standards to be kept this way. All of the Alpilean weight loss pills sold via the official website are not only insured with a money-back certain refund policy of 60 days, but they are independently tested for purity and potency requirements by a third-party lab. None of the cheap Alpilean capsules circulating online will come with a refund policy nor certain quality because no extra testing is done. This can often result in harsh side effects due to these counterfeit Alpilean supplements found online in various shopping stores and outlets. Just make sure to read this entire Alpilean review to understand what the product does, how it works, and most importantly where to buy Alpilean from the official website when you are ready.

Where to Start?

Effective weight loss is one thing the fitness and wellness industry has been trying to figure out for decades. The questions are almost endless. Why is losing weight for some people a walk in the park while it's a marathon for others? Why do some have to spend hours at the gym while on a strict diet but still struggle to lose weight?

People frequently hold themselves responsible for accumulating unhealthy weight, fail to shed it, and become stressed out in the process, which causes their weight to continue to build.

Diet and exercise are the most effective weight-loss strategies, but only some get results. One of many reasons people cannot shed weight is the inability to plan weight reduction.

Research thinks the inner temperature in the body can go down to conserve energy, and your core body temperature can increase or decrease metabolism, which means that higher core body temperatures can Strengthen how the metabolism works. This low internal core temperature can easily cause you to be unmotivated, leading to stress, eating, and weight gain. Another reason could be that the body occasionally resists the weight loss process, so naturally, no matter how hard you starve or exercise, you won't lose weight, which could be because of the core internal temperature of your body.

There are many more variables involved in weight loss than food consumption and the level of physical activity, and the real reason people fail to lose weight is that they need to address the root cause of the problem. They have been starving themselves or working out for hours to lose weight when the real problem is the temperature of their core, and they might be unable to lose weight until this is resolved.

So, how can this be fixed? Enter, Alpilean, the alpine ice hack weight loss supplement that Dr. Patla, Dr. Gibbs and Zach Miller formulated to help effectively target low core body temperature. Let's review the website to see what kind of details and insights can be extracted to make sense of what the alpine ice hack is all about.

Alpilean Official Website Review

Alpilean is a recently introduced supplement for weight loss that quickly became one consumers are enthusiastic about. Alpilean has a blend of botanicals that enhance metabolism. It works on its own by modifying how the body processes fat.

After use, the body will begin to shed accumulated weight within weeks.

The Alpilean formula is for those who struggle with their weight loss efforts. The alpine-sourced ingredients are plants and nutrients that have been shown to Strengthen metabolism and raise the core body temperature to address slow metabolism.

Aliplean is made in the United States with natural components, and as long there is no other apparent cause for obesity, anyone overweight and above 18 may take it safely.

The high level of customer satisfaction with this product is one of its best features. It is unexpected to find that, regardless of diet or lifestyle choices, people often reach their weight-related goals within a few months of using Alpilean. In addition to leading a healthy lifestyle, people who take these pills tend to experience even better and quicker outcomes beyond just weight loss.

Losing unhealthy weight relieves the strain that being overweight places on the body's visceral organs, such as the heart, kidneys, and liver. Alpilean has turned life around for so many customers by producing incredibly astounding outcomes.

None of the adverse effects associated with this kind of supplement have been recorded with Aliplean, meaning you can take it for extended periods without issues.

The Mechanism Behind How Alpilean works

When the metabolic rate is below average, the body is more susceptible to various problems associated with excessive weight gain. Understanding how the body naturally works to maintain a healthy weight by properly digesting and absorbing the nutrients in our diet is essential to understanding how Alpilean works.

For the body to use more calories than are consumed, we must cut back on our calorie intake when trying to lose weight. The body uses enzymes in digestion to break down lipids, and the ideal temperature for the enzymes, which break down fats, carbs, and proteins into absorbable nutrients, is 37°C.

In many overweight people, the activity of the enzymes is decreased, and the food is not well digested or absorbed by the body when the internal body temperature is below normal. When this occurs, the fat that is not broken down begins to build up, which increases weight.

The body's core temperature, which drops when the metabolism is slow, is the primary target of the Alpilean six-alpine ingredient formula. People who are overweight have a low core body temperature, which can affect the body's ability to lose weight.

