Trucks bearing food and medicine from the United Nations Children’s Fund (UNICEF) have begun a difficult four-day journey over mountain roads to deliver supplies to youngsters in the isolated provinces in the north-east of the Democratic People’s Republic of Korea (DPRK). Some 11 tons of therapeutic milk, 1.5 tons of therapeutic food for severely malnourished children and enough medicine for 400,000 people for three months are among the items being sent to the area. This delivery is UNICEF’s first since Pyongyang cut off international agencies’ access to the provinces in late 2006. Prior to the closure, the agency, which had been active in the area since 1999, had been providing crucial assistance in the areas of health, nutrition and water supply. The UN Country Team commenced negotiations with the Government to allow aid workers to enter the area early last year, and the decision to allow them to re-enter was confirmed on 7 July. “We welcome the decision by the Government to resume humanitarian access to these provinces,” said UNICEF Representative Gopalan Balagopal. “It is now urgent we reach children as quickly as possible with life-saving support.” He noted that the agency’s priority is to cooperate with its partners to quickly help vulnerable children and to provide treatment to save the lives of severely malnourished youngsters. According to an assessment on food security by the UN World Food Programme (WFP), there are many malnourished children in Hamgyong and Ryanggang, two north-eastern provinces struck by last year’s severe floods. Mr. Balagopal will lead a team, which will include UNICEF’s Chief of Health and Nutrition, on an 11-day mission to those provinces tomorrow. They will visit hospitals, health facilities and children’s institutions, as well as conclude arrangements to train health care providers to treat malnutrition. Last month, WFP and DPRK entered into an agreement, paving the way for the agency to enhance its food assistance to more than five million hungry people in the country. 11 July 2008Trucks bearing food and medicine from the United Nations Children’s Fund (UNICEF) have begun a difficult four-day journey over mountain roads to deliver supplies to youngsters in the isolated provinces in the north-east of the Democratic People’s Republic of Korea (DPRK).
Mr. Ban and Mr. al-Maliki – who met this morning at United Nations Headquarters in New York – agreed to continue working together to resolve the issue, UN spokesperson Marie Okabe told journalists in response to a question.The Secretary-General has also held discussions with Iraqi Foreign Minister Hoshyar Zebari recently on the same subject.Following the conflict in 1990-91, the reparations were imposed on Iraq by the Security Council under Chapter VII of the UN Charter. Under a more recent resolution, Council members agreed to review those measures and others, and Mr. Ban’s report on the review process is expected to be issued shortly. 22 July 2009Secretary-General Ban Ki-moon held talks today with Iraqi Prime Minister Nouri Kamal al-Maliki that focused on the issue of his country’s reparations to Kuwait in the wake of Iraq’s 1990 invasion and subsequent occupation of its neighbour.
The Latest: Sudan says it is severing diplomatic ties to Iran over tensions with Saudi Arabia TEHRAN, Iran – The latest developments after Saudi Arabia severs diplomatic ties with Iran following the execution of a prominent opposition Shiite cleric and attacks on its diplomatic posts in the Islamic Republic. (All times local.)4:30 p.m.Sudan says it is severing its diplomatic relations with Iran. It says the decision would take effect immediately.The Sudanese Foreign Ministry made the announcement in a statement carried by Sudan’s state news agency on Monday afternoon.The move comes after Saudi Arabia and Bahrain both cut diplomatic ties to Iran, while the United Arab Emirates downgraded its ties.___3:40 p.m.The state-run news agency of the United Arab Emirates says the country is downgrading its diplomatic relations with Iran.The statement was published on Monday afternoon. The UAE’s Foreign Ministry also said it was recalling its ambassador from Tehran.The statement said the UAE would be downgrading its diplomacy to only focus on business relationships between the Gulf federation and Iran. UAE says it’s doing this due to “Iran’s continued interference in the Gulf and Arab countries internal affairs.”The move comes after Saudi Arabia and Bahrain both cut diplomatic ties to Iran.