Internationally renowned primatologist, Dr Jane Goodall, DBE Founder – the Jane Goodall Institute and UN Messenger of Peace, has joined animal protection organization Cruelty Free International to speak out against the Mauritius monkey trade.Save Our MonkeysDespite being one of the world’s largest suppliers of primates for experiments, Mauritius is considered a ‘paradise’ island for holidaymakers and this year the Government is trying to promote the country’s image as a green or ethical tourist destination.Dr Goodall has raised her concerns about the cruel exploitation of monkeys from Mauritius and is calling on people to contact the Mauritius Ministry of Tourism urging it to take action to end the suffering inflicted on the country’s primate population.Dr Jane Goodall told Cruelty Free International: “I am shocked and saddened to learn about the capture and breeding of the long tailed macaque of Mauritius, and the export of their young for research. I have spent years learning about primates: they are highly intelligent and form close social bonds that can last for life. The trade in living monkeys and knowledge of the terrible suffering this is causing has led to increasing international concern and is tarnishing the image of Mauritius as an idyllic paradise island. A number of people have told me they will no longer consider visiting. I appeal to people to contact the Mauritius Tourism Ministry and urge it to take steps to end this cruel, inhumane trade – not only for the monkeys but also the many people of Mauritius who benefit from eco-tourism.” In 2014, Mauritius exported 8,991 monkeys to laboratories, primarily in the USA and Europe (in particular the UK, France, Spain and Germany). Across the island, breeding farms contain tens of thousands of monkeys, many of whom were captured from the wild and imprisoned; their offspring are transported to laboratories around the world for use in experiments. A recent opinion poll commissioned by Cruelty Free International revealed that 92% of tourists and potential tourists interviewed were not aware of the island’s export of monkeys for experiments. The survey found that over half (53%) of those who had been, want to go or would consider going on a holiday to Mauritius would not want to visit or revisit the island and would reconsider choosing Mauritius as a holiday destination after learning about the island’s monkey trade. Michelle Thew, CEO of Cruelty Free International, said: “We welcome Dr Jane Goodall’s support and hope that the Mauritius Government quickly recognises the fact that the monkey trade is tarnishing the country’s reputation. We urge Mauritius to say no to the cruelty and suffering that is being inflicted on these highly social and intelligent wild animals. If you would like to join us in ending the cruel trade and export of Mauritian monkeys for research, please sign the Save Our Monkeys petition today. Mauritius should be a paradise for everyone, including the monkeys.”The Cruelty Free International Save Our Monkeys campaign is dedicated to ending the cruel exploitation of the monkeys of Mauritius. To help them stop the suffering, please sign their petition.
Washington – Chairman of the Moroccan economic, social and environmental council (CESE), Nizar Baraka, presented on Saturday in Washington the democratic and economic reforms adopted in Morocco to promote more inclusive and job-generating growth.Baraka who spoke during a conference held by the International Monetary Fund on “Arab economic transformation among political transition,” stressed that Morocco has succeeded in speeding the reform process in order to better meet the citizens’ aspirations to a better future, noting that transition in Morocco started in early 90’s.He went on that the constitution adopted in 2011 has given more credit to institutions and helped speed up structural reforms by giving prime importance to integrated sectorial strategies that are meant to promote youth access to decent jobs. During the conference, Baraka also spoke about Morocco’s African calling, recalling, in this context, the recent tour undertaken by King Mohammed VI to four African countries and the establishment of a fertilizers plant for Africa which illustrates Morocco’s commitment to agriculture and food security in the continent. The CESE chairman further noted various measures to support small and medium-sized enterprises, including tax reduction from 30 to 10pc. The conference, held on the sidelines of the IMF and World Bank spring session was moderated by head of the IMF Middle east and North Africa department, Masood Ahmed.With MAP
SAN FRANCISCO — The Wall Street Journal is reporting that the Federal Trade Commission will lead any antitrust investigation into Facebook as part of an arrangement that would give the Justice Department oversight of Google.The FTC and the Justice Department both oversee antitrust issues in the U.S. and must establish who will take the lead in different investigations. Citing unnamed sources The Journal said Monday that the FTC secured the rights to begin a potential investigation into whether Facebook engaged in what it called “unlawful monopolistic behaviour.”The report Monday said the Justice Department, in turn, will lead the Google probe.The FTC is already investigating Facebook for possible privacy violations . The FTC declined to comment Monday and Facebook did not immediately respond to a message for comment.The Associated Press
Highlights at the close Thursday at world financial market trading.Stocks:S&P/TSX Composite Index — 15,024.53, down 35.30 pointsDow — 21,784.78, down 22.86 pointsS&P 500– 2,465.10, down 0.44 of a pointNasdaq — 6,397.87, up 4.56 pointsCurrencies:Cdn — 82.32 cents US, up 0.78 of a centPound — C$1.5899, down 1.09 centsEuro — C$1.4585, down 0.43 of a centEuro — US$1.2006, up 0.78 of a centOil futures:US$49.09, down seven cents(October contract)Gold futures:US$1,350.30 per oz., up $11.30(December contract)Canadian Fine Silver Handy and Harman:$22.938 per oz., down one-tenth of a cent$737.46 per kg., down three cents
Former Secretary of the Bar Association Upul Jayasuriya was today elected as the new president of the Bar Association of Sri Lanka (BASL).Jayasuriya defeated lawyer Thirantha Walaliyadde for the post by a majority vote during the elections held today. Jayasuriya replaces MP Wijeyadasa Rajapaksha who had decided not to seek a fresh term as BASL President.Jayasuriya will hold the post of President of the BASL for the year 2013-2014.
