Electronic Medical Record (EMR) Pros and Cons

Within the last few years there as been an aggressive push on the part of government, professional organizations, and other authorities to institute a uniform EMR system. This includes generous subsidies allocated by recent legislation and mandatory legal requirements to occur in the next few years. As a practicing and academic physician with a masters degree in public health, I would like to briefly note some observations.

Intuitively, a uniform, easily accessible EMR seems like a very good idea. In fact, one of my major difficulties in practice occurs when a new patient arrives without copies of previous diagnostic studies or lists of medications. This is compounded in an incapacitated or elderly individual with many medical conditions and medications, and when there is a language barrier. Such patients may have great difficulty, or be incapable of, relaying this information to the new physician. To go online and immediately retrieve it would be very helpful indeed.

However, in these days of lower reimbursement and higher practice volumes, time spent imputing information may be time spent away from patient care. You may have experienced a visit where your doctor, using an EMR, has his eyes and hands on the computer much more than on you. I personally have accompanied relatives to physicians and emergency rooms where the doctor spent almost no time talking to, or examining the patient but instead sat in front of the computer, recording or retrieving information.

Also, these electronic records include templates where “check off” of existing information, rather than recording of original information is involved. This helps improve physician reimbursement by conforming with insurance company guidelines for level of service. It does little, however, to record the doctor’s thought processes or enhance the necessary medical information provided by this specific physician.

Don’t get me wrong. Good information is a good thing. But, it must be good for the patient and not just there to satisfy an insurance company. Also, it must contribute to, not detract from, the overall quality of care.

Austin Apartments Association

There are many trade associations in Austin that deal specifically with apartments. These include the Austin Apartment Association (AAA), the Texas Apartment Association, Inc. (TAA), and the National Apartment Association (NAA). There associations are non-profit institutions dedicated to the service of the rental housing industry. With growing demand for rented apartment in and around Austin, these associations play a key role in protecting the interests of both property owners as well as renters.

The Austin Apartment Association (AAA), established in 1964, is affiliated to the Texas Apartment Association and the National Apartment Association. AAA members include property owners, builders, developers, property managers, REIT executives, management companies and on-site staff and vendors who supply products and services to the industry. The AAA represents more than 155,000 rental units in Austin and ten other counties in Central Texas. AAA members represent more than 100 units in the Greater Austin area. They represent nearly 98% of the total rental properties in Austin. AAA has a membership from more than 500 apartment communities in the area of Greater Austin. AAA offers advise and consultancy services for renting and leasing of apartments.

The Texas Apartment Association, Inc. (TAA), founded in 1963, is also a non-profit organization committed to the development of the rental housing industry. The main objective of TAA is to educate and advocate the members, who comprise mainly of property owners, developers, builders and property management companies. TAA is affiliated to the National Apartment Association and other local associations in 25 cities in Texas. TAA has a membership base of over 10,000 members and represents close to 1.6 million rental units across Texas. On the whole, the TAA represents property worth more than $150 billion in market value. TAA provides standard forms and applications for lease contracts, rental contracts and other property issues.

Austin apartment associations are great for both property owners and residents. These associations can protect owners and provide valuable information to prospective residents.

Stainless Steel Jewelry

Pieces of jewelry made of stainless steel feature a beautiful silvery finish that is resistant to tarnish. This has made them a popular fashion jewelry choice among many people all over the world. The steel used to make jewelry has a non-reactive surface and is also hypo-allergenic which makes it an excellent choice for making high-quality body jewelry. Being resistant to surface scratching means that the pieces of jewelry made of this material will retain their attractive brushed finish for longer than most other materials.

Stainless steel jewelry is loved by many people not just because of their durability but also for the amazing beauty. Today, many fashion and body jewelry are made of steel alloys. In addition, the alloy is used to make wedding jewelry and a host of other jewelry meant for a lifetime wearing. To get the most out of such pieces of jewelry it is important to know how to spot the best piece. Here are important guidelines to consider when buying jewelry:

Body Jewelry

Body jewelry are made with special care so that they can be worn through body piercing. This requires special material that will not corrode or cause any other harm to your body. The best body jewelry are made of surgical grade stainless steel. The alloy has low nickel content and does well in an environment with low oxygen. If you intend to wear your body jewelry for longer hours then consider one with a smooth finish and made from the 316 LVM surgical steel which has low sensitivity and is not susceptible to infection or irritation.