___3:10 p.m.A Bahraini government minister says the tiny island kingdom is severing its diplomatic ties with Iran.Minister of Media Affairs Isa al-Hamadi made the announcement on Monday.Bahrain’s decision comes amid heightened tensions between Saudi Arabia and Iran.Bahrain frequently accuses Iran of being behind the long-running, low-level insurgency in the country since its majority Shiite population began protests in 2011 against Bahrain’s Sunni rulers.___2:14 p.m.A Russian state news agency is citing a senior diplomat as saying that Moscow is ready to act as a mediator in the escalating conflict between Saudi Arabia and Iran.The report by the RIA Novosti news agency on Monday quotes the diplomat as saying that Russia has developed good relations with both countries through the so-called Vienna group, which is working on a resolution of the Syria conflict, and that he hoped that could help resolve the Tehran-Riyadh dispute.The agency did not identify the Russian diplomat and it was unclear from the report if Moscow had made the mediation proposal to either side.Russian state news agencies frequently cite unnamed officials within the government.___2:15 p.m.A prominent Iranian lawmaker says Saudi Arabia’s decision to sever diplomatic ties with Iran likely will force the Islamic Republic to stop sending pilgrims to the annual hajj.Lawmaker Mohammad Ali Esfanani, spokesman of the Judicial and Legal Committee of the Iranian parliament, made the comments on Monday.The semi-official ISNA news agency quoted Esfanani as saying: “When a country has cut diplomatic relations with us, it means it is hostile with us.”He also says that “it appears that protection (of pilgrims) and security issues will prevent hajj from taking place.”Saudi Arabia has not officially commented on whether the kingdom’s severing of ties with Iran also meant that pilgrims from Iran can no longer attend the hajj. The pilgrimage is required of every able-bodied Muslim once in a person’s life.When Saudi Arabia severed ties with Iran from 1988 to 1991, Iran stopped its pilgrims from attending the hajj.___11:50 a.m.An Iranian official has denounced Saudi Arabia’s move to cut diplomatic relations with Iran and accused the Sunni kingdom of stoking tensions region-wide.Foreign Ministry spokesman Hossein Jaberi Ansari also said Monday that Saudi Arabia’s execution of prominent Shiite cleric Nimr al-Nimr over the weekend was an example of this.Ansari claims that “Saudi Arabia sees its interests and even its existence in continuing tensions and clashes.” He spoke during a weekly press conference in Tehran.He says the kingdom “tries to resolve its domestic problems through projecting and exporting them abroad.”___10:50 a.m.Saudi officials say gunfire directed toward security forces has killed a man in a village in eastern Saudi Arabia where mourning ceremonies are underway for an executed Shiite sheikh.The official Saudi Press Agency reported early Monday that a man was killed in al-Awamiya village and a child was wounded. That’s where the family of Sheikh Nimr al-Nimr is holding three days of mourning at a local mosque. Authorities offered no details on who they suspected in the shooting.Al-Nimr was an outspoken critic of Saudi Arabia’s Sunni monarchy but denied ever calling for violence. His execution on Saturday has sparked outrage among Shiites across the region.The sheikh’s brother, Mohammed al-Nimr, has told The Associated Press that Saudi officials informed his family that the cleric had been buried in an undisclosed cemetery, a development that could lead to further protests.___10:30 a.m.Iran’s deputy foreign minister says Saudi Arabia’s decision to severe diplomatic relations cannot cover up Riyadh’s “strategic mistake” in killing a prominent Shiite cleric.Hossein Amir Abdollahian also accused Saudi Arabia of promoting terrorism and extremism in the Middle East. His comments were broadcast on Monday on Iranian state television.Saudi Arabia cut diplomatic relations with Iran late Sunday, hours after protesters stormed and set fire to the Saudi Embassy in Tehran. It also followed harsh criticism by Iran’s top leader of the Saudis’ execution of Sheikh Nimr al-Nimr.Al-Nimr’s execution has opened a new chapter in the ongoing Sunni-Shiite power struggle playing out across the Middle East, with Saudi Arabia and Iran as primary antagonists. by The Associated Press Posted Jan 4, 2016 6:22 am MDT Last Updated Jan 4, 2016 at 7:20 am MDT AddThis Sharing ButtonsShare to TwitterTwitterShare to FacebookFacebookShare to RedditRedditShare to 電子郵件Email