No matter how much you cut back on your meals or exercise, it will not specifically impact the melting of stubborn fat layers, which requires precise temperature control. The weight loss process increases when the body's temperature is kept at its ideal level. Therefore, people with slender bodies always have a faster metabolic rate than people who are overweight, and any changes in body temperature can directly impact how the body interacts with food.

People whose systems have a fast metabolism rate don't gain weight no matter what or how much they eat. People with a slower metabolism gain weight even when they restrict their caloric intake and adhere to strict dieting and training workouts.

There has been much discussion on metabolism rate and how it may be related to genetics and, therefore, can not be fixed. However, this is not true, as slow metabolism has several potential causes, and Alpilean can Strengthen the rate of metabolism.

Alpilean has quickly received an overwhelmingly enthusiastic response from the users. People love the Alpilean formula because it works effectively without side effects. In addition, the plant-based compounds inside Alpilean boost general health and well-being, so these customers are gaining more than just weight loss.

Alpilean is an all-natural dietary supplement for weight loss that raises internal body temperature to the required level to balance bodily functions and promote fat burn. It is a ground-breaking nutritional supplement meant to promote natural weight loss as it helps the body's cells work more efficiently, burn fat, and use it to produce energy.

Alpilean Benefits

Aside from the maintenance of required core body temperature and improvement of metabolism rate, the other advantages of using Alpilean are all associated with or tend to impact weight loss.

These advantages include the following:

●     Enhancing the immune system

●     Raises the internal body core temperature

●     Enhances absorption of nutrients

●     Revitalizes metabolism

●     Increase in inflammatory response

●     Improves bone health and cognitive function

●     Repair of toxin damage

●     Reduction of oxidative stress

Alpileans Active Composition

The proper internal body temperature can be restored and returned to its ideal temperature level with the combination of the following six components, which have all been supported by scientific research. It is safe to say that Alpilean uses nature's finest sources to aid in weight loss, given that all of these ingredients are natural.

The Alpilean formula is composed of 10mcg of Chromium and 36mcg of vitamin B12 with a 250mg proprietary blend of the following:

Dika Nuts (From African Mango Seeds)

Dika nuts have an anti-obesity impact; they ease stomach discomfort, enhance metabolism, stabilize cholesterol, maintain weight and lower bloating.

By preserving healthy gut flora, dika nuts can aid in treating digestive problems and bloating. African mango seeds are also rich in antioxidants that can be used to reverse free radical damage and curb oxidative stress. This component's characteristics aid in the body's detoxification and removal of harmful poisons, metals, and chemicals.

Fucoxanthin (Golden/Brown Algae)

Freshwater bodies have an abundance of golden algae, which are valuable due to the presence of the fucoxanthin pigment.

This Fucoxanthin pigment is associated with a wide range of therapeutic benefits. Additionally, it strengthens bones and supports the healthy function of the liver and brain. Golden algae were included in Alpilean specifically because of their ability to regulate internal body temperature.

Morinaga leaf (Drumstick tree Leaf)

Moringa leaf does the following:

●     Provides antioxidants.

●     Reduces inflammation.

●     Repair Oxidative stress-related damage.

●     Upholds cellular health.

●     Aids in weight loss.

Moringa leaf is a traditional plant used for a long time in Chinese medicine to treat some health disorders. It is also known as the Drumstick tree leaf. The moringa leaf increases internal body temperature and contains many antioxidants that can restore normal, healthy blood sugar levels daily. It also encourages thermogenesis, which is a process that speeds up the body's metabolism and promotes fat burn.

Citrus bioflavonoids (Bigarade orange)

Bigarade orange helps the body in the following ways:

●     Improves immunity

●     Reduces oxidative stress

●     Maintains body temperature and guards against free radical damage.

In Alpilean, bigarade orange is used as a source of citrus bioflavonoids with anti-inflammatory characteristics that may aid in boosting immunity and reducing inflammation in the body. This component aids in burning abdominal fat by using the fat as energy. It drastically reduces oxidative stress and rids the body of free radicals.

Ginger rhizome/root

Ginger roots have antibacterial properties that help detoxify the body and speed up the metabolic process by controlling core body temperature.

There is enough scientific evidence to support ginger's ability to speed up metabolism. The ginger rhizome in Alpilean helps raise body temperature while enhancing oral and muscular function.

Turmeric root/Rhizome

Turmeric root extract supports the immune system, boosts metabolism, regulates body temperature, and supports weight maintenance.