The body jewelry made of steel are specially harden to prevent scratching and thus are free from pathogens and any form of turning. To buy body jewelry also remember to get the right size because a piece that is too large for your piercing will cause injuries to your body while those that are too small may fall off.

Fashion Jewelry

Jewelry made from stainless steel alloy are also becoming popular fashion jewelry the world over. This is because stainless steel can be anodized to give the jewelry a rainbow of colors that can inject some colors into your fashion style. The colors may range from pure gold to glossy black and rich deep pinks. Being resistant to tarnish and scratching the pieces of jewelry that you buy will retain their color for eternity.

When choosing fashion jewelry made of steel go for one that has the right colors for your style. Remember to also buy the design that best communicates your sense of style. There are quite a number of great designs in the market that includes ID bracelets, name plates, hearts and military-style designs. Pieces of jewelry made of steel are extremely difficult to resize or even bent. This means that you should ensure that you buy the right size and shape at all times.

Men’s Jewelry

Jewelry made from steel are strong durable and quite manly. They are also quite affordable when compared to those made of gold or platinum. This does not, however, mean that you should buy the next steel jewelry you come across. There quite a number of women style steel jewelry that you should avoid. For men’s jewelry, go for natural colors such as silver, or black. Also, check the design for masculinity. For ladies, colorful pieces of jewelry will do.

Stainless steel jewelry is becoming quite popular these days because of their great qualities and the competitive prices they go at. To get the best jewelry it is important to consider the guidelines based on categories such as body jewelry, fashion jewelry, and men’s jewelry.

Sterility in Medicine

We are lucky to live in this century, one where medicines have been developed to combat most ailments, where we can be sure that the medicines we have are safe and sterile when needed and if we need a surgery, that the tools and equipment needed is all safe, clean and germ free.

Throughout history, they didn’t give much thought to keeping things clean and sterile, but luckily today we know that it is used to promote health and to eliminate the risk of contamination. What does being sterile mean though? Well, sterility is defined as the complete absence of any viable microorganism whether on a surgical tool, on equipment or in medicines themselves.

There are a few different ways that sterility is achieved in the medical and pharmaceutical fields. The first is using steam. This technique was actually invented back in the 1880’s by a man called Charles Chamberland. He came up with the autoclave, a steam sterilizer that used water to create steam to clean surgical tools and kill bacteria between patients. Today we still use this technique to clean glassware and surgical instruments.

What about things that can’t withstand high temperatures? In the case of sensitive electronic components, plastics and cardboard that need to be sterilized, the technique is EtO or EO, and it uses Ethylene Oxide gas as the sanitizing agent.

Another way to sanitize things is by the use of dry heat. This is used for things like needles and metal instruments that can get very hot with no worry that they will disintegrate.

But what about medicines themselves? They can’t be steamed, but they can go through the process known as aseptic processing. This takes a sterile medicine and packages it in a sterile container using flash heating. It is a task that also requires the use of clean rooms, bacteria retaining filters and dry heat. By using this technique however, drugs can be imported and exported anywhere in the world without the need for refrigeration and will be sterile when they arrive at the patient.

Sterile medicines, equipment and tools all help to provide the best care possible to us when we are sick. We don’t have to worry about contamination as the risks for it is low if all temperatures, gases, humidity and pressure levels have been accurately monitored throughout the sterilization process to ensure validity and effectiveness. Medicine has come a long way and the results are safer and more reliable than ever before.

Things To Know About Home Improvement Loans

Owning a home is a dream-come-true for most people, but sometimes home repairs and maintenance can be a burden. Some repairs cannot be put off and home repair jobs must be done as they appear. If you do not have the money for major home repairs, a home improvement loan is your best option.

A loan for home remodeling provides access to cash that can be used to make renovations or additions to a private home. The loan can only be used to finance projects that will benefit the house or property. All the work done must be for the maintenance of the real estate or to increase its worth.

Home loans are usually short-term loans. The interest rate depends upon the lending institution and the personal credit of the borrower as well as the home value and home mortgage.