The crash happened in Hook, near North Warnborough, HampshireMr Cobden was taken to North Hampshire Hospital in Basingstoke, where he is still in a stable condition.It is thought the luxury vehicle was due to go on sale at Sotheby’s for between £885,000 and £1.2 million. Mr Cobden owns Toy Stor-Age, a bespoke luxury car storage facility at the end of the access road where the fatal crash took place.It is said his mother heard the crash and was the first on scene and tried to resuscitate her son.Locals living in nearby North Warnborough, Hampshire, said they heard sirens, saw flashing lights and watched as a helicopter circled overhead. They got less than a minute away before the mother, still waiting at the garage, heard a crashfamily friend of Ferrari crash victim The Ferrari crashed on a quiet access road to his garage on Monday night. The cause of the crash has yet to be ascertained.The teenager, from the Winchester area, suffered fatal injuries and was pronounced dead at the scene in Hook, Hampshire, at around 8.30pm.Mr Cobden, from Walton-on-Thames, Surrey, is being treated at the North Hampshire Hospital where his condition is described as stable.Writing on a specialist car forum, web user MOTK said: “It was my friend’s son.”As far as I know at the moment, the mother and child were waiting at a car dealership where their friend was delivering some batteries.”The kid saw the F50 there there and asked the garage owner to sit in it. He replied that he could do one better and take him for a drive.”They got less than a minute away before the mother, still waiting at the garage, heard a crash. She was the first on the scene and tried to resuscitate her son to no avail.”They added: “An awful tragedy, and one that makes me think. RIP young man.” Want the best of The Telegraph direct to your email and WhatsApp? Sign up to our free twice-daily Front Page newsletter and new audio briefings. The Ferrari F50s was expected to fetch up to £2million at auction. Library image Credit:Tom Wood/ALAMY A mother tried in vain to revive her 13-year-old son after the 200mph Ferrari he was being taken for a ride in ploughed through a fence, according to a friend.Driver Matt Cobden was hospitalised after a crash that killed a teenage boy as he “showed off” the £1.2million supercar to the youngster.Mr Cobden, who owns a car storage facility, took the 13-year-old boy out for a spin after the teenager asked if he could sit in the rare Ferrari F50, according to a friend of the youngster’s motherMr Cobden, 37, was looking after one of only 349 Ferrari F50s ever made ahead of an auction, where the red 200mph supercar was set to sell for up to £1.2million.
Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window)RelatedEssequibo labourer stabbed to death in Old Year’s rowJanuary 1, 2019In “Crime”‘Home Alone’, ‘Gudgie’ being sought for murder, attempted murder in Agricola- PoliceDecember 21, 2018In “Crime”GDF Captain to be arraigned tomorrow for murder of girlfriendApril 3, 2018In “Crime” Police say they are investigating the murder of a male whose particulars are currently being ascertained but is known as “Terrible Dog”.The murder reportedly occurred about 18:00h on Friday at Chinese Creek Backdam, Puruni River, allegedly by a foreign national chef who goes by the alias “Suseh God” and who is being sought.According to the Police, their investigations revealed that the victim and the chef were engaged in a heated argument over the frying of sausages and the suspect allegedly stabbed the now deceased in his left side abdomen/rib area.The man’s body is presently at the Bartica mortuary as investigations are ongoing.