The anti-inflammatory, antioxidant, antiviral, and antibacterial effects of turmeric are well established. Using turmeric rhizome in Alpilean promotes good skin and a strong heart while warming the body internally.

Who is Alpilean For?

Alpilean is suitable for all adults(18+) and shouldn't be used by underage people, but keep in mind that Alpilean is not advised for use by pregnant or breastfeeding people.

Dietary supplements, particularly weight reduction solutions, are only intended for use by adults and are never appropriate for children because, for developing bodies, taking supplements can be too demanding and have adverse effects. Don't deliver children diet pills unless the manufacturer indicates and certifies they are suitable for them.

Directions For Alpilean Use

One capsule of Alpilean and a glass of water are required each day at any time. A single capsule is enough to facilitate metabolism and aid in the body's ability to regulate its core body temperature.

You should drink more water while using this product to avoid becoming dehydrated. Before using this product, read and understand the dose instructions. Refrain from overdosing by taking extra capsules to lose weight more quickly.

How Safe Is Alpilean?

Alpilean is produced in an FDA-approved facility using only non-GMO ingredients and following all industry best standards. Alpilean does not contain toxic chemicals or chemical syntheses; each ingredient was extracted using the finest sources.

Independent laboratories examine the finished product to maintain quality and outcomes. The capsules are placed in a high-quality bottle and sealed to protect the contents. As long as it is used as directed, Alpilean is safe for all consumers. You only risk experiencing adverse effects when you abuse intake.

The company expects all consumers to abide by the dosage planning guidelines. Additional dosing won't make the results appear sooner; they may have adverse side effects. So far, no consumer has reported any negative affect, and the product bears no risks or side effects as long as it is taken appropriately.

Why Consumers love Alpilean

Alpilean is designed for effortless weight loss, so you won't need additional exercise to experience weight loss.

Since the formula is made entirely from plants and nutrients and devoid of chemicals, fillers, and toxins, no harmful effects have been recorded. This product doesn't have a sedative effect; thus, it won't make you tired or exhausted.

Alpilean is available in capsule form, making it palatable and simple to take daily. It raises immunity and protects the body against the spread of disease as the quality of life is maintained by high immunity. All components are non-habit forming (i.e., Non-addictive), making them a safe option even for extended use.

When using Alpilean, you can maintain your weight easily with simple adjustments in your diet. Within a maximum of 3-6 months, most users with stubborn fat and slower metabolic rates will notice a difference in weight. Ordinarily, results come quicker than that. You can take Alpilean without requiring a prescription.

Purchase Alpilean

Consumers who have tried everything to lose weight, but haven't had success, can visit the official website of Alpilean to order. Here they will find a money-back guarantee, free ebooks when buying more than one bottle of Aliplean and free shipping. Prices for Alpilean are as follows:

●     One Bottle $59.00 + $9.95 Shipping Costs

●     Three Bottles $49.00 Each + $9.95 Shipping Costs + Two Free eBook Bonuses

●     Six Bottles $39.00 Each + Free Shipping + Two Free eBook Bonuses

Free Bonuses are included with each of the three or six-bottle options; these are:

●     Alpilean eBook: 1-Day Kickstart Detox: 29 pages’ of detoxification methods that include detox tea recipes and natural remedies to help cleanse your body.

●     Alpilean eBook: Renew You: Discover meditation and some ways to rejuvenate the body and mind.

Alpilean offers another bonus with all purchases. For a $29.95 shipping fee, you can get a free Alpilean Wellness Box with five supplements that support the weight loss effects of Alpilean.

●     Biobalance, a probiotic to maximize the absorption of probiotic bacteria

●     Ultra Collagen complex, an anti-aging formula that provides moisture, reduces wrinkles and boosts skin health

●     Deep Sleep 20 is a natural sleep aid that helps you fall asleep and renews the body while sleeping.

●     Immune Boost, an immune booster supplement featuring a blend of ten proven ingredients

●     MCT Oil Pure, an MCT oil supplement to boost weight loss results

Refund policy

All customers are eligible for a 60-day money-back certain from manufacturers if they purchase through the official Alpilean website.

The company has a highly responsive customer service team to assist new and seasoned customers. Discuss your situation in detail with a representative. If you have already paid the shipping fees, you will be offered a full refund without questions.