Purpose of the Home Improvement Loan

Cash from a loan for home improvement can be used for projects such as home repairs, new bathroom or kitchen, building a deck, landscaping, repainting, redecorating, updating plumbing, installing a swimming pool, adding a room, etc.

Acquiring a Home Improvement Loan

Private lending institutions offer these types of loans. There are also federally funded programs for this type of loan. You can speak with a customer service representative for information about acquiring a loan.

Before you go to a lender, be sure to have all the details of the project ready. You will need the estimated total cost of the project and quotations from potential contractors. You must also include the expected increase in home value, if applicable.

Home improvement projects can be financed through home equity loans or home equity line of credit. You may also opt for refinancing and unsecured loans. Veterans can apply for a VA Home Improvement Loan to upgrade their current home. This type of loan is backed by the Federal Government to lending institutions that offer home improvement financing.

Choosing a Loan to Finance Home Improvement

Each type of loan has its own advantages and disadvantages. It’s up to the homeowner to decide
which one suits their needs best. One of the deciding factors in choosing a loan is the interest rate. Secured loans with the borrower’s property as collateral generally have a lower interest rate.

For small home repairs you may want to take out a personal, unsecured loan. For major construction, however, it may be more beneficial to apply for a homeowner’s loan. You will find many lending institutions that can offer financing for a home loan. Obtain quotes from different lenders and choose the one with the best offer.

Don’t Get Stuck in a Rut – Invest in a New Driveway

The driveway of your house is one of the first things that you or anyone else visiting your home sees. There’s no way of hiding it, and there is no way of getting around the fact that if it is in a state of disrepair, it will make the rest of your property look not care for and untidy.

One reason that many people end up with aging driveways with cracks and potholes in them is that it seems to be a massive and expensive job to put right. That’s why you should always shop around to find the best deal when you are looking to have work carried out on your driveway. Weigh up all the different options and then make a decision based on your particular wants and needs. Whether you are considering tarmac or a paved driveway, you are sure to improve the look of your property immeasurably.

If you’re not personally bothered about the state of your driveway but are looking to sell your property then it makes sense to have it re-laid before putting the house on the market. Potential buyers could be put off buying your home straight away if they take one look at it and see a messy and cracking driveway. It suggests the rest of the house may also be in a state of disrepair, and who wants to buy a home off someone who has not looked after it.

Whatever type of home repair you are looking into, it is always important to make sure that you look around different companies to make sure you are getting the best deal out there and not spending more money than you need to. You can now find companies online that are dedicated to finding quotes for driveways, helping you to get the very best deals available in your local area. Home improvement price comparison websites make sure that you are only put in touch with reliable and reputable companies that you can trust to get the job done for a fair price.

It’s possible to get quotes for everything from new kitchens to double glazing, so when you have a home improvement project on the cards then make sure you look on the internet to find you perfect partner.

Building a “Successful-Product Pyramid”

Basically, businesses that are into tangible products are on a dead end today. It is because they don’t have an idea on how to create a successful product. Most of the businesses today only adds more features on a certain product and increase its price. They market it as new products even if it is only an improvement of the latter.

It is true that we are lacking enough minds to create a successful product, but deceiving the public is not something that businesses should do. The richest man in the Philippines once said that you have to be honest with your customers if you want them to stay and be loyal in your brand. Well, how can you expect them to stay and be loyal to your brand if you are not giving them what they deserve?

If you wanted to build a successful product, here are some of the important things that you need to know.

Put Innovation as your Product’s Foundation

When creating a product, you should always put innovation as the foundation because in the end, everything comes down on how your product is unique from the others. It is really hard to create a unique product and it is also the reason why every company spends a lot of time, effort and money to create a new product.

Instead of wasting time thinking of adding new features on an already existing product, think of a new product. It will take time, but you don’t have to release new products on a regular basis. You can always add features and tell them that it will be a new addition to the products. You don’t have to add features and increase the price of the item.

Your Product should be Functional

The term “Functional” is not only for electronic products. It can be applied to all the other products on the market today. Let’s say that you already have an idea on what to product, the question is how can you make it functional? You cannot sell an idea. Your idea should be functional if you want people to buy it. If your product will not live up to what you are claiming, it will never be successful no matter what you do.