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 latest DfE statistics, which look at the make-up of the school population across England, also reveals that one in three of the nation’s primary school children are from a minority ethnic background. More than one in five primary-age children do not speak English as their first language.Geoff Barton, General Secretary of the Association of School and College Leaders, said that schools have had to make huge budget cuts over the past three years to cope with financial pressures.“Many have had no choice other than to cut teaching posts which inevitably means larger classes,” he said.”No school wants to do this because it means teachers are less able to give individual support to pupils and larger classes drive up workload pressures. But the funding crisis has left them in an impossible position.” Super-sized classes are at the highest level on record, official figures show, as secondary schools begin to feel the effects of a migrant-fuelled baby boom.Eight per cent of secondary school classes now have over 30 children, which is the highest proportion since the Department for Education (DfE) started collecting figures for its annual school census in 2006. In 2006, 7.5 per cent of classes had over 30 children, which had dropped down to 5.8 in 2014 but has been climbing up steadily since then.The average secondary school class size in 2018 was 21.2 students, the new data shows, which is the largest since 2007. There is now the equivalent of one extra pupil in each class, compared to five years ago.Overall, there are now 66,000 more children in the nation’s schools compared to the same point last year. While some of this increase was in primaries, most was in secondaries, which have seen numbers rise by 35,400 in just a year.The hike comes amid a boom in pupil numbers caused in part by a rise in the birth rate in the early 2000s, that is now making its way through to secondary schools.While direct immigration has little effect on pupil numbers, higher birth rates among immigrant communities has been a contributing factor, according to DfE forecasts. “Alongside this we are spending £23 billion by 2021 to ensure every child regardless of their needs, background or circumstances has access to a good school place.” The Local Government Association spokesman urged ministers to give councils powers to force schools to expand if necessary.A spokesman said this would only need to occur “if local agreement cannot be reached voluntarily where this is in the best interests of new and existing pupils”.School standards minister Nick Gibb said: “Although we have more children in our education system than ever before, the average primary class size is still 27.1 and the average secondary class size shows little change at 21.2.”This is thanks to the 825,000 new school places we have created since 2010 the largest expansion of new school places since the 1970s.