You will be asked to return Alpilean to start the refund process. The refund process begins after the company receives the bottles and contacting the Alpilean customer service at:

●     Email:

Bottom line

Nutritional regimens can change the difficulty of losing weight due to slow metabolic rate and below-normal internal core temperature. Alpilean is a natural dietary supplement that supports the body's metabolism and regulates body temperature without any risks, side effects, or lethargic feelings.

In this case, there are no issues related to money or health because the product is also quite affordable, with free delivery and other free supplements. Overall, this weight loss formula lives up to its claims; there have been no complaints, and customers seem satisfied with their weight loss results after using Alpilean.

Just remember the opening summary about where to buy Alpilean weight loss pills online. This is extremely important not to go looking at other offers on Amazon, eBay or Walmart etc. These are all fake and should be avoided entirely as they are not coming directly from the manufacturer. Regardless, ordering right from the official Alpilean website is offering deep December customer discounts while supplies last! There is no better time than right now to start prepping for the New Year momentum than right now! Add Alpilean pills to compliment all of the weight loss efforts put forth of healthy nutritional diet, fit lifestyle and quality supplementation such as the alpine ice hack.

Disclaimer: The views and opinions expressed in the above article are independent professional judgment of the experts and The Tribune does not take any responsibility, in any manner whatsoever, for the accuracy of their views. This should not be considered as a substitute for medical advice. Please consult your physician for more details. Alpilean shall solely be liable for the correctness, reliability of the content and/or compliance of applicable laws. The above is non-editorial content and The Tribune does not vouch, endorse or certain any of the above content, nor is it responsible for them in any manner whatsoever. Please take all steps necessary to ascertain that any information and content provided is correct, updated, and verified.


Thu, 08 Dec 2022 23:16:00 -0600 en text/html
Killexams : Banbury care home downgraded to 'requires improvement'

The Anchor home, in Calder Close, Grimsbury can house up to 48 older people, some with dementia. The CQC made their inspection on October 5. The previous inspection was in May, 2018.

"We received concerns in relation to people not having access to emergency services in a timely manner. As a result, we undertook a focused inspection to review the key questions of safe, effective, responsive and well-led only,” said the inspection team in their report.

The inspectors found the home was not always safe, effective, responsive or well-led. They spoke with ten people about the care provided, reviewed a range of records and spoke with six members of staff.

They found learning had not always been fully embedded following events which had impacted on people's health. For example, following an incident when a staff member failed to seek help from health emergency services, a similar incident occurred three months later – learning from the previous incident had not reduced the risk.

“We received mixed feedback from people and relatives about staffing levels, staff skills and their knowledge of people's needs. One person told us ‘The quality of staff is poor, I don't feel they have a lot of training.’ Another said ‘some of the newer ones don't know much about me, what my needs are and I am concerned sometimes if this trend is going to continue’.

"Although we saw there were enough staff during our inspection, some were rather task-oriented, leaving people with no interaction or verbal communication. The registered manager told us new starters were in the course of receiving on-going training."

Inspectors found issues with PRN (medicines administered when required) including one person being given PRN medicines four times a day, posing a risk of addiction.

Some aspects of the service were not always safe and there was limited assurance about safety. There was an increased risk people could be harmed.

Some care plans, risk assessments and personal emergency evacuation plans (PEEPs) were past their review dates and not reflective of people's needs.

Not all health and safety checks were completed.

"We observed there was a lack of interaction between staff and people at times. We saw some staff talking about people in earshot of people,” said the inspectors.

The team received mixed but mostly negative feedback about the quality of food including limited choice and little for vegetarians with ‘so much food wastage’. Appropriate measures were not always taken to monitor people's nutritional needs.

Resident surveys had consistently highlighted concerns over the quality of food and availability of staff to interact with people for quite some time, however the provider had not taken action to engage with people around how they could Strengthen the food quality and ensure people's preferences were met, or evidence they had explored further the concerns over staffing.

People's care plans and assessments were not always kept up-to-date to inform staff about changes in people's needs.

"During our inspection there was one person receiving end of life care. We saw the person's records were not always reflective of their needs. For example, the person had been prescribed with a controlled medicine for pain relief. However, their pain assessment tool had not been reviewed since May 2022 until the first day of our inspection after we requested the person's up-to-date pain assessment,” the report said.

“Governance systems had not always lead to improvements at the service. Feedback was sought, but improvements were still needed on how it was acted on. We received mixed feedback on whether people's and relatives' views were sought and acted on.”