If you think that the idea of the product is good enough or the design, it should be functional first. It should be a step by step process. You can determine the functions of a product unless you innovate first. You cannot make a design unless you do the first two.

Think of an Attractive Design

Don’t overdo the design because you are not selling a product just because of designs. Make it look attractive and make sure that the functions will not be affected in any way. This is the last step in the successful product pyramid. Even if it is only about the design, it plays a very important role in the marketing of the product.

Many business owners and Filipino billionaires know about this, but only a few are using this. It should be done by business owners if they want to make a successful product.

10 Things You Have To Know About Wooden Garages

Wood structures are pretty much the hottest fad in the real estate world right now. Log cabins are growing in popularity, backyard sheds made of lumber are hot ticket items and gazebos are an obsession. Even wooden garages are a big hit and you may be considering getting your own to take advantage of the many benefits it can provide.

Here are ten things you should know about wooden garages before you buy.

You Have To Regularly Keep It Clean – This is a big deal and one too many people ignore. Dirt may just slide off of metal siding but it can cause damage to wood. When you get a wooden garage you are committing to keeping it clean and maintained. That will keep pests out of the corners, or from burrowing into the lumber.

Staining Is Necessary – Another element to maintaining your wooden garage is staining it. This has to be done every three to five year to maintain the integrity and health of the lumber. If you don’t do it the logs will crack, blanch and possible let in pests like termites. The wood may also become warped or even rot from the inside. Luckily it isn’t an expensive investment, is simple to do yourself and there are many environmentally friendly chemicals to choose from for the tasks.

It Is Prone To Pests – As mentioned above, wood is attractive to pests. Termites, spiders, ants, rats, mice, even racoon..they like the wood. For the most part this won’t be an issue as long as you stain your wood, keep the garage clean and look out for cracks. But if you find a hole you should fill it as quickly as possible to avoid an infestation.

Materials Can Be Expensive – Looking at the cost of building a wooden garage you may be shocked by the discrepancy in cost when compared to metal structures. The other side to that argument would be how sturdy lumber tends to be, as well as how attractive it is. People who buy wooden structures are essentially investing in the property. When you look at it that way you will see why the cost can be worth it.

Pre-fabs Are More Cost Effective – If the price tag on a custom built wooden garage is a deal breaker it may be time to consider an alternative. Pre-fabs are much more inexpensive, fitting into most budgets. They come in multiple sizes with various features, such as automatic doors, or even manual double doors for a more rustic look. These will average between $1500 and $5000 for most models, though more complex garages can be more.

You Can Fix Them Yourself – This is a big plus for a lot of folks who don’t want to have to turn to a contractor to fix future problems. Wood is easier to work with than metal and you can replace whole logs if you have to. Any lumber seller, from hardware stores to wood based recycling centers, can help you find the right size, color, shape and weight to make a repair. But in many cases you can just to small patch jobs to take care of problems. If you maintain your garage properly it might never even come up. On the other hand, if you do need someone to come and fix it for you it isn’t hard to find contractors who can deal with wood. Metal repairs can cost more.

Damp Can Ruin The Wood – It can’t be said enough, you have to stain your wooden garage regularly! Staining seals the wood and keeps moisture out of the lumber. When the stain begins to breakdown it will no longer repel water. The damp will push its way into the logs and start to rot it from the inside. Warping will form, pushing the logs out and causing gaps where the wood has shrunk. Heat will make it expand again, exacerbating the problem. Cracks will form in the surface, letting in more damp and in some cases various pests. All it takes is a bit of rain when the garage isn’t properly fitted and you will have to replace full logs. Make sure you prevent it!

They Can Be Used as More Than Garages – Some people are choosing these structures, but not for their cars. Wooden garages make great sheds, extra rooms and even guest houses. Depending on the size you select (and that of your car) you might be able to share the space for multiple purposes. All it takes is a bit of imagination and you can turn it into anything you like. Because of the low price it might also act as an alternative to more expensive structures you were considering putting on your property.