← Previous Story SEHA: RK Zagreb beats Nexe, takes first place and on Friday meets Metalurg in Skopje Next Story → Serbian head coach, Veselin Vuković: “Croatia is the best” Laszlo NagyMKB VeszpremVelux EHF F4 He was the World’s Best player in 2011, but from Olympic Tournament in London until the „dream week“ of MKB Veszprem finished with two victories over existing EHF CL finalists, BM Atletico Madrid and THW Kiel, the form of Laszlo Nagy is still on the highest level. The biggest Hungarian handball star talked for Handball-Planet.com, just after the big success against THW Kiel 31:30:– Of course, this was important match for us and it’s a big pleasure to beat the best players from the best team in Europe. We are very happy for this victory in one such a great match. As experienced players, we all know that season is very long and if we want to make something big, team has to rise through months and play even better than now. Our coaching staff and the players are working on that every single day.After you beat Atletico Madrid and THW Kiel in four days, handball people think that you are ready to play at F4 in Cologne. That isn’t just an opinion from Veszprem’s fans, but from all sides of Europe.– Yes, I know that some people think in that way, but I want to be realistic. This Veszprem is quite new team, with the new system, we are rising as a group every day, but it is still far away to speak about our goals. New players and new coach, everything is new here. We need time. For now, everything is going well, we catch the good line…How do you like this Hungarian-Spanish (Ortega, Ugalde, Chema Rodriguez, Oneto) mix in Veszprem?– It’s good, we have nice atmosphere in the team. Hungarians are happy with Spaniards and that is respect from both sides. We don’t want just to make a group, but whole team.Who are the biggest favourites to win the VELUX EHF CL 2012/2013?– THW Kiel and F.C Barcelona are the best teams in Europe right now. They must be in Cologne at F4. For other two places will fight six-seven teams, among them is Veszprem. I hope that we will keep a good form until March and April, when crucial matches will be played.You made a big success with the Hungarian NT at the Olympic Tournament in London, where you finished fourth. How do you see next chapter of your NT career, World Championship 2013 in Spain?– We have great time in London. Hungary showed to all that is among the best five,six teams. We have quality atmosphere, good team, but it is to early to speak about specific objectives in Spain – concluded Nagy an interview for Handball-Planet.com
Greffe du visage : apparition publique du deuxième patient espagnol à en bénéficier, en imagesEspagne – Rafael est le deuxième patient espagnol à avoir subi une greffe partielle du visage. Il s’est exprimé hier devant les médias, afin de faire part de sa gratitude envers la famille du donneur et envers le chirurgien qui l’a opéré.Trois mois après l’opération qui consistait à réparer les deux tiers inférieurs de son visage, Rafael a souhaité s’exprimer devant les caméras afin de sensibiliser la population à la question du don. Il a expliqué, lors de ce point presse, avoir ressenti de la “joie” lorsqu’il s’est regardé dans le miroir et a tenu, lors de sa sortie de l’hôpital Virgen del Rocio de Séville, à remercier la famille du donneur sans qui cette opération n’aurait pu être possible. L’homme, dont le visage était déformé à cause d’une neurofibromatose de type I (une maladie génétique) avait été greffé le 26 janvier dernier par une équipe de vingt-trois professionnels coordonnée par son chirurgien plastique. L’opération avait duré plus de 24 heures. Il devra encore subir de longues heures de rééducation afin de parfaire son élocution. L’Espagnol pourrait dès à présent distinguer le chaud du froid et ses lèvres seraient même capables de ressentir la douleur. En mars dernier, c’est une greffe totale du visage qui a été réalisée pour la première fois au monde en Espagne, sur un homme défiguré après s’être accidentellement tiré dessus avec une arme. Découvrir les images : https://www.maxisciences.com/greffe-du-visage/le-deuxieme-greffe-du-visage-espagnol-remercie-la-famille-du-donneur_art7221.htmlLe 5 mai 2010 à 13:15 • Emmanuel Perrin
Jurgen Klopp confirmed Liverpool are sweating on the fitness of Mohamed Salah and Sadio Mane ahead of their trip to Huddersfield.The speedy duo were rumoured to be doubts for the trip to West Yorkshire but resumed first-team training this week.“We had yesterday’s session and a few of the boys trained, we’ll have to see how they react,” Klopp revealed to Sky Sports.“The only thing we are pretty sure is that Naby [Keita] will not be available with all the rest, we have to see how it develops, that’s it pretty much.”Another player who looks set to resume domestic action for the Reds is Virgil van Dijk, who Klopp confirmed is in good condition.Report: Origi cause Klopp injury concerns George Patchias – September 14, 2019 Divock Origi injury in today’s game against Newcastle is a cause for concern for Jurgen Klopp.Perhaps with one eye on Tuesday’s trip to Italy…Klopp acknowledged his star defender had “major problems”.“You saw when he went off, everybody saw when he went off [against Southampton] that Virgil would not leave pitch without any major problems.“It’s settled pretty quickly but that’s how it is. Football players have to play very often with some kind of pain. But it’s not too important.“It’s all good, he has no problems with that anymore.”