Germany took the obligatory 2 points against Australia in the World Championship in Serbia. In the 11th minute the result was 4-4 but later the Germans drew away and win 36-15. Sally Potocki was chosen to be the best player of the match, she scored 9 times in the Australian national team.Germany – Australia 36-15 (17-7)Scorers: Augsburg (4), Nadgornaja (1), Zapf (5/2), Müller (6/2), Lang (1), Loerper (1), Beier (5), Althaus (2), Steinbach (2), Kethorn (6), Geschke (1), Minevskaja (2) and Potocki (9/3), Cook (3), McAfee (2), Thomas (1)Saves: 12 and 87 metres: 6/4 and 5/3Suspensions: 6 and 6 minutesThe other match of group D was finished with Roumania’s victory. They defeated Tunisia 27-17. Previously Hungary won against Czech Republic.TEXT: VIRAG FARKAS ← Previous Story WWCH 2013: Easy start for Hungary Next Story → WWCH 2013 DAY 2: Norway and Montenegro win derby matches! serbia 2013wwch serbia
File Photo Sep 2nd 2019, 8:47 AM Image: PA Archive/PA Images Short URL 19,207 Views By Cónal Thomas File Photo Image: PA Archive/PA Images Share1 Tweet Email Man in his 30s dies in Galway road crash Emergency services attended the scene shortly after 1am. A MAN IN his 30s has died after a road traffic collision in Co Galway this morning. Emergency services attended the scene of a two vehicle collision between a car and a van at Carrownurlar, Milltown shortly after 1am. The driver of the car, a man in his 30s, was pronounced dead at the scene. The driver of the van, a man in his 50s, was taken to Castlebar General Hospital as a precautionary measure. The scene is currently preserved and Garda forensic collision investigators have been requested to examine the crash site. The road remains closed and local traffic diversions are in place.Gardaí at Tuam are appealing for any witnesses to this incident to come forward, particularly any motorists who were travelling in the area at the time and may have dash cam footage.Anyone with information is asked to contact Tuam Garda Station on 093 70840 or the Garda Confidential Line on 1800 666 111. https://jrnl.ie/4792055 2 Comments Monday 2 Sep 2019, 8:47 AM Tweet thisShare on FacebookEmail this article
New York installera ses premiers vélos en libre-service cet étéLundi, la mairie de New York aux Etats-Unis a annoncé qu’elle installerait cet été, ses premiers vélos en libre-service. A terme, elle prévoit d’en installer 10.000. Excellente alternative à la marche, aux transports en commun bondés et mieux encore à la voiture, les vélos feront bientôt une arrivée en grande pompe dans la Grosse Pomme. La mairie de New York a en effet annoncé l’arrivée prochaine des “City bike”, des vélos arborant une couleur bleu roi et disponibles en libre service. Après Paris, Londres, Washington, Montréal et de nombreuses villes européennes, c’est donc au tour de New York de sauter le pas dès le mois de juillet. “L’idée est simple : offrir aux gens une autre façon de se déplacer dans la ville”, a déclaré le maire Michael Bloomberg, cité par l’AFP. Celui-ci a souligné que cela “ne coûterait rien” aux contribuables grâce à un sponsor, City group. Selon les détails dévoilés, les “City bike” seront disponibles 24 heures sur 24 pour un abonnement annuel de 95 dollars, soit 72 euros. C’est moins que le prix d’un ticket mensuel pour le métro (104 dollars, 80 euros) a souligné la mairie lors de la présentation. Les abonnés disposeront de 45 minutes gratuites. Si le vélo est emprunté pour plus longtemps, l’utilisateur payera alors en fonction de la durée, la première heure supplémentaire coûtant 4 dollars. Outre les abonnements annuels, il sera également possible pour les touristes et visiteurs par exemple, de prendre des formules hebdomadaires ou à la journée qui s’élèveront respectivement à 25 dollars (19 euros) et 9,95 dollars (7,60 euros) avec la première demi-heure gratuite. 10.000 vélos installés dans 600 stations À lire aussiMaladie de Charcot : symptômes, causes, traitement, où en est on ?Depuis l’annonce du projet, près de 90 rencontres ont été organisées avec le public et un site internet a permis aux New-Yorkais d’indiquer là où ils aimeraient voir implantées les stations de vélos. Un succès qui témoigne de l’engouement que connait aujourd’hui le cycle dans la Grosse Pomme où le nombre d’habitants allant travailler à vélo a doublé. Ils sont désormais des milliers à se frayer chaque jour un chemin au milieu des célèbres taxis jaunes.Selon le projet dévoilé, 10.000 vélos devraient ainsi être mis à disposition dans 600 stations réparties dans toute la ville. Une utilisation qui sera facilitée par les nombreuses pistes cyclables installées ces dernières années. Depuis 2007, la ville s’est en effet dotée de 350 kilomètres de pistes cyclables supplémentaires et en compte désormais plus de 1.100 kilomètres. A l’horizon 2030, elle entend néanmoins atteindre l’objectif des 2.900 kilomètres de pistes. Le 8 mai 2012 à 10:18 • Maxime Lambert
The accounting deficit of defined benefit (DB) pension schemes for the UK’s largest 350 organisations fell by £22 billion from £149 billion on 31 October 2016 to £127 billion on 30 November 2016.Its Pension risk survey, which is based on analysis and projections of FTSE 350 organisations’ financial statements adjusted from their financial year end, also found that asset values fell from £711 billion at the end of October, to £701 billion at the end of November.Liability values were £828 billion as of 30 November 2016, which is a decrease of £32 billion from the £860 billion recorded on 31 October 2016.Ali Tayyebi (pictured), senior partner, retirement at Mercer, said: “The increases in corporate bond yields over the month has resulted in the largest monthly fall in liability values since June 2015.“The resulting reduction in deficits will be positive news as we near the reporting year end for many [organisations], albeit the reduction is from some of the all-time highs seen in recent months and still leaves us well behind the start of the year. The challenge for many corporate sponsors and trustees may surely be the question of when would be the right time to lock in some of this good news.”Le Roy van Zyl, senior consultant at Mercer, added: “Markets have been very volatile in the wake of the surprise election of Donald Trump, with the aggregate impact being favourable for pension schemes’ funding position. Without wishing to put a dampener on this improved position though, there is still very little clarity on how the economic and financial conditions will develop from here on out as a result of his election. This needs to be combined of course with ongoing uncertainty in Europe and Brexit.“Questions trustees and sponsors should be asking themselves are whether this is the time to take off some of the risk which has recently been rewarded, and whether they are comfortable that they can deal with the range of scenarios that can emerge in the months and years to come.”