People's care records did not provide sufficient information to inform staff about people's needs and preferences. The record-keeping regarding people involved in the ‘best interest’ process needed improvement.

The report said: “The culture of the home was not always inclusive or empowering. We saw some people received little or no engagement from staff. Staff did not always speak about people respectfully.”

However staff spoke positively about residents, with kindness and compassion.

“Residents' and relatives' meetings were used to seek people's feedback. People and their relatives were welcomed to provide their feedback by completing a survey on the quality of the service provided to people. However, some people told us they were not always listened to during residents' meetings,” said the report.

People could be assured they were cared for safely as staff knew how to keep people safe and protected them from harm. Staff were recruited safely and there were enough staff to support people.

Staff were supported with regular training, supervision and appraisal. People had access to other health professionals when needed.

People were supported to have maximum choice and control of their lives and staff provided them with care in the least restrictive way possible. However, people's choices and preferences were not always met by the service.

Activities were taking place and the inspectors received positive feedback about these. The provider had systems in place to investigate and respond to complaints.

The CQC has requested an action plan to understand what the home will do to Strengthen the standards of quality and safety. It will work alongside the provider and local authority to monitor progress. It will continue to monitor information we receive about the service, which will help inform the next inspection.The full report can be seen here.

Mon, 05 Dec 2022 21:31:00 -0600 en text/html
Killexams : David DeWinter Joins Healthmine as Chief Product Officer

Healthmine, a leader in technology-enabled member engagement and reward solutions for health plans, has appointed David DeWinter as Chief Product Officer. DeWinter brings extensive experience in engineering, product development and quality assurance to the company.

"It has been a pleasure working with David again after our time together at Extend Health," said Bryce Williams, Chief Executive Officer at Healthmine. "He was a key contributor there and is already proving to be an exceptional leader of our product team at Healthmine. We're excited to leverage his depth of experience in product development to grow and evolve Healthmine's platform and continue to bring significant value to our clients in all markets."

Over his fifteen-year career, DeWinter has established a strong technical and leadership background guiding engineering and product teams to exceed customer expectations. He joins Healthmine after working at Microsoft on Office 365 products to help commercial customers use the full potential of more than 30 applications and products. He has experience developing healthcare-related software for Extend Health.

DeWinter joins Healthmine during a period of great industry change as health plans grapple with shifting consumer mindsets, new regulations and a growing demand for equitable healthcare initiatives.

"Our healthcare system is host to billions of interactions among plans, providers and members every day, and somewhere in those interactions is a code to unlock better health outcomes, cost savings and operational efficiency," DeWinter said. "Our job is to find pieces of that code and stitch them into simple solutions that solve the real pain points that plans have today and will have in the near future."

Healthmine grew products, internal teams and partnerships in 2022. As DeWinter looks ahead to 2023 product strategy, he looks forward to building on Healthmine's core product solutions and continuing to offer exceptional products and services to health plan clients in all markets.

"I believe Healthmine has a star-powered team and great product that uniquely positions us to make a huge impact on the American health care system," DeWinter said about joining the Healthmine team. "When I see examples of how we help members achieve better health outcomes at a fraction of the cost, it makes me incredibly excited to join the team to help us get to the next level."

DeWinter has a master's degree in Computer Science and is the founder of RowHero, an application that supports coaches and athletes in improving rowing performance. His leadership, product and engineering experience will serve health plan clients searching for strategic guidance for achieving sustainable plan performance improvements in a competitive and evolving market.

About Healthmine

Healthmine is the industry's leading quality improvement solution focused on empowering people to take the right actions to Strengthen their health. We build personalized, ongoing member engagement strategies for health plans in all lines of business. These strategies are delivered via our SaaS-based, always-on platform that drives health actions through customized triggers for clinical, pharmacy, and CAHPS and HOS measures. When paired with intelligent incentives and rewards, the net result is improved outcomes and well-managed medical spend. In addition, Healthmine clients have transparency into real-time, actionable insights on the success of member engagement and satisfaction initiatives, as well as the ability to identify and prioritize areas of opportunity to Strengthen quality measures and Star Ratings. Connect with Healthmine on LinkedIn and learn more at

© 2022 Benzinga does not provide investment advice. All rights reserved.

Mon, 28 Nov 2022 23:16:00 -0600 text/html
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