A 12-year-old Vancouver girl has been found safe after she was reported missing on Halloween.Vancouver police asked for the public’s help in locating Julianna Vara, who was reported as a juvenile runaway. She had previously been seen last in the 1400 block of Northeast 86th Avenue wearing a black T-shirt, blue jeans and black Keds shoes and carrying a black leather bag.
Tyrone WestLast July, Tyrone West died while Baltimore City police were placing him under arrest. The officers involved in the incident were never charged. A joint investigation by the State’s Attorney’s Office, the Baltimore Police Department and the Office of the Chief Medical Examiner concluded that officers used reasonable force and that West’s death was caused by underlying health factors.However, the story doesn’t end there.Since then, West’s sister, Tawanda Jones, has launched a campaign against police brutality. She says there is not a day that goes by that she does not think about her brother, and that two recent incidents making national headlines – the death of Eric Garner in New York and Michael Brown in Missouri, let her know there is still much work to be done.“It just touched my heart,” she said about hearing of Michael Brown’s Aug. 9 shooting death. “This is not an isolated incident, it’s a systemic incident. The first thing that I thought was ‘Oh my God, now we got a young man who will never get to fulfill his dreams.’”Jones says she was just as emotional when she heard about Garner’s death, which has been ruled a homicide.Meanwhile, she is still mourning her brother, who she remembers as a gifted artist and loving uncle and father.“My love and passion for my brother is the only thing that keeps me going,” she said. “They took my brother away. It’s tearing my family up. I go through restless nights. My body don’t even shut down. I wouldn’t wish this kind of pain on nobody’s family.”The family has launched a multi-million dollar lawsuit against the Baltimore City Police Department. They, along with the activist group Baltimore Bloc, also host an event called West Wednesdays, weekly walks in the city to peacefully protest brutality, and to inform the community of their rights. Jones tells young men and women to be careful in their interactions with police, and to call for backup if they feel they are in an unsafe situation.“If you feel unsafe, call for backup,” she says. “My brother didn’t have that chance.”Jones was also on hand when hundreds converged on downtown Baltimore, Aug. 14, to peacefully protest police brutality. She said the event gave her an opportunity to connect with others who also feel they have been victimized by the police.“I got so many people here in our city who are suffering,” she said.But, it was also positive – full of poetry and speeches from people of all races and all walks of life. “It was so beautiful.”She will be traveling to New York soon to protest with Garner’s family. She has also reached out to people who witnessed Brown’s shooting via Facebook, offering to provide support.“I always loved the community but I never thought I’d be in this predicament,” she says. “I never thought I’d be fighting against for police brutality.”