Community members gathered outside the Williwaw venue at the end of the Women’s March. (Photo by Rachel Waldholz/Alaska’s Energy Desk)More than 3,000 people waded through the snow-filled streets to join the Women’s March on Anchorage Saturday morning.Participants waved signs with slogans like “Love Trumps Hate,” “Equal rights are not special rights” and “A woman’s place is in the Resistance,” which showed an image of Carrie Fisher as Princess Leia. Others wore pink “pussy hats” with cat ears and held signs supporting the rights of women to control their own bodies.Tahnee Seccareccia, 28, of Anchorage and Dynasti Otis, 29, of Palmer arrived at 10:15 and were still braving the snow an hour and a half later. (Photo by Rachel Waldholz/Alaska’s Energy Desk)As the crowd listened to speakers before the march began, Sherry Gardiner sat near the back on her walker, snow accumulating on her hat. She said she hasn’t joined a protest march since she spoke out against the Vietnam War 40 years ago, but she couldn’t resist joining this movement.Sherry Gardiner joined the Women’s March in Anchorage. It was her first march in 40 years. (Hillman/Alaska Public Media)Gardiner said she thinks the civil liberties of the LGBTQ community and communities of color are being infringed on. “Now it’s gotten so backward from where we came from that I cannot help but do this.”She encouraged people to speak to their elected officials and stay informed.Elizabeth Patience and Cheryl Humme traveled to the march from Barrow and carried matching signs. Patience’s read, “I am not protesting,” and Humme’s responded with “Hmm…I am kinda protesting.”Elizabeth Patience and Cheryl Humme from Utqiagvik joined the march in Anchorage. (Hillman/Alaska Public)“Some people are dismissing us as angry or sore losers or just here to complain,” Patience said. “I’m not here to do that; to be angry and protest. I’m here to move forward. He’s our president. He has to represent us. And he can’t do that if he can’t hear us.”Humme said she agrees, but she said, “I see the people he’s appointed to his cabinet, and I see the things he tweets, and I just get so mad.” She said she wants to hold him accountable.Anchorage resident and marcher Jacqueline Shirley said she plans to move forward by researching ways to change the Electoral College system. Hillary Clinton won the popular vote by nearly 3 million.“To be a good policy writer, that’s my plan,” participant Whitney Flores said. Flores is a social scientist. “Being able to bridge the gap between science and policy. That way we can have good policies that benefit everybody.”Her husband, Daniel Flores, attended the march wearing a cat suit. He said that as a person who teaches early education, his plan is to instill in children ideas of equality no matter what a person’s background is.Women’s marches were held in over 15 communities across the state.Marchers said they came out to show support for a range of issues, from women’s rights to gay rights to support for immigrants or action on climate change. (Photo by Rachel Waldholz/Alaska’s Energy Desk)Organizers planned to have marchers circle the Delaney Park Strip, but the crowd was so big, people began to forge multiple lines through the snow to keep moving. (Photo by Rachel Waldholz/Alaska’s Energy Desk)
US president Donald Trump defended his immigration restrictions, as protests spread throughout the country, saying “this is about terror and keeping our country safe.”Trump released a statement asserting, “To be clear, this is not a Muslim ban, as the media is falsely reporting.”The president addressed the issue late Sunday in a statement as some Republicans in Congress – including Ohio’s senator Rob Portman – urged caution amid legal challenges to the order banning travelers from seven predominantly Muslim countries. Top congressional Republicans have largely remained behind Trump on the issue.“America is a proud nation of immigrants and we will continue to show compassion to those fleeing oppression,” Trump said, “but we will do so while protecting our own citizens and border. This is not about religion – this is about terror and keeping our country safe. ““I have tremendous feeling for the people involved in this horrific humanitarian crisis in Syria,” he said. “My first priority will always be to protect and serve our country, but as President I will find ways to help those who are suffering.”In a background call with reporters Sunday, a senior administration official declared the order’s implementation “a massive success story,” claiming it had been done “seamlessly and with extraordinary professionalism.”That, despite widespread confusion and an apparent walk-back about how the order, which temporarily bars the citizens of seven majority Muslim nations from entering the US, would be applied to certain groups, like US legal permanent residents.Homeland Security Secretary