They Improve The Look Of Your Property – Let’s face it, metal garages are ugly. They take up too much space, make weird noises in storms and are just an eyesore. Wooden garages look great, have a classic feel and are popular for a reason. If you want to make your property look as good as possible, especially if you are considering a sale in the future, this is a great step to take. Throw that metal garage in the trash heap where it belongs.

They Can Increase The Value Of Your Home – This is one of the biggest reasons people choose to go with wooden garages. There are many different upgrades you can do to increase the value of your home. Some people put in swimming pools, others go with guest houses in the backyard. Others put in a rock garden or install solar panels. Wooden garages are a practical upgrade the looks good while being fully functional. That gives it an edge to many of the other improvements, especially given the lower cost.

Apartment Rent Back Advice

When financial problems arise, many people become frustrated and sad. Working professionals, who earn a fixed salary, might lose heart when they do not get a raise. You might have planned to buy an apartment (when you get a raise). But when you fail to get a raise, you might not be able to purchase that apartment.

Interest rates have been volatile lately, causing many borrowers to have issues making their payments. Banks are nervous and might tighten the rules as to when payments can be made. This can be avoided by using the apartments rent back option. Investigate it to make sure it is the right option for you. Loosing some value up front might be better than losing your home altogether.

Using the “sell and rent back” scheme, you can prevent the bank from seizing your apartment. The “sell and rent back” scheme is making waves all over UK and USA. Hundreds of people have benefited from this method. Using the “apartments rent back” scheme, the owner can transfer the ownership of his apartment for a fixed time period during which he is required to pay a fixed rent.

If you are not sure whether you will be able to pay the installments of your home-loan, then you must consider the “rent back” option. There are many private companies which offer you this scheme and that too at reasonable rates. The “apartments rent back” scheme allows you to stay as tenants in your apartment by paying a fixed rent every month.

When looking for the best apartment rent back guide the internet is a good place to start. There is much information available online regarding these programs and companies that offer these services. Try an internet search with the terms “homes for rent by owner” and you should get some good information.

If you are seriously looking thinking about apartments rent back ideas it is wise to check with people you know in the real estate industry or other reputable real estate companies to get their thoughts and advice. It is good to keep in mind that if you find yourself in trouble paying your mortgage that the apartments rent back program is always available to help.

Package Forwarding Service

As far as international shipping is concerned, you have many options. But one of the best options is hiring a good package forwarding service. Let’s take an example Suppose you reside in Australia or UK, and you want to buy an item from eBay or Amazon. In this case, you have to use a package forwarding service. This service will help you save a lot of money, as you won’t need to pay high shipping charges. it’s not difficult to use such service. Read on to know more.

Registration

First of all, you need to choose a package forwarding site. Once you have a good and reliable provider, your next step is to sign up to get an account. By signing up, you will receive a forwarding address. You will use this address to meet your shipping and shopping needs from time to time.

Make sure you check everything carefully before signing up. The shipping cost shouldn’t be too high. Aside from this, you need to find out about other services offered by the provider, such as package consolidation, repackaging and fees, just to name a few. it’s very important that you take all these things into consideration or you will regret your decision later on.

Address details

As far as entering your address is concerned, you can use the same address you saved at the time of signing up for the first time. Once you have chosen the address, you can go ahead and place your order. This way you won’t have to type your address each time you place a new order. Next, you should wait for the delivery of the package from the seller to your address.

Package handling

Now, you need to make arrangements for your parcel handling like repacking. Another option that you can consider is package consolidation. When you place orders with many retailers, you can try out this option. You can save a lot of money with package consolidation. However, you need to keep in mind that choosing this option may add to the custom duty for some countries. In this case, what you need to do is get the package sent separately instead of paying high custom duty.

Shipping fee

Keep in mind that you will have to pay the international shipping fee if you want to get the package at your doorstep. Once you have paid the shipping, the package will be yours.

Important things to consider

You may want to prefer a forwarder that charges no membership fee
Remember: lower shipping fee can’t be translated to reduced total amount
For package delivery in tax-free states, you can save more.
Consider the membership fees
Make sure there are no hidden fees, such as storage fees
Don’t place your order for prohibited items as they won’t be forwarded

Long story short, if you are going to choose a package forwarding service in the near future, we suggest that you consider the advice given in this article. This will save you a lot of headache down the road.