By Nance Ebert, Contributing WriterDayna Altman’s new book, “Bake it Till You Make it: Breaking Bread, Building” ResilienceSouthborough – Dayna Altman knows, firsthand, what it is like to struggle with mental health issues. A former Southborough resident, she has recently published a book, “Bake it Till You Make it: Breaking Bread, Building Resilience” – a compilation of stories from over 40 people who all wanted to get their message across through storytelling.“I started writing this book about two years ago when I was in the midst of a difficult mental state,” Altman explained. “I was in recovery for an eating disorder, OCD and depression. Being an advocate in the mental health field, I see that people tend to shy away from conversation with mental health issues and there is still a stigma attached. We’re definitely taking a step in the right direction but it’s still not totally normalized.”She felt that if she dove into the storytelling, she could help to open up a conversation where people would share their stories and help inspire one another. Some of the people included in this book were recruited by Altman, while others reached out to her once they learned about her project. Word of mouth spread pretty quickly and before she knew it, she had over 40 stories to include.“I am very open about my struggles and I know that many people hearing my stories have been inspired themselves. One person who I recruited for this book was my physical therapist who helped me immensely when I broke my tailbone,” said Altman.There is a chapter in the book dedicated to resilience through other struggles in other forms of trauma. In addition to the stories, there are resource pages that include information on what it would be like to call a hotline, what to do if you’re feeling unsafe, and a self-care guide. There are also places to write your own goals and thoughts. Altman purposefully included the recipe component from each contributor. Some of the stories might evoke a special childhood food like a favorite cupcake, for example. Others may have included a recipe that reminds them of a loved one who has passed.“My goal for this book was to create conversation and inspire others around the dinner table. I want it to be a vehicle to open up discussion,” said Altman.Altman works at the nonprofit organization Girls, Inc., as the public health coordinator for their Substance Abuse Program in Lynn.She has a master’s degree in public health from Northeastern University where she also got a Bachelor of Science in human services with a minor in psychology. She keeps herself very busy and in the evenings she focuses on entrepreneurial projects.“I have been through something painful and I continue to try to figure out a way to lighten the burden for others…,” said Altman.Altman will be appearing at Tatnuck Bookseller, 18 Lyman St., Westborough, on Sunday, Oct. 6. For additional information, visit https://bakeitcookbook.wixsite.com/website. .
News | Artificial Intelligence | August 05, 2019 Montefiore Nyack Hospital Uses Aidoc AI to Spot Urgent Conditions Faster Montefiore Nyack Hospital, an acute care hospital in Rockland County, N.Y., announced it is utilizing artificial… read more The top piece of content in July was a video interview explaining how Princess Margaret Cancer Center is using machine learning to create automated treatment plans. This was a hot topic at the American Association of Physicists in Medicine (AAPM) 2019 meeting in July. Feature | August 05, 2019 | Dave Fornell, Editor Most Popular Radiology and Radiotherapy Topics in July 2019 August 5, 2019 — Here is the list of the most popular content on the Imaging Technology New (ITN) magazine website fr read more David Karabinos is president and CEO of PointClear Solutions, a software development partner that incorporates expertise in clinical informatics and user experience to build transformative healthcare technologies. Karabinos has more than 30 years of experience as an executive in the technology and business services industries. FacebookTwitterLinkedInPrint分享 Videos | Radiology Business | August 02, 2019 VIDEO: Key Topics for Radiology Administrators at AHRA 2019 Association for Medical Imaging Management (AHRA) President … read more Sponsored Content | Case Study | Radiation Dose Management | August 13, 2019 The Challenge of Pediatric Radiation Dose Management Radiation dose management is central to child patient safety. Medical imaging plays an increasing role in the accurate… read more News | Artificial Intelligence | August 08, 2019 Half of Hospital Decision Makers Plan to Invest in AI by 2021 August 8, 2019 — A recent study conducted by Olive AI explores how hospital leaders are responding to the imperative read more Technology | Cybersecurity | August 07, 2019 ScImage Introduces PICOM ModalityGuard for Cybersecurity ScImage Inc. is bridging the gap between security and functionality with the introduction of the PICOM ModalityGuard…. read more News | Radiology Business | August 01, 2019 Philips Completes Acquisition of Carestream Health’s HCIS Business … read more Healthcare’s shift away from traditional fee-for-service reimbursement models and toward value-based payments is well under way. Case in point: The Centers for Medicare & Medicaid Services (CMS) recently announced that 106 new accountable care organizations (ACOs) have begun operations, bringing the total number of Medicare Shared Savings Program participants to more than 250. ACO growth has also gained a foothold in the private sector, with 428 