John Kelly issued a statement Sunday saying that, absent information indicating a serious threat to public safety and welfare, residency would be a “dispositive factor in our case-by-case determination.” That means citizens of the seven countries who hold permanent US residency “green cards” will not be barred from re-entering the US, as officials had previously said. It remains unclear what kind of additional screening they will now face.Trump’s order, which also suspends refugee admissions for 120 days and indefinitely bars the processing of refugees from Syria, has sparked widespread protests and denunciations from Democrats and a handful of Republicans. Many have accused the administration of rushing to implement the changes, resulting in panic and confusion at the nation’s airports.“You have an extreme vetting proposal that didn’t get the vetting it should have had,” said Portman, who urged the new president to “slow down” and work with lawmakers on how best to tighten screening for foreigners who enter the United States.“In my view, we ought to all take a deep breath and come up with something that makes sense for our national security” and reflects the fact that “America’s always been a welcoming home for refugees and immigrants,” he said.Several Democrats in Congress said they would be introducing legislation to stop the ban.White House adviser Kellyanne Conway said the changes were “a small price to pay” to keep the nation safe.But it’s unclear whether the order will accomplish that. The order does not address homegrown extremists already in America, a primary concern of federal law enforcement officials. And the list of countries in Trump’s order doesn’t include Saudi Arabia, where most of the Sept. 11 hijackers were from.The developments came a day after a federal judge in New York issued an emergency order temporarily barring the US from deporting people from the seven majority Muslim nations subject to Trump’s 90-day travel ban.The order barred US border agents from removing anyone who arrived in the US with a valid visa from Iraq, Syria, Iran, Sudan, Libya, Somalia and Yemen. It also covered anyone with an approved refugee application.The Department of Homeland Security said Sunday the court ruling would not affect the overall implementation of the White House order.Top congressional Republicans, meanwhile, were backing Trump despite concerns raised Sunday from a handful of GOP lawmakers and condemnation from the Koch political network, which is among the most influential players in the conservative movement.Republican Sens. John McCain and Lindsey Graham warned of unintended consequences, expressing fear the order could “become a self-inflicted wound in the fight against terrorism.”“This executive order sends a signal, intended or not, that America does not want Muslims coming into our country. That is why we fear this executive order may do more to help terrorist recruitment than improve our security,” they wrote.Trump fired back on Twitter, calling the pair “sadly weak on immigration.”
Election commissioner Rafiqul Islam. UNB File PhotoElection commissioner Rafiqul Islam has categorically said there will no scope of raising any question related to the upcoming Upazila Parishad elections scheduled to be held in Rajshahi on 10 March, reports BSS.“We have adopted all sorts of requisite measures to hold the election neutral, free and fair manner,” he further said urging all concerned to render their duties with utmost sincerity and honesty.The election commissioner was addressing a law and order related special meeting cantering the upazila parishad elections at the conference hall of deputy commissioner’s office in Rajshahi on Wednesday as the chief guest.Chaired by Nur-Ur-Rahman, commissioner of Rajshahi division, the meetingwas addressed, among others, by deputy commissioner SM Abdul Kader,police superintendent Md Shahidullah, RAB-5 commanding officer lieutenant colonel Mahbub Alam and senior district election officer Saiful Islam.Rafiqul said the election commission is working relentlessly in a proper coordination with local administration so that the voters can exercise their right of franchise spontaneously.He mentioned ensuring and maintaining peaceful situation is very important for making the election free, fair and credible.“Not a single unpleasant incident will happen if the party leaders concerned control their workers and activists strictly,” he said.In the meeting, he urged the law enforcers to discharge their respective duties with utmost sincerity and honesty to make the election successful and meaningful.After the meeting Rafiqul Islam told the newsmen that the Member of Parliament (MP) has no scope of taking part in any election campaign and the election commission has already issued letter to the Jatiya Sangsad speaker to refrain MPs from taking part in upazila election campaign.