organizations now operating in 49 states. The existence of the ACO stems from a mandate put forth in the Patient Protection and Affordable Care Act of 2010. Unlike other care delivery models, it aspires to achieve healthcare’s triple aim — improving individual patient care, enhancing population health and reducing care costs — by tying provider reimbursement to quality and financial metrics. This distinction is significant, because it requires ACOs to have technologies capable of supporting a new and more highly coordinated care delivery model. Imaging and the ACOAn ACO typically encourages collaboration among providers from different parts of the continuum of care — including primary care, specialty practices, hospitals, pharmacies, and imaging and diagnostic centers — to deliver high-quality and lower cost patient care. Imaging technology can be used to directly support all of these objectives as well as enhance patient engagement. Some healthcare organizations and physicians are now using cloud-based and Web-enabled devices, such as tablet computers, to securely access and manage patients’ medical images and radiology reports. In fact, one application simplifies image sharing among doctors across organizations, as well as between doctors and patients, bolstering care coordination initiatives for providers associated with ACOs. The platform sits on top of current imaging repositories such as picture archiving and communication systems (PACS), and makes images easily available to anyone authorized to view them — including the patient. This approach supports accountable care in two ways. First, it virtually eliminates unnecessary and redundant images from being taken by other providers caring for the same patient, thereby helping to lower costs. Furthermore, patient safety and outcomes can be improved because triage times are faster and providers are able to make more informed decisions during critical episodes of care. Because ACOs come in various shapes and sizes, a one-size-fits-all approach to technology will not yield a customized solution that conforms to the unique workflows of a specific ACO. Instead, some fundamental requirements and characteristics linked to the ACO business model will drive overall healthcare information technology (IT) innovation. Current Technology: A Gap to FillACOs have a basic set of technology needs that must be met if they are to succeed and thrive. These requirements generally center on the ability to enable real-time sharing of clinical and financial data among disparate systems, providers and organizations. Current health IT contributions offer a starting point and address some of these requisites to a degree. For instance, existing hospital information systems, electronic health records (EHRs) and health information exchanges (HIEs) possess some of the functionalities necessary to support governance, operations, and clinical goals and objectives. Yet even with these systems, one critical unmet need still remains for the ACO: technology that seamlessly integrates across boundaries for care coordination, delivery, reporting and payment. Most current technology is designed to record patient care information during an episode of care — not over time — and is limited to each care setting’s organizational boundaries.By contrast, the success of the ACO model hinges on the development of end-state technologies that support electronic exchange of clinical information, longitudinal care records, care coordination (especially between acute and ambulatory environments), reports for payment distribution and data collection for measuring progress against goals. Toward this end, the coherent integration of technology is necessary to sustain the mission-critical competencies associated with the ACO model, including: • Care coordination. Facilitated by EHR, HIE and provider messaging systems, a cross-organizational care management workflow will require clinical decision support tools at the point of care, as well as shared care plans and the ability to track referrals. • Population health management. Tools to support health risk assessment and clinical decisions will need to be joined by registries, workflow management solutions, and tools to aid in predictive modeling and analytics.• Patient engagement. To encourage patients to actively participate in their healthcare decisions, ACOs must rely on telehealth and mobile health applications, as well as patient portals, patient health records and survey tools. • Quality performance. Dashboards and business analytics software will be essential for tracking and reporting patient outcomes.• Risk management. Administrative solutionsthat enable complex case management, riskmodeling and benchmarking will be necessary to control financial risk.The core infrastructure of all these systems must additionally reinforce semantic interoperability, controlled terminology, security, identity management and patient consent. However, cobbling together a health IT solution from a mixture of healthcare technology vendors will not necessarily ensure adoption by ACO providers and other end-users. Technology that has not been carefully built with the workflow needs of its end users in mind will likely be met with resistance. Adoption Requires User Experience, Provider-Centered Design Currently, healthcare technology seldom fully leverages usability and user experience methodologies. This “elephant in the room” has been the culprit behind poor technology adoption rates. Yet in order to thrive, ACOs must be able to deploy technology from day one that, based on the initiative’s unique workflow and end-user needs, will support care coordination and patient engagement. With the advent of ACOs, the time has come to incorporate user experience and provider-centered design into applications in order to strengthen their adoption.There is universal agreement that ACOs will require workflow modifications. Appropriate user research, interface design and usability testing will be essential for ensuring software meets the needs of the ACO delivery model, while complying with regulations and ensuring quality care and patient safety. Add to these demands the need for improved patient engagement, and suddenly it becomes clear that ACOs offer a reality in which technology innovation can flourish. The concept of incorporating high-quality user experience and intuitive, provider-centered design already is starting to take hold among innovators in the areas of care coordination and population health management. For example, one company is making the delivery of safe care at home possible by using EHR technology for individuals who have been hospitalized. Another company is advancing providers’ ability to perform population health assessments and stratifications through the development of care management software solutions. ACOs Will Live (or Die) by Their Technology Over the past 15 years, healthcare has invested enormous sums of capital into IT infrastructure and systems. The lion’s share of that investment has gone to support the status quo until just recently, but now the landscape is changing. ACOs are dictating enormous change in care delivery and advancement in technology. Current health IT solutions do not entirely meet the unique needs of the accountable care model, and must be reinvented accordingly. It will be fascinating to see how this market shifts in scope, size and character over the next few years. At the end of the day, greater technology innovation will be required to ensure the sustainability of the ACO model. For ACOs to find a permanent and welcome place in the U.S. healthcare system, pioneering technologies must be deployed that enable these organizations to focus on enhancing patient care quality and lowering financial risk. Such an IT strategy will pay dividends not only for ACOs, but for patients as well, as it starts to solve the perpetual riddle of how to contain costs and remain fiscally viable while delivering coordinated, high-quality healthcare. News | Electronic Medical Records (EMR) | August 01, 2019 DrChrono Teams With DeepScribe to Automate Medical Note Taking in EHR DrChrono Inc. and DeepScribe announced a partnership so medical practices using DrChrono EHR can use artificial… read more Feature | August 28, 2013 | David Karabinos Technology’s Role in the Pursuit of ACO Sustainability ACOs offer a reality in which technology innovation can flourish News | PACS | August 08, 2019 NetDirector Launches Cloud-based PDF to DICOM Conversion Service NetDirector, a cloud-based data exchange and integration platform, has diversified their radiology automation options… read more Key Topics for Radiology Administrators at AHRA 2019Video Player is loading.Play VideoPlayMuteCurrent Time 0:00/Duration 7:33Loaded: 2.15%Stream Type LIVESeek to live, currently playing liveLIVERemaining Time -7:33 Playback Rate1xChaptersChaptersDescriptionsdescriptions off, selectedCaptionscaptions settings, opens captions settings dialogcaptions off, selectedAudio Trackdefault, selectedFullscreenThis is a modal window.Beginning of dialog window. 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Related Content News | PACS | August 09, 2019 Lake Medical Imaging Selects Infinitt for Multi-site RIS/PACS Infinitt North America will be implementing Infinitt RIS (radiology information system)/PACS (picture archiving and… read more The CT scanner might not come with protocols that are adequate for each hospital situation, so at Phoenix Children’s Hospital they designed their own protocols, said Dianna Bardo, M.D., director of body MR and co-director of the 3D Innovation Lab at Phoenix Children’s.
Vassilico Cement Works Plc said that it generated a net profit of €12.7m in the first six months of 2017 against €12.1m in the respective period of 2016.Total revenue rose in the first six months of the year to €52.8m, from €49m, the previous year, the cement producer said in a statement on the Cyprus Stock Exchange website on Thursday.Cost of sales rose to €35.1m, from €30.4m, and distribution costs fell to €2.4m, from €2.7m, respectively. As a result, operating profit before the cost of finance dropped to €13.3m, from €14m.The rise in taxation in the first six months of the year to €1.8m, from €1.9m, a year before and an increase in other revenue offset the impact from increased costs, the company said.“The increase in revenue in the first half of the year is expected to continue but the increase in energy cost is expected to remain above that of 2016,” the cement producer said.You May LikeDr. Marty ProPower Plus Supplement3 Dangerous Foods People Feed Their Dogs (Without Realizing It)Dr. Marty ProPower Plus SupplementUndoKelley Blue Book10 Electric Cars That Last the LongestKelley Blue BookUndoMacy'sYou Will Not Believe Macy’s Deals for TuesdayMacy’sUndo Pensioner dies after crash on Paphos-Polis roadUndoTurkish Cypriot actions in Varosha ‘a clear violation’ of UN resolutions, Nicosia saysUndoRemand for pair in alleged property fraud (Updated)Undoby Taboolaby Taboola
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