Ring in the holiday season with a visit to the Zoo for Breakfast with Santa & Friends. This year, in addition to the two events held on the Zoo’s Mansion House Porch, Dec. 14 and 20, the Zoo will be adding a special Breakfast with Santa & Friends at Penguin Coast, the Zoo’s newest exhibit on Dec. 6.At each Breakfast with Santa & Friends, guests will enjoy a festive, hot breakfast buffet, have fun creating unique seasonal crafts, and meet some of Santa’s feathered friends (think penguins!). When you hear the jingle bells, Kris Kringle is on his way with his friend Sphen, the Zoo’s penguin mascot – a great family photo opportunity!Tickets for “Breakfast with Santa & Friends” events are $25 for member adults, $35 for non-member adults, and $18 for children 2-12. Children under 2-years-old are free, but still require a ticket. Each event runs from 8:30 am until 10:00 am and same day admission to the Zoo is included in the ticket price. Tickets are on sale now at www.marylandzoo.org. Space is limited.
Sangeet Natak Akademi is hosting a show titled Yoga Chakra: Tradition and Modernity by Seema Kohli’s iconography and philosophy of the Yogini cult that inspires her work and life, with constant references to the various form of yoginis and
Feature | Radiology Business | April 06, 2016 | Jeff Zagoudis Meaningful Use Moves to the Next Stage As the campaign to increase EMR adoption moves into its final phase, a shift in focus to meaningful outcomes signals big changes ahead Photo courtesy of Cerner.Born out of the Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009, the Meaningful Use (MU) program was intended to increase adoption of electronic medical records (EMR) and other information technology to improve delivery of care while lowering costs. As healthcare providers have attempted to work through the various stages to earn reimbursement incentives — or avoid penalties — many have been left frustrated and confused by objectives that do not seem to apply to their practice. Nowhere has this been more true than in radiology.The Centers for Medicare and Medicaid Services (CMS), architect of Meaningful Use, has helped providers navigate the program’s first two stages, and released final rules for the terminal Stage 3 last October. Then in January, the whole program got turned on its head when Acting CMS Administrator Andy Slavitt announced that Meaningful Use was coming to an end, to be replaced by a new program focusing on the outcomes achieved through use of EMRs and other technology. As of press time, guidelines for the new program have yet to be released, and Slavitt indicated that until such time, Stage 3 MU requirements will still be in effect. Getting to Stage 3While the Meaningful Use program has generated much interest since its official launch in 2010, providers have been largely split between viewing it as a boon or a burden. Keith Hentel, M.D., associate professor of clinical radiology, Weill Cornell Medical College, and associate attending radiologist, New York–Presbyterian Hospital, was initially interested in bringing his department into the program, but ended up choosing not to pursue certification. He detailed the challenges that ultimately led to this decision during a panel session at the 2015 Radiological Society of North America (RSNA) annual meeting: Ambiguity of the guidelines: “In the Federal Register there were 196 pages about Meaningful Use. CMS had different summaries — 81 pages, 91 pages — and it wasn’t very clear how this applied to radiologists.”Radiology-specific systems divorced from the hospital networks: “We had what I call the Great Divide, [which] is the fact that we have our EHRs in our institutions and we have our radiology information systems, and it’s radiology IT’s job to transverse that.”Lack of certified technology: “We were either going to have to replace it and depend on the fact that it was going to get certified, or add additional information technology to our enterprise.”Poor return on investment: “We could have generated for the institution 7 percent of the total Meaningful Use dollars. To get our practices anywhere near what it would have required to attest as Meaningful Users would have cost a lot more and taken significantly more than 7 percent of the effort.” Lack of meaning to Meaningful Use: “When you really look at some of these objectives, they’re not really pertinent to the practices we provide. We had other projects which did have meaning to our radiologists and to our practice.”While Hentel ultimately decided not to pursue Meaningful Use for these reasons, it was by no means an easy decision. “I don’t want to be singled out or labeled as the person who’s not participating; I don’t want to be different than the rest of the practitioners, especially as our institution transitions into accountable care. I want that seat at that table,” he said. Those who opted to pursue MU certification acknowledged facing many of the same decisions. One aspect that proved challenging for radiologists in particular was how to determine which patients, if any, could be counted toward attestation. For most of the objectives, the denominator was identified as “unique patients seen by the eligible provider.” “We actually wrote to CMS and said as radiologists there’s two kinds of encounters we have,” said James Whitfill, M.D., chief medical officer for Lumetis LLC, of his experience with Meaningful Use while at Southwest Diagnostic Imaging (SDI). “There are times where our mammographers are doing a biopsy on a patient and they are actually seeing the patient, you have face-to-face contact. There are other times where I’m looking at a digital image on a screen. Do both of those count as seeing the provider? Only one? CMS said ‘You decide.’ ” Ultimately, SDI counted only face-to-face contact with the patient toward MU measurement. By the time SDI began contemplating Meaningful Use certification in 2012, its radiology information system (RIS) vendor had opted not to pursue full EMR certification, opting for modular certification instead. Whitfill said SDI did not want to replace its RIS at that time, so they began pursuing an ambulatory EMR solution. “Our decision was let’s go ahead and go forward with Meaningful Use, primarily because we didn’t know what was going to happen with the exemption and we didn’t want to be in the place where we had to now buy this more expensive technology a couple years down the pike and there would be no stimulus money left behind,” he saidBrigham and Women’s Hospital in Boston also had to start by deciding what constituted a patient seeing a provider, according to Ramin Khorasani, M.D., vice chair, Department of Radiology and assistant professor at Harvard Medical School. “For us to take our ‘seen by’ to only be on patients we saw meant that when I read an abdominal CT it was a minimal consultative service similar to a cardiologist reading an EKG for another physician,” Khorasani said during the RSNA panel. “That just didn’t sit very well with our leadership team because on the same side we were trying to argue with Medicare that we add value to the process of care.” Final Rules for Stage 3Taking feedback from providers under consideration, CMS released the initial version of the Stage 3 requirements in May 2015, followed by a 60-day comment period. The final rules were made public in October, covering both the 2015 Edition Health IT Certification Criteria and the Medicare and Medicaid EHR Incentive Programs. Most significantly, the start of reimbursement penalties for non-compliance was pushed back to Jan. 1, 2018, essentially making Stage 3 optional in 2017. Providers who do choose to do their attestation next year will be allowed a 90-day reporting period; that privilege will be extended to new providers in 2016 and 2017. The number of objectives was also drastically reduced from previous MU stages. There are now 10 objectives for eligible professionals (down from 18 in previous stages) — one for public health reporting, and nine for eligible hospitals and critical access hospitals (down from 20 in previous stages).“We eliminated unnecessary requirements, simplified and increased flexibility for those that remain, and focused on interoperability, information exchange and patient engagement,” said Patrick Conway, M.D., M.Sc., CMS deputy administrator for innovation and quality and chief medical officer. Interoperability was one of the key themes touched on in public comments, as many providers struggled with the Great Divide described by Hentel. CMS took these comments into consideration, and more than 60 percent of the Stage 3 objectives now require interoperability. This is also one of the central themes of the 2015 Edition Health IT Certification Criteria, along with increased transparency and competition. MACRA and The Way Forward With the announcement of the end of Meaningful Use, however, the lasting impact of the Stage 3 objectives remains to be seen. “The EHR Incentive Programs were designed in the initial years to encourage the adoption of new technology and measure the benefits for patients. And while it helped us make progress, it has also created real concerns about placing too much of a burden on physicians and pulling their time away from caring for patients,” said Slavitt and Karen DeSalvo, M.D., MPH, M.Sc., national coordinator for health information technology, in a statement Jan. 19 on the CMS blog. While guidelines for the new program have yet to be released, Slavitt and DeSalvo said they will debut sometime in 2016. The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) will form the foundation for this meaningful outcomes program, which will be something of a spiritual successor for Meaningful Use. Four guiding principles will underlie the new performance measures:1. Rewarding providers for the outcomes technology helps them achieve withtheir patients.2. Allowing providers the flexibility to customize health IT to their individual practice needs. 3. Leveling the technology playing field to promote innovation, including for start-ups and new entrants, by unlocking electronic health information through open application programming interfaces (APIs).4. Prioritizing interoperability by implementing federally recognized, national interoperability standards and focusing on real-world usesof technology. The MACRA regulations will only cover Medicare physician and clinician payment adjustments, as the EMR incentive programs for Medicaid and Medicare hospitals have a different set of statutory requirements. Physicians will continue to be measured on their meaningful use of certified EMR technology to determine payments. “The process will be ongoing, not an instant fix, and we must all commit to learning and improving and collaborating on the best solutions,” wrote Slavitt and DeSalvo. “Ultimately, we believe this will be a process that will be most successful when physicians and innovators can work together directly to create the best tools. FacebookTwitterLinkedInPrint分享
Tags: Air Italy, Anjuna Air Italy’s Canadian GSA contract goes to Anjuna Share Posted by TORONTO — Global airline services company Anjuna has been appointed as Air Italy’s GSA representative in Canada.Air Italy launched six weekly flights from Toronto (YYZ) to Milan (MXP) on May 6, with connections to its Italian domestic and international networks. The carrier also currently operates five weekly flights from Miami (MIA), seven weekly flights from New York (JFK), four weekly flights from Los Angeles (LAX) and four weekly flights from San Francisco (SFO).“We are honored to lead Air Italy’s initiative to grow its footprint in the Canadian aviation markets,” said Mable Tang, Managing Director of Anjuna. “Our partnership will expand Air Italy’s world class global services, provide an enhanced customer experience for all passenger classes, and deepen Air Italy’s presence in the Canadian market.”The exclusive agreement with Anjuna will promote Air Italy’s direct flight with competitive fares from Toronto. All flights will be operated with its latest long-haul Airbus A330-200, two class configuration aircraft which includes lay flat Business Class seating.More news: Universal enhances popular Harry Potter vacation package with new perksSays Air Italy Chief Operating Officer Rossen Dimitrov: “Following the launch of our new direct flights from Milan Malpensa to Toronto, it is critical that we have the support of our General Sales Agent Anjuna to help us grow and develop the market – and we have every confidence in Anjuna being able to do this.” Travelweek Group Friday, May 17, 2019 << Previous PostNext Post >>
RelatedHolidaymakers wait until ‘the last minute’ to book their trip abroadHolidaymakers wait until ‘the last minute’ to book their trip abroadBrits travelling abroad ‘more likely to mix with locals’British travellers are more likely to mingle with locals during their summer holiday abroadGreater number of Brits book last minute holiday dealsWe think this is a good indicator that people are booking last-minute holidays Britons flying abroad this year must take greater care to ensure their holiday is “safe and protected” when they book, the Association of British Travel Agents (Abta) has said.Abta’s corporate marketing manager Steve Barnes said that, in the current economic climate, it is more important to ensure that holidaymakers are not at risk from losing money on a trip abroad this year.Mr Barnes said that people booking flights should check to see whether their tour operator has an ATOL licence, which prevents holidaymakers from being stranded abroad if something does go wrong.”If the holiday looks too good to be true because it’s too cheap, then there probably is a very good reason for that,” he said.”Double check, triple check to make sure that company exists.”Recent research from greenbee.com showed that the primary holiday concern among 34 percent of Brits was their tour operator going out of business.A further 17 percent said their biggest worry was a poor exchange rate, while 12 percent said that travel delays were their key holiday concern.Get Holiday Inspiration with Skyscanner:Weekend BreaksOne Week BreaksTwo Week BreaksReturnOne wayMulti-cityFromAdd nearby airports ToAdd nearby airportsDepart14/08/2019Return21/08/2019Cabin Class & Travellers1 adult, EconomyDirect flights onlySearch flights Map
FILE – In this May 20, 2018, file photo, Janet Jackson arrives at the Billboard Music Awards at the MGM Grand Garden Arena in Las Vegas. Jackson will receive the rock star award at the 2018 Black Girls Rock awards. Organizers on Thursday, Aug. 23, announced the Grammy winner will be honored as a “phenomenal women in music.” (Photo by Jordan Strauss/Invision/AP, File) by The Associated Press Posted Aug 23, 2018 7:04 am PDT Last Updated Aug 23, 2018 at 9:00 am PDT AddThis Sharing ButtonsShare to TwitterTwitterShare to FacebookFacebookShare to RedditRedditShare to 電子郵件Email Janet Jackson to receive award at Black Girls Rock awards NEWARK, N.J. – Janet Jackson will receive the rock star award at the 2018 Black Girls Rock awards.The Grammy winner will be honoured as a “phenomenal woman in music,” organizers said Thursday. Jackson recently released “Made For Now,” her single with Daddy Yankee.Queen Latifah will host the show, which will be taped Sunday at the New Jersey Performing Arts Center in Newark. BET Networks will air the special celebrating the accomplishments of black women on Sept. 9.Other award recipients include Mary J. Blige, Naomi Campbell and Judith Jamison.Blige will receive the star power award. Campbell will be presented with the black girl magic award and Jamison will receive the living legend award for her work in dance and choreography.
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